This means that problems are developing beyond where they would have been nipped in the bud in the previous system. The GPs and midwives do not go to Sure Start centres or similar, but work out of the practice premises. I used to see our health visitor almost every day, often for informal words about patients and concerns.
These chats often informed subsequent consultations on both the GP and health visitor sides.
Sure Start may well be of benefit to parents and children with few health worries, and those with serious problems will always be picked up but my concern is for those who are struggling and do not warrant formal referral, those who the surgery was aware of and used to able to talk about when the health visitor was surgery-based.
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