Re: Urgent help and info needed for Ed Select Committee on Wednesday

[Guest guest]

thanks WoodyAnn Ebeid

CC: anixon@...From: Woody.Caan@...Date: Wed, 22 Jun 2011 11:05:53 +0100Subject: RE: Urgent help and info needed for Ed Select Committee on Wednesday

Dear Ann,

If there is an element of mental health promotion in your thesis, consider sending it to the Journal of Public Mental Health perhaps?

Woody.

From: [mailto: ] On Behalf Of ann ebeidSent: 22 June 2011 09:50senate hvsnSubject: RE: Urgent help and info needed for Ed Select Committee on Wednesday

Hi any advice about where to publish papers from my thesis. Thank you Ann Ann Ebeid

From: sarahcowley183@...Date: Sun, 19 Jun 2011 19:29:47 +0100Subject: Re: Urgent help and info needed for Ed Select Committee on Wednesday

That is very interesting Ann, if somewhat depressing. Thank you for sharing it with us. Have you written it up anywhere (sorry!)? Were the health visitors aware that they had not linked them into any community resources that might help, or did they not think about it?

As I understand it, the government want health visitors to do the form of linking that you describe, which they describe as 'extending the health visiting rile.' I had thought it was what health visitors did anyway. but perhaps they don't do it any longer. I wonder how we can regain control of the education, and would that help? Or is it (as you suggest) to do with the whole emphasis on assessing needs, with no follow through?

best wishes

On 19 Jun 2011, at 13:22, ann ebeid wrote:

Hi -briefly.... I had been a hv for over two decades in London and Surrey and was puzzled why some families I visited didn't seem to have benefitted from health visitor services in terms of health outcomes, quality of life and reducing health inequalities. I decided to interview hard to reach mothers and chiildren in need and compare their stories with their health visitor's understanding of the situation.My research was mixed methods; narrative interpretation of case studies. My findings pertinent to Maggie's Q3 below are: I interviewed (through taped conversation, grounded theory analysis) mothers who were identified by their health visitors, in order to understand how they perceived their problems and needs and how they felt they had been supported by their health visitors. I used corresponding documentary evidence where possible. I validated my report with mother to make sure it accurately represented what she meant. I then interviewed their health visitor and validated my report with the health visitor to ascertainthat I accurately represented their view I critically analysed/deconstructed mothers and health visitors narratives in biopschsocial frameworks, also analysing health visitors knowledge in use. My findings were that in general health visitors did not link families into available community resources which would have promoted child health and improved health outcomes. In effect, I found little evidence of one of the four guiding principles of health visiting. (CETHV1977). Health visitors I interviewed did not have a good understanding of a public health approach in child health promotion, for example there was little evidence that health visitors linked vulnerable families into community initiatives such as Sure Start children's centres, Extended Schools breakfast and tea clubs. There was almost a scenario of 'paralysis by analysis' -when need was identified I could find little evidence of linkage to resources. For me this is one main reasons why vulnerable children are not picked up.Unlike Early Year setting health visitors have unique access into homes and are aware of family situations. I hope this brief view of my research is insightful to Maggie, in prepartation for next Wednesday's meeting. I am happy to give a full summary if needed. Kind Regards, Ann.

From: sarahcowley183@...Date: Sat, 18 Jun 2011 20:53:11 +0100Subject: Re: Urgent help and info needed for Ed Select Committee on Wednesday

Can you give us clue about how it sheds light, please Ann?

