Prison healthcare best practice
Absence of clear national replication or sharing of critical learning and improved practices in prison healthcare.
Strongest theme matches
Mixed across source types and ranked by classifier confidence plus text match strength.
Committee recommendation
95match
#8 - Charging bodies would benefit from improved sharing of best practice and expert advice.
We heard charging bodies would value more signposting of where to go for expert advice and support and to learn from others’ experience. DVLA told us that more can be done to share good practice and that it is important to get those responsible for fees together to talk about what they are doing and some of the...
Matched on
terms: best, practice
Committee recommendation
91match
#25 - Support neighbourhood pilot sites to address digital interoperability challenges and share best practice.
In order for the neighbourhood pilots to realise the potential of the innovative model of care they are trialling, the Government should support the pilot sites to address challenges with digital interoperability, for example through sharing of learning and best practise. These learnings should then be collated to support future systems to implement the model, in the event...
Matched on
terms: best, practice
HSSIB recommendation
87match
Healthcare provision in prisons: data sharing and IT
HSSIB recommends that NHS England/Department of Health and Social Care includes within its healthcare IT procurement system specification the need to support interoperability between the operational prison IT systems and any future prison healthcare IT system. This will ensure that information which does not impinge on the confidentiality requirements of either system, relevant to the safety and wellbeing...
Matched on
terms: healthcare, prison
Committee recommendation
83match
#43 - Prisoners are not receiving equivalent healthcare services compared to the wider population
Given the acute needs of those in prison, particularly regarding mental health, it is imperative that prisoners have access to good health and wellbeing services to assist them in properly engaging with rehabilitative programmes. However, despite the principle of equivalence, prisoners are not receiving healthcare on a par with the wider population. (Conclusion, Paragraph 202)
Matched on
terms: healthcare, prison
HSSIB recommendation
83match
Healthcare provision in prisons
HSSIB recommends that NHS England/Department of Health and Social Care, working with healthcare service providers and their healthcare teams at prisons which hold remand prisoners, reviews and amends the process for GMS registration of patients on remand. This is to ensure a consistent approach to GMS registration across the prison estate, which acknowledges the potential negative impact short-term...
Matched on
terms: healthcare, prison
HSSIB recommendation
83match
Healthcare provision in prisons: needs assessments and disability access
HSSIB recommends that the Department of Health and Social Care works with local authorities to redesign how the health and social care needs of prisons’ populations are assessed. This is to ensure that appropriate services are commissioned to meet the needs of people in prison and prevent possible delays in care.
Matched on
terms: healthcare, prison
HSSIB recommendation
83match
Healthcare provision in prisons: continuity of care
Prisons and NHS trusts can improve patient safety by working together to ensure outpatient escort availability and the timing of hospital appointments is aligned to fit with the prisons’ and the trusts’ regimes. This will reduce the administrative burden and the number of appointments being made and cancelled because of different regimes.
Matched on
terms: healthcare, prison
HSSIB recommendation
82match
Management of chronic health conditions in prisons
It is recommended that the National Prison Healthcare Board for England oversees work to implement interoperability between SystmOne and the Prison-National Offender Management Information System, enabling sharing of essential information across the prison service which does not impinge on the confidentiality requirements of either system.
Matched on
terms: healthcare, prison
Committee recommendation
78match
#30 - 2nd Report – Jagged Justice: Prisons, Probation and Rehabilitation in Wales
We recommend that the Ministry of Justice and the Welsh Government co- commission an independent review of the provision of healthcare services in prisons in Wales. This review should specifically investigate the effectiveness of the current health board model and should consider the potential merits 71 and demerits of moving to a national oversight model overseen by NHS...
Matched on
terms: healthcare, prison
LGO / SPSO decision
77match
201304654 - Scottish Prison Service
Mr C complained that a prison manager had refused to contact the on-call doctor after Mr C was sick and got something stuck in his throat, causing him chest pain. Mr C said that the prison did not act in accordance with the prison rules because a healthcare professional must be notified of any prisoner whose physical or...
Matched on
terms: healthcare, prison
Inquiry recommendation
74match
78 - Guide on disclosure by healthcare staff
The Prison Service should prepare a readable guide, which explains the circumstances in which personal information about a prisoner should be disclosed by healthcare staff to officers on the wing. The guide should contain practical examples of situations where disclosure should or should not be made.
