Guest guest Posted November 16, 2005 Report Share Posted November 16, 2005 Yes, please do attach yoiur poster, Ann; I am sure a lot of people will be interested. I'm sorry that I did not see it at conference and would be pleased to get a second chance. best wishes Ann Girling wrote: Another thing i enjoyed was presenting my research as a poster and getting enthused about it again! there was quite a lot of interest shown and some key concerns about supervision and competences and HV education in terms of working in a "therapeutic relationship". Some one suggested that I should attach my poster to SENATE .. would people be interested and is that appropriate? Ann Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 16, 2005 Report Share Posted November 16, 2005 It was nice to meet you at conference Ann and yes I'm sure many of us would like to see the poster on SENATE. Barbara -----Original Message-----From: [mailto: ] On Behalf Of Ann GirlingSent: 16 November 2005 19:03 Subject: Re: Fw: CPHVA Conference Another thing i enjoyed was presenting my research as a poster and getting enthused about it again! there was quite a lot of interest shown and some key concerns about supervision and competences and HV education in terms of working in a "therapeutic relationship". Some one suggested that I should attach my poster to SENATE .. would people be interested and is that appropriate? Ann Ann Re: Fw: CPHVA Conference Thanks for your kind words, . I would have liked a bit more discussion, and thank you Ann, for your careful question which allowed me to expand a bit more on the issues. I am actually quite excited by some of the results of the survey, particularly the ability to have 'hard data' to show that working all the time with mothers and babies does not mean this is a narrow way of working: that is only the base from which to reach out to so many other vulnerable or needy groups in the community. I am worried, though, about how limited the core programme/universal service is in so many areas: just one (new birth) visit as the norm in at least 40% of places. It is always good to catch up with old friends and colleagues, as well. Coles wrote: I liked your report on the D-SCOVER survey. It will be interesting to see how it may influence Future Directions for Health Visiting. After many working years of health visiting the change to an academic post these past 5 years has given me lots to reflect on. The thing that came to mind during your presentation was how little has changed in the hv role, but yet how complex life is for clients, policy makers and service delivery. The answer I am sure is an expanded workforce trained for these challenges and assisted by a range of skilled support workers. More clarity of role, clearer expression of outcomes, and intersectoral working is what I see as the way forward. I wonder how much the desire by others to influence change in health visiting has really made a difference? I also enjoyed meeting aquaintances and finding that the shaken baby/protecting heads work still fullfils a need. I think Woody is memorable for his antics - piloting will never again seem so dull! Was the hedgehog quote original and can I use it for a prevention plug? Lots else of interest especially Mike on Implementing public health research using a partnership approach. A more positive mood than last year I thought? I am sorry if I inadvertantly contributed to the muddle over where to meet but I had dropped off the SENATE mail list and was not up to date in last minute plans so just went with the flow. Dr Coles PhD BA RHV RGN Research Fellow Department of Child Health, Community Section Cardiff University, Wales College of Medicine First Floor, Academic Centre Llandough Hospital Cardiff CF64 2XX Telephone Direct line/message service 02920 715479 Secretary 02920 716932/33/34 Fax 02920 350140 sarah@... 11/15/05 1:44 pm >>> Apologies that my confusing message about where to meet at the CPHVA conference meant that we had a 'split group' meeting for dinner at two different places on Thursday, instead of one place on Thursday and one on Friday. I hope all who went enjoyed the conference; I arrived on Thursday and had to leave before end-of-day on Friday, not really long enough to get a feel for the whole thing. I was encouraged, though, by Gail Cartmail's speech, which seemed very measured and went through all the many things the union have been doing on our behalf, including lots of activity challenging Commissioning a Patient-led NHS and the spate of cuts around in primary care at the moment. Any other high spots? Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 16, 2005 Report Share Posted November 16, 2005 It was nice to meet you at conference Ann and yes I'm sure many of us would like to see the poster on SENATE. Barbara -----Original Message-----From: [mailto: ] On Behalf Of Ann GirlingSent: 16 November 2005 19:03 Subject: Re: Fw: CPHVA Conference Another thing i enjoyed was presenting my research as a poster and getting enthused about it again! there was quite a lot of interest shown and some key concerns about supervision and competences and HV education in terms of working in a "therapeutic relationship". Some one suggested that I should attach my poster to SENATE .. would people be interested and is that appropriate? Ann Ann Re: Fw: CPHVA Conference Thanks for your kind words, . I would have liked a bit more discussion, and thank you Ann, for your careful question which allowed me to expand a bit more on the issues. I am actually quite excited by some of the results of the survey, particularly the ability to have 'hard data' to show that working all the time with mothers and babies does not mean this is a narrow way of working: that is only the base from which to reach out to so many other vulnerable or needy groups in the community. I