Perinatal and Infant Mental Health Programme Board minutes: 27 May 2021

Attendees and apologies

Author:

• Alex Brown

Present:

• Roch Cantwell, Vice Chair, NHS National Services Scotland
• Kaylie Allen, Head of Funds, Inspiring Scotland
• Sally Amor, Child Health Commissioner, NHS Highland
• Hannah Axon, Policy Manager, COSLA
• Laura Bennison, Everyone’s Business, Support Coordinator, Maternal Mental Health Scotland
• Alex Brown, Programme Support Officer, NHS National Services Scotland
• Emma Currer, National Officer, Royal College of Midwives
• Amanullah Durrani, Consultant Perinatal Psychiatrist, Royal College of Psychiatrists
• Fiona Fraser, Consultant Clinical Psychologist, NHS Greater Glasgow and Clyde
• Marsaili Fraser, Performance Advisor, Inspiring Scotland
• Sheila Gordon, Director, CrossReach
• Sally Ann Kelly, Chief Executive, Aberlour
• Lauren Kennedy, Lead Nurse for Mental Health and Learning Disabilities, NHS 24
• Marion MacAuley, Chief Social Work Officer, Social Work Scotland
• Anne McFadyen, Infant Mental Health Lead, Perinatal Mental Health Managed Clinical Network, NHS National Services Scotland
• Ross McGuffie, Chief Officer, Health and Social Care , NHS Lanarkshire
• Wendy Mitchell, Professional Adviser, Early Years and Children’s Services, Scottish Government
• Marie Claire Shankland, Programme Director, NHS Education for Scotland
• Helen Sloan, Nurse Consultant Perinatal Mental Health, NHS Greater Glasgow and Clyde
• Joanne Smith, Policy Manager, NSPCC
• Judy Thomson, Director of Psychology, NHS Education for Scotland
• Clare Thompson, Participation Officer, Maternal Mental Health Scotland
• Harri Waugh, Head of Perinatal and Early Years Mental Health Team, Scottish Government
• Roch Cantwell, Vice Chair, NHS National Services Scotland
• Kaylie Allen, Head of Funds, Inspiring Scotland
• Sally Amor, Child Health Commissioner, NHS Highland
• Hannah Axon, Policy Manager, COSLA
• Laura Bennison, Everyone’s Business, Support Coordinator, Maternal Mental Health Scotland
• Alex Brown, Programme Support Officer, NHS National Services Scotland
• Emma Currer, National Officer, Royal College of Midwives
• Amanullah Durrani, Consultant Perinatal Psychiatrist, Royal College of Psychiatrists
• Fiona Fraser, Consultant Clinical Psychologist, NHS Greater Glasgow and Clyde
• Marsaili Fraser, Performance Advisor, Inspiring Scotland
• Sheila Gordon, Director, CrossReach
• Sally Ann Kelly, Chief Executive, Aberlour
• Lauren Kennedy, Lead Nurse for Mental Health and Learning Disabilities, NHS 24
• Marion MacAuley, Chief Social Work Officer, Social Work Scotland
• Anne McFadyen, Infant Mental Health Lead, Perinatal Mental Health Managed Clinical Network, NHS National Services Scotland
• Ross McGuffie, Chief Officer, Health and Social Care , NHS Lanarkshire
• Wendy Mitchell, Professional Adviser, Early Years and Children’s Services, Scottish Government
• Marie Claire Shankland , Programme Director, NHS Education for Scotland
• Helen Sloan, Nurse Consultant Perinatal Mental Health, NHS Greater Glasgow and Clyde
• Joanne Smith, Policy Manager, NSPCC
• Judy Thomson, Director of Psychology, NHS Education for Scotland
• Clare Thompson, Participation Officer, Maternal Mental Health Scotland
• Harri Waugh, Head of Perinatal and Early Years Mental Health Team, Scottish Government

In attendance:

• Sophie Avery, Perinatal and Early Years Mental Health Team, Scottish Government
• Laura Boyce on behalf of Jacqueline Lambert, Scottish Government
• Jemma Davis, Perinatal and Early Years Mental Health Team, Scottish Government
• Kelda Gaffney on behalf of Jackie Kerr, Interim Head of Adult Services/Specialist Mental Health Services, NHS Greater Glasgow and Clyde
• Irene Permaul, Perinatal and Early Years Mental Health Team, Scottish Government

Apologies:

• Jackie Kerr, Assistant Chief Officer, NHS Greater Glasgow and Clyde
• Catriona Johnson, Associate Programme Director, NHS National Services Scotland
• Jacqueline Lambert, Professional Midwifery Adviser, Scottish Government
• Clare McGuire, Head of Programme, NHS Education for Scotland

Items and actions

Welcome, apologies and housekeeping

Dr Roch Cantwell (Chair) welcomed everyone to the thirteenth Perinatal and Infant Mental Health Programme Board (PNIMH-PB) meeting, and apologies were noted as above.

