NATIONAL CO-ORDINATING NETWORK FOR FORENSIC AND HEALTHCARE SERVICES FOR PEOPLE IN POLICE CARE NETWORK STRUCTURE

NATIONAL CO-ORDINATING NETWORK FOR FORENSIC AND HEALTHCARE SERVICES FOR PEOPLE IN POLICE CARE NETWORK STRUCTURE Draft v0.18 Updated 18 February 2016 1

1. Introduction and Purpose of Document The Scottish Government has decided that healthcare and forensic services for people in police care should, from 1 April 2014, be provided by NHS Scotland within joint NHS / Police Scotland local and regional partnerships. The provision of healthcare in custody suites, and for children and adults in police care is a statutory responsibility of NHS Boards. The provision of forensic services is, on the other hand, a statutory responsibility of Police Scotland. In practice, a clear separation of the provision of healthcare and forensic medical services is often difficult and impractical. The Scottish Government has therefore decided that NHS Scotland should provide appropriate forensic medical services, which require forensic clinical skills, on behalf of Police Scotland within joint local/regional NHS / Police Scotland partnerships. Responsibility for forensic medical services will remain with the police even although delivery will be a matter for the NHS. This is a significant change over previous arrangements in which the 8 Scottish Police Forces procured healthcare and forensic medical services for people in custody from a variety of sources including independent Forensic Physicians. The management of the change requires robust governance, service involvement and project management throughout to ensure successful implementation. Close working between NHS Scotland and Police Scotland is essential. After implementation, a vehicle to support networking across geographical, multi agency and professional boundaries will be needed in support of local partnerships to ensure equity, mutual support and service co-ordination across the different agencies and professional groups involved. The purpose of this document is to clarify the overall network structure; its governance arrangements; the membership and the function, role and responsibilities of each proposed group, and of individual members within groups / subgroups; the reporting structure between groups; and the escalation procedures. 2

2. National Co-ordinating Network for Healthcare and Forensic Services for People in Police Care 2.1 Remit The overall remit of the Co-ordinating Network is to: facilitate and help to ensure partnership arrangements are in place for the delivery of forensic and healthcare services for people in police custody in all NHS Boards/Regional Collaboratives by 1 April 2014 and that the responsibility for delivery is with the NHS Boards by this time. oversee the transfer of funds from Police Scotland to NHS Scotland by 1 April 2014. extend the work in local / regional partnerships to improve health, reduce care inequalities, and integrate care within community pathways. extend partnerships to encompass areas beyond healthcare and forensic services for people in custody suites, to include other people in police care for example child sex and serious physical abuse, adult sexual assault. support the development of the models of care to achieve a cost effective, high quality service at local, regional and national level. establish quality standards for the delivery of care in appropriate facilities. establish consistent data collection, audit and research that will develop an evidenced informed approach. develop the workforce, training and education based on competency frameworks. form appropriate links with other relevant Networks such as the National Prisoner Healthcare Network and the Forensic Mental Health Network, and to ensure minimal duplication of effort. 2.2 Ways of working The Network will achieve its remit through the establishment, co-ordination and support of a network structure which allocates specific areas of responsibility to a range of topic specific, and geographical subgroups, while providing overall strategic direction through a national Governance Board; and co-ordination of the work of the network through a National Operational Support Group. This will work in a collaborative/joint working approach. 3

2.3 Network Governance Structure The proposed structure is illustrated in the diagram below. It comprises: - A high level strategic Co-ordinating Network Board involving senior representatives of NHS Scotland, Police Scotland, Scottish Police Authority, Crown Office Procurator Fiscal Service, Social Work, Scottish Government Health and Social Care and Justice Directorates - An Operational Support Group bringing together the chairs of the network sub groups along with clinical / professional representation - 3 regional collaborations overseeing and co-ordinating implementation of the change and ongoing provision of services through local NHS / Police Scotland partnerships at NHS Board level - A range of standing delivery support groups to provide ongoing support and co-ordination of specific aspects of service delivery and to lead and support a process of continuous quality improvement to improve the quality of healthcare and forensic services and maximise health gain - A range of topic specific workstreams commissioned for a short period to address a specific task 4

NATIONAL COORDINATING NETWORK Scottish Government Health and Social Care and Justice Directorates Local Authority Social Work, Crown Office / Procurator Fiscal Scottish Police Authority (SPA) / Police Scotland NHS Boards Regional Planning Groups National Coordinating Network Board (NHS Boards / Police / Social Work / COPFS) Strategic direction and oversight East, West and North Regional Collaborations National Coordinating Network Support Group (Chairs of Subgroups, regional leads) Operational Management of Network Quality and Outcome Information Training and development Estates Finance Specialist Paediatric Forensic Services Specialist Adult Sexual Assault Forensic Other Medicines management Substance Misuse Mental Health Management of People who have concealed drugs internally Teleheath (in development) Adastra User Group National Guidelines Standing DELIVERY SUPPORT for local partnerships and regional collaboratives Temporary PLANNING AND POLICY groups currently dormant 5

3. Roles and Responsibilities of the Various Network Groups This section sets out the remits, roles and responsibilities, membership, meeting cycles, current status, reporting and escalation arrangements of the standing groups within the network. In addition a range of topic specific workstreams are required on a short term basis to resolve issues to support implementation of the transfer of responsibility. 3.1 National Co-ordinating Network Board for Healthcare and Forensic Medical Services for People in Police Care Remit The remit of the Co-ordinating Network Board is to: provide national strategic direction to the Co-ordinating Network; monitor progress against the overall objectives of the network and direct action to ensure the achievement of network objectives (set out in section 2 above); monitor service delivery and ensure that it meets needs, and is delivered clinically and cost effectively, equitably across Scotland; monitor the quality of services delivered and their impact on health and community safety and provide direction on service improvement; monitor the development of the workforce, training and education based on competency frameworks; ensure that appropriate links are made with other relevant Networks such as the National Prisoner Healthcare Network and the Forensic Mental Health Network to avoid duplication of effort; ensure that, collectively, individuals are getting access to the appropriate health and care services, as required Meeting Cycle The Co-ordinating Network Board will meet quarterly. Membership As at December 2013: Role on National Name Title and who representing Co-ordinating Network Board Chair Mrs Andreana Adamson NHS Director, Health & Justice, Scottish Government Vice Chair ACC Malcolm Graham Assistant Chief Constable (ACC), Major Crime and Public Protection Scottish Police Authority Tom Nelson SPA Head of Forensics, representing Scottish Police Scotland Chief Supt. Garry McEwan Police Authority Chief Superintendent, Police Custody and Tactical Lead 6

