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When your child starts school at 5 years old, the school nursing service takes over from the health visiting service.

The service works with children, young people, parents, carers and school staff at mainstream schools.

School nurses promote physical and mental health and wellbeing for children and young people.

What school nurses in Hertfordshire do

The team advise on a range of health issues that can affect a child or young person

  • School nurses promote physical and mental health activities.
  • They also help families that need a little extra support, for example, specific parenting issues, emotional difficulties and coping with long term health conditions.
  • And for families with complex needs, including drug and alcohol misuse, school nurses work with social care and other health organisations to keep the young person safe and healthy.

The school nursing service works with...

Reception and years 1–5

The Nasal Flu immunisation is offered. In special schools, all school year groups are offered the nasal flu.

During your child’s first school year, you’ll be asked to complete a questionnaire about their health and wellbeing. Once completed, a school nurse may contact you to discuss further.

In Reception, all children are seen for screening of height, weight, vision and hearing as part of a school health surveillance programme. Any issues identified will be monitored or referred to a specialist service, with parent or carer permission.

Children’s height and weight is measured and recorded as part of the National Childhood Measurement Programme. Results are shared with parents and carers, following consent.

Children who have not had a pre-school booster (Diphtheria / Tetanus/ Polio, MMR and Meningitis C) will be encouraged to go to their GP to have these important injections.

Parents or carers can complete an online questionnaire about the health and wellbeing of their child.


Year 6

Height and weight results are included in the National Childhood Measurement Programme, again, with parental consent.

Children and young people complete an online health assessment in year 6.


11 years old (year 7, first year at secondary school)

At this age, we encourage students to take more responsibility for their own health. As such, support is arranged directly with the schools wherever there's a need.

Children are screened to assess the need for immunisation against TB (BCG programme).


12 - 13 years old (year 8)

All girls in year 8 are offered the Human Papilloma Virus (HPV) immunisation which is a course of 2 injections.


Aged 13 - 15 years old (years 9 - 11)

A booster immunisation against Diphtheria, Tetanus, Polio and Meningitis C is offered to all students.

Children and young people complete an online health assessment in year 9.

Immunisation consent

Before any immunisations take place, an email is sent to parents with a link to an online consent form. It’s essential that you complete the form for your child to be included in the immunisation programme.


Health advice you can trust

It can be tricky to find good health advice on the internet. Try these – they're managed by the school nursing service...



Refer a child to the school nursing service

Parents, teachers, GPs and professionals can refer a child. Young people can also self-refer themselves to the service.

Before you refer...

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Contact your school nurse in Hertfordshire

The school nursing team can be contacted on 0300 123 7572.



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