On 18 Jun 2011, at 10:15, ann ebeid wrote:

Hi Maggie-re. Question3. my Ph.D thesis "explored the problems of hard to reach families and children in need and how they were supported by their helth visitors" (2008). It is freely available on line from Ethos at the British library and may throw some light to answer part of Q3. Kind regardsDr. Ann Ebeid

Cowley

sarahcowley183@...

http://myprofile.cos.com/S124021COn

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Dear Ann,Thank you for clarifying this point. We'd be very pleased to receive a paper from your research at Community Practitioner.I hope your decorating has gone well.Best wishes,Jane.Sent from my iPodOn 21 Jun 2011, at 12:17, ann ebeid <annebeid@...> wrote:

dear Jane

I referred to your 1996 paper-Working with vulnerable families- which found half of the hvs in the study were not aware of local services (ref below).i am sorry I was unclear about the date of the source in an earlier email because I am on annual leave and in the middle of redecorating!

Drennan and ph's study (2005) found all 13 hv participants working with refugee and asylum seekers "lacked knowledge of local services" (ref below).

The purose of my 2007 Ph.D research was to search for evidence of hvs contributions to better health outcomes for the most at risk groups of children and families.In my study several HVs lacked of knowledge of local services such as Sure Start children's services, Benefits Advisors, Community outreach support services, Languagr Line interpreters and consequently did not of refer families on to these services, which had a negative impact on health and welfare outcomes for the families. As previously stated there were some examples of excellent work done, but this wasn't the norm.

Appleton J 1996 Working with Vulnerable families:a hv perspective.Journal of Advanced Nursing 23 (5) 912-918.

Drennan,V.ph,J.2005.Health Visiting and Refugee families:issues in professional practice Journal of advanced Nursing 49(2)155-163.

Ebeid, A. 2007.Exploring the problems and needs of hard to reach families and children in need and the support they received from their health visitors. Available free, on line at ethos.bl.uk-just key in significant words such as problems, needs,hard to reach.

Best wishes Maggie

Ann.

From: annebeid@...Date: Tue, 21 Jun 2011 09:32:16 +0000Subject: RE: Urgent help and info needed for Ed Select Committee on Wednesday

thanks jane-Ann

From: jvappleton@...Date: Tue, 21 Jun 2011 09:25:08 +0100Subject: Re: Fwd: Urgent help and info needed for Ed Select Committee on Wednesday

Dear Ann,

Sorry I noted that you said something about my PhD study which is incorrect. In fact in my study which examined health visitors judgments in identifying and working with families requiring extra health visiting, ‘knowing the local community’ had an impact on assessment processes. HVs continually described the importance of developing a good knowledge of the local community in order to make accurate assessments and initiate appropriate referrals to other agencies and services. Many clients also regarded referral and as an important aspect of the HV role, with HVs in this study referring clients for a range of services. Kind regards, Jane.

From: ann ebeid <annebeid@...>Date: 19 June 2011 21:51:07 GMT+01:00senate hvsn < >Subject: RE: Urgent help and info needed for Ed Select Committee on WednesdayReply-

Hi in my research some health visitors were not aware of the community resources available to promote children's and family health, similiar to Jane Appleton's study (?)and an earlier study in Wales by June e and Magaret Buttegieg, Which translated into a lot of missed opportunities to improve the health, welfare and life chances of children in need and their families. June e's (2000?)study found rhetoric rather than a real public health approach in the hv/sn practices that she observed. In my study health visitors felt they were assessing family health needs and there was good evidence that a few health visitors actually did and made a difference to family health . But equally there was evidence that some health visitors didn't recognise/analyse problems and needs and didn't link the family into

appropriate services.Some health visitors lacked a focus on outcomes. My exploratory research indicated that hv education and training needs were needed 'on the job' -that is more reflective learning from practice was needed - experiential learning from experienced health visitors who are able to critically deconstuct situations and needs in terms of embedded theories/policy AND practical support that health visitors can link in, to help vulnerable families. For me that is a huge challenge because it requires a new way of training future health visitors with equal emphasis not only on the biological, psychological and social deteminants of health but also on health visitors practical know how and experiential knowledge. Best wishes, Ann.

From: sarahcowley183@...Date: Sun, 19 Jun 2011 19:29:47 +0100Subject: Re: Urgent help and info needed for Ed Select Committee on Wednesday

That is very interesting Ann, if somewhat depressing. Thank you for sharing it with us. Have you written it up anywhere (sorry!)? Were the health visitors aware that they had not linked them into any community resources that might help, or did they not think about it?

