Abstract
Growth assessment is the best single measure for defining the health and nutritional status of children (de Onís et al, 1993), while it serves as an indicator of the quality of life of entire populations. Until this month's publication of the National Service Framework for Children (Department of Health (DH), 2004), the DH agreed. Its advice has always been that growth is a key indicator of normal growth and development. Its published policy on the subject, with sections in bold print, reminded the reader that failure to grow at an appropriate rate may be associated with a primary growth disorder, but is more commonly due to a failure to thrive which can be a pointer to chronic ill health, neglect or abuse. It concluded with a warning that purchasers and providers review arrangements for the monitoring of the growth of children (DH, 1996).
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