"However, on the (small) amount of money that is aimed at the children of feckless parents where could it be spent better? The children still need it so where else would it be spent?"
You misunderstand.
What I said was But there is a hard-core of irresponsible parents who use up a disproportionate amount of resources that could be better spent elsewhere
The Health Visitors I have known spent 95% of their time servicing 5% of their caseload.
This often involves repeated visits because the client won't answer the door, tells them to f* off, is high/drunk/gone out. They get threatened by a partner/dog, the client themselves. They've had their windows smashed/tyres slashed when making a visit
They have to make special visits for developmental checks, because the client can't/won't attend the clinic. (Hearing tests take 2 people BTW)
There are numerous calls to other agencies, Case Conferences, paperwork etc.
I don't think some people on this thread have a clue in Hell how hard these agencies work to try and help parents.
The whole purpose of a HV is to stop inequalities in Health but they cannot function effectively when people won't co-operate. The money spent on these non-compliant people is not providing a hands-on service, it is being used up on bureaucracy.
This is not the fault of either the government or the HV (or the child) But if a child, whose parents refused HV access has an undiscovered health problem and becomes ill, then all the blame is laid at the door of the HV or the Welfare State
"So we starve children and leave them barefoot because they’ve the bad luck to have shit parents? How is that a remotely progressive society?"
^I have no idea where that ridiculous comment came from.
"You should never dictate welfare policy on the basis of the tiny majority of feckless."
I really don't know what you mean by this but this 'tiny majority' you speak of consume an awful lot of resources.
That's why I said the problem needs to be addressed at the grassroots, via education.