Costs and consequences of the Family Nurse Partnership (FNP) programme in England: evidence from the Building Blocks trial

Bell, Kerry, Corbacho, Belen, Ronaldson, Sarah, Richardson, Gerry, Hood, Kerry ORCID: https://orcid.org/0000-0002-5268-8631, Sanders, Julia ORCID: https://orcid.org/0000-0001-5712-9989, Robling, Michael ORCID: https://orcid.org/0000-0002-1004-036X and Torgerson, David J. 2019. Costs and consequences of the Family Nurse Partnership (FNP) programme in England: evidence from the Building Blocks trial. F1000Research 8 , 1640. 10.12688/f1000research.20149.1

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Abstract

Background: The Family Nurse Partnership (FNP) is a licensed intensive home visiting intervention programme delivered to teenage mothers which was originally introduced in England in 2006 by the Department of Health and is now provided through local commissioning of public health services and supported by a national unit led by a consortium of partners. The Building Blocks (BB) trial aimed to explore the effectiveness and cost-effectiveness of this programme. This paper reports the results of an economic evaluation of the Building Blocks randomised controlled trial (RCT) based on a cost-consequence approach. Methods: A large sample of 1618 families was followed-up at various intervals during pregnancy and for two years after birth. A cost-consequence approach was taken to appraise the full range of costs arising from the intervention including both health and social measures of cost alongside the consequences of the trial, specifically, the primary outcomes. Results: A large number of potential factors were identified that are likely to attract additional costs beyond the implementation costs of the intervention including both health and non-health outcomes. Conclusion: Given the extensive costs and only small beneficial consequences observed within the two year follow-up period, the cost-consequence model suggests that the FNP intervention is unlikely to be worth the substantial costs and policy makers may wish to consider other options for investment.

Item Type:	Article
Date Type:	Publication
Status:	Published
Schools:	Medicine Centre for Trials Research (CNTRR)
Additional Information:	Building Blocks Trial Group This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) licence
Publisher:	F1000Research
ISSN:	2046-1402
Date of First Compliant Deposit:	29 October 2019
Date of Acceptance:	13 September 2019
Last Modified:	06 May 2023 02:28
URI:	https://orca.cardiff.ac.uk/id/eprint/126377

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