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Bretton Centre- low secure forensic service (Fieldhead)
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About the service
The Bretton Centre is a low secure inpatient service which provides care for 38 men in 3 wards, based at Fieldhead in Wakefield. The wards are supported by a therapy centre and community teams. This provides the low secure part of the secure pathway.
The Bretton Centre admits people whose care cannot be appropriately provided in prisons and local mental health services. The centre also cares for people who no longer need to be in more secure psychiatric services.
The function of the service and pathway is the assessment, treatment and rehabilitation of service
users with severe mental health problems who require management in low secure conditions as a
result of their risk to others.
All wards have a rehabilitative function and aim to develop service users’ maximum level of functioning to support their rehabilitation potential.
Why would someone choose the service?
- We are a patient-centred and recovery focused service that promotes social inclusion and involvement.
- The Bretton Centre is a modern building with a clean environment staffed with highly motivated and enthusiastic staff who are trained to meet the needs of the individual.
You can find more information about the Bretton Centre in this welcome guide, produced for new service users as they enter the centre.
We also have a newsletter for families and carers, you can read our latest newsletter here.
Staff you may meet
- Activity co-ordinators are responsible for implementing a range of therapeutic activities. Examples of activities provided include social, recreational, leisure, communication, sensory or educational sessions.
- Dietitians use the science of food to help people to make good choices about food and lifestyle. Nutrition is an important part of recovery and wellbeing. All service users admitted to a Trust ward have their nutritional state assessed.
- There are more than 60 different specialities that doctors work within the NHS. Each is unique but there are many characteristics which are common. Roles range from working in a hospital to being based in the community as a GP.
- Housekeepers help nurses run hospital wards. They are a member of a ward team and support the delivery of clinical care by ensuring the ward is a clean, safe and attractive place which is conducive to patient care.
- Nurses who choose to specialise in the mental health branch of nursing work with GPs, psychiatrists, psychologists, and others, to help care for patients. Increasingly, care is given in the community, with mental health nurses visiting patients and their families at home, in residential centres, in prisons or in specialist clinics or units.
- Nursing or healthcare assistants work in hospital or community settings under the guidance of a qualified healthcare professional. They help doctors, nurses and therapists give people the care and treatment they need.
- Occupational therapy is the assessment and treatment of physical and psychiatric conditions using specific, purposeful activity to prevent disability and promote independent function in all aspects of daily life.
- The NHS employs a wide range of clinical staff, it wouldn’t be possible to list them all on this website! All our clinical staff are skilled, dedicated professionals who adhere to high standards of training and work-place practice.
- Physiotherapists help people to improve their range of movement in order to promote health and well being. This can help people to live more independently.
- Porters work within the Trust facilities team moving and delivering post, equipment and medication to locations across the organisation. They also help to move frail and often very ill patients between different departments and wards in safety and comfort.
- Adult psychotherapists work with people to assess and treat a range of emotional, social or mental health issues. They help people tackle problems such as behavioural issues, common challenges such as anxiety and depression or more complex or severe issues, such as psychosis or a personality disorder diagnosis.
- Receptionists are the first link for many patients and visitors. They often work on their own or with one or two other receptionists, greeting patients as they arrive and check them in. They might also collect patient notes and ensure that these vital records go to the right healthcare professional. In a clinic, they may make appointments and arrange patient transport.
- Social workers help, support and protect people who are facing difficulties in their lives. They help people to take positive steps to overcome problems and improve their lives. This could involve assessing and reviewing a service user’s situation, building relationships with service users and their families and agreeing what practical support someone needs.
- We have a range of specialist advisors working in our Trust – they give advice on a wide range of different things, depending on what service they work in. So it could be, for example, mental health, stopping smoking, healthy eating or diabetes.
- We have a range of health workers who all have different specialities. This could be in a certain condition, a therapy or the advice they can give you. Our specialists our highly skilled and trained professionals, ready to offer you help and advice whenever you need it.
Why a professional should choose the service
- We are an outcome based and recovery focused service that continually meets the required benchmarks with regards to CQUIN indicators.
- The Bretton Centre performance indicators are described within the best practice guidance for low secure services and we are subject to annual peer to peer reviews from other low secure services.
- We are subject to specialist commissioning for specialised services and the wider forensic network and care pathway.
Support offered
- Group work
- Occupational therapy
- Exercises
- Education
- Family work
- Recreational activity
- Self-care
- Social skills
- Health screening
- Personal recovery
Outcomes
- Recovery
- Ability to self-care
- Discharged back into the community as soon as possible
- Improved engagement with community services
- Clarification of diagnosis
- Improved physical health
- Improved functional capacity (ability to carry out tasks)
- Relapse prevention
- Self-management skills
- Risk management
Referrals accepted from:
CMHTs, Consultants, Courts, Local authority staff, Other NHS services, Single Point of Access team
Referrals also accepted from:
Referrals also accepted from secondary psychiatric services, other secure psychiatric services and prison-based psychiatric services.
Referral criteria:
Eligibility:
- Residents from the Trust’s localities (Calderdale, Kirklees and Wakefield) currently serving prison sentences
- People returning to the Trust’s localities as part of statutory aftercare
- Previously homeless people serving sentences for offences committed in the Trust’s localities who are not subject to existing Care Programme Approach (CPA – a particular way of assessing, planning and reviewing someone’s mental health care needs) arrangements.
- Aged 18 and over (in the case of young people, they should no longer be in statutory full-time education).
- Known or suspected major mental disorder.
- History indicating active or potential risk of harm to others.
- Referrals should be registered with a GP in the Trust’s localities.
Urgent referrals:
- The service, referrer and regional forensic case manager will meet within 24 hours to determine the level of urgency and will respond within 24 hours of receipt of the referral.
- If the referral is deemed clinically urgent, an assessment will be completed within 72 hours and verbal feedback provided to the case manager.
- A formal written assessment report should follow within seven days.