The iHV annual survey, now in its 11^th year, was completed by 1,392 practitioners between 9 September and 4 November 2024. It gathers valuable intelligence from health visiting practitioners across the UK who see the realities of family life and the challenges currently being faced by so many families with babies and young children. The findings highlight a stark increase in complex needs among families, coupled with a severe shortage of health visitors and significant disparities in service provision.