Publication - Strategy/plan

Perinatal mental health services: needs assessment and recommendations

Published: 6 Mar 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.

Perinatal mental health services: needs assessment and recommendations
Appendix 3

Appendix 3

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

NHS Grampian

Birth numbers: 5,917 (2017)

Staff

Recommended wte
(per 5,917 deliveries)

Current provision

Additional requirement

Consultant psychiatrist*

0.6

0.4

0.2

Junior psychiatrist

0.6

-

0.6

Nurse consultant †
(Band 8B)

1.0

-

1.0

Nurse team leader
(Band 7)

0.6

0.1

0.5

Mental health nurse
(Band 6/5)

3.0

-

3.0

Consultant clinical
psychologist (Band 8C)*

0.3

-

0.3

Clinical psychologist
(Band 8A)

1.2

-

1.2

Occupational therapist
(Band 6)

0.6

-

0.6

Nursery nurse (Band 4)

1.5

-

1.5

Social worker

0.3

-

0.3

Parent-infant therapist/lead
(Band 8C)*

0.3

-

0.3

Administrative staff
(Band 4/3)

1.2

-

1.2

Note: Grampian has a specialist midwife (0.8WTE) who is a core member of the perinatal team.

NHS Greater Glasgow & Clyde

Birth numbers: 12,126 (2017)

Staff

Recommended WTE
(per 12,126 deliveries)

Current provision

Additional requirement

Consultant psychiatrist*

1.2

1.0

0.2

Junior psychiatrist

1.0

0.5

0.5

Nurse consultant †
(Band 8B)

1.0

1.0

-

Nurse team leader (Band 7)

1.0

1.0

-

Mental health nurse
(Band 6/5)

6.0

6.5

-

Consultant clinical
psychologist (Band 8C)*

0.6

0.3

0.3

Clinical psychologist
(Band 8A)

2.4

-

2.4

Occupational therapist
(Band 6)

1.2

-

1.2

Nursery nurse (Band 4)

3.0

1.0

2.0

Social worker

0.6

0.5

0.1

Parent-Infant therapist/lead
(Band 8C)*

0.6

-

0.6

Administrative staff (Band 4/3)

2.4

2.0

0.4

NHS Lanarkshire

Birth numbers: 6,763 (2017)

Staff

Recommended WTE
(per 6,763 deliveries)

Current provision

Additional requirement

Consultant psychiatrist

0.7

0.4

0.3

Junior psychiatrist

0.7

-

0.7

Nurse consultant †
(Band 8B)

-

-

-

Nurse team leader (Band 7)

1.0

1.0

-

Mental health nurse
(Band 6/5)

3.5

3.6

-

Consultant clinical

0.4

-

0.4

psychologist (Band 8C)

Clinical psychologist
(Band 8A)

1.4

-

1.4

Occupational therapist
(Band 6)

0.7

-

0.7

Nursery nurse (Band 4)

2.0

-

2.0

Social worker

0.5

-

0.5

Parent-infant therapist/lead
(Band 8C)

0.35

-

0.35

Administrative staff
(Band 4/3)

1.4

-

1.4

NHS Lothian

Birth numbers: 9,037 (2017)

Staff

Recommended WTE
(per 9,037 deliveries)

Current provision

Additional requirement

Consultant psychiatrist*

0.9

0.9

-

Junior psychiatrist

1.0

-

1.0

Nurse consultant †
(Band 8B)

1.0

-

1.0

Nurse team leader
(Band 7)

1.0

1.0

-

Mental health nurse
(Band 6/5)

5.0

2.5

2.5

Consultant clinical
psychologist (Band 8C)*

0.5

0.08

0.42

Clinical psychologist
(Band 8A)

1.8

-

1.8

Occupational therapist
(Band 6)

0.9

0.48

0.42

Nursery nurse (Band 4)

2.3

-

2.3

Social worker

0.5

0.4

0.1

Parent-infant therapist/lead
(Band 8C)*

0.5

-

0.5

Administrative staff
(Band 4/3)

1.8

-

1.8

Note: Lothian also has a clinical nurse manager for the whole service (Band 8A). Any clinical time (or clinical time released for the NTL) by this post should be taken into account in calculating additional need.

Total requirements for combined Scottish boards with birth numbers over 5,000 per year

Birth numbers: 33,843 (2017)

Staff

Recommended WTE
(per 33,843 deliveries)

Current provision

Additional requirement

Consultant psychiatrist*

3.4

2.7

0.7

Junior psychiatrist

3.3

0.5

2.8

Nurse consultant †
(Band 8B)

3.0

1.0

2.0

Nurse team leader
(Band 7)

3.6

3.1

0.5

Mental health nurse
(Band 6/5)

17.5

12.6

5.5

Consultant clinical
psychologist (Band 8C)*

1.8

0.38

1.42

Clinical psychologist
(Band 8A)

6.8

-

6.8

Occupational therapist
(Band 6)

3.4

0.48

2.92

Nursery nurse (Band 4)

8.8

1.0

7.8

Social worker

1.9

0.9

1.0

Parent-infant therapist/lead
(Band 8C)*

1.75

-

1.75

Administrative staff
(Band 4/3)

6.8

2.0

4.8

*These posts (in Grampian, Greater Glasgow and Clyde, and Lothian) require an additional 0.1-0.2 WTE provision for regional roles. If this is taken into account, then the total additional WTE increases for (i) Consultant psychiatrist (to 1.0-1.3; Consultant clinical psychologist (to 1.72-2.02 and (iii) Parent-infant therapist (to 2.05-2.35).

The nurse consultant post should be provided regionally.


Contact

Email: MentalHealthStrategyandCoordinationUnit@gov.scot