All posts by fiona.salter

The Maternal Mental Health Alliance (MMHA) responds to the launch of NHS England’s long term plan

January 7th saw the launch of the NHS Long Term Plan, setting out their ambitions for health care in England, including many positive goals for perinatal mental health.

Commenting on the publication of the NHS long term plan, The Maternal Mental Health Alliance (MMHA) Director Emily Slater welcomed the plan’s announcement and commitment to women and families in England, in particular the news of an increase in services to benefit more women and the extension of specialist mental health support for new parents, which will now be offered for two years after the birth of their child.

Emily Slater said:

“The Maternal Mental Health Alliance is really pleased to see that the NHS has committed to expanding perinatal mental health services and helping more women and families access vital treatment. The details of the long-term plan signals that the NHS wants to build on the success it has had creating specialist perinatal mental health services to ensure more women and families can access essential, lifesaving support.”

Continue reading The Maternal Mental Health Alliance (MMHA) responds to the launch of NHS England’s long term plan

MMHA welcomes news that partners of new mums with mental illness set to get support on the NHS

This statement from the NHS in England is warmly welcomed as it acknowledges the important unmet need for mental health support and treatment faced by many new fathers, and by partners of women who are themselves suffering mental health problems.

This will require services within and outside the NHS to work together, enhancing detection of mental health problems and providing the right care for those individuals, as well as for parents jointly, and for their relationships with their babies.

A great deal is already being done by NHS England, with new Government money, to improve specialist mental health care to mothers with severe mental health problems. We look forward to seeing these improvements continue, now coupled with improvements in care for fathers, mothers and partners across all levels of mental health need, from specialist mental health services, talking therapies, GPs, and health visitor and maternity services.

The MMHA Everyone’s Business campaign has a champion network of experts by experience and this includes Raj’s story, highlighting the need for further support and information for fathers and partners.

Urgent Need For Improved Mental Health Support For New Mums In Northern Ireland Is Everyone’s Business, says MMHA

Thousands of pregnant women and new mums in Northern Ireland who suffer from mental health problems are at risk of receiving inadequate levels of support, new research has found.

The research, from NSPCC Northern Ireland, the Royal College of Midwives (RCM) and the Community Practitioners and Health Visitors (CPHVA), has found increased strain is being put on  midwives and health visitors across Northern Ireland with the issue currently receiving insufficient attention from policy-makers.

In Northern Ireland, this will affect approximately 2,400 to 4,800 live births each year[1]. If untreated, perinatal mental illnesses can have a devastating impact on women, babies and families.

The new report, Time For Action, published on 26th November by NSPCC Northern Ireland and partners, highlights gaps both in the identification of mental health illnesses and the response provided to women once they have disclosed problems or been detected in primary care. In its key recommendations, the report calls for the development of specialist services for women including a mother and baby unit for women who need close care and supervision and a training standard on perinatal mental illness for all professionals in Northern Ireland who care for women during this period.

MMHA’s Northern Ireland Co-Ordinator Lindsay Robinson said:

“If left untreated, perinatal mental health conditions can have devastating consequences for women and their families and we know that many hundreds are affected by these problems every year in Northern Ireland.

“There are clear national guidelines setting out that specialist services for women are vital. Despite this, Northern Ireland is the only part of the UK which has not invested in them.

“Specialist perinatal mental health services save lives – that’s why we’re calling for the development of specialist services for women in Northern Ireland, including a mother and baby unit for women who need close care and supervision. ”

Midwives and health visitors who took part in the research stressed that continuity of care and face to face time with mothers and babies is crucial for improving identification of problems and providing support.  But the research found that this was undermined by underfunding, overwork and growing levels and complexity of demand.

While the research found that health visitors and midwives in Northern Ireland experience similar types of challenges in identifying and responding to perinatal mental illnesses as their counterparts in the rest of the UK, professionals in Northern Ireland have not benefitted from the levels of investment made in England, Scotland and Wales. Northern Ireland is the only part of the UK which has not committed to investment of funds in perinatal mental health, despite major funding (£390m) having been pledged via the Barnett formula in 2016.

The report calls for:

  • A training standard on perinatal mental illness for all professionals in Northern Ireland who care for women during this period;
  • A review of ways of working within midwifery and health visiting services to improve continuity of care and the time that these professionals have to spend with women;
  • Clarification on the use of screening tools, and review of training needs around ‘how’ midwives and health work with women, including advanced practice skills around disclosure;
  • Greater alignment of the role of professionals to respond to perinatal mental health needs, and also support the parent-infant relationship and infant’s mental health; and
  • Development of specialist services for women including a mother and baby unit for women who need close care and supervision.


