1. Lord Bradley’s review of people with mental health problems or learning disabilities in the criminal justice system http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAnd Guidance/DH_098694

2. What the Review found General findings: Lack of agreement on important definitions e.g. what diversion meansLack of agreement on important definitions e.g. what diversion means Importance of service user/carer experienceImportance of service user/carer experience Emphasis on diversion often too late in systemEmphasis on diversion often too late in system Lack of adequate assessment and identification of problems at an early stageLack of adequate assessment and identification of problems at an early stage Poor continuity of carePoor continuity of care Poor information and information sharingPoor information and information sharing Lack of joined up services for those with dual diagnosisLack of joined up services for those with dual diagnosis People working in ‘silos’, both at national and local levelPeople working in ‘silos’, both at national and local level Poor use of existing ‘disposals’ due to lack of awareness and information e.g. community ordersPoor use of existing ‘disposals’ due to lack of awareness and information e.g. community orders Need for training, for both health and criminal justice sectorsNeed for training, for both health and criminal justice sectors

3. Key Recommendations Early Identification and Assessment of mental health problems or learning disabilities and wider complex needsEarly Identification and Assessment of mental health problems or learning disabilities and wider complex needs Establishment of Criminal Justice Mental Health Teams to develop continuity of careEstablishment of Criminal Justice Mental Health Teams to develop continuity of care Common Assessment toolsCommon Assessment tools Improved data collection and information sharing with investment in technologyImproved data collection and information sharing with investment in technology Transferring responsibility for Police health care to NHS EnglandTransferring responsibility for Police health care to NHS England Improved training within and between all partners in the Criminal Justice System including health and social careImproved training within and between all partners in the Criminal Justice System including health and social care Further investment in Prison health careFurther investment in Prison health care

4. Next Steps  Bradley 5 years on - BME Communities - Young people in transition - Personality Disorder  National roll out of Liaison and Diversion Services  Places of Safety (Section 135/136)  Street Triage  National and Local Commissioning of Services - Strategic overview (NHS England, Public Health England, PCC, Local Authorities, YOTS, Probation) - All-age model (but women and young people)  Community Sentences - Mental Health Treatment Orders  Training  Leadership  Investment in Mental Health and Learning Disability Services

5. Questions?

6. Thank you The Bradley Report The Bradley Report You can find my report at: You can find my report at: http://www.dh.gov.uk/en/Publicationsandst atistics/Publications/PublicationsPolicyAnd Guidance/DH_098694 http://www.dh.gov.uk/en/Publicationsandst atistics/Publications/PublicationsPolicyAnd Guidance/DH_098694