Universal Health Visiting Pathway evaluation - phase 1: main report - primary research with health visitors and parents and case note review

The Universal Health Visiting Pathway was introduced in Scotland in 2015 to refocus the approach to health visiting. This is the first report of 4 that provides findings of the National Evaluation of Health Visiting. It focuses on primary research with health visitors and parents and case note review.


Appendix 5. Health visitors’ questionnaire

[INTRO SCREEN]

Thank you for entering the survey.

QA1

[ASK ALL]

Single code

Can I just check, are you currently employed primarily as …?

1. A midwife

2. A health visitor

3. A family nurse?

MIDWIVES WILL ONLY BE ASKED BABY BOX QUESTIONS. HEALTH VISITORS AND FAMILY NURSES WILL BE ASKED BOTH BABY BOX AND EHVP.

INTRO FOR MIDWIVES ONLY

[ASK IF QA1 = 1]

Thank you for entering the Baby Box survey. The survey should only take around 10-15 minutes to complete. If you would like to complete the survey later, or to be able to pause the survey and finish it later, then please enter your email address now. We will then email you a unique link that you can use to access your survey again whenever you choose.

[SCRIPTER – PLEASE SET UP SO THAT THEY CAN ENTER EMAIL AND BE EMAILED A UNIQUE LINK TO GET BACK INTO THEIR OWN SURVEY]

[INTRO SCREEN 2]

[ASK IF QA1 = 1]

Ipsos MORI, the independent research organisation, has been asked by the Scottish Government to evaluate the Baby Box Scheme. As part of this evaluation, we are gathering feedback from midwives and health visitors, to find out how you think the scheme is working and how it could be improved. The findings will inform the future development of the scheme in Scotland.

As someone who works with new mothers in Scotland, your views are very important – we hope that as many midwives and health visitors as possible will take part, so that we have a reliable picture of how the Baby Box Scheme is working.

[NEXT SCREEN]

[ASK IF QA1 = 1]

Your responses will be kept strictly confidential in accordance with General Data Protection Regulations (GDPR) – it will not be possible to identify individuals from the findings, which will be reported as percentages (e.g. “50% of midwives and health visitors thought that …”). We will not share your individual responses with anyone else.

If you would like any more information on the survey, please contact ScotlandBabyBox@ipsos.com or phone 0808 238 5376 and ask to speak to one of the project team (Rachel, Diana or Jane). If you would like to read the survey privacy policy, this can be accessed here: ADDDRESS.COM

Please click ‘next’ to begin the survey.

HEALTH VISITORS AND FAMILY NURSE INTRO SCREENS

[ASK IF QA1 = 2 OR QA1 = 3]

Thank you for entering the National Health Visiting survey. The survey should take no longer than 25 minutes to complete. If you would like to complete the survey later, or to be able to pause the survey and finish it later, then please enter your email address now. We will then email you a unique link that you can use to access your survey again whenever you choose.

[SCRIPTER – PLEASE SET UP SO THAT THEY CAN ENTER EMAIL AND BE EMAILED A UNIQUE LINK TO GET BACK INTO THEIR OWN SURVEY]

[INTRO SCREEN 2]

[ASK IF QA1 = 2 OR QA1 = 3]

This survey is being conducted by Ipsos MORI, the independent research organisation, on behalf of the Scottish Government and in collaboration with the University of Edinburgh. We are particularly interested in your views on two key initiatives – the Universal Health Visiting Pathway (UHVP) and the Baby Box scheme.

Your views are very important – we hope that as many health visitors and family nurses as possible will take part, so that we have a reliable picture of how these key initiatives are working. The findings will inform the future development of both initiatives.

[NEXT SCREEN]

[ASK IF QA1 = 2 OR QA1 = 3]

Your responses will be kept strictly confidential in accordance with General Data Protection Regulations (GDPR) – it will not be possible to identify individuals from the findings, which will be reported as percentages (e.g. “50% of health visitors and family nurses thought that …”). We will not share your individual responses with anyone else.

