Family Nurse Partnership (FNP) Programme

Who is the FNP programme for?

The programme is designed for eligible young first-time parents in Northern Ireland. Your midwife or another healthcare professional will discuss the programme with you if you meet the local eligibility criteria.

What is the Family Nurse Partnership (FNP)?

The Family Nurse Partnership (FNP) is an evidence-based programme delivered by specially trained family nurses, targeted home-visiting programme for first-time young mothers and families. The programme has been established in 8 countries and delivered in Northern Ireland since 2010.

Your family nurse will support you throughout pregnancy and the early years of your child's life, helping you to: 

  • have a healthy pregnancy
  • support your baby's health, development and school readiness
  • build confidence as a parent
  • achieve your personal goals for education, training or employment
  • access other local service and support when needed.

Click here to watch Ellie's story to learn how the Family Nurse Partnership supported her throughout the pregnancy and the early years of her child's life.

How does the programme work?

Family Nurse Partnership teams recruit young, first-time mothers in line with local area eligibility criteria. The programme is structured and personalised to reflect the strengths and needs of each individual.

Each mother is partnered with a specially trained family nurse. The family nurse visits the mother regularly from early pregnancy until their child is aged between one and 2. Family nurses provide a safe, reflective space for mothers to process information and guidance on key areas relating to their pregnancy and parenthood.

Family nurses work relationally, supporting the young parent in making positive changes for themselves and their baby. By focusing on their strengths, FNP enables young parents to learn how to:

  • develop a good relationship with their child and understand their child’s needs
  • make choices that will give their child the best possible start in life
  • believe in themselves
  • mirror the positive relationship they have with their family nurse with others

Fatherhood and FNP programme

Family nurses also engage with the mother’s partner, whether they are the child’s biological father or otherwise. This helps support improved programme delivery and outcomes for the child, as shown in the Fatherhood Institute’s 2022 report Bringing Baby Home: UK fathers in the first year after birth.

Family nurses work within local systems encouraging young parents to engage with other appropriate services. Family nurses are well placed to identify when extra safeguarding support is needed. They also work with children’s social care to ensure children are kept safe, while continuing to provide the FNP programme through home visits. 

How the Public Health Agency helps

The PHA commissions and supports the Family Nurse Partnership across Northern Ireland, working with Health and Social Care Trusts to deliver the programme and improve outcomes for young parents and their children.

Impact of the FNP programme and case studies

Impact of the FNP programme

Over 40 years of international evidence shows that the FNP programme can improve health, social and educational outcomes in the short, medium and long term.

The evidence base for FNP

The Early Intervention Foundation Guidebook summarises the evidence base for FNP.

The FNP programme can help young, first-time parents to provide sensitive and responsive care for their children. This in turn enhances the quality of their child’s daily life and contributes to improved child development and school readiness. Achievement in school can have a positive life-long impact on health and wellbeing, and economic stability. This is a key factor in tackling health disparities and improving life chances.

Wider determinants of health play a complex role in influencing future health and wellbeing outcomes. FNP has been shown to improve vulnerable children’s development, school readiness and early educational attainment. These improvements can in turn help influence better long-term health, wellbeing and economic outcomes.    

The impact of FNP in NI is summarised in the following document - Family Nurse Partnership Transforming Lives in Northern Ireland.pdf
 

Where the FNP programme is delivered in Northern Ireland?

FNP is delivered under licence from the University of Colorado Denver. The FNP licence is held in the Public Health Agency. 

The programme is delivered locally by FNP teams across each Trust. Each local team is made up of an FNP supervisor, family nurses and quality support officers.

Method of Access (Referral)

  • GP
  • Health Visitor
  • Hospital
  • Self
  • Social Worker