Professional Groups and Clinical Pathway Groups

The North London Forensic Collaborative operates staff Professional Groups and Clinical Pathway Groups that brings together clinicians, managers and specialists from its five partner NHS trusts, to improve forensic mental health services across North London

Professional Groups and Pathway Groups develop annual work plans to identify and implement quality improvements, lead innovative approaches to care, reduce variation and deliver better outcomes for service users.

A central part of their role is to problem solve as a system, by sharing best practice and learning from one another, which in turn, increases staff autonomy, supports team effectiveness and creates a sense of shared responsibility for addressing challenges at both a system and place level.

The groups include:

Professional Groups

  • Allied Health Professionals Group
  • Flow Programme Professional Group
  • Nursing Excellence and Provider Collaborative Quality Professional Group
  • Psychological Therapies Professional Group
  • Social Workers Professional Group

Clinical Pathway Groups

  • Learning Disability and Autism Clinical Pathway Group
  • Low Secure Clinical Pathway Group
  • Specialist Community Teams Clinical Pathway Group
  • Women's Clinical Pathway Group

Allied Health Professionals Group

The Allied Health Professionals Group brings together a multidisciplinary team of service leads from occupational therapy, speech and language therapy and arts therapies from each of the five North London Forensic Collaborative providers.

The group shares expertise and best practise to provide quality and effective care, alongside developing new initiatives based on the latest research and evidence-based practice, with particular focus on addressing inequalities in access for service users from diverse backgrounds. The Allied Health Professionalls Group also support the design and delivery of the Voluntary, Community, Faith and Social Enterprise grant programme.

The Allied Health Professionals Group will help to drive improvements in patient pathways and community transition to meet the needs of the North London population requiring forensic mental health care and treatment. Health Professionals include Therapists in art, drama, music, Chiropodists and Podiatrists, Dietitians, Occupational Therapists Arts, Physiotherapists, Speech and Language Therapists.

 

Flow Programme Professional Group

The Flow Programme Professional Group consists of a Flow Project Lead from each of the five providers of NLFC services, in addition to a Flow Clinical Lead who meet on a monthly basis to:

  • Share areas of good practice, success stories and lessons learnt
  • Support each other to help solve problems or challenges faced within the implementation of the Flow Programme
  • Provide teaching and learning sessions for each other, to supplement peer skill sets
  • Identify potential areas of cross-organisational working.
  • Identify training needs within each organisation that need to be supported through North London Forensic Collaborative
  • Develop Quality Improvement Skills

Learning Disability and Autism Clinical Pathway Group

The Learning Disability and Autism Pathway Group is a well-established forum of clinicians and managers who work collaboratively to develop services that are offered to people with a learning disability and autistic people, with an emphasis on equity of care.

The Learning Disability and Autism Pathway Group includes a sub-group whose work focuses on STOMP ‘Stopping Over Medication of People.’ STOMP a national initiative that aims to improve quality of life and ensure that people only receive psychotropic medication for the right reasons and in the right amount.

The STOMP project is helping to improve our understanding of psychotropic medicines and when they should be administered, whilst also ensuring that people with a learning disability and autistic people are involved in decisions about their health, wellbeing and treatment.

Low Secure Clinical Pathway Group

The Low Secure clinical Pathway Group provides a forum for forensic mental health staff to discuss the future development of male secure services. The group are undertaking a needs assessment within low secure service to ensure services are tailored to the needs of the North London population.

Nursing Excellence and Provider Collaborative Quality Professional Group

The Nursing Excellence and Provider Collaborative Professional Group provides a forum for Nursing leads across the five provider trusts to join up around a shared vision for quality and routinely shares learning, insights and intelligence into local quality matters.

The group identifies opportunities for improvement and concerns to quality, whilst developing local system responses to enable ongoing quality improvement for the local population and foster collaborative working. 

Psychological Therapies Professional Group

The Psychological Therapies Professionals Group includes psychologists from across NLFC who meet to share expertise, best practice and lessons learnt.

This group is commissioning a programme of clinical research to enhance the work of North London Forensic Collaborative. There are three research subgroups working alongside the forensic mental health services at North London NHS Foundation Trust, East London NHS Foundation Trust and West London NHS Trust.

The purpose of these teams is to support clinical research that has a beneficial impact on patient care, ensure the efficient running of our services and to help us to better understand and address inequality in North London Forensic Collaborative services.

The work of the subgroups intends to improve collaboration across all provider Trusts by conducting research that recruits across more than one provider and assist the strategic decision-making process within North London Forensic Collaborative. This exciting programme of research also enables our clinicians to initiate and develop their own research ideas.

