Re: Education Select Committee

[Guest guest]

Dear Maggie,

This is an area of HV practice that has troubled me for many years - it is so important and so neglected.

As GPs we can often see behaviour patterns between mothers/fathers/grandparents and other

main carers for children under 5 years of age that we can reasonably predict will undermine a

childs interest and motivation for learning. Such observations most often do not make us pick up

the phone to refer to a HV or Social Services because they do not in anyway constitute child abuse or

neglect. Usually we sigh and say to ourselves and sometimes to each other " with parents/family attitudes

like that the child does not have a chance " .

As GPs we are told that we must ensure that children are well and able to " benefit from education " . With

our paediatric colleagues we try to identify disabilities/special needs as early as possible but for most children

we only vaccinate them , respond to childhood illness and acute " medical problems " because of the dominance of the " medical model " within the GP community.

But good health depends so much on good education.

We do little or nothing to help small children to become kind, articulate,sensible ,patient ,caring learners i.e. we do not as yet work with HVs to ensure that small children develop " mental health and the resiliance they

will need to be able to cope with the psycho-social pressures of being in school " .

Research has shown that the children that achieve most in school are the children who have " good grand parenting " i.e. grand parenting that combines love,care and support with encouragement to learn about the world around the

child during early years. This is achieved through visits to parks,museums and places of interest. The Care Quality Commission ( CQC) will be looking to see how GP practices are promoting " well being " . These inspection visits could be the perfect opportunity

to encourage HVs and a team of " volunteer health promotion helpers " attached to GP practices to use the GP waiting room and the GP Practice website in new ways to " signpost " parents/grandparents and child care workers to good places of educational value

for under 5s to visit. There is so very much more to say but I hope this helps.

There is lots of research around the value of museum and cultural visits for early years children and the need to give small children close contact with people of the " grand parent age group " - the best contact for that would

be ,Head of Education at the and Albert Museum. Please encourage the members of the committee that you meet to take advice and guidance from at the V and A.

Good Luck.

Malcolm

Dr Malcolm Rigler GP

From: [ ] On Behalf Of Maggie Fisher [mfisher2241@...]

Sent: 24 May 2011 19:05

Subject: Education Select Committee

Dear Senate Members

I have been invited to give oral evidence to the House of Commons Education Select Committee on

Wednesday 22 June to explore the role of Health Visitors in School Readiness I am one of a panel of witnesses, comprising representatives from health visiting and early years.

I would really like to gather published evidence, specific examples and anecdotal from across the country on this. Any help you can give with this would be gratefully received.

The timescale is quite short so a speedy response would be very much appreciated. Do feel free to point me in the direction of published evidence you know about, the documents you produced on returning HV to statute

will be very useful here. So I will revist those.

Best wishes

Maggie

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Thank you for your co-operation.

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[Guest guest]

Thanks Malcom I quite agree with you. Promoting postive parenting and healthy, respectful, nurturing family relationships is something I feel passioante about. I have spent over 15 years involved directly in delivering different types of parenting courses, working both in the community with parents and in priamry schools working with teachers as well as parents. The Family Links Nurturing Programme which is one of the evidenced based ones is now avaialble as an online parenting course via Netmums see here http://www.netmums.com/support/Netmums_Parenting_Course_About_the_courses.3628/

It is a great course as it develops emotional literacy in both the parents and the child and is based on 4 key constructs, Self awreness and self estemm, positive discipline, appropriate expectations and most importantly of all empathy. I have seen it transforn family life and I am grealty saddended that the current cuts are seeing the parenting support services and provision cut dramatically across England. Wales seem to have a good model with Flying Start and they have invested heavily in this which is paying dividens according to the evaluations.

It is ironic as recently Graham , Field, Dame Clare Tickelll, and Eileen Munro (not to mention Marmot) all agree that early intervention and sound parenting are key. There is a plethora of evicdence to support the importance of parenting and yet this provision is beign cut!!!!!!!!

I do despair, all the HV who were invovled in delivering parenting and the specalist posts have all gone as the children's centres were going to delvier the parenting and the HV numbers were being cut. Now the children's centre services and parenting teams are being cut. The Parenting Team has been disbanded in E Lancs, Hants have made all thier Parent Support Team redundant.

It feels like madness to me and we will go round in another big circle.

As you say the medical model which dominate health is not always helpful, as HVs these day we hardley ever see children over 2 any more. I used to remember doing a 3 year and pre school developmental reviewe ah welll. I do feel we go backwards sometimes instead of forward and from the sublime to the ridiculious. When I worked in Chelsea (in the early 80s) as a HV full time I had a case laod of 150 famalies, we did developmental reviews every 6 months. Now HVs have caseloads in excess of 500 or more in many areas and do developmental reviews ar 8 motnhs and possibly 2 years although this isn't happening in so many areas. It is a virtual assessment a card in the post for the parent to fill in.... with only idnetified vulnerable famialies haivng a face to face contact.

Many HVs are not doing the 7-9 month review it is delegated if the family are non-vulnerable to the nursery nurse or community staff nurse with the HV just seeing the vulnerable...the whole thing is crackers and flies in the face of the evidence. As a HV you may only have 2 home visits to a family if you are lucky. All the evidence shows famalies want a famaliar face to visit who has timne to get to know them and build up a trusitng realtionship- without that corenrstone of good practice we have nothing and that is where it has all gone so horribly wrong, We don't know our famalies they don't know us, they hate the team approach and huge busy central child health clinics that are imperonsal and with no privacy. We get masses of complaints on Netmums about this see the recent web disucssion with Anne Milton and Viv here http://www.netmums.com/coffeehouse/live-webchats-657/anne-miltons-health-visiting-forum-731/572199-welcome-minister-anne-milton-mp-viv-bennett-department-health.html as an example of what I hear every day about the HV service, I could weep at times.

In some areas they do still have a health visiting service but in London the SE and SW those examples are few and far between. This corporate model of health visiting has driven so many good HVs out of practice, We need to return to basics I think.

Excuse the rant, I haven't ranted on here for a while so it must have been due, I have no idea where all that came from. I feel better now,,,,,,

Best wishes

Maggie

Best wishesMaggie

RE: Education Select Committee

Dear Maggie,

This is an area of HV practice that has troubled me for many years - it is so important and so neglected.

As GPs we can often see behaviour patterns between mothers/fathers/grandparents and other

main carers for children under 5 years of age that we can reasonably predict will undermine a

childs interest and motivation for learning. Such observations most often do not make us pick up

the phone to refer to a HV or Social Services because they do not in anyway constitute child abuse or

neglect. Usually we sigh and say to ourselves and sometimes to each other "with parents/family attitudes

like that the child does not have a chance" .

As GPs we are told that we must ensure that children are well and able to "benefit from education" . With

our paediatric colleagues we try to identify disabilities/special needs as early as possible but for most children

we only vaccinate them , respond to childhood illness and acute "medical problems" because of the dominance of the "medical model" within the GP community.

But good health depends so much on good education.

We do little or nothing to help small children to become kind, articulate,sensible ,patient ,caring learners i.e. we do not as yet work with HVs to ensure that small children develop "mental health and the resiliance they will need to be able to cope with the psycho-social pressures of being in school".

Research has shown that the children that achieve most in school are the children who have "good grand parenting" i.e. grand parenting that combines love,care and support with encouragement to learn about the world around the child during early years. This is achieved through visits to parks,museums and places of interest. The Care Quality Commission ( CQC) will be looking to see how GP practices are promoting "well being" . These inspection visits could be the perfect opportunity to encourage HVs and a team of "volunteer health promotion helpers" attached to GP practices to use the GP waiting room and the GP Practice website in new ways to "signpost" parents/grandparents and child care workers to good places of educational value for under 5s to visit. There is so very much more to say but I hope this helps.

There is lots of research around the value of museum and cultural visits for early years children and the need to give small children close contact with people of the "grand parent age group" - the best contact for that would be ,Head of Education at the and Albert Museum. Please encourage the members of the committee that you meet to take advice and guidance from at the V and A.

Good Luck.

Malcolm

Dr Malcolm Rigler GP

From: [ ] On Behalf Of Maggie Fisher [mfisher2241@...]Sent: 24 May 2011 19:05 Subject: Education Select Committee

Dear Senate Members

I have been invited to give oral evidence to the House of Commons Education Select Committee on Wednesday 22 June to explore the role of Health Visitors in School Readiness I am one of a panel of witnesses, comprising representatives from health visiting and early years.

I would really like to gather published evidence, specific examples and anecdotal from across the country on this. Any help you can give with this would be gratefully received.

The timescale is quite short so a speedy response would be very much appreciated. Do feel free to point me in the direction of published evidence you know about, the documents you produced on returning HV to statute will be very useful here. So I will revist those.

Best wishesMaggie

********************************************************************************************************************This message may contain confidential information. If you are not the intended recipient please inform thesender that you have received the message in error before deleting it.Please do not disclose, copy or distribute information in this e-mail or take any action in reliance on its contents:to do so is strictly prohibited and may be unlawful.Thank you for your co-operation.NHSmail is the secure email and directory service available for all NHS staff in England and ScotlandNHSmail is approved for exchanging patient data and other sensitive information with NHSmail and GSi recipientsNHSmail provides an email address for your career in the NHS and can be accessed anywhereFor more information and to find out how you can switch, visit www.connectingforhealth.nhs.uk/nhsmail********************************************************************************************************************

[Guest guest]

Maggie,

Yes I fully agree with all that you have written- your words would be called " writing therapy " in my book - and that we need to re-visit the whole idea of " parenting education " - it would be good if netmums could bring together

key people with an interest in that work and then to offer their views to the HOuse of Commons COmmittee with whom you will be working.

However, my point was that there is massive evidence that when it comes to " success in learning " not only are the parents important but

ALSO the grandparents and everyone in the community within the grandparent age group .

I regret to say that I do not have time to discover if CPHVA and netmums are already aware of the research in this area.

The implications of the research are very important not only for grandparents who are able to see and be close to their own grandchildren

but also for everyone in the over 50s age group who has any time at all to devote to projects like the " grab a granny - grab a grandad " work that I have heard about in past times - such work would now be much more easy to develop across the

UK and in fact well beyond the UK - using the internet links now available in all schools.

People like at the V and A are fully aware of the need to involve the over 50s in early years education.There are a host of reasons why people of this age group rather than parents are more important for early

learning.

Please encourage the House of COmmons Committee to think about " grandparenting education and grab a granny/grandad schemes " .

Best regards

Malcolm

From: [ ] On Behalf Of Maggie Fisher [mfisher2241@...]

