The National Child Measurement Programme

As part of the National Child Measurement Programme children are weighed and measured at school. The information is used by the NHS to plan and provide better health services for children. Some local NHS providers will send the results to the parents of the children measured.

Watch a video about the National Child Measurement Programme

What will happen?

If you have a child in Reception Year (ages four and five) or Year 6 (ages 10 and 11) you will receive a letter with more information from your local NHS provider before your child is measured.

On the day, trained staff from your local NHS will weigh and measure your child in their clothes at school. Care is taken to ensure that the measurements are done sensitively and in private, and your child’s results will not be shared with teachers or other children.

Why is it important that my child takes part?

Your child does not have to take part, but every child measured is contributing to the national picture about how children are growing. The more children who participate, the clearer that picture will be. The information collected helps your local NHS provider to plan and provide better health services for the children in your area.

You can also benefit, as you can receive your child’s individual results. This will help you to know if your child is in the healthy weight range. If your child is overweight, further support is available from your local NHS.

How do I find out my child’s results?

In some areas parents will automatically be sent their child’s results in the post. In other areas parents will need to contact their local NHS provider to find out their child’s measurements.

The letter that you receive from your local NHS provider before the measurements take place will explain how you will be informed about your child’s results.

If you already know your child’s height and weight and want to know if they're a healthy weight for their age, height and sex, you can check using our healthy weight calculator. The calculator can be used for your whole family.

If you're concerned that your child might be underweight or overweight, speak to your GP, school nurse or health visitor. They will be able to offer you advice and support.

Why do we need to take the measurements?

The BMI (body mass index) measure, used by healthcare professionals, is a good way of finding out whether a child is a healthy weight.

By comparing your child’s weight with their height, age and sex, we can tell whether they are growing as expected. This is something you may have done when your child was a baby, using the growth charts in the Personal Child Health Record (red book).

Once your child’s BMI centile has been calculated, they will be in one of four categories: underweight, healthy weight, overweight or very overweight.

In a healthy population, most children should be in the healthy weight range, with fewer than one in 10 in the overweight or very overweight range.

Today, one in three children aged between two and 10 years is overweight. Because the number children being overweight has gradually increased in our population, we have slowly become used to it, and it can be difficult to tell if your child is overweight as they may look similar to other children of their age. That’s why we use the measurement of weight against height to get an accurate measure.

Research shows that if your child is overweight now, they are more likely to grow up to be overweight as an adult. This can lead to health problems in later life, so this measurement is an important way of checking how your child is growing.

Should I share these results with my child?

The results are sent to you the parent or carer, so the decision about whether to talk to your child about the result is entirely yours. Some parents or carers like to discuss the result with their child and then decide together whether to make any changes to the family’s diet or activity levels, while others decide to make discreet changes without telling them. There is no right or wrong answer and your approach will depend on your family and your child.

You might find some useful advice on this at the Weight concern website

Where can I get help?

If receiving results about your child’s weight takes you by surprise or causes you concern, speak to your GP or school nurse for advice and support.

Your primary care trust (PCT) should have also included a contact number with the results letter for you to call if you want further information or advice from your local NHS.

Many parents have found the tips on the Change4Life website useful in helping them make small lifestyle changes to keep their child in the healthy weight range. You can also discover what clubs, activities and fun events are happening in your local area. You can also call Change4Life on 0300 123 4567 (local call rates apply).

If your child is overweight, you can find out more about the steps to take and the help available in When your child is overweight.

Some parents also find it helpful to re-check their child’s BMI after a few months, to see if they have moved into the healthy range as they grow. You can do this using the NHS Choices Healthy weight tool.

The National Child Measurement Programme

This video explains how the National Child Measurement Programme can help improve NHS services for children. As part of the programme children are weighed and measured at school. Find out what else is involved and why it's important for your child to take part.

