“Every child’s beginning matters” Phyllis Brackenbury – Project LeadJanuary 2010 Family Nurse Partnership Nottingham One Year On

FNP Goals Intensive preventative home visiting programme from pregnancy until child is 2 years old Intensive preventative home visiting programme from pregnancy until child is 2 years old Improve pregnancy outcomes Improve pregnancy outcomes Improve child health and development Improve child health and development Improve parents economic self sufficiency Improve parents economic self sufficiency

Background FNP Nottingham FNP Nottingham One of 10 2 nd wave sites in the national pilot One of 10 2 nd wave sites in the national pilot 50 sites across England 50 sites across England 18 sites involved in the Randomised Control Trial 18 sites involved in the Randomised Control Trial Nottingham Programme Nottingham Programme Established Sept 2008 Established Sept 2008 Team: 1 Nurse Supervisor; 7 Family Nurses; 1 administrator Team: 1 Nurse Supervisor; 7 Family Nurses; 1 administrator Cohort; 175 young women Cohort; 175 young women

Where are we now? 170 clients/135 babies:- 170 clients/135 babies:- 60% clients enrolled by 16 weeks of pregnancy60% clients enrolled by 16 weeks of pregnancy Attrition rate 3.6% (fidelity measure 10%)Attrition rate 3.6% (fidelity measure 10%) Data profile (Nov 2009) Data profile (Nov 2009) 57% initiate breast feeding57% initiate breast feeding 44% of clients smoked on enrolment44% of clients smoked on enrolment 5.9% reduction in smoking by 36 weeks of pregnancy5.9% reduction in smoking by 36 weeks of pregnancy 57% NEET57% NEET 24% have 5 or more GCSE’s A-C grades24% have 5 or more GCSE’s A-C grades 22% have no GCSE’s22% have no GCSE’s

Other Developments Group Based Care Group Based Care Development Project Development Project Client Satisfaction survey Client Satisfaction survey

Results of Client Satisfaction Survey  90% rated the benefit of their nurses visits as excellent  100% rated the relationship with their nurse as excellent  98% indicated the Programme had encouraged them to make positive changes in their lives, e.g. health; relationships; behaviours; prioritising the needs of their baby  with 60% reporting changes demonstrated in their partners or wider family

Other Comments  “The team and programme do not judge you but support you and help you make the right decisions.”  “I have calmed down my behaviour and my diet is a lot healthier.”  “[We are] more confident with our baby.”  “….I have been lucky and I think the programme should be available to all young parents.”  “My partner has changed - he helps me a lot more with my baby and understands me more.”  “…I look forward to my visits, I love it.”

FAQ  Why a Nurse?  Cost of the Programme  Where does the programme fit with mainstream services?

The Future  Annual Review  Small Scale Permanence  “FNP Nottingham”  Joint commissioning?