Timetable and Budget
| Description | Deadline/Limit |
|---|---|
| Deadline for Stage 1 Applications | 13 February 2024, 1 PM |
| Notification of outcome of Stage 1 Application | April 2024 |
| Deadline for Stage 2 application | 04 June 2024, 1 PM |
| Notification of outcome of Stage 2 Application | November 2024 |
| Earliest Potential Project Start | November 2024 |
| Project Duration | 24 Months |
| Budget | £500,000 |
Introduction
The National Institute for Health and Care Research (NIHR) Policy Research Programme (PRP) invites applications for a single research project to: i) explore the impact of the National Child Measurement Programme (NCMP) on children, parents and schools and ii) ascertain local authority delivery costs to inform the future running and effectiveness of this annual school public health programme.
Background
Context
The National Child Measurement Programme (NCMP) was established in 2006 as a surveillance programme to annually weigh and measure all children attending state-maintained schools in England, during Reception (ages 4-5 years) and Year 6 (ages 10-11 years). It is a mandated Public Health Function1,2; all local authorities are required by law and funded by the Public Health Grant (PHG) to commission services to collect the height and weight data of children at the start and end of primary school and submit it for national analysis.
Although the NCMP was initially established as a surveillance programme to help monitor the weight status of children at both a national and local level, in 2008/09 feedback letters to parents were introduced to help raise parental awareness of their child’s weight status and provide local authorities the opportunity to advise on services and support available, particularly to children identified as an unhealthy weight (both under and overweight). Engagement with parents post measurement is non-mandatory; it is a local authority’s decision on whether they decide to provide weight feedback to parents3.
The impact of implementing weight feedback has been extensively evaluated4, including as part of a wider piece of NIHR research exploring the assessment and management of childhood obesity; this research was conducted around 10 years ago prior to the Public Health function moving from the NHS to Local Authorities,5,6,7,8. Academics continue to explore and evaluate the engagement aspects of the NCMP9, but there has not been a recent systematic appraisal of the evidence and an impact evaluation on the practicalities of the surveillance aspect of the NCMP, which includes the process of weighing and measuring of children10.
Current challenges
Previous research suggests that parents generally support the weighing and measuring of children in the school setting, believing that it increases awareness of weight-related health risks and aids children’s health 5,6,7,8. The relationship between being overweight or living with obesity and mental wellbeing is undisputed in the research literature, but what remains unclear is whether or not weight screening children in the school settings contributes to poor mental wellbeing amongst parents and children,11,12. Evidence to date has also not identified widespread harms in relation to eating disorders, body image and the wellbeing of children and young people, with research suggesting that a small proportion of children may be at a higher risk,6,13. However, the Department for Health and Social Care are aware that some parents, academics and health professionals are concerned that there may be potential harms associated with the NCMP, particularly in relation to measurement and feedback letters. Some advocacy groups have called for parents, schools and local authorities to opt out of the programme based on the premise that it is harmful to weigh and measure children,14,15,16,17. Therefore, it is vital to explore any potential unintended consequences of the weighing and measuring of children as part of the NCMP.
In addition, there are outstanding questions about the value and cost efficiency of the NCMP, given the variation in how Local Authorities deliver the programme and utilise its data. The NCMP costs around £10m per year group to deliver. In 2016-17 an internal NCMP Cost Model project was undertaken to determine detailed and reliable information on local costs of delivering the NCMP for both the surveillance and engagement aspects, to inform the development of a cost model template to help support local authorities with more cost-efficient commissioning. This is currently not widely used.
There is a pressing need to assess impact to determine whether the NCMP is still fit for purpose and cost-efficient and whether the current delivery model needs to be adapted in the future. This will help inform future spending via the Public Health Grant.
