How should I approach discussions with parents regarding their child's developmental progress and potential concerns?

Approach discussions with parents by first inviting them to share any concerns they have about their child's development. This helps to engage parents and acknowledge their observations and worries.

Use parent-completed questionnaires and developmental assessments as tools to guide the conversation. Discuss results from standardised tools such as the Parent Report of Children's Abilities – Revised (PARCA-R), Strengths and Difficulties Questionnaire (SDQ), and Ages and Stages Questionnaire (ASQ) to provide objective information on the child's progress.

Provide clear, accessible summaries of the child's strengths and any developmental difficulties identified. Ensure the information is communicated in a way that parents can understand and that it supports shared decision-making about interventions or support plans.

Explain the importance of ongoing developmental surveillance and universal screening services. Advise parents that follow-up assessments will continue, especially for children born preterm, to monitor emerging issues over time.

Be sensitive and supportive when discussing potential developmental problems or disorders. If concerns arise, explain the next steps, including possible referrals to local pathways or specialist services, and seek permission to share information with education or social care services as appropriate.

Empower parents by involving them in decisions about their child's care and support. Multidisciplinary teams should work collaboratively with families to address concerns and plan interventions.