Pathways Through Secure Care

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

2. Cheshire & Merseyside Specialised Services Commissioning Team Incorporating Secure Mental Health 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 2006-2011 • It has two components • Strategy • Action Plan – annual review • Next step – workplan for secure commissioning system and monitoring progress by Catchment Group

3. Cheshire & Merseyside Specialised Services Commissioning Team Incorporating Secure Mental Health 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

4. Cheshire & Merseyside Specialised Services Commissioning Team Incorporating Secure Mental Health 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

5. Cheshire & Merseyside Specialised Services Commissioning Team Incorporating Secure Mental Health 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

6. Cheshire & Merseyside Specialised Services Commissioning Team Incorporating Secure Mental Health 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

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. Cheshire & Merseyside Specialised Services Commissioning Team Incorporating Secure Mental Health 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