am worried, though, about how limited the core programme/universal service is in so many areas: just one (new birth) visit as the norm in at least 40% of places. It is always good to catch up with old friends and colleagues, as well. Coles wrote: I liked your report on the D-SCOVER survey. It will be interesting to see how it may influence Future Directions for Health Visiting. After many working years of health visiting the change to an academic post these past 5 years has given me lots to reflect on. The thing that came to mind during your presentation was how little has changed in the hv role, but yet how complex life is for clients, policy makers and service delivery. The answer I am sure is an expanded workforce trained for these challenges and assisted by a range of skilled support workers. More clarity of role, clearer expression of outcomes, and intersectoral working is what I see as the way forward. I wonder how much the desire by others to influence change in health visiting has really made a difference? I also enjoyed meeting aquaintances and finding that the shaken baby/protecting heads work still fullfils a need. I think Woody is memorable for his antics - piloting will never again seem so dull! Was the hedgehog quote original and can I use it for a prevention plug? Lots else of interest especially Mike on Implementing public health research using a partnership approach. A more positive mood than last year I thought? I am sorry if I inadvertantly contributed to the muddle over where to meet but I had dropped off the SENATE mail list and was not up to date in last minute plans so just went with the flow. Dr Coles PhD BA RHV RGN Research Fellow Department of Child Health, Community Section Cardiff University, Wales College of Medicine First Floor, Academic Centre Llandough Hospital Cardiff CF64 2XX Telephone Direct line/message service 02920 715479 Secretary 02920 716932/33/34 Fax 02920 350140 sarah@... 11/15/05 1:44 pm >>> Apologies that my confusing message about where to meet at the CPHVA conference meant that we had a 'split group' meeting for dinner at two different places on Thursday, instead of one place on Thursday and one on Friday. I hope all who went enjoyed the conference; I arrived on Thursday and had to leave before end-of-day on Friday, not really long enough to get a feel for the whole thing. I was encouraged, though, by Gail Cartmail's speech, which seemed very measured and went through all the many things the union have been doing on our behalf, including lots of activity challenging Commissioning a Patient-led NHS and the spate of cuts around in primary care at the moment. Any other high spots? Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 17, 2005 Report Share Posted November 17, 2005 I've attached the poster, introduction and abstract which I hope you will find of interest - I hope it might also stimulate some debate about the difficult work health visitors are doing and whether we are adequately trained or supported to do it Ann Re: Fw: CPHVA Conference Yes, please do attach yoiur poster, Ann; I am sure a lot of people will be interested. I'm sorry that I did not see it at conference and would be pleased to get a second chance. best wishes Ann Girling wrote: Another thing i enjoyed was presenting my research as a poster and getting enthused about it again! there was quite a lot of interest shown and some key concerns about supervision and competences and HV education in terms of working in a "therapeutic relationship". Some one suggested that I should attach my poster to SENATE .. would people be interested and is that appropriate? Ann Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 17, 2005 Report Share Posted November 17, 2005 Hi Ann I enjoyed meeting you and I thought your research poster presentation was excellent. I do feel it is well worth posting on the group as I think many people would be interested in the findings. I know I am. Best wishes Maggie Re: Fw: CPHVA Conference Thanks for your kind words, . I would have liked a bit more discussion, and thank you Ann, for your careful question which allowed me to expand a bit more on the issues. I am actually quite excited by some of the results of the survey, particularly the ability to have 'hard data' to show that working all the time with mothers and babies does not mean this is a narrow way of working: that is only the base from which to reach out to so many other vulnerable or needy groups in the community. I am worried, though, about how limited the core programme/universal service is in so many areas: just one (new birth) visit as the norm in at least 40% of places. It is always good to catch up with old friends and colleagues, as well. Coles wrote: I liked your report on the D-SCOVER survey. It will be interesting to see how it may influence Future Directions for Health Visiting. After many working years of health visiting the change to an academic post these past 5 years has given me lots to reflect on. The thing that came to mind during your presentation was how little has changed in the hv role, but yet how complex life is for clients, policy makers and service delivery. The answer I am sure is an expanded workforce trained for these challenges and assisted by a range of skilled support workers. More clarity of role, clearer expression of outcomes, and intersectoral working is what I see as the way forward. I wonder how much the desire by others to influence change in health visiting has really made a difference? I also enjoyed meeting aquaintances and finding that the shaken baby/protecting heads work still fullfils a need. I think Woody is memorable for his antics - piloting will never again seem so dull! Was the hedgehog quote original and can I use it for a prevention plug? Lots else of interest especially Mike on Implementing public health research using a partnership approach. A more positive mood than last year I thought? I am sorry if I inadvertantly contributed to the muddle over where to meet but I had dropped off the SENATE mail list and was not up to date in last minute plans so just went with the flow. Dr Coles PhD BA RHV RGN Research Fellow Department of Child Health, Community Section Cardiff University, Wales College of Medicine First Floor, Academic Centre Llandough Hospital Cardiff CF64 2XX Telephone Direct line/message service 02920 715479 Secretary 02920 716932/33/34 Fax 02920 350140 sarah@... 