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This study examines the location of British health visiting in contemporary policy discourses concerned with public health and safeguarding children. It argues that professional identity and orientation can be understood through health visiting's long history of public health work with children and families, which has included an engagement with protecting children. The expansive safeguarding children agenda, which includes the requirement to undertake a progressive universal approach to service provision and which incorporates a broad concept of risk and requires early intervention, has created tensions, particularly given current workforce constraints. The location and visibility of British health visiting in the academic and practice worlds also shape how the profession is understood.

Aims and objectives To critically examine surveillance practices of health visitors ( HV) in the UK and public health nurses ( PHNs) in Canada. Background The practice and meaning of surveillance shifts and changes depending on the context and intent of relationships between mothers and HVs or PHNs. Design We present the context and practice of HVs in the UK and PHNs in Canada and provide a comprehensive literature review regarding surveillance of mothers within public health systems. We then present our critique of the meaning and practice of surveillance across different settings. Methods Concepts from Foucault and discourse analysis are used to critically examine and discuss the meaning of surveillance. Results Surveillance is a complex concept that shifts meaning and is socially and institutionally constructed through relations of power. Conclusions Healthcare providers need to understand the different meanings and practices associated with surveillance to effectively inform practice. Relevance to clinical practice Healthcare providers should be aware of how their positions of expert and privilege within healthcare systems affect relationships with mothers. A more comprehensive understanding of personal, social and institutional aspects of surveillance will provide opportunities to reflect upon and change practices that are supportive of mothers and their families. [ABSTRACT FROM AUTHOR]

In the UK, domestic abuse has shifted from the margins to the mainstream, and is now firmly established as an important public policy issue. This paper is concerned with how domestic abuse is constructed in public policy, particularly in the realms of safeguarding children and public health. These issues are examined through a Foucaldian theoretical lens which draws attention to the discursive constructions of social problems and how they are managed under conditions of governmentality, and presents a line of analysis rarely applied to domestic abuse. The paper illustrates how health and social care professionals come to know about domestic abuse affecting women and children through techniques of surveillance; this includes routine inquiry in health care, police notifications to children's social care and risk assessment used by MARACs (Multi Agency Risk Assessment Conferences). The emphasis upon identification has increased awareness of the problem, but questions remain on whether the safety and support of women and children affected by domestic abuse has improved. Moreover, these developments have taken place amidst resource constraints which create a challenging context for delivering effective services for women and children. [ABSTRACT FROM PUBLISHER]

In cognitive ergonomics, laboratory experimentation using computer-based simulations (microworlds) has played a significant role in understanding human decision making and reasoning. In this paper, we describe the design and deployment of a social work microworld (BRIGIT), which simulates the electronic recording systems now widely implemented in UK children's services. BRIGIT provides a fabricated but realistic social work environment, enabling the fine structure of professional information processing to be studied in response to experimental manipulations, such as time pressure, etc. A preliminary experiment is described here, which shows BRIGIT to provide a convincing psychological experience and a useful research tool. As well as demonstrating its face and external validity, the results highlight BRIGIT's utility as a way of probing ‘practice culture’ and for examining different patterns of professional sense making. We conclude that the microworld paradigm provides a valuable and innovative approach for researching social work practice. A range of possible applications are discussed, not only in fundamental research, but as a practical tool for use in the workplace, such as for supporting staff selection. There is also obvious potential for ‘design research’ aimed directly at improving the usability and effectiveness of electronic systems, which is important given the widely reported problems of current ICT systems in social work. [ABSTRACT FROM PUBLISHER]

In this article, we lament the effects of practice-distant research and associated policy initiatives on contemporary children's services in England. In the last decade, as a result of high profile inquiries into non-accidental child deaths, statutory children's social care services in the UK have been subject to a wide-reaching 'modernization' programme. We studied decision-making in the high blame environment of local authority children's services. Our research sought to examine the relationship between performance management and the impact of anticipated blame within the decision-making practices of those providing, supervising and managing these services. We show that systems and technologies can be developed which both assist the users in their daily work and achieve desired organizational goals, but without an ethnographically informed, practice-near approach, unsafe work regimes and practices can ensue. [ABSTRACT FROM AUTHOR]