Sent: 25 May 2011 19:16

Subject: Re: Education Select Committee

Thanks Malcom I quite agree with you. Promoting postive parenting and healthy, respectful, nurturing family relationships is something I feel passioante about. I

have spent over 15 years involved directly in delivering different types of parenting courses, working both in the community with parents and in priamry schools working with teachers as well as parents. The Family Links Nurturing Programme which is one of

the evidenced based ones is now avaialble as an online parenting course via Netmums see here

http://www.netmums.com/support/Netmums_Parenting_Course_About_the_courses.3628/

It is a great course as it develops emotional literacy in both the parents and the child and is based on 4 key constructs, Self awreness and self estemm, positive discipline, appropriate expectations and most importantly of all

empathy. I have seen it transforn family life and I am grealty saddended that the current cuts are seeing the parenting support services and provision cut dramatically across England. Wales seem to have a good model with Flying Start and they have invested

heavily in this which is paying dividens according to the evaluations.

It is ironic as recently Graham , Field, Dame Clare Tickelll, and Eileen Munro (not to mention Marmot) all agree that early intervention and sound parenting are key. There is a plethora of evicdence to support the

importance of parenting and yet this provision is beign cut!!!!!!!!

I do despair, all the HV who were invovled in delivering parenting and the specalist posts have all gone as the children's centres were going to delvier the parenting and the HV numbers were being cut. Now the children's centre

services and parenting teams are being cut. The Parenting Team has been disbanded in E Lancs, Hants have made all thier Parent Support Team redundant.

It feels like madness to me and we will go round in another big circle.

As you say the medical model which dominate health is not always helpful, as HVs these day we hardley ever see children over 2 any more. I used to remember doing a 3 year and pre school developmental reviewe ah welll. I do feel

we go backwards sometimes instead of forward and from the sublime to the ridiculious. When I worked in Chelsea (in the early 80s) as a HV full time I had a case laod of 150 famalies, we did developmental reviews every 6 months. Now HVs have caseloads in excess

of 500 or more in many areas and do developmental reviews ar 8 motnhs and possibly 2 years although this isn't happening in so many areas. It is a virtual assessment a card in the post for the parent to fill in.... with only idnetified vulnerable famialies

haivng a face to face contact.

Many HVs are not doing the 7-9 month review it is delegated if the family are non-vulnerable to the nursery nurse or community staff nurse with the HV just seeing the vulnerable...the whole thing is crackers and flies in the

face of the evidence. As a HV you may only have 2 home visits to a family if you are lucky. All the evidence shows famalies want a famaliar face to visit who has timne to get to know them and build up a trusitng realtionship- without that corenrstone of good

practice we have nothing and that is where it has all gone so horribly wrong, We don't know our famalies they don't know us, they hate the team approach and huge busy central child health clinics that are imperonsal and with

no privacy. We get masses of complaints on Netmums about this see the recent web disucssion with Anne Milton and Viv here

http://www.netmums.com/coffeehouse/live-webchats-657/anne-miltons-health-visiting-forum-731/572199-welcome-minister-anne-milton-mp-viv-bennett-department-health.html as an example of what I hear every day about the HV service, I could weep at times.

In some areas they do still have a health visiting service but in London the SE and SW those examples are few and far between. This corporate model of health visiting has driven so many good HVs out of practice, We need to return

to basics I think.

Excuse the rant, I haven't ranted on here for a while so it must have been due, I have no idea where all that came from. I feel better now,,,,,,

Best wishes

Maggie

Best wishes

Maggie

Education Select Committee

Dear Senate Members

I have been invited to give oral evidence to the House of Commons Education Select Committee on

Wednesday 22 June to explore the role of Health Visitors in School Readiness I am one of a panel of witnesses, comprising representatives from health visiting and early years.

I would really like to gather published evidence, specific examples and anecdotal from across the country on this. Any help you can give with this would be gratefully received.

The timescale is quite short so a speedy response would be very much appreciated. Do feel free to point me in the direction of published evidence you know about, the documents you produced on returning HV to statute

will be very useful here. So I will revist those.

Best wishes

Maggie

********************************************************************************************************************

This message may contain confidential information. If you are not the intended recipient please inform the

sender that you have received the message in error before deleting it.

Please do not disclose, copy or distribute information in this e-mail or take any action in reliance on its contents:

to do so is strictly prohibited and may be unlawful.

Thank you for your co-operation.

NHSmail is the secure email and directory service available for all NHS staff in England and Scotland

NHSmail is approved for exchanging patient data and other sensitive information with NHSmail and GSi recipients

NHSmail provides an email address for your career in the NHS and can be accessed anywhere

For more information and to find out how you can switch, visit www.connectingforhealth.nhs.uk/nhsmail

********************************************************************************************************************

********************************************************************************************************************

This message may contain confidential information. If you are not the intended recipient please inform the

sender that you have received the message in error before deleting it.

Please do not disclose, copy or distribute information in this e-mail or take any action in reliance on its contents:

to do so is strictly prohibited and may be unlawful.

Thank you for your co-operation.

NHSmail is the secure email and directory service available for all NHS staff in England and Scotland

NHSmail is approved for exchanging patient data and other sensitive information with NHSmail and GSi recipients

NHSmail provides an email address for your career in the NHS and can be accessed anywhere

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[Guest guest]

Thank you Malcolm I willMany thanks for sharing thisBest wishesMaggieSent from my BlackBerry® wireless deviceFrom: "Rigler Malcolm (SWINDON PCT)" <m.rigler@...>Sender: Date: Thu, 26 May 2011 08:39:46 +0100 < >Reply Subject: RE: Education Select Committee Maggie, Yes I fully agree with all that you have written- your words would be called " writing therapy " in my book - and that we need to re-visit the whole idea of " parenting education " - it would be good if netmums could bring togetherkey people with an interest in that work and then to offer their views to the HOuse of Commons COmmittee with whom you will be working. However, my point was that there is massive evidence that when it comes to " success in learning " not only are the parents important butALSO the grandparents and everyone in the community within the grandparent age group . I regret to say that I do not have time to discover if CPHVA and netmums are already aware of the research in this area. The implications of the research are very important not only for grandparents who are able to see and be close to their own grandchildren but also for everyone in the over 50s age group who has any time at all to devote to projects like the " grab a granny - grab a grandad " work that I have heard about in past times - such work would now be much more easy to develop across theUK and in fact well beyond the UK - using the internet links now available in all schools. People like at the V and A are fully aware of the need to involve the over 50s in early years education.There are a host of reasons why people of this age group rather than parents are more important for earlylearning. Please encourage the House of COmmons Committee to think about " grandparenting education and grab a granny/grandad schemes " . Best regards Malcolm From: [ ] On Behalf Of Maggie Fisher [mfisher2241@...]Sent: 25 May 2011 19:16 Subject: Re: Education Select Committee Thanks Malcom I quite agree with you. Promoting postive parenting and healthy, respectful, nurturing family relationships is something I feel passioante about. Ihave spent over 15 years involved directly in delivering different types of parenting courses, working both in the community with parents and in priamry schools working with teachers as well as parents. The Family Links Nurturing Programme which is one ofthe evidenced based ones is now avaialble as an online parenting course via Netmums see herehttp://www.netmums.com/support/Netmums_Parenting_Course_About_the_courses.3628/ It is a great course as it develops emotional literacy in both the parents and the child and is based on 4 key constructs, Self awreness and self estemm, positive discipline, appropriate expectations and most importantly of allempathy. I have seen it transforn family life and I am grealty saddended that the current cuts are seeing the parenting support services and provision cut dramatically across England. Wales seem to have a good model with Flying Start and they have investedheavily in this which is paying dividens according to the evaluations. It is ironic as recently Graham , Field, Dame Clare Tickelll, and Eileen Munro (not to mention Marmot) all agree that early intervention and sound parenting are key. There is a plethora of evicdence to support theimportance of parenting and yet this provision is beign cut!!!!!!!! I do despair, all the HV who were invovled in delivering parenting and the specalist posts have all gone as the children's centres were going to delvier the parenting and the HV numbers were being cut. Now the children's centreservices and parenting teams are being cut. The Parenting Team has been disbanded in E Lancs, Hants have made all thier Parent Support Team redundant. It feels like madness to me and we will go round in another big circle. As you say the medical model which dominate health is not always helpful, as HVs these day we hardley ever see children over 2 any more. I used to remember doing a 3 year and pre school developmental reviewe ah welll. I do feelwe go backwards sometimes instead of forward and from the sublime to the ridiculious. When I worked in Chelsea (in the early 80s) as a HV full time I had a case laod of 150 famalies, we did developmental reviews every 6 months. Now HVs have caseloads in excessof 500 or more in many areas and do developmental reviews ar 8 motnhs and possibly 2 years although this isn't happening in so many areas. It is a virtual assessment a card in the post for the parent to fill in.... with only idnetified vulnerable famialieshaivng a face to face contact. Many HVs are not doing the 7-9 month review it is delegated if the family are non-vulnerable to the nursery nurse or community staff nurse with the HV just seeing the vulnerable...the whole thing is crackers and flies in theface of the evidence. As a HV you may only have 2 home visits to a family if you are lucky. All the evidence shows famalies want a famaliar face to visit who has timne to get to know them and build up a trusitng realtionship- without that corenrstone of goodpractice we have nothing and that is where it has all gone so horribly wrong, We don't know our famalies they don't know us, they hate the team approach and huge busy central child health clinics that are imperonsal and withno privacy. We get masses of complaints on Netmums about this see the recent web disucssion with Anne Milton and Viv herehttp://www.netmums.com/coffeehouse/live-webchats-657/anne-miltons-health-visiting-forum-731/572199-welcome-minister-anne-milton-mp-viv-bennett-department-health.html as an example of what I hear every day about the HV service, I could weep at times. In some areas they do still have a health visiting service but in London the SE and SW those examples are few and far between. This corporate model of health visiting has driven so many good HVs out of practice, We need to returnto basics I think. Excuse the rant, I haven't ranted on here for a while so it must have been due, I have no idea where all that came from. I feel better now,,,,,, Best wishesMaggie Best wishesMaggie RE: Education Select Committee Dear Maggie, This is an area of HV practice that has troubled me for many years - it is so important and so neglected. As GPs we can often see behaviour patterns between mothers/fathers/grandparents and othermain carers for children under 5 years of age that we can reasonably predict will undermine achilds interest and motivation for learning. Such observations most often do not make us pick upthe phone to refer to a HV or Social Services because they do not in anyway constitute child abuse orneglect. Usually we sigh and say to ourselves and sometimes to each other " with parents/family attitudeslike that the child does not have a chance " . As GPs we are told that we must ensure that children are well and able to " benefit from education " . Withour paediatric colleagues we try to identify disabilities/special needs as early as possible but for most childrenwe only vaccinate them , respond to childhood illness and acute " medical problems " because of the dominance of the " medical model " within the GP community. But good health depends so much on good education. We do little or nothing to help small children to become kind, articulate,sensible ,patient ,caring learners i.e. we do not as yet work with HVs to ensure that small children develop " mental health and the resiliance theywill need to be able to cope with the psycho-social pressures of being in school " . Research has shown that the children that achieve most in school are the children who have " good grand parenting " i.e. grand parenting that combines love,care and support with encouragement to learn about the world around thechild during early years. This is achieved through visits to parks,museums and places of interest. The Care Quality Commission ( CQC) will be looking to see how GP practices are promoting " well being " . These inspection visits could be the perfect opportunityto encourage HVs and a team of " volunteer health promotion helpers " attached to GP practices to use the GP waiting room and the GP Practice website in new ways to " signpost " parents/grandparents and child care workers to good places of educational valuefor under 5s to visit. There is so very much more to say but I hope this helps. There is lots of research around the value of museum and cultural visits for early years children and the need to give small children close contact with people of the " grand parent age group " - the best contact for that wouldbe ,Head of Education at the and Albert Museum. Please encourage the members of the committee that you meet to take advice and guidance from at the V and A. Good Luck. Malcolm Dr Malcolm Rigler GP From: [ ] On Behalf Of Maggie Fisher [mfisher2241@...]Sent: 24 May 2011 19:05 Subject: Education Select Committee Dear Senate Members I have been invited to give oral evidence to the House of Commons Education Select Committee onWednesday 22 June to explore the role of Health Visitors in School Readiness I am one of a panel of witnesses, comprising representatives from health visiting and early years.I would really like to gather published evidence, specific examples and anecdotal from across the country on this. Any help you can give with this would be gratefully received. The timescale is quite short so a speedy response would be very much appreciated. Do feel free to point me in the direction of published evidence you know about, the documents you produced on returning HV to statutewill be very useful here. So I will revist those. Best wishesMaggie********************************************************************************************************************This message may contain confidential information. If you are not the intended recipient please inform thesender that you have received the message in error before deleting it.Please do not disclose, copy or distribute information in this e-mail or take any action in reliance on its contents:to do so is strictly prohibited and may be unlawful.Thank you for your co-operation.NHSmail is the secure email and directory service available for all NHS staff in England and ScotlandNHSmail is approved for exchanging patient data and other sensitive information with NHSmail and GSi recipientsNHSmail provides an email address for your career in the NHS and can be accessed anywhereFor more information and to find out how you can switch, visit www.connectingforhealth.nhs.uk/nhsmail****************************************************************************************************************************************************************************************************************************************This message may contain confidential information. If you are not the intended recipient please inform thesender that you have received the message in error before deleting it.Please do not disclose, copy or distribute information in this e-mail or take any action in reliance on its contents:to do so is strictly prohibited and may be unlawful.Thank you for your co-operation.NHSmail is the secure email and directory service available for all NHS staff in England and ScotlandNHSmail is approved for exchanging patient data and other sensitive information with NHSmail and GSi recipientsNHSmail provides an email address for your career in the NHS and can be accessed anywhereFor more information and to find out how you can switch, visit www.connectingforhealth.nhs.uk/nhsmail********************************************************************************************************************

