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How cost-effective is the Family Nurse Partnership?

A study to gauge whether the nurse-led home-visiting programme for first-time parents represents good value for money for the NHS
Woman holding up a new-born baby. Picture: iStock

A study to gauge whether the nurse-led home-visiting programme for first-time parents represents good value for money for the NHS

The additional costs of providing the Family Nurse Partnership (FNP) – an intensive, nurse-led home visiting programme for young, first time parents – is leading to questions on whether the investment is worthwhile.

Introduced from the US in 2006, the scheme is provided in around 125 English local authorities. The Building Blocks randomised control trial examined effectiveness and cost-effectiveness of delivery under a comprehensive NHS.

The trial found no statistical differences in outcomes for smoking cessation, birth weight, second pregnancies within two years or child emergency care attendances and admissions to hospital between those receiving FNP services and those receiving usual care.

Economic evaluation and conclusions

For the economic evaluation, 1,618 families were followed-up during pregnancy and for

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