To ask the Minister of Health for an update on the overdue business case for the mother and baby unit at Belfast City Hospital.

Mr Nesbitt

An earlier independent review identified that the model of the proposed six- or seven-bedded mother-and-baby unit should be that recommended by the Royal College of Psychiatrists and that the location of the mother-and-baby unit should be the City Hospital site, which, of course, is in the Belfast Health and Social Care Trust. I have made clear to officials in my Department that I wish to see the issue progressed at pace — that would be a change — but, given the importance of the service, the latest position is that public health colleagues have been asked for their input to strengthen the case for a seven-bedded unit, which will help to make the unit future-proofed. Belfast Trust is at an advanced stage of developing a capital and revenue business case. It has advised that, once it receives instruction on the number of beds required, it will take six weeks from then to finalise the business case. While the development of a mother-and-baby unit remains a longer-term strategic objective, my Department has committed to strengthening existing provision in the interim through investment in community-based specialist perinatal mental health services; the upskilling of perinatal clinical staff; the implementation of the perinatal mental health care pathways and associated guidance; the implementation of crisis intervention pathways and out-of-hours support for women experiencing acute distress; and, finally, ongoing engagement with service users and advocacy groups to ensure that care remains person-centred and responsive to the needs of mothers and families. The development of a service user leaflet to explain perinatal mental health is under way.

Mr Nesbitt

Yes, I have. I had some detailed discussions with the previous Minister for Health in the Government of Ireland, Stephen Donnelly, about the possibility of pitching to the Shared Island Fund for a single mother-and-baby unit that would service the whole island of Ireland. Without wishing to break any confidentiality, the response from the Shared Island unit, according to Minister Donnelly, was a hard no. That, perhaps, explains part of the delay, in that we were hoping to go down that route. That is over, however, and now we must press ahead at pace and get it done. My wife could have used that service 30 years ago.

Mr McGrath

Notwithstanding all the good work that is, you say, taking place in lieu of there being a mother-and-baby unit, Minister, has any consideration been given to providing a temporary unit? Most of the backbone of the work is provided by the staff. Whilst we wait to get the perfection of a brand new building and service, could we have something temporary? We are waiting for the Belfast Trust to deliver this, so it could be a long time before it arrives.

Mr Nesbitt

I will check once again with officials whether a temporary solution is possible. As I just said to the Member who asked the original question, it is now over 30 years ago that my wife had an episode of antenatal depression. What happened when my son was born was so far from ideal that it has stuck with us 30 years on. Until we get the mother-and-baby unit, we will not be in the position that we need to be in. Temporary solutions sound good, but then you get into the practicalities. I will ask, however, and I will get back to the Member.