The next step

This is cam walking around in mummy's ugg boot before he was packed of the nursery this morning. It was a nice way to start the day but unfortunately the same can't be said about the end.
Mummy thought we had really turned a corner with nursery as he now eats and sleeps there but when she went to pick him up cam had received his first incidence form. He had badly scratched another child in the face :-(
Mummy felt awful and it seems to be becoming his new way to lash out. He did it a couple of weeks ago to his friend Ben and daddy said he was doing it to him at the weekend too. Just when the temper tantrums were calming down and the hitting had finally seemed like it was tailing off. Mummy doesn't know what to do and is at her whits end with it all and has tried all the suggestions in books and the health visitors don't seem to care. Need to think long and hard where we go from here...