Universal Health Visiting Pathway evaluation - phase 1: main report - primary research with health visitors and parents and case note review

The Universal Health Visiting Pathway was introduced in Scotland in 2015 to refocus the approach to health visiting. This is the first report of 4 that provides findings of the National Evaluation of Health Visiting. It focuses on primary research with health visitors and parents and case note review.


1 The Family Nurse Partnership (FNP) is an intensive home visiting service offered to mother 19 years and under in mainland Scotland, from pregnancy until the child is aged two. FNP is also offered to some mothers aged 20-24 years in some areas of Scotland. Families that receive FNP will follow the UHVP through their family nurse until their child is aged 2 years and then they will transfer from the FNP service to the Health Visiting service.

2 There were very slight differences in the wording of the items for the question on information and advice from health visitor and perceived knowledge. For ease, the table contains the item wording for the perceived knowledge question only.

3 The question asked about other children in the household rather than whether they had other children. However, it is likely that most of those with no other children in the household will be first time parents.

4 The pattern was not completely linear, however – 88% in SIMD 1, 90% in SIMD 2, 92% in SIMD3 and 86% in SIMD 4.

5 Request for assistance means the health visitor will formally refer the child/family to a specified service, whilst retaining responsibility for overall monitoring of the child’s wellbeing and outcomes.

6 Public Health Scotland data showed a decrease in the use of health services of 60-80% among those aged 0-14 years during the pandemic (https://scotland.shinyapps.io/phs-covid-wider-impact/)

7 Percentages do not total 100% as parents could give more than one response.

8 Note the base for this figure is low – 45 parents of children aged one or under said they had not had any contact with their health visitor since lock down.


Email: Justine.menzies@gov.scot

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