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you quote exactly the work we have achieved in the last year through the project

in east somerset. Its been a long hard slog, but we have achieved everything

you mention, and even come out the other side without losing a single person!

(they left before the project began) so we are all getting ready to celebrate

our hard work. Any work you would like/need, I'm happy to share, from profiling

to reviewing core surveillance programme to sorring out and avoiding conflicts!

regards, Xena

>>> charlene@... 01/25/02 12:59pm >>>

, Woody and all others

Looks like Chelmsford is good.

In our area HVs have been working very hard to move forward, but we are

still struggling and a study day to help move forward would be good. the

issues at hand for us are:

1. There is a recognition that in order to develop the wider public health

scope of health visiting HVs need to curtail some of the other activities

they do. In a recent parent focus group to assess the health needs of

school aged children, a strong theme that emerged was the inconsistency in

service delivery by health visiting experienced by some parents ie. some

parents were recieving 3.5 yr development assessments, some were not; some

were recieving intensive home visiting (they didn't know why), some hadn't

seen a HV etc. etc. In the light of this and the proposed Hall report, we

have looked at child health surveillance eg. 3.5 yr questionnaires, and what

some of the 'core' health visiting work should entail eg antenatal contact,

PND pathways. And yes Xena, we are looking at grounding this in guidelines

and protocols. We know that there are many other HV teams carrying out

similar work so it would be nice to share outcomes and findings from other

teams and be supported and guided by those with expertise whilst doing this.

2. We are trying to get our heads around what constitutes 'family health

needs assessment'. How and what information/data needs to be collected and

collated to contribute to community and population needs assessment. How do

we collect and share information with other disciplines to help joint

approaches. Again it would be good to share the work others have been

doing, guided and supported by expertise so that we feel confident that we

are developing high quality practice within legal and ethical frameworks.

3. We are also struggling with caseload weighting and trying to get a

consensus on equity of Hv distribution within the Trust based on need.

These are some ideas for a study day what do others think? Our CPHVA

regional committee were looking to support a regional study day, I wonder

whether it would be appropriate for them to support this?

Charlene

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I would welcome such a study, as i am a newly

qualified health visitor currently struggling with the

issues of caseload weighting and as i work in a PCG

about to merge with another PCT which has very

different service provision i feel that the issues you

outlined are exacly what the health visitors in our

area are struggling with. I feel positive that this

sort of content on a study day is exacly what the

CPHVA should support as these are the real issues that

influence the ability of Health Visitors to address

their public health role. Good luck Charlene I am

definately in.

Corrie

--- Charlene Lobo <charlene@...> wrote:

<HR>

<html><body>

<tt>

, Woody and all others<BR>

Looks like Chelmsford is good.<BR>

In our area HVs have been working very hard to move

forward, but we are<BR>

still struggling and a study day to help move forward

would be good. & nbsp; the<BR>

issues at hand for us are:<BR>

<BR>

1. There is a recognition that in order to develop the

wider public health<BR>

scope of health visiting HVs need to curtail some of

the other activities<BR>

they do. & nbsp; In a recent parent focus group to

assess the health needs of<BR>

school aged children, a strong theme that emerged was

the inconsistency in<BR>

service delivery by health visiting experienced by

some parents ie. some<BR>

parents were recieving 3.5 yr development assessments,

some were not; some<BR>

were recieving intensive home visiting (they didn't

know why), some hadn't<BR>

seen a HV etc. etc. & nbsp; In the light of this and the

proposed Hall report, we<BR>

have looked at child health surveillance eg. 3.5 yr

questionnaires, and what<BR>

some of the 'core' health visiting work should entail

eg antenatal contact,<BR>

PND pathways. & nbsp; And yes Xena, & nbsp; we are looking

at grounding this in guidelines<BR>

and protocols. & nbsp; We know that there are many other

HV teams carrying out<BR>

similar work so it would be nice to share outcomes and

findings from other<BR>

teams and be supported and guided by those with

expertise whilst doing this.<BR>

<BR>

2. We are trying to get our heads around what

constitutes 'family health<BR>

needs assessment'. & nbsp; How and what information/data

needs to be collected and<BR>

collated to contribute to community and population

needs assessment. & nbsp; How do<BR>

we collect and share information with other

disciplines to help joint<BR>

approaches. & nbsp; & nbsp; & nbsp; Again it would be good

to share the work others have been<BR>

doing, guided and supported by expertise so that we

feel confident that we<BR>

are developing high quality practice within legal and

ethical frameworks.<BR>

<BR>

3. We are also struggling with caseload weighting and

trying to get a<BR>

consensus on equity of Hv distribution within the

Trust based on need.<BR>

<BR>

These are some ideas for a study day what do others

think? & nbsp; Our CPHVA<BR>

regional committee were looking to support a regional

study day, I wonder<BR>

whether it would be appropriate for them to support

this?<BR>

<BR>

Charlene<BR>

<BR>

<BR>

</tt>

<br>

<!-- |**|begin egp html banner|**| -->

<table border=0 cellspacing=0 cellpadding=2>

<tr bgcolor=#FFFFCC>

<td align=center><font size= " -1 "

color=#003399><b>

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Hi Charlene and Xena

It is amazing that we are all struggling to carry out the same work

and we are probably all duplicating the effort! Here in Bridgend we

also are looking at health needs assessment, child health

surveillance, equity of caseloads and consistency of practice across

what was previously 3 Trust areas. We also seem to move exceedingly

slowly - is it like that for others?

Although we have examples from others (thanks to Xena) to date we

haven't been able to make progress. Partly this is because we haven't

had a health visiting manager for 2 years - this is being rectified

now and hopefully we will have 1.5 WTE in the next couple of months.

Mostly we are just fire fighting, but you know what they say about

the triumph of hope over experience!!

It's just shows how good it is to share thoughts on SENATE as it

helps to confirm we are going in the right direction. However I

sometimes wonder whether some central direction wouild avoid everyone

reinventing wheels.

Regards

> , Woody and all others

> Looks like Chelmsford is good.