As I understand it, the government want health visitors to do the form of linking that you describe, which they describe as 'extending the health visiting rile.' I had thought it was what health visitors did anyway. but perhaps they don't do it any longer. I wonder how we can regain control of the education, and would that help? Or is it (as you suggest) to do with the whole emphasis on assessing needs, with no follow through?

best wishes

On 19 Jun 2011, at 13:22, ann ebeid wrote:

Hi -briefly.... I had been a hv for over two decades in London and Surrey and was puzzled why some families I visited didn't seem to have benefitted from health visitor services in terms of health outcomes, quality of life and reducing health inequalities. I decided to interview hard to reach mothers and chiildren in need and compare their stories with their health visitor's understanding of the situation.My research was mixed methods; narrative interpretation of case studies. My findings pertinent to Maggie's Q3 below are: I interviewed (through taped conversation, grounded theory analysis) mothers who were identified by their health visitors, in order to understand how they perceived their problems and needs and how they felt they had been supported by

their health visitors. I used corresponding documentary evidence where possible. I validated my report with mother to make sure it accurately represented what she meant. I then interviewed their health visitor and validated my report with the health visitor to ascertainthat I accurately represented their view I critically analysed/deconstructed mothers and health visitors narratives in biopschsocial frameworks, also analysing health visitors knowledge in use. My findings were that in general health visitors did not link families into available community resources which would have promoted child health and improved health outcomes. In effect, I found little evidence of one of the four guiding principles of health visiting. (CETHV1977). Health visitors I interviewed did not have a good understanding of a public health approach in child health promotion, for

example there was little evidence that health visitors linked vulnerable families into community initiatives such as Sure Start children's centres, Extended Schools breakfast and tea clubs. There was almost a scenario of 'paralysis by analysis' -when need was identified I could find little evidence of linkage to resources. For me this is one main reasons why vulnerable children are not picked up.Unlike Early Year setting health visitors have unique access into homes and are aware of family situations. I hope this brief view of my research is insightful to Maggie, in prepartation for next Wednesday's meeting. I am happy to give a full summary if needed. Kind Regards, Ann.

From: sarahcowley183@...Date: Sat, 18 Jun 2011 20:53:11 +0100Subject: Re: Urgent help and info needed for Ed Select Committee on

Wednesday

Can you give us clue about how it sheds light, please Ann?

On 18 Jun 2011, at 10:15, ann ebeid wrote:

Hi Maggie-re. Question3. my Ph.D thesis "explored the problems of hard to reach families and children in need and how they were supported by their helth visitors" (2008). It is freely available on line from Ethos at the British library and may throw some light to answer part of Q3. Kind regardsDr. Ann Ebeid

Cowley

sarahcowley183@...

http://myprofile.cos.com/S124021COn

[Guest guest]

Maggie! Hearty congratulations! I know how hard this is to do and you did a fantastic job! Well done!

Best wishes,

Re: Urgent help and info needed for Ed Select Committee on Wednesday

What a star! Maggie was fantastic, overall proceeding very interesting and can be watched on:http://www.parliamentlive.tv/Main/Player.aspx?meetingId=8673__________ Information from ESET Smart Security, version of virus signature database 6229 (20110622) __________The message was checked by ESET Smart Security.http://www.eset.com

[Guest guest]

Thank you. It is a nerve wracking experience as you know, It felt like a marathon!!!VBWMaggieSent from my BlackBerry® wireless deviceFrom: " Bidmead" <christine@...>Sender: Date: Wed, 22 Jun 2011 20:23:02 +0100< >Reply Subject: Re: Urgent help and info needed for Ed Select Committee on Wednesday Maggie! Hearty congratulations! I know how hard this is to do and you did a fantastic job! Well done! Best wishes, Re: Urgent help and info needed for Ed Select Committee on Wednesday What a star! Maggie was fantastic, overall proceeding very interesting and can be watched on:http://www.parliamentlive.tv/Main/Player.aspx?meetingId=8673__________ Information from ESET Smart Security, version of virus signature database 6229 (20110622) __________The message was checked by ESET Smart Security.http://www.eset.com

