- Asked by: Alex Cole-Hamilton, MSP for Edinburgh Western, Scottish Liberal Democrats
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Date lodged: Wednesday, 06 May 2020
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Current Status:
Answered by Clare Haughey on 18 May 2020
To ask the Scottish Government what assessment it has made of whether NHS Highland is currently meeting the Scotland-wide ambition of providing the best services to women with, or at risk of, mental ill-health in pregnancy or the postnatal period, their infants, partners and families.
Answer
The Programme Board is working with NHS Highland to support its development of Perinatal Mental Health Services. This has included £82,367 in 2019-20 for Community Perinatal Mental Health provision across NHS Highland and Grampian. Forward planning includes further investment in Community Perinatal Mental Health provision along with expansion of Infant Mental Health Services into the Highland area.
- Asked by: Alex Cole-Hamilton, MSP for Edinburgh Western, Scottish Liberal Democrats
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Date lodged: Wednesday, 06 May 2020
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Current Status:
Answered by Clare Haughey on 18 May 2020
To ask the Scottish Government whether all NHS boards with birth numbers of over 5,000 per year now have a multidisciplinary community perinatal mental health team that has the skills and capacity to assess and care for pregnant and postnatal women, up to 12 months, who require secondary care mental health services.
Answer
I refer the Member to the answer to question S5W-28877 on 18 May 2020. All answers to written parliamentary questions are available on the Parliament's website, the search facility for which can be found at: http://www.parliament.scot/parliamentarybusiness/28877.aspx
- Asked by: Alex Cole-Hamilton, MSP for Edinburgh Western, Scottish Liberal Democrats
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Date lodged: Wednesday, 06 May 2020
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Current Status:
Answered by Clare Haughey on 18 May 2020
To ask the Scottish Government whether it considers that all NHS boards have equity of access to a regional mother and baby unit (MBU); whether any boards do not have service level agreements with an MBU, and, if so, for what reason.
Answer
The two Mother and Baby Units in Scotland are regionally managed. However, admission is available to women and infants from all health board areas in Scotland, based on clinical need. The Scottish Government expects that where admission to an inpatient unit is required, that women and infants will be admitted appropriately, in line with clinical judgement and the wishes of the patient.
Leverndale Mother and Baby Unit (managed by NHS Greater Glasgow and Clyde) has contractual arrangements with: NHS Ayrshire and Arran, NHS Dumfries and Galloway, NHS Highland, NHS Lanarkshire and NHS Western Isles
St John’s Mother and Baby Unit (Managed by NHS Lothian) has contractual arrangements with: NHS Borders, NHS Fife, NHS Highland and NHS Tayside, NHS Orkney and NHS Shetland .
NHS Grampian and NHS Forth Valley do not hold contractual arrangements with either MBU but are able to access either resource on a case by case basis.
- Asked by: Alex Cole-Hamilton, MSP for Edinburgh Western, Scottish Liberal Democrats
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Date lodged: Wednesday, 06 May 2020
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Current Status:
Answered by Clare Haughey on 18 May 2020
To ask the Scottish Government how many admissions each mother and baby unit has had in each of the last three years, also broken down by the patient's NHS board.
Answer
This data is centrally held by Public Health Scotland (PHS). The following tables present the number of admissions to Mother and Baby Units in Scotland in the period 2017 – 2019 (up to and including December 2019), broken down by treatment unit and year of admission in Table 1 and then further broken down by patient health board of residence in Table 2.
Table 1. Number of admissions to Mother and Baby Units by Year, 2017-2019.
Treatment Unit | 2017 | 2018 | 2019 | Grand Total |
Leverndale Hospital | 52 | 73 | 72 | 197 |
St John`s Hospital | 55 | 56 | 55 | 166 |
Grand Total | 107 | 129 | 127 | 363 |
Table 2. Number of admissions to Mother and Baby Units, 2017-19, broken down by patient health board of residence
| Leverndale Hospital | St John's Hospital |
Health Board of Residence | 2017 | 2018 | 2019 | Total | 2017 | 2018 | 2019 | Total |
NHS Ayrshire and Arran | * | * | * | 9 | 0 | 0 | 0 | 0 |
NHS Borders | 0 | * | * | * | * | * | * | * |
NHS Dumfries and Galloway | * | 0 | * | * | 0 | 0 | 0 | 0 |
NHS Fife | 0 | 0 | * | * | 5 | 8 | 5 | 18 |
NHS Forth Valley | * | 0 | * | 5 | * | * | 0 | * |
NHS Grampian | * | 0 | * | * | 6 | * | * | 12 |
NHS Greater Glasgow and Clyde | 39 | 52 | 46 | 137 | * | * | * | 8 |
NHS Highland | * | 0 | * | * | * | * | * | * |
NHS Island Boards 1 | 0 | 0 | 0 | 0 | 0 | 0 | * | * |
NHS Lanarkshire | 6 | 17 | 10 | 33 | * | * | * | * |
NHS Lothian | 0 | 0 | * | * | 31 | 24 | 35 | 90 |
NHS Tayside | 0 | 0 | 0 | 0 | * | 10 | * | 19 |
Other 2 | 0 | * | 0 | * | 0 | 0 | 0 | 0 |
Grand Total | 52 | 73 | 72 | 197 | 55 | 56 | 55 | 166 |
Notes:
* - Denotes values which have been suppressed to protect patient confidentiality.