If you would like any more information on the survey, please contact HVSurvey@ipsos.com or phone 0808 238 5376 and ask to speak to one of the project team (Rachel or Jane). If you would like to read the survey privacy policy, this can be accessed here: ADDDRESS.COM [SG PRIVACY POLICY TO BE INSERTED]

Please click ‘next’ to begin the survey.

SECTION A - BACKGROUND AND DEMOGRAPHIC INFO

QA2 [HB]

[ASK ALL]

Single code

Which Health Board are you based in?

1. Ayrshire and Arran

2. Borders

3. Dumfries and Galloway

4. Eilean Siar (Western Isles)

5. Fife

6. Forth Valley

7. Grampian

8. Greater Glasgow and Clyde

9. Highland

10. Lanarkshire

11. Lothian

12. Orkney

13. Shetland

14. Tayside

QA3 [LENGTH PRACT]

[ASK ALL – textfill as appropriate from QA1]

Single code

How long have you been practising as a <midwife/health visitor/family nurse>?

1. Under a year

2. 1-2 years

3. 3-5 years

4. 6-10 years

5. Over 10 years

6. Not sure

7. Prefer not to say

QA4 [FTORPT]

[ASK ALL]

Single code

And do you work full-time or part-time?

1. Full time (30+ hours/week)

2. Part time (under 30 hours/week)

3. Not sure

4. Prefer not to say

SECTION B – UHVP EVALUATION SECTION [HVs and FNs only]

[ASK IF A1 = 2 or A1 = 3]

SCRIPTER – SECTION B only to be asked of HVs and FNs (codes 2 and 3 at QA1), NOT OF MIDWIVES. However, we also want to alternate the order they are asked sections B and C in – so half of HVs and FNs will be asked B first, then C, and half will get C first, then B.

[Bintro_1]

[ASK IF BEING ASKED SECTION B FIRST]

The first set of questions are about your experiences and views of the Universal Health Visiting Pathway (UHVP).

IF FAMILY NURSE B_INTRO

(ASK IF QA1 = 3)

As a family nurse, we realise that delivering your Board’s health visiting pathway is only one aspect of your role. However, when you are answering these questions, please focus on your health visiting role, rather than the things you do as part of FNP.

[Bintro_2]

[ASK IF BEING ASKED SECTION C FIRST]

The next set of questions are about your experiences and views of the Universal Health Visiting Pathway (UHVP).

IF FAMILY NURSE (IF QA1 = 3)

As a family nurse, we realise that delivering your Board’s health visiting pathway is only one aspect of your role. However, when you are answering these questions, please focus on your health visiting role, rather than the things you do as part of FNP.

QB1 [LENGTH UHVP]

For how long have you personally been delivering the Universal Health Visiting Pathway (UHVP) – either fully or in part?

1. I have not yet started to deliver the UHVP

2. Under 6 months

3. 6 months but less than 1 year

4. Over 1 year but less than 2 years

5. Over 2 but less than 3 years

6. Over 3 but less than 4 years

7. Over 4 years

8. Not sure

9. Prefer not to say

QB2 INTRO

We understand that different areas are at different stages of implementing the new UHVP. A number of questions in this survey ask for your views on ‘the pathway you are currently delivering’. Please answer these questions thinking about the pathway being delivered in your area at the moment – which could be the full UHVP, part UHVP/part previous pathway, or the previous pathway.

RELATIONSHIPS WITH FAMILIES

The next few questions are about your visits with families

QB2 [PATHWAY ELEMENTS]

[ASK ALL WHO ARE DELIVERING UHVP FULLY OR IN PART [CODES 2-7 AT QB1]]

Which elements of the universal health visiting pathway are you currently delivering to all or most of your families?

PLEASE SELECT ALL THAT APPLY.

