CAT/OP/GBR/CSPRO/1 psychiatric facility and abstain from using police cells and prisons as “safe environment”. In this connection, high priority should be given to increasing the number of beds in psychiatric hospitals.” England and Wales 117. Health and justice partners have committed to providing a standard of health care in prisons equivalent to that available in the community. The National Partnership Agreement on Prison Healthcare in England and its associated workplan set out a detailed programme of work to deliver safe, decent, effective healthcare for offenders. There is a similar agreement in place for the Children and Young People’s Secure Estate between health, justice and education partners, which enables a more fully integrated approach to the commissioning and delivery of services to ensure appropriate support is available when and where children and young people need it. 118. The Children and Young People Mental Health Transformation Programme included a specific work programme on Health and Justice. • SECURE STAIRS deliver a whole system approach to a Framework for Integrated Care within the children and young people secure estate. It uses a formulation-based approach and draws from evidence-based interventions like Trauma Systems Therapy, Enabling Environments and Psychologically Informed Environments. There is already positive evidence for SECURE STAIRS emerging from settings where it is fully mobilised; • Thirteen Community Forensic Children and Young People Mental Health services (known as FCAMHS) currently provide a specialist service for high-risk young people that would not otherwise be available. The services ensure there are clear links between youth justice and welfare provision (community and custodial), hospital secure or specialist settings for high-risk young people, and core provision whether within specific children and young people mental health services (CYPMHS) or other services. 119. The recently published White Paper on Reforming the Mental Health Act (13 January 2021) accepts in principle that prison should not be used as a place for people who require mental health care and treatment in an inpatient setting. However, before legislative change is introduced work must first be carried out with our health partners to address the factors which lead to prison being used in this way and ensure that there are alternative and timely pathways for sentencers to transfer people directly from court to a healthcare setting or a community sentence treatment requirement. Scotland 120. The new National Secure Adolescent Inpatient Unit in North Ayrshire is scheduled to open in early 2022 which will have beds for young people with mental illness who require secure care. A National Learning Disability Inpatient Unit is also being planned, which will admit young people with moderate to severe learning disability and mental illness. 121. The Mental Health (Care and Treatment) (Scotland) Act 2003 provides the police with the powers to intervene when they find someone in a public place who they believe may have a mental disorder and be in immediate need of care and treatment. Section 297 of the 2003 Act provides that the individual can be detained in a place of safety for up to 24 hours in order to be assessed by a medical practitioner, and for any necessary arrangements to be made for that person’s care and treatment. 122. Police stations should only be used as the Place of Safety in exceptional circumstances, where it is the best option for the individual. There should be locally agreed Psychiatric Emergency Plans in place with designated Places of Safety – for example a local psychiatric hospital or Accident and Emergency Department. The aim of a Psychiatric Emergency Plan is to agree on procedures to manage the detention and transfer process in a way that minimises distress, disturbance and risk for the patient and others, and which ensures as smooth and safe a transition as possible from the site of the emergency to the appropriate assessment/treatment setting. 19