1 - Due to small numbers, the Orkney, Shetland, and Western Isles health boards have been grouped under Island Boards to protect patient confidentiality.
2 - Due to small numbers, the National Facility, Non-NHS Provider/Location, State Hospital health boards, and Patients from England/Wales/Northern Ireland/Outside of the UK or with No Fixed Abode have been grouped under Other to protect patient confidentiality.
- Asked by: Alex Cole-Hamilton, MSP for Edinburgh Western, Scottish Liberal Democrats
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Date lodged: Wednesday, 06 May 2020
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Current Status:
Answered by Clare Haughey on 18 May 2020
To ask the Scottish Government whether it will provide an update of table 4.2.1 in the report, Delivering Effective Services: Needs Assessment and Service Recommendations for Specialist and Universal Perinatal Mental Health Services, which was published on 6 March 2019, and which NHS boards currently have (a) disciplinary specialist community perinatal mental health teams, (b) protected multidisciplinary sessions and a core team, (c) one or more members of mental health staff identified as having a special interest in perinatal mental health and (d) no special interest provision for perinatal mental health.
Answer
As described in the answer to question S5W-28877 on 18 May 2020 during the first year of the Perinatal and Infant Mental Health Programme, as set out in the Perinatal and Infant Mental Health Programme Board Delivery Plan 2019-20, we have focused on a set of initial actions to implement the Delivering Effective Services recommendations. As part of this work, we have invested in community services in the North of Scotland which will inform the development of a model that can be adapted and rolled out across Scotland in 2020-21 and beyond.
Work to roll out this model across Boards in the current financial year had to be paused due to Covid-19 pressures. However, we are now recommencing this work where possible and the Chair of the Board will shortly meet each health board to agree guidance and protocol for wider roll out of expanded specialist community perinatal teams as well as funding to support these developments.
All answers to written parliamentary questions are available on the Parliament's website, the search facility for which can be found at: http://www.parliament.scot/parliamentarybusiness/28877.aspx
- Asked by: Alex Cole-Hamilton, MSP for Edinburgh Western, Scottish Liberal Democrats
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Date lodged: Wednesday, 06 May 2020
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Current Status:
Answered by Clare Haughey on 18 May 2020
To ask the Scottish Government whether all NHS boards with birth numbers under 5,000 per year have a (a) stand-alone or (b) dispersed multidisciplinary community perinatal mental health team that has the skills and capacity to assess and care for, at a minimum, pregnant and postnatal women, up to 12 months, who have more complex or high-risk presentations.
Answer
I refer the Member to the answer to question S5W-28877 on 18 May 2020. All answers to written parliamentary questions are available on the Parliament's website, the search facility for which can be found at: http://www.parliament.scot/parliamentarybusiness/28877.aspx
In addition, we are investing £825,000 for additional specialist staffing at the two Mother and Baby Units in Scotland (St John’s Hospital in NHS Lothian and Leverndale Hospital in NHS Greater Glasgow and Clyde), enabling them to become centres of expertise which will help support development of specialist community teams.
- Asked by: Alex Cole-Hamilton, MSP for Edinburgh Western, Scottish Liberal Democrats
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Date lodged: Wednesday, 06 May 2020
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Current Status:
Answered by Clare Haughey on 18 May 2020
To ask the Scottish Government whether it will provide an update on how current provision compares with the recommended whole-time equivalent (WTE) provision contained in appendixes 3 and 4 of the report, Delivering Effective Services: Needs Assessment and Service Recommendations for Specialist and Universal Perinatal Mental Health Services, which was published on 6 March 2019, broken down by NHS board.
