Postnatal depression

kenny naughton made this Freedom of Information request to Cambridgeshire Primary Care Trust (PCT)

This request has been closed to new correspondence from the public body. Contact us if you think it ought be re-opened.

The request was successful.

Dear Cambridgeshire Primary Care Trust (PCT),

Postnatal Mental Health:
Review of PCTs’ strategies that ensure the adherence to NICE guidance

Dear Sir/Madam,
The Patients Association is a healthcare charity which listens to patients experiences and speaks up for change. A recent event has brought to light some key concerns surrounding postnatal mental health services and the Patient Association are carrying out further research into postnatal depression services commissioned by primary care trusts (PCTs). We understand that you are very busy and would really appreciate the time taken to complete this survey.
I would like to obtain related information under the Freedom of Information Act Request.
Some of the key recommendations from NICE guidance ‘Antenatal and Postnatal depression CG 45’ which are to be adhered to by providers include;
• Asking the patient for their current, previous and family history of perinatal mental illness at certain times during the antenatal and postnatal periods by all health professionals including midwives, GPs, obstetricians and health visitors [CG 45 1.2.1.2].
• Ask two questions to identify possible depression, known as the ‘Whooley questions’ [CG 45 1.2.1.3].
• After identifying possible postnatal depression, the correct referral and assessment pathways are followed by all health professionals, for example the GP should be informed in all suspected cases [CG 45 1.2.2.1; 1.2.2.5].
• Adequate systems are in place for the effective transfer of information between health professionals [CG 45 1.1.1.3].
• Provide written information to the patient and if possible use decision aids to highlight the relative risks [CG 45 1.4.2.1].

Please see below a freedom of information request that we are submitting to your Trust:
1. In the last 5 years, how many postnatal depression cases were treated by a mental health service commissioned by your PCT?

2. How many postnatal depression related serious untoward incidents (SUIs) have been reported in the last 5 years?

3. A. What is your commissioning strategy for mental health?
………………………………………………………………………………………………………………………………..
………………………………………………………………………………………………………………………………..
………………………………………………………………………………………………………………………………..
………………………………………………………………………………………………………………………………..
………………………………………………………………………………………………………………………………..
B. Does it include a specific strategy for postnatal depression and detection of suicide risk?

4. Is your PCT part of a clinical network for perinatal mental health, if so which one?
………………………………………………………………………………………………………………………………..
5. A. What methods of evaluation do you have or use to secure adherence to the NICE guidance ‘Antenatal and postnatal mental health’ - CG 45?
………………………………………………………………………………………………………………………………..

B. How often do you evaluate your PCTs adherence to NICE CG 45?
………………………………………………………………………………………………………………………………..
6. A. What methods of evaluation do you have or use to secure adherence to the NICE guidance ‘Depression’ - CG 90?
………………………………………………………………………………………………………………………………..
B. How often do you evaluate your PCTs adherence to NICE CG 90?
………………………………………………………………………………………………………………………………..
7. Do you have a named individual to lead on the implementation of NICE guidelines?
………………………………………………………………………………………………………………………………..
8. A. What systems do you use that provides a seamless transfer of information between the multi-professional services e.g. passing information from midwives in hospital to health visiting staff in the community?
………………………………………………………………………………………………………………………………..
B. Please give examples.
………………………………………………………………………………………………………………………………..
9. What is your referral rate to specialist mental health mother & baby units every year for the last 5 years?

10. A. Under Patient Choice, do patients have the right to admit themselves to specialist mother and baby units if they do not wish to receive ‘Crisis Team’ care at home?
………………………………………………………………………………………………………………………………..
B. How many self-referrals did you see in the last 5 years?

11. What measures do you have to monitor and review performance of your postnatal mental health services?
………………………………………………………………………………………………………………………………..
12. A. Do you have a lead clinician of perinatal services?
………………………………………………………………………………………………………………………………..

B. If so, what grade are they and are they an expert in the field of Perinatal Psychiatry?
………………………………………………………………………………………………………………………………..
13. Do use the ‘Whooley’ Questions as recommended in NICE CG 45 for screening mothers for antenatal or postnatal depression?

14. Does your commissioned mental health services supply written information or use decision aids when explaining the risks of postnatal depression?

15. A. What level of training does your PCT provide health visitors in regards to assessing mental health conditions and in giving psychological support during the antenatal and postnatal period?
………………………………………………………………………………………………………………………………..

B. How many health visitors does your PCT provide?
………………………………………………………………………………………………………………………………..
Many thanks for your assistance with this piece of work,

Kind Regards,

Kenny Naughton
NHS Management Training Scheme

Yours faithfully,

Kenny Naughton

Reid Gemma, Cambridgeshire Primary Care Trust (PCT)

I am writing to acknowledge receipt of your request under the Freedom of
Information Act 2000. We will respond in 20 working days.

Kind Regards

GEMMA REID

Corporate Administration Assistant

Tel: 01223 725484

Fax: 01223 725401

Switchboard: 01223 725400

Email: gemma.reid[1]@cambridgeshire.nhs.uk

Emails of a confidential nature or containing patient data should be sent
from your nhs.net account to the following email address:
gemmareid[2]@nhs.net

show quoted sections

Reid Gemma, Cambridgeshire Primary Care Trust (PCT)

2 Attachments

Attached is a response to your recent Freedom of Information request.

Kind Regards

GEMMA REID

Corporate Administration Assistant

Tel: 01223 725484

Fax: 01223 725401

Switchboard: 01223 725400

Email: gemma.reid[1]@cambridgeshire.nhs.uk

Emails of a confidential nature or containing patient data should be sent
from your nhs.net account to the following email address:
gemmareid[2]@nhs.net

show quoted sections