Infant Mental Health Implementation and Advisory Group minutes: 28 October 2020

Minutes from the meeting of the group on 28 October 2020.


Attendees and apologies

Author

  • Alex Brown

Present

  • Anne McFadyen(Chair), Infant Mental Health Lead Perinatal Mental Health Managed Clinical Network / Perinatal and Infant Mental Health Programme Board
  • Marita Brack, Programme Director Psychology of Parenting, NHS Education for Scotland
  • Alex Brown, Programme Support Officer, National Services Scotland
  • Iona Colvin, Interim Director and Chief Social Work Advisor Children and Families Directorate, Scottish Government
  • Andrew Dawson, Professional Lead for Child Psychotherapy, NHS Greater Glasgow & Clyde
  • Matt Forde, National Head of Services, NSPCC Scotland
  • Nashwa Matta, Associate Specialist in Paediatrics, NHS Greater Glasgow & Clyde / Royal College of Paediatrics and Child Health
  • Shona McCann, Specialist Midwife, NHS Grampian
  • Helen Minnis, Professor of Child and Adolescent Psychiatry, University of Glasgow
  • Alison Robertson, Consultant Clinical Psychologist, Maternity and Neonatal Services, NHS Greater Glasgow & Clyde
  • Harriet Waugh, Senior Policy Manager, Perinatal and Early Years Mental Health, Scottish Government

In attendance

  • Andrea Blair, attending on behalf of Karen Lamb, Service Manager, NHS Greater Glasgow & Clyde
  • Jemma Davis, Perinatal and Early Years Mental Health Team, Scottish Government
  • Maria Eleftheriadou, Perinatal and Early Years Mental Health Team, Scottish Government

Apologies

  • Elaine Clark, Perinatal Nurse Consultant, NHS Greater Glasgow & Clyde
  • Linda Jardine, Director, Children and Family Services, Children 1st
  • Karen Lamb, Head of Specialist Children’s Services, NHS Greater Glasgow & Clyde
  • Hugh Masters, Chair Perinatal & Infant Mental Health (PNIMH) Programme Board, Scottish Government
  • Stephen McLeod, Children and Young People’s Mental Health Programme Board, Scottish Government
  • Juan Perez-Olaizola, Consultant Child and Adolescent Psychiatrist, Royal College of Psychiatrists, NHS Forth Valley

Items and actions

Welcome, apologies and housekeeping

Anne McFadyen (Chair) welcomed everyone to the fifth Infant Mental Health Implementation and Advisory Group (IMH-IAG) meeting, and apologies were noted as above.

Review of minutes and outstanding actions

Anne asked Iona Colvin (Interim Director and Chief Social Work Advisor, Scottish Government) for assistance in connecting with the children’s services planning group, and Iona agreed to ask them to indicate a suitable date.

Action: Iona Colvin

Anne mentioned that Juan Perez-Olaizola (Consultant Child and Adolescent Psychiatrist, NHS Forth Valley) was waiting to hear from his colleagues at the Scottish Royal College of Psychiatrists regarding their thoughts on joining the group as adult mental health representation.

Chair’s update

Anne reminded the group that the 2020 to 2021 PNIMH Programme Board Delivery Plan had set out three waves of IMH funding, and was pleased to report successful bids for Wave 1 and Wave 2 with allocation of funds for this financial year. As anticipated, NHS Fife and NHS Lanarkshire (wave one boards) returned substantive bids for multiagency teams. NHS Greater Glasgow & Clyde, NHS Lothian and NHS Highland submitted Wave 2 proposals and would receive a small amount of funding in 2020, and a significant amount more in 2021.

Anne advised that, regarding applications for community perinatal mental health services, the PNIMH Programme Board had a few specific requests to support Parent-Infant work, but in some cases had to request that this did happen. With the exception of NHS Western Isles, all Boards have some IMH work embedded in their perinatal mental health services.

Anne informed the group that support for service development had been offered but not yet agreed by the Institute of Health Visiting and the Parent-Infant Foundation.