Matched on
terms: healthcare, prison
Committee recommendation
74match
#32 - 2nd Report – Jagged Justice: Prisons, Probation and Rehabilitation in Wales
The UK Government must revise its funding formula for the recurrent transfer it has sent to the Welsh Government to support prisoner healthcare services at HMPs Cardiff, Swansea and Usk & Prescoed. The transfer amount should be uplifted in line with inflation to maintain the recurrent funding in real terms. (Recommendation, Paragraph 115)
Matched on
terms: healthcare, prison
Committee recommendation
74match
#31 - 2nd Report – Jagged Justice: Prisons, Probation and Rehabilitation in Wales
Prisoner populations in Wales have higher, more complex and more concentrated healthcare needs than those seen in the community. In this context, it is concerning that the UK Government’s recurrent transfer to the Welsh Government to support healthcare provision in HMPs Cardiff, Swansea, and Usk & Prescoed has not changed since 2014. The prisoner population has grown significantly...
Matched on
terms: healthcare, prison
Committee recommendation
74match
#29 - 2nd Report – Jagged Justice: Prisons, Probation and Rehabilitation in Wales
Prisoners in Wales should not be disadvantaged when it comes to healthcare provision just because they are in prison, nor should they expect better or worse service depending on the prison they are held in. As it stands, the current health board-led model for healthcare provision in Welsh prisons is failing to ensure that the care prisoners receive...
Matched on
terms: healthcare, prison
Committee recommendation
74match
#14 - 5th Report - Ageing prison population
The ageing prison population has and will continue to increase the need for end-of- life and palliative care in prisons. We welcome the publication of the Dying Well in Custody Charter and the good practice at some establishments. But standards are not consistent across the estate. In addition, as mentioned previously, we recognise that there has been delay...
Matched on
terms: practice, prison
PFD report
73match
Shalane Blackwood
The coroner identified a lack of provision for prisoners with complex health needs and insufficient staff for segregation unit regimes. Additionally, concerns were raised about an unclear documentary tool for assessing fitness for segregation and healthcare staff's awareness of physical symptoms masked by mental health issues.
Matched on
terms: healthcare, prison
PFD report
73match
Terence Adams
Inadequate checking and sharing of prison risk assessments, healthcare staff unawareness of risk score protocols, and failure to follow up on missed appointments contributed to a lack of care.
Matched on
terms: healthcare, prison
PFD report
73match
Khairul Rahman
The prison healthcare system lacks robust, accurate documentation of clinical interactions and response times. There is also an unclear and inconsistent application of the NEWS2 scoring system for monitoring patient deterioration.
Matched on
terms: healthcare, prison
Committee recommendation
73match
#35 - Direct College of Policing to collate and share best practices in modern slavery investigations.
In collaboration with the National Police Chiefs’ Council, the Home Office should direct the College of Policing to collate learning from forces that are effective in pursuing and investigating modern slavery and human trafficking and work with the Crown Prosecution Service to secure convictions. This record should be then shared with all other forces.
Matched on
terms: best, practice
Article 2 learning point
72match
WA — HMP Ranby - LP 1
I recommend that, those responsible for healthcare governance at HMP Lincoln and HMP Ranby: identify the requirements of good practice in the specific areas identified below, in the light of the problems that occurred in this case and taking account of NHS and NOMS policies; review their current arrangements and amend them if necessary to meet the requirements...
Matched on
terms: healthcare, practice, prison
PFD report
69match
Reggie John
Concerns included insufficient communication between prisons regarding the prisoner's constant watch status, a lack of robust multi-disciplinary ACCT review processes, and instances where the Prison Service Order 2700 policy was not followed, impacting healthcare documentation.
Matched on
terms: healthcare, prison
PFD report
69match
Zeeyad Hamadi
The coroner noted a lack of routine patient weighing, poor medical record keeping, and confusion regarding the funding and logistical arrangements for a prisoner seeking private healthcare outside the prison, further complicated by a lack of formal policy.
Matched on
terms: healthcare, prison
PFD report
69match
Andrew Hall
Inadequate documentation and communication among mental health, healthcare, and prison staff regarding the deceased's condition and self-harm risk were identified. Also noted were insufficient observation, unadministered medication, and deficiencies in CCTV systems and staff training.
