The Perinatal Mental Health Service (PNMH) is open to women who are registered with a GP practice in the Hull, East Riding, North Lincolnshire and North East Lincolnshire areas who are in the perinatal period (during pregnancy and up to 12 months post-delivery).
The service is available to women who require specialist assessment and interventions for a moderate to severe mental health problem.
It is provided in partnership with:
- Humber NHS Teaching Foundation Trust
- Rotherham, Doncaster and South Humber NHS Foundation Trust
The service is available to women who require specialist assessment and interventions for a moderate to severe mental health problem. These include:
- Moderate to severe post-natal depression
- Anxiety disorders including obsessive compulsive disorder and panic disorder
- Eating disorders
- Post-traumatic stress disorder
- Severe mental illnesses including schizophrenia, schizoaffective disorder and bipolar affective disorder
- Postpartum psychosis
- Severe self-harm
- Suicidal thoughts
- Woman with pre-existing serious mental illness in pregnancy will usually be under the care of adult mental health services. The PNMH Team will either advise on management and treatment or co-work with the existing mental health team, according to individual need and choice;
- Mothers under the age of 18 if significant perinatal mental illness dominates their presentation and they are likely to be the baby’s principal carer. In these circumstances the assessment, treatment and management of a young mother should be undertaken in collaboration with CAMHS and social services where a need is identified;
- Pre-conception advice to women with a diagnosis or vulnerability to develop a psychiatric illness considering a pregnancy;
- A liaison service to maternity, primary care and psychiatric services;
- Expert advice to non-specialist health professionals;
- Assessment and care of pregnant women who are well but at risk of developing a serious mental illness following delivery;
- Women with a family history of serious mental illness;
- A serious and/or complex illness during pregnancy and the first postpartum year;
- Women with a pre-existing serious/complex illness who become pregnant
- Advanced and Specialist Nurses
- Perinatal Consultant Psychiatrists
- Speciality Doctors
- Cognitive Behaviour Therapists
- An Occupational Therapist
- A Social Worker
- Nursery Nurses
When to consider a referral:
- a woman answers positively to the Whooley Questions which is a screen for possible depression (this will be carried out by a midwife at booking in)
- a personal or family history of a serious mental illness for example, bipolar or psychosis or a personal or maternal family history of perinatal mental illness
- current episode of moderate to severe mental ill health is reported
When a referral may not be accepted:
- Women with a substance misuse problem should not be referred to specialised perinatal community mental health teams unless they are also suffering from, or there is, a suspected/potential serious/complex mental illness.
- Women who have mild to moderate mental health needs – these women should be signposted to primary care mental health services
- Women with baby not in their care through social services
- Women whose baby is approaching their 1st birthday – these referrals should be discussed with the team
To make sure you receive the best possible care, records are kept about your health and social care needs and any treatment or services we provide. These can be kept both electronically and on paper. This information will be used to manage the care you receive within the Specialist Perinatal Mental Health Service. Others in the NHS may also need to use information about you to:
- review the care we provide to ensure it is of the highest standard and quality
- protect the health of the general public
- manage the health service and ensure services can meet future patient needs
- investigate patient queries, complaints and legal claims
- ensure the Trust receives payment for the care you receive
- prepare statistics on NHS performance
- audit NHS accounts and services
- undertake health research and development
- helping to train and educate healthcare professionals
For these purposes we use anonymous data wherever possible.
Everyone working within the health and social care service has a legal duty to keep information about you confidential. We will not share information unless: –
- you give us specific permission
- we have to share by law
- we have good reason to believe that failing to share the information will put your or someone else at risk of serious harm or abuse
- We hold information that is essential to prevent, detect, investigate or punish a serious crime.
Accurate information is vital to providing care. If any of your details have changed, please inform a member of staff involved in your care.
You have the right of access to information we hold about you. If you want to see your records please speak to a member of staff involved in your care.
The Trust is part of the National Records Locator Service (NRLS). The NRLS tells other health organisations e.g. the Ambulance Service or NHS 111 if you are currently receiving a mental health service and gives a Trust contact number for further information to help them treat you.
If you would like to know more about how we use your information or if you do not wish to have your information used in any of the ways described in this leaflet, please raise with a member of staff involved in your care. Your care will not be affected if you wish to do this.
Scan the QR code from your smart phone to view a more detailed privacy notice or online at http://www.humber.nhs.uk/data-protection.htm . You can also get a paper copy from any Trust Reception Desk.
If you have any further enquiries, please contact the Trust’s Data Protection Officer, Lisa Davies on telephone number 01482 477854 or email : HNF-TR.IGTeam@nhs.net.
Please speak to your key worker if you would like this information in Braille, LARGE PRINT, audio or another language.
HOW DO I ACCESS THE PERINATAL MENTAL HEALTH SERVICE?
Discuss with professionals involved in your care such as your GP, Midwife or Health Visitor, who will be able to offer you support and refer you to an appropriate service.
If you are registered with a North East Lincolnshire GP, please contact the Single Point of Access on 01472 256256.