> In our area HVs have been working very hard to move forward, but we

are

> still struggling and a study day to help move forward would be

good. the

> issues at hand for us are:

>

> 1. There is a recognition that in order to develop the wider public

health

> scope of health visiting HVs need to curtail some of the other

activities

> they do. In a recent parent focus group to assess the health needs

of

> school aged children, a strong theme that emerged was the

inconsistency in

> service delivery by health visiting experienced by some parents ie.

some

> parents were recieving 3.5 yr development assessments, some were

not; some

> were recieving intensive home visiting (they didn't know why), some

hadn't

> seen a HV etc. etc. In the light of this and the proposed Hall

report, we

> have looked at child health surveillance eg. 3.5 yr questionnaires,

and what

> some of the 'core' health visiting work should entail eg antenatal

contact,

> PND pathways. And yes Xena, we are looking at grounding this in

guidelines

> and protocols. We know that there are many other HV teams carrying

out

> similar work so it would be nice to share outcomes and findings

from other

> teams and be supported and guided by those with expertise whilst

doing this.

>

> 2. We are trying to get our heads around what constitutes 'family

health

> needs assessment'. How and what information/data needs to be

collected and

> collated to contribute to community and population needs

assessment. How do

> we collect and share information with other disciplines to help

joint

> approaches. Again it would be good to share the work others have

been

> doing, guided and supported by expertise so that we feel confident

that we

> are developing high quality practice within legal and ethical

frameworks.

>

> 3. We are also struggling with caseload weighting and trying to get

a

> consensus on equity of Hv distribution within the Trust based on

need.

>

> These are some ideas for a study day what do others think? Our

CPHVA

> regional committee were looking to support a regional study day, I

wonder

> whether it would be appropriate for them to support this?

>

> Charlene

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Hi Corrie,

I am presently pursuing a study day in June/ July in Chelmsford. I will keep

you informed once the venue, dates etc are arranged.

I agree that study days should be offered to support HVs in their public

health role.

Re: Meeting

> I would welcome such a study, as i am a newly

> qualified health visitor currently struggling with the

> issues of caseload weighting and as i work in a PCG

> about to merge with another PCT which has very

> different service provision i feel that the issues you

> outlined are exacly what the health visitors in our

> area are struggling with. I feel positive that this

> sort of content on a study day is exacly what the

> CPHVA should support as these are the real issues that

> influence the ability of Health Visitors to address

> their public health role. Good luck Charlene I am

> definately in.

> Corrie

>

> --- Charlene Lobo <charlene@...> wrote:

>

> <HR>

> <html><body>

>

>

> <tt>

> , Woody and all others<BR>

> Looks like Chelmsford is good.<BR>

> In our area HVs have been working very hard to move

> forward, but we are<BR>

> still struggling and a study day to help move forward

> would be good. & nbsp; the<BR>

> issues at hand for us are:<BR>

> <BR>

> 1. There is a recognition that in order to develop the

> wider public health<BR>

> scope of health visiting HVs need to curtail some of

> the other activities<BR>

> they do. & nbsp; In a recent parent focus group to

> assess the health needs of<BR>

> school aged children, a strong theme that emerged was

> the inconsistency in<BR>

> service delivery by health visiting experienced by

> some parents ie. some<BR>

> parents were recieving 3.5 yr development assessments,

> some were not; some<BR>

> were recieving intensive home visiting (they didn't

> know why), some hadn't<BR>

> seen a HV etc. etc. & nbsp; In the light of this and the

> proposed Hall report, we<BR>

> have looked at child health surveillance eg. 3.5 yr

> questionnaires, and what<BR>

> some of the 'core' health visiting work should entail

> eg antenatal contact,<BR>

> PND pathways. & nbsp; And yes Xena, & nbsp; we are looking

> at grounding this in guidelines<BR>

> and protocols. & nbsp; We know that there are many other

> HV teams carrying out<BR>

> similar work so it would be nice to share outcomes and

> findings from other<BR>

> teams and be supported and guided by those with

> expertise whilst doing this.<BR>

> <BR>

> 2. We are trying to get our heads around what

> constitutes 'family health<BR>

> needs assessment'. & nbsp; How and what information/data

> needs to be collected and<BR>

> collated to contribute to community and population

> needs assessment. & nbsp; How do<BR>

> we collect and share information with other

> disciplines to help joint<BR>

> approaches. & nbsp; & nbsp; & nbsp; Again it would be good

> to share the work others have been<BR>

> doing, guided and supported by expertise so that we

> feel confident that we<BR>

> are developing high quality practice within legal and

> ethical frameworks.<BR>

> <BR>

> 3. We are also struggling with caseload weighting and

> trying to get a<BR>

> consensus on equity of Hv distribution within the

> Trust based on need.<BR>

> <BR>

> These are some ideas for a study day what do others

> think? & nbsp; Our CPHVA<BR>

> regional committee were looking to support a regional

> study day, I wonder<BR>

> whether it would be appropriate for them to support

> this?<BR>

> <BR>

> Charlene<BR>

> <BR>

> <BR>

> </tt>

>

> <br>

>

> <!-- |**|begin egp html banner|**| -->

>

> <table border=0 cellspacing=0 cellpadding=2>

> <tr bgcolor=#FFFFCC>

> <td align=center><font size= " -1 "

> color=#003399><b>

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Hello to everyone

It does feel as though tghere is agreat need out there for opportunities to

get together and share experiences: folk may be duplicating efort, but it

may also be a case of 'great minds think alike.' I think it is very

encouraging and exciting that we seem to have identified a 'methodology' for

moving gradually from where we were to where we want to be. But of course,

there is always a need for support and encouragement to keep going, because

it is not an easy journey!

After the Gloucester study day, I think it was Charlene who spoke of a need

for a kind of rolling 'road show' to help all areas to gain from and share

expertise as it develops, and that may be what we are moving towards. If we

can have one study day in East Anglia in June/July, perhaps Sue in Liverpool

may think of one a bit later in the year: September/October? Happy to help

however I can Kind regards

angelahurley2002 wrote:

> Hi Charlene and Xena

> It is amazing that we are all struggling to carry out the same work

> and we are probably all duplicating the effort! Here in Bridgend we

> also are looking at health needs assessment, child health

> surveillance, equity of caseloads and consistency of practice across

> what was previously 3 Trust areas. We also seem to move exceedingly

> slowly - is it like that for others?

> Although we have examples from others (thanks to Xena) to date we

> haven't been able to make progress. Partly this is because we haven't

> had a health visiting manager for 2 years - this is being rectified

> now and hopefully we will have 1.5 WTE in the next couple of months.

> Mostly we are just fire fighting, but you know what they say about

> the triumph of hope over experience!!

