About the service

The perinatal mental health service is a special team that gives extra help to women who're having mental health problems when they’re pregnant or after they’ve had their baby. 

You might need help from the perinatal mental health service if:

  • Your mental health problems are not getting better with help from your GP or IAPT or
  • You have moderate or severe mental health problems, or have had them in the past.

We are a team made up of:

  • Administrators
  • Nurses
  • Doctors called psychiatrists
  • Psychologists
  • Social workers
  • Occupational therapists
  • Peer support workers, who are people who have experienced mental health difficulties in pregnancy or after they had a baby.

We offer specialist assessment, treatment, advice and support for women who:

  • Are planning a pregnancy, are pregnant or have given birth in the last year
  • Have a current or previous moderate to severe mental illness
  • Have a mental health problem which has not responded to treatments provided by a GP
  • Live in Ealing, Hounslow or Hammersmith and Fulham
  • Have a GP in Ealing, Hounslow or Hammersmith and Fulham.

We’ve had to make some changes to our service to keep us all safe from COVID-19. We want to keep giving you and your family all the support we can.

Most appointments will not be in person or face-to-face. For non-urgent appointments we’ll talk to you over the telephone or by video call.

You’ll get a letter and text message explaining how to join your appointment.

We can still offer some face-to-face appointments, so let us know if you prefer to see us in person.

If you have any questions, please call us on:

Hammersmith and Fulham: 0203 313 3033

Ealing: 0208 354 8180

Hounslow: 0208 483 1525

From 9am to 5pm, someone in the team will be here to answer the phone.

You can also email us at wlm-tr.PNMHEHHF@nhs.net 

Tell a health professional you need our help. Ask them to refer you to the perinatal mental health services.

We accept referrals from any professionals, including your GP, midwife, obstetrician, social worker, nurse, mental health worker or any other professional you work with.

They can check our referral information for professionals page.

It is important that you have specialist advice from the perinatal mental health service even if you are already under the care of a mental health service.

We will work with the team you are already seeing.

What happens next?

We’ll read the written referral and decide if the perinatal mental health service is right for you.

  • If we need more information, we might phone you to ask a few questions
  • We may also contact your GP or other professionals
  • If we decide that you need to be under our care, we’ll contact you by letter, phone or email to arrange a first assessment appointment
  • If we do not think that this is the right service for you, we’ll write to you and the professional who referred you. We’ll suggest other services and sources of support you may find helpful.

Your first appointment will last for about an hour.

We will:

  • Ask you about any symptoms and difficulties you have now
  • Ask questions about your past
  • Give you information and advice about any risk you may have of becoming unwell
  • Suggest treatments that can help you.

Then we’ll agree a plan with you for your care and treatment in the short and long term.

Our aim is to help you to be as well as possible during your pregnancy and after birth so that you can enjoy family life.

Where appointments are held

We see women in different places, including antenatal clinics, children’s centres and at home. We can also offer video appointments.

We will do our best to be flexible with appointment dates and times.

Who can come to your appointment

  • Please bring anyone you want to be with you
  • Your baby and other children are welcome – though some women prefer to have them looked after by someone else
  • Bring your partner, a family member, or a supportive friend. It is a good way for them to find out how to help you.

Remember, you can contact the team at any stage of your care if you have any questions.

Your confidential health record

Electronic health records

An electronic health record is set up for everyone referred to West London NHS Trust.

This record is confidential (private). It can only be seen by professionals employed by the trust who are involved in your care.

Your electronic health record contains:

  •  Basic details about you, like your address and date of birth
  •  Contact details for your GP and other professionals looking after your care
  • Information your appointments, care and treatment
  •  Letters about your care that we send and receive.

Doctors, nurses, therapists and other health professionals can use this information to make sure you receive the best possible care.

Find out more about your health records

Letters in your health record

Professionals who see you often write a letter to describe what you talked about in your appointment. This will happen after your first appointment, and at other times during your care.

These letters are sent to your GP and other mental health professional. This is to let them know:

  • You had an appointment and what you talked about,
  •  Details of any advice you were given,
  •  The plan you agreed for your care.