[Guest guest]

Hi MaggieI was just thinking about Dame Tickell's report about the early years and her recommendation about children being assessed for school readiness at aged 2 years. I wonder if this is something that the education committee will want to talk about: particularly the potential overlap with the 2 to 2 1/2 year check that is part of the HCP. Do you have any up to date figures about how often health visitors are carrying out that check, if at all, these days? I wonder what colleagues think of that suggestion?best wishesOn 26 May 2011, at 08:45, mfisher2241@... wrote: I have been invited to give oral evidence to the House of Commons Education Select Committee on Wednesday 22 June to explore the role of Health Visitors in School Readiness I am one of a panel of witnesses, comprising representatives from health visiting and early years.I would really like to gather published evidence, specific examples and anecdotal from across the country on this. Any help you can give with this would be gratefully received. The timescale is quite short so a speedy response would be very much appreciated. Do feel free to point me in the direction of published evidence you know about, the documents you produced on returning HV to statute will be very useful here. So I will revist those. Best wishesMaggie********************************************************************************************************************This message may contain confidential information. If you are not the intended recipient please inform thesender that you have received the message in error before deleting it.Please do not disclose, copy or distribute information in this e-mail or take any action in reliance on its contents:to do so is strictly prohibited and may be unlawful.Thank you for your co-operation.NHSmail is the secure email and directory service available for all NHS staff in England and ScotlandNHSmail is approved for exchanging patient data and other sensitive information with NHSmail and GSi recipientsNHSmail provides an email address for your career in the NHS and can be accessed anywhereFor more information and to find out how you can switch, visit www.connectingforhealth.nhs.uk/nhsmail****************************************************************************************************************************************************************************************************************************************This message may contain confidential information. If you are not the intended recipient please inform thesender that you have received the message in error before deleting it.Please do not disclose, copy or distribute information in this e-mail or take any action in reliance on its contents:to do so is strictly prohibited and may be unlawful.Thank you for your co-operation.NHSmail is the secure email and directory service available for all NHS staff in England and ScotlandNHSmail is approved for exchanging patient data and other sensitive information with NHSmail and GSi recipientsNHSmail provides an email address for your career in the NHS and can be accessed anywhereFor more information and to find out how you can switch, visit www.connectingforhealth.nhs.uk/nhsmail******************************************************************************************************************** Cowleysarahcowley183@...http://myprofile.cos.com/S124021COn

[Guest guest]

Hi I am sure this is an area they will be very interested in. I don't have up to date figures on coverage. However I seem to recall seeing something on this re PCTs in London last year ( I will have to see if I can track down what it was) Coverage was very patchy and on the whole poor.Interestingly a quick straw poll of the audience at the CH Conference revealed about 50% of the participants were conducting a universal 2-2.5 year development assessment and. all were doing a targeted one. These developmental reviews were being carried out by numerous practitioners from the HV for targeted reviews to CSNs and CNNs if they were done as a face to face contact as opposed to questionnaire/birthday card in the post.Perhaps I can ask Senate members about coverage in their areas, this would be a helpful start and who conducts this developmental review in their areas?Best wishesMaggie I have been invited to give oral evidence to the House of Commons Education Select Committee on Wednesday 22 June to explore the role of Health Visitors in School Readiness I am one of a panel of witnesses, comprising representatives from health visiting and early years.I would really like to gather published

evidence, specific examples and anecdotal from across the country on this. Any help you can give with this would be gratefully received. The timescale is quite short so a speedy response would be very much appreciated. Do feel free to point me in the direction of published evidence you know about, the documents you produced on returning HV to statute will be very useful here. So I will revist those. Best wishesMaggie********************************************************************************************************************This

message may contain confidential information. If you are not the intended recipient please inform thesender that you have received the message in error before deleting it.Please do not disclose, copy or distribute information in this e-mail or take any action in reliance on its contents:to do so is strictly prohibited and may be unlawful.Thank you for your co-operation.NHSmail is the secure email and directory service available for all NHS staff in England and ScotlandNHSmail is approved for exchanging patient data and other sensitive information with NHSmail and GSi recipientsNHSmail provides an email address for your career in the NHS and can be accessed anywhereFor more information and to find out how you can switch, visit www.connectingforhealth.nhs.uk/nhsmail****************************************************************************************************************************************************************************************************************************************This message may contain confidential information. If you are not the intended recipient please inform thesender that you have received the message in error before deleting it.Please do not disclose, copy or distribute information in this e-mail or take any action in reliance on its contents:to do so is strictly prohibited and may be unlawful.Thank you for

your co-operation.NHSmail is the secure email and directory service available for all NHS staff in England and ScotlandNHSmail is approved for exchanging patient data and other sensitive information with NHSmail and GSi recipientsNHSmail provides an email address for your career in the NHS and can be accessed anywhereFor more information and to find out how you can switch, visit www.connectingforhealth.nhs.uk/nhsmail******************************************************************************************************************** Cowleysarahcowley183@...http://myprofile.cos.com/S124021COn

[Guest guest]

Hi I am sure this is an area they will be very interested in. I don't have up to date figures on coverage. However I seem to recall seeing something on this re PCTs in London last year ( I will have to see if I can track down what it was) Coverage was very patchy and on the whole poor.Interestingly a quick straw poll of the audience at the CH Conference revealed about 50% of the participants were conducting a universal 2-2.5 year development assessment and. all were doing a targeted one. These developmental reviews were being carried out by numerous practitioners from the HV for targeted reviews to CSNs and CNNs if they were done as a face to face contact as opposed to questionnaire/birthday card in the post.Perhaps I can ask Senate members about coverage in their areas, this would be a helpful start and who conducts this developmental review in their areas?Best wishesMaggie I have been invited to give oral evidence to the House of Commons Education Select Committee on Wednesday 22 June to explore the role of Health Visitors in School Readiness I am one of a panel of witnesses, comprising representatives from health visiting and early years.I would really like to gather published

evidence, specific examples and anecdotal from across the country on this. Any help you can give with this would be gratefully received. The timescale is quite short so a speedy response would be very much appreciated. Do feel free to point me in the direction of published evidence you know about, the documents you produced on returning HV to statute will be very useful here. So I will revist those. Best wishesMaggie********************************************************************************************************************This

message may contain confidential information. If you are not the intended recipient please inform thesender that you have received the message in error before deleting it.Please do not disclose, copy or distribute information in this e-mail or take any action in reliance on its contents:to do so is strictly prohibited and may be unlawful.Thank you for your co-operation.NHSmail is the secure email and directory service available for all NHS staff in England and ScotlandNHSmail is approved for exchanging patient data and other sensitive information with NHSmail and GSi recipientsNHSmail provides an email address for your career in the NHS and can be accessed anywhereFor more information and to find out how you can switch, visit www.connectingforhealth.nhs.uk/nhsmail****************************************************************************************************************************************************************************************************************************************This message may contain confidential information. If you are not the intended recipient please inform thesender that you have received the message in error before deleting it.Please do not disclose, copy or distribute information in this e-mail or take any action in reliance on its contents:to do so is strictly prohibited and may be unlawful.Thank you for

your co-operation.NHSmail is the secure email and directory service available for all NHS staff in England and ScotlandNHSmail is approved for exchanging patient data and other sensitive information with NHSmail and GSi recipientsNHSmail provides an email address for your career in the NHS and can be accessed anywhereFor more information and to find out how you can switch, visit www.connectingforhealth.nhs.uk/nhsmail******************************************************************************************************************** Cowleysarahcowley183@...http://myprofile.cos.com/S124021COn

[Guest guest]

Hi Maggie ,In Cambridgeshire 2.5 yr checks done by band 4/5, targeted children band 6 all children receive this although high DNA rate most checks seen in a clinic setting though HV's tend to see at home.RegardsLou CremonesiniSent from my iPhoneOn 30 May 2011, at 18:07, Maggie Fisher <mfisher2241@...> wrote:

