Perinatal mental health

The following indicators have been updated:

Demographics:

• Percentage of deliveries to women aged 35 years and above
• Percentage of deliveries to women from ethnic minority groups

Risk & related factors:

• Premature births (less than 37 weeks gestation)
• Admissions of babies under 14 days

March 2025

The following indicators have been updated:

Risk & related factors

• Domestic abuse related incidents and crimes
• Ectopic pregnancy admissions rate / 100,000
• Stillbirth rate
• Infant mortality rate
• Low birth weight of term babies
• Emergency admissions (<1 yr)

February 2025

Two new indicators have been added:

Identification of need

• Model-based estimated prevalence of perinatal mental health conditions

Services and access

• Access rates to specialist perinatal mental health services (includes inequalities breakdown)

The 'inequalities' option has been added to the data view, allowing indicators with inequality breakdowns to be viewed within the profile.

January 2025

The content of the profile is currently going through a review, with some changes applied in January 2025. The review will be completed in February 2025 update of the profile. 

February 2023

Risk & related factors

• Stillbirth rate
• Domestic abuse related incidents and crimes

November 2022

Risk & related factors

• Depression: QOF prevalence (18+yrs)
• Mental Health: QOF prevalence (all ages)

October 2022

Identification & Access

• Proportion of New Birth Visits (NBVs) completed within 14 days
• Proportion of infants receiving a 6 to 8 week review
• Proportion of children receiving a 12-month review

July 2022

Risk & related factors

• Under 18s conception rate / 1,000

May 2022

Demographics:

• General fertility rate

Risk & related factors:

• Stillbirth rate

March 2022

The following indicators were updated:

Demographics:

• General fertility rate

Identification & Access:

• Proportion of New Birth Visits (NBVs) completed within 14 days
• Proportion of infants receiving a 6 to 8 week review
• Proportion of children receiving a 12-month review

January 2020

There has been a major refresh to the Perinatal mental health profile homepage. The redesign aims to simplify and enhance the users’ overall experience by improving access to the data that matters to them the most.

The highlights of the changes are:

• New domain icons clicking on the one of the new icons will take you directly to the set of metrics related to demographics, risk & related factors, prevalence, or identification & access. Experienced users can directly access their data thereby simplifying the profile’s navigational process.
• New layout – the layout of the page has been simplified and refreshed to improve the overall appeal to our visitors of the profile.

June 2019

There has been a substantial refresh in the Perinatal mental health profile.

Demographic:

• Women aged 15-44: proportion of total population % of total population - 2016, 2017 - County & UA
• Births to non-UK parents: % of live births where one or both parents foreign born - 2016, 2017 - County & UA
• Births to mothers aged <20: % of live births - 2016, 2017 - County & UA, CCG, STP
• Births to mothers aged 40+: % of live births - 2016, 2017 - County & UA, CCG, STP
• Aged <20 at antenatal booking: % of women at antenatal booking appointment aged <20 years - 2017/18 - Acute Trust
• Aged 40+ at antenatal booking: % of women at antenatal booking appointment aged 40+ years - 2017/18 - Acute Trust
• BAME groups at antenatal booking: % of women recorded as belonging to a Black, Asian, and minority ethnic group at antenatal booking appointment - 2017/18 - Acute Trust

Risk and Related Factors:

• Percentage of births which are outside of marriage/civil partnership and sole registered (by one parent only) - 2016, 2017 - County & UA, CCG, STP
• Looked after children aged 0 to 4 years per 10 000 population - 2017/18 - County & UA
• Complex social factors: % of pregnant women with one or more complex social factors recorded at antenatal booking - 2017/18 - Acute Trust
• Multiparity (3+ previous births): % of pregnant women attending antenatal booking appointment who have had 3+ previous live births - 2017/18 - Acute Trust
• Skin to skin contact after birth: % women who gave birth at or after 37 weeks gestation and had skin-to-skin contact with their baby within one hour after the birth - 2017/18 - Acute Trust
• Unplanned caesarean sections: % of births which were delivered by emergency caesarean - 2017/18 - Acute Trust
• Babies born at <37 weeks gestation: % of deliveries - 2017/18 - Acute Trust

Prevalence:

