Pre-Birth Planning Service Additional Support Midwives Leanne Reynolds Jennifer Mckenzie

The Pre-birth Planning Service: Receive referrals via PB1 form for support for Low Level Concerns. Referrals are assessed at time of receipt and escalated if required. Follow up assessments are carried out following anomaly scan to arrange appropriate action. Home Visit Pre-birth Planning Meeting Referral to 3rd sector agencies Discussions with other agencies Share single agency or multiagency plans appropriately.

Aims To promote the health and well being of mother and unborn child. To share information with all relevant agencies. To provide resources or referrals to 3rd sector agencies who can support a family in preparation of becoming parents. To monitor progress during pregnancy and have contingency plans should the need arise. Ensure appropriate support is available from as early as possible in pregnancy. Objectives To clearly identify areas of concern and put in place a plan to monitor these concerns – this is a multi-agency responsibility. To support the family to achieve effective parenting. Where appropriate, to review progress with the family. Monitor and analyse local trends to enable future service developments.

Types of referral: PB1 – Low to moderate level concern requiring multi-agency support Form 2B - high level of concern requiring multi-agency support PB1 – is a voluntary referral, where vulnerability of the woman has the potential to affect her ability to care for her baby and it is felt that extra support or a pre-birth interagency meeting to discuss her needs would be beneficial. Who can be involved? Any appropriate professional involved with the mother to be or the baby, when it has been born. This list could include: Mother to be and her partner or whoever she feels is appropriate. Team Midwife Public Health Nurse (Health Visitor or School Nurse) General Practitioners Child Protection Nurse Advisor Neonatal Intensive Care Unit Midwife (NNICU) Community Alcohol and Drug Service (CADS) key worker Community Adult Mental Health workers Psychiatric Liaison Nurse Paediatric Manager Social Work Services Housing Officer Any other relevant agencies Meeting Process: Additional Support Midwife chairs the meeting. We have allocated admin to ensure we always have a minute taker. A list of invites are sent out and if they can not attend appropriate reports are requested Minutes from the meeting will be circulated to all invitees within 14 days of the pre-birth planning meeting. Decisions and action plan: One off meeting, systems are put in place to support family (multi or single agency plan is agreed) Monitoring and review of changes in family circumstances Planned follow up prior to hospital discharge or in postnatal period On occasion escalation to Child Protection Case Conference (CPCC), where high levels of concern emerge at Pre Birth Planning Meeting may occur.

Reasons for referral to Pre-Birth Planning Team Current/History of Maternal Drug Abuse Current/History of Maternal Alcohol Abuse Current/History of Domestic Abuse Teenage Pregnancy Disability H.M.P Social Circumstances Current/History of Social Work Services involvement Mental Health Current/History of Partners Substance Abuse Poor Engagement with services Maternal or Paternal involvement with the Criminal Justice System FGM Refugee/Asylum Seeker LAC

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