1. Antenatal home visit

2. New baby home visit

3. 3-5 weeks home visits

4. 6-8 weeks home visit

5. 3 month home visit

6. 4 month home visit

7. 6 month review

8. 8 month home visit

9. 13-15 months developmental and wellbeing review

10. 27-30 months developmental and wellbeing review

11. 4-5 years developmental and wellbeing review

12. None of these – I’m not yet delivering the UHVP to all/most of my families

13. Not sure

14. Prefer not to say

a)

QB3 [WHY NOT ALL VISITS/ELEMENTS – codes 1-11 at QB2]

[ASK IF HAVE NOT SELECTED ALL VISITS LISTED AT QB2 – i.e. NOT SELECTED ALL OF 1-11]

We are aware there are lots of reasons why health visitors or family nurses might not be delivering all the core elements of the UHVP. Which of these are reasons why you are not currently delivering all the core elements to all/most of your families?

PLEASE SELECT ALL THAT APPLY.

1. My Health Board is not yet delivering all elements

2. Personal caseload pressures

3. Insufficient training

4. Other [Please say what]

5. Don’t know

6. Prefer not to say

b)

QB4 [ADDITIONAL VISITS] [OUTCOME 19]

Single code

And thinking only about the families in your personal caseload who have been identified as needing additional visits (that is, extra visits on top of the core health visiting pathway visits), what proportion of these families receive all or most of the additional visits they require?

1. All of them

2. Most of them

3. Some of them

4. Only a few of them

5. None of them

6. I don’t have any families who need additional visits

7. Don’t know

8. Prefer not to say

QB5 [ELEMENTS OF OLD PATHWAY]

[ASK ALL WHO ARE DELIVERING UHVP FULLY OR IN PART [CODES 2-7 AT QB1]]

MULTICODE

And are you personally delivering any of the following in your health visiting role?

PLEASE SELECT ALL THAT APPLY.

1. Immunisations

2. Drop in clinics

3. Other tasks which are not part of the Universal Health Visiting Pathway (UHVP) [please say what]

4. No – I’m not delivering anything that is not part of the UHVP

5. Don’t know

6. Prefer not to say

QB6 [WHY ANY ELEMENTS IN OLD PATHWAY]

[ASK IF ANY CODE 1-5 AT QB5 [ELEMENTS OF OLD PATHWAY]

MULTICODE

We are aware there are lots of reasons why health visitors or family nurses might be delivering things that are not core elements of the UHVP. Which of these reasons apply to you?

PLEASE SELECT ALL THAT APPLY.

LIST OF PRECODES e.g.

1. Lack of capacity among other (non-health visiting) staff to deliver them

2. Lack of skills among other (non-health visiting) staff to deliver them

3. Parents prefer to receive them from their health visitor/family nurse

4. Health Board has asked you to continue delivering them

5. Health Board has not yet fully implemented the UHVP

6. Added benefit to families of delivering this/these elements

7. My involvement is needed from a safeguarding point of view

8. Other [Please say what]

9. Don’t know

10. Prefer not to say

QB7 [CONT.VISITS]

[OUTCOME 20]

Single code

And thinking about the health visiting contacts received by families in your personal caseload, how many of the visits do you personally make?

1. All of them

2. Most of them

3. Some of them

4. Only a few of them

5. None of them

6. Don’t know

7. Prefer not to say

QB8 [CONT.REVIEWS] [OUTCOME 20]

Single code

And thinking about the child health reviews for families in your personal caseload, how many of the reviews do you personally undertake?

1. All of them

2. Most of them

3. Some of them

4. Only a few of them

5. None of them

6. Don’t know

7. Prefer not to say

QB9 [POS RELATIONSHIPS] [OUTCOME 34]

Single code

How many of the families in your personal health visiting caseload would you say you have developed a positive relationship with?

