If a child is struggling to breathe, is floppy or will not wake, or their skin, lips or tongue look blue or grey: call 999 now. Colour changes are harder to see on brown and black skin, so check the palms, soles, lips and tongue. If you are worried but it is not an emergency, call NHS 111. In Northern Ireland use your GP out-of-hours service.

MarionSleep help for families

NHS and public services

By nation, including the Northern Ireland out-of-hours numbers.

The short version

  • There is no 111 service in Northern Ireland. Use your area's GP out-of-hours number, from 6pm weekdays and 24 hours at weekends. 999 for emergencies.
  • Health visiting is free for every family with a child aged 0 to 5, and sleep and parental mental health are both within their remit.
  • NHS 111 in England is free, 24 hours. Scotland's NHS 24 uses the same number, and 111 Wales is free from landlines and mobiles.
  • For a child under five, phone 111 rather than using the online service. Online triage is not built for the youngest children.
  • In Scotland, Breathing Space is 0800 83 85 87, 6pm Friday to 6am Monday and 6pm to 2am Monday to Thursday.

The rest of this page explains where this comes from. You do not have to read it tonight.

About 7 minutes to read

NHS and public services where you live

The four UK nations run these services differently, and the differences matter enough that we have separated them out. Northern Ireland in particular does not work the way the rest of the UK does.

The usual order for getting help Four steps rising from left to right. Step one, health visitor, for everyday worries. Step two, GP, if it is not getting better. Step three, NHS 111, if you are worried but it is not an emergency. Step four, 999, for an emergency. In Northern Ireland there is no 111 service, so the GP out of hours number takes its place. Health visitor Everyday worries GP Not getting better NHS 111 Worried, not an emergency 999 Emergency
The usual order for getting help in England, Scotland and Wales. You do not have to work through it in order: go straight to 999 for an emergency. In Northern Ireland there is no 111 service, so your area's GP out-of-hours number takes that place.

England

Health visiting service

Birth to 5 No national number

An NHS service offered to every family with a child aged 0 to 5, at no charge. Sleep and parental mental health are both explicitly within a health visitor's remit, so it is not an imposition to raise either.

There is no national number. You reach your health visiting team through your GP surgery, a child health clinic or a health centre.

The Healthy Child Programme sets five mandated reviews:

  1. Antenatal contact, from 28 weeks of pregnancy.
  2. New birth review, 1 to 14 days after birth.
  3. 6 to 8 week review.
  4. 12 month review, which can happen any time in a 9 to 15 month window.
  5. 2 to 2 and a half year review.

If sleep is a problem between those points, you do not have to wait for the next one. Ask for contact.

Registering with a GP

Free

Everyone in England can register with a GP surgery, or change their GP surgery, for free. You do not need ID, proof of address or proof of immigration status. If a receptionist tells you otherwise, that is wrong.

Register your baby early rather than waiting until something is wrong.

NHS 111

Free 24 hours, 7 days

111

24 hours a day, 7 days a week

Free from a landline or a mobile.

Important for a child under 5: phone 111 rather than using the online service. The NHS 111 online mental health triage says in its own words to call 111 instead if you need help for a child under 5. Online triage is not built for the youngest children.

NHS Best Start in Life

Website Renamed

The NHS's parenting information hub, previously called Start for Life. It has a baby sleep section covering safer sleep, sleep patterns and helping your baby sleep, and a section on your own mental health. The old start-for-life address still works.

nhs.uk/best-start-in-life

Best Start Family Hubs

Some areas only

Family hubs bring together services for families in one place. They are available in certain parts of England only, and coverage is a commitment being rolled out rather than something you can currently assume exists near you. Sleep is not a named part of the national core offer, which covers infant feeding, perinatal mental health and health visiting, though individual hubs may do more.

The previous Family Hubs and Start for Life programme guidance was withdrawn on 1 April 2026 and replaced by Best Start Family Hubs and Healthy Babies.

Find a family hub in your area

Scotland

NHS 24

Free

111

Free. There is also a Mental Health Hub reached on the same 111 number, which is worth knowing if what you need is not about the child's physical health.

nhs24.scot

Breathing Space

0800 83 85 87

6pm Friday to 6am Monday, and 6pm to 2am Monday to Thursday

Those hours are deliberately the ones nobody else covers, and they include most of the night at the weekend.

