School age charts and resources

Our growth charts for school age years, for childhood and puberty close monitoring and for Down syndrome are based on World Health Organisation (WHO) Child Growth Standards, which describe the optimal growth for healthy, breastfed children.

On this page:

On other pages:

2-18 years chart

The 2-18 chart is mainly intended to assess the growth of school age children and young people in primary or secondary care. The chart includes guidance on the onset and progression of puberty, a BMI centile lookup, an adult height predictor and a mid parental height comparator.

The growth of most children less than 4 years of age should be plotted on the more detailed UK-WHO 0-4 year growth charts. However, children who have been plotted on the NICM chart up to age two years can transfer straight onto the 2-18 chart.

2nd Edition (January 2013):  updates to the instructions and the layout have been made following post publication feedback

UK growth chart. Girls, 2-18 years, A4 (PDF, 200KB, 2 pages)

UK growth chart. Boys, 2-18 years, A4 (PDF, 200KB, 2 pages)

Childhood and Puberty Close Monitoring (CPCM) chart

This is a modification of the main school age chart for use in children with growth or nutritional problems was published in June 2013 and will be ideal for use in specialist clinics and special schools. The chart extends to age 20 years and features:

  • Body mass index (BMI) chart
  • Low and high lines to monitor  unusually short, thin or overweight children
  • Puberty phase specific thresholds to assess - small children with late onset of puberty, and tall children with early onset of puberty
  • Tanner stage graphs to assess detailed progress  of puberty

UK CPCM growth chart. Girls, 2-20 years,A4 (PDF, 371KB, 2 pages)

UK CPCM growth chart. Boys, 2-20 years,A4 (PDF, 388KB, 2 pages)   

Down syndrome 0-18 years charts

Follow the link below to the Down Syndrome Medical Interest Group (DSMIG) webpage to purchase the new Down syndrome 0-18 growth charts

2011 DSMIG growth chart

Body mass index (BMI) chart

A single sheet BMI chart is now available for use with the school age chart where there is no other need for the CPCM chart above.

UK CPCM growth chart. Girls and Boys, 2-20 years,A4(PDF, 234KB, 2 pages)

Personal Child Health Record charts - 2-18 years

UK personal child health record, Girls, A5 (PDF, 40KB, 2 pages)

UK personal child health record, Boys, A5 (PDF, 40KB, 2 pages)

Education and training materials

These materials were produced by the RCPCH growth charts expert working group and are intended for for use in training sessions for NHS staff and others.

Presentation - introduction and training to 2-18 growth charts (PPT, 17 pages) - 3rd edition

Presentation - introduction and training to CPCM growth charts (PPT, 30 pages)

Factsheet - 2-18 growth charts (PDF, 7 pages) - 2nd edition