Answer
During the first year of the Perinatal and Infant Mental Health Programme, as set out in the Perinatal and Infant Mental Health Programme Board Delivery Plan 2019/20 , we have focused on a set of initial actions to implements the Perinatal Mental Health Managed Clinical Network’s Delivering Effective Services: Needs Assessment and Service Recommendations for Specialist and Universal Perinatal Mental Health Services recommendations. As part of this work, we have invested in community services in the North of Scotland which will inform the development of a model that can be adapted and rolled out across Scotland in 2020-21 and beyond.
Work to roll out this model across Boards in the current financial year has had to be paused due to Covid-19 pressures.
However, we are now recommencing this work where possible, and the Chair of the Board will shortly meet each health board to agree guidance and protocol for wider roll out of expanded specialist community perinatal teams as well as funding to support these developments.
The Perinatal and Infant Mental Health Programme Board Delivery Plan for 2020-21 will be published in the coming weeks and will set out further actions to implement the recommendations in the Delivering Effective Services Report, as well as additional actions the Programme Board considers necessary to ensure women, babies and families receive the support they need.
- Asked by: Alex Cole-Hamilton, MSP for Edinburgh Western, Scottish Liberal Democrats
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Date lodged: Wednesday, 06 May 2020
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Current Status:
Answered by Clare Haughey on 18 May 2020
To ask the Scottish Government whether it still plans to carry out a review of services and assessments of need for pregnant women and postnatal women with substance misuse, and, if so, when.
Answer
Yes, the Perinatal and Infant Mental Health Programme Board has commissioned the Perinatal Managed Clinical Network to carry out this review, in conjunction with The Robertson Trust.
- Asked by: Alex Cole-Hamilton, MSP for Edinburgh Western, Scottish Liberal Democrats
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Date lodged: Wednesday, 06 May 2020
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Current Status:
Answered by Clare Haughey on 18 May 2020
To ask the Scottish Government, further to recommendation 3 in the report, Delivering Effective Services: Needs Assessment and Service Recommendations for Specialist and Universal Perinatal Mental Health Services, which was published on 6 March 2019, whether it has (a) established or (b) identified the site of the additional mother and baby unit (MBU) beds; whether it will establish a third MBU located in the north of Scotland, and whether it will place a copy of the option appraisal to meet this additional need in SPICe.
Answer
The Perinatal and Infant Mental Health Programme Board (PNIMH-PB) agreed to undertake a review of access to MBU inpatient care for women with the most severe perinatal mental illness. A Short Life Expert Working Group (SLWG) was established to address three distinct areas:
- To articulate the evidence of need for additional MBU inpatient capacity.
- To consider the current impact on other mental health services when patients are not cared for in an MBU.
- To make recommendations to the PNIMH-PB regarding appropriate next steps.
The consensus from the professionals of the SLWG, including representatives from the Managed Clinical Network who made the original recommendation, was that there was not currently sufficient evidence to suggest need for additional beds. Additionally, there may be a number of sustainability and safety concerns with establishing a third MBU. Before undertaking a formal options appraisal, the SLWG advised that community perinatal mental health specialist teams needed to be established in order to see what impact that had on services and demand initially.
Once initial work to establish community specialist teams is underway, the Programme Board will consider the need to commence a formal options appraisal, which might also consider alternative models of specialist support for women with acute perinatal mental health needs. We will also take into consideration the views of women and families when considering the options for additional MBU provision.
This will be a key priority in the forthcoming Programme Board Delivery Plan for 2020-21.
- Asked by: Alex Cole-Hamilton, MSP for Edinburgh Western, Scottish Liberal Democrats
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Date lodged: Wednesday, 06 May 2020
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Current Status:
Answered by Clare Haughey on 18 May 2020
To ask the Scottish Government which mother and baby units each NHS board admits its patients to, and whether it has any plans to establish more.
Answer
There are two Mother & Baby Units (MBUs) in Scotland. These are at Leverndale in Glasgow and St John’s in Livingston.
NHS Greater Glasgow & Clyde has contractual arrangements with: NHS Ayrshire and Arran, NHS Dumfries and Galloway, NHS Highland (Clyde), NHS Lanarkshire and NHS Western Isles. Patients from these Boards are routinely admitted to Leverndale.
NHS Lothian has contractual arrangements with: NHS Borders, NHS Fife, NHS Highland, NHS Tayside, NHS Orkney and NHS Shetland. Patients from these Boards are routinely admitted to St John’s.
NHS Grampian and NHS Forth Valley do not hold contractual arrangements with either MBU but are able to access either resource on a case by case basis, in accordance with clinical need.
Please see answer to S5W-28880 on 18 May 2020 for information on additional Mother and Baby Units. All answers to written parliamentary questions are available on the Parliament's website, the search facility for which can be found at: http://www.parliament.scot/parliamentarybusiness/28877.aspx