The future of secure commissioning. A national event hosted by St Andrew’s

Commissioners, clinicians and providers gathered in London from across the country, to listen to the latest ideas from some of the nation's foremost thinkers on the future of secure mental health commissioning.
Opened by Shadow Health Minister, Anne Milton MP who clearly identified the challenges ahead, the day continued with thought provoking presentations from the speakers detailed below. During the afternoon, a series of workshops led by St Andrew's Dr Fiona Mason, Dr Piyal Sen, Dr Graeme Yorston and Operational Director Anita Boothby allowed delegates to contribute their own ideas and thoughts. Feedback from the event was highly positive with many new relationships established.
Speaker notes:
- Future development of Forensic Services
Prof Tom Fahy
Head of Department, Forensic Mental Health Science
Institute of Psychiatry, Kings College London
Discussed the evolution of services to meet the growing need for high quality, cost effective facilities as the population requiring specialist care increases and challenges become more complex. The challenges facing the future of these services was discussed using case studies to illustrate.
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- Governance and outcomes in secure care
Prof. Philip Sugarman
Chief Executive & Medical Director
St Andrew’s Healthcare
Integrating rights, risks, rehabilitation and recovery into healthcare governance to effectively monitor outcomes and provide useful reporting information. HoNOS-secure, an outcome measure specially adapted for secure environments was covered.
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- Market Drivers in Independent Mental Health Care
William Laing
Director, Laing & Buisson
Highlighted the factors that drive the independent mental health care sector including a comparison of bed capacity and detained patients against the NHS since 1993 and factors such as funding which may provide further opportunities for the independent sector.
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- Future Commissioning Arrangements in Secure Mental Health
Caroline Reid
Deputy Director for Mental Health, Offender Health and Substance Misuse programmes on behalf of the London PCTs
London Specialised Commissioning Group
Discussed how the future will affect commissioning arrangements in secure mental health following points identified in the Carter Review 2006 and the challenges faced to address these.
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