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How Is My Child Doing?

The communication pyramid is a simple way to show how communication develops. The skills at the bottom come first and need to be in place in order to support the development of the skills higher up.

For example, a child needs to develop their attention and listening before they will be able to fully engage in play. Their understanding then develops through play. When understanding is developed, a child will be able to learn how to express themselves. Finally clear speech develops.

Supporting these skills will provide children with the very best environment to develop their understanding and use of language. Speech and Language Therapists use this model to help them decide what speech, language and/or communication aims are appropriate for a child with communication difficulties.

Click the button below to take our Communication Quiz. This self-care resource is based on the ages and stages of children's communication development.


If you are worried about your child, you can use C.H.A.T to work through some helpful steps.

  • C - Check It Out
  • H - Have A Go
  • A - Ask For Advice
  • T - Take Action

C - Check It Out

Most people learn to communicate without really having to ‘work’ at it. This means we don’t really think about what happens and when it should happen in our development. Some worries can be about things that are quite normal and nothing to worry about, for example substituting some sounds for others at certain ages.

H - Have A Go

There are lots of simple things you can do at home to help. Sometimes the simple things make all the difference. Relax and enjoy interacting with your child, think about doing these things while playing.

A - Ask For Advice

If your child attends an early years or school setting you can speak to their key worker or teacher about your concerns. They will be able to do a mini assessment to work out what is best for your child and give you some advice. You can also call Just One Number on 0300 300 0123 to speak about your concerns. They will be able to discuss this with you and give you some advice.

T - Take Action

For your child to make the best progress, little and often is usually far better to help them develop. Try and follow the activities or advice everyday. If your child attends an early years or school setting, the same activities will be completed there as well.

Who Can Help?

You can contact the Norfolk & Waveney Speech & Language Therapy Service by calling Just One Number on 0300 300 0123. Our opening hours are 8am-6pm Monday-Friday (excluding bank holidays) and 9am-1pm on Saturdays.

You can speak to other Norfolk parents and carers by clicking our online community forum below. 


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