Forward look
A new NCMP IT data collection system is due to be commissioned in 2024. This will transform how information about the NCMP and resulting data is shared with both health care professionals and parents. It will support the identification and assessment of children living with obesity through the sharing of NCMP data across relevant NHS clinical systems, enabling the flow of data into children’s digital health records. Having access to the data will help support GPs and health care professionals to have supportive healthier weight conversations and facilitate onward referral into services.
Considering these changes to the NCMP and the greater potential impact that NCMP data will have, it is imperative that we build the evidence to understand the impact of delivering the NCMP for children, parents and local authorities and understand what the unintended harms may be to ensure we mitigate against them and implement the most supportive ways to talk about weighing and measuring with parents and children.
Research priorities
This research has two distinct strands:
- Impact of NCMP surveillance delivery: Research is required to assess and understand the impact of the surveillance aspect of delivering the NCMP on the mental health, wellbeing and behaviours of children and their parents, including both the benefits and unintended harms. This includes participation before, during and after the programme and should consider the perspectives of both the child/parent and the wider system (schools, service providers and local authorities).
- Mapping of local authority delivery models including cost and data utilisation: The research should map models of delivery across local authorities and associated costs to identify the most cost-efficient models for both the surveillance and engagement aspects. Exploration of how local authorities utilise the resulting data in their area (for example to target interventions or to give evidence of the impact on public health outcomes) is required.
The research should produce recommendations for how the NCMP could be improved to maximise the benefits and minimise harm to children, and recommendations for how local authorities can deliver cost-efficient models and maximise the value of this school public health programme.
Note that a separate systematic review on this topic has been commissioned through the NIHR Reviews Facility. This will explore the existing evidence on the impact of weighing and measuring on the mental health and well-being of children, including both the benefits and harms. This review is likely to complete in early/mid 2025, and we would expect successful applicants to this call to utilise the findings from this review where appropriate, for example to further explore any inequalities in experience or outcomes identified through the review.
Strand 1: Impact of NCMP surveillance delivery.
The research should explore the impact of the surveillance aspect of the NCMP on children, parents, schools, service providers and local authorities. It is important to explore a representative range of views spanning across geographies, levels of deprivation, ethnicities and weight categories to reflect the diversity of populations across all local authorities that deliver the NCMP in England.
The research should address the following areas:
The views and experiences of a wide range of children taking part in the NCMP in both age groups. Research questions should include:
- What is the impact on mental health and wellbeing of participating in the NCMP for children, including body image, weight-related teasing, eating behaviours, weight-related concerns and self-esteem? (using validated tools)
- What information do children receive about the NCMP prior to, during and after being measured?
- How do children feel about being measured beforehand, on measurement day and then afterwards, and what is their overall experience of taking part? Do children feel supported through-out the process?
- Are children aware they can excuse themselves for any reason including if they feel uncomfortable?
- What is a child’s understanding of why they are being measured?
- Does being measured result in any change in their behaviour, in particular in relation to food, eating or physical activity?
Where possible, the research should consider:
- the views of children who choose not to take part on measuring day, to help us understand barriers to participation
- how the views of children vary across weight categories
- Including children and young people up to 5 years after participation in the NCMP to allow the shorter- and longer-term impacts to be explored.
The perspective of parents/carers regarding their child’s involvement in the NCMP and the implications of this for their family. We are interested to know:
- What is the impact on mental health and wellbeing of having a child participate in the NCMP for parents/carers, in relation to their child’s body image, experiences of weight-related teasing, eating behaviours, weight-related concerns and self-esteem? (using validated tools)
- What information do parents/carers receive prior to their child being measured and afterwards, if any?
- Do parents/carers receive feedback via a letter, email, phone call or other method of communication?
- Do parents/carers speak to their children about taking part in the measurements? If yes, how do parents think their children feel about being measured beforehand, on measurement day and then afterwards?
- Are parents aware they can withdraw their child from taking part if they want to or that their child can opt out of being measured for any reason including if they don’t feel comfortable?
- What are parents’ overall experience of their child taking part in the school height and weight checks?
