Commission for Quality and Innovation (CQUIN) measures were introduced in services throughout the UK (both in the NHS and independent sectors) in 2009/10. One of the CQUIN measures involved using a ‘shared pathway’. One of the main underlying concepts of what is being proposed is to ensure more service user involvement with their care in their pathway through secure services. It emphasises evidencing a ‘collaborative recovery approach’. This was introduced in September 2012 throughout the UK. The Deaf service at Alpha Hospital, Bury, was chosen as a pilot site for implementing one of the CQUIN measures (Shared Pathway Recovery and Outcomes) in 2011.