Social Workers Professionals Group

The Social Workers Professionals Group includes Lead Social Workers from each of the five providers of NLFC services and social workers in the Commissioning Team who meet on a monthly basis to:

  • To share best practice and lessons learnt between providers and Commissioning Team social workers  

  • To explore new ways of working and deploying social work staff  

  • To advise other staff clinical pathway groups and professional groups  

  • To support with the development and implementation of Housing service development imporvement plans in partnership with the Commissioning Team and Local Authorities

  • To work with the flow leads  on CRFD, identifying blocks and supporting the escalation of systemic delays through to Integrated Care Boards and Local Authorities  

  • To develop an evidence base and case for change for systemic blocks across the system which prevent timely discharge ( e.g section 117 disputes)  

Specialist Community Teams Clinical Pathway Group

The Specialist Community Clinical Pathway Group brings together three NHS Trust providers that deliver specialist community forensic services and community learning disability forensic services across East London, including North London NHS Foundation Trust, East London NHS Foundation Trust and West London NHS Trust.

The Specialist Community Forensic Teams and have been working collaboratively to address the needs of the entire population, and consider issues arising when service users move between different clinical care teams such as sharing and agreeing staffing models to ensure consistency in the care and treatment services for patients in the community across North London; developing service user, carer and accommodation provider surveys to provide meaningful feedback on the quality and experience of care delivered by Specialist Community Forensic Teams; and agreeing a shared protocol on transfer and recall arrangements, which clearly sets out how the transition between different teams should be managed.  The team work in partnership with ward staff as patients are identified for discharge into the community, ensuring that their transition into community services is seamless and timely.

Women’s Clinical Pathway Group

The Women’s Clinical Pathway Group includes members from each of the three female service providers (North Londan NHS Foundation Trust, East London NHS Foundation Trust and West London NHS Trust). Members meet to develop and share strategic aims for addressing the mental health needs of women residing in North London.

As part of its responsibilities, the Women’s Clinical Pathway Group monitors female patients originating from North London that are placed outside of the North London Forensic collaborative footprint and discusses options for the transfer of patients, to enable specialist care to be delivered closer to home.

The year ahead includes undertaking a whole system needs assessment for each female patient in North London and work to develop improved specialist learning disability and autism provision for women in collaboration with the Learning Disability and Autism Clinical Pathway Group.

Workstreams

Alongside our Professional Groups and Clinical Pathway Groups, the North London Forensic Collaborative delivers a range of workstreams designed to improve patient outcomes, reduce inequalities and strengthen partnership working across the system

Improving Patient Flow Programme

The Improving Patient Flow Programme aims to reduce unnecessary delays across the forensic pathway and support patients to access the right treatment at the right time. 

Using quality improvement methodology, the programme focuses on:

  • Improving admission processes
  • Reducing delays in treatment pathways
  • Addressing barriers to discharge
  • Supporting timely transitions into community services

This work helps improve patient experience and maximise the effective use of specialist services.

 

Learning Events

The North London Forensic Collaborative encourages continuous professional learning and development of its workforce.

Staff Professional Groups and Pathway Groups hold periodic learnng events each year, both online and in-person, to share good practice, evidence-based research on delivering forensic mental health services, and innovative approaches for supporting the differing needs of its service users.

Service Users and Experts by Experience are actively supported to co-present their work and achievement at learning events.

Our learning events are highly successful with an attendance of over 450 multi-disciplinary staff during the previous year.

 

Non Custodial Liaison & Diversion Service and Men’s Mental Health Treatment Requirements

The Non-Custodial Liaison and Diversion service provides a specialist mental health assessment for people of all ages, genders and vulnerabilities (mental health and psychosocial concerns, neurodiverse conditions, substance misuse), designed to intervene at the earliest opportunity when a person comes into contact with the youth and criminal justice system. This typically begins at the point of police contact, where people are identified for any potential vulnerabilities. 

Men's Mental Health Treatment Requirements forms part of the Non-Custodial Liaison and Diversion service, recognising the links between mental health difficulties and many types of offending and risk​, to provide a pathway to further treatment and recovery.​Men's Mental Health Treatment Requirements usually include a range of psychological interventions such as psychoeducation, emotional skill development, cognitive behaviour therapy, and all interventions are trauma informed, co-produced and individualised.

This service aims to improve outcomes for service users while contributing to wider goals of health equity and public safety within the Criminal Justice System.

Patient Grants Programme

The Patient Grant Programme supports people who are preparing for discharge from inpatient adult secure services, or who have recently returned to the community.

The grants aim to help those who may need additional financial support to manage their transition, strenthen independence and support better community reintegration. 

Voluntary, Community, Faith, and Social Enterprise (VCFSE) Sector Small Grants Programme

The VCFSE Small Grants Programme provides funding for voluntary, community, faith and grassroots organisations across North London that support people accessing forensic mental health services. 

Organisations can apply for grants of up to £5,000 to deliver projects that help to:

  • Improve health and wellbeing
  • Promote recovery and social inclusion
  • Reduce inequalities
  • Strengthen community connections
  • Enhance quality of life

The programme helps build stronger partnerships between local communities and forensic mental health services, creating additional opportunities for people to thrive in their recovery journey

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