Objective-To compare the eVectiveness of routine neonatal examination performed by senior house oYcers (SHOs) and advanced neonatal nurse practitioners (ANNPs). Design-A prospective study of all infants referred to specialist orthopaedic, ophthalmology, and cardiology clinics. A standardised proforma was used to record details of the professional performing the neonatal check, any abnormalities discovered, source of ultimate referral to the specialist clinic, and specialist findings. Results-527 eligible infants were recruited. For hip abnormalities, ANNPs displayed greater sensitivity than SHOs (96% v 74%; p < 0.05). Similarly for eye abnormalities, ANNPs were more sensitive (100% v 33%; p < 0.05). There were no significant diVerences between ANNPs and SHOs in terms of positive predictive values or eVectiveness of detecting cardiac abnormalities. There was no diVerence in underlying incidence of abnormalities between the two hospitals. Conclusion-ANNPs are significantly more eVective in detecting abnormalities during the neonatal check. This has implications both for future workforce planning and current methods of medical training. (Arch Dis Child Fetal Neonatal Ed 2001;85:F100-F104)

Children subject to child protection plans had significantly higher levels of dental caries in the primary dentition.

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