The Evidence Based Practice Unit (EBPU) and the Child Outcomes Research Consortium were commissioned by NHS England and NHS Improvement (NHSE&I) to evaluate the implementation and impact of the Framework for Integrated Care (SECURE STAIRS). 

The Framework for Integrated Care (SECURE STAIRS) is being implemented across the children and young people’s secure estate (CYPSE) in under-18 young offender institutions, secure training centres and secure children’s homes. It aims to improve the quality of care and outcomes for children and young people in the CYPSE. Eighteen sites in England are included in the national evaluation. The Framework for Integrated Care (SECURE STAIRS) provides a framework for a new way of working in the CYPSE that involves training staff to provide more developmentally-attuned, psychologically-informed care, which is centred around comprehensive, co-produced assessments of young people’s needs to ensure that all needs are identified.

EBPU researchers conducted a mixed-methods evaluation to explore the implementation and impact of the Framework for Integrated Care (SECURE STAIRS) and whether it results in sustained cultural changes. As part of the evaluation, sites collected routine service activity data and staff, children and young people and their parents and carers completed questionnaires. A smaller number of interviews and focus groups were conducted with staff and young people, and observations of staff meetings were carried out. An economic evaluation also took place.

Data collection took place between August 2018 and December 2020. Findings have been submitted to NHSE&I to inform policy and practice.

Evaluation reports:

Find out more about the Evidence Based Practice Unit

Our use of cookies

We use necessary cookies to make our site work. We’d also like to set optional analytics to help us improve it. We won’t set optional cookies unless you enable them. Using this tool will set a cookie on your device to remember your preferences.

For more detailed information about the cookies we use, see our Cookies page

Necessary cookies

Necessary cookies enable core functionality such as security, network management, and accessibility. You may disable these by changing your browser settings, but this may affect how the website functions.

Analytics cookies

We’d like to set non-essential cookies, such as Google Analytics, to help us to improve our website by collecting and reporting information on how you use it. The cookies collect information in a way that does not directly identify anyone. For more information on how these cookies work, please see our Cookies page. If you are 16 or under, please ask a parent or carer for consent before accepting.