Section two Focus on detention issues into Destitution, Asylum and Insecure Immigration Status in Scotland. CI took up a position on the Secure Care Strategic Board, which was formed with the aim of delivering better experiences and outcomes for Scotland’s most vulnerable young people. Under the auspices of the Secure Care Strategic Board, CI began co-chairing a group to develop a pathway for young people. This is aimed at improving their experiences and outcomes through a coherent set of expectations and standards across the continuum of intensive supports, ensuring that they are treated with respect and dignity and that their human rights are upheld. The CI also took up representation on the Programme Board for Health and Social Care in Prisons and will contribute to the work of this Board in developing defined outcomes and associated indicators for the health and well-being of people in prison, the transition of their care in and out of prison and developing models for health and social care integration in prisons. • During the year, the CQC continued to engage with the independent review of the MHA, working with the review’s advisory panel and working group. It also carried out a collaborative evaluation of the implementation of the MHA Code of Practice with patients, providers and experts, to help identify practical solutions to improve areas of practice. The evaluation focused on which service and professional factors can have an immediate impact on the experiences and outcomes for people affected by the Act. • In March 2018, the CCE chaired a roundtable at 10 Downing Street which brought together Dr Phillip Lee, the then Parliamentary Under Secretary of State for Youth Justice, Victims, Female Offenders and Offender Health, prison governors, local government and voluntary organisations to identify the policy and operational challenges and solutions to improving outcomes for children and young people in custody. • HMICFRS and HMI Prisons made joint submissions in relation to the Home Office Statutory consultation on the revision of PACE codes C, H, E and F and to the National Appropriate Adult Network’s review of its National Standards. HMICFRS also continued to regularly present its inspection findings to the Home Office PACE Strategy Board. • HMI Prisons responded to a number of consultations throughout the year, including: the Home Office’s revision of Detention Services Order ‘Care and management of transgender and intersex detainees’ and Detention Services Order ‘Surveillance Camera Systems’; the Advisory Board on Female Offenders in relation to the female offender strategy; the review of the Dying Well in Custody Charter by the National Health Service; the Advisory Council on the Misuse of Drugs consultation on the use of image and performance enhancing drugs; the London Assembly consultation on Women in the Criminal Justice System; the review of the Equality Monitoring Tool by Her Majesty’s Prison and Probation Service; the annual review by the Medway Local Safeguarding Children Board of safeguarding and the use of restraint at Cookham Wood Young Offender Institution and Medway Secure Training 25