‘From RCT to practice, parallel processes for replication of evidence in the real world’
Presenters: Ann Rowe, Sam Mason & Dr. Dulcie McBride
Chair: David Bell
Replication of the Family Nurse Partnership programme has now exceeded the scale of any other evidence based programme in the UK. This complex long term home visiting programme has been shown to improve outcomes for children through three randomised control trials in the US and is currently being tested through formative research and a trial in the UK. Replication of the programme across England is led by the FNP National Unit. The National Unit works at system and clinical levels with local sites to ensure that the programme is reproduced in line with the programme model, to create the best possible chance of reproducing the original positive programme results for families. The science of the programme is of many types (RCTs, replication science, neuroscience) and is matched by expertise, artistry and craft in practice and the use of real time data to both assure and improve the quality of replication. This seminar will explore the replication of evidence from the point of view of clinical practice, organisational systems and national leadership. The concepts of discipline, individualism and authenticity within each of these spheres will be examined to explore how professional and organisational autonomy can coexist with structure and regulation.
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