The draft minutes were agreed as an accurate representation of the March 2021 meeting.

PNIMH Programme Board updates

Harri Waugh (Head of Perinatal and Early Years Mental Health Team, Scottish Government) gave an update:

Recruitment is progressing for the Scottish Government (SG) Development Advisor post, which aims to support Health Boards in the development of their perinatal and infant mental health (PIMH) services.

The SG Policy Team are collating the 2020-21 monitoring information returned by the funded Health Boards, and are consolidating the proposals for 2021-22 allocations, to be approved by the Minister for Mental Wellbeing, Mr Kevin Stewart.

Harri and other SG Policy colleagues are soon to review the terms and conditions of the Mother and Baby Unit (MBU) Family Fund, and are in touch with colleagues locally to ensure that the expansion is appropriate to their area.

The SG Policy Team are working with Inspiring Scotland to take forward the Peer Support Action Plan and identify key areas for progression in 2021-22. They hope to organise an Annual Peer Support event to take place virtually in October 2021.

Harri welcomed Sophie Avery to the SG Policy Team. Sophie has been tasked with bringing together a SG narrative for the many streams of Infant Mental Health (IMH) work, and has been consulting with Dr Anne McFadyen, Chair of the IMH Implementation and Advisory Group (IMH-IAG).

2021/22 delivery plan

Harri gave a presentation outlining the thirteen draft actions for the 2021/22 PNIMH-PB Delivery Plan. Alex Brown (Programme Support Officer, NHS National Services Scotland) shared the slides with all PNIMH-PB and IMH-IAG members after the meeting, with a request for feedback to be returned by 11th June.

Action: all

The Chair advised that a Monitoring and Evaluation subgroup had been established, and would first meet on 14th June, to look specifically at research and evaluation concerning the work of the PNIMH-PB.

Alex introduced the group to the Project Plan document, which details actions and timelines within each workstream of the PNIMH-PB. A summary sheet that includes recent actions taken, significant next steps and upcoming dates for each workstream, as well as an overall ‘traffic light’ rating, will be shared with PNIMH-PB members ahead of future meetings as a status update.

Third Sector

Small Grants Fund

Irene Permaul (Senior Policy Officer, SG Policy Team) gave an update on the Small Grants Fund being run by Inspiring Scotland. The consultation closed in March 2021, with limited response from small organisations. As a result, Inspiring Scotland is undertaking further discussion with small organisations with a view to increasing the accessibility of the fund to these groups. The Small Grants Fund opened to applications on 27th May, and closes on 9th July 2021. Successful organisations will be announced in September 2021.

Discussion on interface

The Chair stated that newly developing PIMH services should be set up with Third Sector links and partnerships in mind, alongside coproduction with people with lived experience of perinatal mental health difficulties, and their families.

Sally Ann Kelly (Chief Executive, Aberlour) and Sally Amor (Child Health Commissioner, NHS Highland) highlighted the important role of the TSI Scotland Network in the interface between the Scottish Health Boards and local and national Third Sector organisations.

Clare Thompson (Participation Officer, Maternal Mental Health Scotland) emphasised the importance of PIMH services evaluating their coproduction activity to determine how effective has it been, and to ensure that commitments are progressed in each area.

Health Board 2020/21 monitoring information

Harri Waugh reminded the group that the SG Policy Team had asked each Health Board area to report on their 2020/21 spend figures and monitoring information by 30th April 2021. At the time of the meeting, the team were still waiting for returns from NHS Orkney, NHS Grampian, and NHS Forth Valley. NHS Western Isles did not submit a proposal for 2020-21 funding (a 2021-2022 bid is expected).

The Health Board Monitoring template asked for details on:

• recruitment and staffing costs across community perinatal mental health teams (CPMHT), maternity and neonatal psychological interventions (MNPI) services, and IMH services
• engagement with people and families with lived experience
• national outcomes (progress update, successes and challenges, and plans in place)
• specific board level outcomes

Harri explained that collecting input from all Boards had been a challenge, and the SG Development Advisor would focus on improving communications with the Boards and the PIMH Implementation groups when they come into post. The other main challenge is in clearly collating the returned information as Boards have not taken a consistent approach and use differing language for post descriptions. The SG Policy Team are improving the Monitoring template for 2021/22, in line with feedback from Boards.

Action: SG Policy Team

Any other business

A written update on the PIMH work of NHS Education for Scotland was circulated after the meeting and can be shared again on request.

Next meeting

Wednesday 1st September 2021