Evidence map›Paper›PMID 35193912›Full record

ReviewBMJ open2022

Variation in health visiting contacts for children in England: cross-sectional analysis of the 2-2½ year review using administrative data (Community Services Dataset, CSDS).

Caroline Fraser, Katie Harron, Jane Barlow, Samantha Bennett, Geoffrey Woods, Jenny Shand, Sally Kendall, Jenny Woodman

Open access · goldAbstract readReview
In one paragraph

Review in BMJ open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
5.0field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 19 citations in OpenAlex.

  1. Article
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  8. Early child development in England: cross-sectional analysis of ASQInternational journal of population data science · 2024
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 7 institutions in 1 country.

Caroline FraserPopulation, Policy and Practice, UCL Great Ormond Street Institute of Child Health, London, UK, London, UK.
Katie HarronPopulation, Policy and Practice, UCL Great Ormond Street Institute of Child Health, London, UK, London, UK.
Jane BarlowDepartment of Social Policy and Intervention, University of Oxford, Oxford, UK.
Samantha BennettPublic Health Division, Operations Directorate, Kent Community Health NHS Foundation Trust, Ashford, UK.
Geoffrey WoodsEarly Help Data & Information Team, East Sussex County Council, Lewes, UK.
Jenny ShandUCL Partners, London, UK.
Sally KendallUniversity of Kent, Canterbury, UK.ORCID 0000-0002-2507-0350
Jenny WoodmanThomas Coram Research Unit, UCL Social Research Institute, London, UK j.woodman@ucl.ac.uk.ORCID 0000-0002-9403-4177
Great Ormond Street Hospital · GBCoram · GBEast Sussex County Council · GBKent Community Health NHS Foundation Trust · GBKings Health Partners · GBOxford Policy Management · GBUniversity of Kent · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe 2-2½ year universal health visiting review in England is a key time point for assessing child development and promoting school readiness. We aimed to ascertain which children were least likely to receive their 2-2½ year review and whether there were additional non-mandated contacts for children who missed this review. DESIGN, SETTING,

participantsCross-sectional analysis of the 2-2½ year review and additional health visiting contacts for 181 130 children aged 2 in England 2018/2019, stratified by ethnicity, deprivation, safeguarding vulnerability indicator and Looked After Child status. ANALYSIS: We used data from 33 local authorities submitting highly complete data on health visiting contacts to the Community Services Dataset. We calculated the percentage of children with a recorded 2-2½ year review and/or any additional health visiting contacts and average number of contacts, by child characteristic.

resultsThe most deprived children were slightly less likely to receive a 2-2½ year review than the least deprived children (72% vs 78%) and Looked After Children much less likely, compared with other children (44% vs 69%). When all additional contacts were included, the pattern was reversed (deprivation) or disappeared (Looked After children). A substantial proportion of all children (24%), children with a 'safeguarding vulnerability' (22%) and Looked After children (29%) did not have a record of either a 2-2½ year review or any other face-to-face contact in the year.

conclusionsA substantial minority of children aged 2 with known vulnerabilities did not see the health visiting team at all in the year. Some higher need children (eg, deprived and Looked After) appeared to be seeing the health visiting team but not receiving their mandated health review. Further work is needed to establish the reasons for this, and potential solutions. There is an urgent need to improve the quality of national health visiting data.

Indexed as

EthnicityMinority GroupsChildCross-Sectional StudiesEnglandHumansSocial Welfarechild protectioncommunity child healthorganisation of health servicespublic health

Identifiers

PMID35193912
PMCPMC8867374
OpenAlexW4212972522

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.