QNFMHS: Who we are and what we do
A key component of our work is the sharing of best practice by listening to and being led by frontline staff and patients. We serve to identify areas for improvement through a culture of openness and enquiry. The model is one of engagement rather than inspection. We aim to facilitate quality improvement through a supportive network and peer-review process.
QNFMHS currently offer two types of membership: full review and accreditation.
Full review
The review cycle is structured in two stages over a two year period; the first stage is a full review and the second is a developmental phase.
At the beginning of each cycle the standards are reviewed, either by a wide consultation exercise or a minor revision, before being issued for use.
Stage 1: Full review
As part of the full review, services complete a comprehensive self-review document. They provide a self-rated score and commentary against each standard and submit accompanying evidence. Additionally, questionnaires are distributed to service staff, patients, and family and friends.
A visiting peer-review team follows a structured timetable and meets with those working in and using the service to validate the information provided. A service tour and a check of the perimeter are also conducted as a part of an environmental check.
At the end of the peer-review visit, the team will provide preliminary findings to the host service, drawing on any key areas of achievement and challenges.
The data collected is collated in the form of a service report, summarising areas of good practice and areas in need of improvement
Stage 2: Developmental review
Following on from the full review visit you received the year previously, you will review and expand on the outcomes from the visit. This is an opportunity for a focused self-review and reflection on the progress being made as part of action planning. A brief update document is used as a tool to structure the discussions on the developmental day.
The developmental visit takes place over a day period. It is designed to allow time for meaningful discussion and to provide services with the opportunity to maximise the knowledge and expertise within the Network to develop their practices.
Meetings are conducted with service managers, frontline staff, patients, family and friends. The day closes with a feedback session to reflect on progress since the previous full review and to offer guidance over the coming year. The developmental day is conducted via MS Teams (or equivalent).
A short developmental report is produced summarising the actions taken since the previous review and key discussions from the developmental day. Services engage in a further action planning phase to reflect on the feedback received.
The original action plan is reviewed and built upon to encourage continual development ahead of the next full review visit.
Virtual peer-reviews
The involvement of patients and carers on our peer-review days remains vital and is something we do not wish to let slip given the circumstances with virtual reviews. We would like to work collaboratively with our member services to find ways in which we can engage patients and carers and gather their feedback in a meaningful, confidential way.
For some recommendations on how best to involve patients and carers in your services virtual peer-review, please view this guidance document.
Accreditation
Stage 1: Self-review
During this phase, the service will undertake a self-review, including a series of surveys for staff, patients and carers. Additionally, services will complete a case note audit of patient records.
These enable the multi-disciplinary team to review their local procedures and practices against the standards and, if necessary, to make the changes required to achieve accreditation. The self-review will take place over three months. A summary of the results from the self-review forms the basis of the discussion at the peer-review visit.
Stage 2: Peer-review visit
The peer-review visit takes places up to four weeks after you have completed your self-review. A team of up to four professionals (comprising of staff from other member services), a service user and/or carer representative, and a Network representative will undertake a peer-review visit. In addition to validating your self-review, the peer-review provides an opportunity for discussion, sharing of ideas and for the visiting team to offer advice and support.
Stage 3: Accreditation decision (accreditation membership)
Information from the self- and peer-review is compiled into a summary report which is verified by the peer-review team and the service before being submitted to the Accreditation Committee (AC). If services are not reaching a certain threshold of type 1 standards, they may be deferred to the developmental membership. The committee makes a decision about the service’s accreditation.
There are three categories of accreditation status:
- Accredited
- Accreditation deferred
- Not accredited
Services that cannot achieve accreditation at the point of review but are expected to be able to do so in the near future are deferred for a time-limited period in which they must meet the necessary standards. Services can be presented to the AC up to three times within a 12 month period. Services must meet 100% of type 1 standards, 80% of type 2 standards and 60% of type 3 standards in order to be awarded accreditation.
Accreditation is valid for up to three years, subject to satisfactory completion of an interim self-review.
Please contact us if you'd like more information on the network or you'd like to join.
Kelly Rodriguez
Programme Manager
Email: Kelly.Rodriguez@rcpsych.ac.uk
Tel: 0208 618 4063
A key role for Patient Reviewers is to ensure that the views and experiences of patients are used to inform and guide the work we do. Similarly, Family and Friends Representatives ensure that the voices of the families and friends of patients are heard in discussions about service development.
Recruitment of Patient Reviewers has been inclusive. We have taken applications and accepted patients who are at different points in their recovery.
Some patients need to be escorted, others have been discharged from hospital and are living in the community and some have been recalled to hospital whilst being Patient Reviewers.
Take a look at which secure services are currently a member of the Quality Network for Forensic Mental Health Services.
The cost of membership is determined by the service type and number of wards:
Standalone service (LSU or MSU only)
- 1-3 wards: ?4,110.00 + VAT
- 4-6 wards: ?4,695.00 + VAT
- 7+ wards: ?5,280.00 + VAT
Same site services (LSU and MSU combined)
- 2-3 wards: ?4,695.00 + VAT
- 4-6 wards: ?5,575.00 + VAT
- 7-11 wards: ?6,165.00 + VAT
- 12+ wards: ?6,745.00 + VAT
Accreditation
- 1 ward: ?2,675.00 + VAT
To receive more information about membership, please email forensics@rcpsych.ac.uk.
Membership registration for the Quality Network for Forensic Mental Health Services (2024–2025) is now closed.
If you'd like to know more about joining the network, please contact Kelly Rodriguez.