[Guest guest]

Dear Jane,thanks

all this has spurred me on and I have just emailed a provisional paper to Danny for consideration!Ann Ebeid

From: jvappleton@...Date: Wed, 22 Jun 2011 19:46:54 +0100Subject: Re: Urgent help and info needed for Ed Select Committee on Wednesday

Dear Ann,

Thank you for clarifying this point. We'd be very pleased to receive a paper from your research at Community Practitioner.

I hope your decorating has gone well.

Best wishes,

Jane.Sent from my iPod

On 21 Jun 2011, at 12:17, ann ebeid <annebeid@...> wrote:

dear Jane

I referred to your 1996 paper-Working with vulnerable families- which found half of the hvs in the study were not aware of local services (ref below).i am sorry I was unclear about the date of the source in an earlier email because I am on annual leave and in the middle of redecorating!

Drennan and ph's study (2005) found all 13 hv participants working with refugee and asylum seekers "lacked knowledge of local services" (ref below).

The purose of my 2007 Ph.D research was to search for evidence of hvs contributions to better health outcomes for the most at risk groups of children and families.In my study several HVs lacked of knowledge of local services such as Sure Start children's services, Benefits Advisors, Community outreach support services, Languagr Line interpreters and consequently did not of refer families on to these services, which had a negative impact on health and welfare outcomes for the families. As previously stated there were some examples of excellent work done, but this wasn't the norm.

Appleton J 1996 Working with Vulnerable families:a hv perspective.Journal of Advanced Nursing 23 (5) 912-918.

Drennan,V.ph,J.2005.Health Visiting and Refugee families:issues in professional practice Journal of advanced Nursing 49(2)155-163.

Ebeid, A. 2007.Exploring the problems and needs of hard to reach families and children in need and the support they received from their health visitors. Available free, on line at ethos.bl.uk-just key in significant words such as problems, needs,hard to reach.

Best wishes Maggie

Ann.

From: annebeid@...Date: Tue, 21 Jun 2011 09:32:16 +0000Subject: RE: Urgent help and info needed for Ed Select Committee on Wednesday

thanks jane-Ann

From: jvappleton@...Date: Tue, 21 Jun 2011 09:25:08 +0100Subject: Re: Fwd: Urgent help and info needed for Ed Select Committee on Wednesday

Dear Ann,

Sorry I noted that you said something about my PhD study which is incorrect. In fact in my study which examined health visitors judgments in identifying and working with families requiring extra health visiting, ‘knowing the local community’ had an impact on assessment processes. HVs continually described the importance of developing a good knowledge of the local community in order to make accurate assessments and initiate appropriate referrals to other agencies and services. Many clients also regarded referral and as an important aspect of the HV role, with HVs in this study referring clients for a range of services.

Kind regards,

Jane.

From: ann ebeid <annebeid@...>Date: 19 June 2011 21:51:07 GMT+01:00senate hvsn < >Subject: RE: Urgent help and info needed for Ed Select Committee on WednesdayReply-

Hi in my research some health visitors were not aware of the community resources available to promote children's and family health, similiar to Jane Appleton's study (?)and an earlier study in Wales by June e and Magaret Buttegieg, Which translated into a lot of missed opportunities to improve the health, welfare and life chances of children in need and their families. June e's (2000?)study found rhetoric rather than a real public health approach in the hv/sn practices that she observed. In my study health visitors felt they were assessing family health needs and there was good evidence that a few health visitors actually did and made a difference to family health . But equally there was evidence that some health visitors didn't recognise/analyse problems and needs and didn't link the family into appropriate services.Some health visitors lacked a focus on outcomes. My exploratory research indicated that hv education and training needs were needed 'on the job' -that is more reflective learning from practice was needed - experiential learning from experienced health visitors who are able to critically deconstuct situations and needs in terms of embedded theories/policy AND practical support that health visitors can link in, to help vulnerable families. For me that is a huge challenge because it requires a new way of training future health visitors with equal emphasis not only on the biological, psychological and social deteminants of health but also on health visitors practical know how and experiential knowledge. Best wishes, Ann.