In addition to agenda items, Anne advised that work was currently progressing on a monitoring template for Health Boards, an Infants Rights Assessment, and collaboration with Inspiring Scotland on IMH delivery by the third sector.

Anne asked Andrew Dawson (Professional Lead for Child Psychotherapy, NHS Greater Glasgow & Clyde) to provide insight on NHS GG&C’s plans for the remainder of the financial year. Andrew advised that NHS GG&C’s IMH bid was for a multidisciplinary team (MDT) which included a full range of mental health professions (psychology, child psychotherapy, child psychiatry, systemic family therapy, occupational therapy and speech and language therapy, social worker, specialist nurse.) Before the end of 2020/2021, the NHS GG&C IMH MDT would facilitate workshops with partners to contribute to setting the values of the service, and to ensure the work compliments existing services. The posts were due to commence in March 2021, and the first phase of the service would be focused on ensuring that the network and pathways were both functioning effectively.

Andrew clarified that the NHS GG&C IMH service had not been designed to replace the Glasgow Infant and Family Team (GIFT) service, and that his team were meeting with GIFT soon to ensure there was no duplication of work. Helen Minnis (Professor of Child and Adolescent Psychiatry, University of Glasgow) emphasised that the specific work of GIFT to provide recommendations to the legal system was unlikely to clash with the different focus of the NHS GG&C team.

Anne advised that the first IMH Forum would take place on Monday 23 November. The purpose of the initial meeting would be to define the remit of the group, and Anne highlighted that it was a good opportunity for developing services to learn from each other and share best practice. Anne asked all IMH-IAG members who were interested in attending the Forum to contact Alex Brown (Programme Support Officer, National Services Scotland) for an invite and papers.

Action: All

Evaluation group feedback

Helen Minnis advised that the Evaluation Subgroup had been making progress on the needs assessment based in NHS Lanarkshire. Susan Galloway, NSPCC, was running the quantitative component of the needs assessment, and had identified multiple data sets. Anne and Helen had begun a qualitative stakeholder engagement process to understand the needs of stakeholders and their understanding of IMH. Helen advised that two higher trainees in child psychiatry had been identified to offer a day a week to the work. The group aimed to report to Scottish Government on both qualitative and quantitative work by May 2021, and hoped to produce a template that could be used in other Health Board areas.

Helen advised that the Evaluation subgroup were trying to collate an overview of all the various evaluation attempts to ensure there was no duplication of work. Helen asked the IMH-IAG to share any information on current evaluations happening in Scotland. 

Action: All

Anne asked the group for their view on the formal request put to Scottish Government for extra money to fund transcribing as part of the qualitative research. Iona agreed that the idea was sensible, and Andrew mentioned that the NHS GG&C administration support would start in December and could provide time for transcription.

Perinatal & Infant Mental Health (PNIMH) Programme Board update

Harriet Waugh (Head of Perinatal and Early Years Mental Health Team, Scottish Government) gave an update on the work of the PNIMH Programme Board:

  • monitoring framework would be established and circulated to health boards as soon as possible to begin to understand how each area was progressing service development. The reporting template would be further refined for 2021/2022
  • organisations funded through the Perinatal and Infant Mental Health fund, run by Inspiring Scotland, met on 27 October to share the work that they are progressing in this financial year. The IMH indicators for the fund were being coproduced with the organisations themselves
  • the work covered in the Equality Impact Assessment would be addressed by the establishment of an Equalities working group, which aimed to further investigate issues that may not be present in the peer reviewed literature but have begun to emerge in the rapidly changing social climate
  • another working group was also being established to tackle workforce and sustainability issues
  • the Raising Awareness and Reducing Stigma strategy was being informed by Scottish Government research intern on stigma in perinatal mental health
  • the Peer Support research report (completed by another Scottish Government intern) would be launched at an event on Friday 30 October. The Minister for Mental Health would be taking part in a question and answer session with the Participation Officer for the PNIMH Programme Board, Clare Thompson. The event would also provide the opportunity for the attendees (largely peer support workers) to discuss the peer support draft action plan and provide feedback. Harriet committed to provide an update on the feedback at the next IMH-IAG meeting

