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Leadership in
Health Visiting
Sharin Baldwin
NIHR Clinical Doctoral Fellow, King’s College London
Health Visiting Clinical Academic & Innovations Lead,
London North West NHS Healthcare Trust
2
My Journey
3
2013
2013
• Professional Lead in Harrow
• Attended 2-day iHV perinatal mental
health (PMH) training
• At that time, many health visitors in our
Trust had not received any training in
this topic for over 10 years
• Started rolling out training
4
• Merger – LNWH
Trust
• One of the largest
integrated care
trusts in the country
• Services provided
to 850,000
• New role, new
remit
2014
6
2014
• Audit (April): maternal mental health
assessed in only 78% of women during
the new birth visit and inconsistent
methods used
• No guidelines
• Training needs analysis (July): PMH was
the most requested training
7
• Delivery of a rolling programme
• Adapted version for community nursery nurses
and health visiting assistants
• Training extended to Early Years staff
2014
Multi-Professional Maternal
Mental Health Working Group
Health Visitors
Senior HV Managers
Liaison Health visitor
Specialist Perinatal Mental Health Midwife
Designated Nurse for Safeguarding
Specialist Mental Health Services
Representation from local IAPT
Guidelines & Pathways for
Assessment & Management
of PMH
Gaps
• Lack of standardised PND resources for
parents, especially fathers
• Lack of awareness of PND in fathers
• Leaflets often too wordy, and medicalised
• Information on PND not available in one
place:
 Different websites
 Some focus on mothers only, some on fathers,
 ? Reliable source
10
The PND Wheel
A guide to postnatal depression in mothers and
fathers
Stakeholder Consultation
Mothers
Fathers
Health Visitors
Student Health Visitors
Mental Health Professionals
IHV PMH Champions
IHV Board members
Endorsement
Feedback from Parents
Mother:
"It's definitely great......I didn't know
that dads suffer from it (postnatal
depression) as well, I always linked
it to the mums. Also having both
together (information about postnatal
depression in mothers and fathers)
is handy because it does go hand in
hand"
Father:
"I find it very inclusive, it covers a
wide range of things, it has very
helpful information about how your
relationship could change, how you
can be isolated. It tells you how
you can look after yourself."
Feedback from Health
Professionals
Student Health Visitor Mental Health Nurse
Senior Manager
“I really like it
because it is easy
to understand”
It is an invaluable
tool for detecting
postnatal
depression
It is innovative, inclusive & an
ideal way of getting mothers &
fathers to talk about how they
are feeling…
International Marcé Society
Conference
• Rolling programme in place
• Training is now being extended to
Practice Nurses.
• Guidelines & pathways
18
2016
Over 330 individuals to date and
97% of our current health visiting
workforce is trained.
19
20
OPPORTUNITIES
National Recognition
21
22
Opportunities
23
What is Leadership?
24
1 • Passion & Determination
2 • Vision & Strategy
3 • Getting others on board
4 • Collaboration & Networking
5 • Making the most of every opportunity
25
What is Leadership?
26

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161207 iHV leadership conf - Sharin Baldwin

  • 1. Leadership in Health Visiting Sharin Baldwin NIHR Clinical Doctoral Fellow, King’s College London Health Visiting Clinical Academic & Innovations Lead, London North West NHS Healthcare Trust
  • 4. 2013 • Professional Lead in Harrow • Attended 2-day iHV perinatal mental health (PMH) training • At that time, many health visitors in our Trust had not received any training in this topic for over 10 years • Started rolling out training 4
  • 5. • Merger – LNWH Trust • One of the largest integrated care trusts in the country • Services provided to 850,000 • New role, new remit 2014
  • 6. 6
  • 7. 2014 • Audit (April): maternal mental health assessed in only 78% of women during the new birth visit and inconsistent methods used • No guidelines • Training needs analysis (July): PMH was the most requested training 7
  • 8. • Delivery of a rolling programme • Adapted version for community nursery nurses and health visiting assistants • Training extended to Early Years staff 2014
  • 9. Multi-Professional Maternal Mental Health Working Group Health Visitors Senior HV Managers Liaison Health visitor Specialist Perinatal Mental Health Midwife Designated Nurse for Safeguarding Specialist Mental Health Services Representation from local IAPT Guidelines & Pathways for Assessment & Management of PMH
  • 10. Gaps • Lack of standardised PND resources for parents, especially fathers • Lack of awareness of PND in fathers • Leaflets often too wordy, and medicalised • Information on PND not available in one place:  Different websites  Some focus on mothers only, some on fathers,  ? Reliable source 10
  • 11. The PND Wheel A guide to postnatal depression in mothers and fathers
  • 12. Stakeholder Consultation Mothers Fathers Health Visitors Student Health Visitors Mental Health Professionals IHV PMH Champions IHV Board members
  • 14. Feedback from Parents Mother: "It's definitely great......I didn't know that dads suffer from it (postnatal depression) as well, I always linked it to the mums. Also having both together (information about postnatal depression in mothers and fathers) is handy because it does go hand in hand"
  • 15. Father: "I find it very inclusive, it covers a wide range of things, it has very helpful information about how your relationship could change, how you can be isolated. It tells you how you can look after yourself."
  • 16. Feedback from Health Professionals Student Health Visitor Mental Health Nurse Senior Manager “I really like it because it is easy to understand” It is an invaluable tool for detecting postnatal depression It is innovative, inclusive & an ideal way of getting mothers & fathers to talk about how they are feeling…
  • 18. • Rolling programme in place • Training is now being extended to Practice Nurses. • Guidelines & pathways 18 2016
  • 19. Over 330 individuals to date and 97% of our current health visiting workforce is trained. 19
  • 22. 22
  • 25. 1 • Passion & Determination 2 • Vision & Strategy 3 • Getting others on board 4 • Collaboration & Networking 5 • Making the most of every opportunity 25 What is Leadership?
  • 26. 26