Hi I am sure this is an area they will be very interested in. I don't have up to date figures on coverage. However I seem to recall seeing something on this re PCTs in London last year ( I will have to see if I can track down what it was) Coverage was very patchy and on the whole poor.Interestingly a quick straw poll of the audience at the CH Conference revealed about 50% of the participants were conducting a universal 2-2.5 year development assessment and. all were doing a targeted one. These developmental reviews were being carried out by numerous practitioners from the HV for targeted reviews to CSNs and CNNs if they were done as a face to face contact as opposed to questionnaire/birthday card in the post.Perhaps I can ask Senate members about coverage in their areas, this would be a helpful start and who conducts this developmental review in their areas?Best wishesMaggie I have been invited to give oral evidence to the House of Commons Education Select Committee on Wednesday 22 June to explore the role of Health Visitors in School Readiness I am one of a panel of witnesses, comprising representatives from health visiting and early years.I would really like to gather published

evidence, specific examples and anecdotal from across the country on this. Any help you can give with this would be gratefully received. The timescale is quite short so a speedy response would be very much appreciated. Do feel free to point me in the direction of published evidence you know about, the documents you produced on returning HV to statute will be very useful here. So I will revist those. Best wishesMaggie********************************************************************************************************************This

message may contain confidential information. If you are not the intended recipient please inform thesender that you have received the message in error before deleting it.Please do not disclose, copy or distribute information in this e-mail or take any action in reliance on its contents:to do so is strictly prohibited and may be unlawful.Thank you for your co-operation.NHSmail is the secure email and directory service available for all NHS staff in England and ScotlandNHSmail is approved for exchanging patient data and other sensitive information with NHSmail and GSi recipientsNHSmail provides an email address for your career in the NHS and can be accessed anywhereFor more information and to find out how you can switch, visit www.connectingforhealth.nhs.uk/nhsmail****************************************************************************************************************************************************************************************************************************************This message may contain confidential information. If you are not the intended recipient please inform thesender that you have received the message in error before deleting it.Please do not disclose, copy or distribute information in this e-mail or take any action in reliance on its contents:to do so is strictly prohibited and may be unlawful.Thank you for

your co-operation.NHSmail is the secure email and directory service available for all NHS staff in England and ScotlandNHSmail is approved for exchanging patient data and other sensitive information with NHSmail and GSi recipientsNHSmail provides an email address for your career in the NHS and can be accessed anywhereFor more information and to find out how you can switch, visit www.connectingforhealth.nhs.uk/nhsmail******************************************************************************************************************** Cowleysarahcowley183@...http://myprofile.cos.com/S124021COn

[Guest guest]

Hi Maggie ,In Cambridgeshire 2.5 yr checks done by band 4/5, targeted children band 6 all children receive this although high DNA rate most checks seen in a clinic setting though HV's tend to see at home.RegardsLou CremonesiniSent from my iPhoneOn 30 May 2011, at 18:07, Maggie Fisher <mfisher2241@...> wrote:

Hi I am sure this is an area they will be very interested in. I don't have up to date figures on coverage. However I seem to recall seeing something on this re PCTs in London last year ( I will have to see if I can track down what it was) Coverage was very patchy and on the whole poor.Interestingly a quick straw poll of the audience at the CH Conference revealed about 50% of the participants were conducting a universal 2-2.5 year development assessment and. all were doing a targeted one. These developmental reviews were being carried out by numerous practitioners from the HV for targeted reviews to CSNs and CNNs if they were done as a face to face contact as opposed to questionnaire/birthday card in the post.Perhaps I can ask Senate members about coverage in their areas, this would be a helpful start and who conducts this developmental review in their areas?Best wishesMaggie I have been invited to give oral evidence to the House of Commons Education Select Committee on Wednesday 22 June to explore the role of Health Visitors in School Readiness I am one of a panel of witnesses, comprising representatives from health visiting and early years.I would really like to gather published

evidence, specific examples and anecdotal from across the country on this. Any help you can give with this would be gratefully received. The timescale is quite short so a speedy response would be very much appreciated. Do feel free to point me in the direction of published evidence you know about, the documents you produced on returning HV to statute will be very useful here. So I will revist those. Best wishesMaggie********************************************************************************************************************This

message may contain confidential information. If you are not the intended recipient please inform thesender that you have received the message in error before deleting it.Please do not disclose, copy or distribute information in this e-mail or take any action in reliance on its contents:to do so is strictly prohibited and may be unlawful.Thank you for your co-operation.NHSmail is the secure email and directory service available for all NHS staff in England and ScotlandNHSmail is approved for exchanging patient data and other sensitive information with NHSmail and GSi recipientsNHSmail provides an email address for your career in the NHS and can be accessed anywhereFor more information and to find out how you can switch, visit www.connectingforhealth.nhs.uk/nhsmail****************************************************************************************************************************************************************************************************************************************This message may contain confidential information. If you are not the intended recipient please inform thesender that you have received the message in error before deleting it.Please do not disclose, copy or distribute information in this e-mail or take any action in reliance on its contents:to do so is strictly prohibited and may be unlawful.Thank you for

your co-operation.NHSmail is the secure email and directory service available for all NHS staff in England and ScotlandNHSmail is approved for exchanging patient data and other sensitive information with NHSmail and GSi recipientsNHSmail provides an email address for your career in the NHS and can be accessed anywhereFor more information and to find out how you can switch, visit www.connectingforhealth.nhs.uk/nhsmail******************************************************************************************************************** Cowleysarahcowley183@...http://myprofile.cos.com/S124021COn

[Guest guest]

Thanks Lou very helpful. Good to hear from youBest wishesMaggieSent from my BlackBerry® wireless deviceFrom: Louise <loui_r@...>Sender: Date: Mon, 30 May 2011 21:13:54 +0100 < >Reply Subject: Re: Education Select Committee Hi Maggie ,In Cambridgeshire 2.5 yr checks done by band 4/5, targeted children band 6 all children receive this although high DNA rate most checks seen in a clinic setting though HV's tend to see at home.RegardsLou CremonesiniSent from my iPhoneOn 30 May 2011, at 18:07, Maggie Fisher <mfisher2241@...> wrote: Hi I am sure this is an area they will be very interested in. I don't have up to date figures on coverage. However I seem to recall seeing something on this re PCTs in London last year ( I will have to see if I can track down what it was) Coverage was very patchy and on the whole poor.Interestingly a quick straw poll of the audience at the CH Conference revealed about 50% of the participants were conducting a universal 2-2.5 year development assessment and. all were doing a targeted one. These developmental reviews were being carried out by numerous practitioners from the HV for targeted reviews to CSNs and CNNs if they were done as a face to face contact as opposed to questionnaire/birthday card in the post.Perhaps I can ask Senate members about coverage in their areas, this would be a helpful start and who conducts this developmental review in their areas?Best wishesMaggie I have been invited to give oral evidence to the House of Commons Education Select Committee on Wednesday 22 June to explore the role of Health Visitors in School Readiness I am one of a panel of witnesses, comprising representatives from health visiting and early years.I would really like to gather publishedevidence, specific examples and anecdotal from across the country on this. Any help you can give with this would be gratefully received. The timescale is quite short so a speedy response would be very much appreciated. Do feel free to point me in the direction of published evidence you know about, the documents you produced on returning HV to statute will be very useful here. So I will revist those. Best wishesMaggie********************************************************************************************************************Thismessage may contain confidential information. If you are not the intended recipient please inform thesender that you have received the message in error before deleting it.Please do not disclose, copy or distribute information in this e-mail or take any action in reliance on its contents:to do so is strictly prohibited and may be unlawful.Thank you for your co-operation.NHSmail is the secure email and directory service available for all NHS staff in England and ScotlandNHSmail is approved for exchanging patient data and other sensitive information with NHSmail and GSi recipientsNHSmail provides an email address for your career in the NHS and can be accessed anywhereFor more information and to find out how you can switch, visit www.connectingforhealth.nhs.uk/nhsmail****************************************************************************************************************************************************************************************************************************************This message may contain confidential information. If you are not the intended recipient please inform thesender that you have received the message in error before deleting it.Please do not disclose, copy or distribute information in this e-mail or take any action in reliance on its contents:to do so is strictly prohibited and may be unlawful.Thank you foryour co-operation.NHSmail is the secure email and directory service available for all NHS staff in England and ScotlandNHSmail is approved for exchanging patient data and other sensitive information with NHSmail and GSi recipientsNHSmail provides an email address for your career in the NHS and can be accessed anywhereFor more information and to find out how you can switch, visit www.connectingforhealth.nhs.uk/nhsmail******************************************************************************************************************** Cowleysarahcowley183@...http://myprofile.cos.com/S124021COn

[Guest guest]

Thanks Lou very helpful. Good to hear from youBest wishesMaggieSent from my BlackBerry® wireless deviceFrom: Louise <loui_r@...>Sender: Date: Mon, 30 May 2011 21:13:54 +0100 < >Reply Subject: Re: Education Select Committee Hi Maggie ,In Cambridgeshire 2.5 yr checks done by band 4/5, targeted children band 6 all children receive this although high DNA rate most checks seen in a clinic setting though HV's tend to see at home.RegardsLou CremonesiniSent from my iPhoneOn 30 May 2011, at 18:07, Maggie Fisher <mfisher2241@...> wrote: Hi I am sure this is an area they will be very interested in. I don't have up to date figures on coverage. However I seem to recall seeing something on this re PCTs in London last year ( I will have to see if I can track down what it was) Coverage was very patchy and on the whole poor.Interestingly a quick straw poll of the audience at the CH Conference revealed about 50% of the participants were conducting a universal 2-2.5 year development assessment and. all were doing a targeted one. These developmental reviews were being carried out by numerous practitioners from the HV for targeted reviews to CSNs and CNNs if they were done as a face to face contact as opposed to questionnaire/birthday card in the post.Perhaps I can ask Senate members about coverage in their areas, this would be a helpful start and who conducts this developmental review in their areas?Best wishesMaggie I have been invited to give oral evidence to the House of Commons Education Select Committee on Wednesday 22 June to explore the role of Health Visitors in School Readiness I am one of a panel of witnesses, comprising representatives from health visiting and early years.I would really like to gather publishedevidence, specific examples and anecdotal from across the country on this. Any help you can give with this would be gratefully received. The timescale is quite short so a speedy response would be very much appreciated. Do feel free to point me in the direction of published evidence you know about, the documents you produced on returning HV to statute will be very useful here. So I will revist those. Best wishesMaggie********************************************************************************************************************Thismessage may contain confidential information. If you are not the intended recipient please inform thesender that you have received the message in error before deleting it.Please do not disclose, copy or distribute information in this e-mail or take any action in reliance on its contents:to do so is strictly prohibited and may be unlawful.Thank you for your co-operation.NHSmail is the secure email and directory service available for all NHS staff in England and ScotlandNHSmail is approved for exchanging patient data and other sensitive information with NHSmail and GSi recipientsNHSmail provides an email address for your career in the NHS and can be accessed anywhereFor more information and to find out how you can switch, visit www.connectingforhealth.nhs.uk/nhsmail****************************************************************************************************************************************************************************************************************************************This message may contain confidential information. If you are not the intended recipient please inform thesender that you have received the message in error before deleting it.Please do not disclose, copy or distribute information in this e-mail or take any action in reliance on its contents:to do so is strictly prohibited and may be unlawful.Thank you foryour co-operation.NHSmail is the secure email and directory service available for all NHS staff in England and ScotlandNHSmail is approved for exchanging patient data and other sensitive information with NHSmail and GSi recipientsNHSmail provides an email address for your career in the NHS and can be accessed anywhereFor more information and to find out how you can switch, visit www.connectingforhealth.nhs.uk/nhsmail******************************************************************************************************************** Cowleysarahcowley183@...http://myprofile.cos.com/S124021COn

