FNP ADAPT: improving an intensive home visiting programme
Rapid cycle design and testing
The Family Nurse Partnership is adapting its home visiting parenting programme to enable their highly trained Family Nurses to deliver a more personalised programme to their clients, who are first time young mothers. FNP site have also designed changes to the programme’s clinical content that is also being tested.
Photo credit Family Nurse Partnership National Unit.
Due to a changing external environment, and the results of the first randomised controlled trial of FNP in the UK, the FNP National Unit embarked on a brave and ambitious project to adapt the programme.
The ADAPT programme designs, tests, and adapts strategic and clinical changes to the programme in over 20 of FNP’s delivery sites in England. We have worked with the National Unit to co-design an approach that is based in scientific evidence and informed by the views of clients, family nurses and programme commissioners. This has been tested using rapid cycle design and testing methods since Spring 2016.
Work to date
Development of New Mum Star in collaboration with Triangle consulting to assess client progress and inform personalisation care plans
Six adaptations to clinical content co-designed and tested in sites across England using rapid cycle testing methodology.
Total of 22 FNP sites currently engaged with personalised programme delivery
Regular cycle points where practice is evaluated and changed if implementation is unfeasible or unacceptable to practitioners or clients.
Development of a tool to screen for vulnerability and begin to identify those who might benefit most from the programme.
Conclusion of testing in October 2019
Final report due to be published in March 2020
Public release of New Mum Star in July 2019
Our work started in April 2016 and will conclude in March 2020.