Action: Harriet Waugh

  • the Mother and Baby Unit Family Fund was live, and in place to support partners and children with expenses occurred when visiting mums in the two Scottish units
  • Scottish Government’s mental health transition and recovery plan was published, and outlined Scottish Government’s response to the impact that the pandemic has had, and will continue to have, from a population wide perspective (including the work of the PNIMH Programme Board and the IMH-IAG)
  • the Scottish Government Policy Team were progressing an Infants Rights Assessment, and Harriet asked any interested colleagues to get in touch with advice or support

Action: All

NHS Education for Scotland (NES) update

Marita Brack (Programme Director, NHS Education for Scotland) provided an update on the work of NES:

  • Warwick University had been awarded the tender to supply their IMH online course to new practitioners that would be starting in January 2021. At the time of the meeting, there was already a waiting list of interested practitioners, and additional places would be advertised in the coming weeks. The course would host a minimum of 20 practitioners, and could accommodate up to 60
  • Human Development Scotland had been awarded the tender for providing masters level training in psychoanalytic observation and reflective practice. There were ten NES funded places available on the course, and applications had been distributed to 77 practitioners who had expressed their interest. Applications were open, and would be advertised to other networks that may not have been already aware of the opportunity. Applications would close on 13 November, with interviews to take place 24 and 25 November. The course would commence in January 2021, though practitioners would be invited to an induction day in December 2020
  • NES were continuing to deliver the Solihull Approach Foundation Level training virtually, with more sessions planned for rest of 2020 and into January 2021. Also, a ‘Train The Trainer’ session would be held in December or January
  • NES met with Health Visitor Leads to consider the training needs of Health Visitors in relation to the Solihull Approach Foundation Level training. NES were also attending the November School Nurse leads meeting after a request from the Health Visitor leads to include the group in discussion
  • NES had finalised the Solihull Approach Online Implementation Guide which would be circulated to stakeholders to raise awareness and help services consider how they can align online offers with other parenting offers within local services. At the time of the meeting, over 7000 participants had registered for the Solihull Approach Online training
  • NES were continuing to support the practitioners trained in Video Interactive Guidance; three were expected to receive their accreditation by the end of 2020, and the remaining would hopefully be accredited early in 2021
  • NES would soon be launching a tender for training Health Visitors in PNIMH, and would provide an update to the IMH-IAG when a supplier had been confirmed
  • Marita mentioned the excellent uptake and feedback received on the Essential Perinatal and Infant Mental Health modules, available on TURAS. At the time of the meeting, 533 participants had started the ‘Introduction’ module, with 51% completed. 336 participants had started the ‘Keeping the Baby in Mind’ module, with 63% completed

Action seven feedback

Nashwa Matta (Associate Specialist in Paediatrics, NHS GG&C) and Alison Robertson (Consultant Clinical Psychologist, NHS GG&C) provided an update on their mapping of training and services provided for vulnerable children in Scotland who are impacted by health issues and prolonged hospital stay. The presentation can be circulated on request.

Perinatal Mental Health Network update

It was noted that Shona McCann (Specialist Midwife, NHS Grampian), who had agreed to join the group as a representative from the Perinatal Mental Health Managed Clinical Network, was unable to provide an update due to technical difficulties.

AOCB

Anne provided update on each action of the 2020-21 IMH Delivery Plan (please see attached paper for detail).

Anne agreed to circulate the delivery plan update paper and asked the group to consider how to engage with the Experts by Experience reference group run by Clare Thompson, and how to further the areas of the delivery plan that were currently marked as orange and red (in progress).

Action: Anne McFadyen/ All

Nashwa mentioned the Royal College of Paediatrics and Child Health’s September newsletter, which included a piece by Anne on the PNIMH Programme Board and IMH-IAG, and a piece by Nashwa titled ‘Forgotten But Not Forsaken’ (which was attached to the original calendar invite, and can be circulated again on request).

Next meeting: Wednesday 13th January 2021

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