NHS England has published information about mental health services for mothers, their families and people who care for them.
Perinatal mental health problems are those which occur during pregnancy or in the first year following the birth of a child. Perinatal mental illness affects up to 20% of women, and covers a wide range of conditions. If left untreated, it can have significant and long lasting effects on the woman and her family. Perinatal mental health problems can also have long-standing effects on children’s emotional, social and cognitive development.
NHS England has committed to fulfilling the ambition in the Five Year Forward View for Mental Health, so that by 2020/21 there will be increased access to specialist perinatal mental health support in all areas of England, allowing at least an additional 30,000 women each year to receive evidence-based treatment, closer to home, when they need it. This includes the right range of specialist community and inpatient care.
A phased, five-year transformation programme, backed by £365m in funding, is underway to build capacity and capability in specialist perinatal mental health services, focused on improving access to and experience of care, early diagnosis and intervention, and greater transparency and openness.
Preparation and planning
- Developing and implementing evidence-based pathways– helping to deliver integrated services which incentivise early intervention and holistic approaches to care and recovery
- Networks– being established in all regions, as recommended in NICE guidelines, to provide leadership and expertise in the development of local services and pathways.
- Workforce development– working with partners to build the capacity and competency across the specialist workforce; to develop and deliver a workforce strategy as well as a multidisciplinary skills and competency framework.
- Increasing Mother and Baby Unit (MBU) provision– including development of new MBUs in areas with significant access issues and increasing capacity in existing units, as needed.
- Strategic collaborative commissioning models– develop and implement new commissioning models so that inpatient MBUs serve the needs of large populations and are closely integrated with specialised community perinatal mental health teams.
- New information leaflets for mothers and their families were released in November 2018. Written jointly by perinatal psychiatrists, women with lived experience of perinatal mental illness, and their partners, they provide details on what services are available and how to access help. Access the following online:
- What are perinatal mental health services?
- Information about mother and baby units
- Help for women and their partners to understand what ‘safeguarding children’ means
- The use of lithium in pregnancy and breastfeeding
- The use of antipsychotics in pregnancy and breastfeeding
- The use of valproate in women and girls who could get pregnant
- Postpartum psychosis – information for carers
- Perinatal OCD – information for carers
- Perinatal mental health community services development fund launched on 19 August to promote service development and quality improvement. Organisations invited to submit funding proposals for up to three years focused on expanding existing specialist community teams into a wider geography or resourcing small new teams with limited provision to meet the needs of local populations more comprehensively. Find out more and apply
- Specialist community perinatal services– ensure these are available in each locality to deliver care as well as provide consultation and advice to maternity, mental health and community services; support this development with targeted investment through a community development fund over time before mainstreaming into CCG allocations.
- Data, outcomes and incentives– collecting and publishing national and local data; developing standardised data and outcomes measures to measure and monitor improvement, activity and service provision, and reviewing levers to drive improvements.