1. All of them

2. Most of them

3. Some of them

4. Only a few of them

5. None of them

6. Don’t know

7. Prefer not to say

CHILD SAFETY AND WELLBEING

The next few questions are about outcomes for children and families. Please answer these questions thinking of the health visiting pathway being delivered in your area at the moment – which could be the full UHVP, part UHVP/part previous pathway, or the previous pathway.

QB10 [SAFETY AND WELLBEING] [OUTCOME 22, 21, 24, 41, 23]

Single code

For each of the following statements, please state how well the health visiting pathway you are currently delivering….

QB10a) …enables you to identify concerns about a child at an early stage? (e.g. HPI-A, child development, neglect)

QB10b) …enables you to identify concerns about a family at an early stage?

1. Very well

2. Fairly well

3. Not very well

4. Not at all well

5. Don’t know

6. Prefer not to say

QB11 [OPPORTUNITY_SAFETY AND WELLBEING]

Single code

How much opportunity does the health visiting pathway you are currently delivering give you to discuss each of the following with families?

QB11a) Children’s learning and development

QB11b) Children’s general happiness and wellbeing

QB11c) Child safety

QB11d) Parents’ mental health and wellbeing

QB11e) The impact on children of parents’ smoking, drinking alcohol or using drugs

1. A great deal

2. Quite a lot

3. Some

4. Not very much

5. None at all

6. Don’t know

7. Prefer not to say

CHILD DEVELOPMENT AND PARENTING TECHNIQUES

QB12 [OPPORTUNITY_DEVELOPMENT] [OUTCOME 37, 36, 38, 49]

Single code

And how much opportunity does the health visiting pathway you are currently delivering give you to…

QB12a) … support families with developing parent-child relationships?

QB12b) … talk to families about how to handle behaviour they find challenging from their children?

QB12c) … offer information and support with home learning (e.g. play, reading)?

QB12d) … talk to families affected by money issues about where to find help?

1. A great deal

2. Quite a lot

3. Some

4. Not very much

5. None at all

6. Don’t know

7. Prefer not to say

QB13

And to what extent do you feel the health visiting pathway you are currently delivering enables you to support parents to become more confident?

1. A great deal

2. Quite a lot

3. Somewhat

4. Not very much

5. None at all

6. Don’t know

7. Prefer not to say

PERCEIVED IMPACT ON EQUALITIES

QB14 [REDUCED INEQUALITIES] [OUTCOME 51]

Single code

To what extent do you feel the health visiting pathway you are currently delivering is contributing to reducing health inequalities between children from different backgrounds?

1. A great deal

2. Quite a lot

3. Somewhat

4. Not very much

5. None at all

6. Don’t know

7. Prefer not to say

c)

QB15 [FAM ENGAGE] [OUTCOME 51]

[ASK ALL DELIIVERING UHVP IN FULL OR PART – CODES 2-7 AT QB1]

Single code

And how much impact, if any, do you feel the UHVP has had on opportunities for you to engage with families who may be less likely to work with services?

1. A major positive impact

2. A small positive impact

3. No impact one way or another

4. A small negative impact

5. A major negative impact

6. Don’t know

7. Prefer not to say

QB16 [FAM ENGAGE2] [OUTCOME 51]

[ASK ALL NOT DELIIVERING NOT CURRENTLY DELIVERING UHVP – CODES 1 and 8-9 AT QB1]

Single code

Thinking now about the UHVP, how much impact, if any, do you feel the UHVP will have on opportunities for you to engage with families who may be less likely to work with services?

1. A major positive impact

2. A small positive impact

3. No impact one way or another

4. A small negative impact

5. A major negative impact

6. Don’t know

7. Prefer not to say

JOB SATISFACTION AND TRAINING

The next few questions are about your current job satisfaction

QB17 [JOB SATISFACTION] [OUTCOME 46]

Overall, how satisfied or dissatisfied are you with your current health visiting role?

