Infant Mental Health Implementation and Advisory Group minutes: 26 May 2021

Minutes from the meeting of the group on 26 May 2021.


Attendees and apologies

Author

  • Alex Brown             

Present

  • Anne McFadyen, Chair, IMH-IAG, NHS National Services Scotland
  • Marita Brack, Head of Parenting and Infant Mental Health Programme, NHS Education for Scotland
  • Alex Brown, Programme Support Officer, NHS National Services Scotland
  • Roch Cantwell, Vice Chair, PNIMH Programme Board, NHS National Services Scotland
  • Andrew Dawson, Professional Lead for Child Psychotherapy, NHS Greater Glasgow & Clyde
  • Judith Gemmell, Change and Improvement Manager, IMH Team  NHS Fife
  • Douglas Guest, Head of Development, Home Start Scotland
  • Karen Lamb, Head of Specialist Children's Services, NHS Greater Glasgow & Clyde
  • Nashwa Matta, Associate Specialist in Paediatrics, Royal College of Paediatrics and Child Health, NHS Greater Glasgow & Clyde
  • Chris Miezitis, Co-Director, Father’s Network Scotland
  • Helen Minnis, Professor of Child and Adolescent Psychiatry, University of Glasgow
  • Wendy Mitchell, Professional Advisor, Chief Nursing Directorate, Scottish Government
  • Katherine Morton, Consultant Psychiatrist, PMH Service,NHS Lanarkshire
  • Alison Robertson, Consultant Clinical Psychologist, Maternity and Neonatal Services, NHS Greater Glasgow & Clyde
  • Joanne Smith, PIMH Policy Manager, and Chair at Maternal Mental Health Scotland, NSPCC Scotland
  • Harriet Waugh, Perinatal and Early Years Mental Health Team Lead, Scottish Government

In attendance

  • Sophie Avery, Policy Officer, Perinatal and Early Years Mental Health Team  Scottish Government
  • Joanna Macdonald, on behalf of Iona Colvin, Deputy Chief Social Work Advisor, Scottish Government
  • Irene Permaul, Senior Policy Officer, Perinatal and Early Years Mental Health Team Scottish Government

Apologies

  • Iona Colvin, Interim Director and Chief Social Work Advisor, Children and Families Directorate Scottish Government
  • Rachel Fraser, Scotland Development Lead, Parent-Infant Foundation
  • Linda Jardine, Director, Children and Family Services, Children First
  • Shona McCann, Lead Midwife NHS Grampian, NHS National Services Scotland

Items and actions

Welcome and housekeeping

Anne McFadyen (Chair) welcomed everyone to the eighth Infant Mental Health Implementation and Advisory Group (IMH-IAG) meeting, and apologies were noted as above. The group agreed that the minutes were an accurate representation of the March 2021 meeting.

Chair’s update

Infant Mental Health Awareness Week

Anne asked the group to engage with and promote Infant Mental Health (IMH) Awareness Week, which runs 7 to 13 June 2021. The group exchanged Twitter handles, and agreed to retweet posts from other members.

Douglas Guest (Head of Development, Home Start Scotland) informed the group that Home Start Scotland had recently been focusing on IMH, and would be promoting a short film, which shows a couple talking about their experience with Video Interactive Guidance and how it reassured and supported them through postnatal depression.

Harriet Waugh (Perinatal and Early Years Mental Health Team Lead) advised that Inspiring Scotland are meeting with Third Sector organisations to discuss infant focused work, and aim to create blog posts with the collated information.

Perinatal and Infant Mental Health 2021 to 2022 delivery plan

Harriet Waugh gave a presentation on the Perinatal & Infant Mental Health Programme Board’s 2021 to 2022 Delivery Plan. Harriet introduced each action area individually, and asked the group to submit comments during the meeting via the Chat function on Microsoft Teams. It was agreed that the presentation would be circulated after the meeting, and further feedback could be submitted by email. Alex Brown (Programme Support Officer, NHS National Services Scotland) agreed to collate all the feedback by Wednesday 23rd June. Input from the IMH-IAG, and Programme Board members, will inform the final version of the Delivery Plan which Scottish Government (SG) aim to publish in July 2021.

Action: Scottish Government Policy Team, Alex Brown, IMH-IAG and PB groups.

Harriet confirmed that £8m of funding had been earmarked recurring by SG for community perinatal mental health teams (CPMHT) and IMH services. The background and costings for CPMHTs were clearly articulated in Delivering Effective Services, and SG felt that developing IMH services needed reassurance around recruitment and sustainability planning. Harriet advised that maternity and neonatal psychological intervention (MNPI) services are more complex, with the need to collaborate closely with nursing and midwifery colleagues, and funding to the Mother and Baby Units (MBUs) has to be considered within the current Board arrangements, as well as nationally. In practice, MNPI services and the MBUs will continue to be allocated funding each year, and earmarked recurring funding will be discussed for those services in the next stage of Programme Board sustainability and transition planning.

Health Board implementation update

Harriet informed the group that the Health Boards had been asked to return 2020 to 2021 underspend information by 31st March, and recruitment and monitoring details by 30 April. Collecting this information has been a challenge, and three Boards are yet to submit their responses. The Monitoring template will be revised for 2021 2022 to make it more accessible and simpler to populate. Meetings with the Boards are being organised to discuss anticipated spend in 2021 to 2022, and how delays last year may impact this coming year.

IMH Wave one (NHS Fife and NHS Lanarkshire) and Wave 2 (NHS Lothian, NHS Greater Glasgow & Clyde, and NHS Highland) are progressing. NHS Ayrshire & Arran, NHS Forth Valley and NHS Dumfries & Galloway have expressed interest in Wave three. NHS Tayside are increasing some of the embedded IMH roles within their perinatal mental health services.

Any Other Business

Parent Infant Foundation Learning Community

Anne advised that the first meeting of the Parent-Infant Foundation’s (PIF) Learning Community had taken place on 25 May 2021. Anne encouraged the IMH-IAG to link in with the group by contacting Rachel Fraser, Scotland Development Lead at PIF.

IMH forum

Anne advised that the IMH Clinical Forum, run by the Perinatal Mental Health Managed Clinical Network, next takes place on 22 June 2021. The June meeting is titled ‘Parent Infant Therapists: Who, What and Where?’ and is aimed at professionals working within IMH, perinatal mental health and MNPI or stand-alone neonatal services. Anne asked the IMH-IAG to promote the Forum to other colleagues who may have recently become involved with IMH services.

Next Meeting: Wednesday 4 August 2021 tbc.

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