Family Nurse Partnership in Kent

Linda Denne Senior Commissioning Manager (Community)Child Health and Maternity Commissioning TeamNHS Kent and Medway

6th September 2012

Background

• NHS operating framework 2011-12 and 2012 -13 & Equity & Excellence 2010 - commitment to develop an additional 4200 Health Visitors (will include Family Nurse Partnership HVs) by 2015

• New HV service model set out in the Health Visitor Implementation Plan 2011-2015 – A Call to Action DH Feb ‘11

• Cross Government Reviews- Frank Field MP - (Poverty and life chances)- Graham Allen MP- (Early Intervention)- Claire Tickell (Early Years Foundation Stage)- Eileen Munro (Safeguarding/child protection)• FNP - more than doubling the capacity from 6,000 clients

to at least 13,000 by April 2015

New National Health Visiting Model

• Community - building of capacity, undertaking the new ‘building community capacity’ training module

• Universal - All elements of the Healthy Child Programme (HCP) ‘Pregnancy and the First Five Years of Life’ led by HVs

• Universal Plus - rapid response from HV teams of specific, expert help

• Partnership plus - on-going support from HV teams working in partnership with other agencies on complex issues

• Safeguarding - HV service will actively contribute to the safeguarding of pre - school aged children and ensure the most current Child Protection processes are adhered to, working closely with other services particularly Social Services to support the Child Protection processes for children aged 0-5 years

FNP – what is it?

Licensed antenatal & infancy home visiting programme

Clearly embedded with partner services HCPSafeguarding

Part of: - Health Visiting, - Sure Start Children’s Centres, - GP - Maternity services

•Improve: - pregnancy outcomes, - child health, development and future

- school achievement - parents’ economic self-sufficiency

FNP - Acceptance Criteria

• 16 weeks pregnancy • 1st time parents under 20years • No marketable educational qualifications• Lack of meaningful social support• May have other major issues i.e. mental

health, illness etc.• Consistency of approach re family moves

FNP – Visiting Pattern

• FN caseload of 1WTE = 25 families• Training• FNP consists of an intense visiting pattern as

follows:• Once per week for the first month• Every other week through pregnancy• Every other week until 21 months• Once a month until the age of 2 yrs

Swale and Thanet Team

• Team in Swale and Thanet includes Sheppey, Sittingbourne and Faversham

• Sub License agreement signed by Chief Executives Feb 2012

• 1 FNP supervisor, 4 Family Nurses and 1 WTE admin

• Psychologist supervision • 43 clients 25 clients in Thanet and 18 in Swale • 5 babies born so far – 3 in Thanet and 2 in Swale • 2012 -13 roll out to Maidstone – recruiting

imminently

Monitoring

• DH National Unit - Support, guidance and training

• Dr Dulcie McBride FFPH- Service Development & Public Health Lead

• FNP Advisory Board - multi agency, key stakeholders, safeguarding

• Programme performance dashboard- demonstrate increase in numbers of clients

Contact

Linda Denne Senior Commissioning Manager (Community)

Child Health and Maternity Commissioning TeamNHS Kent and Medway

lindadenne@nhs.net

Mobile:07545934669