1. Very satisfied

2. Fairly satisfied

3. Neither satisfied nor dissatisfied

4. Fairly dissatisfied

5. Very dissatisfied

6. Don’t know

7. Prefer not to say

QB18 [STRENGTH] [OUTCOME 28]

Single code

And to what extent do you agree or disagree that “the health visiting pathway I am delivering supports an outcome focused approach”?

1. Strongly agree

2. Tend to agree

3. Neither agree nor disagree

4. Tend to disagree

5. Strongly disagree

6. Don’t know

7. Prefer not to say

QB19 [WORK ABILITY] [OUTCOME 29]

Single code

How far do you agree or disagree with each of the following statements about your health visiting role?

d)

QB19a) I feel confident delivering all parts of my health visiting role

QB19b) I have the skills I need to perform my health visiting role effectively

QB19c) I have the resources necessary to help me meet the needs of families (e.g. leaflets/materials)

QB19d) I have access to the IT systems required to carry out my health visiting role effectively

QB19e) I feel valued for the health visiting work I do

QB19f) I have enough opportunity to participate in clinical supervision

1. Strongly agree

2. Tend to agree

3. Neither agree nor disagree

4. Tend to disagree

5. Strongly disagree

6. Don’t know

7. Prefer not to say

QB20 [WORKLOAD]

How would you describe your current workload?

1. Far too high

2. A bit too high

3. About right

4. A bit too low

5. Far too low

6. Don’t know

7. Prefer not to say

QB21 [TRAINING] [OUTCOME 31]

Single code

What, if any, training or education have you had on delivering the UHVP?

PLEASE SELECT ALL THAT APPLY.

1. Training as part of a university health visiting course

2. Formal in person training course attended while working

3. Online training completed while working

4. Discussions during supervision

5. Informal discussions, e.g. a chat with colleagues

6. Something else – PLEASE SAY WHAT

7. None of the above

8. Not sure

9. Prefer not to say

QB22 [SUFF TRAIN}

[ASK IF CODE 1-6 AT QB21 – i.e. if have received ANY training or info]

Single code

Do you feel you have had sufficient opportunity to participate in training or learning to support you in delivery of the UHVP?

1. Yes

2. No

3. Not sure

4. Prefer not to say

MULTI AGENCY WORKING

The next questions are about working with other agencies

QB23 [PART’SHIP WORKING] [OUTCOME 27 AND 48]

[ASK ALL DELIIVERING UHVP IN FULL OR PART – CODES 2-7 AT QB1]

Single code

Overall, how much impact, if any, do you feel the UHVP has had in terms of opportunities for partnership working with other agencies?

1. A major positive impact

2. A small positive impact

3. No impact one way or another

4. A small negative impact

5. A major negative impact

6. Don’t know

7. Prefer not to say

QB24 [REFERAL] [OUTCOME 32]

Multi-code

Which, if any, of the following services do you signpost to or request assistance for families from on a regular basis?

1. Local doctor/GP

2. Practice nurse

3. Social worker

4. Educational Psychologist

5. Parent and baby/child groups

6. Breast-feeding support

7. Speech and language therapy

8. Child and Adolescent Mental Health Services (CAMHS)

9. A Children’s Centre

10. Child Healthy Weight programme

11. Your local library/Book Bug

12. Eligible 2 year-old nursery place

13. Another education or support service

14. A parenting programme or course

15. ChildSmile website or dental services

16. Childcare Link website or phoneline

17. ParentLine Scotland website or phoneline

18. Money or benefits advice/support

19. Other service [please say what]

20. No – none of these

21. Not sure

22. Prefer not to say

OVERALL IMPACT OF UHVP

QB38 [IMPACT ON INTERACTIONS]

[ASK ALL WHO ARE DELIVERING UHVP IN FULL OR PART – CODES 2-7 AT QB1]

Single code

Overall, would you say that the UHVP has had…

1. … A positive impact on your interactions with parents

2. … A negative impact on your interactions with parents

3. … No impact on your interactions with parents

4. Don’t know

5. Prefer not to say

QB39 [OVERALL PERCEPTIONS]

And which of the following best describes how you think the UHVP will impact on outcomes for children and families, when it is fully implemented?

