Infant Mental Health Implementation and Advisory Group minutes: 4 August 2021

Minutes from the meeting of the group on 4 August 2021.


Attendees and apologies

Author

  • Alex Brown             

Present

  • Anne McFadyen, Chair, IMH-IAG, NHS National Services Scotland
  • Alex Brown, Programme Support Officer, NHS National Services Scotland
  • Andrew Dawson, Professional Lead for Child Psychotherapy, NHS Greater Glasgow & Clyde
  • Douglas Guest, Head of Development, Home Start Scotland
  • Ann Marie Kennedy, Team Leader Change is a Must, Perth and Kinross Council
  • Linda Jardine, Director, Children and Family Services, Children 1st
  • Karen Lamb, Head of Specialist Children's Services, NHS Greater Glasgow & Clyde
  • Hugh Masters, Chair,NIMH Programme Board, Scottish Government
  • Nashwa Matta, Associate Specialist in Paediatrics, Royal College of Paediatrics and Child Health, NHS Greater Glasgow & Clyde
  • Juan Perez-Olaizola, Consultant Child and Adolescent Psychiatrist, NHS Forth Valley
  • Joanne Smith, PIMH Policy Manager, NSPCC Scotland, and Chair, Maternal Mental Health Scotland
  • Harriet Waugh, Perinatal and Early Years Mental Health Team Lead, Scottish Government

In attendance

  • Barbara Kennie, Policy Officer, Perinatal and Early Years Mental Health Team, Scottish Government
  • Cathy Sexton, Co-Director, Fathers Network Scotland
  • Sarah Williams, PIMH Service Development Lead Home-Start Scotland

Apologies

  • Marita Brack, Head of Parenting and Infant Mental Health Programme, NHS Education for Scotland
  • Roch Cantwell, Vice Chair, PNIMH Programme Board, NHS National Services Scotland
  • Iona Colvin, Interim Director and Chief Social Work Advisor, Children and Families Directorate Scottish Government
  • Rachel Fraser, Scotland Development Lead, Parent-Infant Foundation,
  • Shona McCann, Lead Midwife NHS National Services Scotland, NHS Grampian
  • Chris Miezitis, Co-Director, Father’s Network Scotland
  • Helen Minnis, Professor of Child and Adolescent Psychiatry, University of Glasgow
  • Alison Robertson, Consultant Clinical Psychologist, Maternity and Neonatal Services, NHS Greater Glasgow & Clyde

Items and actions

Welcome and housekeeping

Anne McFadyen (Chair) welcomed everyone to the ninth 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 May 2021 meeting.

PNIMH Programme Board update

Harriet Waugh (Perinatal and Early Years Mental Health Team Lead, Scottish Government) advised that Lizzy Archibald had recently started work for the Scottish Government (SG) Perinatal and Infant Mental Health Programme Board as Service Development Adviser. Lizzy will be working closely with the SG Policy Team and all Programme Board groups to support Health Boards and services in the implementation of their perinatal and infant mental health (PIMH) service roll out.

Introductory meetings for Lizzy are being organised with key stakeholders and implementation groups in the coming weeks. It was agreed that Alex Brown (Assistant Programme Manager, NHS National Services Scotland) would organise a meeting between Lizzy and the SG Policy Team, Children 1st, Home-Start Scotland and Inspiring Scotland regarding Parent Line and further involvement with the Third Sector.

Action: Alex Brown

Anne welcomed Sarah Williams, PIMH Service Development Lead for Home-Start Scotland, to the group.

Hugh Masters (Chair, Perinatal and Infant Mental Health Programme Board) advised that Roch Cantwell (Lead Clinician, Perinatal Mental Health Network Scotland) would continue as Vice Chair for the Programme Board. The next Programme Board meeting will take place on 1 September 2021.

2021 to 2022 delivery plan

Harriet and Hugh advised that feedback on the 2021/22 Delivery Plan had been received from IMH-IAG, Programme Board, and Equalities subgroup members, and it was clear that the narrative around IMH actions needed to be further integrated and expanded to make the planned approach explicit. It was agreed that a final draft of the Delivery Plan would be shared with the IMH-IAG and all other Programme Board groups on 11 August for another opportunity to provide feedback and comments.

