Perinatal mental health services: needs assessment and recommendations
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.
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 |
Current provision |
Additional requirement |
| Consultant psychiatrist* |
0.6 |
0.4 |
0.2 |
| Junior psychiatrist |
0.6 |
- |
0.6 |
| Nurse consultant † |
1.0 |
- |
1.0 |
| Nurse team leader |
0.6 |
0.1 |
0.5 |
| Mental health nurse |
3.0 |
- |
3.0 |
| Consultant clinical |
0.3 |
- |
0.3 |
| Clinical psychologist |
1.2 |
- |
1.2 |
| Occupational therapist |
0.6 |
- |
0.6 |
| Nursery nurse (Band 4) |
1.5 |
- |
1.5 |
| Social worker |
0.3 |
- |
0.3 |
| Parent-infant therapist/lead |
0.3 |
- |
0.3 |
| Administrative staff |
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 |
Current provision |
Additional requirement |
| Consultant psychiatrist* |
1.2 |
1.0 |
0.2 |
| Junior psychiatrist |
1.0 |
0.5 |
0.5 |
| Nurse consultant † |
1.0 |
1.0 |
- |
| Nurse team leader (Band 7) |
1.0 |
1.0 |
- |
| Mental health nurse |
6.0 |
6.5 |
- |
| Consultant clinical |
0.6 |
0.3 |
0.3 |
| Clinical psychologist |
2.4 |
- |
2.4 |
| Occupational therapist |
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 |
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 |
Current provision |
Additional requirement |
| Consultant psychiatrist |
0.7 |
0.4 |
0.3 |
| Junior psychiatrist |
0.7 |
- |
0.7 |
| Nurse consultant † |
- |
- |
- |
| Nurse team leader (Band 7) |
1.0 |
1.0 |
- |
| Mental health nurse |
3.5 |
3.6 |
- |
| Consultant clinical |
0.4 |
- |
0.4 |
| psychologist (Band 8C) |
|||
| Clinical psychologist |
1.4 |
- |
1.4 |
| Occupational therapist |
0.7 |
- |
0.7 |
| Nursery nurse (Band 4) |
2.0 |
- |
2.0 |
| Social worker |
0.5 |
- |
0.5 |
| Parent-infant therapist/lead |
0.35 |
- |
0.35 |
| Administrative staff |
1.4 |
- |
1.4 |
| NHS Lothian |
Birth numbers: 9,037 (2017) |
||
|---|---|---|---|
| Staff |
Recommended WTE |
Current provision |
Additional requirement |
| Consultant psychiatrist* |
0.9 |
0.9 |
- |
| Junior psychiatrist |
1.0 |
- |
1.0 |
| Nurse consultant † |
1.0 |
- |
1.0 |
| Nurse team leader |
1.0 |
1.0 |
- |
| Mental health nurse |
5.0 |
2.5 |
2.5 |
| Consultant clinical |
0.5 |
0.08 |
0.42 |
| Clinical psychologist |
1.8 |
- |
1.8 |
| Occupational therapist |
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 |
0.5 |
- |
0.5 |
| Administrative staff |
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 |
Current provision |
Additional requirement |
| Consultant psychiatrist* |
3.4 |
2.7 |
0.7 |
| Junior psychiatrist |
3.3 |
0.5 |
2.8 |
| Nurse consultant † |
3.0 |
1.0 |
2.0 |
| Nurse team leader |
3.6 |
3.1 |
0.5 |
| Mental health nurse |
17.5 |
12.6 |
5.5 |
| Consultant clinical |
1.8 |
0.38 |
1.42 |
| Clinical psychologist |
6.8 |
- |
6.8 |
| Occupational therapist |
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 |
1.75 |
- |
1.75 |
| Administrative staff |
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.
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