Health visitor crisis is ‘a national scandal’
- prime minister’s nursing commission told

19th August 2009

The dramatic fall in the number of health visitors since 2004 is ‘a national scandal’, Unite, the largest union in the country, has said.

Unite, in its response to prime minister’s Commission on the Future of Nursing and Midwifery, has called for ‘a new fast track into health visiting’ to reverse the profession’s decline.

Unite is equally critical of the state of school nursing which has fewer than 900 whole-time equivalent (WTE) qualified school nurses employed by the NHS, and as a result many schools ‘rarely’ see a school nurse. One way to overcome this would be to encourage more men to become school nurses, with the job role more clearly defined.

Unite said the fall in new health visitor registrants from 717 in 2004 to 253 in 2008 should be seen as a national scandal.

Unite added that there been a nearly 13 per cent drop in WTE health visitors since 1998, but the number of live births has increased by 8.5 percent and the population of the UK by 4.6 per cent during the same period.

Allowing this to happen has been a social experiment that will have affected a whole generation of children’s lives.  Furthermore it will cost the total economy, from health expenditure, criminal justice and unemployment, billions of pounds in the future.

It is essential that the commission supports a new fast track route into health visiting which reduces the requirement to spend three years training as a nurse, when the ambition is to be a health visitor. This would appeal to mature entrants, and to those with degrees in subjects, such as psychology and life sciences. 

Unite urged the commission to recommend that ‘health visiting’ is once again legally defined in statute, as it was between 1909 and 2004. This would stop less qualified health professionals doing the ‘health visitor’ job and strengthen the public’s confidence in the profession.

The fact that Unite, the third largest NHS union, which embraces the Community Practitioner’ and Health Visitors’ Association, was not represented on the commission was described as ‘unfortunate’.

Unite lead professional officer for policy and external affairs, Obi Amadi, said: "The picture is bleak. However, we have put forward a number of positive recommendations that would revitalise the health visiting and school nurse professions, at a time when the public is rightly concerned about child protection issues in the aftermath of the tragic case of  Baby P."

ENDS

NOTES TO NEWS EDITORS:

For a copy of the full consultation, please contact: Shaun Noble, communications officer (health sector), 020 7420 8951 or 07768 693 940

For further information, please ring: Obi Amadi, lead professional officer, policy & external affairs 07780 955 936


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