Hertfordshire FNP Team

12
Hertfordshire FNP Team The FNP is a preventive programme for young first time mothers. It offers intensive and structured home visiting, delivered by specially trained Family Nurses from early pregnancy until the child is two

description

Hertfordshire FNP Team. The FNP is a preventive programme for young first time mothers. It offers intensive and structured home visiting, delivered by specially trained Family Nurses from early pregnancy until the child is two. How is the FNP Different?. Research based programme- RCT - PowerPoint PPT Presentation

Transcript of Hertfordshire FNP Team

Page 1: Hertfordshire FNP Team

Hertfordshire FNP Team

The FNP is a preventive programme for young first time mothers.

It offers intensive and structured home visiting, delivered by specially trained Family Nurses from early pregnancy until the child is two

Page 2: Hertfordshire FNP Team

How is the FNP Different? Research based programme- RCT

Focuses on strengths and goals, not problems

Starts in early pregnancy until 2 years of age

Structured programme

Universal service (with criteria) rather than referral based

Page 3: Hertfordshire FNP Team

How is the FNP Different? Regular supervision for the family nurses

Psychology Sessions

Therapeutic relationship

Motivational interviewing techniques used to facilitate behaviour change

Training programme

Page 4: Hertfordshire FNP Team

Scaffolding

Family nurse as a temporary scaffold to help clients become organised and self-regulated

Programme enables clients to learn, identify their goals and develop plans for reaching them

Clients in turn will become supporting frameworks for their children

Page 5: Hertfordshire FNP Team

Improved outcomes-short term Reduced smoking and drug use during pregnancy

Fewer subsequent pregnancies and greater intervals between births

improved parenting practices and behaviour

increased maternal employment and reduced welfare use

Increased breast-feeding initiation

Page 6: Hertfordshire FNP Team

Programme outcomes – long term Improved early language development, school

readiness and academic achievement

Reduced child abuse and neglect, fewer childhood injuries

Improved behavioural and emotional development

Fewer arrests and convictions by age 15 and 19

Page 7: Hertfordshire FNP Team

Our Results So Far The project is well accepted by teenage parents with very few

clients ‘dropping out’

An increase in the number of young mothers and fathers who stop smoking in pregnancy

An increase in self-esteem of young parents in the programme

A greater involvement from young fathers and other family members in the programme

A willingness to develop a long term therapeutic relationship with their Family Nurse

A willingness to learn about and try breast feeding

A willingness to learn about the development of babies and health related issues.

Page 8: Hertfordshire FNP Team

Fidelity Measure Wave measure (% achieved)

FNP Hertfordshire % achieved

Comments

At least 60% enrolled before 16 weeks gestation

61% 73.3% GREEN

75% of eligible clients who are offered the programme are enrolled

Figures not available 79 % GREEN

8/9 clients are recruited each month to reach target of 100 over a year

130 on average 108 Clients Recruited

3 Moved Out of Area3 Transferred to another FNP site6 Inactive1 Stillbirth1 Miscarriage

Letchworth 10Stevenage 51Hatfield 11 WGC 20Baldock 2

GREEN

% of clients receiving expected 80% visits in pregnancy

%of clients receiving expected 65% visits in infancy

65%

66%

74%

85%

GREENNational average 52%

National average 54%

February 2013

Page 9: Hertfordshire FNP Team

What difference does FNP make with 100 families?

For a cost of £3000/yr/family the outcomes attributable to the FNP could bring us the following cost benefits:

Year One: If we prevent 1 day in hospital for 10 pregnant women we save £10,000 If we prevent one overnight stay in SCBU for 10 babies we save £4,500 If we prevent a 10 day stay in intensive neonatal care for just one baby we save £10,000

Year One and Two If we prevent 5 emergency hospital admissions we save £3,750 If we prevent 20 A&E attendances we save £2,000 If we prevent 5 children going into foster care it will save £135,000 a year If we prevent the need for 10 core assessments by children's social care we save £6,500

Thereafter If we prevent 10 cases of serious conduct disorder we can save society £2.25m over their lifetime

and £1.5m if we prevent 20 cases of moderate conduct disorder If we improve the outcomes of 50 children with multiple disadvantages we could help save local

services over £5m by the time these children are 16 If we help 10 young women with no qualifications return to education and so gain employment we

can save the state £70,000 in benefits alone If we contribute to improved literacy and numeracy in 80 children we could help save society up to

£5m over a lifetime

8

Page 10: Hertfordshire FNP Team

How Families Have Responded

a“I want the best forme, my partner and

the baby” “My Family

Nurse will help me to

achieve this”

“My Family Nursedoesn’t tell me off”

“I feel happier,better about myself,

not depressedgrowing up”

“I feel part of thepregnancy, my

familynurse involves meand values me as

a DAD”

Page 11: Hertfordshire FNP Team

Next Steps Positive end of first year Annual Review by

the National Unit.

Expansion of FNP in Hertfordshire

Continue to use Information Data system and S1 to measure programme outcomes

Page 12: Hertfordshire FNP Team

EVERYBODY NEEDS A FAMILY NURSE