Perinatal mental health community services development fund

35 new sites announced in community perinatal mental health service expansion

A second wave of community perinatal mental health funding has been announced which will allow pregnant and new mothers experiencing mental health difficulties to access specialist perinatal mental health community services in every part of the country by April 2019.

As part of the £365 million investment in perinatal mental health services, a second wave of NHS England funding means that across 2018/19 £23 million will go to 35 sites around the country to ensure improved access to treatment and better outcomes for women and families. The 35 sites cover 38 Sustainability Transformation Partnerships (STP) and 134 Clinical Commissioning Group (CCG) areas, and four NHS England regions.

Of the 35 sites that have been awarded funding, 28 are receiving funding from May 2018 to set up their new or enhanced specialist community perinatal mental health services. A further seven sites will begin implementation of their new or enhanced services from August 2018.

Sites beginning implementation from May 2018

  1. Bedfordshire, Luton and Milton Keynes (New service/expansion of small locally funded service): Establishing a new service across Bedfordshire and Luton and enhancing the service model in Milton Keynes, with plans to work closely with local women and charities to support families in early years settings.
  2. Birmingham and Solihull (Expansion of Wave 1 service across footprint): Expanding the service across two additional CCGs with particular efforts to improve equality of access to the diverse local population.
  3. Black Country and West Birmingham (New service): Establishing a new team with plans to utilise telehealth and other digital platforms to see patients across a complex geography.
  4. Buckinghamshire, Oxfordshire and Berkshire West (Expansion of Wave 1 service across STP): Supporting expansion of a community perinatal mental health service to the remaining 3 CCGs in the STP to ensure equity in access.
  5. Bristol, North Somerset, South Gloucestershire (Enhancement of Wave 1 service): Enhancing staffing numbers and skill mix to meet local demand, with an evaluation by the local university.
  6. Cambridgeshire and Peterborough (New service/pilot service in place): Establishing a new comprehensive service across the whole STP offering personalised and family-centred care.
  7. Cheshire and Merseyside (Enhancement of Wave 1 service): Expanding the existing Wave 1 staffing numbers and skill mix to accommodate the large geographical area and to ensure equality of access and care.
  8. Coventry & Warwickshire (New service/expansion of small locally funded service): Establishing a specialist community perinatal mental health team across all three CCGs within the STP to enable widening of referral criteria.
  9. Derbyshire (New service/expansion of small pilot service): Establishing teams across all three CCGs within the STP based on learning of a small pilot team that has demonstrated improvements in early identification.
  10. Dorset (Enhancement of well-established locally funded service): Enhancing their staffing numbers and skill mix in line with national guidance and supporting quality improvement initiatives including training and evaluation.
  11. Durham, Darlington and Tees, Hambleton and Richmondshire and Whitby (New service/expansion of small locally funded service): Establishing specialist community perinatal mental health teams across all five CCGs within the STP.
  12. Frimley Heath joint application with Surrey Heartlands (Expansion of Wave 1 service fully across STP areas): Establishing service access across two STP areas, to ensure full provision to CCGs in Surrey Heartlands STP and the remaining CCG in Frimley Heath.
  13. Gloucestershire (Enhancement of Wave 1 service): Enhancing staffing numbers and skill mix in an established Wave 1 team to meet local demand in a large rural area.
  14. Hampshire and Isle of Wight (Expansion of Wave 1 service across whole STP): Expanding an established community perinatal mental health service across the whole STP area.
  15. Herefordshire and Worcestershire (New service/expansion of locally funded service): Expanding a small existing service and using innovative coproduction approaches with service-users to generate a service model that places patients at the centre of care.
  16. Hertfordshire and West Essex (Enhancement of Wave 1 service and expansion across footprint): Enhancing their staffing numbers and skill mix including additional staff training opportunities.
  17. Humber, Coast and Vale (New service/building on existing locally funded service) Expanding a small existing service across the whole STP area using a hub and spoke/co-location model in conjunction with South Yorkshire and Bassetlaw STP and West Yorkshire and Harrogate STP.
  18. Kent and Medway (Enhancement of Wave 1 service): Enhancing staffing numbers and skill mix for this well-established service.
  19. Lancashire and South Cumbria (New service): Establishing a full multi-disciplinary team to support women across 8 CCGs in an area with current limited service provision with plans to operate in a hub and spoke model with the new Mother and Baby Unit due to open in the North West.
  20. North Central London (Enhancement of Wave 1 service): Enhancing staffing numbers and skill mix to better support a large, complex STP area with a high level of need.
  21. North East London (Expansion of historically nationally funded site): Expanding service provision in an area with high deprivation and complex caseloads, with plans to engage service users/expert by lived experience to inform service delivery.
  22. North West London (Expansion of Wave 1 service across footprint): Expanding service provision across the STP footprint and taking a proactive approach to prevention, risk management and early intervention.
  23. Northamptonshire (New service/expansion of small locally funded service): Establishing a new service that builds on learning from a pilot service started in 2017, with plans to commission an independent evaluation.
  24. South West London (Expansion of existing locally funded service): Expanding an existing local service across the boroughs in South West London to improve the quality of care, and introduce a peer support programme.
  25. South Yorkshire and Bassetlaw Integrated Care System (Expansion of Wave 1 service across footprint): Extension of a community perinatal mental health service to the remaining 3 CCGs in the STP footprint with plans to develop peer support, use technology and promote early intervention through voluntary sector partnerships.
  26. Suffolk and North East Essex (Expansion of Wave 1 site across footprint): Expanding a community perinatal mental health service currently serving one CCG to the remaining 2 CCGs in the STP to ensure equality in access to care across the whole area.
  27. West Yorkshire and Harrogate (Expansion of existing service across footprint): Building on a well-established team to expand service provision across the STP, with outpatient clinics, group working and community visits to be available in each hub locality.
  28. West, North, East Cumbria (New service/expansion of locally funded service): Establishing a new community perinatal mental health service in an area of unmet need, drawing on existing clinical expertise and governance structures.

