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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.

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slide2
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.
slide3
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
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
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

slide6

The Mental Health (Care and Treatment) (Scotland) Act 2003 will also impact significantly on Forensic Mental Health Services in ScotlandAs will the development of Medium and Low secure services

slide7
Andreana Adamson,Chief Executive of The State Hospital was invited, by Ministers, to lead the development of the network
slide8
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
slide9
A Forensic Network Advisory Board has been established with representatives from key stakeholder organisations

Advisory Board

slide10

Forensic Network Advisory Board

FORENSIC PSYCHIATRY

USERS/CARERS

HOUSING

MEDICAL DIRECTOR

SCOTTISH EXECUTIVE

THE MANAGED CARE

NETWORK BOARD

NHS CHIEF EXEC

NURSING

Geoff Huggins, Chair

Andreana Adamson

SCOTTISH PARTNERSHIP FORUM

Chief Exec

SOLACE (Local Authorities)

ASSOC OF CHIEF POLICE OFFICERS

FORENSIC PSYCHOLOGY

SPS

ADSW/COSLA

slide11
A regional structure has been established that is linked to regional planning groups, providing communication links between services

Regional Structure

slide12

NHS Forensic Network

Regional Model

North – Grampian, Highlands & Islands, Tayside, Fife

South & East – Lothian, Forth Valley & Borders

West – Glasgow & Clyde, Lanarkshire, Ayrshire & Arran and Dumfries & Galloway

a number of national working groups were established to provide national guidance where required
A number of national working groups were established to provide national guidance where required.

National Working Groups

HDL (2006) 48

These resulted in Scottish Executive Policy Document, Forensic Mental Health Services issued in June 2006.

slide14

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
slide15

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
In Summary
the network website is a good resource for keeping up to date or contact the team happy to help

The Network website is a good resource for keeping up to date. Or contact the team, happy to help.

www.forensicnetwork.scot.nhs.uk

v.gration@nhs.net

Tel: 01555 842018