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Gail Trotter National Implementation Lead (FNP)

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.

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Gail Trotter National Implementation Lead (FNP)

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  1. Gail Trotter National Implementation Lead (FNP)

  2. Family Nurse Partnership programme (FNP)

  3. FNP Goals Improve pregnancy outcomes Improve child health and development and future school readiness and achievement Improve parents’ economic self-sufficiency

  4. 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

  5. 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.

  6. Evidence Base • 3 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

  7. The cost savings grow over timeBased on Elmira High-Risk Families Cumulative savings S O C I A L R E T U R N Cumulative dollars per child Cumulative Costs Age of child (years)

  8. Unit Costs Comparisons

  9. ‘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

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