> It's just shows how good it is to share thoughts on SENATE as it

> helps to confirm we are going in the right direction. However I

> sometimes wonder whether some central direction wouild avoid everyone

> reinventing wheels.

> Regards

>

>

>

> > , Woody and all others

> > Looks like Chelmsford is good.

> > In our area HVs have been working very hard to move forward, but we

> are

> > still struggling and a study day to help move forward would be

> good. the

> > issues at hand for us are:

> >

> > 1. There is a recognition that in order to develop the wider public

> health

> > scope of health visiting HVs need to curtail some of the other

> activities

> > they do. In a recent parent focus group to assess the health needs

> of

> > school aged children, a strong theme that emerged was the

> inconsistency in

> > service delivery by health visiting experienced by some parents ie.

> some

> > parents were recieving 3.5 yr development assessments, some were

> not; some

> > were recieving intensive home visiting (they didn't know why), some

> hadn't

> > seen a HV etc. etc. In the light of this and the proposed Hall

> report, we

> > have looked at child health surveillance eg. 3.5 yr questionnaires,

> and what

> > some of the 'core' health visiting work should entail eg antenatal

> contact,

> > PND pathways. And yes Xena, we are looking at grounding this in

> guidelines

> > and protocols. We know that there are many other HV teams carrying

> out

> > similar work so it would be nice to share outcomes and findings

> from other

> > teams and be supported and guided by those with expertise whilst

> doing this.

> >

> > 2. We are trying to get our heads around what constitutes 'family

> health

> > needs assessment'. How and what information/data needs to be

> collected and

> > collated to contribute to community and population needs

> assessment. How do

> > we collect and share information with other disciplines to help

> joint

> > approaches. Again it would be good to share the work others have

> been

> > doing, guided and supported by expertise so that we feel confident

> that we

> > are developing high quality practice within legal and ethical

> frameworks.

> >

> > 3. We are also struggling with caseload weighting and trying to get

> a

> > consensus on equity of Hv distribution within the Trust based on

> need.

> >

> > These are some ideas for a study day what do others think? Our

> CPHVA

> > regional committee were looking to support a regional study day, I

> wonder

> > whether it would be appropriate for them to support this?

> >

> > Charlene

>

>

>

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I would support these as being the main issues that we are trying to

address, a session of information sharing and expert speakers talking around

these issues would be great. How far on are you with your guidelines and

protocols, we are trying to get down to that at the moment however it is

extremely time consuming.

.

> Meeting

>

> , Woody and all others

> Looks like Chelmsford is good.

> In our area HVs have been working very hard to move forward, but we are

> still struggling and a study day to help move forward would be good. the

> issues at hand for us are:

>

> 1. There is a recognition that in order to develop the wider public health

> scope of health visiting HVs need to curtail some of the other activities

> they do. In a recent parent focus group to assess the health needs of

> school aged children, a strong theme that emerged was the inconsistency in

> service delivery by health visiting experienced by some parents ie. some

> parents were recieving 3.5 yr development assessments, some were not; some

> were recieving intensive home visiting (they didn't know why), some hadn't

> seen a HV etc. etc. In the light of this and the proposed Hall report, we

> have looked at child health surveillance eg. 3.5 yr questionnaires, and

> what

> some of the 'core' health visiting work should entail eg antenatal

> contact,

> PND pathways. And yes Xena, we are looking at grounding this in

> guidelines

> and protocols. We know that there are many other HV teams carrying out

> similar work so it would be nice to share outcomes and findings from other

> teams and be supported and guided by those with expertise whilst doing

> this.

>

> 2. We are trying to get our heads around what constitutes 'family health

> needs assessment'. How and what information/data needs to be collected

> and

> collated to contribute to community and population needs assessment. How

> do

> we collect and share information with other disciplines to help joint

> approaches. Again it would be good to share the work others have been

> doing, guided and supported by expertise so that we feel confident that we

> are developing high quality practice within legal and ethical frameworks.

>

> 3. We are also struggling with caseload weighting and trying to get a

> consensus on equity of Hv distribution within the Trust based on need.

>

> These are some ideas for a study day what do others think? Our CPHVA

> regional committee were looking to support a regional study day, I wonder

> whether it would be appropriate for them to support this?

>

> Charlene

>

>

>

>

>

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Xena,

I would love to talk to you around some of these issues, I know I had your

number at one point but seem to have lost it. Could you let me have it again

or contact me on 020 8861 1735.

> Re: Meeting

>

> you quote exactly the work we have achieved in the last year through the

> project in east somerset. Its been a long hard slog, but we have achieved

> everything you mention, and even come out the other side without losing a

> single person! (they left before the project began) so we are all getting

> ready to celebrate our hard work. Any work you would like/need, I'm happy

> to share, from profiling to reviewing core surveillance programme to

> sorring out and avoiding conflicts!

> regards, Xena

>

> >>> charlene@... 01/25/02 12:59pm >>>

> , Woody and all others

> Looks like Chelmsford is good.

> In our area HVs have been working very hard to move forward, but we are

> still struggling and a study day to help move forward would be good. the

> issues at hand for us are:

>

> 1. There is a recognition that in order to develop the wider public health

> scope of health visiting HVs need to curtail some of the other activities

> they do. In a recent parent focus group to assess the health needs of

> school aged children, a strong theme that emerged was the inconsistency in

> service delivery by health visiting experienced by some parents ie. some

> parents were recieving 3.5 yr development assessments, some were not; some

> were recieving intensive home visiting (they didn't know why), some hadn't

> seen a HV etc. etc. In the light of this and the proposed Hall report, we

> have looked at child health surveillance eg. 3.5 yr questionnaires, and

> what

> some of the 'core' health visiting work should entail eg antenatal

> contact,

> PND pathways. And yes Xena, we are looking at grounding this in

> guidelines

> and protocols. We know that there are many other HV teams carrying out

> similar work so it would be nice to share outcomes and findings from other

> teams and be supported and guided by those with expertise whilst doing

> this.

>

> 2. We are trying to get our heads around what constitutes 'family health

> needs assessment'. How and what information/data needs to be collected

> and

> collated to contribute to community and population needs assessment. How

> do

> we collect and share information with other disciplines to help joint

> approaches. Again it would be good to share the work others have been

> doing, guided and supported by expertise so that we feel confident that we

> are developing high quality practice within legal and ethical frameworks.