Living Life

0800 328 9655

Monday to Friday 9am to 9pm

For people aged 16 and over.

NHS inform

0800 22 44 88

Monday to Friday 9am to 5pm

NHS inform do not state the call cost. It is an 0800 number, which is free from UK landlines and mobiles, but that is our inference rather than their wording. A practical note: NHS inform's babies index does not link to a baby sleep page, so for Scottish sleep information use Parent Club instead.

nhsinform.scot

Parent Club

Free Website, no phone

A Scottish Government site, free, with no phone line. It has a Sleep topic, and it is the best Scottish public-sector starting point for sleep information.

parentclub.scot

Scotland offers more health visiting contacts than England

Scotland's health visiting pathway has 11 scheduled contacts from before birth to pre-school. England has five. If you are in Scotland, there are simply more built-in opportunities to raise sleep with someone who knows your child, and if you are in England it is worth knowing that fewer contacts is a feature of the system, not a sign that your worry is too small to mention.

Wales

111 Wales

Free

111

Free from landlines and mobiles, which NHS 111 Wales states directly. We could not find an official page stating the opening hours, so we are not claiming them. It is an urgent care line and is very likely to be available around the clock, but we would rather say so than assert it.

111.wales.nhs.uk

Flying Start

Some areas only Under 4s

A Welsh Government programme for children under four, starting in disadvantaged areas and now being expanded: the funded childcare is gradually being extended to all two year olds across Wales. It provides enhanced health visiting, parenting support and funded part-time childcare. Enhanced health visiting means more contact than the standard offer, which can matter a great deal when sleep is the problem.

Flying Start programme

We could not confirm what general health visiting looks like in Wales outside Flying Start areas, so we are not going to describe it.

Northern Ireland

There is no 111 service in Northern Ireland

This is the single most important thing on this page for families in Northern Ireland, and it is the thing UK-wide parenting sites most often get wrong. Dialling 111 is not the route. Northern Ireland uses area-based GP out-of-hours numbers instead. Find yours below and save it in your phone now, before you need it at 2am.

The GP out-of-hours service covers from 6pm on weekdays until your surgery reopens, and 24 hours at weekends and on public holidays. For a life-threatening emergency, call 999.

GP out-of-hours numbers in Northern Ireland, by area. Source: nidirect.
AreaNumber
Belfast north and west028 9074 4447
Belfast south and east028 9079 6220
Ards and North Down028 9182 2344
Lisburn and Downpatrick028 9260 2204
Antrim, Ballymena, Ballymoney, Carrickfergus, Coleraine, Cookstown, Larne, Magherafelt, Moyle and Newtownabbey028 2566 3500
Armagh and Dungannon, Craigavon and Banbridge, Newry and Mourne028 3839 9201
Enniskillen, Omagh, Strabane, Derry/Londonderry and Limavady028 7186 5195

FamilySupportNI

70p per minute plus access charge

0845 600 6483

We could not confirm the opening hours

This number costs 70p per minute plus your access charge. It is not free. That is a genuine amount of money for a long conversation, and nobody should find that out from their bill. The website is free to use and carries the same directory of local services.

familysupportni.gov.uk

Gateway Teams and emergency social work

Freephone

For child welfare concerns. Monday to Friday 9am to 5pm (excluding public holidays) through your local Gateway Team.

Out of hours: 0800 197 9995

5pm to 9am Monday to Friday, and 24 hours at weekends and public holidays

This is the Regional Emergency Social Work Service, and the number above is published by FamilySupportNI, a Northern Ireland government service.

Worth knowing if you find different numbers elsewhere: nidirect's own Gateway contact document, dated 2021, instead lists 028 9504 9999 for the Belfast, South Eastern, Southern and Western trusts and 028 9446 8833 for the Northern Trust. Both routes lead to the same emergency social work service. If a child is in immediate danger, call 999.

FamilySupportNI, emergency out of hours

Sure Start in Northern Ireland

There are 38 Sure Start projects across Northern Ireland, offering support to families with young children in their areas.

To register a baby with a GP in Northern Ireland you use form GRO 4.

We tried around ten sources and could not confirm how the health visiting service works in Northern Ireland, so we are not going to describe it rather than guess.

Where this comes from

Last checked 1 August 2026. This page is general information, not medical advice. If you are worried about your child, speak to your health visitor or GP.