- What is a parent’s understanding of why their child is being measured?
- Does being measured result in any change in theirs or their child’s behaviour, in particular in relation to food, eating or physical activity?
- Are parents/carers offered any follow-up support? Do they access any local support or services? If yes which?
- Do parents/carers feel supported through-out the process?
- What do parents/carers see as the benefits and potential harms of children’s growth measurements being taken?
The views of schools with regards to their experiences of the NCMP and the feedback from parents / carers. Research questions could include:
- What information are schools/headteachers given regarding participating in the NCMP each year? Are they provided with everything they need to know to make an informed decision about participating in the programme? How could it be improved?
- What is measurement day like in school? Are there any specific challenges? What works well?
- What are the benefits and potential harms of schools participating in the NCMP?
- How do schools handle enquiries from parents about their children being measured and afterwards if a parent has received a feedback letter?
- Do schools feel equipped to support parents to have brief conversations about child health, growth and weight and signpost to further support? What else is needed?
- Do schools receive NCMP school feedback letters from their local authority or NCMP service provider? What do they do with the data?
The views of NCMP delivery teams with regards to their experiences of the NCMP and the feedback from parents / carers.
- What are the overall experiences of delivering the NCMP in schools? Are there any specific challenges of engaging with children and/or parents? What works well?
- What is measurement day like in school? Are there any specific challenges of engaging with children? What works well?
- Does national guidance and regional support provide what NCMP delivery teams need to engage and support parents? What else is needed?
- How are interactions with parents dealt with before, during and after the measurements?
Strand 2: Mapping of Local Authority delivery models including costs and how NCMP data is utilised in public health planning and service planning.
This research should map different models of delivery across local authorities and associated costs to identify the most cost-efficient models for both the surveillance and engagement aspects. It should also explore how local authorities utilise the resulting data in their area. The research should explore the following areas:
- NCMP delivery models including both in-house and externally commissioned models from a cross-section of local authorities from all Office for Health Improvement and Disparities (OHID) Regions, taking into consideration levels of childhood obesity, deprivation, ethnicity, and different geographies. Delivery should be broken down into surveillance and engagement to distinguish between the mandated and the local authority led aspects. The research should identify areas of good practice and innovation.
- Costs of delivery across different NCMP delivery models, utilising the NCMP Cost Model template, to produce recommendations for cost-efficient commissioning.
This research should utilise and build on the NCMP-Cost model template (refer to the user guide in appendix 1) to collate a sample of local authorities from all OHID Regions, taking into consideration levels of childhood obesity, deprivation, ethnicity and different geographies. The findings of this part of the research should be used to produce a guide for local authorities on improving cost-efficiency for the local delivery of the NCMP.
- Assessment of how Local Authorities use the NCMP to target interventions to children of different weight categories for both the promotion of a healthy weight and the management of children identified above a healthy weight. Questions could include:
- What is NCMP data used for at a local level, considering both a population and individual aspect?
- How do Local Authorities and Service providers use the NCMP data and outputs to engage with schools in the context of health and wellbeing and plan local services and support to promote a healthy weight in children?
- What is the value of the NCMP in promoting a child’s health beyond child growth, for example considering broader child public health areas such as oral health, physical activity, food and nutrition, and safeguarding?
Areas out of scope for this programme of work
The broader effectiveness of NCMP weight feedback has been widely researched and continues to be.4,5. Existing research indicates the importance of how we communicate with parents about their child’s weight in a sensitive, supportive and non-judgemental way. The focus of this evaluation is to explore the impact on mental health and wellbeing of delivering the NCMP on children, parents and the wider system. The broader effectiveness of weight feedback is out of scope.
A review of the evidence on the impact of weighing and measuring on the mental health of and wellbeing of children is not required as this is being commissioned separately.
Eligibility
Eligibility for the NIHR PRP is laid out in our Standard Information for Applicants and applies to all calls unless otherwise stated in the individual research specification.
