5-19 Healthy Child Service – Co. Durham

The 5-19 Healthy Child Service in County Durham promotes and protects the health and wellbeing of all children and young people aged 5 to 19.

We work with children, young people and families to empower and enable them to make informed decisions about health, and to support them in transitioning safely and happily into adult life. The 5-19 Healthy Child Service works in community settings to deliver universal and targeted interventions designed to meet public health outcomes. We ensure the emotional and physical health and wellbeing of families, children and young people across County Durham.

The School Nursing team provides a service to all children and young people of school age, and their families, whether or not they are attending school. The service is based on the Healthy Child Programme from 5-19 years old. We offer advice and information, and assess health needs on children entering school and on transfer to secondary schools. We are the first point of contact for schools when there are concerns about a child’s health and wellbeing. We are also responsible for:

  • Measuring and weighing children in reception and year 6 as part of the National Child Measurement Programme;
  • Universal screening for vision and audiology (hearing) screening for reception children
  • There is a designated Immunisation Team who undertake immunisation and vaccinations
  • Providing enuresis (involuntary urination) advice and support
  • Providing emotional health and wellbeing support;
  • Supporting children and families with additional health needs or disability
  • Parenting and behavioural problems
  • Risk taking behaviour including drugs and alcohol
  • Stopping smoking
  • Relationships, sexual health & pregnancy
  • Promoting healthy lifestyles in schools and communities through health education
  • Offering awareness sessions for teaching staff in schools on health issues such as asthma, epilepsy and anaphylaxis, and engage specialist services where needed.

Specialist advice and support will also be offered to:
Children in need of protection and their families; children and families in need; foster carers and children who are in care.

5-19 School Nursing Team

The 5-19 Team comprises Specialist Community Public Health Nurses (School Nurse), Community Staff Nurse , FISCH Team (Family Initiative Supporting Children’s Health) School Nurse Assistant Practitioners, School Screeners and Health Administrators. We have a link named School Nurse for each school and GP Practice in the localities in which we work.

We work closely with Health Visitors so that children and families with complex health and social care needs are identified early. We support the development and implementation of health management plans to promote the child’s health and wellbeing, school attendance, education and attainment.

When young people and families require targeted interventions, these may be provided solely by the School Nursing Team or delivered in partnership. We work as part of the Integrated Team approach in County Durham, also known as One Point.


We work in local schools and a variety of community venues including children’s centres, health and home settings.


We accept referrals from a range of sources including:

Children and Young People, Parents / Carers, Schools, Other Health professionals, GPs, Partner agencies, Families First

Consent and Confidentiality

When young people under 16 years of age ask for certain services they are assessed by trained practitioners against ‘Fraser guidelines’ to determine their level of understanding.

This assessment may be used when you need a prescription for something such as smoking cessation, or when you need referring to another service, for example sexual health services.
This assessment does not affect your rights to confidentiality.

Please contact the School Nursing Team for further advice and support.


Central number: 03000 263538

Useful links

The 5-19 Service is delivered in partnership with a range of health, social and education organisations and teams including: