FORENSIC MENTAL HEALTH SERVICES MANAGED CARE NETWORK An introduction The Forensic Network www.forensicnetwork.scot.nhs.uk

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

Current NHS Forensic Services In Scotland Newcraigs, Inverness Blair Unit, Aberdeen Murray Royal, Perth Hartwood, Shotts Leverndale, Glasgow Rowanbank, Glasgow The Orchard Clinic High Medium Low The State Hospital

NHS Forensic Services In Scotland Planned Developments Newcraigs, Inverness Blair Unit, Aberdeen Murray Royal, Perth Rohallion, Perth Hartwood, Shotts Leverndale, Glasgow Rowanbank, Glasgow The Orchard Clinic Planned MSU High The State Hospital Medium Low

Andreana Adamson, Chief Executive of The State Hospital was invited, by Ministers, to lead the development of the network

Establish Oversight Group – Network Advisory Board 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

FORENSIC PSYCHIATRIST SCOTTISH PARTNERSHIP FORUM Forensic Network Advisory Board FORENSIC PSYCHIATRIST Dr John Crichton USERS/CARERS HOUSING Mrs Mary Weir, NSF Scotland Mr Mike Scott MEDICAL DIRECTOR SCOTTISH EXECUTIVE Dr Lindsay Thomson THE MANAGED CARE NETWORK BOARD Dr Margaret Morrison NHS CHIEF EXEC Geoff Huggins, Chair SCOTTISH PARTNERSHIP FORUM Colin Poolman Andreana Adamson Chief Exec PSYCHOLOGY Dr John McGinley NURSING Assoc of Police Officers Mr Willie McFadden Ms Karen Williams SPS Dr Andrew Fraser ADSW/COSLA Mr George Hunter

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 SoFMH School of Forensic Mental Health School of Forensic Mental Health SoFMH is in the early stages of development with completion of “New to Forensic” Education programme Plan now to establish network of trainers/mentors for delivery Working with Universities and Further Education Colleges on funding arrangements

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 Further policy (autumn 07)

The Near Future Further HDL: CPA, Risk Assessment & Clinical Governance Audit services against security matrix and Care Standards Psychological Therapies Further development of SoFMH New to Forensic Programme IAFMHS Conference 2009

Network Conference National Conference “Reducing Risk, Maintaining Responsibility” on Friday 12 October 2007 Beardmore Hotel, Clydebank

The Network website is a good resource for keeping up to date The Network website is a good resource for keeping up to date. Or contact the team, happy to help. www.forensicnetwork.scot.nhs.uk Vivienne.gration@tsh.scot.nhs.uk Tel: 01555 842018 The Forensic Network www.forensicnetwork.scot.nhs.uk