We adopt a multi-disciplinary approach to quality improvement in medium and low secure mental health services. A key component of our work is the sharing of best practice by listening to and being led by frontline staff and patients.
We serve to identify areas for improvement through a culture of openness and enquiry. The model is one of engagement rather than inspection. We aim to facilitate quality improvement through a supportive network and peer-review process.
The review cycle is structured in two stages over a two year period; the first stage is a full review and the second is a developmental phase.
At the beginning of each cycle the standards are reviewed, either by a wide consultation exercise or a minor revision, before being issued for use.
Stage 1: Full Review
As part of the full review, services complete a comprehensive self-review document. They provide a self-rated score and commentary against each standard and submit accompanying evidence. Additionally, questionnaires are distributed to service staff, patients, and family and friends.
A visiting peer-review team follows a structured timetable and meets with those working in and using the service to validate the information provided. A service tour and a check of the perimeter are also conducted as a part of an environmental check.
At the end of the peer-review visit, the team will provide preliminary findings to the host service, drawing on any key areas of achievement and challenges.
The data collected is collated in the form of a service report, summarising areas of good practice and areas in need of improvement
Stage 2: Developmental Review
Following on from the full review visit you received the year previously, you will review and expand on the outcomes from the visit. This is an opportunity for a focused self-review and reflection on the progress being made as part of action planning. A brief update document is used as a tool to structure the discussions on the developmental day.
The developmental visit takes place over a day period. It is designed to allow time for meaningful discussion and to provide services with the opportunity to maximise the knowledge and expertise within the Network to develop their practices.
Meetings are conducted with service managers, frontline staff, patients, family and friends. The day closes with a feedback session to reflect on progress since the previous full review and to offer guidance over the coming year.
A short developmental report is produced summarising the actions taken since the previous review and key discussions from the developmental day. Services engage in a further action planning phase to reflect on the feedback received.
The original action plan is reviewed and built upon to encourage continual development ahead of the next full review visit.
A key role for Patient Reviewers is to ensure that the views and experiences of patients are used to inform and guide the work we do. Similarly, Family and Friends Representatives ensure that the voices of the families and friends of patients are heard in discussions about service development.
Recruitment of Patient Reviewers has been inclusive. We have taken applications and accepted patients who are at different points in their recovery.
Some patients need to be escorted, others have been discharged from hospital and are living in the community and some have been recalled to hospital whilst being Patient Reviewers.
Take a look at which secure services are currently a member of the Quality Network for Forensic Mental Health Services (PDF).
To receive information about membership, including costs of membership, please email firstname.lastname@example.org
QNFMHS Advisory Group Chair
We are now accepting applications for the next Chair of the Advisory Group. The role is a three-year post (with the possibility of having it extended for a further three years) and will begin in September 2020. We are accepting applications from all disciplines. The roles and responsibilities are outlined within the terms of reference.
The Quality Network for Forensic Mental Health Services is supported by a dedicated group of individuals to advise on matters relating to the promotion and further development of the Network. It largely focuses on the methods underpinning the programme of work and influences the development of national recommendations around secure care. It comprises of professionals who represent key interests and areas of expertise in the field, and service-users and carers who have experience of using these services.
Members are expected to attend meetings at the Royal College of Psychiatrists (London) on a quarterly basis for this purpose. Additional meetings and events may also require attendance, as required. It is expected that travel to meetings will be covered by the member’s employing organisation.
Please send an expression of interest letter and a CV to the address below or electronically to email@example.com by 19 March 2020.
Shortlisted applications will result in an interview process. Interviews will be conducted at RCPsych, London on 28 April 2020 and 4 May 2020.