Last reviewed: 01/09/2010

Next review due: 01/09/2012

Comments are personal views. Any information they give has not been checked and may not be accurate.

ploomyy said on 06 May 2012

my daughter received a letter stating that my granddaughter is clinicly obese.
there is no way she is, she is a healthy nornal child, eats healthy and is always playing out.
what do thesepeople think they are doing.
fortunately my daughter is taking no notice of the letter.
i think this government has a lot to answer to, scaring people about their kids.
no wonder healthy girls think they are obese if they see these stupid letters.

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brutald said on 03 February 2012

i am so mad just recieved a letter like most others, saying my daughter is clinically obese she 10 years old weighs 7.10 and is nearl 5ft she is in full puperty she has been for 11mnths and is the only one in school , she does karate twice a week dancing , we eat healthy as i and my wife are wheat and dairy intolerant so cant eat junk food so they dont either , they state a parents build is not a reason for the childs size im 5fft 6 i have a 48inch chest 28 inch from shoulder to shoulder and i have a 32 -34 waist so not fat and i walk in to most door frames i have a big upper body was born like a weight lifter and at my last heath check i was told i was ok ? i have just phoned them up and this was the response i new this was going to cause problems , me i want to no how you come to this and did i give you a signiture to do this , them , i dont no i will get the nurse to phone you back , me does this stay on there records as this reflects on us as parents to let alone the child , them silence , looks like you are going to get a lot of grief ,, so everyone who has a problem with this make sure you phone them up as the more complaints they get the sooner this will be ditched like a lot of the other wastes of resorces?

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o0lisajag0o said on 07 January 2012


Have just received a letter fron the National Child Measurement Programme. Apparently my son is clinically obese...WHAT....???!!!!!! The letter included a Change For Life leaflet. How dare you presume to know my childs lifestyle and what he eats..!! HE DOES NOT eat processed food.... WE DO NOT have microwave meals in the freezer...!!!! All our food is fresh and cooked from scratch...!!!! We only eat fresh vegetables apart from frozen peas and I would like to add that he eats all vegetables...(he is not a fussy eater) he has schools dinners which are nutritionally balanced...he eats all fruit and has fresh fruit on a daily basis... We have choc and sweets that have been in the cupboard forever and I throw more out than what he eats... My son eats a lot healthier than me because I dont want him to end up like me...!!!!! You from the NCMP can go and suck lemons and send your offensive findings elsewhere.!!!!!

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whitby said on 20 December 2011

When my 4 1/2 boy came home from school with a letter saying he had been weighed at school and that he was obese I was really upset. He is the most active child you could ever meet (like a duracel bunny). He goes swimming twice a week, plays football once a week and goes to karate. He doesn't eat sweets or chocolates except for once in a blue moon for a treat and has always eaten healthy food. He is now 6 and weighs 3st 9 lbs and is still very active but still classed as obese. I know he will never be a skinny ribs but he is not a coach potato glued to a ds, as he does sports every day and has a healthy fruit smoothy for breakfast, school lunch and then a healthy tea like wholemeal pasta. It annoys me when people who don't know my child comment on his weight without knowing what he does. There should be a form asking you what your child eats in a week and his weekly exercise, that way they may be able to come up with a solution for my son to loose weight.

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LornaMM said on 01 December 2011

I have today rec'd a letter saying that my 4 1/2 year old son is overweight. This is absolutely ludicrous, and I am making a formal complaint. He is still in age 3-4 trousers, with the waist at the tightest setting, and plays a lot of sport - I can see his ribs clearly when he showers.

I know he is fine, but worry that other parents/carers that get these letters (when the child is clearly healthy) will start to restrict food etc and give the children potentially eating disorders/bad relationship with food.

If these people think our children are overweight maybe they should have written to the GP to ask us to go in for assessment - and I know my GP will laugh her socks off when I tell her about my son being 'overweight'.

Absolutely ludicrous :0/

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LornaMM said on 01 December 2011

I have today rec'd a letter saying that my 4 1/2 year old son is overweight. This is absolutely ludicrous, and I am making a formal complaint. He is still in age 3-4 trousers, with the waist at the tightest setting, and plays a lot of sport - I can see his ribs clearly when he showers.

