health • considering the impact on the child of parental substance misuse • monitoring developmental milestones, in particular the development of speech and language, gross and fine motor function, vision and hearing, play and pre- literacy skills, social skills. Ages 5-10 For primary school age children, the focus will be on: • physical health and management of specific health conditions eg asthma • communication skills • ability to make relationships and to relate to peers • mental and emotional health, including depression and conduct disorders • progress at school • exercise and diet and understanding of a healthy lifestyle • maintenance of personal hygiene • awareness of basic safety issues, including road safety • provision of a healthy balanced diet • ability to recognise and cope with the physical and emotional changes associated with puberty 33 • access to accurate simple information about sexual activity • considering the impact on the child of parental substance misuse • screening and immunisation • dental health • attachment behaviour • social and self-help skills • assessment of the risks of child sexual exploitation, antisocial or youth offending behaviour, bullying, domestic abuse or sexually harmful behaviour. Adolescents and those leaving care (11-18) For secondary school age children, the focus will be on: • ability to take appropriate responsibility for their own health, including the management of specific health conditions, e.g. asthma, diabetes • communication and interpersonal skills • educational and social progress • lifestyle, including diet and physical activity • ensuring that immunisations are up to date • dental and skin health • mental and emotional health, including depression and conduct disorders • understanding of issues relating to he