Pregnancy Guide, Practical Help & Your Story  ·  Clear support for every stage

Milestones are guideposts, not strict deadlines. Wide variation is normal. Always talk to your health visitor or GP if you have concerns.

From birth to 7 years

Each age range covers typical development across four areas: social & emotional, motor skills, language & communication, and when to speak to your health visitor.

0–3 months

Social & emotional

Smiles in response to a face or voice; makes eye contact; startles to loud sounds.

Motor skills

Lifts head briefly when on tummy; grasps a finger; brings hands to face.

Language & communication

Coos and makes soft sounds; cries differently for hunger vs. discomfort.

When to speak to your health visitor

If not making eye contact, not smiling by 3 months, or not reacting to loud sounds.

4–6 months

Social & emotional

Recognises familiar faces; laughs and squeals with delight; responds to their name.

Motor skills

Rolls front to back (and back to front); sits with support; reaches for objects.

Language & communication

Babbles (ba-ba, da-da); turns toward sounds; blows raspberries.

When to speak to your health visitor

No babbling, not reaching for objects, or not bearing weight on legs when supported.

7–9 months

Social & emotional

Shows stranger anxiety; enjoys peek-a-boo; starts to understand "no".

Motor skills

Sits unsupported; crawls or shuffles; pulls to standing.

Language & communication

Uses gestures (waves bye-bye); says "mama"/"dada" non-specifically; copies sounds.

When to speak to your health visitor

Not sitting without support by 9 months, or significant loss of skills previously gained.

10–12 months

Social & emotional

Follows simple instructions; shows objects to caregivers; gives and takes objects.

Motor skills

Cruises along furniture; may take first steps; picks up small items with thumb and finger.

Language & communication

Says first meaningful words (e.g. "bye", "up"); points to things of interest.

When to speak to your health visitor

Not using any gestures (pointing, waving), or not saying single words by 12 months.

12–18 months

Social & emotional

Plays alongside other children; shows strong attachment to main carer; helps with dressing.

Motor skills

Walks independently; stacks 2–3 blocks; scribbles with crayons.

Language & communication

Vocabulary grows to ~10–20 words; points to body parts when asked.

When to speak to your health visitor

Not walking by 18 months, fewer than 5 words, or no pointing.

18–24 months

Social & emotional

Begins parallel play; shows empathy; has increased independence but still needs reassurance.

Motor skills

Runs (may still fall); kicks a ball; turns pages of a book; uses a spoon.

Language & communication

Starts combining two words ("more milk"); vocabulary of 50+ words by 2 years.

When to speak to your health visitor

Fewer than 50 words by 2 years, not combining words, or regression of skills.

2–3 years

Social & emotional

Plays with others; understands "mine" and "yours"; has frequent emotional outbursts (normal).

Motor skills

Climbs stairs with both feet on each step; jumps; draws circles.

Language & communication

Speaks in short sentences; strangers can understand most speech by age 3.

When to speak to your health visitor

Speech very difficult to understand; not using sentences; significant behaviour concerns.

3–4 years

Social & emotional

Takes turns in play; engages in imaginative and role play; develops friendships.

Motor skills

Hops on one foot; catches a ball; uses scissors with supervision; draws simple figures.

Language & communication

Tells stories; asks many questions; knows colours and some numbers.

When to speak to your health visitor

Cannot be understood by strangers, has difficulty with simple instructions, or is very isolated socially.

4–5 years

Social & emotional

Co-operative play; understands rules of games; can show and manage emotions better.

Motor skills

Skips; buttons clothes; draws a person with at least 4 body parts.

Language & communication

Speaks clearly; counts to 10+; knows alphabet letters; begins to read simple words.

When to speak to your health visitor

Persistent difficulty with speech/language, social interaction, or fine motor tasks.

5–7 years

Social & emotional

Forms close friendships; navigates complex social rules; understands fairness.

Motor skills

Rides a bicycle; writes letters and numbers; uses cutlery confidently.

Language & communication

Reads simple books; writes short sentences; tells detailed stories.

When to speak to your health visitor

Significant difficulties with reading, writing, social relationships, or attention that affect daily life.

Development milestones are guidelines based on population averages. Every child is different. If you are ever concerned about your child's development, contact your health visitor or GP — early support is always better than waiting.

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