Family Nurse Partnership: 10 year analysis

To mark the first ten years of the Family Nurse Partnership in Scotland, we have undertaken a review of data from the programme over this time.


i. For the purposes of this report, the term "Mother" refers to the biological parent that births the child, with acknowledgement that this does not in all cases align to an individual's gender identity.

ii. This data includes the 148 enrolments and 128 graduations from the FNP pilot in NHS Lothian.

iii. In this report the term "client" refers to a biological parent in receipt of FNP.

iv. FNP is offered to some clients aged 20-24 subject to enrolment criteria in some areas of Scotland (NHS Ayrshire and Arran, NHS Borders, NHS Grampian, Highland, NHS Lothian, NHS Tayside) NHS Lothian and NHS Borders and parts of Highland offered FNP to all first time mothers aged up to 20. NHS Tayside and Highland offered FNP to first time mothers up to 24 years with those aged 20-24 subject to additional criteria at enrolment. NHS Ayrshire and Arran and NHS Grampian provided FNP to older clients that transferred in from other parts of Scotland only.

v. Collection of documents relating to the Scottish Index of Multiple Deprivation - a tool for identifying areas with relatively high levels of deprivation.

vi. NHS Health Boards that Deliver FNP in Scotland include (NHS Ayrshire and Arran, NHS Borders, NHS Dumfries and Galloway, NHS Fife, NHS Forth Valley, NHS Grampian, NHS Greater Glasgow and Clyde, Highland, NHS Lanarkshire, NHS Lothian, NHS Tayside)

vii. Data on enrolment commences in July 2011 as the pilot cohort from NHS Lothian that commenced in 2010 is not included in this analysis.

viii. Regions of Scotland: East (NHS Borders, NHS Fife, NHS Lothian, NHS Forth Valley), North (NHS Grampian, Highland, NHS Tayside), West (NHS Ayrshire and Arran, NHS Dumfries and Galloway, NHS Greater Glasgow and Clyde, NHS Lanarkshire)

ix. Nurse Family Partnership International Website

x. FNP is offered to some clients ages 20-24 subject to enrolment criteria in some areas of Scotland (NHS Ayrshire and Arran, NHS Borders, NHS Grampian, Highland, NHS Lothian, NHS Tayside)

xi. The sum of these groups is greater than 100% as there was 482 clients who were in both paid employment and full-time education at enrolment.

xii. Family Nurse Partnership in Scotland: revaluation report

xiii. Data on alcohol and drug use in the FNP data system was limited to clients enrolling onto the programme in the most recent years (2019 onwards).

xiv. Results for respondents aged 19 or under should be treated with caution due to the small number of respondents in this age group (weighted base = 57; unweighted base = 44).

xv. It must be noted that the vast majority of those who consumed alcohol in pregnancy, did so less than once a month and we are not able to use the Growing Up in Scotland data to identify whether this was before or after the mother discovered she was pregnant.

xvi. Maternities means women having babies (including stillbirths). A maternity is a pregnancy resulting in the birth of 1 or more children, therefore, these figures are not the same as the number of babies born.

xvii. These data are known to be incomplete, caution should be exercised when interpreting these data.

xviii. Subsequent Pregnancies in Building Blocks Trial FNP England

xix. Birthweight has not been adjusted for gestational age in this analysis.

xx. For the domains the term communication is generally used for children aged under 18 months and speech and language for children over 18 months to measure development in communication skills.

xxi. The timing of the 8 month review has changed over the course of the delivery of FNP. At initiation there was a 10 month review, however this was changed to take place at 8 months to better align with the Health Visiting Pathway child health reviews.

xxii. A developmental concern is indicated by a score falling below the relevant ASQ:3 threshold score for a particular time-point and domain.



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