Letters: your rights

You will get copies of all letters written about you, unless you say that you don’t want them.

Sharing information

It is important that some information is shared with the other professionals involved in your care, including your midwife, obstetrician and health visitor.

  • You decide how much information is shared.
  • You might want these professionals to have as much detail about you as possible. This helps them understand you more quickly and means you do not have to keep repeating information.
  • You might prefer only a small amount of information to be shared, such as your diagnosis, the main concerns and the plan for your care.

Let us know

You can talk to anyone in the perinatal mental health service about the information you are happy to share.

 

Your consent to treatment

You must give your permission before you are given any type of medical treatment, test or examination. This must be done on the basis of an explanation by a clinician.

Find out more about what consent means on the NHS website.

Your rights under the Mental Health Act

If you have a mental health disorder, your rights and how you can be treated are set out in a law called the Mental Health Act. The Mental Health Act Code of Practice tells everyone how to use this law and what they must do.

Find easy read factsheets on your rights under the Mental Health Act on the NHS website

Getting a second opinion

If you're not sure about a diagnosis or treatment suggested to you, you can ask for a second opinion, although you do not have a legal right to one.

First of all, ask us. We will ask another consultant to see you. Depending on the situation, this could be another consultant in our service, or in our trust, or a perinatal consultant who works for another trust.

Additional help and support

You can also speak to your GP or the trust’s Patient Advice and Liaison Service (PALS).

Find out how to contact PALS.

See the NHS website for information on Mental Health Assessments.

Advocacy services

Advocates work on your behalf, helping you to understand your rights and supporting you if you have concerns about your treatment.

Interpreting

You can ask for an interpreter to be at your appointments, either in person or over the phone.

Translation

You can ask for written information to be translated.

We can arrange both services. Please let us know if you would like an interpreter or a translation.

If you have any feedback you would like to give about any of our services, or treatment you have received through the Trust, we are always happy to listen.

You can find out how to give feedback, raise concerns or make complaints in the contact section of this website. 

We accept referrals from any professional including GPs, midwives, health visitors, obstetricians and mental health professionals.

Referral guidance

1.You can refer any women who is registered with a GP in:

  • Ealing
  •  Hounslow
  • Hammersmith and Fulham

    And women receiving inpatient care at:
     
  • Queen Charlotte’s Maternity Hospital, or
  • West Middlesex University Hospital.

2. Referrals are essential for women with current or previous:

  • Bipolar affective disorder
  • Schizophrenia or schizoaffective disorder
  • Previous postpartum psychosis
  • Family history of postpartum psychosis
  • Severe depression
  • Other psychotic illness


These women should be referred even if they are currently well.

3. Referrals are also accepted for women with other moderate to severe or complex mental illnesses. Such problems might include:

  • Post-traumatic stress disorder
  • Eating disorders
  • Obsessive compulsive disorder
  • Personality disorder.

4. If a woman is prescribed a mood stabiliser, please state this in the referral, so that these women can be prioritised and urgent advice given regarding medication. 

5. The service only works with women who cannot effectively be managed in primary care.

6. If a woman is already under the care of a community mental health team, she should still be referred. We will work jointly with this team.

7. If the woman is a psychiatric inpatient during pregnancy or the postnatal period, she should be referred, so that the perinatal mental health service can see her during admission, ensure she has antenatal care if she is pregnant and that she is followed up on discharge from the inpatient unit.

8. If substance misuse is the primary problem, please refer to specialist substance misuse services. We can work jointly with substance misuse services if the woman also has a moderate to severe mental illness.

9. Women under 18 years old can be referred to Child and Adolescent Mental Health Services (CAMHS) and the perinatal mental health service will work jointly with CAMHS. 
 

Where to make referrals

Refer through the Single Point of Access (SPA) service.

Non-urgent referrals can be made directly to perinatal mental health services. We can provide further information on referral criteria and our referral form.

Contact the team at wlm-tr.PNMHEHHF@nhs.net .

How to refer to IAPT services

You can refer women to their local Improving Access to Talking Therapies (IAPT) service.