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

2. 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.

3. 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.

4. 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.

5. 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

6. Any Questions?