West of Scotland Collaborative South East of Scotland Collaborative North of Scotland Collaborative Crown Office Scottish Government Health & Social Care Directorates Scottish Government Justice Directorate Local Authorities Forensic Physician Professional Adviser Ms Sharon Adamson (Deputy Mr Iain MacKenzie Service Manager, Mental Health & Learning Disability Services, NHS Lanarkshire) Mrs Jacqui Simpson Mr Jim Cannon Ms Catriona Dalrymple Deputy Jane Benson Dr Mini Mishra Mr Ian Kernohan TBC Dr George Fernie (Deputy Dr Louise Scott Network Professional Adviser / Forensic Physician, NHS Western Isles) Mrs Elizabeth Gallagher Regional Planning Director, West of Scotland Regional Planning Group Regional Director for the NHS South East and Tayside Regional Planning Group (SEAT) Regional Planning Director, North of Scotland Planning Group (NoSPG) Head of Policy Division, Crown Office & Procurator Fiscal Services Senior Medical Officer, representing Scottish Government Health and Social Care Directorates Police Division, Scottish Government representing Justice Directorate Network Professional Adviser / Forensic Physician, NHS Lothian Nursing & Operations Manager NHS Lothian Forensic Services (REAS) Mrs Jessica Davidson Senior Clinical Forensic Charge Nurse, Forensic Medical Examiner Service, NHS Lothian Third Sector TBC Await until transfer has completed National Network Support Team - Permanent attendees Head of National Network Support Team Mrs Deirdre Evans Director, National Services Division, NHS National Services Scotland Network Programme Miss Hannah Cornish NHS National Services Scotland Manager Network Support Miss Laura McDonnell NHS National Services Scotland Role and responsibilities of members Members are appointed for a 3 year term of office in a representative capacity of the groups which nominated them see right hand column above. Each member is responsible for ensuring two way communication with the groups they are representing to ensure that they can represent relevant interests effectively. Reporting and escalation of issues to: To relevant NHS Boards and Police Scotland. Regular updates will also be provided to NHS Boards, Police Scotland, Scottish Police Authority, Crown Office, Local Authorities and Scottish Government (Health and Social Care, and Justice Directorates). 7

3.2 Operational Support Group Remit The remit of the Operational Support Group is to: support the Co-ordinating Network Board by: co-ordinating and overseeing the work of the network subgroups to implement the decisions of the Network Board and the achievement of Network objectives; providing a forum for interchange and linking between the Network subgroups; assisting in the design and continuing delivery of services; providing national advice and consistency of approach, as required; supporting the local partnerships in respect of delivery; monitoring and reporting on progress in implementing Network objectives; monitoring and reporting on service quality, cost effectiveness, health and community safety improvement; gathering and presenting information to the Network Board; sourcing and providing advice for the Network Board and providing the secretariat for the Board. form appropriate links with other relevant Networks such as the National Prisoner Healthcare Network and to ensure minimal duplication of effort. Meeting Cycle The Operational Support Group will meet every 3 months. Membership As at November 2015: Role on Operational Name Title and who representing Support Group Chair Mrs Deirdre Evans Director, National Services Division, chairing Group in capacity as Head of National Network Support Team Regional Leads West of Scotland Collaborative Mr Colin MacDonald Service Manager, Police Custody Health Care, NHS Greater Glasgow & Clyde South East of Scotland Collaborative North of Scotland Collaborative Police Scotland Police Scotland Mrs Jacqui Simpson Ms Jillian Galloway Inspector Sandra Stewart Inspector Graham Milne Regional Director for the NHS South East and Tayside Regional Planning Group (SEAT), Representing SE of Scotland Collaborative Service Manager Prisoner Healthcare/Forensic Medical Services and Out of Hours Representing North of Scotland Collaborative Inspector, Custody Division, Police Scotland Healthcare & Forensic Medical Services Lifetime Management West of Scotland Inspector, Custody Division, Police Scotland Healthcare & Forensic Medical Services Lifetime Management North of Scotland 8

