Publication - Strategy/plan

Perinatal mental health services: needs assessment and recommendations

Published: 6 March 2019
Part of: Children and families, Health and social care
ISBN: 9781787816497

Recommendations across all tiers of service delivery, with the aim of ensuring that Scotland has the best services for women with, or at risk of, mental ill health in pregnancy or the postnatal period, their infants, partners and families.

Supporting documents

Appendix 4

Current and recommended community staffing for NHS boards with fewer than 5,000 births per year

NHS Ayrshire & Arran		Birth numbers: 3,281 (2017)
Staff	Recommended WTE (per 3,281 deliveries)	Current provision	Additional requirement
Consultant psychiatrist	0.3-0.4	0.2	0.1-0.2
Lead nurse	0.3-0.4	-	0.3-0.4
Consultant psychologist	0.2	-	0.2
Link CPN	1.5-2.0	-	1.5-2.0
Occupational therapist	0.3-0.4	-	0.3-0.4
Social worker	0.2	-	0.2
Administrative staff	0.6-0.8	-	0.6-0.8

NHS Borders		Birth numbers: 989 (2017)
Staff	Recommended WTE (per 989 deliveries)	Current provision	Additional requirement
Consultant Psychiatrist	0.2	0.1	0.1
Lead Nurse	0.2	-	0.2
Consultant Psychologist	0.2	-	0.2
Link CPN	0.5	-	0.5
Occupational therapist	0.1	-	0.1
Social worker	0.1	-	0.1
Administrative staff	0.2	-	0.2

NHS Dumfries & Galloway		Birth numbers: 1,248 (2017)
Staff	Recommended WTE (per 1,248 deliveries)	Current provision	Additional requirement
Consultant Psychiatrist	0.2	-	0.2
Lead Nurse	0.2	-	0.2
Consultant Psychologist	0.2	-	0.2
Link CPN	0.5	-	0.5
Occupational therapist	0.1	-	0.1
Social worker	0.1	-	0.1
Administrative staff	0.2	-	0.2

NHS Fife		Birth numbers: 3,465 (2017)
Staff	Recommended WTE (per 3,465 deliveries)	Current provision	Additional requirement
Consultant Psychiatrist	0.3-0.4	0.2	0.1-0.2
Lead Nurse	0.3-0.4	-	0.3-0.4
Consultant Psychologist	0.2	-	0.2
Link CPN	1.5-2.0	-	1.5-2.0
Occupational therapist	0.3-0.4	-	0.3-0.4
Social worker	0.2	-	0.2
Administrative staff	0.6-0.8	-	0.6-0.8

NHS Forth Valley		Birth numbers: 2,907 (2017)
Staff	Recommended WTE (per 2,907 deliveries)	Current provision	Additional requirement
Consultant Psychiatrist	0.3	0.2	0.1
Lead Nurse	0.3	1.0	-
Consultant Psychologist	0.2	-	0.2
Link CPN	1.5	1.4*	-
Occupational therapist	0.3	-	0.3
Social worker	0.2	-	0.2
Administrative staff	0.6	0.5	0.1

*These posts currently consist of 1 WTE Band 6 nurse based within the hub team, with 2 CPNs dispersed in the CMHTs.

NHS Highland		Birth numbers: 2,754 (2017)
Staff	Recommended WTE (per 2,754 deliveries)	Current provision	Additional requirement
Consultant Psychiatrist	0.3	-	0.3
Lead Nurse	0.3	0.4	-
Consultant Psychologist	0.2	-	0.2
Link CPN	1.5	-	1.5
Occupational therapist	0.3	-	0.3
Social worker	0.2	-	0.2
Administrative staff	0.6	-	0.6

NHS Orkney*		Birth numbers: 184
Staff	Recommended WTE (per 184 deliveries)	Current provision	Additional requirement
Consultant Psychiatrist	0.02	-	0.02
Lead Nurse	0.02	-	0.02
Consultant Psychologist	0.01	-	0.01
Link CPN	0.1	-	0.1
Occupational therapist	0.02	-	0.02
Social worker	0.01	-	0.01
Administrative staff	0.04	-	0.04

*Much of this resource is likely to be provided on a regional basis and figures provided are indicative for funding purposes

NHS Tayside		Birth numbers: 3,757
Staff	Recommended WTE (per 3,757 deliveries)	Current provision	Additional requirement
Consultant Psychiatrist	0.4	-	0.4
Lead Nurse	0.4	-	0.4
Consultant Psychologist	0.2	-	0.2
Link CPN	2.0	-	2.0
Occupational therapist	0.4	-	0.4
Social worker	0.2	-	0.2
Administrative staff	0.8	-	0.8

NHS Shetland*		Birth numbers: 218
Staff	Recommended WTE (per 218 deliveries)	Current provision	Additional requirement
Consultant Psychiatrist	0.02	-	0.02
Lead Nurse	0.02	-	0.02
Consultant Psychologist	0.01	-	0.01
Link CPN	0.1	-	0.1
Occupational therapist	0.02	-	0.02
Social worker	0.01	-	0.01
Administrative staff	0.04	-	0.04

*Much of this resource is likely to be provided on a regional basis and figures provided are indicative for funding purposes

NHS Western Isles*		Birth numbers: 215
Staff	Recommended WTE (per 218 deliveries)	Current provision	Additional requirement
Consultant Psychiatrist	0.02	-	0.02
Lead Nurse	0.02	-	0.02
Consultant Psychologist	0.01	-	0.01
Link CPN	0.1	-	0.1
Occupational therapist	0.02	-	0.02
Social worker	0.01	-	0.01
Administrative staff	0.04	-	0.04

*Much of this resource is likely to be provided on a regional basis and figures provided are indicative for funding purposes

Total requirements for combined Scottish boards with birth numbers under 5,000 per year		Birth numbers: 19,018 (2017)
Staff	Recommended WTE (per 19,018 deliveries, taking into account regional variation)	Current provision	Additional national requirement
Consultant Psychiatrist	2.26	0.7	1.56
Lead Nurse	2.26	1.4	1.66
Consultant Psychologist	1.43	-	1.43
Link CPN	10.3	1.4	8.8
Occupational therapist	2.06	-	2.06
Social worker	1.23	-	1.23
Administrative staff	4.12	0.5	3.62

Contact

Email: MentalHealthStrategyandCoordinationUnit@gov.scot

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Information

Appendix 4

Contact

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