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The Network was
launched in 2006, reviewing eight units during this initial pilot
period. The Network has continued to grow with all medium secure
units across England, Wales, Northern Ireland and the Republic
of Ireland becoming members by Cycle 6 (2011-2012). We also have
one member service from Scotland who have been with us since the
start of Cycle 7 (2012-2013).
Here you can
find out more about the Medium Secure Quality
Network, including a break-down of the review
process and you can view the full set
of Medium Secure Standards used to measure
the quality of services.
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 Quality Network has
developed the Standards for Medium Secure Services over the
last year following extensive consultation with a variety of
stakeholders. They are supported with a foreword by Patrick Neville
Portfolio Director (Mental Health), NHS England. These
refreshed and updated standards will form the basis of self and
peer-reviews for medium secure services in 2014-2015.
The following outline
the areas each of the services are measured against during the
self and peer-review process:
Safeguarding Children & Vulnerable Adults
Patient ExperiencePatient Focus
Family and Friends
Environment and Facilities
Patient Pathways and Outcomes
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 Medium Secure Standards. We request that the service
consults a range of people to ensure the information provided is
representative. This should include:
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 three 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 only to the host service
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 section of the Standards for
Medium 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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