Service Delivery Groups Forensic Medical Services Specialist Adult Sexual Assault Forensic Service Specialist Forensic Other Specialist Paediatric Forensic Detective Inspector Steven Cartwright Detective Chief Superintendent Lesley Boal Detective Superintendent Pauline McCallum Detective Superintendent Shaun McKillop Dr Kate McKay Forensic Improvement Project, Police Scotland South East Scotland Public Protection, Police Scotland National Rape Task Force/National Human Trafficking Unit, Police Scotland Detective Superintendent, Forensic Improvement Project, Police Scotland Clinical Lead Children and Young People Health Policy, Senior Medical Officer, Scottish Government Health and Social Care Directorates Workstream subgroup Chairs as required Adastra User Group Mrs Sally Patrick Head of Service - Forensic Medical Service/Clinical Team Leader, North of Scotland Planning Group (NoSPG) Mental Health Dr Gordon Skilling Consultant Forensic Psychiatrist, The State Hospitals Board for Scotland Substance Misuse Dr Duncan Stewart Consultant Addictions Psychiatrist, NHS Lothian Quality Improvement and Outcomes Telehealth Dr Lesley Graham TBC Public Health Lead for Drugs, Alcohol and Health and Justice, Information Services Division, National Services Scotland Education, Training and Development Professor Anthea Lints NHS Education for Scotland (NES) Medicines Management Ms Alison Wilson Director of Pharmacy, NHS Borders Sub Group Chair Alcohol SAS/Police MoU Ms Pat O Connor Director of Care Quality & Strategic Development, Scottish Ambulance Service Crown Office Procurator Fiscal Service Crown Office Procurator Fiscal Service Ms Jane Benson Principal Procurator Fiscal Depute, Policy Division, Crown Office and Procurator Fiscal (COPFS) Professional Advisers Dr George Fernie Network Professional Adviser / Forensic Professional Adviser Physician, NHS Lothian Dr Louise Scott Network Professional Adviser / Forensic Network Nursing Lead Dr Helen Walker Physician, NHS Western Isles Consultant Nurse Forensic Mental Health Network and Senior Lecturer, West of Scotland (WoS) University Deputy: Sally Patrick Public Health Specialist Dr Lesley Graham Public Health Lead for Drugs, Alcohol and Health and Justice, Information Services Division, National Services Scotland Scottish Government Scottish Government Justice Directorate Mr Stephen Jones Head of Police Powers Unit, Police Division, Scottish Government National Network Support Team Network Programme Manager Miss Hannah Cornish National Services Division, NHS National Services Scotland Network Support Miss Laura McDonnell National Services Division, NHS National Services Scotland Role and responsibilities of members 9

Most members attend in the capacity as chairs of topic specific or service delivery subgroups or regional collaborations. In this capacity, members are expected to report on the work (and raise issues of concern) of their subgroups / regional collaborations to the Operational Support Group and to work together with other members to agree joint coordinated action within subgroups to achieve Network objectives. Members are responsible for ensuring collaborative, co-ordinated, focussed action across all subgroups and regional collaboratives. Operational Support Group members are collectively responsible for agreeing work plans and priorities for each subgroup. Subgroup chair members are appointed for 2 years (or the duration of their term of office as chair of the groups they represent if shorter) see right hand column above. Each member is responsible for ensuring two way communication with the groups they are representing to ensure that they can represent relevant interests effectively. Professional Advisers are appointed in a personal capacity for a 2 year term of office to provide expert advice. Status The Operational Support Group is now established and is meeting every quarter. Reporting and escalation of issues to: The Co-ordinating Network Board, with governance oversight by the Co-ordinating Network Chair. Regular updates in the form of a newsletter will also be provided to all participants in the Network from NHS Boards, Police Scotland, Crown Office, Social Work Departments and Scottish Government (Health and Social Care and Justice Directorates). 10

3.3 Forensic Medical Services Groups Specialist Paediatric Forensic Service Delivery subgroup Remit The Specialist Paediatric Forensic Service Delivery Group will cover severe complex abuse. The remit of the subgroup is to: Provide strategic support to local NHS / Police partnerships to deliver joint specialist paediatric forensic services for children (up to the age of 16, or those under 18 who have additional needs or who do not have capacity) who may have been sexually abused or have suffered complex abuse, in line with NHS Quality Strategy. Work with the three Regional Managed Clinical Networks (which deliver services for child sexual abuse) to develop a standard Scottish wide service specification for child sexual abuse (CSA) and complex physical abuse in order to support the delivery of NHS/ Police Partnerships.This specification should outline best practice, documenting standard protocols for processing referrals, equipment requirements, process for investigations and minimum training and education requirements for Paediatricians and Forensic Physicians Support the implementation of the recommendations of Forensic Paediatrics A Scottish Government report by the Short Life Working Party 2013 as well as any other relevant publications. Support the NHS across Scotland to develop new models for the provision of trained clinicians; Paediatricians and Forensic Physicians, with the relevant qualifications, knowledge and experience, in agreement with COPFS and Police Scotland Consider developing a national quality improvement programmes for specialist paediatric forensic services Develop specialist paediatric forensic services in line with the Children and Young People Act using multi-agency care planning around Getting It Right for Every Child (GIRFEC) Principles Outputs Quality Indicators Update to National Guidance Meeting Cycle The Specialist Paediatric Forensic Service Delivery Group will meet every 3 months. Membership As at June 2014: Role on Specialist Paediatric Forensic Service Delivery subgroup Chair of Specialist Paediatric Forensic Service Delivery subgroup Police Scotland Crown Office Procurator Fiscal Name Dr Kate McKay Detective Superintendent Alan Crawford Mr Paul Beaton Title and who representing Senior Medical Officer and Clinical Lead for Children, Scottish Government Health and Social Care Directorates Crime Specialists in Child Sexual Abuse / Child Protection, Police Scotland Senior Procurator Fiscal Depute, Policy Division, COPFS 11

NHS Boards Regional Collaboratives Ms Ruth Henry Mrs Sally Patrick TBC Mrs Jan Mcclean Mr Mark McEwan Manager, Archway, NHS Greater Glasgow & Clyde Head of Service - Forensic Medical Service/Clinical Team Leader, North of Scotland Planning Group (NoSPG) Representing the West of Scotland Regional Healthcare Planner, representing South East Scotland Modernisation Executive Team, NHS Grampian Scottish Children's Reporter Administration (SCRA) Child and Maternal Health Division, Scottish Government Royal College of Paediatrics and Child Health Scotland Ms Shona Spence Ms Fiona McKinlay / Ms Kirsty Craig Professor Jacqui Mok National Network Support Team Network Programme Miss Hannah Cornish Manager Miss Laura McDonnell Network Support Locality Reporter Manager, Scottish Children's Reporter Administration Child and Maternal Health Policy, Scottish Government Chair of Royal College of Paediatrics and Child Health Scotland Subcommittee on Child Protection National Services Division, NHS National Services Scotland National Services Division, NHS National Services Scotland Role and responsibilities of members Each member of the Group has responsibility to: provide advice and guidance at meetings, and ad hoc as required through email, to assist the Group in achieving its remit and objectives. ensure that are mechanisms in place to cascade information back to the Group / NHS Board / Organisation which they are representing, as appropriate. Members may represent more than one group/discipline/location note actions allocated to them and complete within the agreed timeframe advise if they are unable to attend a meeting and where possible nominate an appropriate deputy Status The Specialist Paediatric Forensic Service Delivery subgroup is established. Reporting and escalation of issues to: The Co-ordinating Network Board through the Operational Support Group, with governance oversight by the Co-ordinating Network Chair. Professionals, clinicians, and managers providing direct healthcare and forensic services. 12

