NCMPNCMP

Wolverhampton’s Journey Wolverhampton’s Journey to improve take up to improve take up

and parental feedbackand parental feedback

2008/20092008/2009

Standardised parental results letter, locally Standardised parental results letter, locally felt to be too complicated felt to be too complicated

School nurses sought parent opinionsSchool nurses sought parent opinions Opt outs from measurement increasingOpt outs from measurement increasing

Solution – change the initial and feedback Solution – change the initial and feedback letters in preparation for 2009/10 collectionletters in preparation for 2009/10 collection

Initial LetterInitial Letter

School nurses felt that fewer parents School nurses felt that fewer parents would opt out if they had to make more would opt out if they had to make more effort to do so – opt out changedeffort to do so – opt out changed

ANDAND It was stressed that the measurements It was stressed that the measurements

were part of an overall health assessmentwere part of an overall health assessment

Result: 19 opt outs in 2009/10Result: 19 opt outs in 2009/10

Parental FeedbackParental Feedback

The standardised letter was simplified The standardised letter was simplified 4 versions were adopted for 2009/10 4 versions were adopted for 2009/10

according to weight statusaccording to weight status School nurses were proactive in School nurses were proactive in

contacting parents of underweight and contacting parents of underweight and very overweight children to offer further very overweight children to offer further support.support.

C4L leaflet included with all lettersC4L leaflet included with all letters

2009/102009/10

Concerns expressed by local health Concerns expressed by local health professionals regarding feedback letters, professionals regarding feedback letters, against a rising tide of media storiesagainst a rising tide of media stories

As part of care pathway development, a As part of care pathway development, a decision was taken to audit parental views decision was taken to audit parental views

School nurse undertook the audit in June School nurse undertook the audit in June 20102010

Audit ResultsAudit Results

456 questionnaires distributed, 132 456 questionnaires distributed, 132 returned – 28.9%returned – 28.9%

91% found the initial letter informative91% found the initial letter informative 86% found the results letter appropriate86% found the results letter appropriate 75% found the C4L leaflet useful75% found the C4L leaflet useful 22% took up the offer of additional support22% took up the offer of additional support Up to 6% expressed that their child had Up to 6% expressed that their child had

negative feelings about the assessmentnegative feelings about the assessment

RecommendationsRecommendations

Review content of the initial letterReview content of the initial letter Review audit tool, if to be re-usedReview audit tool, if to be re-used Review letters sent out post assessment Review letters sent out post assessment

to include a ‘what happens next’ sectionto include a ‘what happens next’ section Ensure C4L leaflet is included with the Ensure C4L leaflet is included with the

feedback letter – new local leaflet feedback letter – new local leaflet produced incorporating healthy produced incorporating healthy eating/local physical activity opportunitieseating/local physical activity opportunities

2010/112010/11

School nursing service need to reduce School nursing service need to reduce time on assessmentstime on assessments

Letters reviewed to incorporate changes in Letters reviewed to incorporate changes in service and take account of new weight service and take account of new weight management services for childrenmanagement services for children

Impact awaited!Impact awaited!

Contact DetailsContact Details

Email: Email: gloria.rye@wolvespct.nhs.ukgloria.rye@wolvespct.nhs.uk

Tel: 01902 444192Tel: 01902 444192