31 Selected topics from 2018 To health trusts and local hospital departments Implementation of segregation ensure that segregation is not implemented in a way that constitutes isolation, and enable patients to have meaningful social interaction. ›› ››ensure that further restrictions and force during segregation only take place if there is a legal ­basis and it is strictly necessary and ­proportionate. ››implement special measures at the local level to avoid prolonged use of segregation. Preventing segregation implement measures in consultation with ­patients to prevent the use of segregation, ­including by developing alternatives to ­segregation. ›› Special requirements for staff ensure that staff who work in the segregation units meet high ethical awareness requirements relating to the use of force and that they are knowledgeable about how to prevent coercion. ›› The physical design of segregation premises implement measures to ensure that premises that are used for segregation are designed in a humane manner that avoids sensory deprivation. Restraint beds should not be placed in the segregation units. ›› Due process protection in connection with segregation take steps to ensure that decisions on ­segregation are justified by concrete and ­independent assessments by the person responsible for the decision. ›› ››Take steps to ensure that a treatment plan for segregation is always prepared, as far as ­possible in consultation with the patient. A ­treatment plan should contain therapeutic ­treatment, tailored activities, and daily ­opportunities for spending time outdoors, as well as a plan for the discontinuation of the segregation measure.