C02. Adult Secure Services


This Clinical Reference Group (CRG) covers high, medium and low secure adult services (male and female).

The focus of the CRG over the coming 12 months will be on:

  • supporting the delivery of service procurement
  • providing support and guidance for the secondary commissioning and new models of care agenda
  • having a specific focus on the relationship with the prison health system.


Chair: Dr David Fearnley, Consultant Forensic Psychiatrist, Mersey Care NHS Trust.

Jennifer Kilcoyne, North
Ahmad Khouja (interim), North
Jeremy Kenney-Herbert, Midlands & East
Daniel Dalton, Midlands & East
Mari Harty (interim), London
Robert Bates, London
Richard Noon, South
Joanna Brook-Tanker, South
Susan Denison, Patient & Public Voice
Ian Callaghan, Patient & Public Voice
Susannah Pashley, Patient & Public Voice
Louise Davies, Lead Commissioner, louise.davies10@nhs.net


A key part of the CRG’s work is the delivery of the ‘products’ of commissioning. These are the tools used by the 10 Hub Commissioning Teams to contract services on an annual basis.

Service Specifications

Service specifications are important in clearly defining the standards of care expected from organisations funded by NHS England to provide specialised care. The specifications have been developed by specialised clinicians, commissioners, expert patients and public health representatives to describe both core and developmental service standards. Core standards are those that all funded providers should be able to demonstrate, with developmental standards being those which may require further changes in practice over time to provide excellence in the field.

The following service specifications fall within the scope of this CRG:


Other important publications that relate to this CRG include: