Teenage Pregnancy Midwifery Referral Pathways

ABBREVIATIONS

GP – General Practitioner

BPAS – British Pregnancy Advisory Service

GUM – Genito-urinary Medicine

HV – Health Visitor

TP Co-ordinator – Teenage Pregnancy Co-ordinator

BFSW – Breastfeeding Support Workers

LARC – Long acting reversible contraception

CAF – Common Assessment Framework

EWO – Education Welfare Officer

YMTB – Young Mums – to – be

NACRO – National Association for the care and resettlement of offenders

NCMA – National Childminders Association

NEET – Not in education, employment or training

YOS – Youth Offending Service

CAMHS – Child and Adolescent Mental Health Service

CIS – Children’s Information Service

SMP – Statutory Maternity Pay

D Worth and S Reynolds – Teenage Caseload Midwives, Luton & DunstableHospital NHS Trust 2011

Adapted from format of WHHT Teenage Pregnancy Midwifery Service Referral Pathway

Every Child Matters Outcome / Issues Identified / Action / Support and Contacts
Staying Safe / Safeguarding Issues and/or Sexual Exploitation /
  • Complete referral to Social services
  • Notify named Safeguarding Midwife
  • If already known to SS discuss with named social worker
  • Ensure Multi-Agency communication, planning, co-operation and co-ordination of care
  • Consider Multi-Agency meetings
  • Ensure client supported and informed through process
  • Follow Trust policy
  • Follow up and keep records up to date
/ Sarah Watson
01582 497023
Luton Social Services
01582 546000
Central Bedfordshire Social Services
0300 300 8168
GP’s
Health Visiting teams – see attached for contacts
Staying Safe / Leaving care /
  • Ensure Leaving Care/16+ Social Worker aware/ informed and updated
  • Consider referral to Social services for pre-birth assessment
  • Ensure Multi-Agency communication, planning, co-operation and co-ordination of care
  • Consider Multi-Agency meetings
  • Ensure client supported and informed through process
/ Luton Social Services
16+ Team
01582 547820
Central Bedfordshire Social Services
Leaving Care Team
0300 300 8168
Every Child Matters Outcome / Issues Identified / Action / Support and Contacts
Staying Safe
(cont’d) / Crime and
Anti-Social Behaviour /
  • Ensure history of offending discussed (client and also consider partner/ family/social network)
  • If already known to YOS or probation service, discuss with named worker/officer
  • Consider referral to Social Services
  • Consider Multi-Agency meetings
  • Victim of crime? In need of support
/ Youth Offending Service
Luton 01582 547900/23
Dunstable 01582 524420
Bedfordshire Probation Service
01582 413172
Victim Support Luton
01582 723779
Domestic Abuse /
  • Ensure assessed at booking or as soon as possible
  • Continue to support client and assess
  • Follow Trust and Maternity Domestic Abuse policy
  • Consider referral to Social Services
  • Discuss with Domestic Abuse Team
  • Refer to support agencies where appropriate
/ Luton Social Services
01582 546000
Central Bedfordshire Social Services
0300 300 8168
Luton Domestic Abuse Unit 01582 394384
Luton Women’s Aid
01582 391856
Every Child Matters Outcome / Issues Identified / Action / Support and Contacts
Be Healthy
Every Child Matters Outcome / Appropriate Antenatal Care
Postnatal Care
Issues Identified /
  • Ensure client registered with local GP
  • Consider Consultant appointment
(Refer if under 16)
  • Follow appropriate antenatal care pathways
  • Complete client information form and referral to TP Co-ordinator with clients consent
  • Refer Sure Start or liaise with community midwife/other TP Midwives if out of area
  • Complete Healthy Start form at booking if eligible
  • Complete Information Sharing form for Health Visitor if <16 or cause for concern
  • Consider joint visit with Health Visitor
  • If client moves out of area liaise with local TP or Community Midwife/Hospital
  • Encourage Bump2Baby sessions or arrange home discussions
  • Continue postnatal care for 28 days
  • Consider Breast feeding Support Worker
  • Contraception – LARC clinic or Brook
  • Liaise with Health Visitor if any concerns
Action / Luton & Dunstable Hospital Antenatal clinic
01582 497017
Stoke MandevilleHospital
01296 315000
Milton KeynesHospital
01908 243092
Health Visitors - Luton
by area (See attached)
Dunstable -Queensborough House
01582 707660
Leighton Buzzard –Bassett Road
01525 751100
Luton TP Co-ordinator,
Cindy Howard
01582 557274
Central Beds TP
Co-ordinator
01525 636928
Breast feeding Support
Luton 01582 532820
07920252376
BROOK 01582 748580
Support and Contacts
Current/Past Mental Health Issues /
  • Consultant appointment
  • Follow Mental Health pathway
  • Discuss with GP
  • Discuss with CAMHS/Beacon House if appropriate
  • Consider Counselling – ‘Sorted’/Brook
  • Consider Mentor Support/Kinship Care – ‘Greenhouse Mentoring’
/ Beacon House, Dunstable
01582 709200
CAMHS 01582 708140
SORTED 01582 890295
BROOK 01582 748580
Greenhouse Mentoring 01582 528213
Smoking, Alcohol, and/or Substance Misuse issues /
  • Ensure assessed at booking
  • Follow Drug & Alcohol pathway
  • Refer to Support Agencies if appropriate
  • If already known to Support Agencies, discuss with named support worker
  • Consider referral to Social services
  • Consultant appointment
/ Stop Smoking Service
01582 757635
Shared Care Drug Service Luton 01582 708308
Dunstable 01582 757650
LDASS 01582 528880
ADDACTION 01582 732200
PUKE 01582 723434
Every Child Matters Outcome / Issues Identified / Action / Support and Contacts
Be Healthy (cont’d) / Sexual Health and Contraception /
  • Identify risks: Risky Behaviour, Exploitation, Safeguarding issues
  • STI’s:
  • Need Sexual health screening ?
  • Refer BROOK or GUM clinic
  • Offer Chlamydia screening
  • Recommend use of condoms in pregnancy
  • Discuss Contraception options, antenatally and postnatally
  • Refer to LARC clinic within 21 days postnatally, or alternatively
  • Brook Outreach Nurse for alternative contraception options
/ GUM clinic 01582 497070
BROOK 01582 748580
Donna’s LARC clinic
Tuesdays in ANC
Lorraine Vass, Luton
01582 748581
07876 554701
Every Child Matters Outcome / Issues Identified / Action / Support and Contacts
Enjoying and Achieving / Statutory Education
Not in Education
By law all children of compulsory school age (5-16)… must remain in education until the last Friday in June in the school year in which the child reaches the age of 16 /
  • If not in education consider referral to Social Services
  • Discuss with Family Worker/Educational Welfare
  • Consider referral to Personal Advisors/YMTB/NACRO
/ Luton Social Services
01582 546000
EWO 01582 548174
Personal Advisors - Luton
08456127868 or 08080013219
drop-in 01582 548340
or by area (See attached)
Dunstable – The Place 08456123300 or
01582 818724 or
Louise 0300 300 6071
YMTB – 01582 690954
NACRO 01582 458965
In Education and
Below Leaving Age (16)
In Education and
Over 16 / Can continue in school until 29 weeks pregnant
  • liaise with school
  • discuss with family worker/educational welfare officer
  • refer to Personal Advisors for support
After 29 weeks or if too ill to attend school
  • discuss with family worker
  • refer to Personal Advisors for support
  • Refer to Personal Advisors for support
/ Luton Borough Council EWO 01582 548174 Personal Advisors – details as stated previously
Every Child Matters Outcome / Issues Identified / Action / Support and Contacts
Enjoying and Achieving (cont’d) / Further Education and Training (above school age) /
  • Refer to Personal Advisors
  • Inform client of ‘Care to Learn’
  • Contact college/training provider if appropriate
/ Personal Advisors – details as above
Barriers to Education
(Excluded/past exclusions, school refuser, learning difficulties, SEN,
or childcare needs /
  • Refer to Personal Advisors/family worker/Educational Welfare/ School nurse
  • Ensure support in place
  • Consider Multi-Agency meetings
  • Support with ‘Care to Learn’ application
/ Personal Advisors – details as listed previously
EWO – details as stated previously
Parenting Support /
  • 28 day postnatal support from Teenage Caseload Midwives
  • Refer to Health Visitor antenatally
  • Signpost/Refer to local Children’s Centre/Outreach Worker/Young Parents groups
  • Signpost to Children’sInformation Service
(Childminders/Nurseries)
  • Consider NCMA if returning to education/work
  • Consider CAF
/ Teenage Caseload Midwives
Health Visiting Teams, by area – details as stated previously
Children’s Centres, by area – (See attached details)
Lewsey Young Parents Group 01582 603785
Salvation Army Dunstable
01582 606031
CIS 01582 548888
NCMA 01234 242818
Every Child Matters Outcome / Issues Identified / Action / Support and Contacts
Making a Positive Contribution / Not Engaging with Support Services /
  • Consider joint visits with Health Visitor
  • Ensure client referred to Personal Advisors – contact Outreach Worker
  • Children’s Centre Outreach Workers
/ Teenage Caseload Midwives
Health Visiting Teams – by area – details as stated previously
Personal Advisors – details as stated previously
Children’s Centres by area – as attached
Isolation/Reduced Access to Services /
  • Consider home antenatal visits
  • Consider access/availability of support in individual area
  • Consider transport issues,
funding/finances
  • Refer to Personal Advisors – contact outreach worker
  • Children’s Centre Outreach Workers
  • Consider CAF Referral
/ Teenage Caseload Midwives and Health Visiting Teams - As Above
Also Job Centre Plus for benefits 08456043719
Personal Advisors and Children’s centre’s - details as stated previously
Luton CAF 01582 548231
Dunstable CAF 01582 276750
Every Child Matters Outcome / Issues Identified / Action / Support and Contacts
Achieving Economic Wellbeing / Not in Education, Employment or Training (NEET) /
  • Refer to Personal Advisors for support
  • Inform client about ‘Care to Learn’
/ Personal Advisors – details as stated previously
/ Low Income,
Financial Issues
Housing /
  • Ensure client is in receipt of correct benefits – refer to local Job Centre Plus under 18 advisors
  • Ensure client aware of rights as an employee and of employers responsibilities regarding pregnancy
-SMP if working >16 hours/week
-‘unfair dismissal’ legislation
  • Refer for financial/budgeting advice
  • Obtain detailed history on housing issues
  • Refer/signpost to appropriate agencies
  • If applying as ‘Homeless’ will need letter of eviction
  • Consider if eligible for Housing/Council Tax benefits
  • Consider any repairs/improvements/environmental health issues
/ Job Centre Plus
0845 604 3719
(Luton Under 18’s – Alison)
Citizens Advice Bureau
Luton 01582 731616
Dunstable 01582 661384
Personal Advisors – details as stated previously

