The East Midlands regional branch of Unite has claimed that "penny pinching" council bosses have removed specialist elements from Level 1 training.
They say this means that the workers are health visitors in name only.
The changes, brought in after the professionals transferred from the NHS to the local authority in October 2017, mean that leadership, planning, evaluating and managing complex safeguarding skills are now only included at Level 2.
Some 57 health visitors are being balloted on strike action over demands for a payrise in line with the county council's grade 10, which the union is calling to be backdated to April last year.
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