The research involved a survey of 332 health visitors and midwives located across all five Health and Social Care Trusts in Northern Ireland[1]. The survey covered the following topics: recognition, referral and management of perinatal mental illness; training; and opportunities and challenges. It also gathered demographic information

A cautious estimate based on 2016 workforce census headcount data put the final survey sample at approximately 23 per cent of the health visitor population and 15 per cent of the midwife population (rounded to the nearest percent). See Department of Health and NISRA:


MMHA responds to MBRRACE report into UK maternal deaths

Today the latest UK Confidential Enquiry into Maternal Deaths has been published by MBRRACE-UK.

This year the report – Saving Lives, Improving Mothers’ Care 2018 – examines in detail the care of women who died during or up to one year after pregnancy between 2014 and 2016 in the UK and Ireland from mental health conditions, blood clots, cancer, and homicide, and women who survived major bleeding.

Maternal suicide is the fifth most common cause of women’s deaths during pregnancy and its immediate aftermath, and the leading cause of death over the first year after pregnancy.

The report states that “there is now greater awareness of the importance of mental health during pregnancy and in the first year after birth. But there is still a long way to in recognising symptoms, supporting women with mental health problems and providing access to specialist perinatal mental health care.”

Maternal deaths are not evenly spread across the population. Black women are five times and Asian women two times more likely to die as a result of complications in their pregnancy than white women.

In response, Dr Alain Gregoire, Chair of the Maternal Mental Health Alliance said:

“The human tragedies described here emphasise the urgency of addressing the gaps in perinatal mental health care in pregnancy, postnatally and pre-conceptually.

The enquiry shows that maternal suicide is the fifth most common cause of women’s deaths during pregnancy and its immediate aftermath, and it remains the leading cause of death over the first year after birth.

Alongside improvements in specialist mother and baby mental health services – that are becoming evident in England and Wales, women need professionals in all services to be as interested, knowledgeable and skilled in mental health care during maternity as they are in their care of women’s physical health. Women and babies also need services to work together and to have the capacity and resources to provide routine detection, prevention and treatment, and crisis care, all of which are needed to ensure care is both effective and safe.”

Read the full report on the MBRRACE-UK website.

Marce 2018 – Global Experiences, Global Dialogues, Global Responses

Sally Hogg attended the Marce Society 2018 Biennial, to share learning and gain insights into global best practice in maternal mental health.

It was an absolute privilege to attend the International Marce Society Biennial meeting in Bangalore. The meeting brought together over 500 delegates from 31 countries to discuss the latest science and practice in protecting and promoting maternal mental health. I was there to share learning from the MMHA Mums and Babies in Mind Project, alongside trying to capture useful insights for those at home.

This was the first time that a Marce conference had been held in the Global South. The conference really opened my eyes to the challenges facing Low and Middle Income countries where the vast majority of the world’s babies are born, the prevalence of perinatal mental health problems is particularly high, and there are fewer resources to support families. The conference chair, Jane Fisher, powerfully reminded us that enabling mothers to be healthy is key to enabling children, and therefore societies and economies, to reach their full potential and thrive. Continue reading Marce 2018 – Global Experiences, Global Dialogues, Global Responses

Professional bodies welcome report highlighting need for more maternal mental health experts

The Maternal Mental Health Alliance (MMHA), the Institute of Health Visiting (iHV), the Royal College of Obstetricians and Gynaecologists (RCOG), and the Royal College of Midwives (RCM) are delighted the NHS Benchmarking report on Universal Perinatal Mental Health Findings was published on Friday 14 September.

Prior to this study, information on service provision and staffing of universal perinatal mental health (PMH) services was not available at a national level.

The Maternal Mental Health Alliance (MMHA), the Institute of Health Visiting (iHV), the Royal College of Obstetricians and Gynaecologists (RCOG), and the Royal College of Midwives (RCM) are delighted the NHS Benchmarking report on Universal Perinatal Mental Health Findings was published on Friday 14 September.

The data collected from providers suggested that:

Capacity in universal services is very limited and does not provide the necessary broad base from which the Specialist PMH services can operate effectively and efficiently.

The provision of specialist perinatal mental health care within universal services is highly variable across England, with some areas having no, or limited, provision (obstetric & midwifery providers 61%; health visiting providers 30%).

The large gap in health visiting PMH capacity was particularly evident, with 70% of providers having no specialist provision within the service.

This report is critical because it focuses on the universal element, where the vast majority of women need to receive their care. Universal services are a crucial element of the PMH care pathway at every local level and have the potential to create great savings in relation to both human and economic costs in the short and long term.

Alain Gregoire, Chair of the MMHA, said:

“There has been excellent progress in funding specialist perinatal service provision across England, but we know that specialist services alone are not enough.  All women in pregnancy and postnatally should have equitable access to the support, prevention and treatment they need for their mental health as much as for their physical health. This report shows that investment is essential to ensure that there are sufficient, well-trained staff across universal services so that women get the care they should expect from the NHS, and our children can get the best start in life.”

Read the full statement from the MMHA, iHV, RCOG and RCM here.