Every Child Matters Outcome / Issues Identified / Action / Support and Contacts
Housing cont’d /
  • Consider CAF
  • Consider any Safeguarding issues
/ Mary-Jane Dowling 07515578589
Charis House Bedford
01234 273677
Luton Community Housing 01582 391053
Mary Seacole
01582 415651
Pathways (Alma Link)
01582 451315
Signpost (Luton)
01582 482942
Signpost (Dunstable)
01582 670676/609741
Aldwyck Housing
08457626026
Aragon Housing
0800834780
HHAT 01582 511000
LutonBC Council Tax
01582 546699
LutonBC Housing Grants/Environmental Health 01582 547222

LIST OF CONTACTS

Health Visiting Teams:
LUTON / DUNSTABLE
North – Mayne Avenue (Sure Start)
South – Liverpool Road Health Centre
East – Wigmore Lane Health Centre
West – Marsh Farm Health Centre
Central – Liverpool Road / 01582 515300
01582 708151
01582 707376
01582 707466
01582 708151 / Wheatfield Road
Houghton Regis
Dunstable

LEIGHTON BUZZARD
Bassett Road Health Centre / 01582 478678
01582 707660
01582 707627
01525 751119
PERSONAL ADVISORS:
Luton Neighbourhood Areas / Luton Neighbourhood Areas
South – Stephanie Golby
North – Nicola Barton
Central – Manju Odedra / 07824 623352
07968 843651
07968 361051 / East – Angela Perry
West – Carole Holden / 07792 785287
07810 557146
CHILDREN’S CENTRES:
Luton / CHILDREN’S CENTRES also with Young Parents’ Groups:
Luton
Beech Hill, Dunstable Road
Chapel Street, Russell Street
Chaul End, 515 Dunstable Road
The Mall, Unit 35, Arndale Centre
Dallow Road
Denbigh Road
Foxdell, Dallow Road
Grasmere, Icknield Way
Greenside, Culverhouse Road
Hart Hill, Whitecroft Road
Leo Cubs,213a-215a Dunstable Road
Rothesay Road
CHILDREN’S CENTRES
Central Bedfordshire
Downside Neighbourhood Centre, Dunstable
Tithe Farm Neighbourhood Centre, Houghton Regis
Roundabout Children’s Centre, Leighton Buzzard / 01582 429403
01582 413552
01582 557157
01582 402328
01582 616604
01582 562968
01582 731945
01582 593426
01582 594632
01582 731701
01582 453643
01582 726966 / Gill Blowers, Mossdale Court
Leagrave, Strangers Way
Lewsey, Tomlinson Avenue
Marsh Farm, RedgraveGardens
ParkTown, Bailey Street
Pastures Way
ARC, 186 Ashcroft Road
Whipperley Ring
Children’s Centre Outreach Worker
Jenni Kitchiner
CHILDREN’S CENTRE
With young parents’ group
St GeorgesLowerSchool, East St, Leighton Buzzard / 01582575100
01582 493761
01582 603785
01582 556661
01582482957
01582 600691
01582 402812
01582 451339
07909873171
Michaela Pugh
01525 384368
07525770489

D Worth and S Reynolds – Teenage Caseload Midwives, Luton & DunstableHospital NHS Trust 2010

Adapted from Format of WHHT Teenage Pregnancy Midwifery Service Referral Pathway

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