Berkshire Healthcare NHS FT RGB White LEFT
Skip to main content
  • Accessibility
  • About us
  • Our charity
  • Media enquiries
  • Work with us
  • News
Berkshire Healthcare NHS FT RGB White LEFT
Hide site
  • Conditions and services
  • Advice and resources
  • Patients and visitors
  • Locations and clinics
  • Contact us
  • About us
  • Our charity
  • Media enquiries
  • Work with us
  • News

If you need urgent help

  • Emergencies

    999

    Call if someone is in immediate danger or a life-threatening situation.

    BSL 999
  • NHS 111

    111

    Use for urgent medical help when it's not life-threatening.

    NHS 111 website
  • Crisis Resolution Home Treatment Team

    0800 129 9999

    Open 24 hours a day, 7 days a week. Contact for urgent mental health support in Berkshire.

  • Talk with the Samaritans

    116 123

    Call for free, confidential emotional support, 24/7.

    Samaritans website
  • Childline

    0800 1111

    For children and young people needing help or someone to talk to.

    Childline website
  • Other urgent support

    Visit this page for local services and urgent support.

    Other useful contacts
Back one step
  1. Home
  2. Advice
  3. Communication and hearing
  4. Steps to talking

Advice and resources : Steps to talking

How can we help

Communication and hearing

Resources to help your child speak, listen and learn.

Learn more

Speech sounds

Speech is a series of sounds which are used together to form words and sentences.

Learn more

Stammering

Many young children will often stop, start again and stumble over words while they’re learning.

Learn more

How can we help

Communication and hearing

Resources to help your child speak, listen and learn.

Learn more

Speech sounds

Speech is a series of sounds which are used together to form words and sentences.

Learn more

Stammering

Many young children will often stop, start again and stumble over words while they’re learning.

Learn more

Overview

Children usually take similar steps in building up their vocabulary. Below are some developmental guidelines.

The Department of Education has created a resource called Hungry Little Minds to help support parents and carers with tips to encourage speech, language and development in age appropriate stages.

Our team run online workshops on early language development. They are designed for parents and carers and those working within early years settings. We have three training sessions available on different topics to equip you with everyday strategies to support your child, aged up to five.

  • Early language development workshops

18-24 months

At 18-24 months children can usually:

  • Use 20 plus words and join two or more words together eg "more water", "mummy up". Not all words are clear.
  • Understand more words than they can say.
  • Point to single items on request eg "Show me your nose?" " Where's Daddy?"
  • Begin to understand simple commands eg "Shut the door", "Get your shoes", "Brush teddy's hair" but may still need adult support eg pointing.
  • Join in with action songs.
  • Sit and listen to a story with interest.

Two to three years

At two to three years old children can or will usually:

  • Use and understand 200 plus words including "in", "on", "under", "don't", "can't".
  • Understand concepts such as big or little, hot or cold, wet or dry.
  • Begin to ask lots of questions.
  • Use 3-5 word sentences such as "Daddy sit down", "I don't like it", "I want (the) big cake", "what's that boy doing?"
  • Identify objects by their use eg "Which one do we sleep in?"
  • Have speech that may be unclear to stranger but is usually understood by familiar adults by three years.
  • Begin to play imaginatively with other children and understands sharing.

Three to four years

At three to four years old children can or will usually:

  • Use complete sentences with some grammatical errors eg "falled over", "mouses".
  • Talk about past events and experiences although timeframes are usually not accurate (eg confuses last year with yesterday).
  • Ask a lot of questions, especially 'why?' questions.
  • Have mostly clear speech with a few immaturities still present.
  • Understand basic humour and is beginning to tell funny stories and 'jokes'.
  • Play pretend games with other children with more depth and detail.
  • Use language to take turns, share, have discussions and argue with children and adults.
Back to top
Berkshire Healthcare Nhs Ft Rgb Col Left

We provide a wide range of physical and mental health services to people of all ages living in Berkshire. We operate from hospitals, health clinics and GP practices, as well as other community settings and in people’s homes.

Cqc Bhft Footer
  • Our Trust
    • Chaplaincy and Spiritual Care Service
    • Library and Knowledge Service
    • Infection Prevention and Control
    • Membership
    • Our Modern Day Slavery Policy
    • Our vacancies
    • Work with us
    • Special Educational Needs and Disabilities (SEND)
  • Support
    • Digital Appointment Correspondence (DAC)
    • For professionals
    • Freedom to Speak Up
    • Friends, family, and carers
    • Martha’s Rule
    • Research and Development
    • Use of Force (Seni's Law)
    • Your e-Health Passport
    • Accessibility and inclusive care
  • Explore more
    • Berkshire Healthcare Charity
    • Can't find what you are looking for?
    • Nexus (Staff only)
    • Nurseries
    • Op COURAGE
    • SHaRON
    • South East Pharmacy Procurement Service
  • Follow us on Facebook
  • Follow us on TikTok
  • Follow us on YouTube
  • Follow us on Instagram
  • Follow us on LinkedIn
  • Sitemap
  • Privacy policy
  • Cookie policy
  • Accessibility statement

Copyright © Berkshire Healthcare NHS Foundation Trust 2026. Site provided by GrowCreate.