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Gail Trotter National Implementation Lead (FNP). Family Nurse Partnership programme (FNP). FNP Goals. Improve pregnancy outcomes Improve child health and development and future school readiness and achievement Improve parents’ economic self-sufficiency. - PowerPoint PPT Presentation
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Gail Trotter
National Implementation Lead (FNP)
Family Nurse Partnership programme
(FNP)
FNP Goals
1. Improve pregnancy outcomes
2. Improve child health and development and future school readiness and achievement
3. Improve parents’ economic self-sufficiency
Criterion for FNP… who is entitled to FNP?
First time pregnant teenagers aged 19 and under at LMP
• Residing in the area for 2 years
• Not planning to relinquish the baby
• “Opt in” programme
Scotland's teenage parents
• Under 20’s first time parents nine times more likely to live in deprived areas
• 66% (2,300 women) from the most deprived quintiles
• Just 16% in the least 2 deprived quintiles• Obstetric immaturity• Young mothers higher increase of lbw babies• More likely to be smoking at booking and less
likely to engage in Ante Natal care support• Less likely to breastfeed• LAC teenagers 25 % pregnant leaving care.
Evidence Base
3 USA RCT trials3 USA RCT trials
Improvements in women’s antenatal health Reductions in children’s injuries Fewer subsequent pregnancies Greater intervals between births Increases in fathers’ involvement Increases in employment Reductions in welfare dependency Reduced substance use initiation Improvements in school readiness
The cost savings grow over timeBased on Elmira High-Risk Families
$0
$5,000
$10,000
$15,000
$20,000
$25,000
$30,000
0 2 5 10 15 20 25 30 35 40 45 50 55 60 65
SOCIAL
RETURN
Cumulative dollars
perchild
Age of child (years)
Cumulative savings
Cumulative Costs
Unit Costs Comparisons
Family Information Direct –£33.86 per family via telephone helpline£1.95 per family via digital services
Cos
t pe
r ch
ild /
fam
ily
Severity of need
Cost
Family Intervention Projects –£8-20,000 per family per year
Family Nurse Partnerships –£3,000 per family per year
Child looked after in children’s home – £125,000 per year
Child looked after in foster care – £25,000 per year
Schools - £5,000 per pupil
Children’s Centres - £300 for each 0-5 year old
Costs increase as children get older
Multi-dimensional Treatment Foster Care - £70,000 per year
Child looked after in secure accommodation –£134,000 per year
Parenting programme –£900-1,000 per family
Unit costs at different levels of need
‘Families have a right to expect evidence based interventions’.
• Evidence what we do.
• Be confident to stop doing what does not make a difference
• Involve clients in the feedback loop
• Learn and share from what we are doing well