Community Perinatal Mental Health Services: briefing paper for boards
Guidance for Delivering Effective Services recommendations on regional approaches to specialist community perinatal mental health service provision.
Guidance on governance arrangements
Regional leadership roles
These posts, with ring-fenced time for regional leadership responsibilities for education, training, pathway oversight, informal advice and support, and exceptional clinical assessment, would have clinical governance from their own health board.
Regional clinical roles
These posts, in support of island and other very low birth numbers boards, will also retain clinical governance from their own board, which will recognise their regional responsibilities within their overall job plan. Joint clinical assessment provided at regional level would be of a second opinion nature.
Regional working
Table one - levels of service
Regional board provision for Grampian, Greater Glasgow and Clyde and Lothian.
|
Level 1 |
Level 2 |
|
Regional advice, leadership and support |
Regional supervision, assessment and care |
|
Provided by: Nurse consultant Consultant psychiatrist Consultant psychologist Lead parent-infant therapist |
Provided by: Nurse consultant (with support of consultant psychiatrist, consultant psychologist and lead parent-infant therapist) |
|
For staff: Leadership on education and training Leadership on regional networks and pathways Informal clinical advice and guidance |
For staff: Clinical support and supervision to staff in local boards |
|
For women, infants and families: Complex case second opinion (rare) |
For women, infants and families: Clinical assessment for complex cases to support local team decision making |
Table two - boards in receipt of regional provision
Regional lead board staffing and responsibilities for Grampian, Grampian, Greater Glasgow and Clyde and Lothian and Lothian.
|
Lead board |
Level 1 |
Level 2 |
|
Boards providing regional and clinical roles |
Boards receiving regional leadership support |
Boards receiving regional clinical support (live birth numbers/year) |
|
NHS Grampian Nurse consultant (1 wte) Consultant psychiatrist (0.2 wte) Consultant clinical psychologist (0.2 wte) Parent-infant lead (vacant) |
NHS Grampian NHS Highland (North Highland) NHS Orkney NHS Shetland NHS Tayside |
NHS Orkney (171) NHS Shetland (200)
Total live births/year 2021 – 371 Anticipated second opinions numbers/year – 1 to 2 |
|
NHS Greater Glasgow and Clyde Nurse consultant (1 wte) Consultant psychiatrist (0.2 wte) Consultant clinical psychologist (0.2 wte) Parent-infant lead (0.2 wte) |
NHS Ayrshire and Arran NHS Dumfries and Galloway NHS GGC NHS Highland (Argyll and Bute) NHS Lanarkshire NHS Western Isles |
NHS Dumfries and Galloway (1083) NHS Highland (Argyll and Bute) (599) NHS Western Isles (181)
Total live births/year 2021 – 1863 Anticipated second opinions numbers/year – 5 to 10 |
|
NHS Lothian Nurse consultant (1 wte) Consultant psychiatrist (0.2 wte) Consultant clinical psychologist (0.2 wte) Parent-infant lead (0.2 wte) |
NHS Borders NHS Fife NHS Forth Valley NHS Lothian |
NHS Borders (852)
Total live births/year 2021 – (852) Anticipated second opinions numbers/year – 2 to 5 |
Boards requiring regional clinical support (Level 2) will be confirmed in discussions with individual boards.
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