Action: All

Health Board service development

Anne reminded the group that SG had committed to £3 million recurring funding for IMH services in Scotland, and gave an update on the progress of the Health Boards in each IMH wave:

  • wave one– NHS Fife and NHS Lanarkshire both quickly began service development, and despite initial recruitment delays in NHS Lanarkshire, both Boards have made good progress
  • wave two– NHS Highland and NHS Lothian are both being supported by the Parent-Infant Foundation in their service development, and NHS Greater Glasgow and Clyde have made good progress in getting their service up and running
  • four boards have shown interest in wave three– NHS Ayrshire and Arran, NHS Dumfries and Galloway, NHS Forth Valley, and NHS Tayside. Juan Perez-Olaizola (Consultant Child and Adolescent Psychiatrist, NHS Forth Valley) advised that NHS Forth Valley were still determining the specifics of their wave three proposal, and thanked Anne for providing guidance

Anne emphasised that services should be closely connected across all areas, and key stakeholders and families must be included in co-designing services and ensuring that care pathways are very clear.

Service development guide

Anne asked the group for feedback on the draft IMH service development guide. Andrew Dawson (Professional Lead for Child Psychotherapy, NHS Greater Glasgow and Clyde) commented that the guide was useful, and suggested strengthening the language around the national practice model and embedded IMH services. Anne agreed to incorporate comments into the next version of the guide, and share with the IMH-IAG and other groups for further feedback.

Action: Anne McFadyen

Progress updates

Perinatal Mental Health Managed Clinical Network (PMHNS)

Anne advised that Care Pathways and Role Definitions are available to view and download from the PMHNS website.

Recently, Programme Board and PMHNS Leads met with the Minister for Mental Health who gave positive feedback on the substance misuse paper, written by Anne, Roch, and Shona McCann (Maternity Lead, PMHNS). After approval from the relevant SG Policy Teams, and subsequent publication, PMHNS are organising a meeting to look at how to move forward with a systems approach that will address the mental health needs of unborn and young children of substance users, as well as the wider needs of their parents and carers.

Evaluation

Anne advised that Public Health Scotland developed the Evaluability Assessment for the Programme Board, which was published in March 2021.

The Programme Board convened a Monitoring and Evaluation subgroup in June 2021, led by Helen Cheyne, Professor of Maternal and Child Health Research at the University of Stirling. Helen Minnis, Professor of Child and Adolescent Psychiatry at the University of Glasgow, leads the IMH Evaluation subgroup. Anne encouraged the IMH-IAG to make suggestions for both subgroups, in terms of direction and priority actions.

Anne and the IMH Evaluation subgroup have been working on publishing the NHS Lanarkshire IMH Needs Assessment, and, at the time of the meeting, were in discussions regarding how the report would be launched.

Ann-Marie Kennedy (Change is a Must Team Leader, Perth and Kinross Council) commented that local authorities have lots of data that is not being utilised which could be helpful to services in determining levels of need and the distribution of funds. Ann-Marie emphasised the importance of encouraging local authorities to collect and be aware of the available data.

Co-production

Joanne Smith (Chair, Maternal Mental Health Scotland) advised that interviews for a second Participation Officer for the Programme Board, with specific IMH focus, were taking place on 18 August 2021. Joanne offered to provide an update to the group after that date.

NHS Education for Scotland (NES)

Anne advised that NES were soon launching an online course to support professionals to think about the needs of babies who have been in specialist/neonatal care or had difficulties since birth. The engagement figures and uptake of all PIMH NES training offers are very encouraging.

Marita Brack, Head of Parenting and Infant Mental Health Programme at NES, provided an update post-meeting. Two pilots of the new Infants in Hospital training have been delivered virtually within NHS Greater Glasgow and Clyde and NHS Lanarkshire, and received positive feedback. It is hoped that NES will deliver a Train the Trainer training for this in October 2021, so that the course can be rolled out across the country.

The first cohort for the Institute of Health Visiting PIMH Champions training in February 2021 were Health Visitors and Midwives from north of Scotland Health Boards. These Champions have now booked in dates for training their first cohort of colleagues between June and September 2021.

Parent-Infant Foundation (PIF)

Rachel Fraser, PIF Development Lead and Chair of the PIF Learning Network, provided a written update that was shared with the papers for this meeting, and can be made available again on request.

Any other business

NHS Fife Improvement Project

Cathy Sexton (Co-Director, Fathers Network Scotland) explained that, several years ago, a small Health Visiting team in NHS Fife made a slight change in their practice to involve dads at every step on the universal pathway. Chris Miezitis, Co-Director of Fathers Network Scotland, is working with that team to evidence the effectiveness of their approach, with a view to rolling the training out further. The team and Chris will be training another Health Visiting team in Fife, and collecting benchmarking data before and after implementation of the new practice.

Neurodevelopmental Guidelines

Nashwa Matta (Associate Specialist in Paediatrics, NHS Greater Glasgow and Clyde) advised that the West of Scotland Neurodevelopmental Guidelines had been developed over the past few months, and included emphasis on the parent-infant relationship and IMH. Nashwa agreed to share the document with Anne and Juan, and other interested colleagues.

Action: Nashwa Matta

Next meeting: Wednesday 13th October 2021

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