1. Pathways Through Secure Care
A Commissioning Strategy for Secure Mental Health and Learning Disability Services in the North West
Specialised Services Commissioning Team
Incorporating Secure Mental Health
Cheshire & Merseyside

2. Pathways Through Secure Care
All “regions” need secure service strategies
NW Secure Partnership/Catchment Group leads the development of the North West strategy
2 rounds of stakeholder events Autumn 2005 and Spring 2006
Strategy now complete and being issued
Looks
It has two components
Strategy
Action Plan – annual review
Next step – workplan for secure commissioning system and monitoring progress by Catchment Group
Specialised Services Commissioning Team
Incorporating Secure Mental Health
Cheshire & Merseyside

3. Pathways through Secure Care
Influences on strategy:
Comments from stakeholder events
NW Secure Partnership/Catchment Group
National Capacity Planning work
Local needs assessment/demand
Understanding of use of services, NHS and independent sector, review of gaps in service type as well as overall capacity
Policy influences eg prison transfers
Specialised Services Commissioning Team
Incorporating Secure Mental Health
Cheshire & Merseyside

4. Pathways through Secure Care
Strategic Objectives
Includes all key areas strategy needs to address itself to
Recognise wider responsibilities across all stakeholders to work together to deliver services across a wide range of services
Specialised Services Commissioning Team
Incorporating Secure Mental Health
Cheshire & Merseyside

5. Pathways through Secure Care
Care Pathways
Access, accessibility, straightforward assessment processes
Communication with and between referrers and services
Clarity of criteria of services
Pathways in light of prison healthcare arrangements
Go to pathways diagram
Specialised Services Commissioning Team
Incorporating Secure Mental Health
Cheshire & Merseyside

6. Pathways through Secure Care
Networks/Joint Working
Communications between services
Between agencies – local, county, zonal, NW wide, National
Diversion issues
MDO networks
Levels of communication – individual, across agencies, organisational/strategic level
Did consider adding a diagram
Specialised Services Commissioning Team
Incorporating Secure Mental Health
Cheshire & Merseyside

7. Pathways through Secure Care
Future service Requirements
In context of wider system (diagram 4)
Models of care – longer term needs; Specialisms – eg deafness; gender sensitive
Meeting needs and delivering a service
Achieve timely care pathways, address delays to transfers in and out of services
Quantity/capacity
MH/LD/PD

8. Action Plan Identifies areas for action to implement strategic plan
Issues in strategy should all be addressed in the action plan
Forms Workplan for Catchment Group and commissioners
Links to local work and action
Collaborative effort needed to deliver the strategy

9. Pathways through Secure Care
Strategy is now finalised
Implementation to be overseen by Catchment Group
Continue with regular stakeholder events
Formal annual review of the action plan
Revised action plan to be produced each year
Next review of strategy 2010/11
Specialised Services Commissioning Team
Incorporating Secure Mental Health
Cheshire & Merseyside