Health visiting - the end of a UK wide service?

Hoskins, R.A.J. (2009) Health visiting - the end of a UK wide service? Health Policy, 93(2-3), pp. 93-101. (doi: 10.1016/j.healthpol.2009.08.001)

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Publisher's URL: http://dx.doi.org/10.1016/j.healthpol.2009.08.001

Abstract

In 1997 Health Visiting was deemed by New Labour to be an important player in reducing health inequalities. It was acknowledged that if Health Visiting was to fulfill this vision it would have to work out with its traditional child health role and also engage with groups, communities and populations to tackle the determinants of ill health. Twelve years on, external factors such as, NHS cut backs, recent changes to how Health Visitors are regulated throughout the UK and devolved Health Visiting policy making structures have led to the rapid demise in status and legitimacy of Health Visiting and its wider public health role. This article argues that the unintended consequences of devolved Health Visiting policy has resulted in 3 recent community nursing and health-visiting reviews in Scotland and England which have made divergent policy recommendations about the role of the Health Visitor in tackling health inequalities. The recommendations outlined in the Scottish review in particular threatened to jeopardise the very future provision of a UK wide Health Visiting service. If Health Visiting is to survive as a UK wide entity, a radical independent rethink as to its future direction and its public health role is urgently required.

Item Type:Articles
Status:Published
Refereed:Yes
Glasgow Author(s) Enlighten ID:Hoskins, Mr Robert
Authors: Hoskins, R.A.J.
Subjects:R Medicine > RA Public aspects of medicine
College/School:College of Medical Veterinary and Life Sciences > School of Medicine, Dentistry & Nursing > Nursing and Health Care
Journal Name:Health Policy
Publisher:Elsevier
ISSN:0168-8510
ISSN (Online):1872-6054
Published Online:28 August 2009
Copyright Holders:Copyright © 2009 Elsevier
First Published:First published in Health Policy 93(2-3):93-101
Publisher Policy:Reproduced in accordance with the copyright policy of the publisher.

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