>

> 3. We are also struggling with caseload weighting and trying to get a

> consensus on equity of Hv distribution within the Trust based on need.

>

> These are some ideas for a study day what do others think? Our CPHVA

> regional committee were looking to support a regional study day, I wonder

> whether it would be appropriate for them to support this?

>

> Charlene

>

>

>

>

>

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work is (01935) 423981, I'm in the office most days or in and out, but I'd be

glad to talk, Xena

>>> rachel.stephen@... 01/28/02 09:21am >>>

Xena,

I would love to talk to you around some of these issues, I know I had your

number at one point but seem to have lost it. Could you let me have it again

or contact me on 020 8861 1735.

> Re: Meeting

>

> you quote exactly the work we have achieved in the last year through the

> project in east somerset. Its been a long hard slog, but we have achieved

> everything you mention, and even come out the other side without losing a

> single person! (they left before the project began) so we are all getting

> ready to celebrate our hard work. Any work you would like/need, I'm happy

> to share, from profiling to reviewing core surveillance programme to

> sorring out and avoiding conflicts!

> regards, Xena

>

> >>> charlene@... 01/25/02 12:59pm >>>

> , Woody and all others

> Looks like Chelmsford is good.

> In our area HVs have been working very hard to move forward, but we are

> still struggling and a study day to help move forward would be good. the

> issues at hand for us are:

>

> 1. There is a recognition that in order to develop the wider public health

> scope of health visiting HVs need to curtail some of the other activities

> they do. In a recent parent focus group to assess the health needs of

> school aged children, a strong theme that emerged was the inconsistency in

> service delivery by health visiting experienced by some parents ie. some

> parents were recieving 3.5 yr development assessments, some were not; some

> were recieving intensive home visiting (they didn't know why), some hadn't

> seen a HV etc. etc. In the light of this and the proposed Hall report, we

> have looked at child health surveillance eg. 3.5 yr questionnaires, and

> what

> some of the 'core' health visiting work should entail eg antenatal

> contact,

> PND pathways. And yes Xena, we are looking at grounding this in

> guidelines

> and protocols. We know that there are many other HV teams carrying out

> similar work so it would be nice to share outcomes and findings from other

> teams and be supported and guided by those with expertise whilst doing

> this.

>

> 2. We are trying to get our heads around what constitutes 'family health

> needs assessment'. How and what information/data needs to be collected

> and

> collated to contribute to community and population needs assessment. How

> do

> we collect and share information with other disciplines to help joint

> approaches. Again it would be good to share the work others have been

> doing, guided and supported by expertise so that we feel confident that we

> are developing high quality practice within legal and ethical frameworks.

>

> 3. We are also struggling with caseload weighting and trying to get a

> consensus on equity of Hv distribution within the Trust based on need.

>

> These are some ideas for a study day what do others think? Our CPHVA

> regional committee were looking to support a regional study day, I wonder

> whether it would be appropriate for them to support this?

>

> Charlene

>

>

>

>

>

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Hi everyone

It is great to hear you all talking about the developments you are making

and to hear how you are all moving forward on similar issues.

I keep telling the Trusts I am working with that what they need is a

professional devleopment person if they are really seroius about

development.

I think a conference for you all to share what you are doing and pool

knowledge as well as perhaps having a couple of speakers would be great.

Am happy to help in anyway - to faciltiate, present, share what I am doing

etc.

Regards

Margaret

Re: Meeting

> Hi Charlene and Xena

> It is amazing that we are all struggling to carry out the same work

> and we are probably all duplicating the effort! Here in Bridgend we

> also are looking at health needs assessment, child health

> surveillance, equity of caseloads and consistency of practice across

> what was previously 3 Trust areas. We also seem to move exceedingly

> slowly - is it like that for others?

> Although we have examples from others (thanks to Xena) to date we

> haven't been able to make progress. Partly this is because we haven't

> had a health visiting manager for 2 years - this is being rectified

> now and hopefully we will have 1.5 WTE in the next couple of months.

> Mostly we are just fire fighting, but you know what they say about

> the triumph of hope over experience!!

> It's just shows how good it is to share thoughts on SENATE as it

> helps to confirm we are going in the right direction. However I

> sometimes wonder whether some central direction wouild avoid everyone

> reinventing wheels.

> Regards

>

>

>

> > , Woody and all others

> > Looks like Chelmsford is good.

> > In our area HVs have been working very hard to move forward, but we

> are

> > still struggling and a study day to help move forward would be

> good. the

> > issues at hand for us are:

> >

> > 1. There is a recognition that in order to develop the wider public

> health

> > scope of health visiting HVs need to curtail some of the other

> activities

> > they do. In a recent parent focus group to assess the health needs

> of

> > school aged children, a strong theme that emerged was the

> inconsistency in

> > service delivery by health visiting experienced by some parents ie.

> some

> > parents were recieving 3.5 yr development assessments, some were

> not; some

> > were recieving intensive home visiting (they didn't know why), some

> hadn't

> > seen a HV etc. etc. In the light of this and the proposed Hall

> report, we

> > have looked at child health surveillance eg. 3.5 yr questionnaires,

> and what

> > some of the 'core' health visiting work should entail eg antenatal

> contact,

> > PND pathways. And yes Xena, we are looking at grounding this in

> guidelines

> > and protocols. We know that there are many other HV teams carrying

> out

> > similar work so it would be nice to share outcomes and findings

> from other

> > teams and be supported and guided by those with expertise whilst

> doing this.

> >

> > 2. We are trying to get our heads around what constitutes 'family

> health

> > needs assessment'. How and what information/data needs to be

> collected and

> > collated to contribute to community and population needs

> assessment. How do

> > we collect and share information with other disciplines to help

> joint

> > approaches. Again it would be good to share the work others have

> been

> > doing, guided and supported by expertise so that we feel confident

> that we

> > are developing high quality practice within legal and ethical

> frameworks.

> >

> > 3. We are also struggling with caseload weighting and trying to get

> a

> > consensus on equity of Hv distribution within the Trust based on

> need.

> >

> > These are some ideas for a study day what do others think? Our

> CPHVA

> > regional committee were looking to support a regional study day, I

> wonder

> > whether it would be appropriate for them to support this?

