Next steps and the latest updates from key reports including:

• The latest findings from The National Maternity and Neonatal Investigation
• Latest recommendations from the National Maternity and Neonatal Taskforce
• National Maternity and Perinatal Audit State of the Nation Report

• Implementing national recommendations across Integrated Care Boards (ICBs) and Local Maternity and Neonatal Systems (LMNS)
• Understanding the role of NHS-Led Provider Collaboratives in planning, commissioning and delivering specialised perinatal mental health services at scale
• Reducing variation in access to perinatal mental health support across regions
• Commissioning joined up care using a whole system approach to implement continuum of care across antenatal, intrapartum and postnatal pathways
• Overcoming challenges around capacity and resource constraints
• Embedding co-production between clinicians and service users to design services that meet local need

• Targeted early intervention: implementing the OASI care bundle nationwide to reduce birth injuries and providing dedicated mental health midwives
• Earlier identification of clinical and social risk to reduce complications, prevent avoidable harm, and narrow inequality gaps from the outset
• Moving towards joined-up early intervention across services to reduce fragmentation, improve communication, and deliver more consistent, high-quality care everywhere
• Shifting from reactive to preventative care: early mental health support, social care integration, and continuity of relationship

•  Utilising Family Hubs as a central point for integrated, multi-agency support across the perinatal pathway
• Strengthening coordination and information sharing between maternity, mental health, social care and voluntary sectors
• Enabling earlier identification and intervention through community led models of care
• Improving information sharing and coordination

• Embedding peer support and co-production into service design and delivery
• Family first, whole system approaches such as family integrated care models (FiCare)
• Developing parameters for understanding the possible economic cost of birth trauma, with a view to informing future research
• The impact of birth trauma on women’s relationships, ability to bond with their baby and future decision-making

• What good trauma-informed care looks like in day-to-day practice: the quality of maternity care in providing support to women who have had traumatic birth experiences
• Recognising and responding to trauma, including birth trauma and other previous adverse experiences
• Delivering personalised care within workforce and service pressures
• Building trust, continuity and effective communication with women and families
• Standardised post-birth care: rolling out initiatives including the Birth Reflections service to give parents a safe space to discuss their experiences

• Addressing disparities in maternal mental health outcomes for underserved communities
• Embedding culturally competent care withing service delivery and workforce training
• Practical approaches to reducing variation and improving equity across maternity services
• Tackling social inequalities affecting both patients and staff: building cultural competency and developing anti-racism strategies
• Supporting women affected by substance use, domestic violence, child removal and involvement with the criminal justice system

• Delivering consistent, high quality bereavement care through implementation of the National Bereavement Care Pathway (NBCP)
• Embedding trauma informed bereavement care within maternity and mental health services
• Supporting staff to deliver compassionate bereavement care including training and psychological support
• The role of employers in supporting recovery including changes to statutory bereavement leave provisions

• Assessing current shortages across Perinatal Mental Health services and the impact on safety, quality of care, and service delivery
• Considering how education and professional development can support culturally competent Perinatal Mental Health Care
• Exploring the role of leadership in fostering positive team cultures, improving communication, and supporting integrated, multi-professional approaches to care delivery
• Expanding community-based and early-stage workforce capacity, including health visitors and perinatal mental health practitioners
• Addressing gaps in specialist perinatal mental health training across the wider maternity and community workforce

• Overview of a specialist perinatal mental health service model delivering high quality integrated care
• Embedding early intervention and continuity of support across the perinatal pathway
• Shaping policy with service users in mind
• Developing and rolling out effective clinical pathways and workflows to support consistent care across services
• Key learning, challenges and practical insights for replication in other NHS settings