Alongside Ashworth Hospital, Rampton Hospital is one of the three high-security hospitals in England and Wales that provides psychiatric care under ‘conditions of special security’ for people who require it on the basis of their ‘criminal, violent or dangerous propensities’.
The Hospital has around 400 patients, all of whom have been formally admitted under relevant Sections of the Mental Health Act. Most have been admitted from court or on transfer from prison, but a small percentage have been admitted from other NHS facilities because it was felt they needed the intensive care available at Rampton.
The average length of stay for patients is around eight years. Most are then discharged through regional-secure units, or similar medium-secure provision, or by return to the prison system. Some patients however do stay for life.
To find out more about the service, please contact them direct.
Generic or general advocacy is about providing support to people with mental health and/or capacity needs within health and social care services. This can be across a wide range of day-to-day issues that are important to them but fall outside the remit of statutory advocacy services.
This could involve supporting/representing people at important meetings or signposting to, or helping people make contact with relevant departments, services and agencies. We ensure the person we are supporting are fully involved and understand the process being followed.
Our advocates do this by:
Referrals usually come from the individual seeking advocacy support. We will however act on referrals from other sources, but the person can choose not to meet the advocate or turn down any support offered if they did not make the referral themselves.
Our IMHAs give information on, and help patients to understand, the legislation they are subject to and how this affects their lives. This may include the conditions or restrictions placed on them and their rights under the MHA 1983 (amended 2007). IMHAs can also help the patient to understand what medical treatment is being given or proposed and give information on the authority under which the treatment would be given.
Who is eligible?
Our IMHAs will meet with the patient in private to discuss issues or concerns relating to their care and treatment. The IMHA will ensure they fully understand the issues and what information is required before agreeing with the patient the appropriate level of support needed. The IMHA will then act on instruction from the patient, we will not tell the patient what to do.
Part of this work may require the IMHA to meet with any person who is professionally involved with the patient’s treatment. The IMHA will also be able to (on instruction from the patient) inspect any records relating to the patient’s detention or treatment and any Social Services Authority records that relate to that individual.
If the patient lacks capacity, the IMHA can still request access to records for a specific reason, however, in this circumstance the person holding the records must consider whether it is appropriate and necessary for the IMHA to have access to the records.
Referrals can come from anyone and we will always comply if the request is reasonable, however IMHAs have a duty to respond and visit the patient if the request comes from:
Patients can choose not to meet the IMHA or turn down any support offered if they did not make the referral themselves.