Introduction to the Quality Network
Medium Secure Forensic Services
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).
Diagram 1: The Cyclical
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.
Standards for Medium Secure
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.
following outline the areas each of the services are
measured against during the self and peer-review
Safeguarding Children & Vulnerable Adults
Family and Friends
Environment and Facilities
Patient Pathways and Outcomes