New parents across Shropshire missing out on health visits

Nearly half of families across Shropshire, Telford and Wrekin are missing out on health visits as their baby reaches their first birthday.

Data from Public Health England for 2017/18 has revealed that 55 per cent of 12-month reviews are carried out in Shropshire by the time the child turns one.

It is marginally more in Telford and Wrekin at 56.6 per cent, but both areas are below the national average of 75.6 per cent.

Further NSPCC research highlights that antenatal visits in the UK are particularly inconsistent, with an estimated 38 per cent of families not receiving a health visit before the mother gives birth.

The transfer of budgetary responsibility for health visiting services from the NHS to local authority public health in 2015 has coincided with a significant reduction in the public health budget and workforce numbers.

There has been a 26 per cent fall in health visitors employed by the NHS operating nationwide between 2015 and 2019, with almost half of those still in the service working with caseloads of more than 400 children each.

The Institute of Health Visiting recommends a maximum of one health visitor to every 250 children to ensure a safe service is delivered.

In response the NSPCC is launching a national campaign ‘Fight for a Fair Start’, and is calling on the Government to ensure all parents receive a minimum of five face-to-face visits undertaken by a consistent health visitor.

Perinatal mental health problems affect up to one in five mums and up to one in 10 dads, making it vitally important that all local areas can provide families with a consistent, high-quality service that helps to quickly identify any issues.


Mental health problems for parents during pregnancy and the first year of their child’s life can make it difficult for them to look after and bond with their baby, potentially affecting the child’s overall development.

In England all families should receive five home visits from qualified health professionals via the Healthy Child Programme, starting during pregnancy and continuing at regular intervals until their child reaches two-and-a-half.

At present England offers a limited service in comparison to Scotland who offer 11 visits, Wales who offer nine and Northern Ireland who offer seven.

The Health and Social Care committee has recently recommended that as part of a refresh of the Healthy Child Programme, the Government sets out proposals for increasing the number of routine visits.

Once a problem is identified it is vitally important that parents receive the care they need.

The ‘Fight for a Fair Start’ campaign is also calling for appropriate investment from the NHS to ensure all specialist community care teams are supported to deliver the gold standard in care, so families get the support they need no matter where they live.

NSPCC head of policy and public affairs, Almudena Lara, said: “Health visitors are uniquely well-placed to recognise early signs and symptoms of mental health difficulties, but with a decline in staff numbers and rising family caseloads they are working under significant pressure.

“It’s vitally important that all families receive a minimum of five face-to-face visits undertaken by a consistent health visitor to ensure any mental health problems they might be experiencing are picked up on as early as possible so they can be signposted for more specialist support.”

The NSPCC is inviting people to join the campaign by signing the Fight for a Fair Start petition.

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