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Is a HV legally required?

71 replies

MollysDolly · 29/12/2021 16:15

Just that really. Google seems to have conflicting info.

There appear to be 5 visits between birth and 2.5yrs. Do you have to have all of them by law?

If you 100% know if it's yes/no, could you let me know the source for your certainty please, as I've had three friends who are "I think you do....I think you don't" and that's bugger all help Grin

I'm in England, South East.

OP posts:
Are your children’s vaccines up to date?
PutOnAHappyFace · 29/12/2021 19:40

I declined with DC4 (she's 6months now) she texted and I declined, then texted again after 6weeks where I politely declined then turned up at my door where DH told her DD was in hospital which she knew already, she said she would be back at 1year just in case. She's persistent.

bonetiredwithtwins · 29/12/2021 19:42

My lockdown twins are 1 and haven't seen a HV since they came home - I'd bloody love to see one though!

I do think however they saw me as a bit of an oddity in the nicest sense - breastfeeding mum of twins - looking like had everything under control and biggest smile on my face that just so happy to have my babies that they've left me to it 😂

I'm not sure why people like to decline HV visits - but I suppose if you've had a bad experience with one it would put you off - I can imagine though with the recent tragedies all over the media that such refusal would be flagged

CornishGem1975 · 29/12/2021 19:42

You'd really hope they would @Mrsmch123 - but I had it from the horse's mouth. They don't have time to follow everything up so if someone declines, they just move on.

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CornishGem1975 · 29/12/2021 19:44

@RedCandyApple The pre-birth visits have only added to their caseload, so obviously that's a pressure on staffing? I also had a pre birth visit 14 years ago. This isn't a new development.

RedCandyApple · 29/12/2021 19:57

[quote CornishGem1975]@RedCandyApple The pre-birth visits have only added to their caseload, so obviously that's a pressure on staffing? I also had a pre birth visit 14 years ago. This isn't a new development. [/quote]
New in my area as in they didn’t do it with my first but did by my third

RosesAndHellebores · 29/12/2021 20:29

Nope. DS is 27 now. My 23 year old HV turned up when he was 10 days old. I got a letter that morning at 8.50 saying she would be coming at 9am. She actually turned up at 9.20am. So actually I had time to get dressed etc., but I think she got her kicks from seeing a new mummy extra vulnerable with her nightie riding up her legs.

She was unable to define her role or what her purpose was beyond telling me she was responsible for making sure my baby was vaccinated. She turned up again the following week and filled out more forms.

I was instructed to attend a baby clinic for weighing and advice and she couldn't explain why. Neither could she explain why she thought it was essential my baby was vaccinated (I did think it was essential but didn't think I needed to be instructed to do it by a health visitor - especially one who was incapable of answering any questions not set out in the leaflet)!

She was very evangelical about breast feeding with which I had terrific problems and was recovering from the first bout of mastitis the first time she called but she didn't seem to care. At about 3 weeks I called her for breast feeding help and was told to wrap myself in a blanket and sit by the fire to air my nipples (I think she thought I might also skin a rabbit for supper at the same time). When I balked at that she told me to phone the nct as she wasn't an expert but yet expert enough to be evangelical about it.

It was absolutely disgraceful and I made a formal complaint to the Head of health visiting and she agreed I didn't have to see a health visitor. Then she got another one to start phoning me up to pester me.

I complained then to the ceo of the local community Trust and got a full apology for both of their behaviour and confirmation that the HV service is optional.

I never chose to see a health visitor again. If I had concerns, even then there was plenty of literature and if concerns were serious any sensible mother referred to a suitably qualified specialist doctor rather than to an inexperienced or incompetent former nurse.

Afaic the hv service is a job creation scheme for nurses who don't want to nurse. The other one attached to our GP needed a bloody good wash.

The saddest thing is that that particular person is now a lecturer in Public health, training health visitors. She was the laziest, most incompetent creature I have ever come across and it beggars belief, it really does. The fact she thought she knew better than grown women in their 30s with a decade more life experience than her said it all but not quite as much as it said about the people in charge who thought a 23 year old with little or no practical nursing experience, let alone life experience under her belt could do the job. She didn't.

It's interesting that my dd is now 23, a Cambridge graduate and I don't think in a million years she would be so arrogant as to assume she could tell a 35 year old wife, professionally qualified, new mother how to look after their baby. And at the very least if she needed to visit a new mummy she'd have the basic courtesy to make a mutually convenient appointment and to turn up on time. Because, you know, she has a diligent and professional approach.

Thirtytimesround · 29/12/2021 20:33

Wow. No there is no legal requirement to meet a health visitor! I can’t imagine someone would have asked this question pre-pandemic with all the constant law changes. Just wow.

In general the law in England is ‘do what you want’ unless something has been made illegal like eg stealing and assault etc.

Health visitors can (apparently) be a useful resource, but I have never yet met a good one, and have met one that was terrible with major psychological issues. I probably wouldn’t agree to meet one again.