Expertise required
Expertise and knowledge is required in weighing and measuring children, growth monitoring, assessing child mental health and wellbeing, sensitivities around child/parent weight communications, school public health programmes, child weight management, and cost-efficiency analysis.
Outputs
Applicants are asked to consider the timing and nature of deliverables in their proposals. Policymakers will need research evidence to meet key policy decisions and timescales, so resource needs to be flexible to meet these needs. A meeting to discuss policy needs with DHSC officials will be convened as a matter of priority following contracting.
- Outputs should include:
- interim reports and updates as agreed at project scoping;
- draft publishable report and final publishable report, with executive and lay summary in a form suitable for policy colleagues in a 1:3:25 format; and
- a presentation of findings to DHSC colleagues and key stakeholders.
- The successful applicant will produce a final report, fully accessible to policymakers and members of the public and circulate to DHSC. When the study is complete, the successful applicants will place a final report summary on the NIHR Policy Research Programme website, where outputs resulting from public expenditure are available for public scrutiny. It is important the final report summaries are easily accessible to lay readers.
- Applicants should consider the full range of potential audiences and describe how to disseminate research findings most effectively so lessons from this research affect policy and practice.
- Applicants are asked to consider the timing and nature of deliverables in their proposals. Policymakers will need research evidence to meet key policy decisions and timescales, so resource needs to be flexible to meet these needs. A meeting to discuss policy needs with DHSC officials will be convened as a matter of priority following contracting.
Budget and duration
The budget for this call is around £500,000. We anticipate the research taking around 24 months.
Costings can include up to 100% full economic costing (FEC) but should exclude output VAT. Applicants are advised that value for money is one of the key criteria that peer reviewers and commissioning committee members will assess applications against.
Management arrangements
A research advisory group including, but not limited to, representatives of DHSC, DfE, key stakeholders involved in the delivery of the NCMP, and the successful applicants for the research should be established. The advisory group will provide guidance, meeting regularly over the lifetime of the research. The successful applicants should be prepared to review research objectives with the advisory group, and to share emerging findings on an ongoing basis. They will be expected to:
- Provide regular feedback on progress
- Produce timely reports to the advisory group
- Produce a final report for sign off
Research contractors will be expected to work with nominated officials in DHSC, its partners and the NIHR. Key documents including, for example, research protocols, research instruments, reports and publications must be provided to DHSC in draft form allowing sufficient time for review.
Guidance on Health and Care Inequalities and associated data collection within NIHR PRP Research:
Health and care Inequalities is a high priority area within the Department of Health and Social Care and the NIHR and is often present in a majority of funded projects.We are now assessing all NIHR research proposals in relation to health inequalities. We ask that you please clearly identify in the research plan section of the application whether your application has an inequalities component or theme as well as how this research hopes to impact inequalities or not. Please also detail the core set of inequality breakdown data that will be collected, if applicable. More information on this request can be found in the Standard information for applicants.