• 8 prevalence indicators - 20/17/18 - County & UA, CCG, STP

Identification and Access:

• 3 Health visitor indicators- 2017/18 - County & UA
• Early antenatal booking:% of women with booking appointment between 0 and 70 days gestation - 2017/18 - Acute Trust
• Mental health detection at antenatal booking: % of records submitted for the field "Mental Health prediction and detection indicator (mother at booking)" that were completed with valid codes - 2017/18 - Acute Trust
• Support status recorded at antenatal booking: % of records submitted for the field "Support status (mother at booking)" that were completed with valid codes - 2017/18 - Acute Trust
• Substance use recorded at antenatal booking: % of records submitted for the field "Substance use status (mother at booking)" that had valid codes - 2017/18 - Acute Trust
• Percentage of records submitted for the field "Weekly alcohol units (mother at booking" that were completed with valid codes - 2017/18 - Acute Trust
• Complex social factors recorded at antenatal booking: % of records submitted for the field "Complex social factors indicator (mother at booking)" that were completed with valid codes - 2017/18 - Acute Trust
• Antenatal MH detection: Survey score 1=worse than expected, 2=About the same as expected, 3=Better than expected - 2017 - Acute Trust
• Postnatal MH detection: Survey score 1=worse than expected, 2=About the same as expected, 3=Better than expected - 2017 - Acute Trust
• Information on emotional change after birth: Survey score 1=worse than expected, 2=About the same as expected, 3=Better than expected - 2017 - Acute Trust
• Postnatal MH support: Survey score 1=worse than expected, 2=About the same as expected, 3=Better than expected - 2017 - Acute Trust

December 2018

Risk and Related Factors

• Depression: % recorded prevalence - 2017/18 - County & UA, CCG
• Severe mental illness: % recorded prevalence to 2017/18 - County & UA, CCG

November 2018

Risk and Related Factors

• Infant mortality: Rate per 1,000 births, 2015 to 2017 - County & UA

September 2018

Demographics

• General fertility rate: Birth rate per 1,000 females aged 15-44 - 2016 - County & UA, CCG

Risk and Related Factors

• Stillbirths: Rate per 1,000 births - 2014-16 - CCG
• Under 18s conceptions: Rate per 1,000 females aged 15-17 - 2016 - County & UA
• Domestic abuse-related incidents and crimes: Rate per 1,000 population - 2016/17 - County & UA
• Severe mental illness: % recorded prevalence - 2016/17 - County & UA

March 2018

Risk and Related Factors

• Depression: % recorded prevalence - 2016/17 - County & UA
• Infant Mortality - 2014-16 - CCG

February 2018

Risk & related factors

• Stillbirths: Rate per 1,000 births - County UA to 2014-16

December 2017

Risk and related factors:

• Depression: % recorded prevalence to 2016/17
• Severe mental illness: % recorded prevalence to 2016/17

Prevalence:

• Postpartum psychosis: Estimated number of women to 2015/16
• Chronic SMI in perinatal period: Estimated number of women to 2015/16
• Severe depressive illness in perinatal period: Estimated number of women to 2015/16
• Mild-moderate depressive illness and anxiety in perinatal period (lower estimate): Estimated number of women to 2015/16
• Mild-moderate depressive illness and anxiety in perinatal period (upper estimate): Estimated number of women to 2015/16
• PTSD in perinatal period: Estimated number of women to 2015/16
• Adjustment disorders and distress in perinatal period (lower estimate): Estimated number of women to 2015/16
• Adjustment disorders and distress in perinatal period (upper estimate): Estimated number of women to 2015/16

November 2017

Updated Infant Mortality indicator.

July 2017

First version released

Children and young people's mental health

Primary prevention: Vulnerability:

• 16 to 17 year olds not in education, employment or training (NEET) or whose activity is not known

March 2025

Identification of need:

• Percentage of looked after children whose emotional wellbeing is a cause for concern
• Hospital admissions as a result of self-harm (10 to 24 years)

Protective factors:

• School readiness: percentage of children achieving a good level of development at the end of Reception
• School Readiness: percentage of children with free school meal status achieving a good level of development at the end of Reception

Primary prevention: Adversity:

• Free school meals: % eligible

Primary prevention: Vulnerability

• Children in care
• First time entrants to the youth justice system

August 2023

Primary prevention: Vulnerability

• Pupil absence
• First time entrants to the youth justice system

July 2023

Identification of need:

• Percentage of looked after children whose emotional wellbeing is a cause for concern
• Smoking prevalence in adults with a long term mental health condition (18+) - current smokers (GPPS)

February 2023

Protective factors:

• School Readiness: percentage of children achieving a good level of development at the end of Reception
• School Readiness: percentage of children with free school meal status achieving a good level of development at the end of Reception

Primary prevention: Vulnerability:

• 16 to 17 year olds not in education, employment or training (NEET) or whose activity is not known

August 2022

Services:

• Pupil absence
• First time entrants to the youth justice system

June 2022

Services:

• Attended contacts with community and outpatient mental health services, per 100,000 (<18 yrs)
• New referrals to secondary mental health services, per 100,000 (<18 yrs)

Exploring inequality:

• Attended contacts with community and outpatient mental health services, per 100,000 (<18 yrs)
• New referrals to secondary mental health services, per 100,000 (<18 yrs)

May 2022

Identification of need:

• Smoking prevalence in adults with a long term mental health condition (18+) - current smokers (GPPS)
• Percentage of looked after children whose emotional wellbeing is a cause for concern
• New referrals to secondary mental health services, per 100,000
• Attended contacts with community and outpatient mental health services, per 100,000

Sevices:

• Inpatient stays in secondary mental health services, per 100,000
• New referrals to secondary mental health services, per 100,000
• Attended contacts with community and outpatient mental health services, per 100,000

March 2022

The following indicators were updated:

Identification of need:

• Hospital admissions as a result of self-harm (10-24 years)
• Hospital admissions as a result of self-harm
• School pupils with social, emotional and mental health needs: % of school pupils with social, emotional and mental health needs

Primary prevention: Vulnerability:

• Children in care
• First time entrants to the youth justice system
• 16-17 year olds not in education, employment or training (NEET) or whose activity is not known

November 2021

Exploring Inequality: Learn more about inequality data in secondary mental health services data.

Inequality in detail Examine the range of inequality data in our indicators

The following new indicator has been added to the Services domain:

• Inpatient stays in secondary mental health services

September 2021

New Service domain was added to the profile. The following new indicators were added within this domain:

• New referrals to secondary mental health services, per 100,000 (<18 yrs)
• Attended contacts with community and outpatient mental health services, per 100,000 (<18 yrs)

Both indicators provide breakdown by gender and deprivation quintiles at England, CCG and UTLAs level.

March 2020

• One  children in care indicator in the Primary Prevention – Vulnerability domain at County and UA and Region level (2019)
• One  NEET indicator in the Primary Prevention – Vulnerability domain at County and UA level (2018)
• One  self-harm admissions indicator in the Identification of Need domain at County and UA level (April 2018 to March 2019)

February 2020

One indicator has been added to the Identification of Need domain (2017/18)

• Estimated number of children and young people with mental disorders - aged 5 to 17 (CCGs, County and UA)

One indicator has been removed from the Identification of Need domain (2015/16)

• Estimated prevalence of mental health disorders in children and young people: % population aged 5-16 (County and UA)

One indicator has been updated in the Identification of Need domain (2018/19)

• Cause for concern - Looked after children where there is cause for concern: % of looked after children (County and UA)

Two indicators have been updated in the Protective Factors domain: (2018/19)

• School Readiness: % of all eligible children (County and UA)
• School Readiness (children with free school meal status): % of all eligible children with free school meal status (County and UA)

September 2019

No indicators were updated in September 2019

August 2019

One indicator has been updated in the Primary prevention: vulnerability tab (2016/17 and 2017/18):

• Children leaving care: rate per 10,000 children aged under 18 (County and UA)

July 2019

Two indicators have been updated in the Primary prevention: vulnerability tab (2017/18):

• Pupil absence (County and UA, District and UA, PHE Centres, Regions)
• First time entrance to the youth justice system (County and UA, PHE Centres, Regions)

June 2019

One indicator has been updated in the Identification of Need domain (2017/18):

