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Declining the health visiting service

106 replies

Sleeplessem · 07/09/2021 20:51

I’m 29 weeks pregnant with my second and I’m thinking about opting out or declining the HV service past the 6 week weight check. I’m happy to have the 1 year and 2 year development reviews, it’s just the weight clinics. Does anyone know if you can actually do this? My reason for not wanting to go, isn’t bashing health visitors as a whole (I know there are good and bad in every profession, although I do think in health care you can’t have ‘bad eggs’) but it is based on the abysmal advice and service I had with my first.
I think of my local area there are just one or 2 HVs that provide advice in line with NHS guidelines, the rest of what we’ve been told is utter nonsense and ultimately caused a lot of stress unnecessarily so I’d rather avoid if possible.

Reasons below:
My actually HV is ok, but incredibly lazy. Refused to help support breastfeeding and said I was only allowed 3 chances to get it right and then I had to move to formula (made no sense at the time either). She’s also given advice that directly contradicts the nhs, ie around water to babies under 6 months and snacks under 12 months.

My daughter was a low birth weight but classed as constitutionally small, birth notes explain this, but at every weight check we we berated about her size, until 6 months she tracked consistently between 2nd and 9th centile and then after 6 months between 9/25th. She’s stayed in this place til 2, it’s clearly where she is meant to be. We’ve been told she’s too small still but they refused to write referrals to a paediatrician for further investigation rather insisted she needed to be force fed. I was told social services would be called if I carried on breast feeding (under a year she was having solids too), that she’s too pale and that’s a sign her diet is lacking, (it’s not her blood work is fine which they had a recent print out for, they are also saying this as she mixed race as she doesn’t have a sickly complexion but she is fair). There are more comments such as these but these are the ones off the top of my head. Basically weight clinics were nightmare, always saw a different HV and this sort of issue was constantly brought up with an undertone of accusations of neglect and each of the issues they raised they refused to refer. We paid private so get her seen by a paediatrician who we now see 6 monthly on the nhs as hes aware of the issues the HVs raised , was disgusted and wanted his notes on her medical records, he also monitors her growth. We paid for a paediatric dietitian who evaluated her eating and said she’s fine and developmentally normal, both of these consultants were aghast at the comments made and how there was no clinical basis. It was attributed to not understanding child growth and poor breastfeeding training. We bought a proper calibrated baby scale during lockdown when weigh in clinics stopped so I will monitor dc2s weight gain. I’ve a great relationship with the infant feeding team and know they’ll support in the case of breastfeeding issues and likewise my daughters paed is fantastic so would pay private to go to him and he’d refer back to nhs.
In summary my reasons for not wanting the HV weight checks is just to avoid the headache. But equally I don’t want them calling social services as that would be a headache too.

Anyone else opted half out like I’m considering? Again I’m happy for the checks up to 6 weeks and then the 1 year and 2 year development check, but in the interim it’s been a complete 0 value add. Tbh even the development checks we do with the paed but I’m happy to do them with the Hv too xxx

OP posts:
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ChequerBoard · 07/09/2021 22:07

[quote RosesAndHellebores]@ChequerBoard but at 10 days, most women are still under the midwives.

My HV couldn't even manage a congratulations at the 10 day apt, for which she turned up 15 minutes late (9am so overrunning wasn't an excuse) and I got the letter at 8.50 that morning.

I think she just got her kicks out of catching decent mothers in their nighties and failing to respect them. Had she put 9.15 on the letter I'd have had time to get washed and dressed.[/quote]

It's not the midwives job to do the new baby review though, it's a key part of the HV service.

I think your expectations are a bit high if you're upset about an HV being 15 mins late!

PeigiSu · 07/09/2021 22:08

As above I’d be inclined to just leave it. Probably more fuss to formally opt out and very limited input at the moment as far as I can see.

Knittingupastorm · 07/09/2021 22:09

It's not the midwives job to do the new baby review though, it's a key part of the HV service.

What’s the new baby review supposed to consist of? Because at my 10 day check the HV barely glanced at DD, she mainly just went through the red book and what info was where, told me where the weight clinics were, and checked we’d be vaccinating.