> >

> > Charlene

>

>

>

>

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I have been reading with interest the ideas vis a vis conference versus study

days. On reflection I wonder if a format of 3/4 meetings a year in different

parts of the country with a couple of presentations at the meeting. A round

robin with people introducing themselves (briefly) and lists of contacts. I

belong to a national research group related to teenage parents and we meet

quarterly, share practice,listen to a couple of presentations, Network over

lunch and have a list of whose, whose after each meeting. It has been a great

source of info and networking, as well encouraging research. It does mean

someone has to coordinate the meeting, send out lists to all members. We start

at 11 am and finish at 4p.m. so trains etc. are possible. Just a thought.

Jeanette

> Hi everyone

>

>It is great to hear you all talking about the developments you are making

>and to hear how you are all moving forward on similar issues.

>

>I keep telling the Trusts I am working with that what they need is a

>professional devleopment person if they are really seroius about

>development.

>

>I think a conference for you all to share what you are doing and pool

>knowledge as well as perhaps having a couple of speakers would be great.

>

>Am happy to help in anyway - to faciltiate, present, share what I am doing

>etc.

>

>Regards

>

>Margaret

> Re: Meeting

>

>

> Hi Charlene and Xena

> It is amazing that we are all struggling to carry out the same work

> and we are probably all duplicating the effort! Here in Bridgend we

> also are looking at health needs assessment, child health

> surveillance, equity of caseloads and consistency of practice across

> what was previously 3 Trust areas. We also seem to move exceedingly

> slowly - is it like that for others?

> Although we have examples from others (thanks to Xena) to date we

> haven't been able to make progress. Partly this is because we haven't

> had a health visiting manager for 2 years - this is being rectified

> now and hopefully we will have 1.5 WTE in the next couple of months.

> Mostly we are just fire fighting, but you know what they say about

> the triumph of hope over experience!!

> It's just shows how good it is to share thoughts on SENATE as it

> helps to confirm we are going in the right direction. However I

> sometimes wonder whether some central direction wouild avoid everyone

> reinventing wheels.

> Regards

>

>

>

> > , Woody and all others

> > Looks like Chelmsford is good.

> > In our area HVs have been working very hard to move forward, but we

> are

> > still struggling and a study day to help move forward would be

> good. the

> > issues at hand for us are:

> >

> > 1. There is a recognition that in order to develop the wider public

> health

> > scope of health visiting HVs need to curtail some of the other

> activities

> > they do. In a recent parent focus group to assess the health needs

> of

> > school aged children, a strong theme that emerged was the

> inconsistency in

> > service delivery by health visiting experienced by some parents ie.

> some

> > parents were recieving 3.5 yr development assessments, some were

> not; some

> > were recieving intensive home visiting (they didn't know why), some

> hadn't

> > seen a HV etc. etc. In the light of this and the proposed Hall

> report, we

> > have looked at child health surveillance eg. 3.5 yr questionnaires,

> and what

> > some of the 'core' health visiting work should entail eg antenatal

> contact,

> > PND pathways. And yes Xena, we are looking at grounding this in

> guidelines

> > and protocols. We know that there are many other HV teams carrying

> out

> > similar work so it would be nice to share outcomes and findings

> from other

> > teams and be supported and guided by those with expertise whilst

> doing this.

> >

> > 2. We are trying to get our heads around what constitutes 'family

> health

> > needs assessment'. How and what information/data needs to be

> collected and

> > collated to contribute to community and population needs

> assessment. How do

> > we collect and share information with other disciplines to help

> joint

> > approaches. Again it would be good to share the work others have

> been

> > doing, guided and supported by expertise so that we feel confident

> that we

> > are developing high quality practice within legal and ethical

> frameworks.

> >

> > 3. We are also struggling with caseload weighting and trying to get

> a

> > consensus on equity of Hv distribution within the Trust based on

> need.

> >

> > These are some ideas for a study day what do others think? Our

> CPHVA

> > regional committee were looking to support a regional study day, I

> wonder

> > whether it would be appropriate for them to support this?

> >

> > Charlene

>

>

>

>

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Hi Margaret,

At present I am trying to arrange something in Chelmsford in June/ July, and

would value your expertise.

I would like to talk with you once I have tied up the venue. There are lots

of ideas coming from people in practice, and has offered to speak.

Speak to you soon I hope.

Re: Meeting

>

>

> > Hi Charlene and Xena

> > It is amazing that we are all struggling to carry out the same work

> > and we are probably all duplicating the effort! Here in Bridgend we

> > also are looking at health needs assessment, child health

> > surveillance, equity of caseloads and consistency of practice across

> > what was previously 3 Trust areas. We also seem to move exceedingly

> > slowly - is it like that for others?

> > Although we have examples from others (thanks to Xena) to date we

> > haven't been able to make progress. Partly this is because we haven't

> > had a health visiting manager for 2 years - this is being rectified

> > now and hopefully we will have 1.5 WTE in the next couple of months.

> > Mostly we are just fire fighting, but you know what they say about

> > the triumph of hope over experience!!

> > It's just shows how good it is to share thoughts on SENATE as it

> > helps to confirm we are going in the right direction. However I

> > sometimes wonder whether some central direction wouild avoid everyone

> > reinventing wheels.

> > Regards

> >

> >

> >

> > > , Woody and all others

> > > Looks like Chelmsford is good.

> > > In our area HVs have been working very hard to move forward, but we

> > are

> > > still struggling and a study day to help move forward would be

> > good. the

> > > issues at hand for us are:

> > >

> > > 1. There is a recognition that in order to develop the wider public

> > health

> > > scope of health visiting HVs need to curtail some of the other

> > activities

> > > they do. In a recent parent focus group to assess the health needs

> > of

> > > school aged children, a strong theme that emerged was the

> > inconsistency in

> > > service delivery by health visiting experienced by some parents ie.

> > some

> > > parents were recieving 3.5 yr development assessments, some were

> > not; some

> > > were recieving intensive home visiting (they didn't know why), some

> > hadn't

> > > seen a HV etc. etc. In the light of this and the proposed Hall

> > report, we

> > > have looked at child health surveillance eg. 3.5 yr questionnaires,

> > and what

> > > some of the 'core' health visiting work should entail eg antenatal

> > contact,

> > > PND pathways. And yes Xena, we are looking at grounding this in

> > guidelines

> > > and protocols. We know that there are many other HV teams carrying

> > out

> > > similar work so it would be nice to share outcomes and findings

> > from other

> > > teams and be supported and guided by those with expertise whilst

> > doing this.

