The call will begin shortly About the meeting The purpose of this session is to provide an overview of the Perinatal Mental Health Fingertips profile. Please mute your microphone unless you are speaking to minimise background noise. Please log questions in the Q&A tab as they come to you – there will be a number of points during the session for questions and discussion.

Perinatal mental health intelligence webinar Perinatal Mental Health Profile Cam Lugton - Programme Lead (NMHIN) Simran Sandhu – Programme Manager (NMHIN) Russell Plunkett – Senior Analyst (NMHIN) 14 August 2017 Lily Makurah – Deputy Dir – Public Mental Health

Webinar agenda Introduction to Perinatal Mental Health, and overview of data and intelligence in this area (2-2.10pm) Live demo showing how to navigate and use the Perinatal Mental Health profile (2.10-2.30pm) Q&A session (2.30-2.40pm) Overview of future developments to the profile (2.40- 2.50pm) Q&A session (2.50-3pm)

A brief history of the perinatal mental health work programme

2015/16 - Joint work with ChiMat on perinatal mental health needs assessment report

http://www.chimat.org.uk/PIMH_Needs_Assessment

2016/17 programme – work with NHSE to develop PMH planning support resources start with perinatal mental health data catalogue

Prevalence

2016/17 – also develop test version perinatal mental health profile

Profile had access to good data on: demographics, risk & related factors, prevalence But had no/poor data on: primary care, maternity services, and access to or quality of mental health services held publication until sufficient data available – 6 month review Consultation with service users on publishing of limited (version 1 or prototype) profile. Perinatal Mental Health networks national meeting, London and East Midlands Clinical Networks, ran 3 workshops at the Better Births – 1 Year On, MABIM Leaders Masterclass.

Perinatal mental health profile launched on 4th July 2017

Structured into 4 domains 1) Prevalence quantifying the occurrence of dementia in the population 2) Preventing well - possible modifiable and non-modifiable risk factors for dementia 3) Diagnosing well - journey from detection to diagnosis and immediate post diagnosis care 4) Living well - living independently with dementia, health and social care as well as information and planning services 5) Supporting well - provision of higher dependency care including hospital activity, home care and care home provision 6) Dying well - provision of good end of life care for people with dementia

Data about mothers and potential mothers Demographics Data about mothers and potential mothers

Now with added Maternity Services Data Set information

Risk and related factors

Risk and related factors Camden Greenwich

Explaining Rationale for inclusion is essential

Prevalence

Estimates of prevalence

Identification and Access

Maternity services data set Maternity services survey

8 London hospitals – no data

11 London hospitals – no data

Access: Maternity Services Survey Data – CQC scoring system

Quality and Outcomes does not contain data

This is version 1 – it will it be developed

Pause for questions and discussion

Russell Plunkett – Lead Analyst for PMH Profile Future Developments Welcome feedback Will make changes due to user needs Aim to work in partnership Russell Plunkett – Lead Analyst for PMH Profile

Gap analysis Does not cover pathway Some data out of date Quality, outcomes and financial data missing Presentation of Acute Trust data Profile is in experimental state Developments are aimed at bringing this out of ‘experimental’ into normal functioning of profile Some example gaps to be addressed to do this: Aiming to get better coverage of the pathway from referral to discharge. - Varied methods of referral – primary care, health visitors, midwives, direct contact with MH services - Varied treatments – primary care, IAPT, MH services Some of the data is out of date – methodological reasons for this that are being addressed. Update will be relatively soon, with the aim of increasing geographies Missing a planned domain at the moment. Quality and Outcomes data, and financial data are missing. There are several avenues to pursue to address this. Acute trust data can only be viewed in isolation at the moment – we are working to develop ways to group these data, and the possibility of displaying maps of acute trust boundaries.

Prevalence Data Update Aim to update for Local Authority & CCG level Experimental new prevalence estimates Potential for statistical modelling of prevalence Prevalence data forms a significant portion of the indicators in the profile. Currently out of date. In process of gaining access to ONS births data to update these at Acute and CCG geographies. Methodology for a new prevalence indicator being investigated as part of a larger piece of work estimating prevalence of MH conditions more widely Once dataset linkages have been made, there will be an opportunity for development of statistical model of prevalence. This is dependent on many factors and at the moment is aspirational.