MollysDolly · 29/12/2021 20:55

@bonetiredwithtwins

My lockdown twins are 1 and haven't seen a HV since they came home - I'd bloody love to see one though!

I do think however they saw me as a bit of an oddity in the nicest sense - breastfeeding mum of twins - looking like had everything under control and biggest smile on my face that just so happy to have my babies that they've left me to it 😂

I'm not sure why people like to decline HV visits - but I suppose if you've had a bad experience with one it would put you off - I can imagine though with the recent tragedies all over the media that such refusal would be flagged

Well my lockdown twins are about to turn two, and I've had all three (four?) visits throughout the last couple of years, including turning up in absolute lockdown. They will be due their 2yrs one sometime soon, and I don't like the woman. She's exactly the type to take umbrage and report to social services if I didn't accept her "invitation."

So basically, no, I don't have to see her. But she's reasonably likely to flag this up with SS. Which she will. She sees herself as a one woman self righteous saviour of children, from all of us clueless mother's. She'd be indignant if I had the audacity to decline her.

OP posts:
Kite22 · 29/12/2021 21:09

I’m not talking about Covid, my youngest is 4, I meant HV have always been actively a thing in my area, many people have mentioned the HVs not noticing if you don’t engage or being seriously unstaffed that’s not the case in my area, the fact that they how do pre birth visits suggests that they can’t be the understaffed

Desperately understaffed in my authority. I mean, they were short staffed when I had my dc 25 years ago, but the pressures they are under now is just another disaster waiting to happen. Everyone I have ever worked with has been brilliant, but their caseloads are just shocking. They (quite rightly) have to prioritise child protection cases, and that leaves little time for the hundreds of others on their caseload, let alone trying to cover all the vacant posts.

I've never heard of a pre-birth visit.

RedCandyApple · 29/12/2021 21:13

I've never heard of a pre-birth visit

Neither had I until recent years but apparently it’s been going on for years! Must depend on where you live 🤷‍♀️

Pollingbadly · 29/12/2021 21:20

I opted out because they called at inconvenient times and not when they said they would, threw baby's routine out and overstayed when he was obviously overtired as a result, gave wildly conflicting advice, told me I looked tired when I wasn't, and I just couldn't see the bloody point of them at all.

If my babies are ill I know how to call the doctor. If I have concerns I know what to do.

PumpkinPiesandapples · 29/12/2021 21:22

I have a big family and honestly my hv has been amazing this time with my others I didn’t realise you could even opt out so had the visists which were fine but didn’t help as I knew what I was doing.
Then I had my youngest who is disabled and my hv has been amazing. So much support, so kind, gone above and beyond to help us

Pollingbadly · 29/12/2021 21:26

You can send a very firm but nice letter declining hv involvement signed from both parents. The law is on your side, you have no obligation to see them.

Immaculatemisconception · 29/12/2021 23:25

When a child dies through parental abuse or neglect, everyone starts shouting about where the professionals were and why didn’t they do something.

Perhaps Mumsnetters should think about the horrific cases of child abuse, before happily refusing a HV and advising others about opting out.

RosesAndHellebores · 29/12/2021 23:57

When I refused the hv service it meant they had more time for vulnerable families.

WaterBottle123 · 30/12/2021 00:06

Refused all visits because most HVs lack a basic grasp of science. Yes, you absolutely can do this and no, no one cares.

Eloraa · 30/12/2021 00:07

Perhaps Mumsnetters should think about the horrific cases of child abuse, before happily refusing a HV

But The two most high profile recent cases have involved professionals who saw the children but didn’t act, so it’s hardly the case that simply turning up will prevent anything happening.

I’ve never spoken to the same HV twice, but ever interaction with the them has involved either information that was plain wrong, judgement about perfectly normal things, or aggressively intrusive questioning. Several times they’ve made me feel like utter shit.

I’m now planning no2 and will have nothing more to do with them.

RosesAndHellebores · 30/12/2021 00:44

I hardly think a polite letter from a MNetter, quoting their rights and addressed to the Head of Community Health Services, copied to the CCG Chair and GP will put a vulnerable child at risk.

Xmasiscancelledagain · 30/12/2021 00:47

If your HV is as crap as mine were, you won't see them after your child is 8 weeks old anyway.

Immaculatemisconception · 30/12/2021 05:38

As I said HVs are about as popular as MILs on here. Don’t worry about encouraging parents to refuse professional services Mumsnetters, as of course everyone who reads this will be a naice parent.

pollyparrot45 · 30/12/2021 05:45

No you don't have to see them. I know this as I used to work in child protection.

However our was really helpful with my DS who had some issues and was unwell. The GP was being useless and when I told her she send off a letter and within a week we had been seen by a paediatrician and my DS was admitted to a specialist hospital as all was not well (which we knew) GP seemed to think I was some hysterical new mother but my health visitor really had my back and I'm thankful for that.

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