> > >

> > > 2. We are trying to get our heads around what constitutes 'family

> > health

> > > needs assessment'. How and what information/data needs to be

> > collected and

> > > collated to contribute to community and population needs

> > assessment. How do

> > > we collect and share information with other disciplines to help

> > joint

> > > approaches. Again it would be good to share the work others have

> > been

> > > doing, guided and supported by expertise so that we feel confident

> > that we

> > > are developing high quality practice within legal and ethical

> > frameworks.

> > >

> > > 3. We are also struggling with caseload weighting and trying to get

> > a

> > > consensus on equity of Hv distribution within the Trust based on

> > need.

> > >

> > > These are some ideas for a study day what do others think? Our

> > CPHVA

> > > regional committee were looking to support a regional study day, I

> > wonder

> > > whether it would be appropriate for them to support this?

> > >

> > > Charlene

> >

> >

> >

> >

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Hi

Missed you at the meeting - glad to help - just let me know.

The most important thing for me is the date!!

Margaret

Re: Meeting

> >

> >

> > > Hi Charlene and Xena

> > > It is amazing that we are all struggling to carry out the same work

> > > and we are probably all duplicating the effort! Here in Bridgend we

> > > also are looking at health needs assessment, child health

> > > surveillance, equity of caseloads and consistency of practice across

> > > what was previously 3 Trust areas. We also seem to move exceedingly

> > > slowly - is it like that for others?

> > > Although we have examples from others (thanks to Xena) to date we

> > > haven't been able to make progress. Partly this is because we haven't

> > > had a health visiting manager for 2 years - this is being rectified

> > > now and hopefully we will have 1.5 WTE in the next couple of months.

> > > Mostly we are just fire fighting, but you know what they say about

> > > the triumph of hope over experience!!

> > > It's just shows how good it is to share thoughts on SENATE as it

> > > helps to confirm we are going in the right direction. However I

> > > sometimes wonder whether some central direction wouild avoid everyone

> > > reinventing wheels.

> > > Regards

> > >

> > >

> > >

> > > > , Woody and all others

> > > > Looks like Chelmsford is good.

> > > > In our area HVs have been working very hard to move forward, but we

> > > are

> > > > still struggling and a study day to help move forward would be

> > > good. the

> > > > issues at hand for us are:

> > > >

> > > > 1. There is a recognition that in order to develop the wider public

> > > health

> > > > scope of health visiting HVs need to curtail some of the other

> > > activities

> > > > they do. In a recent parent focus group to assess the health needs

> > > of

> > > > school aged children, a strong theme that emerged was the

> > > inconsistency in

> > > > service delivery by health visiting experienced by some parents ie.

> > > some

> > > > parents were recieving 3.5 yr development assessments, some were

> > > not; some

> > > > were recieving intensive home visiting (they didn't know why), some

> > > hadn't

> > > > seen a HV etc. etc. In the light of this and the proposed Hall

> > > report, we

> > > > have looked at child health surveillance eg. 3.5 yr questionnaires,

> > > and what

> > > > some of the 'core' health visiting work should entail eg antenatal

> > > contact,

> > > > PND pathways. And yes Xena, we are looking at grounding this in

> > > guidelines

> > > > and protocols. We know that there are many other HV teams carrying

> > > out

> > > > similar work so it would be nice to share outcomes and findings

> > > from other

> > > > teams and be supported and guided by those with expertise whilst

> > > doing this.

> > > >

> > > > 2. We are trying to get our heads around what constitutes 'family

> > > health

> > > > needs assessment'. How and what information/data needs to be

> > > collected and

> > > > collated to contribute to community and population needs

> > > assessment. How do

> > > > we collect and share information with other disciplines to help

> > > joint

> > > > approaches. Again it would be good to share the work others have

> > > been

> > > > doing, guided and supported by expertise so that we feel confident

> > > that we

> > > > are developing high quality practice within legal and ethical

> > > frameworks.

> > > >

> > > > 3. We are also struggling with caseload weighting and trying to get

> > > a

> > > > consensus on equity of Hv distribution within the Trust based on

> > > need.

> > > >

> > > > These are some ideas for a study day what do others think? Our

> > > CPHVA

> > > > regional committee were looking to support a regional study day, I

> > > wonder

> > > > whether it would be appropriate for them to support this?

> > > >

> > > > Charlene

> > >

> > >

> > >

> > >

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Hi Margaret,

Thanks for that. I will be in touch. I was sorry to have missed the meeting

too, but 's job interviews are having to take precedent at the moment.

Regards,

Re: Meeting

> > >

> > >

> > > > Hi Charlene and Xena

> > > > It is amazing that we are all struggling to carry out the same work

> > > > and we are probably all duplicating the effort! Here in Bridgend we

> > > > also are looking at health needs assessment, child health

> > > > surveillance, equity of caseloads and consistency of practice across

> > > > what was previously 3 Trust areas. We also seem to move exceedingly

> > > > slowly - is it like that for others?

> > > > Although we have examples from others (thanks to Xena) to date we

> > > > haven't been able to make progress. Partly this is because we

haven't

> > > > had a health visiting manager for 2 years - this is being rectified

> > > > now and hopefully we will have 1.5 WTE in the next couple of months.

> > > > Mostly we are just fire fighting, but you know what they say about

> > > > the triumph of hope over experience!!

> > > > It's just shows how good it is to share thoughts on SENATE as it

> > > > helps to confirm we are going in the right direction. However I

> > > > sometimes wonder whether some central direction wouild avoid

everyone

> > > > reinventing wheels.

> > > > Regards

> > > >

> > > >

> > > >

> > > > > , Woody and all others

> > > > > Looks like Chelmsford is good.

> > > > > In our area HVs have been working very hard to move forward, but

we

> > > > are

> > > > > still struggling and a study day to help move forward would be

> > > > good. the

> > > > > issues at hand for us are:

> > > > >

> > > > > 1. There is a recognition that in order to develop the wider

public

> > > > health

> > > > > scope of health visiting HVs need to curtail some of the other

> > > > activities

> > > > > they do. In a recent parent focus group to assess the health

needs

> > > > of

> > > > > school aged children, a strong theme that emerged was the

> > > > inconsistency in

> > > > > service delivery by health visiting experienced by some parents

ie.

