Specialised commissioning hubs are based in: East Midlands East of England North East London North West South East Coast Central West Midlands Yorkshire and The Humber South West 3.2 Number of live births in England The market has been assessed to evaluate the number of women by region who may require admittance to a Mother and Baby Unit. The calculation is based on live births in England. The Office of National Statistics (ONS) data used in this report is based on the Strategic Health Authorities figures for 2012. During the last 10 years, live births in England and Wales have increased from 596,122 (2002) to 729,674 (2012) representing a 22.4% increase over the period. The rate of growth has slowed down over the past 2 years but growth rate in live births should be taken into consideration for future expansion of MBUs. Historical data of live births in England and Wales Year Number of births yr on yr % 2002 596,122 0.02 2003 621,469 4.25 2004 639,721 2.94 2005 645,835 0.96 2006 669,601 3.68 2007 690,013 3.05 2008 708,711 2.71 2009 706,248 0.03 2010 723,165 2.4 2011 723,913 0.1 2012 729,674 0.8
3.32 List of Mother and Baby Units in England/bed spaces Area No of beds Integrated Perinatal Community Psychiatric Derbyshire EAST MIDLANDS 6 ✔ Dorset SOUTH CENTRAL 5 East Sussex EAST COAST 8 Essex EAST OF ENGLAND 5 Greater London LONDON 10 Greater London LONDON 13 ✔ Greater London LONDON 10 ✔ Greater Manchester NORTH WEST 10 ✔ Hampshire SOUTH CENTRAL 10 ✔ Hertfordshire 6
The following PESTEL analysis has been prepared based on expanding the current provision in South West England. Political The NHS is expected to continue expanding access to psychological services as part of the commitment to full roll-out of the IAPT () programme by 2015 Economic Underlying commissioning expenditure will grow by 2%. This will require the achievement of a substantial programme of efficiencies to contain the trend of significantly higher expenditure growth in specialised services. Social People expect the NHS to provide safe, quality care. Currently mothers with postpartum psychosis are being put at risk when a MBU cannot be accessed at a local level. Mothers with other children sometimes decline treatment rather than be sent to another part of the country for treatment. Furthermore, quality local care assists the multidisciplinary teams to effectively work together to provide the best possible outcomes. Technological A new unit would allow new technologies to be introduced to help speed recovery and reduce in-patient days; for example video feedback interventions allow mothers to see how their babies respond to them. These can include video clips of play sessions and talking about the communication between the mother and her baby in order to help mothers develop their relationship with their baby. Environmental The Climate Change Act (2008) set ambitious, legally binding targets for the UK to achieve carbon emissions reductions of at least 34% by 2020 and 80% by 2050. As the largest organisation in the UK the NHS aims to support the achievement of these targets by reducing its carbon emissions. A new unit and improved local access would reduce carbon emissions.
Weymouth and Portland 682 Gloucestershire 6,880 Cheltenham 1,365 Cotswold 725 Forest of Dean 803 Gloucester 1,903 Stroud 1,138 Tewkesbury 946 Somerset 5,707 Mendip 1,174 Sedgemoor 1,272 South Somerset 1,712 Taunton 1,260 West Somerset 289 13.2 Appendix 2 Mother and Baby in England Area Mother and Baby Unit Key contacts No of beds Integrated Perinatal Community Psychiatric Derbyshire EAST MIDLANDS Mother and Baby Unit Derbyshire Health Care, NHS Foundation Trust The Beeches Unit, Radbourne Unit, Uttoxeter Road, Derby, DE22 3UQ Tel: 01332 623828 Dr Brownsett, Consultant Psychiatrist Secretary: 01332 623800 6 ✔ Dorset SOUTH CENTRAL Florence House St Ann's Hospital, Dorset Dorset Health Care University NHS Trust 49 Alumhurst Road, Bournemouth, BH4 8EP Tel: 01202 584320 Dr Cressida Manning, Consultant Psychiatrist 5 East Sussex Eastbourne Clinic (Independent Provider) Jean Thompson, 8
SOUTH EAST COAST 21 Grange Road, Eastbourne, East Sussex, BN21 4HE Tel: 01323 430831 Registered Manager EAST OF ENGLAND Rainbow Mother and Baby Unit The Linden Centre Pudding Woods Drive Chelmsford, CM1 7LF Tel: 318847 Dr Sara Ketteley, Consultant Psychiatrist 5 Greater London LONDON Coombe Wood Mother and Baby Unit Central and North West London Mental Health Trust Park Royal Centre for Mental Health Acton Lane London, NW10 7FL Tel: 020 8955 4495/6/8 Consultant Psychiatrist Dr Lewin 10 Greater London LONDON South London and Maudsley NHS Foundation Trust Mother and Baby Unit Bethlem Royal Hospital, Monks Orchard Road, Beckenham, Kent, BR3 3BX Tel: 020 3228 4255 Consultant Psychiatrist Dr Seneviratne 13 ✔ Greater London LONDON Margaret Oates Mother and Baby Unit Mermaid Ward, Homerton Hospital, Homerton Row, Hackney, London, E9 6SR Tel: 020 8510 8420 Liz McDonald, Consultant Psychiatrist Andrea Svinurai, Ward Manager 10 ✔ Greater Manchester NORTH WEST Manchester Mother and Baby Unit Andersen Ward, Laureate House, Wythenshawe 01619 987 070 Dr A Wieck, Consultant Psychiatrist. 10 ✔
Hospital, Southmoor Road, Wythenshawe, Manchester, M23 9LT Tel: 0161 291 6829; Fax: 0161 291 6821 Hampshire SOUTH CENTRAL Winchester Mother and Baby Unit Hampshire Partnership NHS Trust Melbury Lodge, Romsey Road, Winchester, SO22 5DG Tel: 01962 825011 Chris Bailey (acting), Unit Manager Dr Alain Gregoire, Consultant Psychiatrist 10 ✔ Hertfordshire EAST OF ENGLAND Thumbswood Mother and Baby Unit Hertfordshire Partnership NHS Foundation Trust Queen Elizabeth II Hospital, Howlands, Welwyn Garden, AL7 4HQ Tel: 01707 224850 Elizabeth Evans, Unit Manager 6 Leicestershire EAST MIDLANDS Bradgate Mother and Baby Unit Aston Ward Bradgate Mental Health Unit Glenfield Hospital Groby Road Leicester LE3 9DZ Tel: 0116 2256174 Dr Renuka Lazarus, Consultant Perinatal Psychiatrist 9 (Ward due for closure) ✔ Nottinghamshire EAST MIDLANDS Nottinghamshire Healthcare NHS Trust Perinatal Psychiatric Inpatient Unit Ward A45, A Floor, South Block, Queens Medical Centre, Nottingham, NG7 2UH Tel: 0115 924 9924 ext. 64479 or 0115 849 3391 Judy Gardiner, Ward Manager 6 ✔