11/15/05 1:44 pm >>> Apologies that my confusing message about where to meet at the CPHVA conference meant that we had a 'split group' meeting for dinner at two different places on Thursday, instead of one place on Thursday and one on Friday. I hope all who went enjoyed the conference; I arrived on Thursday and had to leave before end-of-day on Friday, not really long enough to get a feel for the whole thing. I was encouraged, though, by Gail Cartmail's speech, which seemed very measured and went through all the many things the union have been doing on our behalf, including lots of activity challenging Commissioning a Patient-led NHS and the spate of cuts around in primary care at the moment. Any other high spots? Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 17, 2005 Report Share Posted November 17, 2005 Dear and Woody Well done on your innovative presentation approach-it made it a very memorable session and very brave of you both to try something different. Will the results of the survey be available in the near future as it highlights some interesting and quite worrying trends? Thank you so much for organising the SENATE get together on the Thursday evening it was lovely to meet new people and reunite with others I haven't seen for a while and put names to faces. Best wishes Maggie Re: Fw: CPHVA Conference Thanks for your kind words, . I would have liked a bit more discussion, and thank you Ann, for your careful question which allowed me to expand a bit more on the issues. I am actually quite excited by some of the results of the survey, particularly the ability to have 'hard data' to show that working all the time with mothers and babies does not mean this is a narrow way of working: that is only the base from which to reach out to so many other vulnerable or needy groups in the community. I am worried, though, about how limited the core programme/universal service is in so many areas: just one (new birth) visit as the norm in at least 40% of places. It is always good to catch up with old friends and colleagues, as well. Coles wrote: I liked your report on the D-SCOVER survey. It will be interesting to see how it may influence Future Directions for Health Visiting. After many working years of health visiting the change to an academic post these past 5 years has given me lots to reflect on. The thing that came to mind during your presentation was how little has changed in the hv role, but yet how complex life is for clients, policy makers and service delivery. The answer I am sure is an expanded workforce trained for these challenges and assisted by a range of skilled support workers. More clarity of role, clearer expression of outcomes, and intersectoral working is what I see as the way forward. I wonder how much the desire by others to influence change in health visiting has really made a difference? I also enjoyed meeting aquaintances and finding that the shaken baby/protecting heads work still fullfils a need. I think Woody is memorable for his antics - piloting will never again seem so dull! Was the hedgehog quote original and can I use it for a prevention plug? Lots else of interest especially Mike on Implementing public health research using a partnership approach. A more positive mood than last year I thought? I am sorry if I inadvertantly contributed to the muddle over where to meet but I had dropped off the SENATE mail list and was not up to date in last minute plans so just went with the flow. Dr Coles PhD BA RHV RGN Research Fellow Department of Child Health, Community Section Cardiff University, Wales College of Medicine First Floor, Academic Centre Llandough Hospital Cardiff CF64 2XX Telephone Direct line/message service 02920 715479 Secretary 02920 716932/33/34 Fax 02920 350140 sarah@... 11/15/05 1:44 pm >>> Apologies that my confusing message about where to meet at the CPHVA conference meant that we had a 'split group' meeting for dinner at two different places on Thursday, instead of one place on Thursday and one on Friday. I hope all who went enjoyed the conference; I arrived on Thursday and had to leave before end-of-day on Friday, not really long enough to get a feel for the whole thing. I was encouraged, though, by Gail Cartmail's speech, which seemed very measured and went through all the many things the union have been doing on our behalf, including lots of activity challenging Commissioning a Patient-led NHS and the spate of cuts around in primary care at the moment. Any other high spots? Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 17, 2005 Report Share Posted November 17, 2005 Dear and Woody Well done on your innovative presentation approach-it made it a very memorable session and very brave of you both to try something different. Will the results of the survey be available in the near future as it highlights some interesting and quite worrying trends? Thank you so much for organising the SENATE get together on the Thursday evening it was lovely to meet new people and reunite with others I haven't seen for a while and put names to faces. Best wishes Maggie Re: Fw: CPHVA Conference Thanks for your kind words, . I would have liked a bit more discussion, and thank you Ann, for your careful question which allowed me to expand a bit more on the issues. I am actually quite excited by some of the results of the survey, particularly the ability to have 'hard data' to show that working all the time with mothers and babies does not mean this is a narrow way of working: that is only the base from which to reach out to so many other vulnerable or needy groups in the community. I am worried, though, about how limited the core programme/universal service is in so many areas: just one (new birth) visit as the norm in at least 40% of places. It is always good to catch up with old friends and colleagues, as well. Coles wrote: I liked your report on the D-SCOVER survey. It will be interesting to see how it may influence Future Directions for Health Visiting. After many working years of health visiting the change to an academic post these past 5 years has given me lots to reflect on. The thing that came to mind during your presentation was how little has changed in the hv role, but yet how complex life is for clients, policy makers and service delivery. The answer I am sure is an expanded workforce trained for these challenges and assisted by a range of skilled support workers. More clarity of role, clearer expression of outcomes, and intersectoral working is what I see as the way forward. I wonder how much the desire by others to influence change in health visiting has really made a difference? I also enjoyed meeting aquaintances and finding that the shaken baby/protecting heads work still fullfils a need. I think Woody is memorable for his antics - piloting will never again seem so dull! Was the hedgehog quote original and can I use it for a prevention plug? Lots else of interest especially Mike on Implementing public health research using a partnership approach. A more positive mood than last year I thought? I am sorry if I inadvertantly contributed to the muddle over where to meet but I had dropped off the SENATE mail list and was not up to date in last minute plans so just went with the flow. Dr Coles PhD BA RHV RGN Research Fellow Department of Child Health, Community Section Cardiff University, Wales College of Medicine First Floor, Academic Centre Llandough Hospital Cardiff CF64 2XX Telephone Direct line/message service 02920 715479 Secretary 02920 716932/33/34 Fax 02920 350140 sarah@... 11/15/05 1:44 pm >>> Apologies that my confusing message about where to meet at the CPHVA conference meant that we had a 'split group' meeting for dinner at two different places on Thursday, instead of one place on Thursday and one on Friday. I hope all who went enjoyed the conference; I arrived on Thursday and had to leave before end-of-day on Friday, not really long enough to get a feel for the whole thing. I was encouraged, though, by Gail Cartmail's speech, which seemed very measured and went through all the many things the union have been doing on our behalf, including lots of activity challenging Commissioning a Patient-led NHS and the spate of cuts around in primary care at the moment. Any other high spots? Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 19, 2005 Report Share Posted November 19, 2005 Dear Ann Thanks for this clear exposition of the intensity and importance of HV/client relationships, and the need for both better initial training and on-going support and supervision. Of course I identified with your plea for direct entry training! I am sure your work will ring bells with lots of other Senate members who have either researched in this area and come up with similar findings (Robyn Pound and Coles come immediately to mind) or have experienced the kind of emotional pressure described by your research participants in their own practice. There are two big questions for me. 1. Given the demonstrable importance of the HV/client relationship as a basis for the work across at least two decades of research, why is it still not formally acknowledged, or regarded as legitimate, in terms of work organisation? One cannot imagine, for example, a psychotherapist being advised to delegate her work to a more junior team member just as she was beginning to get the crux of the problem. It is about more than continuity of care, it is about the mechanism through which health visitors effect change. So is it, perhaps, because we are so poor at researching outcomes of the work? Does the lack of recognition/legitmacy say something about the mechanism for change (i.e. health visitng practice) or the clients receiving the service (i.e., no clear medical diagnosis, not powerful, not articulate, largely women and children)? Or something else? 2. How can we move on from discovering and describing the importance of this aspect of the work, to showing what a difference it makes (before it disappears altogether, along with the expertise!)? Research funding for health visiting work is almost impossible to obtain, although that may be one way into the issue, I suppose. Any other suggestions? best wishes Ann Girling wrote: I've attached the poster, introduction and abstract which I hope you will find of interest - I hope it might also stimulate some debate about the difficult work health visitors are doing and whether we are adequately trained or supported to do it Ann Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 19, 2005 Report Share Posted November 19, 2005 Dear Ann Thanks for this clear exposition of the intensity and importance of HV/client relationships, and the need for both better initial training and on-going support and supervision. Of course I identified with your plea for direct entry training! I am sure your work will ring bells with lots of other Senate members who have either researched in this area and come up with similar findings (Robyn Pound and Coles come immediately to mind) or have experienced the kind of emotional pressure described by your research participants in their own