Perinatal mental health services: needs assessment and recommendations

Recommendations across all tiers of service delivery, with the aim of ensuring that Scotland has the best services for women with, or at risk of, mental ill health in pregnancy or the postnatal period, their infants, partners and families.


Appendix 4

Current and recommended community staffing for NHS boards with fewer than 5,000 births per year

NHS Ayrshire & Arran

Birth numbers: 3,281 (2017)

Staff

Recommended WTE
(per 3,281 deliveries)

Current provision

Additional requirement

Consultant psychiatrist

0.3-0.4

0.2

0.1-0.2

Lead nurse

0.3-0.4

-

0.3-0.4

Consultant psychologist

0.2

-

0.2

Link CPN

1.5-2.0

-

1.5-2.0

Occupational therapist

0.3-0.4

-

0.3-0.4

Social worker

0.2

-

0.2

Administrative staff

0.6-0.8

-

0.6-0.8

NHS Borders

Birth numbers: 989 (2017)

Staff

Recommended WTE
(per 989 deliveries)

Current provision

Additional requirement

Consultant Psychiatrist

0.2

0.1

0.1

Lead Nurse

0.2

-

0.2

Consultant Psychologist

0.2

-

0.2

Link CPN

0.5

-

0.5

Occupational therapist

0.1

-

0.1

Social worker

0.1

-

0.1

Administrative staff

0.2

-

0.2

NHS Dumfries & Galloway

Birth numbers: 1,248 (2017)

Staff

Recommended WTE
(per 1,248 deliveries)

Current provision

Additional requirement

Consultant Psychiatrist

0.2

-

0.2

Lead Nurse

0.2

-

0.2

Consultant Psychologist

0.2

-

0.2

Link CPN

0.5

-

0.5

Occupational therapist

0.1

-

0.1

Social worker

0.1

-

0.1

Administrative staff

0.2

-

0.2

NHS Fife

Birth numbers: 3,465 (2017)

Staff

Recommended WTE
(per 3,465 deliveries)

Current provision

Additional requirement

Consultant Psychiatrist

0.3-0.4

0.2

0.1-0.2

Lead Nurse

0.3-0.4

-

0.3-0.4

Consultant Psychologist

0.2

-

0.2

Link CPN

1.5-2.0

-

1.5-2.0

Occupational therapist

0.3-0.4

-

0.3-0.4

Social worker

0.2

-

0.2

Administrative staff

0.6-0.8

-

0.6-0.8

NHS Forth Valley

Birth numbers: 2,907 (2017)

Staff

Recommended WTE
(per 2,907 deliveries)

Current provision

Additional requirement

Consultant Psychiatrist

0.3

0.2

0.1

Lead Nurse

0.3

1.0

-

Consultant Psychologist

0.2

-

0.2

Link CPN

1.5

1.4*

-

Occupational therapist

0.3

-

0.3

Social worker

0.2

-

0.2

Administrative staff

0.6

0.5

0.1

*These posts currently consist of 1 WTE Band 6 nurse based within the hub team, with 2 CPNs dispersed in the CMHTs.

NHS Highland

Birth numbers: 2,754 (2017)

Staff

Recommended WTE
(per 2,754 deliveries)

Current provision

Additional requirement

Consultant Psychiatrist

0.3

-

0.3

Lead Nurse

0.3

0.4

-

Consultant Psychologist

0.2

-

0.2

Link CPN

1.5

-

1.5

Occupational therapist

0.3

-

0.3

Social worker

0.2

-

0.2

Administrative staff

0.6

-

0.6

NHS Orkney*

Birth numbers: 184

Staff

Recommended WTE
(per 184 deliveries)

Current provision

Additional requirement

Consultant Psychiatrist

0.02

-

0.02

Lead Nurse

0.02

-

0.02

Consultant Psychologist

0.01

-

0.01

Link CPN

0.1

-

0.1

Occupational therapist

0.02

-

0.02

Social worker

0.01

-

0.01

Administrative staff

0.04

-

0.04

*Much of this resource is likely to be provided on a regional basis and figures provided are indicative for funding purposes

NHS Tayside

Birth numbers: 3,757

Staff

Recommended WTE
(per 3,757 deliveries)

Current provision

Additional requirement

Consultant Psychiatrist

0.4

-

0.4

Lead Nurse

0.4

-

0.4

Consultant Psychologist

0.2

-

0.2

Link CPN

2.0

-

2.0

Occupational therapist

0.4

-

0.4

Social worker

0.2

-

0.2

Administrative staff

0.8

-

0.8

NHS Shetland*

Birth numbers: 218

Staff

Recommended WTE
(per 218 deliveries)

Current provision

Additional requirement

Consultant Psychiatrist

0.02

-

0.02

Lead Nurse

0.02

-

0.02

Consultant Psychologist

0.01

-

0.01

Link CPN

0.1

-

0.1

Occupational therapist

0.02

-

0.02

Social worker

0.01

-

0.01

Administrative staff

0.04

-

0.04

*Much of this resource is likely to be provided on a regional basis and figures provided are indicative for funding purposes

NHS Western Isles*

Birth numbers: 215

Staff

Recommended WTE
(per 218 deliveries)

Current provision

Additional requirement

Consultant Psychiatrist

0.02

-

0.02

Lead Nurse

0.02

-

0.02

Consultant Psychologist

0.01

-

0.01

Link CPN

0.1

-

0.1

Occupational therapist

0.02

-

0.02

Social worker

0.01

-

0.01

Administrative staff

0.04

-

0.04

*Much of this resource is likely to be provided on a regional basis and figures provided are indicative for funding purposes

Total requirements for combined Scottish boards with birth numbers under 5,000 per year

Birth numbers: 19,018 (2017)

Staff

Recommended WTE
(per 19,018 deliveries, taking into account regional variation)

Current provision

Additional national requirement

Consultant Psychiatrist

2.26

0.7

1.56

Lead Nurse

2.26

1.4

1.66

Consultant Psychologist

1.43

-

1.43

Link CPN

10.3

1.4

8.8

Occupational therapist

2.06

-

2.06

Social worker

1.23

-

1.23

Administrative staff

4.12

0.5

3.62

Contact

Email: MentalHealthStrategyandCoordinationUnit@gov.scot

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