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London boroughs have most stretched health visitors

London boroughs have some of the worst ratios of health visitors to children in the country.

Lambeth, Barnet, Haringey and Barking and Dagenham PCTs have between 760 and 894 under-fives to health visitors. County Durham had the best ratio, with 165 children per health visitor.

Union CPHVA/Unite which represents health visitors recommends that health visitors should have a case load of no more than 250 children. Only 16 of 138 PCTs met this target.

Mary McLeod, chief executive of the Family and Parenting Institute, which obtained the figures, said: "This postcode lottery is unacceptable. We need a universal health visitor service."

The institute also compared PCTs' budgets for health visiting, and found the amount spent per child under five  varied from more than £386 (Wirral PCT) to just over £60 five (South West Essex Teaching PCT).

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