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