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

Advisory Board A Forensic Network Advisory Board has been established with representatives from key stakeholder organisations

SCOTTISH PARTNERSHIP FORUM 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

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

North – Grampian, Highlands & Islands, Tayside, Fife 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

National Working Groups A number of national working groups were established to provide national guidance where required. HDL (2006) 48 These 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

www.forensicnetwork.scot.nhs.uk v.gration@nhs.net Tel: 01555 842018 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