3.4 Forensic Medical Services Groups Specialist Adult Sexual Assault Forensic Service Delivery subgroup Remit The remit of the Specialist Adult Sexual Assault Forensic service delivery subgroup is to: support local partnerships in delivering adult sexual assault forensic services for the population of Scotland assist local and regional partnerships with the development of service delivery pathways plan implementation of minimum standards taking account of adult protection review the model of delivery of service Provide advice and recommendations for improvements in service delivery in line with the principal of continuous improvement Meeting Cycle The Specialist Adult Sexual Assault Forensic Service Delivery sub group will meet every 3 months. Membership As at December 2013: Role on Specialist Adult Forensic Service Delivery Subgroup Chair NHS Boards Name Detective Superintendent Pauline McCallum Mrs Jessica Davidson Mrs Elizabeth Gallagher Dr George Fernie Dr David Wearden Dr Robin Jamieson Mr Colin MacDonald Ms Karan Simson Dr Richard Milburn Dr Deb Wardle Title and who representing Detective Superintendent, National Rape Task Force/National Human Trafficking Unit, Police Scotland Clinical Forensic Nurse Forensic Medical Examiner Service, NHS Lothian Nursing & Operations Manager NHS Lothian Forensic Services (REAS) Network Professional Adviser / Forensic Physician, NHS Lothian Clinical Lead for Forensic Medicine for NHS Grampian & NHS Highland Lead Forensic Physician, NHS Ayrshire & Arran Service Manager, Police Custody Health Care, NHS Greater Glasgow & Clyde Nurse Team Leader, NHS Greater Glasgow & Clyde Clinical Lead for Forensic Medicine, NHS Greater Glasgow & Clyde Lead Consultant in GU Medicine & Sexual Health, Archway, Glasgow 13

Third Sector Scottish Police Authority NHS Health Scotland Crown Office Procurator Fiscal Ms Ruth Henry Ms Rhoda Macleod Mrs Sally Patrick Ms Sandy Brindley Ms Nicola Clayson Ms Jane Officer Ms Katie Cosgrove Mrs Lorraine Florence National Network Support Team Network Programme Miss Hannah Cornish Manager Miss Laura McDonnell Network Support Manager, Archway, Glasgow Sexual Health Service Manager, Archway, Glasgow Head of Service - Forensic Medical Service/Clinical Team Leader, North of Scotland Planning Group (NoSPG) Helpline Manager & National Coordinator, Rape Crisis Scotland Lead Forensic Scientist, SPA Forensic Services Lead Scientist (Toxicology & Drugs), SPA Forensic Services Programme Manager, Gender based violence, NHS Health Scotland Senior Procurator Fiscal Depute, Policy Division, Crown Office & Procurator Fiscal Service National Services Division, NHS National Services Scotland National Services Division, NHS National Services Scotland Role and responsibilities of members Status Nominations for the Specialist Adult Sexual Assault Forensic Service Delivery sub group have been sought and the meeting cycle is in the process of being established. Reporting and escalation of issues to: The Co-ordinating Network Board through the Operational Support Group, with governance oversight by the Co-ordinating Network Chair. Professionals, clinicians, and managers providing direct healthcare and forensic services. 14

3.5 Forensic Medical Services - Specialist Forensic Other - Service Delivery subgroup Remit The remit of the subgroup is to: support local partnerships in ensuring comprehensive forensic services for provided to in relation to road traffic, fitness assessments, organised crime, terrorism etc.. support local partnerships in implementing best practice and national standards for these forensic services provide advice and recommendations for improvements in service delivery in line with the principal of continuous improvement Meeting Cycle The Specialist Forensic Other - Service Delivery subgroup will meet every quarter. Membership Role on Specialist Forensic Other Service Delivery subgroup Chair NHS Boards Police Scotland Name Detective Superintendent Shaun McKillop Dr Hilary Ansell Ms Sally Patrick Dr Robin Jamieson Mr Colin MacDonald Ms Karan Simson Mr Grant Scott Mrs Jessica Davidson Detective Sergeant Garry Millar Chief Inspector Fraser Candlish Mr Elliot McKenzie Title and who representing Detective Superintendent, Police Scotland Clinical Lead, Forensic Physician, South East Collaborative Head of Service - Forensic Medical Service/Clinical Team Leader, North of Scotland Planning Group (NoSPG) Lead Forensic Physician, NHS Ayrshire & Arran representing the West of Scotland Collaborative Service Manager, Police Custody Health Care, NHS Greater Glasgow & Clyde Nurse Team Leader, NHS Greater Glasgow & Clyde Professional Nurse Advisor for Prison & Police Custody Healthcare, NHS Greater Glasgow & Clyde Senior Clinical Forensic Charge Nurse, Forensic Medical Examiner Service, NHS Lothian Representing Specialist Crime Division - Major Investigation Team (death/homicide investigations) Representing Operational Support Division/Roads Policing Representing Counter Terrorism 15