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Opalfeet · 07/09/2021 22:09

I went to the local children's centre with my first (pre covid) because I wanted my child to interact with other children. Upon arrival I got the third degree Inc them asking what my job was. I felt at the time I was being checked for socio economic class- I mentioned it on Mumsnet and was pretty much called an inverted snob. 🤷‍♀️ Apparently I should expect these kind of conversations if I take my child to a children's centre. Needless to say I didn't go again, also when they realised I fitted into a nice middle class pigeonhole they kind of moved on, like I didn't need any further questions 🤷‍♀️

8dpwoah · 07/09/2021 22:10

@Sleeplessem it definitely sounds like any one of those experiences would be more than enough to put you off! I am quite glad mine was just basically useless tbh and was lucky also that, aside from not having the size conversation, the midwife visits post-birth were far more valuable and got us through those initially FTM worries of the first couple of weeks. I did value the GP check as well.

One thing the HV service did do well, I thought, was that they did a follow-up call when we had to take DD to A&E. It was done in a caring but enquiring way and it reassured me a bit that they weren't just a bunch of flakes with tape measures.

I said on another thread recently if I was a frontline NHS worker I'd be seriously looking at changing to being a HV after all the crap they have had to put up with this while the HV service seems to have gone into permanent hibernation...

Realyorkshiretea · 07/09/2021 22:10

I was threatened with SS too around breastfeeding and putting my own desire to breastfeed above my child’s health, I was holding her back etc so if I didn’t stop or drastically reduce BF , give her more solids (even though she was given as much as she would eat) and her weight moved up the centiles social service would be called as it was neglect

That sounds rather serious to be honest - there must’ve been more to it than a baby tracking a low centile line? What did she weigh at birth OP? How long did it take for her to regain her birth weight?

Opalfeet · 07/09/2021 22:11

@Knittingupastorm same here. Mine went through it like some rehearsed script, saying the same old shit regardless if the fact she could see I had done this not so long ago, as my two year old was sat there. Told me I must place baby in moses basket to sleep and my dog was not allowed to sleep upstairs...bla, bla bla

mobear · 07/09/2021 22:12

My son was born late last year. I had one VC with an HV and then nothing. I've just been asked to make a one year appointment which will also be done by VC. I wasn't even aware there was such a thing as a weight clinic!

BakewellGin1 · 07/09/2021 22:13

We have literally only seen ours at our appointments following birth... Two weigh clinics (my choice to attend just to make sure DS was gaining weight) and then not again until he turned 1 and then again just at 2.5 for his 2 year check...

Always been pleasent, unintrusive, never looked upstairs in my house (we live in a slightly rougher area with high rates of poverty) although I did offer when they did pre birth visit and asked were we sorted and talked through sleep safety etc but she declined the offer.

Referral made to audiology and speech therapy at my request and following discussion.

However this is second DS and although I don't mind the involvement they wouldn't necessarily be first people I called with any concerns.

Starlightstarbright1 · 07/09/2021 22:13

I know a couple who had similar problems to you. They ended up also same as you seeing paediatrician.

Thing is both of them are really short so were never going to have a big baby. She remains smalll but perfect now she is at school.

Stef92 · 07/09/2021 22:14

Clinics aren't on in my area at the moment due to Covid so the HV comes out to your house on an appointment based basis. Just so you are aware.

Sleeplessem · 07/09/2021 22:14

That’s dire @CandyFIosss.

It doesn’t really apply to us either, it’s not a Muslim thing in any way. It’s a cultural thing that some cultures who happen to be Muslim do and it’s typically not Asian culture that does but then there are a lot of Christian cultures that do it too. So it struck me as v odd x

OP posts:
mobear · 07/09/2021 22:14

Adding to that, my son hasn't been weighed since the midwives discharged me and he's never been measured, not even when he was born.

ChequerBoard · 07/09/2021 22:16

@Knittingupastorm

It's not the midwives job to do the new baby review though, it's a key part of the HV service.

What’s the new baby review supposed to consist of? Because at my 10 day check the HV barely glanced at DD, she mainly just went through the red book and what info was where, told me where the weight clinics were, and checked we’d be vaccinating.

The new baby review is the 2nd of the 5 universal mandated contacts with the HV. Universal refers to the standard level of service provided to all. If there are additional concerns there will be an enhanced level of service with additional contacts.

