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Pegasus Health

B4 School Check connects whānau with support early

Last Updated: 29 April 2026

The B4 School Check, now broadly known as the 4-year-old, well child check, provides an opportunity to assess the health, wellbeing and development of tamariki, well before they begin school. 

Completed soon after a child turns four, the check covers a range of areas including physical development, social and emotional wellbeing, eating, sleeping, toileting, height and weight, and oral health. Vision and hearing checks are also part of the wider screen 

A key part of the check is the balance between parent input and direct engagement with their child. Nurses guide a conversation with the parent or caregiver, while also interacting with their child through age-appropriate questions. 

B4 School Check Nurse Educator, Sharon Bennett, said this approach recognises both clinical insight and the parent’s understanding of their child.  

“It really honours the parent as the one who knows their child the best,” she said.  

Where concerns are identified, the B4 School Check supports early connection to appropriate services. This may include referrals to speech language therapy, behavioural support, dental services, parenting programmes, or a general pracitioner (GP) for further assessment. 

For many whānau, the reassurance offered can provide relief and confidence.  

“It’s an opportunity to provide reassurance and affirmation that things are going well, and that they are doing a great job,” Sharon said. 

For Shannon, whose daughter Charlotte recently completed her B4 School Check, that reassurance made a difference.  

“I left there thinking, okay, Charlotte’s on the right track. I don’t need to worry about anything,” Shannon said.  

She described the appointment as a helpful chance to talk through questions in a structured way. “You just show up and they guide you through it. They ask you things you wouldn’t usually think about day to day,” she said.  

Shannon said the nurse used interactive activities to explore topics such as water safety, car safety, and nutrition. “Charlotte was included in the appointment, so it wasn’t just the nurse talking with me. She had a great time being involved” she said. 

Around 180 nurses across Canterbury contribute to delivering 4-year-old checks, working alongside general practice and referral services to support tamariki and whānau ahead of school.