Since the original Adverse Childhood Experiences (ACEs) study conducted in the United States in 1998 1, extensive research has continued to reveal how ACEs affect health later in life as well as the well-being of those experiencing them

It was wonderful to welcome David Olds back to London last month and to talk about ADAPT. He was on a whistle-stop tour to Europe, also visiting our colleagues delivering FNP in Scotland, Northern Ireland, Norway and Bulgaria.

The New Mum Star is a tool created in collaboration with Triangle Consulting as part of the ADAPT project. The tool aims to facilitate structured and collaborative decision-making between clients and nurses about flexing the FNP programme content, adjusting visit intensity and graduating clients early. Sue Mercer, Family Nurse Supervisor from West Sussex, blogs about her experience of taking the tool from paper to practice

I grew up in a very talky family. My mum was a speech therapist, my dad was a wonderful storyteller. Meal times were for chat, we had bedtime stories, on car journeys we played I-spy and The Lorry in Front. I was actually slow to talk myself - apparently I mostly sat in the garden eating grass. But I was a real talker by the time I started school.

Earlier in the month, FNP founder Professor David Olds took part in a webinar with FNP graduate, now Health Visitor, Jade Batten and FNP National Unit Director Ailsa Swarbrick. Professor Olds answered questions from the FNP community on whole of range of topics, including hearing the client voice, the ADAPT project, and engaging fathers

It’s a Wednesday morning at the end of February. I’m sitting at a table with a handful of FNP nurses, a Mr Potato Head toy and a stop watch. There’s a look of intense concentration on our faces as I time our best efforts to assemble our Mr Potato Head to match a picture in front of us as fast as we can.

A few months after my 18th birthday, I had just moved into my first home and started a new job; team leader in a local pub after a short period of unemployment and homelessness. I was enjoying being back on my feet and doing all the things 18 year olds do, when I unexpectedly found myself pregnant.

I believe passionately that learning is at the heart of change, progress and improvement. That’s why in FNP we have worked hard to develop an excellent, transformative learning programme for family nurses. It’s why we try to be honest about our failures, as well as our successes, and seek to learn from them. It’s why local teams use extensive data to inform and to challenge practice on a daily basis.

The importance of commissioning evidence-based early interventions is well documented; particularly those which mitigate against the potentially devastating impact of vulnerability factors and adverse childhood experiences (ACEs).

The first 1001 days of a child’s life – from conception to 2 – are critically important. During this period, millions of neural connections are made and pruned. The brain is more ‘plastic’ or adaptable, and babies’ experiences literally shape their developing brains.