[Guest guest]

Hi MaggieExactly the same happens in North Yorkshire, as Lou has described in Cambridge.Sent from my BlackBerry smartphone from Virgin MediaFrom: mfisher2241@...Sender: Date: Mon, 30 May 2011 20:30:14 +0000Senate< >Reply Subject: Re: Education Select Committee

Thanks Lou very helpful. Good to hear from youBest wishesMaggieSent from my BlackBerry® wireless deviceFrom: Louise <loui_r@...>Sender: Date: Mon, 30 May 2011 21:13:54 +0100 < >Reply Subject: Re: Education Select Committee Hi Maggie ,In Cambridgeshire 2.5 yr checks done by band 4/5, targeted children band 6 all children receive this although high DNA rate most checks seen in a clinic setting though HV's tend to see at home.RegardsLou CremonesiniSent from my iPhoneOn 30 May 2011, at 18:07, Maggie Fisher <mfisher2241@...> wrote: Hi I am sure this is an area they will be very interested in. I don't have up to date figures on coverage. However I seem to recall seeing something on this re PCTs in London last year ( I will have to see if I can track down what it was) Coverage was very patchy and on the whole poor.Interestingly a quick straw poll of the audience at the CH Conference revealed about 50% of the participants were conducting a universal 2-2.5 year development assessment and. all were doing a targeted one. These developmental reviews were being carried out by numerous practitioners from the HV for targeted reviews to CSNs and CNNs if they were done as a face to face contact as opposed to questionnaire/birthday card in the post.Perhaps I can ask Senate members about coverage in their areas, this would be a helpful start and who conducts this developmental review in their areas?Best wishesMaggie I have been invited to give oral evidence to the House of Commons Education Select Committee on Wednesday 22 June to explore the role of Health Visitors in School Readiness I am one of a panel of witnesses, comprising representatives from health visiting and early years.I would really like to gather publishedevidence, specific examples and anecdotal from across the country on this. Any help you can give with this would be gratefully received. The timescale is quite short so a speedy response would be very much appreciated. Do feel free to point me in the direction of published evidence you know about, the documents you produced on returning HV to statute will be very useful here. So I will revist those. Best wishesMaggie********************************************************************************************************************Thismessage may contain confidential information. If you are not the intended recipient please inform thesender that you have received the message in error before deleting it.Please do not disclose, copy or distribute information in this e-mail or take any action in reliance on its contents:to do so is strictly prohibited and may be unlawful.Thank you for your co-operation.NHSmail is the secure email and directory service available for all NHS staff in England and ScotlandNHSmail is approved for exchanging patient data and other sensitive information with NHSmail and GSi recipientsNHSmail provides an email address for your career in the NHS and can be accessed anywhereFor more information and to find out how you can switch, visit www.connectingforhealth.nhs.uk/nhsmail****************************************************************************************************************************************************************************************************************************************This message may contain confidential information. If you are not the intended recipient please inform thesender that you have received the message in error before deleting it.Please do not disclose, copy or distribute information in this e-mail or take any action in reliance on its contents:to do so is strictly prohibited and may be unlawful.Thank you foryour co-operation.NHSmail is the secure email and directory service available for all NHS staff in England and ScotlandNHSmail is approved for exchanging patient data and other sensitive information with NHSmail and GSi recipientsNHSmail provides an email address for your career in the NHS and can be accessed anywhereFor more information and to find out how you can switch, visit www.connectingforhealth.nhs.uk/nhsmail******************************************************************************************************************** Cowleysarahcowley183@...http://myprofile.cos.com/S124021COn

[Guest guest]

Hi Maggie,

I was recently interviewing a Health Visitor

asking if she came

across many kids with iron deficiency anaemia. “Very rarely,”

was her reply.

With a very deprived South Asian case-load I found it hard to

believe. It was

when she pointed out that routinely Health Visitors in our

area would only see

children up to eight months that I made sense of her reply.

Contacts after that

at two and three would be by CNNs or by letter respectively.

When I was a student nurse in coronary care

there was a hierarchy

of tasks; the charge nurses took the bloods, the staff nursed did

the ECGs and

Florence & May, the Auxiliaries, did the bed baths. I thought

it should

have been the other way round. With skill-mix, instead of the most

qualified

doing the routine contacts and assessments then prescribing any

follow-up, we

seem to have sub-let the later visits.

This isn’t to denigrate Florence & May or

the Nursery Nurse

members of our teams but to question how these decisions are made.

Best wishes,

Terry McGinn

On 30/05/2011 18:07, Maggie Fisher wrote:

Hi

I am sure this is an area they will be very

interested in. I don't have up to date figures on

coverage. However I seem to recall seeing

something on this re PCTs in London last year ( I

will have to see if I can track down what it was)

Coverage was very patchy and on the whole poor.

Interestingly a quick straw poll of the

audience at the CH Conference

revealed about 50% of the participants were

conducting a universal 2-2.5 year development

assessment and. all were doing a targeted one.

These developmental reviews were being carried out

by numerous practitioners from the HV for targeted

reviews to CSNs and CNNs if they were done as a

face to face contact as opposed

to questionnaire/birthday card in the post.

Perhaps I can ask Senate members about coverage

in their areas, this would be a helpful start and

who conducts this developmental review in their

areas?

Best wishes

Maggie

I have

been invited

to give oral

evidence to

the House of

Commons

Education

Select

Committee on Wednesday

22 June to

explore the

role of Health

Visitors in

School

Readiness I am

one of a panel

of witnesses,

comprising

representatives

from health

visiting and

early years.

I

would really

like to gather

published

evidence,

specific

examples and

anecdotal from

across the

country on

this. Any help

you can give

with this

would be

gratefully

received.

The

timescale is

quite short so

a speedy

response would

be very much

appreciated.

Do feel free

to point me in

the direction

of published

evidence you

know about,

the

documents you

produced on

returning HV

to statute

will be very

useful here.

So I will

revist those.

Best

wishes

Maggie

********************************************************************************************************************

This message

may contain

confidential

information.

If you are not

the intended

recipient

please inform

the

sender that

you have

received the

message in

error before

deleting it.

Please do not

disclose, copy

or distribute

information in

this e-mail or

take any

action in

reliance on

its contents:

to do so is

strictly

prohibited and

may be

unlawful.

Thank you for

your

co-operation.

NHSmail is the

secure email

and directory

service

available for

all NHS staff

in England and

Scotland

NHSmail is

approved for

exchanging

patient data

and other

sensitive

information

with NHSmail

and GSi

recipients

NHSmail

provides an

email address

for your

career in the

NHS and can be

accessed

anywhere

For more

information

and to find

out how you

can switch,

visit www.connectingforhealth.nhs.uk/nhsmail

********************************************************************************************************************

********************************************************************************************************************

This message may

contain confidential

information. If you

are not the intended

recipient please

inform the

sender that you have

received the message

in error before

deleting it.

Please do not

disclose, copy or

distribute information

in this e-mail or take

any action in reliance

on its contents:

to do so is strictly

prohibited and may be

unlawful.

Thank you for your

co-operation.

NHSmail is the secure

email and directory

service available for

all NHS staff in

England and Scotland

NHSmail is approved

for exchanging patient

data and other

sensitive information

with NHSmail and GSi

recipients

NHSmail provides an

email address for your

career in the NHS and

can be accessed

anywhere

For more information

and to find out how

you can switch, visit www.connectingforhealth.nhs.uk/nhsmail

********************************************************************************************************************

Cowley

sarahcowley183@...

http://myprofile.cos.com/S124021COn

[Guest guest]

Hi Maggie,

I was recently interviewing a Health Visitor

asking if she came

across many kids with iron deficiency anaemia. “Very rarely,”

was her reply.

With a very deprived South Asian case-load I found it hard to

believe. It was

when she pointed out that routinely Health Visitors in our

area would only see

children up to eight months that I made sense of her reply.

Contacts after that

at two and three would be by CNNs or by letter respectively.

When I was a student nurse in coronary care

there was a hierarchy

of tasks; the charge nurses took the bloods, the staff nursed did

the ECGs and

Florence & May, the Auxiliaries, did the bed baths. I thought

it should

have been the other way round. With skill-mix, instead of the most

qualified

doing the routine contacts and assessments then prescribing any

follow-up, we

seem to have sub-let the later visits.

This isn’t to denigrate Florence & May or

the Nursery Nurse

members of our teams but to question how these decisions are made.

Best wishes,

Terry McGinn

On 30/05/2011 18:07, Maggie Fisher wrote:

Hi

I am sure this is an area they will be very

interested in. I don't have up to date figures on

coverage. However I seem to recall seeing

something on this re PCTs in London last year ( I

will have to see if I can track down what it was)

Coverage was very patchy and on the whole poor.

Interestingly a quick straw poll of the

audience at the CH Conference

revealed about 50% of the participants were

conducting a universal 2-2.5 year development

assessment and. all were doing a targeted one.

These developmental reviews were being carried out

by numerous practitioners from the HV for targeted

reviews to CSNs and CNNs if they were done as a

face to face contact as opposed

to questionnaire/birthday card in the post.

Perhaps I can ask Senate members about coverage

in their areas, this would be a helpful start and

who conducts this developmental review in their

areas?

Best wishes

Maggie

I have

been invited

to give oral

evidence to

the House of

Commons

Education

Select

Committee on Wednesday

22 June to

explore the

role of Health

Visitors in

School

Readiness I am

one of a panel

of witnesses,

comprising

representatives

from health

visiting and

early years.

I

would really

like to gather

published

evidence,

specific

examples and

anecdotal from

across the

country on

this. Any help

you can give

with this

would be

gratefully

received.

The

timescale is

quite short so

a speedy

response would

be very much

appreciated.

Do feel free

to point me in

the direction

of published

evidence you

know about,

the

documents you

produced on

returning HV

to statute

will be very

useful here.

So I will

revist those.

