In Response To: Letter to the Editor regarding 'The Rise and Fall of Clinical Public Health in the United Kingdom'

Perspectives in Public Health, March 2017 | Go to article overview

In Response To: Letter to the Editor regarding 'The Rise and Fall of Clinical Public Health in the United Kingdom'


Dear Editor,

Dr Saad Hashmi has wisely highlighted three issues in preventive child health care: height and weight checks, immunisation and child abuse detection. I welcome his call for discussion among Public Health providers in the United Kingdom and worldwide.

Currently, in the UK National Health Service (NHS), child surveillance clinics are held about once a week in every general practitioner (GP) practice, by a doctor who has special training. A health visitor session is also held at most GP practices about once a week. A practice nurse gives immunisation to children while a doctor is present on the premises, just in case there is a reaction to a vaccine, which could be serious. No health professional can visit a child's house for routine surveillance. Some schools employ a part-time school nurse, in addition to a health care assistant. Child abuse cannot be prevented but can only be detected; sometimes, it may be too late.

Something is better than nothing. …

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