National Preventive Mechanism Eleventh Annual Report 2019–20 MWCS completed two themed visits during 2019–20, including to older persons mental health wards. MWCS also conducted a series of visits to examine the ways in which restrictions on patients in mental health detention respected the rights of the individual detained. In October 2019, it also published a themed visit report on autism and complex care needs.195 The Northern Ireland Policing Board Independent Custody Visiting Scheme participated in the Public Health Agency’s review of the Custody Pathfinder Programme, which is a custody health care reform initiative, and has kept ICVs aware of changes to the police custody estate in Northern Ireland as it begins a new nurseled approach. In October 2019, MWCS published a good practice guide to the use of seclusion in mental health institutions, which was influenced by the NPM’s Isolation Guidance.196 MWCS’ good practice guide to restraint will be published in the next reporting year. In addition, MWCS visited services supporting people with an eating disorder, and the information from these visits is currently being collated for the forthcoming final report. NIPBICVS held a PACE refresher course for ICVs in September 2019. NIPBICVS also organised a volunteer recognition event in June 2019 to celebrate Volunteers’ Week. Throughout the year, NIPBICVS ran a recruitment campaign for new volunteers. Fourteen new ICVs were selected, although their induction has been postponed due to COVID-19. The MWCS had also completed all the preparatory work for a themed visit to all prisons in Scotland by the beginning of March 2020. Consultations and stakeholder meetings had been held and dates for all the visits were arranged with visits about to start when COVID-19 restrictions were introduced. These prison visits will now be rescheduled. Following extensive consultation with stakeholders, the Office for Standards in Education, Children’s Services and Skills (Ofsted) published a revised joint inspection framework for inspections of secure training centres in March 2019.197 The new inspection guidance was in use from 1 April 2019. Ofsted also published newly enhanced guidance for inspections of secure children's homes (SCHs) as part of the Social Care Common Inspection Framework.198 SCHs were previously inspected under the children’s homes guidance. The new SCH guidance aims to reflect the specialist nature of secure provision and came into use from April 2019. 195 MWCS, October 2019, Autism and complex care needs: Visiting and monitoring reports, https://www.mwcscot.org.uk/ sites/default/files/2019-10/ASD_ThemeVisitReport-20191030.pdf [accessed 27/08/2020] 196 MWCS, October 2019, Good practice guide; use of seclusion. https://www.mwcscot.org.uk/sites/default/files/2019-10/ Seclusion_GoodPracticeGuide_20191010.pdf [accessed 27/08/2020] 197 Ofsted, March 2019, Joint inspection framework: secure training centres, https://assets.publishing.service.gov.uk/ government/uploads/system/uploads/attachment_data/file/859706/Secure_training_centres__Ofsted_inspection_ framework.pdf [accessed 27/08/2020] 198 Ofsted, November 2019, Social care common inspection framework (SCCIF): children’s home, https://assets.publishing. service.gov.uk/media/5c9b837040f0b633fc95f7a9/SCCIF_children_s_homes.pdf [accessed 27/08/2020] 70

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