Carer Support and Involvement in Secure Mental Health Services
Please click here to find a toolkit which aims to provide clear information for carers, service users, service providers and commissioners about how carers of people who use secure mental health services should be engaged with, supported, involved and empowered.
This toolkit has been developed by NHS England in partnership with The University of Central Lancashire. It has been co-produced by a steering group involving a wide range of experience and expertise and, most importantly, carers themselves.
Your Rights as a Carer
The Care Act 2014 outlines new rules about individuals who are carers.
You now have a right to an assessment of need and a support plan for yourself and the threshold for being viewed as a carer has lowered to 'Having needs for support, whether this is now or in the future' we can support you in getting the correct carers assessment in your local area. Please ask the ward Social Worker about how to receive an assessment of your support needs.
We try and encourage visits as they can be extremely helpful for our service users. Requests for visits go through the regular Multi-Disciplinary Team Meeting.
All visits should be pre-arranged with ward staff
- In advance of visits taking place, the ward staff should be informed of the names and contact details of each visitor. This is in order that they may be contacted if for any reason the visit cannot take place.
- The maximum number of visitors per service user is limited to 3 (2 on Newport), unless a prior agreement has been sought via the ward manager or nurse in charge of the ward.
- Upon arrival at Reception, all visitors will be asked to produce an item of photographic identification
- (e.g. passport, driving licence).
- Failure to provide sufficient proof of identity will result in visitors being denied entry to the unit.
- How to arrange a visit – this is fully explained in the attached leaflet but in general it involves contacting the ward first once your family member/friend has agreed to the visit
- Visiting hours –core protected hours are around meals and therapeutic activities. We will however try and be as flexible as possible. Please note visits could be subject to change depending on the priorities and demands of the ward. However we will always try and facilitate visits as best we can.
- Observation levels during a visit - please be aware that it is unit policy for visits to be observed by staff. Your name will be added to our approved visitor list.
- Contraband List – there are certain items you are not permitted to bring on to the ward on visits or send to the ward via post. Please click here to read the Contraband List.
You must notify the ward staff / ward social worker if you intend to visit with anyone under the age of 18, in order that the formal process can be followed. All child visits happen outside the secure perimeter in a specially designated child visiting room. A child includes anyone under the age of 18, to set up a child visit we will need to meet with the person with Parental Responsibility and we are also required to contact the Children's Social Work Department in the child's home area. All child visits are supervised by hospital staff.
Community leave and Ministry of Justice Restrictions
As our service user's rehabilitation and treatment progresses, and they gain insight into their illness or condition and complete work to prevent re-offending, having leave can be an important part of their Recovery.
- For patients on a Section 3, leave can be granted by the Consultant (Responsible Clinician).
- For Restricted patients such as a Section 37/41, Section 47/49, or Section 48/49, leave can only be granted by the Ministry of Justice.
- For patients who are detained on a prison transfer such as Section 38, Section 47/49, or Section 48/49, leave is generally not given unless the patient is coming to the end of their sentence.
- Leave is generally given in steps, so firstly service-uses would have escorted leave with staff and then eventually they may progress on to unescorted leave. In general we like to ensure that leave serves a therapeutic purpose and provides a structure to help with Rehabilitation and future discharge.
We take the safety of your friend/ relative very seriously. We have adult Safeguarding procedures in place so that we can reduce the potential for any form of abuse, and prevent abuse from occurring.
Preventing abuse should occur in the context of person-centred support and personalisation, empowering individuals to make choices and supporting them to manage risks. If your friend or relative makes a disclosure of abuse, they will be listened to and the correct protocols followed. You will be informed if the service user gives their consent.
Confidentially and information sharing
Patients have the right to choose how much information is shared with you as a significant person in their life. For example, they might decide you can come to their Care Programme Approach review meetings, or to just be part of these meetings. Confidentiality can be a difficult area. Sometimes a patient will share information with you then suddenly they stop doing so. When this happens it may be because they are unwell.
If you want to ring to see how your relative is you will need to call the ward; however there may be information we cannot share with you, we can only share information that your family or friend has consented to; we are allowed to receive information from you regarding the patient and this will be recorded as Third Party information. You can tell us if you do not want certain things sharing with your relative.
Here is some other general information you may find useful to know about the service.
- The grounds and site of St Georges Hospital is non smoking.
- If you send your friend or relative a letter or parcel please note these may be checked by a member of staff before being handed over mail etc. is opened in front of staff.
Here are some useful contacts that you may need whilst your friend or relative is in hospital:
- North Staffs Carers Association
Carers Centre, Fenn House, Duke Street, Stoke-on-Trent ST4 3NR
- Carers Association Southern Staffordshire
Austin Friars, Stafford ST17 4AP
- Asist Advocacy for Stoke and Staffordshire
Winton House, Stoke Road, Stoke-on-Trent ST4 2RW
- Stafford and Cannock League of Hospital Friends
New Burton House, Burton Bank Lane, Stafford ST17 9JW
- First Point of Contact, Shropshire
A dedicated call centre for Adult Social Care where people can contact for advice and signposting. Appointments for a Care Act assessment or a chat with a Social Care Practitioner can be made through them.
- Carers Trust 4 All, Shropshire
Provides information, advice and advocacy for adult carers throughout Shropshire Council area. They also currently provide a service for young carers.
01743 341995 or 0333 323 1990 opt 1 opt 6
- The Carers Centre, Telford