From: sarahcowley183@...Date: Sun, 19 Jun 2011 19:29:47 +0100Subject: Re: Urgent help and info needed for Ed Select Committee on Wednesday

That is very interesting Ann, if somewhat depressing. Thank you for sharing it with us. Have you written it up anywhere (sorry!)? Were the health visitors aware that they had not linked them into any community resources that might help, or did they not think about it?

As I understand it, the government want health visitors to do the form of linking that you describe, which they describe as 'extending the health visiting rile.' I had thought it was what health visitors did anyway. but perhaps they don't do it any longer. I wonder how we can regain control of the education, and would that help? Or is it (as you suggest) to do with the whole emphasis on assessing needs, with no follow through?

best wishes

On 19 Jun 2011, at 13:22, ann ebeid wrote:

Hi -briefly.... I had been a hv for over two decades in London and Surrey and was puzzled why some families I visited didn't seem to have benefitted from health visitor services in terms of health outcomes, quality of life and reducing health inequalities. I decided to interview hard to reach mothers and chiildren in need and compare their stories with their health visitor's understanding of the situation.My research was mixed methods; narrative interpretation of case studies. My findings pertinent to Maggie's Q3 below are: I interviewed (through taped conversation, grounded theory analysis) mothers who were identified by their health visitors, in order to understand how they perceived their problems and needs and how they felt they had been supported by their health visitors. I used corresponding documentary evidence where possible. I validated my report with mother to make sure it accurately represented what she meant. I then interviewed their health visitor and validated my report with the health visitor to ascertainthat I accurately represented their view I critically analysed/deconstructed mothers and health visitors narratives in biopschsocial frameworks, also analysing health visitors knowledge in use. My findings were that in general health visitors did not link families into available community resources which would have promoted child health and improved health outcomes. In effect, I found little evidence of one of the four guiding principles of health visiting. (CETHV1977). Health visitors I interviewed did not have a good understanding of a public health approach in child health promotion, for example there was little evidence that health visitors linked vulnerable families into community initiatives such as Sure Start children's centres, Extended Schools breakfast and tea clubs. There was almost a scenario of 'paralysis by analysis' -when need was identified I could find little evidence of linkage to resources. For me this is one main reasons why vulnerable children are not picked up.Unlike Early Year setting health visitors have unique access into homes and are aware of family situations. I hope this brief view of my research is insightful to Maggie, in prepartation for next Wednesday's meeting. I am happy to give a full summary if needed. Kind Regards, Ann.

From: sarahcowley183@...Date: Sat, 18 Jun 2011 20:53:11 +0100Subject: Re: Urgent help and info needed for Ed Select Committee on Wednesday

Can you give us clue about how it sheds light, please Ann?

On 18 Jun 2011, at 10:15, ann ebeid wrote:

Hi Maggie-re. Question3. my Ph.D thesis "explored the problems of hard to reach families and children in need and how they were supported by their helth visitors" (2008). It is freely available on line from Ethos at the British library and may throw some light to answer part of Q3. Kind regardsDr. Ann Ebeid

Cowley

sarahcowley183@...

http://myprofile.cos.com/S124021COn

[Guest guest]

