Academic journal article Perspectives in Public Health

The Rise and Fall of Clinical Public Health in the United Kingdom

Academic journal article Perspectives in Public Health

The Rise and Fall of Clinical Public Health in the United Kingdom

Article excerpt

Historically, clinical public health was called Community Paediatrics and School Health Service and was run by medical officers, health visitors, school nurses and administration staff based in local health clinics. The service was terminated gradually between 1997 and 2000 due to national economic considerations. The main functions of this service for children included intensive child surveillance, immunisation, provision and regular supervision of nurseries as well as care homes, educational difficulties management and finally, to give a fitness-for-appropriate-work certificate to every child when he or she left school. After birth, every child was visited at home by a midwife until they were 15 days old and then visited at home as well as brought to attend child health clinics by a health visitor until they were four years old. Their visits were compulsory, and they supported parent and child. A child aged 4-5 years was supervised in nursery by a visiting medical officer. A child aged between five and 16 or 18 years was supervised by a full-time school nurse who had good liaison and communication with their teachers.

Every child was examined for developmental and health assessment/checks by an independent community medical officer who was not their family doctor in a local child health clinic at regular intervals up to the age of four years and in school at age five, 10 and 15 years. …

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