21st February 2013 10:38Lady Macbeth my day to day role would tend to involve carrying out new birth visits to all new mums, if they're b'feeding they tend to need more support and I offer to go back to them the following week if they wish and leave my mobile number to contact me if she needs to before the next visit. I offer to come back to bottle fed babies too but often the mums are coping well and don't need that extra visit. I arrange to go back to all new mothers at 6 weeks and assess for signs of PND using the Edinburgh PND tool (can be used by mums too, available online) if there are no problems then they see me in clinic at least once a month. If they have signs on PND then I offer listening counselling visits weekly until no longer required. We are not mind reader and if a mum doesn't report low moods then they miss out on this service I'm afraid. If they disclose domestic violence I'm trained to help them and ensure their safety. If I find developmental problems or delays I can refer to specialist services incl physio or dietician ect and often faster than their Gp, I'm trained to spot these delays promptly and refer appropriately. I do a one and two year check up also and again looks for developmental delays. I also look at child safety and if there are significant concerns we then report to social care. We then visit more frequently and have joint meeting with other people involved in their care for example schools, mental health teams ect. I deal with a lot of children that are looked after by the state and do health assessments on them. I work with parents who have learning disabilities and support them intensively to parent to the best of their ability as quite often their children suffer developmental delays without this support. We are not social workers and looking for problems we support and thankfully most of my reports are about observing a loving maternal or indeed paternal attachments. If you are not happy with your PHN you are in your rights to request another. This is a brief synopsis of my role and not exhaustive but I hope it helps.