21/05/2026
Speaking in the final debate of Congress, which called on RCN Council to take urgent action to address the decline in numbers of health visitors and the impact on the babies, children and young families that they serve, Angela Cartwright (RCN Birmingham West and Sandwell branch member and Chair of the RCN Midwifery Forum) said: "Decline in health visiting is not just a workforce issue, it's an acute public health crisis.
"With rising caseloads, especially in areas of high deprivation, health visitors are forced to prioritise child protection rather than their public health role. Our nursing colleagues did not train to be social workers; they want to be health visitors.
"Tragically, we're starting to see an increase in infant mortality. I live in the West Midlands - in my area, out of every 1000 children born, six of them don't live to celebrate their first birthday. That's double the national average, and health visitors could really combat that.
"Without prevention focusing on the sharp end, it just creates an escalating cycle of crisis. Health visitors and other professionals spend time pulling drowning families out of the river, rather than working upstream to prevent them falling in in the first place."