1. A major positive impact

2. A small positive impact

3. No impact one way or another

4. A small negative impact

5. A major negative impact

6. Don’t know

7. Prefer not to say

QB40

OPEN ENDED

What specific changes do you think could be made to the UHVP in the future?

[OPEN TEXT]

SECTION C – BABY BOX QUESTIONS [ASK ALL UNLESS OTHERWISE ROUTED]

[ASK IF QA1 = 2 OR 3 (I.E. HV OR FNP, SO WILL HAVE BOTH SETS OF QUESTIONS)

[Cintro]

The next set of questions are about your experiences and views of the Baby Box scheme. They should only take about 10 minutes to complete.

[ASK IF QA1 = 1 – I.E. MIDWIFE]

The next few questions are about the aims of the Baby Box scheme.

AIMS OF THE SCHEME

QC1

[ASK ALL]

Single code

To what extent do you agree or disagree that “I feel I have a clear understanding of what Scotland’s Baby Box scheme is trying to achieve”?

1. Strongly agree

2. Tend to agree

3. Neither agree nor disagree

4. Tend to disagree

5. Strongly disagree

6. Don’t know

7. Prefer not to say

QC2

[ASK ALL]

[randomise order answer options 1-6 appear in]

Multi-code

Scotland’s Baby Box scheme is part of wider efforts to improve support for young children and their families with the aim of giving all children in Scotland the best start in life. Which, if any, of the following do you think are the main ways in which Scotland’s Baby Box scheme is intended to help contribute to positive outcomes for children and parents in Scotland?

PLEASE SELECT ALL THAT APPLY

1. Helping to reduce inequalities in health between children from different backgrounds

2. Helping to reduce inequalities in health between new mothers from different backgrounds

3. Helping families financially by providing essential items for their new babies

4. Helping to increase opportunities for health professionals to engage with parents

5. Helping to encourage positive parenting behaviours in parents

6. All of the above

7. Some other way – PLEASE SAY WHAT

8. Not sure

9. Prefer not to say

QC3

[ASK ALL]

Single code

How confident do you feel about discussing the Baby Box scheme with parents?

1. Very confident

2. Fairly confident

3. Not very confident

4. Not at all confident

5. Don’t know

6. Prefer not to say

TRAINING ON THE SCHEME

QC4

[ASK ALL]

Single code

How do you feel about your own role in relation to the Baby Box scheme?

1. Very clear

2. Quite clear

3. Neither clear nor unclear

4. Quite unclear

5. Very unclear

6. Don’t know

7. Prefer not to say

QC5

[ASK IF QC4=4 or 5]

Open question

What are you unclear about with respect to your role and the Baby Box scheme?

QC6

[ASK ALL]

Multi code

What, if any, information or training have you had about the Baby Box scheme?

PLEASE SELECT ALL THAT APPLY.

1. Written information, such as leaflets or factsheets

2. Training – either in person or online

3. Informal verbal information, e.g. a chat with colleagues

4. A demonstration, where you were shown a Baby Box, and its contents

5. Something else – PLEASE SAY WHAT

6. None of the above

7. Not sure

8. Prefer not to say

QC7

[ASK IF CODE 1-5 AT QC6 – i.e. if have received ANY training or info]

Single code

Do you feel you have received sufficient training about the Baby Box?

1. Yes

2. No

3. Not sure

4. Prefer not to say

QC8

[ASK IF QC7 = 2]

Multi code

Which, if any, of the following aspects of Baby Box would you like more training on?

1. The contents of the box

2. The aims of the Baby Box scheme

3. The registration process

4. The delivery process

5. How to use the box for sleeping

6. The contents of leaflets included in the box

7. Something else – PLEASE SAY WHAT

8. Not sure

9. Prefer not to say

QC9

[ASK IF CODE 1-5 AT QC6 – i.e. if have received ANY training or info]

Single code

Do you feel you have received sufficient information about the Baby Box?