> > > > some

> > > > > parents were recieving 3.5 yr development assessments, some were

> > > > not; some

> > > > > were recieving intensive home visiting (they didn't know why),

some

> > > > hadn't

> > > > > seen a HV etc. etc. In the light of this and the proposed Hall

> > > > report, we

> > > > > have looked at child health surveillance eg. 3.5 yr

questionnaires,

> > > > and what

> > > > > some of the 'core' health visiting work should entail eg antenatal

> > > > contact,

> > > > > PND pathways. And yes Xena, we are looking at grounding this in

> > > > guidelines

> > > > > and protocols. We know that there are many other HV teams

carrying

> > > > out

> > > > > similar work so it would be nice to share outcomes and findings

> > > > from other

> > > > > teams and be supported and guided by those with expertise whilst

> > > > doing this.

> > > > >

> > > > > 2. We are trying to get our heads around what constitutes 'family

> > > > health

> > > > > needs assessment'. How and what information/data needs to be

> > > > collected and

> > > > > collated to contribute to community and population needs

> > > > assessment. How do

> > > > > we collect and share information with other disciplines to help

> > > > joint

> > > > > approaches. Again it would be good to share the work others

have

> > > > been

> > > > > doing, guided and supported by expertise so that we feel confident

> > > > that we

> > > > > are developing high quality practice within legal and ethical

> > > > frameworks.

> > > > >

> > > > > 3. We are also struggling with caseload weighting and trying to

get

> > > > a

> > > > > consensus on equity of Hv distribution within the Trust based on

> > > > need.

> > > > >

> > > > > These are some ideas for a study day what do others think? Our

> > > > CPHVA

> > > > > regional committee were looking to support a regional study day, I

> > > > wonder

> > > > > whether it would be appropriate for them to support this?

> > > > >

> > > > > Charlene

> > > >

> > > >

> > > >

> > > >

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  • 1 year later...
Guest guest

Hi Ray,

I am also in CA, but in the San Francisco bay area. I would be open to meeting others in CA. I also am fairly new to the group as I was just diagnosed with Achalasia in May of this year after suffering for 8 yrs with it. I had a dilatation in May which is now pretty much worn off. Difficulty swallowing and spasms are back. After reading many posts from group members, I have decided not to have a second dilatation and go for the myotomy. I have an appointment on Thurs. July 10 to see a surgeon at Stanford Medical Center in Palo Alto. I do not know much of her background at this point, but, thanks to this group I have lots of good questions to ask. I believe you are correct in wanting to learn as much about what is ahead of you. From what I understand, our "a" never goes away and is a progressive disease. Read everything on the internet you can find regarding achalasia and the treatments. Read old posts

from the group. You will find much support and info from the people here, as I have.

K.

raymondmartin2003 <raymondmartin2003@...> wrote:

I have seen that several of you are in the Southern California area. Since the onset of my symptoms is relatively new and I have yet to receive any treatment; other than using nitro to help eating, I would like the opportunity to meet some of you in person. If there is anyone or several of you that would be agreeable to that, I would be willing to host a kind of get together on a future date. I hope that I will get several of you to respond. I don't like what I have read here; but I realize that I inevitably must go forward. I just want to make the best and most informed decisions that I can. I believe that everyone here has no agenda other than to help one another. I don't believe the same of the medical community. I have always felt a general condescension in the doctor patient

relationship. Anyway, please think about it one and all and let me know either by posting or emailing me.Ray

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Guest guest

Several of you have expressed an interest in meeting and are

wondering what my location is here in California. It is in

Huntington Beach. I will wait a week or so to get a number of

responses and then set something towards the end of August so that

people can plan accordingly.

Ray

> I have seen that several of you are in the Southern California

area.

> Since the onset of my symptoms is relatively new and I have yet to

> receive any treatment; other than using nitro to help eating, I

would

> like the opportunity to meet some of you in person. If there is

> anyone or several of you that would be agreeable to that, I would

be

> willing to host a kind of get together on a future date. I hope

that

> I will get several of you to respond. I don't like what I have

read

> here; but I realize that I inevitably must go forward. I just want

> to make the best and most informed decisions that I can. I believe

> that everyone here has no agenda other than to help one another. I

> don't believe the same of the medical community. I have always

felt

> a general condescension in the doctor patient relationship.

Anyway,

> please think about it one and all and let me know either by posting

> or emailing me.

>

> Ray

>

>

>

>

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  • 4 months later...

Oh, how wonderful. I wish I could meet other people with achalasia in person. Sometimes I feel like I am the only person in The Netherlands who has this disease. Very lonely feeling. Hugs,

Biancka

meeting

There is a group of about 12 who live near by We are trying to get together each month Sounds like Dec 18th will be our first We will meet every third Thursday Hey that sound good

____________________________________________________ IncrediMail - Email has finally evolved - Click Here

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Hi Bianca .......

Yes it would be wonderful to meet in person ....... but at least we have

this group. I too felt very alone with my " A " until I came here ......

Have a good weekend!

Calgary, Canada

: b i a n c k a : wrote:

>

> Oh, how wonderful. I wish I could meet other people with achalasia in

> person. Sometimes I feel like I am the only person in The Netherlands

> who has this disease. Very lonely feeling.

>

> Hugs,

> Biancka

>

> meeting

>

>

There is a group of about 12 who live near by We are

trying to get together each month Sounds like Dec 18th will

be our first We will meet every third Thursday Hey that

sound good

> ____________________________________________________

> IncrediMail - Email has finally evolved - Click Here

>

>

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Share on other sites

IWill you be going out for a meal? :)

Kev

> meeting

>

>

> There is a group of about 12 who live near by We are trying to get

>together each month Sounds like Dec 18th will be our first We will meet

every

>third Thursday Hey that sound good

>

>

>

> ____________________________________________________

> IncrediMail - Email has finally evolved - Click Here

>

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  • 5 years later...

Jim,

Do u have a link I can have for the info on vaccines were not responsible for

the decline of diseases?

Thanks

Sent on the Now Network™ from my Sprint® BlackBerry

meeting

I just had a meeting with the superintendent of the schools my grand kids go to.

I gave him some info that prove vaccines were not responsible for the decline of

diseases.

I gave him some pictures of kids who died from vaccines including the girl from

new york.