Best

wishes

Maggie

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[Guest guest]

Dear TerryYou are so right. At the risk of sounding like an 'old codger,' it reminds me of my (now very old) PhD, and one subsequent paper about 'a routine visit is one that has passed,' because you just don't know what you will find until you get there. And of course, because you don't know, asking a team member to look at for some specific things does not work, so delegating 'routine visits' or assessments is completely the wrong round. On a personal note, again a few years ago, when my (then) two year old grandson was taken for his two year check, his mother was desperate to raise the concerns she had about his older brother who was just starting school, but there was no point in the conversation at which she could even mention him: one question and 'test' followed another until Fred was pronounced normal and they were both dismissed. We don't know if it was a CNN or CSN, but it took many more months and much heartache before his older brother's Asperger's was diagnosed. Sorry, you have touched off a ran' from me! But perhaps they are examples, if not research evidence, that you can use Maggie? Terry's example illustrates the importance of a skilled health assessment and mine the importance of a skilled assessment that encompasses the whole family. I think, too, that this 'routine stuff' and standard universal health visiting is the most important thing for us to reclaim as more health visitors start to come on stream, hopefully with the first few qualifying quite soon now. Just to rise slightly above the anecdote, that view fits with the position of the Marmot review, which continued to emphasise additional targeted services for the population with high levels of need, but also stressed that if we are to address health inequalities effectively, we need far more universal prevention. What he called a 'second revolution in the early years' would see services with 'both,' 'and' - both targeted and universal, not one or the other. I look forward to that day.best wishesOn 31 May 2011, at 00:03, Terry McGinn wrote:Hi Maggie,I was recently interviewing a Health Visitor asking if she came across many kids with iron deficiency anaemia. “Very rarely,” was her reply. With a very deprived South Asian case-load I found it hard to believe. It was when she pointed out that routinely Health Visitors in our area would only see children up to eight months that I made sense of her reply. Contacts after that at two and three would be by CNNs or by letter respectively.When I was a student nurse in coronary care there was a hierarchy of tasks; the charge nurses took the bloods, the staff nursed did the ECGs and Florence & May, the Auxiliaries, did the bed baths. I thought it should have been the other way round. With skill-mix, instead of the most qualified doing the routine contacts and assessments then prescribing any follow-up, we seem to have sub-let the later visits.This isn’t to denigrate Florence & May or the Nursery Nurse members of our teams but to question how these decisions are made.Best wishes,Terry McGinnOn 30/05/2011 18:07, Maggie Fisher wrote: Hi I am sure this is an area they will be very interested in. I don't have up to date figures on coverage. However I seem to recall seeing something on this re PCTs in London last year ( I will have to see if I can track down what it was) Coverage was very patchy and on the whole poor.Interestingly a quick straw poll of the audience at the CH Conference revealed about 50% of the participants were conducting a universal 2-2.5 year development assessment and. all were doing a targeted one. These developmental reviews were being carried out by numerous practitioners from the HV for targeted reviews to CSNs and CNNs if they were done as a face to face contact as opposed to questionnaire/birthday card in the post.Perhaps I can ask Senate members about coverage in their areas, this would be a helpful start and who conducts this developmental review in their areas?Best wishesMaggie - Cowleysarahcowley183@...http://myprofile.cos.com/S124021COn

[Guest guest]

Marmot views also echo those of Laming after Baby - if we do not have a universal service - we do not know who to target.

Margaret

Re: Education Select Committee

Dear Terry

You are so right. At the risk of sounding like an 'old codger,' it reminds me of my (now very old) PhD, and one subsequent paper about 'a routine visit is one that has passed,' because you just don't know what you will find until you get there. And of course, because you don't know, asking a team member to look at for some specific things does not work, so delegating 'routine visits' or assessments is completely the wrong round. On a personal note, again a few years ago, when my (then) two year old grandson was taken for his two year check, his mother was desperate to raise the concerns she had about his older brother who was just starting school, but there was no point in the conversation at which she could even mention him: one question and 'test' followed another until Fred was pronounced normal and they were both dismissed. We don't know if it was a CNN or CSN, but it took many more months and much heartache before his older brother's Asperger's was diagnosed.

Sorry, you have touched off a ran' from me! But perhaps they are examples, if not research evidence, that you can use Maggie? Terry's example illustrates the importance of a skilled health assessment and mine the importance of a skilled assessment that encompasses the whole family.

I think, too, that this 'routine stuff' and standard universal health visiting is the most important thing for us to reclaim as more health visitors start to come on stream, hopefully with the first few qualifying quite soon now. Just to rise slightly above the anecdote, that view fits with the position of the Marmot review, which continued to emphasise additional targeted services for the population with high levels of need, but also stressed that if we are to address health inequalities effectively, we need far more universal prevention. What he called a 'second revolution in the early years' would see services with 'both,' 'and' - both targeted and universal, not one or the other. I look forward to that day.

best wishes

On 31 May 2011, at 00:03, Terry McGinn wrote:

Hi Maggie,

I was recently interviewing a Health Visitor asking if she came across many kids with iron deficiency anaemia. “Very rarely,” was her reply. With a very deprived South Asian case-load I found it hard to believe. It was when she pointed out that routinely Health Visitors in our area would only see children up to eight months that I made sense of her reply. Contacts after that at two and three would be by CNNs or by letter respectively.

When I was a student nurse in coronary care there was a hierarchy of tasks; the charge nurses took the bloods, the staff nursed did the ECGs and Florence & May, the Auxiliaries, did the bed baths. I thought it should have been the other way round. With skill-mix, instead of the most qualified doing the routine contacts and assessments then prescribing any follow-up, we seem to have sub-let the later visits.

This isn’t to denigrate Florence & May or the Nursery Nurse members of our teams but to question how these decisions are made.Best wishes,Terry McGinnOn 30/05/2011 18:07, Maggie Fisher wrote:

Hi

I am sure this is an area they will be very interested in. I don't have up to date figures on coverage. However I seem to recall seeing something on this re PCTs in London last year ( I will have to see if I can track down what it was) Coverage was very patchy and on the whole poor.

Interestingly a quick straw poll of the audience at the CH Conference revealed about 50% of the participants were conducting a universal 2-2.5 year development assessment and. all were doing a targeted one. These developmental reviews were being carried out by numerous practitioners from the HV for targeted reviews to CSNs and CNNs if they were done as a face to face contact as opposed to questionnaire/birthday card in the post.

Perhaps I can ask Senate members about coverage in their areas, this would be a helpful start and who conducts this developmental review in their areas?

Best wishes

Maggie -

Cowley

sarahcowley183@...

http://myprofile.cos.com/S124021COn

[Guest guest]

Berkshire East ( Berkshire Healthcare Foundation Trust) offers a review, which is carried out by Bands 4/5 in a clinic / Children's Centre setting. (Previously sent out a questionnaire/ leaflet on development).

Clare O'Riordan

From: [mailto: ] On Behalf Of Maggie FisherSent: 30 May 2011 18:07 Subject: Re: Education Select Committee

Hi

I am sure this is an area they will be very interested in. I don't have up to date figures on coverage. However I seem to recall seeing something on this re PCTs in London last year ( I will have to see if I can track down what it was) Coverage was very patchy and on the whole poor.

Interestingly a quick straw poll of the audience at the CH Conference revealed about 50% of the participants were conducting a universal 2-2.5 year development assessment and. all were doing a targeted one. These developmental reviews were being carried out by numerous practitioners from the HV for targeted reviews to CSNs and CNNs if they were done as a face to face contact as opposed to questionnaire/birthday card in the post.

Perhaps I can ask Senate members about coverage in their areas, this would be a helpful start and who conducts this developmental review in their areas?

Best wishes

Maggie

I have been invited to give oral evidence to the House of Commons Education Select Committee on Wednesday 22 June to explore the role of Health Visitors in School Readiness I am one of a panel of witnesses, comprising representatives from health visiting and early years.

I would really like to gather published evidence, specific examples and anecdotal from across the country on this. Any help you can give with this would be gratefully received.

The timescale is quite short so a speedy response would be very much appreciated. Do feel free to point me in the direction of published evidence you know about, the documents you produced on returning HV to statute will be very useful here. So I will revist those.

Best wishesMaggie

********************************************************************************************************************This message may contain confidential information. If you are not the intended recipient please inform thesender that you have received the message in error before deleting it.Please do not disclose, copy or distribute information in this e-mail or take any action in reliance on its contents:to do so is strictly prohibited and may be unlawful.Thank you for your co-operation.NHSmail is the secure email and directory service available for all NHS staff in England and ScotlandNHSmail is approved for exchanging patient data and other sensitive information with NHSmail and GSi recipientsNHSmail provides an email address for your career in the NHS and can be accessed anywhereFor more information and to find out how you can switch, visit www.connectingforhealth.nhs.uk/nhsmail********************************************************************************************************************

********************************************************************************************************************This message may contain confidential information. If you are not the intended recipient please inform thesender that you have received the message in error before deleting it.Please do not disclose, copy or distribute information in this e-mail or take any action in reliance on its contents:to do so is strictly prohibited and may be unlawful.Thank you for your co-operation.NHSmail is the secure email and directory service available for all NHS staff in England and ScotlandNHSmail is approved for exchanging patient data and other sensitive information with NHSmail and GSi recipientsNHSmail provides an email address for your career in the NHS and can be accessed anywhereFor more information and to find out how you can switch, visit www.connectingforhealth.nhs.uk/nhsmail********************************************************************************************************************

Cowley

sarahcowley183@...

http://myprofile.cos.com/S124021COn

< /div>

[Guest guest]

Hi Senators,

we are offering a universal 2 year review, carried out by CNN, but those with a CP Plan or other identified concern get seen by HVs. Any issues raised to CNN at universal check is then reviewed by HV. We currently have about a 50% uptake, I have put this down to the fact that we didn't do them for about 4 years and the community as a whole don't yet recognise the importance/significance.

Regards

Kathy

From: Clare.O'Riordan@...Date: Tue, 31 May 2011 10:49:33 +0100Subject: RE: Education Select Committee

Berkshire East ( Berkshire Healthcare Foundation Trust) offers a review, which is carried out by Bands 4/5 in a clinic / Children's Centre setting. (Previously sent out a questionnaire/ leaflet on development).

Clare O'Riordan

From: [mailto: ] On Behalf Of Maggie FisherSent: 30 May 2011 18:07 Subject: Re: Education Select Committee

Hi

I am sure this is an area they will be very interested in. I don't have up to date figures on coverage. However I seem to recall seeing something on this re PCTs in London last year ( I will have to see if I can track down what it was) Coverage was very patchy and on the whole poor.

Interestingly a quick straw poll of the audience at the CH Conference revealed about 50% of the participants were conducting a universal 2-2.5 year development assessment and. all were doing a targeted one. These developmental reviews were being carried out by numerous practitioners from the HV for targeted reviews to CSNs and CNNs if they were done as a face to face contact as opposed to questionnaire/birthday card in the post.

Perhaps I can ask Senate members about coverage in their areas, this would be a helpful start and who conducts this developmental review in their areas?

Best wishes

Maggie

I have been invited to give oral evidence to the House of Commons Education Select Committee on Wednesday 22 June to explore the role of Health Visitors in School Readiness I am one of a panel of witnesses, comprising representatives from health visiting and early years.

