Top Banner
www.england.nhs.uk Perinatal and Infant Mental Health South West Maternity and Children’s Strategic Clinical Network 27th November 2014 Ann Remmers,
10

Www.england.nhs.uk Perinatal and Infant Mental Health South West Maternity and Children’s Strategic Clinical Network 27th November 2014 Ann Remmers, Clinical.

Jan 15, 2016

Download

Documents

Tyrone Carr
Welcome message from author
This document is posted to help you gain knowledge. Please leave a comment to let me know what you think about it! Share it to your friends and learn new things together.
Transcript
Page 1: Www.england.nhs.uk Perinatal and Infant Mental Health South West Maternity and Children’s Strategic Clinical Network 27th November 2014 Ann Remmers, Clinical.

www.england.nhs.uk

Perinatal and Infant Mental

Health

South West Maternity and Children’s Strategic

Clinical Network

27th November 2014Ann Remmers, Clinical

Director

Page 2: Www.england.nhs.uk Perinatal and Infant Mental Health South West Maternity and Children’s Strategic Clinical Network 27th November 2014 Ann Remmers, Clinical.

www.england.nhs.uk

Network priority

Page 3: Www.england.nhs.uk Perinatal and Infant Mental Health South West Maternity and Children’s Strategic Clinical Network 27th November 2014 Ann Remmers, Clinical.

www.england.nhs.uk

• NHS Mandate 2013-15

- reduce the incidence and impact of postnatal depression through earlier diagnosis and better intervention and support

- Ensuring people have access to the right treatment when they need it, including drugs and treatments recommended by NICE … and services for children and adults with mental health problems.

- Mental health on a par with physical health – parity of esteem (Domain 3)

• Priority of the National Clinical Director for Maternity and Women’s Health, Dr Catherine Calderwood

National Priority

Page 4: Www.england.nhs.uk Perinatal and Infant Mental Health South West Maternity and Children’s Strategic Clinical Network 27th November 2014 Ann Remmers, Clinical.

www.england.nhs.uk

0%

2%

4%

6%

8%

10%

12%

14%

maj

or dep

ress

ion

hyper

tens

ion

PPH

prete

rm

diabet

es

precl

amps

iaIU

GR

place

ntal

abru

ptio

n

Depression: the most common major complication of maternity

Page 5: Www.england.nhs.uk Perinatal and Infant Mental Health South West Maternity and Children’s Strategic Clinical Network 27th November 2014 Ann Remmers, Clinical.

www.england.nhs.uk

Suicide: always in the top 3 causes of maternal deaths up to 12 months

0

5

10

15

20

25

Cardia

cVTE

Suicid

e

CNS Hae

morr

hage

Sepsi

s

Preec

lam

psia

AFE

Haemorrh

age

Infe

ctio

ns

Mat

ern

al

Dea

th:

rate

s p

er m

illi

on

ma

tern

itie

s, U

K 2

003

-05

Page 6: Www.england.nhs.uk Perinatal and Infant Mental Health South West Maternity and Children’s Strategic Clinical Network 27th November 2014 Ann Remmers, Clinical.

www.england.nhs.uk

Children depressed at 16 all had mothers who were depressed, mainly during pregnancy No maternal depression No children depressed at 16

0

10

20

30

40

50

60

70

% o

f ad

ole

scen

t off

spri

ng

Never In utero 1st year Earlychildhood

Middlechildhood

Adolescence

When mother first depressed

Depressedadolescents

Welladolescents

Pawlby et al 2009

Page 7: Www.england.nhs.uk Perinatal and Infant Mental Health South West Maternity and Children’s Strategic Clinical Network 27th November 2014 Ann Remmers, Clinical.

www.england.nhs.uk

Specialist Perinatal Community Care

Page 8: Www.england.nhs.uk Perinatal and Infant Mental Health South West Maternity and Children’s Strategic Clinical Network 27th November 2014 Ann Remmers, Clinical.

www.england.nhs.uk

Work to date• Working group set up • Group agreement to work with the NSPCC standards

(Prevention in Mind) • SW-wide event to engage stakeholders in prioritising

these standards in order to ensure equitable, consistent and high quality maternal and infant mental healthcare throughout the region

• Thursday 6th November 2014 – Exeter Racecourse – PIMH workshop – 100+ attended

Page 9: Www.england.nhs.uk Perinatal and Infant Mental Health South West Maternity and Children’s Strategic Clinical Network 27th November 2014 Ann Remmers, Clinical.

www.england.nhs.uk

Work to date (continued)

• Self-assessment questionnaire based on the standards from the NSPCC distributed across region

• Aim of gaining a better understanding of the provision of perinatal mental health services across the South West

• Over 50 responses received• Initial results shared to help inform local work across

the region

Page 10: Www.england.nhs.uk Perinatal and Infant Mental Health South West Maternity and Children’s Strategic Clinical Network 27th November 2014 Ann Remmers, Clinical.

www.england.nhs.uk

Moving forward

• Following on from November event and information gained from completed questionnaires, areas of work being identified and initiated with the working group:• Sharing the South West vision for the provision of

high quality perinatal and infant mental health care• Prioritisation of the NSPCC standards to inform the

Network work programme• Delivery of the work programme

Questions?