Access to Services
In this section:
Referrals, Admissions and Transfers
The Care Programme Approach (CPA) is a structured process for the management of risk and the care and treatment planning of patients. There is a target of 100% of all discharges and transfers from The State Hospital to be managed by the CPA process which includes transfer / discharge, CPA meetings, CPA Reviews and CPA Contingency Planning meetings. Furthermore, there is a need for the transfer pathway and risk management arrangements to be facilitated by the CPA process and / or Multi-Agency Public Protection Agency (MAPPA) for a relatively small number of high profile patients.
Overall in 2018/19:
- 36 meetings were held. Of these, six were Pre-CPA meetings (to discuss victim issues, police matters, or other such sensitive information in advance of the CPA meeting) and 30 were CPA meetings.
- 87% of patients attended their transfer / discharge CPA meeting; a slight increase from the previous year.
- Improved working arrangements were established to support carer attendance at patient CPA meetings.
- Partnership working between The State Hospital and South Lanarkshire Council were strengthened through Social Work input to the development of the Electronic Patient Record (EPR). Patient progress notes and most Social Work reports are now on RiO with work continuing into 2019/20 to complete the migration.
A CPA / MAPPA 12 monthly update report is produced annually.
Key Performance Indicator (KPI)
Patients are transferred / discharged using CPA.
In 2018/19, 97% of patients were discharged / transferred using CPA against a target of 100%, which is a slight decline on last year’s performance of 99%. The one patient who was not discharged using CPA was discharged to hospice care. This transfer was handled successfully with State Hospital staff supporting hospice staff for a number of days post transfer.
Adult Support and Protection (Scotland) Act 2007 (patient information - Social Work) (April 2019)
Appropriate Adult Scheme (patient information - Social Work) (July 2018)
Child Contact (patient visitor information - Social Work) (November 2018)
Corporate Parenting (patient information - Social Work) (April 2019)
Care Programme Approach (patient information - Social Work) (April 2019)
Care Programme Approach (patient visitor information - Social Work) (July 2018)
Care Programme Approach (CPA) Policy (for transfers and discharges)
Named Person (patient information - Person Centred Improvement Team) (April 2019)
Named Person (patient visitor information - Social Work) (February 2019)
Social Work Service (patient information - Social Work) (July 2018)
Appeals Against Excessive Levels of Security
The Mental Health Tribunal gives patients the right of appeal against being detained in excessive security. In 2018/19 there were 13 appeals: nine successful, two not upheld and two cancelled / withdrawn.
