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The Quality Network for Forensic Mental Health Services was
launched in 2006 with an initial focus on medium secure
In 2012, we developed
the standards for low secure services and introduced a new
evaluated Quality Network dedicated to Low Secure Services.
Here you can
find out more about the Low Secure Quality
Network, including a break-down of the review
process and you can view the full set of Low
Secure Standards used to measure the quality of
The work of the Quality Network is based around a
cyclical review model.
By clicking on the links below you can
explore each stage of the review process, from agreeing the
standards to producing the Annual Report.
The Network uses an
iterative cycle of self and peer-reviews using a set of standards
developed from Department of Health draft commissioning guidance
following outline the areas each of the services are
measured against during the self and peer-review process:
3: Physical Health Care
B: A Safe Therapeutic
1: Physical Security
2: Relational Security
3: Procedural Security
2: Risk assessment and management
3: De-escalation and seclusion
4: Access to external spaces
5: Facilities for Visitors
2: Training and continuing professional development
1: Reporting and management
2: Business Continuity
The self-review process commences and services are expected to
provide commentary and score themselves as to whether they have
met, partially met or unmet each of the Low
Secure Standards. We request that the service consults a range of
people to ensure the information provided is representative. This
Each service provides contact details of patients, family and
friends to be contacted for a telephone conference prior to the
peer-review visit. These conferences take place with one of the
Quality Network's Patient Reviewers or
Family and Friends Representatives. More
information about these roles can be found on the Patient and Carer Involvement section
of the website.
The Quality Network requests a series of policies from each
service. This Cycle we have themed the peer-review visits
'Patient and Family and Friends Involvement' and a
few policies relating to this theme will be chosen for further
discussion on the review day.
The peer-review is a supportive process, encouraging services to
identify areas of both achievement and challenge, whilst also
considering improvements for the future.
The peer-review team is usually made up of four staff members
from two different services, a Patient Reviewer and a Project
Worker from the Quality Network. Two of the staff members assume
the roles of Lead Reviewer and Deputy Lead Reviewer. Lead Reviewers have training to support
them in this role.
The visit is broken up into various meetings and can last
between one and two days, depending on the size of the service. The
day is broken down into the following areas:
Draft Report- Sent to the host service and
peer-review team within four weeks of the
peer-review date for their comments.
Final Report - Issued to the host service only
within eight weeks of the peer-review date.
The report will outline the key areas of achievement and
challenge and suggest a number of action points for improvement for
the following Cycle.
Two months after receiving the final report we will expect
to receive a copy of the action plan from the service and this will
be used in the following Cycle to identify any areas of change or
At the end of each Cycle an Annual Forum is held for
forensic mental health staff, commissioners, patients, family and
friends and all interested in the Quality Network. It outlines the
key trends from the past Cycle and focusses on particular areas for
The Annual Report explores each of the six sections of the
Standards for Low Secure Services, drawing on the achievements,
areas for improvement and solutions to common problems. Members can
use the report to benchmark themselves against other services,
identify key areas of variance within the Quality Network and gain
ideas for service development from the good practice section.
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The CCQI are currently evaluating
the Low Secure Network. Read more about the work they are
Find out about the benefits
of becoming a member.
Register for Cycle 4 please log
in to CARS
See who has already joined the Low Secure Quality Network.