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This paper aims to describe the experience of a secure learning disability service in participating in the national Shared Pathway pilot project in secure services.

Some background drivers to the project are explored as well as the experience of service users and staff who were involved in the pilot project. Recommendations on service‐wide implementation of the Shared Pathway are made.

The Shared Pathway will lead to considerable changes in practice. This will also have resource implications.

The paper shows that the Shared Pathway may be useful in ensuring evidence based outcomes are routinely used by clinicians in secure services in collaboration with patients. It may also clarify to patients what their role is in engaging in treatment that helps them in moving through secure services.

This paper aims to describe how a patient centred recovery approach was implemented in a secure learning disabilities service.

There are no specific tools for measuring recovery in a secure learning disabilities service. The Recovery Star; a measure of individual recovery was adopted for use among the patients. Staff underwent training on the use of the Recovery Star tool after which a multidisciplinary steering group made some modifications to the tool. Training was cascaded to staff throughout the service and use of the Recovery Star tool was embedded in the care programme approach process.

It was found that implementing a recovery approach with the Recovery Star tool was a beneficial process for the service but that services will require a whole systems approach to implementing recovery. Key workers working with patients thought that the structure of the Recovery Star tool opened up avenues for discussing topics covered in the domains of the Recovery Star tool which may otherwise have not been discussed as fully.

The availability of a tool, integrated into existing service processes, e.g. care programme approach and accompanied by a systems approach, equips patients and staff for articulating and measuring the recovery journey.

The paper shows that the Recovery Star tool, embedded in a care programme approach process, equips patients and staff for measuring the recovery journey.