Ms Judi Cairns Representing Organised Crime Detective Inspector Forensic Improvement Project Steven Cartwright Crown Office Procurator tbc Fiscal Scottish Police Authority Ms Nicola Clayson Lead Scientist, Sexual Offences, SPA Forensic Services National Network Support Team Network Programme Miss Hannah Cornish Manager Network Support Miss Laura McDonnell National Services Division, NSS National Services Division, NHS National Services Scotland Status The Specialist Forensic Other Service Delivery subgroup is established. Reporting and escalation of issues to: The Co-ordinating Network Board through the Operational Support Group, with governance oversight by the Co-ordinating Network Chair. Professionals, clinicians, and managers providing direct healthcare and forensic services. 16

3.6 Healthcare Delivery - Mental Health Short Life Working Group Remit The Group will look at the following areas: Exploration of evidence/epidemiology Mental Health and use of police custody as Places of Safety Understanding existing service models Make recommendations for service provision, including: o pathways prior to custody o clinical care in custody o throughcare provision Contribute to quality indicators and outcome measures Explore definitions and clinical care requirements with regards to fitness terminology Meeting Cycle The Mental Health SLWG will meet 4 times between March 2015 - December 2015. Membership As at March 2015: Role on Mental Health Name Title and who representing SLWG Chair Dr Gordon Skilling Consultant Forensic Psychiatrist, The State Hospital Board for Scotland Mrs Jessica Davidson Senior Clinical Forensic Charge Nurse, Forensic Medical Examiner Service, NHS Lothian Ms Elizabeth Gallagher Nursing & Operations Manager, NHS Lothian Forensic Services NHS Boards Mr Barry Muirhead Senior Clinical Forensic Charge Nurse, Forensic Medical Examiner Service, NHS Lothian Dr Craig Sayers Forensic Physician / Clinical Lead Prison Service, NHS Forth Valley Dr Dawn Carson Consultant Psychiatrist, Adult Mental Health & Forensic Services, NHS Ayrshire & Arran Mr Colin MacDonald Service Manager Police Custody Health Care, NHS Greater Glasgow & Clyde Mr Grant Scott Professional Nurse Advisor for Prison & Police Custody Healthcare, NHS Greater Glasgow & Clyde Ms Karan Simson Team Leader, NHS Greater Glasgow & Clyde Dr Gemma Fleming Mr Brian Keil Ms Susie Redmond Speciality Registrar, Forensic Psychiatry, NHS Grampian Clinical Area Manager, NHS Highland Forensic Mental Health Officer, NHS Highland Mrs Sally Patrick Head of Service - Forensic Medical Service/Clinical Team Leader, North of Scotland Planning Group (NoSPG) Mental Health Services Ms Kathleen Stewart Nurse Consultant / Nurse Manager IHTT & MHAS, NHS Lothian Psychiatry Services Dr Jacque Drummond Speciality Registrar in Forensic Psychiatry, NHS Grampian 17

Public Health/ Information Services Division (ISD) Police Scotland Crown Office & Procurator Fiscal Service (COPFS) Scottish Government Dr Kirsty Licence CI Rosie Wright Supt Arlene Smith Inspector Graham Milne Mr Paul Beaton Mr Niall Kearney Mr Ian Kernohan Consultant in Public Health Medicine, ISD, NHS National Services Scotland (NSS) Chief Inspector, Community Triage, Police Scotland Superintendent, Police Custody Division, Police Scotland North Region Healthcare, Police Scotland Senior Procurator Fiscal Depute, Policy Division, COPFS Head of Mental Health Improvement Unit, Scottish Government Safer Communities Justice, Scottish Government Prisoner Healthcare Network Mr John Porter Nursing Services Manager, Scottish Prisoner Healthcare Network (SPHN) Breathing Space Mr Tony McLaren National Co-ordinator, NHS 24 Mental Welfare Commission for Scotland Ms Susan Tait Nursing Officer, Mental Welfare Commission for Scotland Social Work Mr Tim Parkinson Professional Officer, Scottish Association of Social Workers National Network Support Team Network Programme Manager Miss Hannah Cornish National Services Division, NHS National Services Scotland Network Support Miss Laura McDonnell National Services Division, NSS Role and responsibilities of members Status Currently in place. Reporting and escalation of issues to: Report to Operational Support Group 18

3.7 Healthcare Delivery - Substance Misuse Remit The Group will look at the following areas in order to build on the National Guidance: Understanding existing service models Make recommendations for service provision, including: o pathways prior to custody o clinical care in custody o throughcare provision Contribute to quality indicators and outcome measures Meeting Cycle Membership As at February 2015: Role on Substance Misuse Name Title and who representing SLWG Chair Dr Duncan Stewart Consultation Addictions Psychiatrist, NHS Lothian Psychology Services Ms Claire Ogilvie Clinical Psychologist, Addictions, NHS Forth Valley NHS Boards Mr Colin MacDonald Dr Richard Milburn Mr Grant Scott Ms Karan Simson Service Manager Police Custody Health Care, NHS Greater Glasgow & Clyde Forensic Physician, NHS Greater Glasgow & Clyde Professional Nurse Advisor for Prison & Police Custody Healthcare, NHS Greater Glasgow & Clyde Team Leader, NHS Greater Glasgow & Clyde Mr Barry Muirhead Senior Clinical Forensic Charge Nurse, Forensic Medical Examiner Service, NHS Lothian Mr Sandy Kelman Team Leader, Aberdeen City Alcohol & Drugs Partnership, NHS Grampian Mrs Sally Patrick Head of Service - Forensic Medical Service/Clinical Team Leader, North of Scotland Planning Group (NoSPG) Pharmacist Representative Ms Liz Hutchings Specialist Pharmacist in Substance Misuse, NHS Fife / Scottish Specialist Pharmacists in Substance Misuse Group NHS Health Scotland Mr Phil Eaglesham Healthcare Improvement Programme Manager, Health Scotland Police Scotland Supt Arlene Smith Superintendent, Police Custody Division, Police Scotland Detective Inspector Steven Cartwright South East Region Custody Healthcare, Police Scotland Inspector Sandra West Region Custody Healthcare, Police Scotland Stewart Inspector Graham North Region Custody Healthcare, Police Scotland Milne Public Health Specialist Dr Lesley Graham Public Health Lead for Drugs, Alcohol and Offender Health, Information Services Division, National Services Scotland 19

