I'm a nanny, and I think the thank you email is important for a lot of reasons. Obviously it's polite, and is the type of thing most etiquette books will tell you to do. But it also reinforces your interest in the position. There have been a lot of interviews I've gone on where I realized that for whatever reason the job wasn't right for me. I often don't send a thank you email for those, but a proactive e-mail in cases where I do really want the job can make my interest to MB/DB very clear. It also serves as a reminder for a busy MB/DB. Even if they said they'd follow up with you at the end of the interview, many might forget. An unanswered e-mail in their inbox might serve as a reminder that they need to get back in touch with you.