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‘It's what happens when you're ready to leave hospital that's really important’ - commissioning secure services for people with learning disabilities
- Authors:
- BURNS Mick, SILBERMAN Wendy, McCANN Ged
- Journal article citation:
- Journal of Learning Disabilities and Offending Behaviour, 1(1), April 2010, pp.17-28.
- Publisher:
- Emerald
This paper outlines a process to develop a set of principles to support the commissioning of secure learning disability services throughout England. These principles, formed around the eleven competencies laid down in the World Class Commissioning competencies framework, were produced following a scoping exercise that looked at both the provision and commissioning of secure learning disability services within each strategic health authority area in England. Details collected about types of services provided included: detailed service specification; quality indicators; how these services link with local services (both secure and non-secure); and the cost of services. Information collected about commissioning concentrated on: strategic vision; practical commissioning arrangements; how the quality of services was monitored; how access to services was controlled; and how ‘secure’ service users are reintegrated back into local services and communities. This scoping exercise was augmented by qualitative data obtained from interview with a group of former service users, where themes generated through the interviews were integrated within the general guidance. The authors propose a quality assurance framework based on the World Class Commissioning Competencies, against which specialist and local commissioners can benchmark their current commissioning arrangements.
Care of mentally disordered offenders
- Author:
- McCANN Ged
- Journal article citation:
- Mental Health and Learning Disabilities Care, 3(2), October 1999, pp.65-67.
- Publisher:
- Pavilion
This clinical update summarises recent developments in the organisation and delivery of forensic mental health services, in the NHS and in prisons. It outlines the central issues; current services; new developments in the provision of secure care; recent prison healthcare reforms and public health and individual early intervention and preventive programmes. Concludes that a careful balance needs to be maintained between custody and containment.