• Percentage of children where there is a cause for concern (County and UA)

March 2019

Two indicators have been updated in the Identification of Need domain (2017/18):

• Hospital admissions as a result of self-harm (10-24 years) (County & UA)
• Hospital admissions as a result of self-harm by age (County & UA)

Three indicators have been updated in the Primary prevention: adversity domain (2016 unless stated):

• Child poverty under 16 (County, UA & District)
• Child poverty under 20 (County, UA & District)
• Family homelessness: rate per 1,000 households (County & UA) (2017/18)

One indicator has been updated in the Primary prevention: vulnerability domain (2018):

• Children in care: rate per 10,000 population aged under 18 (County)

February 2019

Two indicators have been updated in the Protective factors domain:

• School Readiness: The percentage of children achieving a good level of development at the end of reception (County)
• School Readiness: The percentage of children achieving a good level of development at the end of reception with free school meal status (County)

Seven indicators have been updated in the Primary prevention: adversity domain:

• Repeat child protection cases: Percentage of children who became the subject of a child protection plan for a second or subsequent time (County)
• Abuse and neglect: Rate per 10,000 children subject of a child protection plan with initial category of abuse (County)
• Abuse and neglect: Rate per 10,000 children subject of a child protection plan with initial category of neglect (County)
• Children started to be looked after due to abuse or neglect: rate per 10,000 <18 population (County)
• Children in need due to abuse or neglect: rate per 10,000 resident population aged under 18 years (County)
• Children in need due to parental disability or illness: rate per 10,000 resident population aged under 18
• Unaccompanied Asylum Seeking Children looked after (County)

Two indicators have been updated in the Primary prevention: vulnerability domain:

• Children in need due to socially unacceptable behaviour: rate per 10,000 resident population aged under 18 (County)
• Children in need due to child disability or illness: rate per 10,000 resident population aged under 18 (County)

Four indicators have been updated in the Finance domain:

• Spend (£000s) on Local Authority children and young people's services (excluding education): rate per 10,000 aged 0-17 (County)
• Spend (£000s) on Sure Start Children's Centres and early years: rate per 10,000 0-17 (County)
• Spend (£000s) on Children looked after: rate per 10,000 0-17 (County)
• Spend (£000s) on Safeguarding children and young people's services: rate per 10,000 0-17 (County)

One indicator (Looked after children: rate per 10,000 population aged under 18) has been removed from the Primary prevention: vulnerability domain and replaced with the following indicator:

• Children in care: rate per 10,000 population aged under 18 (County)

The following indicator has been added to the Primary prevention: vulnerability domain:

• Not in education, employment or training or whose activity is not known: % of 16-17 year olds (County)

This indicator reflects an updated methodology for the ‘Not in education employment or training: % of 16 - 18 year olds- historical method' indicator which we plan to remove for the profile in the near future.

November 2018

One indicator has been updated in the Primary Prevention: Adversity domain:

• Uptake of free school meals (County) 

Three indicators have been updated in the Primary Prevention: Vulnerability domain: 

• Fixed period exclusion due to persistent disruptive behaviour: rate per 100 school age pupils (County)
• Primary school fixed period exclusions: rate per 100 pupils (County)
• Secondary school fixed period exclusions: rate per 100 pupils (County)

Two indicators have been updated in the Finance domain:

• Planned spend (£000s) on special schools: spend per 100,000 pupils (County) 
• Planned spend (£000s) on pupil referral units: spend per 100,000 pupils (County)

The Confidence Intervals for the following indicator have been corrected:

• Children leaving care: rate per 10,000 <18 population (County) 

September 2018

One indicator has been updated in the Identification of Need domain (2017) 

• Pupils with social, emotional, and mental health needs (County) (School age, secondary & primary)

Two indicators have been updated in the Primary Prevention: Adversity domain (2015) (district level, counties were updated previously)

• Child poverty under 16 
• Child poverty under 20 

One indicator has been updated in the Primary Prevention: Vulnerability domain (2017) 

• Pupils with special educational needs (SEN) (County) (School age, secondary & primary)

May 2018

The following indicator in the Primary Prevention: Vulnerability Domain has been amended:

• Pupils with learning disability  - The 2016 values have been amended to include special schools

