Ours is really nice, if a bit over-cautious, but I think that is because she just takes her job seriously and doesn't want to neglect any possible problems. I'd rather have it that way, than hear a case like boring outlined above!
When I had DD1, I didn't let in the first HV who came round. Here, the mws come every day with your 1st baby, until the cord stump falls off, and DD1's stayed on for ages - about 12 days. When the HV turned up, we were about to go out (had got ourselves and DD1 ready, about to leave the house), had had 12 days of waiting in for mws, and no contact from the HV at all, so no idea when she would turn up. I told her (politely) that we were going out, and it wasn't convenient to see her at that time. I didn't see her again for about 2 years!
Our current HV came round the next day. She was very supportive about feeding (I expressed for 6 months for DD1) and later she was very conscientious about DD1's asthma, eczema and allergies, including berating a GP over the phone, in my hearing, about not taking her asthma seriously enough, and ordering him to make us another appointment that afternoon!!!
Because DD1 had various health issues, we did see her quite regularly, but with DD2 we didn't see her as much, and have not seen her since the 9 month check. DD2 is now 2.4, and extremely healthy and there wasn't much we needed her to do for us really. We also had very few mw visits (about 3 or 4 postnatal visits) with DD2, as we knew what we were doing, and just didn't need them to come every day.
I'm hoping that the HV can combine DD2's 2 1/2 year check with a postnatal visit when DD3 is born next month!