References and key documents
[1] Great Britain. The Local Authorities (Public Health Functions and Entry to Premises by Local Healthwatch Representatives) Regulations. UK Statutory Instruments 2013 No. 351. [Accessed 15 December 2023]. Available from: The Local Authorities (Public Health Functions and Entry to Premises by Local Healthwatch Representatives) Regulations 2013 (legislation.gov.uk)
[2] Great Britain. The Local Authority (Public Health, Health and Wellbeing Boards and Health Scrutiny) Regulations. UK Statutory Instruments 2013 No. 218. [Accessed 15 December 2023]. Available from: The Local Authority (Public Health, Health and Wellbeing Boards and Health Scrutiny) Regulations 2013 (legislation.gov.uk)
[3] Department of Health and Social Care. Office for Health Improvement and Disparities. National Child Measurement Programme: operational guidance. Section 1.3 Deciding whether to provide parents with children’s results. London, Department of Health and Social Care. July 2023. Available from: National Child Measurement Programme: operational guidance 2023 - GOV.UK
[4] Extensive research prior to the implementation of routine feedback and then assessing the impact was carried out between 2006-2011 including:
- Opinion Leader Research (2006). Measuring childhood obesity: understanding PCT?s experiences of implementing DH guidance. London: Opinion Lead
- Grimmett C, Croker H, Carnell S, Wardle J. Telling parents their child’s weight status: psychological impact of a weight-screening program. J Pediatr 2008;122:e682-8. Telling Parents Their Child's Weight Status: Psychological Impact of a Weight-Screening Program | Pediatrics
- Shucksmith, J., Carlebach, S., Summerbell C. and Smith S. The National Child Measurement Programme: routine feedback research. Centre for Health and Social Evaluation (CHASE), University of Teeside. 2008
- Mooney A., Statham J., Boddy J. and Smith M. The National Child Measurement Programme: Early experiences of routine feedback to parents of children’s height and weight. London: Department of Health. 2009
- Rees R, Oliver K, Woodman J, Thomas J. Children’s views about obesity, body size, shape and weight: a systematic review. London: EPPI-Centre, Social Science, Research Unit, Institute of Education, University of London. 2009
- Ipsos Mori Social Research Institute. National Child Measurement Programme: Assessing parents? ability to identify child obesity. Findings from a national omnibus survey, October 2010. London: Ipsos Mori. (2010a)
- Ipsos Mori Social Research Institute. National Child Measurement Programme: proactive follow-up. Hull PCT. London: Ipsos Mori. (2010b)
- Mooney A., Statham J., Boddy J. and Smith M. A rapid review of the progress and challenges of the NCMP. Thomas Coram Research Unit. April 2011. Accessed 15th December 2023. Available from: The views of young people with learning difficulties about the support they receive from social services
[5] Viner RM, Kinra S, Christie D, Cole TJ, Costa S, Croker H, et al. Improving the assessment and management of obesity in UK children and adolescents: the PROMISE research programme including a RCT. Programme Grants Appl Res 2020;8(3). Available from: Improving the assessment and management of obesity in UK children and adolescents: the PROMISE research programme including a RCT
[6] Falconer CL, Park MH, Croker H, Skow A, Black J, Saxena S, et al. The benefits and harms of providing parents with weight feedback as part of the national child measurement programme: a prospective cohort study. BMC public health. 2014;14:549. Available from: The benefits and harms of providing parents with weight feedback as part of the national child measurement programme: a prospective cohort study
[7] Tovar A, Miller ME, Stage VC, Hoffman JA, Guseman EH, Sisson S, et al. BMI Data Collection and Communication Practices in a Multistate Sample of Head Start Programs. Childhood obesity (Print). 2022;18(5):309-23. 15. Available from: BMI Data Collection and Communication Practices in a Multistate Sample of Head Start Programs | Childhood Obesity
[8] Tatum KL, Valenzuela JM, Amirniroumand RA, Brochu PM. Parents' Perceptions of and Responses to School-Based Body Mass Index Screening Programs-A Systematic Review. The Journal of school health. 2021;91(4):331-44. Available from: Parents' Perceptions of and Responses to School-Based Body Mass Index Screening Programs—A Systematic Review
Appendix 1: National Child Measurement Programme. Cost model tool: user guide
Published July 2019, updated December 2023
Produced by former Public Health England now part Office for Health Improvement and Disparities, part of the Department of Health and Social Care.
Acknowledgements
We would like to thank current and former colleagues from PHE Health Economics Team and Analytics and Insight – Financial Management Team for guiding and helping to develop this tool to support the cost-efficient local commissioning and delivery of the NCMP. The six local authorities (Bedford, Ca
mbridge, Dudley, Leicestershire, Lincolnshire and Warwickshire) who participated in the user testing phase and provided invaluable feedback. And Doctor Claudia Strugnell, Postdoctoral Research Fellow from the Global Obesity Centre (GLOBE), World Health Organization Collaborating Centre for Obesity Prevention at Deakin University, Australia for her work on the NCMP and costings which helped guide the initial development of the tool.
