From what age do you see children?
From three months old, with a parent or guardian present throughout.
But the age is not really the rule. Any unwell or feverish infant under one needs to be seen in person the same day — whatever their age in months. Between three months and one year we see well babies with non-acute problems.
Under three months we do not assess remotely at all.
Why the under-three-months line?
Because in that age group the signs of serious illness are subtle, deterioration is fast, and a fever alone is managed entirely differently — typically requiring same-day in-person assessment and investigation.
No remote service anywhere can safely assess a febrile baby under three months, and any that offers to is one to avoid.
My child has a fever. When do I worry?
How they look matters far more than the number.
Urgent: a rash that does not fade under a glass; difficulty breathing; floppiness or drowsiness; no wet nappies; a weak or high-pitched cry; pale, mottled or blue skin.
And if you simply feel they are seriously unwell, act on it — that instinct is one of the better predictors of serious illness in children.
What if I book and you decide you cannot see them?
The GP will tell you in the first few minutes and direct you to where your child should be seen — and we refund it.
Nobody should pay to be told to go elsewhere, and knowing quickly is worth more than a long consultation ending in the same place.
Why do you keep asking for a weight?
Because children are dosed by weight, not by age, and getting it wrong matters in both directions. For an infant especially, a weight from a few months ago is out of date.
Without a usable weight, some prescribing cannot be done safely at all.
Can you tell me whether this needs A&E tonight?
Yes — and it is one of the most valuable things a consultation does. A great deal of parental worry is not "what is this" but "does this need seeing now or can it wait until morning".
But if you already think your child is seriously unwell, do not book to check. Go.
Should I give paracetamol for a fever?
For discomfort, yes. For the number, no. Fever is not itself dangerous and does not need bringing down for its own sake.
Do not routinely alternate paracetamol and ibuprofen — it causes dosing errors and offers little. And check the strength on the bottle, since paediatric liquids come in more than one concentration.
Do they need to stay off school?
- Conjunctivitis — no exclusion at all, which surprises most people
- Chickenpox — until the lesions crust
- Diarrhoea and vomiting — 48 hours after the last episode
Otherwise, when they are well enough to take part. We can provide a letter for school or nursery if one is needed.
Can you do vaccinations or developmental checks?
No — both need to be done in person, and both are free through your NHS practice and health visiting team.
Those are services worth using. Childhood immunisation and developmental surveillance are among the more valuable things the NHS does, and nothing private substitutes for them.
My child keeps catching everything at nursery.
That is what nursery does, and it is not a sign of a weak immune system. Frequent minor infections in the first year of childcare are normal and settle as they get older.
What would warrant a look: infections that are unusually severe, need repeated antibiotics, or come with poor growth or weight loss.
Is my child's eczema caused by food?
Rarely, and the internet greatly overstates it. Food allergy drives a minority of infant eczema and almost no adult eczema.
Do not restrict a child's diet without allergy assessment — it causes nutritional harm, and paradoxically avoiding a food can cause genuine allergy to develop.