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Family Nurse Partnership (FNP)

Family Nurse Partnership (FNP) is a preventative programme offered to first time mothers, aged 19 and under. HCRG this programme to mothers who are resident in Wiltshire.

This voluntary programme offers 64 intensive and structured home visits, delivered by specially trained nurses, from early pregnancy through to the child’s 2nd birthday. Visits can take place in the home, but also in community settings such as a coffee shop, soft play centre, a walk to the park etc. Wherever is most comfortable for the mother.

For more information on FNP visit the national website fnp.nhs.uk

How does FNP work?

The programme uses in-depth methods to work with young parents on attachment, relationships and psychological preparation for parenthood.

Family nurses build supportive, therapeutic relationships with families and guide first time teenage parents so that they adopt healthier lifestyles for themselves and their babies; provide good care for their babies and plan their futures.

What evidence is there that FNP makes a difference?

Over 30 years of US research into FNP has shown significant benefits for vulnerable young families in the short, medium and long term across a wide range of outcomes including:

  • Improved early language development, school readiness and academic achievement
  • Improvements in antenatal health
  • Reductions in children’s injuries, neglect and abuse
  • Improved parenting practices and behaviour
  • Fewer subsequent pregnancies and greater intervals between births
  • Increased maternal employment and reduced welfare use
  • Increases in father’s involvement

In a review published in the Lancet, FNP (Macmillan 2009) was cited as one of only two programmes shown to prevent child maltreatment.

Do Family Nurses only deliver the FNP programme?

Family Nurses are actively involved in jointly delivering the Healthy Child Programme and FNP. The Family Nurse is responsible for ensuring the first child, and any subsequent children, receive the Healthy Child Programme, in place of the Health Visitor, until the first child reaches the age of two.

How do I refer to FNP?

Download the FNP notification form

To make a request for service, you can download and complete a FNP Notification Form .

Send the form to us securely

The safest (and fastest) way to send this to us is via a secure or encrypted email route to vcl.wiltsfnp@nhs.net . If you have an email address that ends in the following domain, then it is safe for you to send us information by email, without encryption:

  • Nhs.net
  • Secure.nhs.uk
  • Gov.uk
  • Cjsm.net
  • Pnn.police.uk
  • Mod.uk
  • Parliament.uk

If you don’t have an email address that ends in the above, don’t worry!

Just send us an email, or give us a call, informing us that you wish to send something that includes confidential data, then we can reply using the NHS encrypted email service. You will receive an email that asks you to create an account and log in to view the email.

You can then reply, forward and add confidential attachments to correspondence which will be encrypted.

An alternative way of sending confidential information to us is via post to:

Family Nurse Partnership, Derby Court, White Horse Business Park, Epsom Square, Epsom Road, Trowbridge, Wiltshire, BA14 0XG

Who is eligible for the FNP programme?

Inclusion criteria

  • Wiltshire resident
  • Age 19 years or under at last menstrual period
  • First pregnancy as confirmed by health professional (including if first pregnancy ended in miscarriage, stillbirth or termination. Multiple births included)
  • Notified to FNP Wiltshire as soon as pregnancy is booked by midwife in order that recruitment and enrollment takes place before 28 weeks

Exclusion criteria

  • If family is planning to have the child adopted
  • If family plan to leave area before child reaches 2 years old, for an extended period of time (3 months or longer)
  • Women who have had a previous live birth
  • Notification is later than 24 weeks

What happens next?

On receipt of the notification form, the family’s eligibility criteria is reviewed and if programme capacity allows, a Family Nurse will contact the family to arrange a home visit.

The family’s decision whether to join this voluntary programme will then be communicated to the referrer by letter.

What happens when the child reaches the age of two?

From the outset the programme is working with parents to help them to be self-efficacious and not become dependent. The relationship the family nurse has with the parents and the materials support mums and dads to find their own solutions, to make the best use of services for children and themselves and to support them with the way they communicate with others. The majority of families will be making use of other services throughout the time they have FNP.

At the end of the programme when the baby reaches two the family and nurse will agree if and what services are required in the future and make appropriate introductions.

Those families who need continuing services will already be receiving them as part of the common assessment framework or safeguarding procedures.

All families will be transferred to the health visiting services so the remainder of the Health Child Programme can be completed.

Getting in touch

Tel:- 0300 247 0090 (Monday-Friday 9am-5pm)

Email:- vcl.wiltsfnp@nhs.net

Need to post something?

Family Nurse Partnership
Derby Court
Whitehorse Business Park
Epsom Square
Epsom Road
Trowbridge
Wiltshire
BA14 0XG

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