Another DHB highlighted the very low use of seclusion in its forensic units and the decommissioning of two seclusion rooms since the original report. It too highlighted its engagement in the Zero Seclusion Project and the forthcoming creation of a Reducing and Preventing the Use of Restrictive Practices Group to share learning and support improvement, underpinned by a policy document. The DHB noted that funding had now been approved for the re-build of one of the units, further improving the quality of accommodation. They emphasised that all seclusion rooms are designed for that purpose, with call bells available to all service users, though noted that in most cases service users do not have control over lighting or temperature. Finally, it noted the co-design approach they had taken within the Zero Seclusion Project, seeking to involve staff, service users and their whanau (though unsuccessfully with this latter group), and pointed to a regular interagency meeting, including the police and emergency staff, to support the greater cross-sector collaboration which I recommended in TOTB. In its submission to this review one Civil Society Organisation similarly pointed to the Government’s commitment to repeal and review the Mental Health Act, consultation on updated Guidelines to the Act, and the Health Quality and Safety Commission’s quality and improvement programme to reduce seclusion and restraint, as positive developments. It also noted, however, the importance of a establishing a clear legislative timetable; that aspirations for zero seclusion needed to have real weight behind them to drive change and; that there was still much work to be done, particularly for Mäori. It noted that whilst section 7.1 of the Ministry’s seclusion guidance had been amended, as recommended in TOTB, section 7.2 remained unchanged. Another Civil Society Organisation expressed concern that despite positive intentions to eliminate seclusion, its use was again increasing, whilst noting a lack of consistency in the recording and reporting of data. Other submissions re-iterated these concerns and the goal of zero seclusion was in practice dependent on legislative change subject to an uncertain timescale. The current use of seclusion in health and disability facilities: key findings One of the key recommendations made in TOTB was for data on the use of seclusion to be more fully recorded and analysed. Since the original review took place, some good protocols on data collection and analysis developed as part of the wider project to reduce the use of seclusion in health and disability 38