5. Yes

6. No

7. Not sure

8. Prefer not to say

e)

QC10

[ASK IF QC9= 2]

Multi code

Which, if any, of the following aspects of Baby Box would you like more information on?

1. The contents of the box

2. The aims of the Baby Box scheme

3. The registration process

4. The delivery process

5. How to use the box for sleeping

6. The contents of leaflets included in the box

7. Something else – PLEASE SAY WHAT

8. Not sure

9. Prefer not to say

REGISTRATION AND DELIVERY PROCESS

Thinking now about the process of registering parents for a Baby Box…

QC11 [ASK IF QA1 = 1 OR 3 – I.E. IF THEY ARE A MIDWIFE OR A FAMILY NURSE – NOT ASKED OF HVS]

Are you involved in registering parents for baby boxes?

(If you hand out registration forms to parents, please tick ‘Yes’)

1. Yes

2. No

3. Don’t know

QC12

[ASK IF QC11=1]

Single code

When completing the Baby Box registration form, which of the following usually applies?

1. I arrange for the form to be posted, once the mother has filled out her information

2. The mother takes the form away and posts it back herself

3. Sometimes I send the form off, and sometimes I give the form to the mother to return

4. Don’t know

5. Prefer not to say

QC13

[ASK IF QC11=1]

Single code

From your perspective, overall how well does the registration process for baby boxes work?

1. Very well

2. Fairly well

3. Not very well

4. Not at all well

5. Don’t know

6. Prefer not to say

QC14

[ASK IF QC13 = 3 OR 4 – i.e. registration process does not work well]

Open

Why do you feel the registration process does not work well?

QC14

[ASK ALL]

Single code

How clear or unclear are you about the process of cancelling a Baby Box in the event of a bereavement?

1. Very clear

2. Quite clear

3. Neither clear nor unclear

4. Quite unclear

5. Very unclear

6. Don’t know

7. Prefer not to say

PERCEPTIONS OF USE BY PARENTS

QC15

[ASK ALL]

Single code

How often, if at all, do you see parents using the Baby Box or its contents on home visits?

1. Always

2. Often

3. Sometimes

4. Rarely

5. Never

6. Don’t know

7. Prefer not to say

QC16

[ASK ALL]

[randomise order 1-18 appear in]

Multi code (up to 5 responses, 20-22 are single codes)

We are interested in whether the right items are included in the Baby Box. Which of the items included in the Baby Box, if any, do you think are the mostimportant to include? Please choose up to 5 items.

1. The box itself (for sleeping)

2. The digital ear thermometer

3. The clothes

4. Cellular blanket

5. Baby wrap

6. Hooded bath towel

7. Bath and room thermometer

8. Baby books

9. Play mat

10. Comforter toy

11. Travel changing mat

12. Reusable nappies voucher

13. Nursing pads

14. Maternity towels

15. Condoms

16. Leaflet on using the box for safe sleeping

17. Leaflet on postnatal depression

18. Leaflet on breastfeeding

19. Something else in the box (PLEASE SAY WHAT)

20. None of them

21. Don’t know/can’t choose

22. Prefer not to say

QC17

[ASK IF ‘Something else’ – CODE 19 -AT QC16]

What other items do you think are among the most important included in the box?

OPEN TEXT.

QC18 [ASK ALL]

[randomise order 1-18 appear in]

Multi code (up to 5 responses, 20-22 are single codes)

And which of the items included in the Baby Box, if any, do you think are the leastimportant to include? Please choose up to 5 items.