The Common Assessment Framework (CAF) is an electronic system for assessing children and sharing information between child welfare professionals, which is at various stages of pilot and implementation in England and Wales. Research by the authors in England (Peckover et al., 2008a, 2008b; White et al., 2008) and in Wales (Pithouse et al., 2004; Pithouse, 2006) informs this paper in order to compare CAF as implicating a number of policy 'goods', with CAF as a set of worker and organizational accomplishments. Our interest here is that in the course of implementation, policy aims have become submerged in day-to-day practice and that, analytically, there are differences between the 'CAF of policy' and the 'CAF of practice'; in brief, there are, conceptually, two CAFs, the formal construct of policy and the applied CAF as constructed by multiple organizations across Wales and England, wherein there is no singular model. Indeed, we demonstrate that there are all manner of common assessment designs operating in the world of practice. Rather than rehearsing our research findings (the above sources offer an abundance), we use this opportunity to develop and synthesize our arguments about key assumptions and conceptual properties that underpin the CAF of policy and practice and which may have wider provenance in respect of information and communication technologies (ICTs) in child welfare. [ABSTRACT FROM AUTHOR]

'Every Child Matters' (ECM) is a government response to longstanding concerns about child welfare and protection. A key feature is the use of information and communication technologies (ICTs) to improve information sharing and inter-professional communication. One of the proposals requires the establishment of an index, ContactPoint, which is a database containing information on all children in their area, to be used by child welfare professionals to indicate their involvement with a child and, where there is 'cause for concern', to facilitate joint action. Whilst these proposals for harnessing ICTs within child welfare are a central part of the government's modernization strategy, plans for the Index have been heavily criticized for its panoptic potential to invade privacy and override professional discretion and judgement. This paper reports findings from an ethnographic study funded by the ESRC e-Society Programme. Drawing on data collected in one 'Trailblazer' local authority area during the pilot phase, it describes the introduction of a local child index and the ways in which professionals and the technologies are drawn together within the local child welfare network. For the Index to achieve its original purpose of improving information sharing and inter-professional communication it must be 'used' by child welfare practitioners. But establishing the Index as a friend to the child welfare professional is not a straightforward process. The research suggests this is dependent on a set of relations that are being constantly negotiated and accomplished in everyday practice. It is clear the deployment of ICTs in professional practice is highly contingent upon local policy implementation, the local arrangement of services and the everyday practices of busy and sceptical practitioners. [ABSTRACT FROM AUTHOR]

peckover s. (2003) Journal of Advanced Nursing 44(2), 200–208 Health visitors’ understandings of domestic violence Feminist work has made visible the extent and nature of domestic violence and the problems women face in having their experiences recognized by health and welfare professionals. Research has demonstrated that many health care professionals, including nurses, midwives and health visitors have little working knowledge about this issue. This impacts on their ability to recognize and respond to domestic violence within their practice. This paper is based upon a study of British health visitors, which explored their practice in relation to domestic violence. Drawing upon empirical data from interviews with health visitors, it explores their understandings of the extent and nature of domestic violence in the context of their work. Semi-structured interviews were undertaken with 24 health visitors selected by convenience and purposive sampling. Data collection took place during 1997–1998. The research draws on the theoretical perspectives of feminist poststructuralism. The findings demonstrate considerable differences between health visitors in their understandings of the extent of domestic violence in their caseloads and their recognition of different types of abuse experienced by women. There were also differences between participants in their willingness to name situations other than physical violence as abusive, as well as the extent to which they recognized domestic violence within different social groups. A feminist perspective provides critical insight into the professional knowledge base in relation to domestic violence, demonstrating the need for health visitors to develop their understandings further in order to respond appropriately to women and children experiencing domestic violence. This is discussed in the context of ongoing struggles for professional identity within an ever-changing arena of health and welfare provision. [ABSTRACT FROM AUTHOR]

Abstract Domestic violence is a serious issue that adversely affects large numbers of women and children. Despite having an adverse impact upon health and welfare, women experiencing domestic violence face a number of difficulties seeking help about their situation from statutory health and welfare agencies. The present paper is based upon a study of British health visiting in relation to women experiencing domestic violence. Drawing upon interview data from 16 women who experienced domestic violence and were the mothers of small children, this paper explores their accounts of contact with the health visiting service. All of the 16 women who participated in this research described difficulties in seeking help about domestic violence. These included practical concerns such as fears for their own safety, lack of knowledge regarding appropriate sources of support and protection, and concerns about losing custody of their children. Given these concerns, some women concealed their experiences of domestic violence from their health visitors. For those who disclosed the domestic violence to their health visitors, they did not always receive appropriate support or protection. Of particular concern was the absence of information about accessing more specialist services. The research findings suggest that there is considerable scope for practice development in order to ensure that women experiencing domestic violence are able to receive safe and appropriate responses from health visitors. [ABSTRACT FROM AUTHOR]

In this paper Lorraine Ellis and Sue Peckover discuss the implications of the current NHS Research Governance Framework for the supervision of Masters level students undertaking empirical research as part of their programme of study. The paper highlights some of the inherent tensions resulting from the introduction of research governance, and offers some solutions.