Consultant in Perinatal Psychiatry and Educational

7 months ago

Leicester, United Kingdom Leicestershire Partnership NHS Trust Full time

Specific Perinatal Responsibilities Understanding of the normal psychological changes that take place in pregnancy and in the early postnatal period, in relation to identity, becoming a parent, couple relationship and the developing relationship with the infant from pregnancy onwards. Understanding of psychopharmacokinetic and psychopharmacodynamic alterations occurring in pregnancy, the early puerperium and in breastfeeding. Understanding of physical problems which may arise during the patient journey through pregnancy and the puerperium, including the physiology and complications of childbirth. Understanding of legislation and guidance in relation to child protection and welfare.

Understanding of embryology, foetal and early infant development. Understanding of the normal motherinfant relationship and its development through early childhood. Understand the prediction, prevention, detection and management of mental disorder in pregnant and postnatal women, the interrelationship between mental disorder and pregnancy and the postpartum period, and the wider effects of mental disorder on child development and the motherinfant relationship. Diagnose and formulate management plans in complex cases, including decisions on prescribing in pregnancy and breastfeeding.

Assess and manage risk, including suicide risk, in relation to the pregnancy, and risk to children. Deliver care which responds to maternity time scales. Provide prescribing advice on psychotropic medication in pregnancy and breastfeeding to women and their families, general psychiatry, maternity and primary care services. Provide expert assessment of the motherinfant relationship in the context of acute maternal mental disorder.

Understanding of policies and national guidelines relating to perinatal psychiatry, and maternal and child health, including those from the Maternal Deaths Enquiry, NICE, Scottish Intercollegiate Guidelines Network (SIGN), and relevant government strategic policy documents. Work in a collaborative way with other psychiatric services, maternity services, primary care, health visiting and childcare social work to ensure optimum outcomes for the patient and her child. Work by involvement of the woman, and her family where appropriate, as an active partner in treatment, including facilitation of the patients ability to make informed decisions about her care and the welfare of her pregnancy/child. Specific Leadership responsibilities Awareness of service specification framework and commissioning guidelines as these develop.

Leading on the process of revision and accreditation of own and other perinatal services, in accordance with national guidelines. Skills in the participation in, and responsibility for, clinical governance activities, including audit of practice in relation to other perinatal specialist services, and encouraging and supporting colleagues in their participation. Liaising with health commissioners and providers to promote an understanding of the epidemiology and needs of the patient group, including updates in evidence-based practice, to inform service development and delivery. Advocating for the mental health needs of pregnant and postnatal women and for the promotion of infant health and development in the context of maternal mental illness.

Developing partnerships between agencies involved in the care of pregnant and postnatal women who experience mental disorder, including primary care, health visits, maternity services, childcare social work, general psychiatry, and the voluntary sector. Develop and extend links with East Midlands Perinatal Psychiatry Network, which includes Perinatal Consultants from other local services and actively involve in quality improvement of the service based on evidence.

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