Scottish Government Ms Kirsty MacDonald [will contribute as and when required] National Alcohol Brief Interventions Programme Lead, Alcohol Team, Scottish Government Ms Hilary Scott Team Leader, ADP National Support & Drug & Alcohol Treatment Waiting Times, Drugs Policy Unit, Scottish Government Scottish Ambulance Service Ms Susan Wynne Strategy Implementation & Quality Improvement Manager, Scottish Ambulance Service National Network Support Team Network Programme Manager Miss Hannah Cornish National Services Division, NHS National Services Scotland Network Support Miss Laura McDonnell National Services Division, NSS Role and responsibilities of members Status Currently up and running Reporting and escalation of issues to: 20

3.8 Cross Cutting Workstreams Quality Improvement and Outcome Sub Group Remit The remit of the Quality and Outcome Information Sub Group is to: Develop Quality Indicators and logic model for healthcare as part of a Quality and Outcome Framework for safe and effective healthcare and forensic services for people in police care Make recommendations on reporting and implementation of the Framework Meeting Cycle The group will meet as required Membership As at April 2014: Role on Quality and Name Title and who representing Performance Information Sub Group Chair Dr Lesley Graham Public Health Lead for Drugs, Alcohol and Offender Health, Information Services Division, National Services Scotland Mrs Sally Patrick Head of Service - Forensic Medical Service/Clinical Team Leader, North of Scotland Planning Group (NoSPG) NHS Board Mrs Jessica Davidson Mr Barry Muirhead Mr David Harley Senior Clinical Forensic Charge Nurse, Forensic Medical Examiner Service, NHS Lothian Senior Clinical Forensic Charge Nurse, Forensic Medical Examiner Service, NHS Lothian Planning & Performance Manager, NHS Greater Glasgow and Clyde Mr Neil Mellon Primary Care Manager, NHS Ayrshire & Arran Police Scotland Inspector Graham Milne North Region Healthcare, Police Scotland Data and Information Adviser Quality improvement /indicator expertise Logic Modelling expertise (as required) IT Adviser Ms Fiona Webster Dr Alex Stirling Dr Helen Alexander Mr Jonathan Cameron Principal Information Development Manager, ISD, National data sets and reporting Consultant in Public Health Medicine, NHS National Services Scotland MCN Manager, NHS Lanarkshire Head of Projects and Programmes NSS Information Technology IT / Telehealth Sub Group, link with Adastra National Network Support Team Network Programme Miss Hannah Cornish NHS National Services Scotland Manager Network Support Miss Laura McDonnell NHS National Services Scotland Role and responsibilities of members To provide input on behalf of the organisations represented. 21

Reporting and escalation of issues to: The Co-ordinating Network Board through the Operational Support Group, with governance oversight by the Co-ordinating Network Chair. NHS Boards and Police Scotland. 22

3.9 Cross Cutting Workstreams Education, Training and Development Subgroup Remit The remit of the Education, Training and Development Subgroup is to: Provide strategic direction on training and development in forensic medicine and service delivery/development/ introduction training in different areas of the work. Facilitate a co-ordinated approach to training delivery, advise on the development /commission training sessions to allow practitioners to have an understanding of forensic medical services and the delivery of healthcare in custody suites to achieve the competency required. Promote the arrangements for training development and to help guide thinking on competencies. In delivering its outputs the group, through NES, will make training resources available through the Knowledge Network for access by all involved in the delivery of service to people in the care of Police. Meeting Cycle The Education, Training and Development Subgroup meets every 3 months. Membership Role on Training, Name Title and who representing Development Subgroup Chair Professor Anthea Lints NHS Education for Scotland General NHS Board Organisational Development and Training School of Forensic Mental Health Ms Isla Hyslop Professor Lindsay Thomson Dr George Fernie Dr Louise Scott Dr Deb Wardle Mr David Wearden 23 Practitioner Director Southeast Head of Organisational Development for Partnership for Greater Glasgow and Clyde representing NHS Board Organisational Development and Training Director of the School of Forensic Mental Health Network Professional Adviser / Forensic Physician, NHS Lothian Network Professional Adviser / Forensic Physician, NHS Western Isles Lead Consultant in GU Medicine & Sexual Health, Archway, Glasgow Clinical Lead for Forensic Medicine for NHS Grampian & NHS Highland Clinical input Dr David Sadler Forensic Pathologist, NHS Tayside Head of Service - Forensic Medical Ms Sally Patrick Service/Clinical Team Leader, North of Scotland Planning Group (NoSPG) Senior Clinical Forensic Charge Nurse Mrs Jessica Davidson Forensic Medical Examiner Service, NHS Lothian Ms Helen Walker Consultant Nurse, Forensic Mental Health Network and Senior Lecturer, WoS University Crown Office Procurator Fiscal Procurator Fiscal Depute, Policy Division, TBC Crown Office & Procurator Fiscal Service Scottish Police Authority Ms Nicola Clayson Lead Scientist, Sexual Offences, SPA Police Scotland Detective Inspector Steven Cartwright South East Custody Healthcare, Police Scotland

National Network Support Team Network Programme Manager Miss Hannah Cornish Network Support Miss Laura McDonnell National Services Division, NHS National Services Scotland National Services Division, NHS National Services Scotland Role and responsibilities of members To contribute from different professional standpoints to the development of training and development support for staff delivering healthcare and forensic services for people in police care. Status The Training and Development Subgroup was established as a short life group under the National Implementation Group for healthcare in police custody and met as required. A revised group has been established and integrated within the Network. Reporting and escalation of issues to: The Co-ordinating Network Board through the Operational Support Group, with governance oversight by the Co-ordinating Network Chair. NHS Boards and Police Scotland. 24

