B is now walking independently. He still tends to trip and fall easily. Main concern now is his lack of speech. He makes occasional sounds but he communicates in a motoric fashion. He pulls our hands to the area he needs to get something from. We go through the motions of guessing what he needs. Once his need is identified, he quickly takes whatever it is and moves away. He has no imaginative play and needs to be guided to complete new activities. He has had no contact from speech and language recently and this will be chased up. I ask for support with toilet training and will be contacted by a health visitor.
B will get referred to the joint social communication clinic for a review.