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
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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
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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
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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
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Cheshire & Merseyside
Specialised Services Commissioning Team
Incorporating Secure Mental Health
Pathways through Secure
Care
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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
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Cheshire & Merseyside
Specialised Services Commissioning Team
Incorporating Secure Mental Health
Pathways through Secure
Care
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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
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Cheshire & Merseyside
Specialised Services Commissioning Team
Incorporating Secure Mental Health
Pathways through Secure
Care
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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
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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
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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
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Cheshire & Merseyside
Specialised Services Commissioning Team
Incorporating Secure Mental Health