3.10 Cross Cutting Workstreams Medicines Management Subgroup Remit The remit of the Medicines Management Subgroup is to: advise the Network on matters relating to medicines management develop national guidance to be available for use by Boards and Police Scotland as required. This guidance will include standard operating procedures, support information, protocols, etc. The guidance is available for use and is not mandatory, recognising the need for local variation. provide a coordinated approach to medicines management within custody suites to ensure safe and timely access to medicines. advise on the use of a formulary and stock system. Meeting Cycle The Medicines Management Subgroup meets every 6 weeks. Membership As at October 2013: Role on Medicines Name Title and who representing Management Subgroup Chair Ms Alison Wilson Director of Pharmacy, NHS Borders Mr Allan Thomas Dr Robin Jamieson NHS Ayrshire & Arran Mr Mike Pratt NHS Dumfries & Galloway Ms Liz Hutchings NHS Fife Ms Vicky Hough NHS Forth Valley Ms Elaine Neil NHS Grampian Mr Jeff Roberts Mr Grant Scott NHS Greater Glasgow & Clyde Ms Karan Simson NHS Boards Ms Fiona Thomson NHS Highland Mr Thomas Ross Dr David Wearden Mr George Lindsay NHS Lanarkshire Dr Robin Jamieson Mrs Jessica Davidson NHS Lothian Ms Joan Kelly Ms Sylvia Robertson NHS Orkney Ms Mary McFarlane NHS Shetland Mr David Gill NHS Tayside TBC NHS Western Isles Prisoner Healthcare Network Mr Tom Byrne Healthcare Improvement Scotland Adastra User Group Mrs Sally Patrick Head of Service - Forensic Medical Service/Clinical Team Leader, North of Scotland Planning Group / Chair of the Adastra User Group Inspector Sandra Stewart West Custody Healthcare Police Scotland Detective Inspector Steven South East Custody Healthcare Cartwright Superintendent Arlene Smith Custody Division, Police Scotland Network Support Team Network Programme Miss Hannah Cornish NHS National Services Scotland Manager Network Support Miss Laura McDonnell NHS National Services Scotland 25

Role and responsibilities of members Members support the group by providing advice and expertise to allow the guidance to be supportive to Boards. Members will act as a link to their organisations and other groups on which they may sit. Status The Medicines Management Subgroup was established as a short life group under the National Implementation Group for healthcare in police custody and meets every 6 weeks. It is now integrated within the Network. Reporting and escalation of issues to: The Co-ordinating Network Board through the Operational Support Group, with governance oversight by the Co-ordinating Network Chair. NHS Boards and Police Scotland. 26

3.11 Cross Cutting Workstreams Adastra IT Users Group Remit To ensure that the healthcare and forensic medical system for people in police care (Adastra) is maintained and further developed to support the needs of the users. To do this, the group has responsibility for three key areas: A. Change requests The Group will: Assess and evaluate change requests Approve Change Request prioritisation, seeking advice and further information from relevant user groups where necessary Consider the issues and risk associated with change requests Approve change request classification Assess and evaluate change requests and consider their impact on all aspects of the system and programme Provide the relevant oversight group (tbc) with recommendations and prioritisation of change requests where there is a cost associated with the change Provide a recommendation regarding the priority of the change request in order to influence and guide the relevant oversight group (tbc) where there is a cost associated with the change Submit change request matrix to the relevant oversight group (tbc) for the changes that required funding. B. Monitor performance of the Adastra system Ensure that significant incidents or system errors are reported and discussed, sharing lessons learned across local programmes. Report issues Collate and evaluate risks and issues to the system and their impact upon the programme. C. Develop an Adatra User Manual Develop a User Handbook for the use of Adastra with the objective of ensuring consistent use in case question sets across Scotland. This will facilitate the development of national reports Specific roles and responsibilities: NSS IT solutions Stewardship: Ensure issues raised by the User Group are followed by with Advanced Health and Care Monitor the performance of Adastra (AHC) in line with the agreed contract Raise issues with performance of Adastra (AHC) through existing governance channels Network Support Team: In partnership with the Chair and NSS IT Solutions Stewardship develop agendas and action notes of the meetings Escalate issues to the Network Operational Support Group and Network Board as required Membership & Meetings The User Group membership will reflect all relevant stakeholders. 27

Role on User Group Title and who representing Chair West of Scotland NHS Board NHS Ayrshire and Arran NHS Dumfries and Galloway NHS Greater Glasgow and Clyde South East Collaborative Ms Sally Patrick NHS Tayside Head of Service - Forensic Medical Service/Clinical Team Leader, North of Scotland Planning Group (NoSPG) Alison Chandler Derek Gemmell Moira Cossar North of Scotland NHS Boards NHS Grampian NHS Highland NHS Orkney NHS Shetland NHS Western Isles Police Scotland Advanced Health and Care Ms Louise McTaggart, Contractor Service Manager Gillian Murphy Colin Macdonald Karan Simson Helen Granton Grant Scott Neil McNeil Douglas Henderson Jim McLaughlin Shirley Muir Margaret McCaul Robin Cupples Barry Muirhead, Senior Clinical Forensic Charge Nurse Elizabeth Gallagher, Nursing and Operations Manager [for information] Elizabeth Hutchings [for information] Joan Kelly [for information] Lorna Thomson [for information] Alison Wilson, Director of Pharmacy, NHS Borders Mark McEwan Elaine Neil Frances Robb Scott Sim Laura Sutherland Lorna Watt Jane MacPhee Stephen Morrow Fiona Thomson Ian Blair Tom Gilmour Andrew Carlyle Craig Chapman Christopher Nicolson Sandy Rowe Fiona Stewart David Gill Louise Scott, Forensic Physician / GP Graham Milne, Inspector Sandra Stewart, Inspector Hayley Merrals Ralph Steele Steve Bates Steve Griffiths Lesley Thorpe 28