Background and purpose of guide
This document provides a step by step guide to the National Child Measurement Programme (NCMP) cost model tool developed in collaboration by the NCMP team and Health Economics’ team at the former Public Health England with stakeholders shaping its development. It contains general information about all the worksheets used within the tool with key sections clearly highlighted.
The purpose of the NCMP cost model tool is to support cost-effective delivery of the NCMP, by providing a consistent and more automated format to enter costs associated with NCMP delivery. It allows local authorities to look more closely at their cost data, and better understand the costs of delivering the NCMP as well as projection of costs should Local Authorities wish to change the structure of delivery. It is hoped that this will also improve the accuracy of the NCMP expenditure annual return (under social care and public health) to the Department for Levelling Up, Housing and Communities. The tool provides the total cost to deliver the NCMP and a further breakdown of the surveillance costs, which is mandatory for local authorities (Total Cost Surveillance) and if carried out, the parent engagement/feedback costs (Total Cost Engagement).
Before operating the tool, please read the following general instructions:
- all input variables where the user can change values are highlighted in grey. Please do not change or edit the formulas in any cells which are in pink.
- if after reading this document additional support is required or you would like to provide us with feedback on the tool, please contact us at NCMP@dhsc.gov.uk
How to use the NCMP cost tool
This section outlines how to use the costing tool. The tool has been designed to be adaptable and flexible at local authority level. Users can add additional calculation costs to reflect local delivery and commissioning to ensure it meets local needs. It can also be used as part of the cost-effective commissioning/service delivery cycle to assist in reviewing, planning and improving the delivery of the NCMP and to achieve service efficiencies.
Section 1: NCMP cost model
This section allows users to enter the local authority name and user (completed by) details. Choose your local authority via the drop-down menu, the region is automatically populated. Enter the completed by details.
Section 2: summary information
This section allows the user to enter demographic information about the schools and pupils involved in the NCMP collection. Use the searchable register (click ‘searchable register’ for link) of schools and colleges in England to search for your school/s.
This section provides summary cost information (total staff costs, annual recurring running costs and total cost) and unit cost information per child based on model outputs (no user input is required).
In the model the surveillance and engagement staff costs are separated out to aid the cost estimation of expenditure for local authority prescribed functions which is the mandatory component of the NCMP. The differentiation is outlined below;
Total cost Surveillance - staff members involved in setting up and collecting child measurements and the central return of the data.
Total cost Engagement - staff members involved in communicating feedback to parents (mail, digital methods, phone calls).
N.B. Other annual running costs in section 4 do not differentiate between surveillance and engagement. The total from section 4 feeds into the Total Cost in section 2. Local adaptation of the cost tool is required to break down annual running costs surveillance and annual running costs engagement in section 4.
The ‘Number of students in Low Socioeconomic status communities’ and ‘Proportion of children from minority ethnic groups’ students’ are included in the summary information should local authorities want to calculate further costs regarding these groups. These numbers are not included in any model outputs in the tool.
Section 3: staff costs
Description of staff roles and responsibilities:
Within this section on staff costs they are five roles/descriptions used. Below are broad descriptions of the responsibilities that each role might cover, to help when using the model. For some of these roles, the responsibilities may be shared between the local authority and commissioned provider and it is possible to include both under individual roles on separate rows. It is also possible to allocate whether each role is related to mandatory components of the surveillance aspect of the NCMP (which is the weighing and measuring of eligible children and the central return of data, according to National Operational Guidance) versus parental engagement (sending out parent feedback letters, making proactive calls to parents of children identified with an unhealthy weight) refer to column C titled ‘Surveillance or Engagement’.
