sorry tiktok - meaningless office jargon
When I hear people speak about the need to train health professionals in bf, I always understand it in the sense that success would be measured as 'hours of training delivered' or 'percentage of health professionals attended a course'.
From what I see, the majority of bf mothers will come across one or more 'tricky issues' over the course of a bf relationship. Bad latch/failure to latch/weight/prem/pain/thrush/drugs/return to work/growth spurts/breast reduction/breast enlargement - would even a well trained generalist be able to effectively deal with all of these scenarios?
At the moment, women coming across these tricky patches, where their normal hv/gp/mw is unable to help, would:
-be savvy and lucky enough to access professional support via one of the organisations or a paid for lactation consultabt or
-possibly 'go it alone' with family/friend support/MN/reading/sheer stubborness - a tall order.
I read your comment timed 23.36 last night as saying that voluntary bf organisations are already overstreched (and hence the solution must involve nhs salaried staff).
My point is that it is essential to have A.N. Other who:
a) not only understands 'supply and demand' 'breast is best' and the rest, but can also offer 'technical' specialised support when the (inevitable) sticky patches occur. Say, one per hospital, available to be seen via referral from local hvs/mws/gps.
b)A key person for groups/campaigns/training colleagues/keeping abreast of latest research etc
c) a champion who speaks up if mothers are being given bad advice, bf unfriendly practices occur or other 'things not working'.
In my terminology A.N. Other = Superuser . A snazzy title for a hard job that needs lots of training lots of status and the ear of someone high up the hierachy.
Currently I think the closest people to this are thiose that volunteer through the voluntary orgs. I take your point that volunteer-power is not a limitless resource; that we need to ficus the sol;ution back on the nhs. So, accepting this, back to my point, NHS needs to invest in bf champions as well as the broader dissemination of bf knowledge.
The model could be a rather good one if there was the funding and - more importantly - the political will behind it.
In my personal experience, when I've hads problems, there have been occasional hv 'bf groups'. However, nothing on a par with with the expertise available thriugh the voluntary orgs. If they can't cope with demand if more women were to attempt bf, then that implies that any solution to getting more people to bf has to include professionalising nhs bf support.
I've chatted to my gp both times I had bf probs - their eyes glaze. I didn't go so far as bringing in a bfc to argue my corner, but imagine it would have had about the same effect as introducing your aromatherapist to your obstetrician. It is unsatisfactory that gps don't have their own channels for getting information that they know is reliable.
And, in answer to the OP, having bf as a respected clinical specialism (and why not? Why not make it a route that doctors can choose?) would do a lot to improve the image of bf.
Ahem. Quite Long Answer. Ooops!