NSS IT Solutions Stewardship Network Support Donna Hall Hannah Cornish, Programme Manager Laura McDonnell Programme Support Officer 29

3.12 Cross Cutting Workstreams DRAFT Telehealth Short Life Working Group Remit & responsibilities of the group To scope the feasibility of developing telehealth services for the delivery of healthcare and forensic medical services across Scotland. The group should look at links between healthcare professionals only. Police Scotland staff, whilst a key partners to support and enable healthcare delivery, should not be involved in the delivery of healthcare. To do this, the group should consider the following questions: 1. Is there a potential need to use telehealth to support the delivery of police custody healthcare across Scotland? 1.1 If so what sites are the priority? 1.2 What would this look like in practice? Eg Nurses and Drs with expertise in healthcare in police custody linking in to other less experienced healthcare professionals in custody suites? From other Boards or other sites within a Board? 2. Is there a potential need to use telehealth to support the delivery of forensic medical services across Scotland? 2.2. If so what areas of forensic medical services would be appropriate? 2.3. What sites are the priority? 2.4. What would this look like in practice? Eg Nurses and Drs with expertise in forensic medical services linking in to other less experienced healthcare professionals in custody suites? From other Boards or other sites within a Board? 3. If yes, to 1 or 2, what staffing is required to support this? 4. If yes to 1 or 2, what equipment is required to support this? E.g.: IT infrastructure, video conferencing equipment, Adastra access 5. If yes to 1 or 2, what resources are required to support this? E.g.: training guides, protocols for administration of medications etc..? 6. If yes to 1 or 2, what governance arrangements need to be put in place? E.g: Need to consider which healthcare professional / Board has overall responsibility for the patient. Membership The User Group membership will reflect all relevant stakeholders. The following people have expressed an interest in being part of the Group Membership Title and Representing Chair Tbc Tele-health v/c expertise John Potts Senior Telecommunications Consultant NSS contacted. South East Scotland Barry Muirhead Senior Charge Nurse, Forensic Medical Service, NHS Lothian North of Scotland Jane Macphee Senior Charge Nurse, Custodial and Forensic Services, NHS Highland 30

Sally Patrick West of Scotland Moira Cossar Bruce Henderson Grant Scott Karan Simpson Stephen Whiston Police Scotland Graham Milne Network Support Team Network Programme Manager Network Programme Support Head of Service - Forensic Medical Service/Clinical Team Leader, North of Scotland Planning Group (NoSPG) Service Manager, Specialist Drug & Alcohol Service, Prison & Police Custody Healthcare Forensic Physician, NHS Ayrshire and Arran Professional Nurse Advisor for Prison & Police Custody Healthcare, NHS Greater Glasgow & Clyde Team Leader, NHS Greater Glasgow & Clyde Head of Strategic Planning and Performance Argyll and Bute HSCP Inspector, Police Scotland Hannah Cornish, NHS National Services Scotland Laura McDonnell, NHS National Services Scotland Outputs The output of the group will be a report which: Assesses the feasibility on the use telehealth for the delivery of healthcare and forensic medical services for people in police care A specification / resource which sets out the areas required for service delivery based on the answers to questions outlined above Meeting frequency It is anticipated the Group will meet three times at the beginning of 2016 with a view to reporting in Spring 2016. 31

3.13 Role of Forensic Nurses Short Life Working Group Remit & responsibilities of the group Support NHS Boards in meeting COPFS requirements for the role of nurses within the forensic medical service. To do this the group should: agree a national approach to the definition of suitably trained and qualified nurse discuss if there are national proformas which could support forensic nurses with service delivery, and develop if required develop a national proforma to align with the data set requested by COPFS agree a consistent approach to the collation of information requested from NHS Boards Membership Membership Chair South East Scotland Barry Muirhead Colin Baptie Jessica Davidson Hilary Ansell Elizabeth Gallagher North of Scotland Jane Macphee Sally Patrick Jillian Galloway Sandie Rowe West of Scotland Alison Chandler Ann Gow Ruth Henry Colin MacDonald Rhoda McLeod Ruth McMurdo Iain MacKenzie Grant Scott Karan Simson Gaynor Steele Police Scotland Steven Cartwright Title and Representing Dr George Fernie, Network Professional Adviser / Forensic Physician, NHS Lothian Senior Charge Nurse, Forensic Medical Service, NHS Lothian Senior Charge Nurse, NHS Lothian Clinical Forensic Nurse, Forensic Medical Examiner Service, NHS Lothian Professional Lead, FME Service Nursing & Operations Manager, NHS Lothian Forensic Services/FME REAS Senior Clinical Forensic Charge Nurse, NHS Lothian Senior Charge Nurse, Custodial and Forensic Services, NHS Highland Head of Service - Forensic Medical Service/Clinical Team Leader, North of Scotland Planning Group (NoSPG) Clinical Services Manager, NHS Tayside Team Leader, NHS Tayside Primary Care Manager, Offender Services, NHS Ayrshire & Arran Associate Nurse Director, NHS Ayrshire and Arran Manager, Archway, NHS Greater Glasgow & Clyde Service Manager, NHS Greater Glasgow & Clyde Sexual Health Manager, Sandyford Clinic, NHS Greater Glasgow & Clyde Clinical Operations Manager for Prison & Police Custody Healthcare, NHS Ayrshire & Arran Service Manager, NHS Lanarkshire Professional Nurse Advisor for Prison & Police Custody Healthcare, NHS Greater Glasgow & Clyde Team Leader, NHS Greater Glasgow & Clyde Lead Nurse Archway, NHS Greater Glasgow & Clyde Detective Inspector, Police Scotland 32