Presentation Garry Nixon Director of Operations Presentation NHS

Presentation Garry Nixon – Director of Operations

Presentation • NHS Secure Mental Health Services • Descriptions of Hospital Services • Admission Routes into Hospital Services • Discharge Arrangements & Specific Responsibilities

Secure Mental Health Service Hospitals Special Hospitals e. g. Broadmoor Medium Secure e. g. MSU Oxford • High Secure environment delivered by a Specialist Forensic Team aimed at providing a level suitable for public protection • Special Authority Commissioned • Delivered by a Specialist Forensic Team aimed at providing a level suitable for public protection • Usually following a court appearance or part of rehabilitation step down from special hospitals • PCT Commissioned (BHFT) Low Secure e. g. Thornford Park • Delivered by a Specialist Forensic Team aimed at people presenting with behavior at a level of risk greater than general mental health services could safely address • PCT Commissioned (BHFT)

Routes into Secure Services Forensic Referrals • Court • Probation • Prisons • Court • Community Forensic Teams Special Hospitals Medium Secure Forensic Team Assessment Low Secure Non Forensic Referrals • Local Inpatient Services • Local Community Services • Local Learning Disability Services

Discharge Arrangements • Usually Forensic Psychiatrist occasionally Local Psychiatrist Discharge & Conditions • 37 – Detention Order • 41 - Restrictions of discharge Responsible Clinician • Manage patient within the terms and conditions of their conditional discharge • Provides reports to Case Manager Ministry of Justice • Approved by Local Authority (CMHT) Case Manager – • Ability to recall to Hospital • Agree variations to care plan Social Supervisor • Assisting reintegration • Monitoring of mental health and increased risk (eyes and ears) • Submit progress reports to Case Manager at least 3 monthly Other Services • Mental Health Care • Social Care • Housing