Remote Consultations in Mental Health – Learning from Evaluation

Here we look at how we can tackle perinatal health inequalities to ensure every mother is provided with the best care possible, in line with the newly launched HEARD (Health Equity and Racial Disparity) in Maternity campaign by Croydon Health Services NHS Trust.

Background

Darzi fellow and midwife, Rosie Murphy, has been leading on perinatal inequalities in Croydon particularly focusing on Black, Asian and Minority Ethnic families’ access to and engagement with the ​maternity system.

On 4 April 2022, Rosie hosted an in-person “Whose Shoes” event – a thought-provoking, inclusive and highly interactive game encouraging partnership working and co-production across a diverse group of people. The banner attached was drawn during the event and signals the big topics that arose through the game (e.g. Communication, personalised care, empowerment, cultural competency, dads and partners involvement, interpreters… etc). Almost 40 people attended (a mixture of healthcare professionals, parents, voluntary sector, commissioners) ​and feedback received about the event was very positive.

The themes of the feedback received from the event were:

  • The right conversations came up during the game
  • Hearing things from other people’s perspectives was viewed positively
  • Joining the NHS up with VCSE was viewed positively and the necessity of this was appreciated and understood

The main outputs from the event so far have been:

  • Community – HEARD (Health Equity and Racial Disparity) campaign – membership has been expanded to include service user and VCSE members who attended on the day, as well as Health Visitor rep and early years public health members. The aim ​behind this is to support the co-design of ongoing HEARD strategy and impact evaluation. The intention is that taking a collaborative approach ​and incorporating lived experience into the design process will help to tackle this complex problem ​more effectively
  • Community/Feedback – Annual Whose Shoes events and engagement lead (currently being recruited) to include engagement of Dads strategy
  • Feedback – Health equity lens applied to monthly ‘temperature checks’ (survey of patient experience)
  • Feedback – collaboration with health visiting to set up patient experience survey to be administered by health visitors so that women and birthing people, along with their families, can give feedback once they have had a chance for it to sink in (rather than when their baby is newborn or during the pregnancy)
  • Communication – Translators on video link, portable to bedside
  • Personalisation – work is already underway due to the Maternity Transformation Partnership, but focus should be on embedding culture of respect for women’s autonomy and decision making
  • Cultural competency – Recommendation to expand training to all maternity staff

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Page last updated: October 12 2021.

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