Barriers to health visitors identifying child neglect

Child neglect poses a significant issue in the UK with enduring repercussions for the health and wellbeing of children. Health visitors are responsible for safeguarding and promoting child welfare and play a pivotal role in identifying and addressing neglect, but a multitude of barriers can hinder this. This article explores the complex landscape of health visitors identifying child neglect, outlining the significance of early intervention, with a particular focus on health visiting in Scotland. Challenges faced by health visitors are examined, including organisational barriers, family/carer disguised compliance, and varying professional thresholds for when to intervene. The importance of leadership support, enhanced training and clear thresholds in safeguarding work are highlighted. The concept of ‘respectful uncertainty’ is advocated as an approach for health visitors to navigate the challenges they encounter when protecting and promoting the wellbeing and safety of children in the UK.