About the network

  • Enable services for deaf people to engage in service evaluation and quality improvement using standards and methods that are agreeable to service users, carers, frontline staff and clinical and Trust management.
  • Organise self- and peer-reviews with an emphasis on engagement rather than inspection.
  • Provide detailed local reports which identify action points and areas of achievement.
  • Provide a strong network of supportive relationships.
  • Promote best practice through shared learning and networking,

The network does this by running a process of self and peer review. During the self-review period the ward assesses its performance against the standards using a series of data collection tools, including responses from service users, carers and staff. This is followed by a peer review visit by the project team and staff from similar services, whose role is to verify the data provided during the self-review and provide ideas for improvement.

Services which meet the standards set out by the network are awarded accredited status, in recognition of the high standard of care provided. This status is decided by the QNMHD Accreditation Committee. Accreditation lasts for up to three years, subject to an interim self-review.

Despite having poorer mental health than the rest of the population, the 60,000 people across the UK who use sign language as their main language often come up against barriers when seeking mental health services.

The difficulties Deaf people face when seeking mental health help are often woefully misunderstood by commissioners of NHS services, who in some cases assume that booking a British Sign Language (BSL)/English interpreter is enough.

This does not work for most deaf people, and can often make mental health treatments less effective as the three-way conversation can cause stress or misunderstanding. Deaf people should be able to choose to see a therapist fluent in sign language.

the Joint Commissioning Panel for Mental Health (JCPMH) and Deaf health charity SignHealth, have published Guidance for commissioners of primary care mental health services for deaf people (PDF).

Ten key messages for commissioners

  1. Deaf people find it difficult to access healthcare, face communication barriers and, as a consequence, have poorer mental and physical health than the rest of the population.
  2. Everyone who uses mental health services should have equitable access to effective interventions, and equitable experiences and outcomes. Under the Equality Act 2010 deaf people are included as having ‘protected characteristics’.
  3. Due to their unique life experiences, Deaf people require different primary mental health car. Commissioners should commission appropriate cultural and linguistic provisions when planning services for Deaf people.
  4. Psychological therapy in British Sign Language (BSL) is as cost effective, if not moreso, than a hearing therapist using a BSL/English interpreter.
  5. Deaf people should be able to choose to receive primary care psychological therapy services in BSL directly from a BSL practitioner, without needing a sign language interpreter, if that is their choice.
  6. A comprehensive commissioning strategy is required to enable an appropriate BSL psychological therapy service to be available.
  7. Commissioners need to ensure that Deaf people have a clear care pathway that is equitable to the general population.
  8. Commissioners need to include Deaf professionals in their workforce planning strategy.
  9. Deaf people need to be involved with the ongoing development of Deaf primary care mental health services.
  10. Where services are commissioned that require sign language interpretation, commissioners must ensure the provision of interpreters is of high a standard, as highlighted in NHS England’s Quality standards based on the Principles for High Quality Interpreting and Translation Services in Primary Care 2016.


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