forensic mental health services managed care network an introduction
TRANSCRIPT
FORENSIC MENTAL HEALTH SERVICES MANAGED CARE NETWORK
An introduction
MEL 1999 (5) Health, Social Work and Related Services for Mentally Disordered Offenders in Scotland provides the basis for Forensic Mental Health Services in Scotland.
In May 2002 there was a review of The State Hospitals Board for Scotland “The Right Place, The Right Time.”
This resulted in a letter from Ian Gordon, Director of Service Policy and Planning, outlining the need for a Forensic Network
Ian Gordon’s Letter stated:
• “First requirement to improve services must be the establishment of a managed care network.”
• “..review the process for determining the right care for mentally disordered offenders.”
• “consider wider issues surrounding patient pathways .. including information systems, education and training, and strategic planning.”
Scottish Ministers also called for a new approach to Forensic Mental Health Services
“.. to bring a pan-Scotland dimension to the planning process for services .. to support the development of local services .. and to secure protocols to ease
the management of patients through the
system”
Mary Mulligan
The Mental Health (Care and Treatment) (Scotland) Act 2003 will also impact significantly on Forensic Mental Health Services in Scotland
As will the development of Medium and Low secure services
Andreana Adamson,Chief Executive of The State Hospital was invited, by Ministers, to lead the development of the network
The Approach
• Establish Oversight Group – Network Advisory Board
• Develop Regional Multi-agency structures with links to NHS Regional Planning Groups
• Commission Short Life Working Groups where national guidance is required
• Develop The Forensic School – Teaching, training, research & workforce planning
A Forensic Network Advisory Board has been established with representatives from key stakeholder organisations
Advisory Board
Forensic Network Advisory Board
THE MANAGED CARE
NETWORK BOARD
FORENSIC PSYCHIATRY
SPS ADSW/COSLA
SOLACE (Local Authorities)
NURSING
SCOTTISH EXECUTIVE
HOUSING
NHS CHIEF EXEC
USERS/CARERS
SCOTTISH PARTNERSHI
P FORUM
MEDICAL DIRECTOR
Geoff Huggins, Chair
Andreana AdamsonChief Exec
ASSOC OF CHIEF POLICE OFFICERS
FORENSIC PSYCHOLOG
Y
A regional structure has been established that is linked to regional planning groups, providing communication links between services
Regional Structure
NHS Forensic Network
Regional Model
North – Grampian, Highlands & Islands,
Tayside, Fife
South & East – Lothian, Forth
Valley & BordersWest – Glasgow & Clyde, Lanarkshire, Ayrshire & Arran and Dumfries &
Galloway
A number of national working groups were established to provide national guidance where required.
National Working Groups
HDL (2006) 48These resulted in Scottish Executive Policy Document, Forensic Mental Health Services issued in June 2006.
HDL (2006) 48
Configuration of Forensic Mental Health Services
National Overview of Patient Flow
POLICY
•Care Standards
•Resolving Clinical Conflicts
•Security Liaison
GUIDANCE
•Definitions of Levels of Security
•Services for Women
•Services for Learning Disabilities
School of Forensic Mental Health
• The Forensic Network also hosts the School of Forensic Mental Health (SoFMH) which was established in 2007.
• The School is available to colleagues and associates from across the Network to assist with any teaching, training and research needs.
• To date the School has had commissions from Scottish Government, Risk Management Authority, Police Complaints Commissioner, Scottish Social Services Council and regularly develops and delivers relevant training, such as the New to Forensic Programme, psychological therapies training, risk training and updates on policy.
In Summary
• Advisory Board set up
• Developed communication links
across the whole system
• Stimulated wide interest
• Groups active and engaging key
practitioners
• Regional structure endorsed
• Progress with School of Forensic
Mental Health
The Network website is a good resource for keeping up to date. Or contact the team, happy to help.
www.forensicnetwork.scot.nhs.uk
[email protected] Tel: 01555 842018