practice. There are two big questions for me. 1. Given the demonstrable importance of the HV/client relationship as a basis for the work across at least two decades of research, why is it still not formally acknowledged, or regarded as legitimate, in terms of work organisation? One cannot imagine, for example, a psychotherapist being advised to delegate her work to a more junior team member just as she was beginning to get the crux of the problem. It is about more than continuity of care, it is about the mechanism through which health visitors effect change. So is it, perhaps, because we are so poor at researching outcomes of the work? Does the lack of recognition/legitmacy say something about the mechanism for change (i.e. health visitng practice) or the clients receiving the service (i.e., no clear medical diagnosis, not powerful, not articulate, largely women and children)? Or something else? 2. How can we move on from discovering and describing the importance of this aspect of the work, to showing what a difference it makes (before it disappears altogether, along with the expertise!)? Research funding for health visiting work is almost impossible to obtain, although that may be one way into the issue, I suppose. Any other suggestions? best wishes Ann Girling wrote: I've attached the poster, introduction and abstract which I hope you will find of interest - I hope it might also stimulate some debate about the difficult work health visitors are doing and whether we are adequately trained or supported to do it Ann Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 20, 2005 Report Share Posted November 20, 2005 I have printed this off to ponder on .. but just briefly, if I had stayed in practice i would have wanted to research my own practice as Robyn did. Many of the answers are in the words of the health visitors but as someone once said to me maybe the commissioners, managers etc are not asking them the right questions. Ann Re: Fw: CPHVA Conference Dear AnnThanks for this clear exposition of the intensity and importance of HV/client relationships, and the need for both better initial training and on-going support and supervision. Of course I identified with your plea for direct entry training! I am sure your work will ring bells with lots of other Senate members who have either researched in this area and come up with similar findings (Robyn Pound and Coles come immediately to mind) or have experienced the kind of emotional pressure described by your research participants in their own practice. There are two big questions for me.1. Given the demonstrable importance of the HV/client relationship as a basis for the work across at least two decades of research, why is it still not formally acknowledged, or regarded as legitimate, in terms of work organisation? One cannot imagine, for example, a psychotherapist being advised to delegate her work to a more junior team member just as she was beginning to get the crux of the problem. It is about more than continuity of care, it is about the mechanism through which health visitors effect change. So is it, perhaps, because we are so poor at researching outcomes of the work? Does the lack of recognition/legitmacy say something about the mechanism for change (i.e. health visitng practice) or the clients receiving the service (i.e., no clear medical diagnosis, not powerful, not articulate, largely women and children)? Or something else?2. How can we move on from discovering and describing the importance of this aspect of the work, to showing what a difference it makes (before it disappears altogether, along with the expertise!)? Research funding for health visiting work is almost impossible to obtain, although that may be one way into the issue, I suppose. Any other suggestions?best wishesAnn Girling wrote: I've attached the poster, introduction and abstract which I hope you will find of interest - I hope it might also stimulate some debate about the difficult work health visitors are doing and whether we are adequately trained or supported to do it Ann Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 26, 2005 Report Share Posted November 26, 2005 Dear and , I have pondered over this for a while and think we are talking about something really complex aren't we? There is no legitimacy attached to working in this way and, in a sense, maybe it has just come to be like that. Yes when I looked at the research there is lots there, for which as a researcher I can only be thankful. But who really takes any notice of this sort of research? Think of the resource implications if any of this was picked up. It saddens me to think that i carried out this piece of research and the PCT in which I did it have not really been interested in the findings. I circuaolted the full report to key people but have not been asked to present it. I presented it in the local school of health studies, the Dean said we really need to involve you in our course planning .. nothing! I think also this is scary .. to do this work well individuals have to look in on themselves and learn about who they are and judging by the resistance to supervision this is not something many people want to do. But as you say there is also a wider sociological issue about women, children, caring etc that does not fit with the way society works and the way the NHS plans care around a very dominant medical model. So the next question is what can we do ..one thing may be around competences for woking in this type of relationship. Can we influence the development of those? I do feel I want to take this work somewhere where someone might listen and yes, i could try and get it published, but does that really make a difference? Ann Re: Fw: CPHVA Conference Dear AnnThanks for this clear exposition of the intensity and importance of HV/client relationships, and the