Specialist Midwifery Team
‘Best Beginnings’
Presented by,
Vlora Hingley
06.07.2011
www.slh.nhs.uk
Who are The Best Beginnings Midwives?
The Best Beginnings Midwives provide an
intensive community based preventative
approach to women ‘in need’ and their
families in the Greenwich and Bexley
Borough, during antenatal, labour and
postnatal period
www.slh.nhs.uk
The Best Beginnings Midwives
There are 10 midwives and MSW/HCA
Midwives are allocated to specific
geographical locations in Greenwich and
Bexley Borough
Attached to the Sure Start Local
Programmes/Children Centres
www.slh.nhs.uk
Care is tailored to suit the specific needs of each individual woman
Named midwife
One to one care
Continuity of care
Easy access to maternity care
Introduction to local children centre
Liaison with other agencies
www.slh.nhs.uk
Since July 2007 we have received over 2120
referrals.
 Mental health issues 77%
 Domestic Violence 30%
 Social Issues/CP plan 39%
 Learning Difficulties 25%
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Asylum Seekers and Refugees
15%
 Young mothers (under 18)
there were 400 referrals
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Time Team Nigel Perks
Consultant Obstetrician and Gynaecologist
www.slh.nhs.uk
TIME TEAM
Multi‐disciplinary and inter‐trust
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Consultant Obstetrician
Best Beginnings Midwives
Admin support
Other support
Consultant Psychiatrist
Liaison Psychiatrist
Clinical Psychologist
Community Psychiatric Nurse
• CMW
• Other support
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TIME TEAM
Indications for referral
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Significant mental health history
Concern over current mental health
Concern for future mental health
Not currently under care of Oxleas
www.slh.nhs.uk
TIME TEAM (Bexley)
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Commenced April 2011
Consultant Obstetrician
Best Beginnings Midwife
Held weekly
Liaise with local mental health services
www.slh.nhs.uk
Perinatal Service (Bromley)
• Consultant Obstetrician
• Specialist Midwife
• Liaise with local mental health services
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Psychological intervention
Dr Rosanna Moore
Clinical Psychologist
Oxleas NHS Foundation Trust
www.slh.nhs.uk
Psychological Interventions
• NICE Guidelines (2007) recommend quick access to psychological therapies during pregnancy and the postnatal period
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Changing risk‐benefit ratio for psychotropic medication
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Woman’s preference
• Cognitive Behavioural Therapy (CBT) recommended for depression and range of anxiety disorders
www.slh.nhs.uk
Psychological Interventions
• Range of psychological interventions
‐ Social support – talking to peers
‐ Listening – warmth, openness, non‐judgemental attitude
‐ Self‐help advice, e.g. sleep hygiene, activity scheduling, ‐ Increasing Access to Psychological Therapies (Greenwich Time To Talk, Being Well in Bexley, Bromley Working for Wellbeing)
‐ CAMHS – Attachment difficulties once the baby is born
www.slh.nhs.uk