Implementation Criteria for Recommended
Specification: Adult Medium Secure Units
The network uses an iterative
cycle of self- and peer-reviews using a set of implementation
criteria based on Department of Health recommended specifications
(2007):
A: Safety and
Security
1. Physical
Security
2. Procedural
Security
3. Relational
Security
4. Serious and
Untoward Incidents
5. Safeguarding
Children and Child Visiting Policies
B: Clinical and Cost
Effectiveness
C:
Governance
D: Patient
Focus
E: Accessible and
Responsive Care
F: Environment and
Amenities
G: Public
Health
The network has also
developed a subset of standards and criteria aimed at addressing
the needs of women in medium secure care.
A second edition of the
implementation criteria was published in 2011, to include
additional mapping of the criteria onto the CQC Essential Standards
of Quality and Safety.
The cyclical review process:
The process used by the Quality Network
for Forensic Mental Health Services combines the clinical audit
cycle with peer-reviews. The process begins with a set of
standards being developed in consultation with member units.
Members then engage in a detailed team/service evaluation during
the self-review phase. This is followed by a period of
peer-review visits to validate the data provided during the
self-review. After the peer-review stage, units are provided
with a local report that compiles the data collected during the
self- and peer-review. When all member units have completed
the peer-review phase an annual report of the aggregated findings
is written to enable benchmarking with other services. The
final stage of the process involves action planning and attendance
at the Annual Forum.
See Diagram 1 above.
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