MSDS <> MHSDS Preliminary work undertaken by NHSD First experimental analysis released at National Level Next release at lower geographies NHS Digital has linked the Maternity Services dataset with the Mental Health Services dataset and is producing some outputs at national level. This outputs refer to the use of secondary mental health services by people who are in the perinatal period. Currently these are experimental and only available as national figures. It is planned that there will be a release at lower geographies once the linkage has been deemed stable. Depending on the outputs from this, there is large potential to develop indicators around MH services delivered and received

MSDS <> IAPT Currently being worked on Likely to follow same release path as MSDS<>MHSDS Increased coverage of service interaction Very much like the MSDS <> MHSDS, but with IAPT. Further behind than ^ linkage, so no outputs as yet. Likely to follow the same path, so experimental, national outputs first. After these have been deemed robust, we are likely to receive lower geographies. Unsure of timeline at present. Will increase the coverage of the pathway, as 2 major MH service providers will be covered – IAPT & MH Trusts. Still lacking in a perinatal sub-set of primary care mental health interventions.

MSDS at CCG Geographies Increased integration with other MH indicators Will publish at CCG level when either MSDS released at CCG Level Acute Trust -> CCG mapping becomes available Aiming to develop MSDS indicators at CCG level – currently at Acute Trust level. A large volume of MH service indicators are at CCG level, so doing this will allow more in-depth comparison of MH services, and better area profiling for our users. We will publish at CCG when either, MSDS published at CCG level OR development of actue trust to CCG mapping becomes available (this will be an approximation rather than record-level)

CCG & STP Geographies All indicators at CCG geographies will be released at STP geographies from 2017/18 data With the introduction of STPs, we will be releasing all CCG indicators at STP level from the start of 2017/18 data.

Quality and Outcomes Financial Data – Payment Pathway Referral & Recovery rates (depending on linkage outputs) Completed treatments There is a domain in the profile that is currently hidden as it is empty – Quality and Outcomes. We would like to develop this domain and populate with financial data, referral and recovery rates & completed treatments. There is the potential for completed treatments, referral & recovery rates to be produced from the linkages with MHSDS & IAPT. We are looking to gain access to financial data around PMH services.

MHSDS Already published at CCG level Plans to publish at CCG level Contacts with Perinatal MH Services Open referrals to Perinatal MH Services Plans to publish at CCG level Mother and baby unit data Community Perinatal MH Data

Potential New Indicators NMHIN NHS Benchmarking Linkages Other partners There are a lot a potential new indicators from a variety of sources whom are currently working in the PMH space: Added to this list are the outputs from the linkages, which hold promise. These new indicators will have to have a methodological review, and it is possible not all of them will be robust enough to pass this process. We are still confident that the ones that pass this review will add significant value to the profile for our end users.

Pause for questions and discussion

Mental Health JSNA toolkit Related product: Mental Health JSNA toolkit

JSNA collaboration model Mental Health JSNA Profile

Supporting Components Mental Health JSNA Toolkit 2017 content: 1. Bite-sized cut & paste sections 2. Focus on prevention, wellbeing & assets 3. Intelligence on: policy, case for change, data, int’ventions & outcomes 4. Guide follows life course Mental Health JSNA stocktake (Kaleidoscope) 1. 100+ overview metrics 2. GP & ward level metrics 3. Each domain follows life course 4. Gateway to topic based deep dive 5. PDF output report Meeting the need – what makes a ‘good’ JSNA for mental health? (Centre for Mental Health 2016) MH primary prevention return on investment tool & report (London School of Economics) Prevalence & incidence Risk Factors Services Protective factors Outcomes & quality Finance& Return on investment Understanding people Perinatal Children & young people Working age adults Older years Information: Data profile Knowledge: User Guide Understanding place

Contact us Contact us: Cam Lugton (Programme Lead) – Cam.Lugton@phe.gov.uk - Russell Plunkett (Snr Analyst) – Russell.plunkett@phe.gov.uk - Simran Sandhu (Programme Manager) – Simran.Sandhu@phe.gov.uk Visit our website: https://www.gov.uk/guidance/mental-health-data-and- analysis-a-guide-for-health-professionals Visit our existing fingertips profiles: http://fingertips.phe.org.uk/profile- group/mental-health/ or Google ‘mental health fingertips’ To receive our monthly bulletin: email ‘sign up’ to mhdnin@phe.gov.uk

Thank you for attending