@Plastictrees the point is also that women should be told clearly that the service is optional and that there is no obligation to engage with it and certainly no obligation to sit and wait in a grubby baby clinic for a baby to be weighed, unnecessarily. I did it once, as instructed. I took my four week old baby to a filthy waiting room, alongside sick people, at a huge GP practice where the hvs operated from. Presumably they thought the environment was acceptable.
To this day, I cannot think of a single question, I'd have directed to an HV.
If I had concerns about the health or development of my babies I sought the advice of a suitably qualified doctor and if more was needed they were referred to a suitably qualified and experienced paediatrician: dd's umbilical hernia was reviewed by a paediatrician, ds's intractable wheezing/asthma was referred to a consultant at the Royal Brompton, their rank ears were referred to an ENT consultant.
Mothers at school, meanwhile, were being fobbed off, particularly about ear issues "because glue ear resolves naturally and they catch up and reach average by 7." Stuff that, my DC weren't average!
If the service is under resourced then it needs to better manage its resources. Midwives could easily flag families at risk - they ask multiple social questions. Women not identified at risk could attend prior to birth in a group, be given information about immunisation schedules, general feeding and worrisome flags or even sent an online link. I assume the red book must now be available as an App?