Patient and public involvement and engagement in maternity and perinatal mental health

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Our research aims to improve the health and wellbeing of women and families by identifying who has additional needs, and by improving the healthcare management, support and clinical monitoring of women at risk of severe morbidity and mortality during and after pregnancy. Community involvement in the research really helps us to get this right.


Theme lead

Jane Sandall CBE

Professor of social science and women’s health, King’s College London

Aims of PPIE in the maternity and perinatal health theme

Our goal is to create:

A culture of active patient and public involvement and engagement (PPIE) in maternity and perinatal mental health research, where research is carried out ‘with’ or ‘by’ members of the public rather than ‘to’, ‘about’ or ‘for’ them

Strong links and networks with individuals and organisations to ensure that Black, Asian and minority ethnic communities are at the centre of the research

That those living in poverty, facing disadvantage and with socially complex lives are well represented and supported to be involved in research

PPIE strategy group

The maternity and perinatal mental health theme has a PPIE Strategy Group made up of: researchers, representatives of ‘the public’ (a combination of community members, maternity and perinatal mental health service users, and those with lived experience of pregnancy, labour and birth, postnatal care and parenthood), and two PPIE leads.

As our Terms of Reference show, the PPIE Strategy Group’s purpose is to:

Advise on ways of working towards our goal, for example by co-producing agreed values and good practice for collaborative, partnership working

Promote diversity and inclusion in research, among researchers, research participants and stakeholder advisers

Model good practice and share, promote and occasionally provide guidance on PPIE matters, from design and funding application stages to analysis, writing up and sharing of research findings

Identify suitable training on PPIE and co-production, collaborating with ARC South London colleagues, with other ARCs and organisations leading on PPIE, and looking for sources of funding for PPIE training

Putting strategy into action

1

We have developed and maintain an ethnically diverse PPIE Network with Black, Asian, minority ethnic and White members — our ‘PPIE advisers’. We recruit from community groups, social enterprises, charities, maternity voices partnerships and social media.

2

Our PPIE Advisory Group meets at least three times a year to contribute to research proposals, information for the public, the look and feel of study materials, and barriers and facilitators in how to build trust and establish positive relationships with key community groups.

3

We pay our PPIE advisors an honorarium, as well as any out-of-pocket expenses, for leading PPIE work and giving advice at meetings.

4

We monitor and report on the diversity of our PPIE advisors, with their permission, using the ARC South London diversity monitoring form.

5

We support and encourage opportunities for community members to lead training, to co-write articles and blogs, to train and work as peer researchers, to explore with researchers what is required for co-production to be possible, and to know about and have opportunities to move into academic research and PPIE leadership.

6

We have a paid PPIE lead with expertise on PPIE in research to advise and coordinate.

7

We liaise and share good practice with the ARC Diversity and Inclusion group, other ARCs with PPIE expertise, the Institute for Women’s and Children’s Health, the King’s College London Service User Research Enterprise (SURE), the NHS Long Term Plan / Maternity Transformation Stakeholder Council, and a range of relevant charities and maternity voices partnerships.

8

We communicate openly, sharing research opportunities and findings using blogs, Twitter @arc_S_Lppi and Facebook.

Service user-led training on involving diverse communities

In April 2021, the PPIE group for the maternity and perinatal mental health theme co-produced a training event to explore barriers, issues and solutions to community involvement in research. The training used participatory appraisal (PA) methodology — a family of approaches that enable local people to identify their own priorities and make their own decisions — and brought together researchers and community members.

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Read our report on the participatory appraisal training event — how we worked and the actions we recommend to overcome barriers, build trust and share power while doing research collaboratively.

“PPIE is about empowering those very people who are at the heart of research in healthcare by giving them a voice.”

Vita Moltedo
Co-founder, Maternity Voices Matter

“Through building relationships with people and communities, we can understand the questions and issues which are important to them. Together we can design and carry out high-quality research which matters most to women and families.”

Katherine Umutoni
Member, Maternity Voices Matter

Zoe Vowles
Researcher midwife

Our PPIE advisers

Our research is informed by service users and those with lived experience of maternity and perinatal mental health. Groups we involve include National Maternity Voices, various London-based maternity voices partnerships, Birth Companions, Tommy’s, Action on Pre-eclampsia (APEC), The Parenting Science Gang, Maternity Voices Matter, Maternal Mental Health Alliance, Prosperitys, FiveXMore, and Best Beginnings. We also connect with many individuals and social media networks.

Toyin Adeyinka

Chair, Lewisham Maternity Voices Partnership

Parent engagement programme manager, Best Beginnings & Guy’s and St Thomas’ NHS Foundation Trust Maternity Voices Partnership Chair

Emily Ahmed

Service user and public engagement consultant

Rebecca Brione

PPIE advisor / researcher

Leah Bedward

Service user, survivor, abuela doula & ARC South London Public Research Panel member

Zenab Barry

Chair of Council, National Maternity Voices; Co-Chair Chelsea and Westminster Maternity Voices Partnership

Sarah Fisher

Women’s health and rights advocate and mum to three, including twins

Tedx Speaker; founder of charity Cysters, addressing health inequalities in marginalised groups

Co-founder member of Maternity Voices Matter

Mary Newburn

Patient and public involvement and engagement (PPIE) consultant and ARC theme PPIE lead

Katherine Umutoni

Member, Maternity Voices Matter; Rwandese mother of three

Zoe Vowles

Researcher midwife

Original source: arc-sl.nihr.ac.uk — NIHR ARC South London legacy content archived May 2026.