I gave him a copy of a newspaper from 1894 of the allopaths taking pus out of a

cow and injecting it into children.

Among other things I gave him a copy of the state law on religious exemption and

told him I will be contacting every school in the county. I said this madness

must stop. I said it won't be long before parents will be demanding answers as

to why they have been lied too.

He acted like he was surprised at some of the info, listened intently, and

thanked me for my time.

I have no idea of what he thought, but it doesn't matter he got the message and

will pass it on.

Jim

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Send me a self address stamped envelope and i can make copies from my 1953

medical book and send it to you.

Jim O'

PO box 78

Wheeler IN 46393

________________________________

From: " Lnanaa@... " <Lnanaa@...>

Vaccinations

Sent: Monday, August 31, 2009 5:54:20 PM

Subject: Re: meeting

 

Jim,

Do u have a link I can have for the info on vaccines were not responsible for

the decline of diseases?

Thanks

Sent on the Now Network™ from my Sprint® BlackBerry

meeting

I just had a meeting with the superintendent of the schools my grand kids go to.

I gave him some info that prove vaccines were not responsible for the decline of

diseases.

I gave him some pictures of kids who died from vaccines including the girl from

new york.

I gave him a copy of a newspaper from 1894 of the allopaths taking pus out of a

cow and injecting it into children.

Among other things I gave him a copy of the state law on religious exemption and

told him I will be contacting every school in the county. I said this madness

must stop. I said it won't be long before parents will be demanding answers as

to why they have been lied too.

He acted like he was surprised at some of the info, listened intently, and

thanked me for my time.

I have no idea of what he thought, but it doesn't matter he got the message and

will pass it on.

Jim

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Share on other sites

what is more important is that deaths from those

diseases had declined. That is what we have information on.

(and some diseases had declined too, but not all

- but it is the deaths that had declined which is what is important)

I'll send info

Sheri

At 03:54 PM 8/31/2009, you wrote:

>Jim,

>

>

>

>Do u have a link I can have for the info on

>vaccines were not responsible for the decline of diseases?

>

>

>

>Thanks

>

>

>

>Sent on the Now Network™ from my Sprint® BlackBerry

>

>

>

> meeting

>

>

>

>

>

>I just had a meeting with the superintendent of

>the schools my grand kids go to.

>

>

>

>I gave him some info that prove vaccines were

>not responsible for the decline of diseases.

>

>

>

>I gave him some pictures of kids who died from

>vaccines including the girl from new york.

>

>

>

>I gave him a copy of a newspaper from 1894 of

>the allopaths taking pus out of a cow and injecting it into children.

>

>

>

>Among other things I gave him a copy of the

>state law on religious exemption and told him I

>will be contacting every school in the county. I

>said this madness must stop. I said it won't be

>long before parents will be demanding answers as

>to why they have been lied too.

>

>

>

>He acted like he was surprised at some of the

>info, listened intently, and thanked me for my time.

>

>

>

>I have no idea of what he thought, but it

>doesn't matter he got the message and will pass it on.

>

>

>

>Jim

>

>

>

>

>

>

>

>

>

>

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Share on other sites

I bet he was surprised. Most people give no thought to this until someone like

you tells them. Great job, Jim!

Winnie

meeting

Jim O'

> I just had a meeting with the superintendent of the schools my

> grand kids go to.

>

> I gave him some info that prove vaccines were not responsible

> for the decline of diseases.

>

> I gave him some pictures of kids who died from vaccines

> including the girl from new york.

>

> I gave him a copy of a newspaper from 1894 of the allopaths

> taking pus out of a cow and injecting it into children.

>

> Among other things I gave him a copy of the state law on

> religious exemption and told him I will be contacting every

> school in the county. I said this madness must stop. I said it

> won't be long before parents will be demanding answers as to why

> they have been lied too.

>

> He acted like he was surprised at some of the info, listened

> intently, and thanked me for my time.

>

> I have no idea of what he thought, but it doesn't matter he got

> the message and will pass it on.

>

> Jim

>

>

>

>

>

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Share on other sites

I wish I had the courage to do that. My kids school sent home a prevention

letter...nothing about a vax yet. Just said if you have signs of the flu to stay

home. I was given the same lecture at church when I left the kids at nursery, I

wanted to laugh.

wharrison@... wrote:

>  

> I bet he was surprised. Most people give no thought to this

until someone like you tells them. Great job, Jim!

> Winnie

> meeting

> Jim O'

>> I just had a meeting with the superintendent of the schools my

>> grand kids go to.

>>

>> I gave him some info that prove vaccines were not responsible

>> for the decline of diseases.

>>

>> I gave him some pictures of kids who died from vaccines

>> including the girl from new york.

>>

>> I gave him a copy of a newspaper from 1894 of the allopaths

>> taking pus out of a cow and injecting it into children.

>>

>> Among other things I gave him a copy of the state law on

>> religious exemption and told him I will be contacting every

>> school in the county. I said this madness must stop. I said it

>> won't be long before parents will be demanding answers as to why

>> they have been lied too.

>>

>> He acted like he was surprised at some of the info, listened

>> intently, and thanked me for my time.

>>

>> I have no idea of what he thought, but it doesn't matter he got

>> the message and will pass it on.

>>

>> Jim

>>

>>

>>

>>

>>

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Guess they haven't heard about the vaccine yet??

You'll one day have the courage. Wait until you get sick and tired of this and

there will be no stopping you.

Winnie

meeting

> > Jim O'

> >> I just had a meeting with the superintendent of the schools

> my

> >> grand kids go to.

> >>

> >> I gave him some info that prove vaccines were not responsible

> >> for the decline of diseases.

> >>

> >> I gave him some pictures of kids who died from vaccines

> >> including the girl from new york.

> >>

> >> I gave him a copy of a newspaper from 1894 of the allopaths

> >> taking pus out of a cow and injecting it into children.

> >>

> >> Among other things I gave him a copy of the state law on

> >> religious exemption and told him I will be contacting every

> >> school in the county. I said this madness must stop. I said

> it

> >> won't be long before parents will be demanding answers as to

> why

> >> they have been lied too.

> >>

> >> He acted like he was surprised at some of the info, listened

> >> intently, and thanked me for my time.

> >>

> >> I have no idea of what he thought, but it doesn't matter he

> got

> >> the message and will pass it on.

> >>

> >> Jim

> >>

> >>

> >>

> >>

> >>

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