I know he is fine, but worry that other parents/carers that get these letters (when the child is clearly healthy) will start to restrict food etc and give the children potentially eating disorders/bad relationship with food.

If these people think our children are overweight maybe they should have written to the GP to ask us to go in for assessment - and I know my GP will laugh her socks off when I tell her about my son being 'overweight'.

Absolutely ludicrous :0/

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mrslucyp said on 15 July 2011

I fully agree with the other comments. I and many other mums at our school were extremely upset and angry at receiving letters saying our 4 years olds are overweight. We live in the country and our children cycle to school every day. They are active from the second they get up to the second they go to bed, playing out on their bikes, running, climbing, playing football. There is not an overweight child in our whole school. They are all slim children however my daughter and others in the 'overweight' category are of a very muscular build due to the amount of exercise they do. So I take great offence at a letter telling me my child should do more exercise and not sit in front of the TV for more than 2 hours at a time - they don't sit in front of the TV at all. They have a healthy diet of homemade meals incorporating their 5 a day and an active lifestyle. Perhaps they should have considered a questionnaire along with the primitive measurements to assess if they're targeting the right people with these letters...

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User563741 said on 12 June 2011

The data that is collected seems ot make no difference to services. There are no examples of what has changed because the data has been collected. There is also no mention that parents have an option to withdraw their child from this programme but they have to opt out each time the NHS visit the school. If this was so worthwhile why not ask parents to opt in rather than opt out? Is it because the screening and measurements are useful to the NHS administrators and planners and have no real benefit to children ? Obesity rates continue despite this programme which indicates to me it does not work, it produces incomplete data sets, and causes distress and anxiety.

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sazzle2011 said on 17 April 2011

I am fuming about this I agreed for my 10 year old daughter to be weighed etc I certainly was not expecting a letter expressing she is overweight to arrive on my doorstep... It has caused nothing but upset and paranoia from my daughter who now believes she is fat. She has started puberty and therofore has the curves of a young lady. She is far from overweight and the very concept is offensive. I know others who have suffered thios lack of self esteem and self concept largely based on this information. It is awful that it was ever allowed. My daughter eats a healthy diet and does alot of regular exercise and therefore this can only instigate eating disorders and appears to have no other benefit...

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sazzle2011 said on 17 April 2011

I cannot believe this has been accepted as useful data. My daughter and her friends have become paranoid and upset about their weight and being told they are overweight when they are clearly not. Therefore how has this helped anyone but Government statistics, I am fuming that this has been accepted and sent to homes with such possibilities of effecting self esteem. My daughter has started puberty and therefore has a young adults body at the age of 10 which is not considered and is a crucial age for self worth not criticism.

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debbiehmt said on 03 January 2011

I think it is rediculas that a child as young as 4 should have it's BMI taken. We recieved a letter stating my 4 year old daughter was very over weight, the weight they wanted her to be would mean she would weigh the same weight as her 2 year old sister! she is a small thing, not fat AT ALL, but as she is under the lowest centile for her height and her weight is normal for her age, combinded on the BMI makes her very over weight... A load of rubbish, when she hasn't even stopped growing, some children of that age haven't even lossed their puppy fat yet! The later stated that we should change our food and she sould be more active... we eat a good variety of homemade food and my daughter is very active for her age. The school advised me to throw the letter away as it was rubbish.

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User217515 said on 30 March 2009

My sister-in-law's child was measured (she's in y6) and came home crying as she has been told she's overweight. I know that it is important that the government have these statistics but she was measured in front of the whole class; something the program claims not to do. I feel children should have a say if they want to do this as it can be damaging for their self-esteem.

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Ciaran Brown said on 15 July 2008

This video is really good getting the childs view of measuring and weighing the child. Children were very good on camera and spoke very clearly.

I cant believe they are all so grown up now. LOL!!

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Bill said on 20 May 2008

This video does not tell us how to measure the weight and height of a child - although I think I can probably work that out myself!

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