Natalie Douglas, assistant director of children and family services at Hounslow PCT, told CYP Now that 'skill mix' - where the abilities of various roles are pulled together and new roles created - has helped her trust deliver services and meet targets, despite a shortage of health visitors and no school nurses.
The PCT has been forced to review its service provision in light of a recruitment crisis and set up eight birth to 16 child and family integrated teams and one Sure Start team. Health visitors work alongside nursery nurses, community public health nurses and admin support workers in the teams, which are linked to a cluster of extended schools, children's centres and GP practices.
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