We're working with 11 FNP sites and Dartington Social Design Lab (DSDL) to improve outcomes for clients and how the programme is delivered. Using evidence and rapid cycle testing we have designed clinical adaptations in the following areas: 

  • Breastfeeding
  • Smoking
  • Domestic Violence
  • Attachment
  • Neglect
  • Perinatal Mental Health

Alongside this, all ADAPT sites are also testing a more personalised and flexible approach to how the programme is delivered. Personalisation is split into four strands:

  • Flexing the content - supporting nurses to focus client visits around areas where their client needs it most
  • Dial down/dial up - supporting nurses to reduce or increase number of visits according to their client's needs
  • Early graduation - supporting clients to leave FNP before their child's second birthday - when appropriate
  • Eligibility  - changing the criteria of the programme so we can target the mums and families who could benefit most from FNP.


Rapid cycle testing is an approach to innovation that tests changes rapidly and responsively, so that we can quickly see what works and what doesn’t - and act accordingly. 

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