1. The box itself (for sleeping)

2. The Digital ear thermometer

3. The clothes

4. Cellular blanket

5. Baby wrap

6. Hooded bath towel

7. Bath and room thermometer

8. Baby books

9. Play mat

10. Comforter toy

11. Travel changing mat

12. Reusable nappies voucher

13. Nursing pads

14. Maternity towels

15. Condoms

16. Leaflet on using the box for safe sleeping

17. Leaflet on postnatal depression

18. Leaflet on breastfeeding

19. Something else in the box (PLEASE SAY WHAT)

20. None of them least / less important

21. Don’t know/can’t choose

22. Prefer not to say

QC19

[ASK IF ‘Something else’ – CODE 19 – AT QC18]

What other items do you think are among the least important included in the box?

OPEN TEXT.

PERCEIVED IMPACT ON ENGAGEMENT WITH SERVICES

INTRO

[ASK ALL]

We’re interested in what you as a health professional think about the impact of the Baby Box scheme.

QC20

[ASK ALL]

Single code

Overall, would you say that the Baby Box scheme has had…

1. … A positive impact on your interactions with parents

2. … A negative impact on your interactions with parents

3. … No impact on your interactions with parents

4. Don’t know

5. Prefer not to say

QC21

[ASK ALL]

Single code

How much impact, if any, do you feel the Baby Box scheme has had on opportunities for you to engage with families who may be less likely to work with services?

1. A major positive impact

2. A small positive impact

3. No impact one way or another

4. A small negative impact

5. A major negative impact

6. Don’t know

7. Prefer not to say

QC22

[ASK ALL]

Single code

How strongly would you agree or disagree with the following statements?

“The Baby Box scheme has been a useful tool in supporting conversations with new parents”

1. Strongly agree

2. Tend to agree

3. Neither agree nor disagree

4. Tend to disagree

5. Strongly disagree

6. Don’t know

7. Prefer not to say

QC23

[ASK ALL]

And how much would you agree or disagree that the baby box has helped support your conversations with parents about safe sleeping specifically?

1. Strongly agree

2. Tend to agree

3. Neither agree nor disagree

4. Tend to disagree

5. Strongly disagree

6. Don’t know

7. Prefer not to say

QC24

[ASK ALL]

How much would you agree or disagree that the Baby Box scheme is making a useful contribution to supporting families with new babies in Scotland?

1. Strongly agree

2. Tend to agree

3. Neither agree nor disagree

4. Tend to disagree

5. Strongly disagree

6. Don’t know

7. Prefer not to say

PERCEIVED IMPACTS ON EQUALITY

QC25

[ASK ALL]

Single code

And how much would you agree or disagree that the Baby Box scheme is an effective way of ensuring every family has access to new born essentials?

1. Strongly agree

2. Tend to agree

3. Neither agree nor disagree

4. Tend to disagree

5. Strongly disagree

6. Don’t know

7. Prefer not to say

QC26

[ASK ALL]

OPEN ENDED

What specific improvements do you think could be made to the Baby Box scheme in the future?

[OPEN TEXT]

SECTION D – CONSENT TO RECONTACT FOR BABY BOX

[scripter – to ask right at end of survey, after whichever of section B or C is asked last]

QD1

[ASK ALL]

As part of our research on the baby box, we would like to speak to some health professionals in a little more detail about their views of the scheme. Would you be happy for us to contact you again to see if you would be interested in taking part in this? You would be free to decide at the time whether you actually wanted to take part.

1. Yes

2. No

QD2

[ASK IF QD1 = 1]

Could you just confirm the best email address to contact you at?

QD3

[ASK IF QD1= 1]

And could you confirm the best number to contact you on?

END

[ASK ALL]

[TEXTFILL – IF QA1 = 1, TEXTFILL = ‘the Baby Box scheme’, if QA1 = 2 or 3, textfill = ‘the Universal Health Visiting Pathway and the Baby Box scheme’]

Thank you very much for taking the time to complete this survey. The findings will help inform the future development of <the Universal Health Visiting Pathway and the Baby Box scheme / the Baby Box scheme> in Scotland. Your individual responses will be kept strictly confidential.

Contact

Email: Justine.menzies@gov.scot

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