Maternal Mental Health Alliance Responds to the Long Term Plan for the NHS

The Maternal Mental Health Alliance has recently responded to the NHS Long Term Plan, the Health and Social Care Select Committee’s 1001 Days Inquiry plus a specific response on how NHS services could better support fathers.

Alongside reinforcing our Everyone’s Business Campaign messages about the need for sustainable, high quality specialist services in all areas of the country, we also emphasise the importance of a range of effective services and joined-up pathways of care in each local area so that ALL women can get the right support at the right time, whatever their level of need.

The MMHA is also clear that services must engage with fathers, and that there must be support available for families where there are difficulties in the parent-infant relationship.

Our policy positions have been co-developed through ongoing discussion with our member organisations and women with lived experience. These policy submissions can be found in the Resource Hub.




Scottish Government announce new funding for perinatal mental health services

The Scottish Government has published its programme for government, which includes a package of measures to do more to support positive mental health and prevent ill health. This includes a focus on perinatal mental health, which Maternal Mental Health Scotland and the Maternal Mental Health Alliance believe is a positive step for the improvement of services in Scotland.

We look forward to hearing more about the detail of this announcement, and what it means for specialist perinatal mental health services in Scotland, as well as those provided by the Third Sector. Perinatal mental health is #everyonesbusiness.

The full Programme for Government can be downloaded here. Perinatal mental health is mentioned on page 64:

Conference 2018: eye opening content and powerful personal stories

The Maternal Mental Health Alliance Conference 2018 was an inspirational event, filled with eye opening content and powerful personal stories from lived experience.

Delegates said the day offered fresh perspectives, new insights and lots of opportunities for expanding networks across the perinatal sector.

One delegate mentioned that she encountered ideas that she hadn’t considered before and took away lots of learning to help reach the ‘missing’ families in her area.

Lived experience was a key theme of the conference this year and our speakers’ personal stories created a real buzz in the hall and on social media.

“Powerful personal story from in breakout A. Moved us to tears #MMHAconf2018

“Wow! 58% of live births in London are to women born outside the UK #MMHAconf2018

“Humbling to hear from members of the learning disability parent network about being pregnant and having a baby when you have a learning disability.”

Self-confessed ‘Glam Geek and Proud Sikh’, and mental health campaigner DJ Neev Spencer was a firm favourite with the audience. She shared her own experience of PND before presenting the annual perinatal mental health awards .

Dr Laura Wood’s comments echoed many:

“Home from #MMHAConf2018 I’m inspired & encouraged. And I’m so thankful for our incredible community & for my place in it. You really have changed my life x”

Huge thanks to Katrina Jenkins for organising and co-presenting the awards with DJ Neev Spencer, and to Dr Alain Gregoire for keeping the day on track.


Missed any of the presentations? Check out full list here.


DJ Neev Spencer announces Perinatal Mental Health Awards 2018 at the Maternal Mental Health Conference   

DJ, broadcaster and campaigner Neev Spencer presented the 2nd annual perinatal mental health awards at this year’s Maternal Mental Health Alliance (MMHA) conference Diversity: Understanding and Reaching the Missing Families.

The Perinatal Mental Health Awards were announced at the MMHA conference on 6th September 2018 at Imperial College, London.

The awards are for services and individuals who show excellence in the categories of inclusivity; anti stigma; peer support; training and family focus.

Neev Spencer said:

“As a passionate campaigner for mental health, and with my own experience of postnatal depression, I am so excited to recognise outstanding practice in perinatal mental health.

“My own experience of postnatal depression has motivated me to raise awareness of maternal mental health and the reality that many mothers face in coping with perinatal mental health difficulties.

“Until I experienced postnatal depression, I never thought it was something that could affect me. Many mothers don’t talk about how they’re feeling and get the support they need early on. That’s a real shame because once we talk about it, it frees us to move on from the experience and to get the support that we need.  I am passionate about raising awareness of mental health and especially pleased to present these awards.”

The award winners are:

  1. Anti-stigma Award for Perinatal Mental Health Awareness-Raising

Winner: Have you seen that girl?

Highly commended: The Perinatal Mental Health Partnership


  1. Perinatal Peer Support Award.

Winner: Mothers for Mothers

Highly commended: Action on Postpartum Psychosis


  1. Perinatal Mental Health Education and Training Award

Winner: Mellow Parenting

Highly commended: Tees, Esk and Wear Valleys NHS Foundation Trust


  1. Family-focused Award for engaging and involving the whole family in perinatal work, supporting family members’ mental health alongside the parent-infant relationship during the perinatal period.

Winner: Building Attachment and Bonds Service

Highly commended: Amanda Tamlyn, perinatal and infant mental health specialist, Sussex Community Foundation Trust


  1. Big Lottery Diversity and Inclusivity Award, for showing innovation in meeting the needs of a diverse range of families experiencing perinatal mental health difficulties.

Winner: MumsAid

Highly commended: Leeds Women’s Counselling and Therapy Service