Health visitors revisited

Cambridgeshire Area Health Authority commissioned a team from the University of Aston Management Centre to carry out an operational research project in order to assist in planning the provision of health visitor services in Peterborough health District. Since Peterborough is a Development Area there has been a rapid increase in population which it is planned will continue for some years. This change in size and age-distribution of the population poses considerable problems for planning the provision of health visitor services.Health visitors are trained nurses who have highly independent roles in the National Health Service. They are largely concerned with preventive work, traditionally with children and increasingly with the elderly, in which it is difficult to set quantitative objectives and measure outputs.This paper will describe the research plan and the models developed. Considerable attention will be paid to the relationship of the research team to the client system, consisting of the Area and District managers and the individual health visitors. The implications of this type of study in extending the practice of O.R. will be considered.