need for both better initial training and on-going support and supervision. Of course I identified with your plea for direct entry training! I am sure your work will ring bells with lots of other Senate members who have either researched in this area and come up with similar findings (Robyn Pound and Coles come immediately to mind) or have experienced the kind of emotional pressure described by your research participants in their own practice. There are two big questions for me.1. Given the demonstrable importance of the HV/client relationship as a basis for the work across at least two decades of research, why is it still not formally acknowledged, or regarded as legitimate, in terms of work organisation? One cannot imagine, for example, a psychotherapist being advised to delegate her work to a more junior team member just as she was beginning to get the crux of the problem. It is about more than continuity of care, it is about the mechanism through which health visitors effect change. So is it, perhaps, because we are so poor at researching outcomes of the work? Does the lack of recognition/legitmacy say something about the mechanism for change (i.e. health visitng practice) or the clients receiving the service (i.e., no clear medical diagnosis, not powerful, not articulate, largely women and children)? Or something else?2. How can we move on from discovering and describing the importance of this aspect of the work, to showing what a difference it makes (before it disappears altogether, along with the expertise!)? Research funding for health visiting work is almost impossible to obtain, although that may be one way into the issue, I suppose. Any other suggestions?best wishesAnn Girling wrote: I've attached the poster, introduction and abstract which I hope you will find of interest - I hope it might also stimulate some debate about the difficult work health visitors are doing and whether we are adequately trained or supported to do it Ann Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 26, 2005 Report Share Posted November 26, 2005 Dear and , I have pondered over this for a while and think we are talking about something really complex aren't we? There is no legitimacy attached to working in this way and, in a sense, maybe it has just come to be like that. Yes when I looked at the research there is lots there, for which as a researcher I can only be thankful. But who really takes any notice of this sort of research? Think of the resource implications if any of this was picked up. It saddens me to think that i carried out this piece of research and the PCT in which I did it have not really been interested in the findings. I circuaolted the full report to key people but have not been asked to present it. I presented it in the local school of health studies, the Dean said we really need to involve you in our course planning .. nothing! I think also this is scary .. to do this work well individuals have to look in on themselves and learn about who they are and judging by the resistance to supervision this is not something many people want to do. But as you say there is also a wider sociological issue about women, children, caring etc that does not fit with the way society works and the way the NHS plans care around a very dominant medical model. So the next question is what can we do ..one thing may be around competences for woking in this type of relationship. Can we influence the development of those? I do feel I want to take this work somewhere where someone might listen and yes, i could try and get it published, but does that really make a difference? Ann Re: Fw: CPHVA Conference Dear AnnThanks for this clear exposition of the intensity and importance of HV/client relationships, and the need for both better initial training and on-going support and supervision. Of course I identified with your plea for direct entry training! I am sure your work will ring bells with lots of other Senate members who have either researched in this area and come up with similar findings (Robyn Pound and Coles come immediately to mind) or have experienced the kind of emotional pressure described by your research participants in their own practice. There are two big questions for me.1. Given the demonstrable importance of the HV/client relationship as a basis for the work across at least two decades of research, why is it still not formally acknowledged, or regarded as legitimate, in terms of work organisation? One cannot imagine, for example, a psychotherapist being advised to delegate her work to a more junior team member just as she was beginning to get the crux of the problem. It is about more than continuity of care, it is about the mechanism through which health visitors effect change. So is it, perhaps, because we are so poor at researching outcomes of the work? Does the lack of recognition/legitmacy say something about the mechanism for change (i.e. health visitng practice) or the clients receiving the service (i.e., no clear medical diagnosis, not powerful, not articulate, largely women and children)? Or something else?2. How can we move on from discovering and describing the importance of this aspect of the work, to showing what a difference it makes (before it disappears altogether, along with the expertise!)? Research funding for health visiting work is almost impossible to obtain, although that may be one way into the issue, I suppose. Any other suggestions?best wishesAnn Girling wrote: I've attached the poster, introduction and abstract which I hope you will find of interest - I hope it might also stimulate some debate about the difficult work health visitors are doing and whether we are adequately trained or supported to do it Ann Quote Link to comment Share on other sites More sharing options...
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