Gosh, that's very dynamic Ann! I would have suggested Community Practitioner as a good way to reach practitioners, unless you want to be more academic, in which case Primary Health Care Research and Development, Health and Social Care in the Community or (if an educational message) Nurse Education Today. Academic publications are very important to those of us who work in the sector, because it affects our research ratings, which in turn affects the amount of money paid to the university, but a peer reviewed publication in a practitioner journal is equally good in other respects (peer review is the important thing). It is actually pretty hard to get research published in the weekly press like Nursing Times or Standard, HSJ etc (except in their peer reviewed sections), because the editors have their own agendas. Also, they tend to keep editorial control, by which they means they could suddenly alter the wording to fit into their space, or even the message they want to convey, without checking back with the original author, which can be a bit hair-raising. Good luck with it, good to hear about your study.On 22 Jun 2011, at 22:33, ann ebeid wrote:Dear Jane,thanksall this has spurred me on and I have just emailed a provisional paper to Danny for consideration!Ann Ebeid From: jvappleton@...Date: Wed, 22 Jun 2011 19:46:54 +0100Subject: Re: Urgent help and info needed for Ed Select Committee on Wednesday Dear Ann,Thank you for clarifying this point. We'd be very pleased to receive a paper from your research at Community Practitioner.I hope your decorating has gone well.Best wishes,Jane.Sent from my iPodOn 21 Jun 2011, at 12:17, ann ebeid <annebeid@...> wrote: dear JaneI referred to your 1996 paper-Working with vulnerable families- which found half of the hvs in the study were not aware of local services (ref below).i am sorry I was unclear about the date of the source in an earlier email because I am on annual leave and in the middle of redecorating! Drennan and ph's study (2005) found all 13 hv participants working with refugee and asylum seekers "lacked knowledge of local services" (ref below).The purose of my 2007 Ph.D research was to search for evidence of hvs contributions to better health outcomes for the most at risk groups of children and families.In my study several HVs lacked of knowledge of local services such as Sure Start children's services, Benefits Advisors, Community outreach support services, Languagr Line interpreters and consequently did not of refer families on to these services, which had a negative impact on health and welfare outcomes for the families. As previously stated there were some examples of excellent work done, but this wasn't the norm. Appleton J 1996 Working with Vulnerable families:a hv perspective.Journal of Advanced Nursing 23 (5) 912-918.Drennan,V.ph,J.2005.Health Visiting and Refugee families:issues in professional practice Journal of advanced Nursing 49(2)155-163.Ebeid, A. 2007.Exploring the problems and needs of hard to reach families and children in need and the support they received from their health visitors. Available free, on line at ethos.bl.uk-just key in significant words such as problems, needs,hard to reach. Best wishes Maggie Ann. From: annebeid@...Date: Tue, 21 Jun 2011 09:32:16 +0000Subject: RE: Urgent help and info needed for Ed Select Committee on Wednesday thanks jane-Ann From: jvappleton@...Date: Tue, 21 Jun 2011 09:25:08 +0100Subject: Re: Fwd: Urgent help and info needed for Ed Select Committee on Wednesday Dear Ann, Sorry I noted that you said something about my PhD study which is incorrect. In fact in my study which examined health visitors judgments in identifying and working with families requiring extra health visiting, ‘knowing the local community’ had an impact on assessment processes. HVs continually described the importance of developing a good knowledge of the local community in order to make accurate assessments and initiate appropriate referrals to other agencies and services. Many clients also regarded referral and as an important aspect of the HV role, with HVs in this study referring clients for a range of services. Kind regards, Jane.From: ann ebeid <annebeid@...