▁title ▁of ▁the ▁C TH V ▁was ▁changed ▁to ▁the ▁Council ▁for ▁the ▁Education ▁and ▁Training ▁of ▁Health ▁Vis itors ▁( C ET H V ). ▁ ▁Post - 1 9 9 7 ▁ ▁Under ▁the ▁Bla ir ▁Ministry , ▁rising ▁case - loads ▁were ▁considered ▁to ▁be ▁affect ing ▁the ▁potential ▁quality ▁of ▁inter vent ions ▁in ▁young ▁families . ▁As ▁a ▁result , ▁their ▁work ▁was ▁ref oc used ▁back ▁to ▁young ▁families ; ▁the ▁reduced ▁inter vention ▁in ▁elder ly ▁care ▁has ▁been ▁accompanied ▁by ▁a ▁comm ens ur ate ▁rise ▁in ▁adm issions ▁of ▁elder ly ▁patients ▁to ▁A + E ▁depart ments ▁and ▁care ▁homes . ▁ ▁After ▁Sure ▁Start ▁was ▁introduced , ▁to ▁provide ▁general ▁early ▁years ▁support ▁to ▁families , ▁the ▁ref oc using ▁on ▁young ▁families ▁lead ▁many ▁health ▁visitors ▁to ▁use ▁Sure ▁Start ▁cent res ▁as ▁their ▁base . ▁The ▁Health y ▁Child ▁Program me , ▁published ▁in ▁October ▁ 2 0 0 9 , ▁influ ences ▁the ▁core ▁service ▁available ▁to ▁families , ▁breaking ▁it ▁down ▁into ▁two ▁age ▁groups ▁: ▁first ly ▁the ▁first ▁ 5 ▁years , ▁and ▁second ly ▁ 5 - 1 9 ▁year ▁old s . ▁The ▁latter ▁age ▁group ▁are ▁tradition ally ▁de alt ▁with ▁by ▁school ▁n urs es ▁- ▁a ▁public ▁health ▁nur se ▁embedded ▁within , ▁or ▁frequent ing ▁a ▁school ▁- ▁with ▁health ▁visitors ▁hand ing ▁over ▁responsibility ▁to ▁them , ▁for ▁a ▁child ' s ▁development ▁and ▁w elf are , ▁once