 

The following indicators in the Primary Prevention: Adversity Domain have been amended:

• Children who started to be looked after due to abuse or neglect – values for 2016 previously showed values reported for 2017, this has now been corrected to reflect values for 2016.
• Children who started to be looked after due to family stress or dysfunction or absent parenting - confidence intervals for the 2016 values have been corrected

April 2018

In Primary Prevention: Adversity domain, the following indicators have been updated:

• Children who started to be looked after due to family stress or  dysfunction or absent parenting: rate per 10 000 children aged under 18
• Children in need due to family stress or  dysfunction or absent parenting: rate per 10 000 children aged under 18
• Children in need due to abuse or neglect: rate per 10 000 children aged under 18 years
• Children in need due to parent disability or illness: rate per 10 000 children under 18
• Repeat child protection cases: % of children subject to a child protection plan
• Children subject to a child protection plan with initial category of abuse: rate per 10 000 children aged under 18
• Children subject to a child protection plan with initial category of neglect:  rate per 10 000 children aged under 18

 

In Primary Prevention: Vulnerability domain, the following indicators have been updated:

• Children in need due to child disability or illness: rate per 10 000 children aged under 18 years
• Pupils with Learning Disability: % of school aged pupils

February 2018

In Identification of Need domain, the following indicators have been updated:

• Pupils with social, emotional and mental health needs (Primary school age)
• Pupils with social, emotional and mental health needs (Secondary school age)
• Pupils with social, emotional and mental health needs (School age)

 

In Primary Prevention: Adversity domain, the following indicators have been updated:

• Uptake of free school meals: % of all schoolchildren
• Children who started to be looked after due to abuse or neglect:  rate per 10 000 children aged under 18
• Unaccompanied Asylum Seeking Children looked after: count

 

In Primary Prevention: Vulnerability domain, the following indicator has been updated:

• Children in need due to socially unacceptable behaviour: rate per 10 000  aged under 18

 

Three indicators were also updated and the name changed from % to rate per 100:

• Fixed period exclusion due to persistent disruptive behaviour: rate per 100 school aged pupils
• Primary school fixed period exclusions: rate per 100 pupils
• Secondary school fixed period exclusions: rate per 100 pupils

 

The definition for the following indicators in the Primary Prevention: Adversity and Primary Prevention: Vulnerability domains have also been corrected:

• Children in need due to family stress or  dysfunction or absent parenting:  rate per 10,000 children aged under 18
• Children in need due to abuse or neglect: rate per 10,000 children aged under 18 years
• Children in need due to parent disability or illness: rate per 10,000 children under 18
• Children in need due to child disability or illness: rate per 10,000 children aged under 18 years
• Children in need due to socially unacceptable behaviour: rate per 10 000  aged under 18

In the definitions tab, the denominator for these indicators were defined as ‘All children identified as 'in need' on 31st March’, however the mid-year population estimate  for 0-17 year olds were used. The definition now shows the correct denominator.

 

In the finance domain, all indicators have been updated:

• Spend (£000s) on Local Authority children and young people's services (excluding education): rate (£) per 10,000 aged 0-17
• Spend (£000s) on Sure Start Children's Centres and early years: rate (£) per 10,000 aged 0-17
• Spend (£000s) on Children looked after: rate (£) per 10,000 aged 0-17
• Spend (£000s) on Safeguarding children and young people's services: rate (£) per 10,000 aged 0-17
• Planned spend (£000s) on special schools: rate (£) per 100,000 pupils
• Planned spend (£000s) on pupil referral units: rate (£) per 100,000 pupils
• Spend (£000s) on  Youth justice: rate (£) per 10,000 aged 0-17

October 2017

We are very interested in any feedback on the downloadable outputs which are available from the download section of the tool. The survey has now closed.

August 2017

In Identification of Need domain two indicators have been corrected:

• Pupils with social, emotional and mental health needs (primary school age)
• Pupils with social, emotional and mental health needs (secondary school age)

These had been calculated using total pupils with SEN as the denominator, instead of total pupils. This has now been corrected.

July 2017

Release of phase 1 re-developed profile.

If you have any questions or need advice please contact us at mhdnin@phe.g