Health Service guidelines HSG 94 561 issued on first of February, 1994, and enforced from first of April, 1994 requires all health authorities to ensure through their contracts for mental health services that providers draw up, maintain, and use supervision registers registered is intended. First and foremost for patients being careful outside hospital supervision registers represent an extension of the care programme approach and are now an integral part of it. The purpose of the registers, is to enable NHS trusts and other NHS Trust provider units to identify known individuals known to be a significant risk of committing serious violence or suicide or of self serious self neglect. As a result of severe enduring mental illness, and who should therefore, receive the highest priority for care, and had to follow up for the purpose of the guidelines, mental illness includes people diagnosed with a personality disorder psychopathic disorder. 63.