Capturing the voices of seldom heard and minority groups: Tower Hamlets MSLC

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CASE STUDIES Showing the success of MSLCs/MVPs working well to improve maternity services. Capturing the voices of seldom heard and minority groups: Tower Hamlets MSLC An innovative community development approach has been taken in the design and delivery of local MSLCs in Tower Hamlets, Newham, Waltham Forest and Hackney. The communities that make up the four MSLC areas include Bangladeshi, Somali, White British, Slovakian, Algerian, Chinese, African/Caribbean, Nigerian, Indian, Polish and Angolan. The Mothers Support Group (MSG) in Tower Hamlets meets between MSLC meetings. Workers from Social Action for Health, a community development organisation, hear the feedback of local women from different ethnic backgrounds, including Bangladeshi, Indian Caribbean, African, Chinese, Eastern European and White British. 923 local women s voices were heard in Tower Hamlets between April 2014 and March 2015. As a group, the MSG identifies some key issues to take to the MSLC meeting as well as coming up with some suggested solutions. The approach empowers local women from the most disadvantaged communities to share their maternity experiences and builds local women s capacity to influence and shape maternity services. With the support of the user chair and the committee s administrator, individual women gradually develop confidence to feed back directly to the health professionals and commissioner at the MSLC meetings. About 10-12 women regularly attend the MSG meetings and about eight of them attend the MSLC meetings.

Contributing to a new local perinatal mental health pathway: Bromley Maternity Voices (MSLC) (for website) Bromley MSLC was instrumental in helping Bromley CCG design a new Perinatal Mental Health Pathway. The MSLC played a role in securing funding for the pathway, by providing two user testimonials for the business case. The new service works with existing mental health and maternity services to provide high quality specialist mental health support to women and their families during pregnancy and for a year after birth. It offers multi-disciplinary clinics involving psychiatrists, midwives, psychologists, pharmacists and obstetricians working closely together with the women in need and their respective families to ensure that interventions are co-ordinated, responsive and seamless. GPs work closely with the service to support women during pregnancy and health visiting services are involved after the baby is born. It is designed and funded by NHS Bromley Clinical Commissioning Group and delivered by Oxleas NHS Foundation Trust and King s College Hospital NHS Foundation Trust. http://www.bromleyccg.nhs.uk/news/improving-mental-health-care-for-pregnant-women-inbromley/26651

Designing a poster to help women personalise their birth space: Bromley Maternity Voices (MSLC) Service user members of Bromley MSLC designed the poster (below) giving information about how to personalise the birthing rooms at the local hospital. This poster is now up in every room on Labour Ward at the Princess Royal University Hospital, Farnborough.

Debunking Myths: Normalities of low mood after childbirth in Personal Child Health Records ( The Red Book ): Sheffield MSLC Sheffield MSLC conducted a user consultation regarding low level mental health problems, in which 119 women said that they would like easy access to information that showed low level mood and anxiety after birth was normal and that they were not bad mothers. It was suggested that a page with quotes about the normalities of possible low mood after birth could be suitable for the new updated Red Book. 262 women responded to this questionnaire about the Red Book in just a short time. Sheffield MSLC created this poster (below), which is now included in every personal child health record in Sheffield.

Mental Health Pathways Poster: Sheffield MSLC Sheffield MSLC carried out a research study which found that 1,800 women were unsure where to turn if they experienced low mood in the perinatal period. The MSLC collaborated with Sheffield CCG, Sheffield Public Health and Sheffield LIGHT to devise this poster (below) which has now been integrated into the Royal College of Doctors Maternal Mental Health Toolkit.