1. FORENSIC MENTAL HEALTH SERVICES MANAGED CARE NETWORK An introduction
The Forensic Network

2. 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.

3. 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

4. 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.”

5. 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

6. 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

7. 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

8. 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

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

10. 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

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

12. 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

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

14. 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

15. 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.

16. 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

17. 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

18. 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)

19. 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

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

21. 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.
Tel:
The Forensic Network