I would really like to gather published evidence, specific examples and anecdotal from across the country on this. Any help you can give with this would be gratefully received.

The timescale is quite short so a speedy response would be very much appreciated. Do feel free to point me in the direction of published evidence you know about, the documents you produced on returning HV to statute will be very useful here. So I will revist those.

Best wishesMaggie

********************************************************************************************************************This message may contain confidential information. If you are not the intended recipient please inform thesender that you have received the message in error before deleting it.Please do not disclose, copy or distribute information in this e-mail or take any action in reliance on its contents:to do so is strictly prohibited and may be unlawful.Thank you for your co-operation.NHSmail is the secure email and directory service available for all NHS staff in England and ScotlandNHSmail is approved for exchanging patient data and other sensitive information with NHSmail and GSi recipientsNHSmail provides an email address for your career in the NHS and can be accessed anywhereFor more information and to find out how you can switch, visit www.connectingforhealth.nhs.uk/nhsmail********************************************************************************************************************

********************************************************************************************************************This message may contain confidential information. If you are not the intended recipient please inform thesender that you have received the message in error before deleting it.Please do not disclose, copy or distribute information in this e-mail or take any action in reliance on its contents:to do so is strictly prohibited and may be unlawful.Thank you for your co-operation.NHSmail is the secure email and directory service available for all NHS staff in England and ScotlandNHSmail is approved for exchanging patient data and other sensitive information with NHSmail and GSi recipientsNHSmail provides an email address for your career in the NHS and can be accessed anywhereFor more information and to find out how you can switch, visit www.connectingforhealth.nhs.uk/nhsmail********************************************************************************************************************

Cowley

sarahcowley183@...

http://myprofile.cos.com/S124021COn

< /div>

[Guest guest]

Hi Kathy

Thank for this which area are you?

Best wishesMaggie

RE: Education Select Committee

Berkshire East ( Berkshire Healthcare Foundation Trust) offers a review, which is carried out by Bands 4/5 in a clinic / Children's Centre setting. (Previously sent out a questionnaire/ leaflet on development).

Clare O'Riordan

From: [mailto: ] On Behalf Of Maggie FisherSent: 30 May 2011 18:07 Subject: Re: Education Select Committee

Hi

I am sure this is an area they will be very interested in. I don't have up to date figures on coverage. However I seem to recall seeing something on this re PCTs in London last year ( I will have to see if I can track down what it was) Coverage was very patchy and on the whole poor.

Interestingly a quick straw poll of the audience at the CH Conference revealed about 50% of the participants were conducting a universal 2-2.5 year development assessment and. all were doing a targeted one. These developmental reviews were being carried out by numerous practitioners from the HV for targeted reviews to CSNs and CNNs if they were done as a face to face contact as opposed to questionnaire/birthday card in the post.

Perhaps I can ask Senate members about coverage in their areas, this would be a helpful start and who conducts this developmental review in their areas?

Best wishes

Maggie

I have been invited to give oral evidence to the House of Commons Education Select Committee on Wednesday 22 June to explore the role of Health Visitors in School Readiness I am one of a panel of witnesses, comprising representatives from health visiting and early years.

I would really like to gather published evidence, specific examples and anecdotal from across the country on this. Any help you can give with this would be gratefully received.

The timescale is quite short so a speedy response would be very much appreciated. Do feel free to point me in the direction of published evidence you know about, the documents you produced on returning HV to statute will be very useful here. So I will revist those.

Best wishesMaggie

********************************************************************************************************************This message may contain confidential information. If you are not the intended recipient please inform thesender that you have received the message in error before deleting it.Please do not disclose, copy or distribute information in this e-mail or take any action in reliance on its contents:to do so is strictly prohibited and may be unlawful.Thank you for your co-operation.NHSmail is the secure email and directory service available for all NHS staff in England and ScotlandNHSmail is approved for exchanging patient data and other sensitive information with NHSmail and GSi recipientsNHSmail provides an email address for your career in the NHS and can be accessed anywhereFor more information and to find out how you can switch, visit www.connectingforhealth.nhs.uk/nhsmail********************************************************************************************************************

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Cowley

sarahcowley183@...

http://myprofile.cos.com/S124021COn

< /div>

[Guest guest]

Thanks

Best wishesMaggie

RE: Education Select Committee

Berkshire East ( Berkshire Healthcare Foundation Trust) offers a review, which is carried out by Bands 4/5 in a clinic / Children's Centre setting. (Previously sent out a questionnaire/ leaflet on development).

Clare O'Riordan

From: [mailto: ] On Behalf Of Maggie FisherSent: 30 May 2011 18:07 Subject: Re: Education Select Committee

Hi

I am sure this is an area they will be very interested in. I don't have up to date figures on coverage. However I seem to recall seeing something on this re PCTs in London last year ( I will have to see if I can track down what it was) Coverage was very patchy and on the whole poor.

Interestingly a quick straw poll of the audience at the CH Conference revealed about 50% of the participants were conducting a universal 2-2.5 year development assessment and. all were doing a targeted one. These developmental reviews were being carried out by numerous practitioners from the HV for targeted reviews to CSNs and CNNs if they were done as a face to face contact as opposed to questionnaire/birthday card in the post.

Perhaps I can ask Senate members about coverage in their areas, this would be a helpful start and who conducts this developmental review in their areas?

Best wishes

Maggie

I have been invited to give oral evidence to the House of Commons Education Select Committee on Wednesday 22 June to explore the role of Health Visitors in School Readiness I am one of a panel of witnesses, comprising representatives from health visiting and early years.

I would really like to gather published evidence, specific examples and anecdotal from across the country on this. Any help you can give with this would be gratefully received.

The timescale is quite short so a speedy response would be very much appreciated. Do feel free to point me in the direction of published evidence you know about, the documents you produced on returning HV to statute will be very useful here. So I will revist those.

Best wishesMaggie

********************************************************************************************************************This message may contain confidential information. If you are not the intended recipient please inform thesender that you have received the message in error before deleting it.Please do not disclose, copy or distribute information in this e-mail or take any action in reliance on its contents:to do so is strictly prohibited and may be unlawful.Thank you for your co-operation.NHSmail is the secure email and directory service available for all NHS staff in England and ScotlandNHSmail is approved for exchanging patient data and other sensitive information with NHSmail and GSi recipientsNHSmail provides an email address for your career in the NHS and can be accessed anywhereFor more information and to find out how you can switch, visit www.connectingforhealth.nhs.uk/nhsmail********************************************************************************************************************

********************************************************************************************************************This message may contain confidential information. If you are not the intended recipient please inform thesender that you have received the message in error before deleting it.Please do not disclose, copy or distribute information in this e-mail or take any action in reliance on its contents:to do so is strictly prohibited and may be unlawful.Thank you for your co-operation.NHSmail is the secure email and directory service available for all NHS staff in England and ScotlandNHSmail is approved for exchanging patient data and other sensitive information with NHSmail and GSi recipientsNHSmail provides an email address for your career in the NHS and can be accessed anywhereFor more information and to find out how you can switch, visit www.connectingforhealth.nhs.uk/nhsmail********************************************************************************************************************

Cowley

sarahcowley183@...

http://myprofile.cos.com/S124021COn

< /div>

[Guest guest]

I quite agree, HVs are alos telling me they are becoming deskilled in normal child developemnt as they are becoming increasingly targeted. This has implications for Student HVs who are relaint on ther practice placement to gain this experince.

Those of you in teaching student HVs how much input on child development do students get in taught elements these days, or are they completley reliant on thier practice placements for this? This issue was raised by the Early Childhood Forum at a steering group recently who were appalled that HV students did not get taught child development on their course, a member of the steering group had been at a meeting and had been told this was the case.

Best wishesMaggie

Re: Education Select Committee

Dear Terry You are so right. At the risk of sounding like an 'old codger,' it reminds me of my (now very old) PhD, and one subsequent paper about 'a routine visit is one that has passed,' because you just don't know what you will find until you get there. And of course, because you don't know, asking a team member to look at for some specific things does not work, so delegating 'routine visits' or assessments is completely the wrong round. On a personal note, again a few years ago, when my (then) two year old grandson was taken for his two year check, his mother was desperate to raise the concerns she had about his older brother who was just starting school, but there was no point in the conversation at which she could even mention him: one question and 'test' followed another until Fred was pronounced normal and they were both dismissed. We don't know if it was a CNN or CSN, but it took many more months and much heartache before his older brother's Asperger's was diagnosed.

Sorry, you have touched off a ran' from me! But perhaps they are examples, if not research evidence, that you can use Maggie? Terry's example illustrates the importance of a skilled health assessment and mine the importance of a skilled assessment that encompasses the whole family.

I think, too, that this 'routine stuff' and standard universal health visiting is the most important thing for us to reclaim as more health visitors start to come on stream, hopefully with the first few qualifying quite soon now. Just to rise slightly above the anecdote, that view fits with the position of the Marmot review, which continued to emphasise additional targeted services for the population with high levels of need, but also stressed that if we are to address health inequalities effectively, we need far more universal prevention. What he called a 'second revolution in the early years' would see services with 'both,' 'and' - both targeted and universal, not one or the other. I look forward to that day.

best wishes

On 31 May 2011, at 00:03, Terry McGinn wrote:

Hi Maggie,

I was recently interviewing a Health Visitor asking if she came across many kids with iron deficiency anaemia. “Very rarely,” was her reply. With a very deprived South Asian case-load I found it hard to believe. It was when she pointed out that routinely Health Visitors in our area would only see children up to eight months that I made sense of her reply. Contacts after that at two and three would be by CNNs or by letter respectively.

When I was a student nurse in coronary care there was a hierarchy of tasks; the charge nurses took the bloods, the staff nursed did the ECGs and Florence & May, the Auxiliaries, did the bed baths. I thought it should have been the other way round. With skill-mix, instead of the most qualified doing the routine contacts and assessments then prescribing any follow-up, we seem to have sub-let the later visits.

This isn’t to denigrate Florence & May or the Nursery Nurse members of our teams but to question how these decisions are made.Best wishes,Terry McGinnOn 30/05/2011 18:07, Maggie Fisher wrote:

Hi

I am sure this is an area they will be very interested in. I don't have up to date figures on coverage. However I seem to recall seeing something on this re PCTs in London last year ( I will have to see if I can track down what it was) Coverage was very patchy and on the whole poor.

Interestingly a quick straw poll of the audience at the CH Conference revealed about 50% of the participants were conducting a universal 2-2.5 year development assessment and. all were doing a targeted one. These developmental reviews were being carried out by numerous practitioners from the HV for targeted reviews to CSNs and CNNs if they were done as a face to face contact as opposed to questionnaire/birthday card in the post.

Perhaps I can ask Senate members about coverage in their areas, this would be a helpful start and who conducts this developmental review in their areas?

