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Chamber and committees

Health and Sport Committee

Meeting date: Tuesday, June 12, 2012


Contents


Subordinate Legislation


Mental Health (Safety and Security) (Scotland) Amendment Regulations 2012 [Draft]

The Convener

The next item of business concerns consideration of an affirmative instrument. The Subordinate Legislation Committee has raised no issues on the regulations.

I welcome the Minister for Public Health, Michael Matheson, to the meeting. He is accompanied by Simon Cuthbert-Kerr, the head of the Scottish Government’s mental health legislation and adult protection policy team. I invite the minister to make a brief opening statement.

The Minister for Public Health (Michael Matheson)

The regulations amend regulation 2(2)(a) of the Mental Health (Safety and Security) (Scotland) Regulations 2005. The purpose of that is to include the new medium secure service at the Rohallion clinic in Perth in the list of hospitals where the 2005 regulations apply. That will bring Rohallion into line with the other medium secure units in Scotland. Rohallion is due to open in August.

The effect of the amendment is to include patients in the medium secure service of the Rohallion clinic in the definition of “specified persons” in the 2005 regulations. Various actions may be taken in respect of specified persons as required, including searching them, taking samples of bodily fluids, restricting their possession of certain items, such as mobile phones, and restricting their visitors.

The medium secure service at the Rohallion clinic will be Scotland’s third medium secure unit, after the Orchard clinic in Edinburgh and the Rowanbank unit in Glasgow. The amendment will provide that all patients in the medium secure service at the Rohallion clinic may come within the restrictions that are set out in the Mental Health (Safety and Security) (Scotland) Regulations 2005.

I am happy to respond to any questions that members might have.

Dr Richard Simpson (Mid Scotland and Fife) (Lab)

Will this be the last medium secure unit development? I know that the programme has been to reduce the state hospital numbers by almost half over the past few years, with the substantial refurbishment of the state hospital, and that the clinics in Glasgow, Edinburgh and Perth have been created, in part, to absorb the effects of that shift to a lower level of security for people for whom that is appropriate. Have we got the balance right between the state hospital, the medium secure unit and locked units or light secure units—I cannot remember the modern term for them.

Low secure.

Low secure; thank you. Those have also been substantially redeveloped. Will this be the conclusion of the situation for the foreseeable future?

Michael Matheson

The move is part of the programme that was concerned with the flow of patients from the state hospital into medium secure units and low secure units, and then into a community setting. The planning for that is being taken forward on a regional basis, given that a relatively small number of beds are required—the new Rohallion medium secure unit will have 32 beds. We need an approach that is sustainable in geographical terms.

We have been looking at the flow of patients and we are content that it is adequate, but we will keep the matter under review, to ensure that we strike the right balance in relation to the flow between high-security, medium secure and low secure facilities and the community. We will continue actively to monitor the situation. There are monitoring arrangements in various regions, which will flag up difficulties, so that we can consider what further measures might be necessary.

That is helpful. Are you aware of problems in relation to movement from the Scottish Prison Service into medium secure units? Are there barriers to movement, or is the system working effectively? That is a potential area of pressure.

I am not aware that particular problems are presented at the moment. Sometimes there will be moves into a high-security setting, of course.

There are now no high-security places for women in the state hospital. Have we had to transfer women to high-security facilities in England, or have medium secure units been sufficient?

Most of the women who require a secure setting are being dealt with in the medium secure setting in Scotland.

The Convener

If there are no more questions from members, we move to item 3, which is formal consideration of the motion. I ask the minister to move motion S4M-03154. If no member wants to debate the motion, we will move straight to the question.

Motion moved,

That the Health and Sport Committee recommends that the Mental Health (Safety and Security) (Scotland) Amendment Regulations 2012 [draft] be approved.—[Michael Matheson.]

Motion agreed to.

Thank you for coming, minister.