| Role | - | Responsibilities |
|---|---|---|
| Data Collection Assistant(s) | This person(s) is in charge of taking the measurements within a school E.g. a Health Care Assistant or Children’s Nursery Nurse |
Decide on preferred method for recording measurements (either the online browser-based system or the offline Excel spreadsheet) If using the online browser-based system (click ‘online browser-based system’ to open into link):
Use professional judgement to decide whether to measure children with growth disorders or medical conditions, such as cerebral palsy, a leg in plaster or a prosthetic leg. |
| Role | - | Responsibilities |
|---|---|---|
| Recruitment Coordinator person(s) | This person(s) is in charge of liaising with each school, booking times to conduct measurements and sending the pre-measurement information E.g. office manager/administrator or member of Public Health Nursing team or Public Health analyst |
|
| Role | - | Responsibilities |
|---|---|---|
| Feedback Coordinator person(s) | This person(s) is in charge of entering in the data, generating parent feedback letters and/or school feedback reports E.g. a Health Care Assistant or Children’s Nursery Nurse or a Public Health/School nurse or a Public Health analyst. |
|
| Phone to parents | This person(s) is in charge of taking calls from parents and/or making proactive calls to parents of children identified under and/or above a healthy weight. a Health Care Assistant or Children’s Nursery Nurse or a Public Health/School nurse |
|
| Role | - | Responsibilities |
|---|---|---|
| NCMP Coordinator time & school feedback letter coordination | This person(s) is in charge of overseeing the local delivery of the NCMP from a management and service point of view e.g. Lead School Nurse and/or Public Health Specialist, or Service Manager |
|
Entering staff costs data:
Pay information has been taken from the NHS Pay Scales 2023/24 (see 'NHS Pay Scales' tab for more information). The model provides an average hourly and annual cost (based on drop-down list in column C) for the years’ experience selected in column F. Please select the most appropriate pay scale for each member of staff.
Staff costs for non-NHS workers should be inputted under section 4, add additional lines as required. Please input the total non-NHS worker cost into column K.
- Hourly Cost: Enter information in column C, D, E, and F.
- Annual Cost: Enter information in column C, D and E.
Leave each row blank unless you enter information fully, otherwise the model calculations will not work.
Section 4: recurring annual running costs
This section calculates recurring annual running costs. Provide as much detail as you can to support the figures provided. Include any training attended or provided to staff specifically for delivering the local NCMP. Include staff travel expenses here if public transport is used e.g. bus tickets. For staff who travel via car, a cost per mile of £0.55 has been suggested in column J, row 55. However, the user can provide a different figure for mileage if guidance is available locally.
Equipment and any printing costs are also included in section 4.
Under ‘Other Costs’ please include indirect costs such as any senior management time spent on commissioning and local programme delivery, Human Resources, Information Governance and any other aspects that are pertinent to the local set-up and delivery of the NCMP.
As mentioned in Section 3, staff costs for non-NHS workers (for example local authority workers) should be inputted under ‘Non-NHS worker costs’ and ‘Other -Costs’.
The Non-NHS worker cost will appear under Annual Recurring Running Costs.
Section 5: Description of feedback method/notes (optional)
This section allows the user to include notes and a description of any feedback methods used to communicate with parents about their child’s NCMP measurements. This helps the user to break down which aspects are related to the ‘Total Cost Surveillance’ verses ‘Total Cost Engagement’. Some individuals’ duties may cover both, so the time spent on each aspect needs to be entered separately under staff costs to calculate the totals if required. It can also assist in estimating printing and postage costs. Useful information to consider may include:
Components of the feedback letter e.g. which children’s weight categories are sent a letter, local services offered (if available), leaflets included
- Feedback method (e.g. letter, phone call, face-to-face or a combination)
- Next steps (e.g. referral to GP, weight management services)
- Any other useful information (number of complaints
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