The two biggest problems for the former SEN were exploitation - being paid less, expected to take same responsibility - and inability to progress in career. First was mainly because there was too little difference between EN and RN, exacerbated by second. Need to ensure these are solved when designed new Associate role.
Got it in one, anon 11.52. Of course, having enough money is important too - but we know we can influence children's health for the better, given sufficient resources where they are needed. So please, Mr Osbourne and local government commissioners, don't cut back the health visiting services!
Hi Gail. The extra 3985 are whole time equivalent, so really close to target - extraordinary effort by everyone concerned.
Anon 0.09 is right - health visiting is a very hard job and has been very undervalued and undersupported in the past. In most places, the HVIP changed that for the better, but we still need even more health visitors to get good services to children and families.
Arguments lost are not necessarily ones that were not made, anon 9.00am, so we don't know that the decisions were 'unchallenged.' Having said that, you are right that those who will suffer most are the children and vulnerable - and 7% is a huge cut to be made in the local government public health budget, quite unprecedented in terms of anything seen so far in NHS, bad though that is.
Voters were misled - 'high labour spending' largely a myth. Children and families will suffer because of this decision.