Sites beginning implementation from August 2018

  1. Bath & North East Somerset, Swindon, and Wiltshire (New service): Establishing a new service as part of a hub and spoke model, closely linking to nearby Mother and Baby Units.
  2. Cornwall & Isles of Scilly (Enhancement of existing Wave 1 service): Enhancing staffing numbers and skill mix based on increased demand for specialised community perinatal mental health services.
  3. Leicester, Leicestershire and Rutland (New service/building on existing locally funded service): Developing an existing medical and nursing team into a full multidisciplinary team to deliver services across the STP, working closely with local groups and voluntary sector organisations to de-stigmatise mental health issues in women of child bearing age to support the particularly diverse local population.
  4. Lincolnshire (New/Expansion of existing locally funded service): Expanding a limited existing service across all CCGs in the STP. The new community team are committed to coproduction to ensure that the service design is guided by experts with lived experience.
  5. Somerset (New service): Developing a new service in an area of unmet need, built upon coproduction with local partner agencies and families with lived experience.
  6. South East London (Expansion of Wave 1 service across footprint): Expanding existing community perinatal mental health service to ensure equitable access across the whole STP area, whilst working closely with wider system partners.
  7. Staffordshire and Stoke on Trent joint application with Shropshire and Telford and Wrekin. (New service / building on existing locally funded service): Establishing a new multidisciplinary team that will serve the population across two STPs, in an area with current limited service provision.

NHS England’s National Mental Health Director, Claire Murdoch, said: “Mental ill health doesn’t discriminate. It can happen to anyone at any time and it disrupts life not just for mums but the whole family, which is why we are absolutely committed to driving forward improvements in care and ensuring this important area of mental health continues to get the attention it deserves.”

“Women with lived in experience can play a pivotal role when it comes to shaping the services for others and influencing how we plan and deliver care effectively as possible. What we are now starting to see is evidence based NHS services growing in parts of the country where there used to be limited or no provision at all. Thanks to a continuing investment in services and a concerted effort from dedicated staff up and down the country, we are making huge strides forward and sooner rather than later we will turn England’s specialist perinatal mental health map green.”

The new funding, builds on £40 million previously allocated to 20 sites in 2016 to establish new or expand current specialist perinatal mental health community services – with over 7,000 mums accessing expert care and treatment so far. While some areas are taking a phased approach to the development of services, a plan for full provision has been promised by 2021. More information on the sites that received Wave 1 funding is available here.

NHS England has also published guidance for local healthcare systems to help them as they put their plans into action and support community teams to deliver high quality and safe care. The Perinatal Mental Health Care Pathways aim to improve access and quality in specialist perinatal mental health services as they become available.