FORENSIC MENTAL HEALTH SERVICES MANAGED CARE NETWORK A National Plan

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FORENSIC MENTAL HEALTH SERVICES MANAGED CARE
NETWORKA National Plan
Andreana Adamson21 June 2004
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Policy Context

• MEL 1999(5) Health, Social Work Related
  Services for Mentally Disordered Offenders in
  Scotland
• The Right Place, The Right Time Review of the
  State Hospitals Board for Scotland (May 2002)
• Ian Gordons letter in response to the
  consultation on The Right Place, The Right Time
• The Mental Health (Care and Treatment) (Scotland)
  Act 2003

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MEL 1999 (5) Guiding Principles

• Provide care under conditions of appropriate
  security with due regard for public safety
• Have regard to quality of care and proper
  attention to the needs of individuals
• Where possible provide care in the community
  rather than institutional settings
• Provide care that maximises rehabilitation and
  the individuals chance of an independent life

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The Right Place, The Right Time
Planning Needs Assessments Development Informati
on Research Education and Training Clinical
Governance Managed Clinical Networks
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SEHD Letter, 21 March 03

• The Development of
• a Managed Care Network

• Review the process for determining the right care
  for mentally disordered offenders.
• Develop protocols to support the transfer of
  patients between the different levels of service
  and accommodation.

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Mental Health (Care Treatment) (Scotland) Act

• Under the new Mental Health Act, a right of
  appeal will be introduced no later then May 2006
  for patients who consider themselves to be
  subject to conditions of excessive security and
  these appeals will be considered by the Mental
  Health Tribunal

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Approach

• Establish Oversight Group Network Advisory
  Board
• Commission Short Life Working Groups where
  national guidance is required
• Develop Regional Multi-agency structures with
  links to NHS Regional Planning Groups

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Forensic Network Advisory Board
FORENSIC PSYCHIATRIST
Dr Nicola Hodelet
USERS/CARERS
HOUSING
Mrs Mary Weir, NSF Scotland
Mr Mike Scott

SCOTTISH EXECUTIVE
MEDICAL DIRECTOR
Dr Tom White
THE MANAGED CARE NETWORK BOARD
Dr Maureen Sturrock
NHS CHIEF EXEC
David Bolger, Chair
SCOTTISH PARTNERSHIP FORUM
Andreana Adamson
Chief Exec
SOLACE (Local Authorities)
Mr Martin Kerrigan
Assoc of Police Officers
NURSING
Mr Patrick Shearer
Mr Iain MacKenzie Mr Jim McNicol
ADSW DIRECTOR
SPS
Mr Sandy Cameron
Dr Andrew Fraser
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The Network Board will

• Oversee the development of a pan Scotland Plan
• Provide a strategic overview and direction of the
  planning and development of specialist services
• Advise and support the development of local
  services
• Oversee the use and access to and from different
  levels of secure care
• Potential role in dispute resolution

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The National Plan
Services for Women Services for Learning
Disabled Levels of Security Personality
Disorder Teaching, Training Research Information
Sharing Community Services Children Adolescents
NATIONAL
REGIONAL
( Medium Secure Units)
LOCAL/HEALTH BOARDS
(Medium Low Secure Psychiatric services)
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Regional Groups reporting to The Board

• North of Scotland Consortium Board
• (lead - Peter Williamson)
• SEAT
• (lead - Ray Flint)
• Glasgow
• (lead - Doug Adams)
• West of Scotland
• (lead Calum Campbell)

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Network Structure
The Scottish Executive Health Department
Forensic Mental Health Services Managed Care
Network Advisory Board
NORTH EAST Grampian Highlands Shetland Orkney We
stern Isles Tayside Lead Peter Williamson
THE STATE HOSPITAL Chair Andreana Adamson
EAST Lothian Borders Forth Valley Fife Lead Ray
Flint
WEST Lanarkshire Argyll Clyde Ayrshire
Arran Dumfries Galloway Lead Calum Campbell
GLASGOW Lead Doug Adams
Local MDO Groups
Local MDO Groups
Local MDO Groups
Local MDO Groups
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Regional Groups reporting to the Board

• Covering all related services in the area
• Paying attention to the use of The State Hospital
• Including a Performance Management Framework
• Ensuring plans align to a Financial Framework and
  Health Plans
• Supporting a workforce plan

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In Summary

• Since September
• Board set up
• Developed communication links across the whole
  system
• Stimulated wide interest
• Groups active and engaging key practitioners
• Regional structure endorsed

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Next Steps

• Develop the role of the Advisory Board
• Measure services against security matrix
• Further development of regional structures
• Produce Phase II reports
• Develop the National Plan