>Date: 19 June 2011 21:51:07 GMT+01:00senate hvsn < >Subject: RE: Urgent help and info needed for Ed Select Committee on WednesdayReply- Hi in my research some health visitors were not aware of the community resources available to promote children's and family health, similiar to Jane Appleton's study (?)and an earlier study in Wales by June e and Magaret Buttegieg, Which translated into a lot of missed opportunities to improve the health, welfare and life chances of children in need and their families. June e's (2000?)study found rhetoric rather than a real public health approach in the hv/sn practices that she observed. In my study health visitors felt they were assessing family health needs and there was good evidence that a few health visitors actually did and made a difference to family health . But equally there was evidence that some health visitors didn't recognise/analyse problems and needs and didn't link the family into appropriate services.Some health visitors lacked a focus on outcomes. My exploratory research indicated that hv education and training needs were needed 'on the job' -that is more reflective learning from practice was needed - experiential learning from experienced health visitors who are able to critically deconstuct situations and needs in terms of embedded theories/policy AND practical support that health visitors can link in, to help vulnerable families. For me that is a huge challenge because it requires a new way of training future health visitors with equal emphasis not only on the biological, psychological and social deteminants of health but also on health visitors practical know how and experiential knowledge. Best wishes, Ann. From: sarahcowley183@...Date: Sun, 19 Jun 2011 19:29:47 +0100Subject: Re: Urgent help and info needed for Ed Select Committee on Wednesday That is very interesting Ann, if somewhat depressing. Thank you for sharing it with us. Have you written it up anywhere (sorry!)? Were the health visitors aware that they had not linked them into any community resources that might help, or did they not think about it? As I understand it, the government want health visitors to do the form of linking that you describe, which they describe as 'extending the health visiting rile.' I had thought it was what health visitors did anyway. but perhaps they don't do it any longer. I wonder how we can regain control of the education, and would that help? Or is it (as you suggest) to do with the whole emphasis on assessing needs, with no follow through? best wishesOn 19 Jun 2011, at 13:22, ann ebeid wrote:Hi -briefly.... I had been a hv for over two decades in London and Surrey and was puzzled why some families I visited didn't seem to have benefitted from health visitor services in terms of health outcomes, quality of life and reducing health inequalities. I decided to interview hard to reach mothers and chiildren in need and compare their stories with their health visitor's understanding of the situation.My research was mixed methods; narrative interpretation of case studies. My findings pertinent to Maggie's Q3 below are: I interviewed (through taped conversation, grounded theory analysis) mothers who were identified by their health visitors, in order to understand how they perceived their problems and needs and how they felt they had been supported by their health visitors. I used corresponding documentary evidence where possible. I validated my report with mother to make sure it accurately represented what she meant. I then interviewed their health visitor and validated my report with the health visitor to ascertainthat I accurately represented their view I critically analysed/deconstructed mothers and health visitors narratives in biopschsocial frameworks, also analysing health visitors knowledge in use. My findings were that in general health visitors did not link families into available community resources which would have promoted child health and improved health outcomes. In effect, I found little evidence of one of the four guiding principles of health visiting. (CETHV1977). Health visitors I interviewed did not have a good understanding of a public health approach in child health promotion, for example there was little evidence that health visitors linked vulnerable families into community initiatives such as Sure Start children's centres, Extended Schools breakfast and tea clubs. There was almost a scenario of 'paralysis by analysis' -when need was identified I could find little evidence of linkage to resources. For me this is one main reasons why vulnerable children are not picked up.Unlike Early Year setting health visitors have unique access into homes and are aware of family situations. I hope this brief view of my research is insightful to Maggie, in prepartation for next Wednesday's meeting. I am happy to give a full summary if needed. Kind Regards, Ann. From: sarahcowley183@...Date: Sat, 18 Jun 2011 20:53:11 +0100Subject: Re: Urgent help and info needed for Ed Select Committee on Wednesday Can you give us clue about how it sheds light, please Ann?On 18 Jun 2011, at 10:15, ann ebeid wrote:Hi Maggie-re. Question3. my Ph.D thesis "explored the problems of hard to reach families and children in need and how they were supported by their helth visitors" (2008). It is freely available on line from Ethos at the British library and may throw some light to answer part of Q3. Kind regardsDr. Ann Ebeid Cowleysarahcowley183@...http://myprofile.cos.com/S124021COn Cowleysarahcowley183@...http://myprofile.cos.com/S124021COn