Best wishes

Maggie -

Cowley

sarahcowley183@...

http://myprofile.cos.com/S124021COn

[Guest guest]

Hi Maggie,

if you mapped the average contacts from conception you could easily demonstrate that new parents recieve such little support that we as a health service set them up to fail, with lack of universal antenatal classes and on average two midwifery visits

after the birth before parents fly solo with about 2 Health Visitor contacts in the following weeks (maybe) and maybe a questionaire/face to face contact although not neccessarily with a trained Health Visitor at one or two years of age.

For those families that are struggling just look at the childrens services criteria for input, where the threshold is essentially at the point of removal!

The government has invested in Children's Centres which in theory should have filled the gap but results are demonstrating that they are not.

Also when you have a situation where people are now suing their local authority for not taking them into care, we have to acknowledge that there has been no evaluation of the effect of the Children Act 1989 which focused on

keeping families together but which as you have identified in your previous email cannot work if there is a support vacuum.

good luck, you must be nervous!

Aisling

From: [ ] On Behalf Of Maggie Fisher [mfisher2241@...]

Sent: 02 June 2011 08:56

Subject: Re: Education Select Committee

Thanks

Best wishes

Maggie

Re: Education Select Committee

Hi

I am sure this is an area they will be very interested in. I don't have up to date figures on coverage. However I seem to recall seeing something on this re PCTs in London last year ( I will have to see if I

can track down what it was) Coverage was very patchy and on the whole poor.

Interestingly a quick straw poll of the audience at the CH Conference revealed

about 50% of the participants were conducting a universal 2-2.5 year development assessment and. all were doing a targeted one. These developmental reviews were being carried out by numerous practitioners from the HV for targeted reviews to CSNs and CNNs if

they were done as a face to face contact as opposed to questionnaire/birthday card in the post.

Perhaps I can ask Senate members about coverage in their areas, this would be a helpful start and who conducts this developmental review in their areas?

Best wishes

Maggie

I have been invited to give oral evidence to the House of Commons Education Select Committee on Wednesday 22 June to

explore the role of Health Visitors in School Readiness I am one of a panel of witnesses, comprising representatives from health visiting and early years.

I would really like to gather published evidence, specific examples and anecdotal from across the country on this. Any help you can give with this would be gratefully received.

The timescale is quite short so a speedy response would be very much appreciated. Do feel free to point me in the direction of published evidence you know about, the documents you produced on returning HV to statute

will be very useful here. So I will revist those.

Best wishes

Maggie

********************************************************************************************************************

This message may contain confidential information. If you are not the intended recipient please inform the

sender that you have received the message in error before deleting it.

Please do not disclose, copy or distribute information in this e-mail or take any action in reliance on its contents:

to do so is strictly prohibited and may be unlawful.

Thank you for your co-operation.

NHSmail is the secure email and directory service available for all NHS staff in England and Scotland

NHSmail is approved for exchanging patient data and other sensitive information with NHSmail and GSi recipients

NHSmail provides an email address for your career in the NHS and can be accessed anywhere

For more information and to find out how you can switch, visit www.connectingforhealth.nhs.uk/nhsmail

********************************************************************************************************************

********************************************************************************************************************

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[Guest guest]

Hi Maggie,

this is in Enfield

regards

From: mfisher2241@...Date: Thu, 2 Jun 2011 08:51:14 +0100Subject: Re: Education Select Committee

Hi Kathy

Thank for this which area are you?

Best wishesMaggie

RE: Education Select Committee

Berkshire East ( Berkshire Healthcare Foundation Trust) offers a review, which is carried out by Bands 4/5 in a clinic / Children's Centre setting. (Previously sent out a questionnaire/ leaflet on development).

Clare O'Riordan

From: [mailto: ] On Behalf Of Maggie FisherSent: 30 May 2011 18:07 Subject: Re: Education Select Committee

Hi

I am sure this is an area they will be very interested in. I don't have up to date figures on coverage. However I seem to recall seeing something on this re PCTs in London last year ( I will have to see if I can track down what it was) Coverage was very patchy and on the whole poor.

Interestingly a quick straw poll of the audience at the CH Conference revealed about 50% of the participants were conducting a universal 2-2.5 year development assessment and. all were doing a targeted one. These developmental reviews were being carried out by numerous practitioners from the HV for targeted reviews to CSNs and CNNs if they were done as a face to face contact as opposed to questionnaire/birthday card in the post.

Perhaps I can ask Senate members about coverage in their areas, this would be a helpful start and who conducts this developmental review in their areas?

Best wishes

Maggie

I have been invited to give oral evidence to the House of Commons Education Select Committee on Wednesday 22 June to explore the role of Health Visitors in School Readiness I am one of a panel of witnesses, comprising representatives from health visiting and early years.

I would really like to gather published evidence, specific examples and anecdotal from across the country on this. Any help you can give with this would be gratefully received.

The timescale is quite short so a speedy response would be very much appreciated. Do feel free to point me in the direction of published evidence you know about, the documents you produced on returning HV to statute will be very useful here. So I will revist those.

Best wishesMaggie

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Cowley

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< /div>

[Guest guest]

Hi Terry

Your point is very well made and is leading to a deskilling of HVs.

Best wishesMaggie

Re: Education Select Committee

Hi Maggie,

I was recently interviewing a Health Visitor asking if she came across many kids with iron deficiency anaemia. “Very rarely,” was her reply. With a very deprived South Asian case-load I found it hard to believe. It was when she pointed out that routinely Health Visitors in our area would only see children up to eight months that I made sense of her reply. Contacts after that at two and three would be by CNNs or by letter respectively.

When I was a student nurse in coronary care there was a hierarchy of tasks; the charge nurses took the bloods, the staff nursed did the ECGs and Florence & May, the Auxiliaries, did the bed baths. I thought it should have been the other way round. With skill-mix, instead of the most qualified doing the routine contacts and assessments then prescribing any follow-up, we seem to have sub-let the later visits.

This isn’t to denigrate Florence & May or the Nursery Nurse members of our teams but to question how these decisions are made.Best wishes,Terry McGinnOn 30/05/2011 18:07, Maggie Fisher wrote:

Hi

I am sure this is an area they will be very interested in. I don't have up to date figures on coverage. However I seem to recall seeing something on this re PCTs in London last year ( I will have to see if I can track down what it was) Coverage was very patchy and on the whole poor.

Interestingly a quick straw poll of the audience at the CH Conference revealed about 50% of the participants were conducting a universal 2-2.5 year development assessment and. all were doing a targeted one. These developmental reviews were being carried out by numerous practitioners from the HV for targeted reviews to CSNs and CNNs if they were done as a face to face contact as opposed to questionnaire/birthday card in the post.

Perhaps I can ask Senate members about coverage in their areas, this would be a helpful start and who conducts this developmental review in their areas?

Best wishes

Maggie

I have been invited to give oral evidence to the House of Commons Education Select Committee on Wednesday 22 June to explore the role of Health Visitors in School Readiness I am one of a panel of witnesses, comprising representatives from health visiting and early years.

I would really like to gather published evidence, specific examples and anecdotal from across the country on this. Any help you can give with this would be gratefully received.

The timescale is quite short so a speedy response would be very much appreciated. Do feel free to point me in the direction of published evidence you know about, the documents you produced on returning HV to statute will be very useful here. So I will revist those.

Best wishesMaggie

********************************************************************************************************************This message may contain confidential information. If you are not the intended recipient please inform thesender that you have received the message in error before deleting it.Please do not disclose, copy or distribute information in this e-mail or take any action in reliance on its contents:to do so is strictly prohibited and may be unlawful.Thank you for your co-operation.NHSmail is the secure email and directory service available for all NHS staff in England and ScotlandNHSmail is approved for exchanging patient data and other sensitive information with NHSmail and GSi recipientsNHSmail provides an email address for your career in the NHS and can be accessed anywhereFor more information and to find out how you can switch, visit www.connectingforhealth.nhs.uk/nhsmail********************************************************************************************************************

********************************************************************************************************************This message may contain confidential information. If you are not the intended recipient please inform thesender that you have received the message in error before deleting it.Please do not disclose, copy or distribute information in this e-mail or take any action in reliance on its contents:to do so is strictly prohibited and may be unlawful.Thank you for your co-operation.NHSmail is the secure email and directory service available for all NHS staff in England and ScotlandNHSmail is approved for exchanging patient data and other sensitive information with NHSmail and GSi recipientsNHSmail provides an email address for your career in the NHS and can be accessed anywhereFor more information and to find out how you can switch, visit www.connectingforhealth.nhs.uk/nhsmail********************************************************************************************************************

Cowley

sarahcowley183@...

http://myprofile.cos.com/S124021COn

[Guest guest]

Thanks

Best wishesMaggie

RE: Education Select Committee

Berkshire East ( Berkshire Healthcare Foundation Trust) offers a review, which is carried out by Bands 4/5 in a clinic / Children's Centre setting. (Previously sent out a questionnaire/ leaflet on development).

Clare O'Riordan

From: [mailto: ] On Behalf Of Maggie FisherSent: 30 May 2011 18:07 Subject: Re: Education Select Committee

Hi

I am sure this is an area they will be very interested in. I don't have up to date figures on coverage. However I seem to recall seeing something on this re PCTs in London last year ( I will have to see if I can track down what it was) Coverage was very patchy and on the whole poor.

Interestingly a quick straw poll of the audience at the CH Conference revealed about 50% of the participants were conducting a universal 2-2.5 year development assessment and. all were doing a targeted one. These developmental reviews were being carried out by numerous practitioners from the HV for targeted reviews to CSNs and CNNs if they were done as a face to face contact as opposed to questionnaire/birthday card in the post.

Perhaps I can ask Senate members about coverage in their areas, this would be a helpful start and who conducts this developmental review in their areas?

Best wishes

Maggie

I have been invited to give oral evidence to the House of Commons Education Select Committee on Wednesday 22 June to explore the role of Health Visitors in School Readiness I am one of a panel of witnesses, comprising representatives from health visiting and early years.

I would really like to gather published evidence, specific examples and anecdotal from across the country on this. Any help you can give with this would be gratefully received.

The timescale is quite short so a speedy response would be very much appreciated. Do feel free to point me in the direction of published evidence you know about, the documents you produced on returning HV to statute will be very useful here. So I will revist those.

Best wishesMaggie

********************************************************************************************************************This message may contain confidential information. If you are not the intended recipient please inform thesender that you have received the message in error before deleting it.Please do not disclose, copy or distribute information in this e-mail or take any action in reliance on its contents:to do so is strictly prohibited and may be unlawful.Thank you for your co-operation.NHSmail is the secure email and directory service available for all NHS staff in England and ScotlandNHSmail is approved for exchanging patient data and other sensitive information with NHSmail and GSi recipientsNHSmail provides an email address for your career in the NHS and can be accessed anywhereFor more information and to find out how you can switch, visit www.connectingforhealth.nhs.uk/nhsmail********************************************************************************************************************

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Cowley

sarahcowley183@...

http://myprofile.cos.com/S124021COn

< /div>