Writing in Nursery World about working with children under three, Peter Elfer ends with an appeal: 'We now need to turn our attention at a national level to the demands on and the needs of childcarers working with babies and toddlers. The intense emotional demands of their work remains one of the most neglected areas in early years practice.' ('Close encounters', 30 January 2003.) Julia Manning-Morton takes up this need for practitioner support in Part One of Birth to Three (Nursery World, 22 January 2004), describing the work as 'demanding and complex' and stressing that to work successfully with this age group, practitioners need the support of well-trained and understanding managers.
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