Kirklees Family Nurse Partnership

Preliminary details

Dear Colleague

Thank you from Kirklees Family Nurse Partnership

Family Nurse Partnership (FNP) is a preventative programme offered to young mothers having their first baby. It begins in early pregnancy and is oriented to the future health and well-being of the child. The FNP has three overarching goals:

To improve antenatal health
To improve child health and development
To improve economic self-sufficiency

To be eligible for our service, teenage mums need to be:

Pregnant with their first baby
18 years or under unless they have been in the care system, then we can take up to the age of 19yrs
Resident in Kirklees

Is the client under 20 week's gestation? *

Yes

Please explain why you feel the client would benefit from Family Nurse Partnership support *

Is this the client's first baby? *

Yes

We are unable to accept this clients who are having their second child

Is the client a Kirkless resident? *

Yes

We are unable to accept clients who are not Kirklees residents

Now that you are pregnant, there are other health services you may be entitled to. A family nurse from the Family Nurse Partnership may contact you to give more information.

This submission will be rejected if you continue

Client details

Client name *

Date of birth *

Address

NHS number *

Postcode *

Daytime telephone number

Mobile telephone number

Healthcare details

General Practitioner name *

General Practitioner address *

Midwife name *

Midwife team *

EDD (expected date of delivery) *

Gestation *

Further information *

i.e. are parents aware of pregnancy? Is an interpreter required? Any known previous pregnancies?

Referrer details

Referrer name *

Referrer address *

Referrer contact number

Date of referral *