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Further to the death of baby Thomas Egan as a result of being fed food containing cow's milk protein at a day nursery (News, 30 January), I think there needs to be a review of the standard of education of young people training to be nursery nurses. Too often, young people complete a comprehensive 'portfolio of evidence', attend regularly at work placements which, when calculated, can equal a whole 22 days being spent in one area of a working nursery - for example, a baby room - and are then considered competent and qualified to work with babies and young children. What they do not do in the majority of cases is absorb the information they have received and actually put it into practice in the workplace.

Too often, young people complete a comprehensive 'portfolio of evidence', attend regularly at work placements which, when calculated, can equal a whole 22 days being spent in one area of a working nursery - for example, a baby room -and are then considered competent and qualified to work with babies and young children. What they do not do in the majority of cases is absorb the information they have received and actually put it into practice in the workplace.

There is too big a gap in training between comprehension and competence.

Denise Hodgetts. Kidderminster, Worcestershire

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