Extending the Scope of Health Visiting and School Nursing Practice Within a 0–19 Service

Abstract

In 2018, an employing organisation in the north of England introduced an initiative for health visitors and school nurses (SCPHN) to work in the other field of practice. The aim of this study was to explore SCPHN professionals’ and managers’ views about the introduction, benefits and challenges of extended SCPHN practice. Semi-structured interviews were undertaken with health visitors, school nurses, practice teachers, mentors and managers undertaking or supporting this initiative (n=18) and one focus group with eight SCPHNs working in the 0–19 service. These were audio-recorded, transcribed and thematically analysed. Workplace learning was challenging. Support from colleagues, mentors and practice teachers was crucial. Additional skills and knowledge were valued. SCPHNs gained confidence in working with children and families across the 0–19 age range. Additional skills enabled SCPHNs to deliver a more streamlined service to families with children aged 0–19 but concerns about workforce capacity and changing professional roles remain.