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Evaluation of FNP in Scotland

The Family Nurse Partnership was first introduced to Edinburgh CHP, NHS Lothian in 2010. The programme is an evidence based, licenced programme developed through scientific research which if, implemented as intended, is likely to achieve better outcomes for mothers and their children.

An independent evaluation was commissioned by the Scottish Government (commencing in Nov 2009 and completed in May 2013).

The aim of the study was to evaluate the implementation of the programme within a Scottish context; whether the programme was able to be implemented as intended, the response from clients and nurses to the programme, what factors support or inhibit programme delivery, and what the potential impacts of the programme were for outcomes relevant to Scotland.

The evaluation published four interim reports at each stage in the programme implementation.

The findings were particularly useful to inform FNP implementation in new sites as the programme was expanded across Scotland.

The evaluation demonstrated that it is possible to implement the FNP programme with fidelity in a Scottish context. While the evaluation did not set out to measure the impact of the programme, it has provided evidence that the programme may plausibly achieve its intended outcomes;

Improved pregnancy outcomes:

  • Improved knowledge of health behaviours and impact on child.
  • More knowledgeable and confident about labour and delivery

Improved child health and development:

  • Positive parenting practices including good parent-child bonding and attachment
  • Clients understand how to keep their child safe and create a safe home environment
  • Improved infant feeding practices
  • Enabling parenting practices to support child development

Improved maternal health and self-efficacy

  • Clients feel better supported in relation to their own mental and emotional health and wellbeing
  • Clients making decisions about contraception (when they might not otherwise have pursued this)
  • Resolve or manage relationship conflicts.
  • Greater access and use of community support / resources
  • Broadening the options clients considered around education or work

A summary report of key learning and implications is available

Data Linkage Study

We will shortly be commissioning a data linkage study to look at outcomes for FNP clients alongside a comparative group of non-FNP clients using routine, administrative data.