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 Arrangements (MAPPA) for a relatively small number of high-profile patients.
During 2020/21 there were 36 patient admissions and 35 patient discharges.
Patients are admitted for a minimum of four to eight weeks for assessment. Thereafter, length of stay depends on the individual patient’s care and treatment plan and detention order.
A patient would be considered for transfer to lower security once their mental health had improved and their behaviour was settled for a prolonged period. Transfers involve a series of visits to the receiving service.
Key Performance Indicator (KPI)
Patients are transferred / discharged using CPA.
Patients are transferred / discharged using CPA. The indicator is linked to the Mental Health Act 2003 and the streamlining of discharges and transfers. For the second consecutive year, 100% of transfers were managed through the CPA process.
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 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 levels of security. In 2020/21 there were nine appeals: eight were successful and one was withdrawn due to the patient being transferred. This was a noticeable reduction from the 23 appeals in 2019/20.