Obviously with Covid, some of these checks have fallen by the wayside, but this is the what they service is supposed to deliver.

https://www.independentnurse.co.uk/professional-article/explaining-the-mandated-health-visiting-checks/151186/

Sunseaandbluesky · 07/09/2021 22:17

I went to the weigh in clinic with my first child but it was up to me to make appointments, no one chased me up. My 2nd child is 6months now and has not been to any weigh in clinics as my HV told me they didn’t do them anymore and would only sign me up to an appointment if I rang them with concerns. They came to me for my first meeting but the 6 week ‘check’ was a phone call where I was told I was better off speaking to my GP if I was concerned with anything. I have not heard from the HV team since and it’s no real loss as both conversations felt more like a tick box exercise.

sarahc336 · 07/09/2021 22:17

In our area due to covid the weigh in clinics have changed to appointment made clinics where really you only go if you have concerns. I've not been once and dd2 is nearly 10 months. I too hated going with dd1 but you may not need to officially opt out as your area may not even be offering the clinics as you remember them with your first, x

Hunkydory99 · 07/09/2021 22:18

I’ve already had a letter containing the red book for my baby and saying basically it’s a call if you need us service apparently due to covid. so if your area is like mine (West Yorkshire) there is no reason to see anyone unless you want to!

Sleeplessem · 07/09/2021 22:26

@Realyorkshiretea

I was threatened with SS too around breastfeeding and putting my own desire to breastfeed above my child’s health, I was holding her back etc so if I didn’t stop or drastically reduce BF , give her more solids (even though she was given as much as she would eat) and her weight moved up the centiles social service would be called as it was neglect

That sounds rather serious to be honest - there must’ve been more to it than a baby tracking a low centile line? What did she weigh at birth OP? How long did it take for her to regain her birth weight?

Honest to god there’s not.

She was a 2.3kg at birth and lost 150g so less than 5% and was over birth weight by 2 weeks, 1oz away at 10 days.

This was also at 7.5 months. We’d introduced solids at 25 weeks, little tastes here and there but nothing consistent and started the one ‘meal’ a day at 26 weeks at bang on 6 months, we did it at her pace but at the next weigh In we were told she needed to be having full bowl meals, she was not eating this amount (6.5 months). She wasn’t feeding herself at that point, so we were spoon feeding and offering finger foods on the side. We were told to force feed and do whatever it takes to get solids in as she wasn’t eating enough. We never force fed but did (and I really really regret this) try way too hard and pressure her to eat more, it led her to get backed up and cry when pooping and I think take less milk and as a result at her next weigh in she hadn’t gained any weight really, and that’s when the threats came.

OP posts:
Morechocmorechoc · 07/09/2021 22:27

Had hv over once for first child. Huge waste of time. Never had them over or went to any checks after that including 10 day with next child. It is certainly not a requirement. Never flagged anything for us.

Sleeplessem · 07/09/2021 22:28

@ChequerBoard what are the other mandatory checks?

OP posts:
ChequerBoard · 07/09/2021 22:31

[quote Sleeplessem]@ChequerBoard what are the other mandatory checks?[/quote]

The 5 mandated checks are:

•	Antenatal health promoting visit
•	New baby review
•	6-8 week assessment
•	1 year assessment
•	2 year review

As I said before, Covid has meant that in many areas some of these checks haven't happened.

Realyorkshiretea · 07/09/2021 22:32

I’m not saying I don’t believe you OP, it just seems odd that so many health professionals in one go seems to be obsessing over a seeming non-issue (the odd one wouldn’t be surprising). The fact your daughter had a little jump after starting solids does sound like she wasn’t quite getting what she needed from bfing, but not super worrying either. Why did you feel bfing wasn’t going well & need advice?

Knittingupastorm · 07/09/2021 22:37

The 5 mandated checks are

But by mandated you mean they have to offer them, not that they are mandatory for parents to attend, right?

RosesAndHellebores · 07/09/2021 22:37

@ChequerBoard why were my expectations too high regarding the HV being 15 minutes late. The apt was at 9am and was not mutually agreed. It was also the first appointment of the day so absolutely no excuse of being delayed earlier. She was late for work and presumably her next appointments were all late too. It's a shocking culture.

I couldn't have got away with being late fir work and certainly never fir a client meeting.

CandyFIosss · 07/09/2021 22:38

I think they go off the way people look, I’m mixed race and dds dad is black but we are both Caribbean so it’s doesn’t happen in our culture, I can’t even remember what she said as it was 4 years ago but she said she would discuss it more at the clinic but I never went, I remember thinking it was odd!

The two year check isn’t mandatory I’ve declined it with all 4, after my awful experience I decided I wouldn’t see them again unless it was the 10 day check just to not raise any concerns, I declined the 2 year check on the phone and they were fine about it