High secure services provide inpatient care for service users who can’t be treated safely in lower levels of security. 

These are service users who:

  • Meet criteria for detention under the Mental Health Act 1983
  • Are assessed as presenting a grave and immediate risk of harm to others. 

Broadmoor Hospital provides a high secure service for men.

Service care principles

Care and treatment in our high secure services are patient-centred, with a focus on co-production and recovery.

Patients are encouraged to work with staff in planning their care throughout their time in hospital. The aim is to give patients a sense of hope, purpose and control, and genuine opportunities to live a safe and valued life among others. 

The service user’s friends, families and carers are also encouraged to be involved in their care, with the service user’s consent. 

Service aims and objectives

The high secure service aims to:

  • Reduce risk of current and future harm to service user’s and others
  • Recover health and wellbeing
  • Maintain dignity.

The multi-disciplinary team includes:

  • Specialist clinicians and psychiatrists
  • Nurses
  • Psychologists
  • Pharmacists
  • Social workers
  • Occupational therapists
  • Arts therapists
  • Support and vocational staff. 

Their shared objectives are to ensure:

  • Everyone is safe
  • A therapeutic setting to support engagement and recovery
  • The team and service users are responsive and accountable.

Meaningful activity

Every service user has an individual treatment programme that reflects the objectives of their overall treatment plan. This is agreed with their clinical team. The programme provides a balance of therapeutic work, as well as leisure and rest activities.


High secure hospitals have physical security arrangements equivalent to a Category B prison. They can also treat individuals who would be in a Category A prison environment.