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NCMP. Wolverhampton’s Journey to improve take up and parental feedback. 2008/2009. Standardised parental results letter, locally felt to be too complicated School nurses sought parent opinions Opt outs from measurement increasing
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NCMP Wolverhampton’s Journey to improve take up and parental feedback
2008/2009 • Standardised parental results letter, locally felt to be too complicated • School nurses sought parent opinions • Opt outs from measurement increasing • Solution – change the initial and feedback letters in preparation for 2009/10 collection
Initial Letter • School nurses felt that fewer parents would opt out if they had to make more effort to do so – opt out changed • AND • It was stressed that the measurements were part of an overall health assessment • Result: 19 opt outs in 2009/10
Parental Feedback • The standardised letter was simplified • 4 versions were adopted for 2009/10 according to weight status • School nurses were proactive in contacting parents of underweight and very overweight children to offer further support. • C4L leaflet included with all letters
2009/10 • Concerns expressed by local health professionals regarding feedback letters, against a rising tide of media stories • As part of care pathway development, a decision was taken to audit parental views • School nurse undertook the audit in June 2010
Audit Results • 456 questionnaires distributed, 132 returned – 28.9% • 91% found the initial letter informative • 86% found the results letter appropriate • 75% found the C4L leaflet useful • 22% took up the offer of additional support • Up to 6% expressed that their child had negative feelings about the assessment
Recommendations • Review content of the initial letter • Review audit tool, if to be re-used • Review letters sent out post assessment to include a ‘what happens next’ section • Ensure C4L leaflet is included with the feedback letter – new local leaflet produced incorporating healthy eating/local physical activity opportunities
2010/11 • School nursing service need to reduce time on assessments • Letters reviewed to incorporate changes in service and take account of new weight management services for children • Impact awaited!
Contact Details • Email: gloria.rye@wolvespct.nhs.uk • Tel: 01902 444192