Introduction to the Quality Network for
Medium Secure Forensic Services
The Quality Network for Forensic Mental
Health Services was launched in 2006 for its first cycle; during
this initial pilot period eight units were involved in self and
The second Cycle began in 2007, and the
network continued to grow until all Medium Secure Units in England,
Wales, Northern Ireland and the Republic of Ireland were signed up
for the start of Cycle 6 (2011-2012). One service in Scotland has
signed up for the start of Cycle 7.
1 - The Cyclical Review Process
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
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
from all services is written, highlighting national themes and
to enable services to benchmark themselves against other
The final stage of the process involves
action planning and attendance at the Annual Forum.
See Diagram 1 above.
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 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.
Safety and Security
1. Physical Security
3. Relational Security
4. Serious and Untoward
5. Safeguarding Children
and Child Visiting Policies
B: Clinical and Cost
E: Accessible and
F: Environment and