Hidden Half (National Childbirth Trust - NCT)

April 2018


Dear Constituent,


Thank you for your email regarding health visitors. I agree that health visitors play a very important role supporting parents and babies across the country.

The Government wants people to be empowered to shape and manage their own health and care and make meaningful choices, particularly for maternity services. To help achieve this, it has increased the number of midwives by over 1800.  Furthermore, by the end of the Health Visitor Programme in 2015, it had delivered almost 4000 more health visitors compared to May 2010, an increase of around 50% with 1000 further students in training. Health Education England is ensuring sustainable development of the Health Visitor workforce and there are presently over 800 student training places commissioned which will offer more families the support they need in early years.

Protecting perinatal mental health is a high priority to both the Better Births strategy and the Five Year Forward View for Mental Health. The Institute of Health Visitors was funded to train almost 600 perinatal mental health visitor champions to identify and treat maternal mental health conditions. I’m also happy to see that the Government will implement the continuity of carers so new mothers will receive care from the same midwives throughout their pregnancy, birth and into the postnatal period to better guard perinatal mental health.

The National Institute of Health and Care Excellence recommends a six week postnatal check to assess how a woman has experienced her transition to motherhood. This includes checks on her mental health. My ministerial colleagues have made clear that all GP surgeries must offer these checks and that those who opt-out from doing so will receive a reduction in funding. Thus far, I’ve been informed that only four practices in England have done so.

In addition, the Government has invested £356 million in improving perinatal mental health in England over five years, providing support and care for at least 30,000 women by 2021; it has also invested £2.24 million in new safety equipment. I understand that £1 million has been invested in improved training for staff to help deliver healthy babies more safely. This is all part of the overall strategy to improve maternity services and improve perinatal mental health services.

I hope that I’ve been able to reassure you that the Government is taking this important issue very seriously indeed. Thank you again for taking the time to contact me.


With best wishes.

Kind regards,

Jonathan Lord.