Person Centred Planning at Rampton High Secure Hospital As the NDT's lead consultant on forensic services, Joan Maughan reports on work undertaken at Rampton Hospital: It was quite a challenge to be asked to facilitate the development of Person Centred Planning for the learning disability service at Rampton Hospital. For many patients “the dream” was the easy bit ……………………… to get out of Rampton!! The nature of this enclosed institution, where security is such a high priority, is such that the first steps were to help the staff to ‘see’ people differently, as people first and not simply as “index offences”. Then to enable planning to support patients to begin a process through which they were more empowered and engaged with plans for their lives both inside Rampton and for a future beyond Rampton. Over the last two years development has included the delivery of Awareness and Facilitator training, problem solving through mentoring, the production of plans and training the trainers. The work was piloted within the men’s service but will progress to other areas. Key Components of Success:
	Two dedicated ‘champions’ of Person Centred Planning have emerged, Bev Beardsall and Linda Piercy. both now trainers in their own right. Their determination and commitment has ensured success.
	The commitment of senior managers to ensure funds were available to complete the training and to provide the trainers with dedicated time and resources to develop the work.
	The enthusiasm of patients to undertake person centre planning.
	The enthusiasm of staff to undertake training.
	It was decided early on that person-centred approaches should be enabled to influence the Care Programme Approach rather than usurp it.
	Recognising and dealing with issues of risk through the process.
The Results:
	Active plans that are regularly monitored and demonstrate real improvements/changes in people’s day to day lives, their healthcare, their activities and their behaviours.
	New learning for the service about people and their lives.
	Evidence of impact on creating flexibility within a high secure environment.
	Patients participating more effectively in Care Programme Approach meetings.
	Two patients actively sharing their plans at Awareness training workshops.
	A programme of training for facilitators.
	A dedicated office/resource space for person centred planning with access to IT equipment
	Inclusion of Person Centred Planning Awareness in Induction programmes for new staff.
	Person Centred Approaches underpinning planning for people who are moving on from Rampton.
	Support to patients to deal with difficult issues in their lives as the result of their index offence and/or separation from family.
	Poster display of work at the Third International Conference on Forensic Services for People with Learning Disabilities at the University of Central Lancashire.
	Interest from the women’s service and from Mental Health services.For more information on planning in high, medium and low secure services and for people with mental health problems contact:
A poster generated to support the person-centred planning initiative at Rampton Hospital