“We in Northern Ireland urgently request the commitment of investment and ring-fencing of funds required to ensure women, babies, families and communities get the care and support they need and deserve.” 
– Consensus Statement on the improvement of Perinatal Mental Health services in Northern Ireland

Despite the stalemate in Stormont, all political parties in Northern Ireland have co-signed a ground-breaking Consensus Statement, drafted as part of the Maternal Mental Health Alliance Everyone’s Business campaign, committing to close the gap in specialist mental health provision for women during pregnancy and the first year after giving birth.

England, Scotland and Wales have faced similar challenges with their specialist perinatal mental health services, but in recent years each have seen significant improvements due to specific and targeted investment. While stakeholders in Northern Ireland have shown support in principal, until now a formal commitment had not been made. Continue reading Political parties in Northern Ireland agree landmark maternal mental health Consensus Statement →

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.

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.

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: https://www.health-ni.gov.uk/news/ni-health-and-social-care-workforce-census-march-2016.