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 – including those convened under the Early Discharge Protocols. 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.
Key Performance Indicator (KPI)
Patients are transferred / discharged using CPA.
In 2019/20 all patients were discharged / transferred using the Care Programme Approach (CPA); the year’s 100% compliance was an increase on the 2018/19 performance figure of 97%.
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 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 excess security. In 2019/20 there were 23 appeals: 19 successful, one not upheld, and three cancelled / withdrawn.