Matched on
terms: healthcare, prison
PFD report
69match
Kevin Scarlett
The coroner noted that the prison service and healthcare did not assess Mr. Scarlett's risk of taking his own life, as staff lacked access to a risk assessment tool or protocol.
Matched on
terms: healthcare, prison
PFD report
69match
Ian Emsley
The coroner noted a lack of formal guidance and training for prison healthcare staff regarding decisions on restraints and compassionate release for terminally ill prisoners, which could delay transfers and compassionate release.
Matched on
terms: healthcare, prison
PFD report
69match
Steven May
The coroner identified insufficient mental health training and medical note review by reception staff, alongside deficiencies in the ACCT process. Further concerns included inadequate First Aid training and emergency response by prison staff, and limited weekend healthcare access for inmates.
Matched on
terms: healthcare, prison
PFD report
69match
Thomas Jordan
The coroner identified that medication continued to be administered in prison despite hospital advice to discontinue it, owing to a communication breakdown between the hospital and prison, and discharge correspondence not being immediately available or reviewed by prison healthcare staff.
Matched on
terms: healthcare, prison
PFD report
69match
Jerome Jones
The coroner identified a lack of policy for additional checks on prisoners with repeat NPS use, especially when combined with existing medical conditions. There was also no method for drug workers to communicate these risk factors to healthcare or prison officers, and drug workers lacked access to medical records to inform their advice.
Matched on
terms: healthcare, prison
PFD report
69match
Daniel Davey
The coroner noted it was not routine for healthcare staff to attend ACCT reviews, which was a concern relating to both prison and healthcare operations despite improvements introduced after the death.
Matched on
terms: healthcare, prison
PFD report
69match
Andrew Goldstraw
The SystmOne computer system hinders prison healthcare staff from effectively accessing prisoners' mental health histories for risk assessments due to poor search functionality and unreliable 'Summary' and 'Active Problems' sections. This limits the identification of suicide risk, relying instead on a prisoner's immediate presentation.
Matched on
terms: healthcare, prison
PPO recommendation
69match
The Head of Healthcare
The Head of Healthcare should ensure that clinical checks on prisoners who are refusing food and/or fluids are carried out and recorded appropriately to ensure risks are managed.
Matched on
terms: healthcare, prison
Inquiry recommendation
69match
5 - Not asking new prisoners about sharing preference
The Prison Service should retain the present practice of not asking new prisoners at reception or in the first night centre or during induction whether they would prefer to be in a cell on their own or to share a cell with another prisoner.
Matched on
terms: practice, prison
Committee recommendation
66match
#21 - 5th Report - Ageing prison population
An ageing prison population creates specific pressures on the prison system. Currently, the response to these and the treatment of older prisoners is highly inconsistent across the prison estate. Though the Model for Operational Delivery: Older Prisoners contains useful operational guidance, it is not enough to address this inconsistency and ensure the prison system can properly respond to...
Matched on
terms: prison
Inquiry recommendation
65match
73 - Reception health screen referral to mental health
The first reception health screen questionnaire should be revised so as to trigger a referral to a mental health professional on the healthcare team even if the prisoner has only self-harmed in prison. A referral should also be triggered where the prisoner’s behaviour is such that the healthcare officer completing the questionnaire considers it desirable.
Matched on
terms: healthcare, prison
HSSIB recommendation
65match
Local integrated investigation pilot 1: Incorrect patient identification
‘Management of chronic health conditions in prisons’ (Healthcare Safety Investigation Branch, 2019b).
Matched on
terms: healthcare, prison
IMB recommendation
65match
Whatton (2022)
Will the Prison Service, once again, consider substantial refurbishment or replacement of the healthcare facilities so that they match those expected in the community?
Matched on
terms: healthcare, prison
PPO recommendation
65match
The Director and Head of Healthcare
The Director and Head of Healthcare should remind staff that compassionate release applications on medical grounds may be made for prisoners who are incapacitated, and not only for those who are terminally ill.
Matched on
terms: healthcare, prison
IMB recommendation
64match
Altcourse (2021)
The transfer of seriously mentally ill prisoners to appropriate healthcare facilities continues to be a problem, with one particular prisoner spending over 300 days in segregation this year. This case was escalated to a national level. In addition we are concerned about the long-term legacy of the pandemic on prisoners’ mental health. Altcourse is already seeing more seriously...
Matched on
terms: healthcare, prison
IMB recommendation
64match
Peterborough (Men) (2022)
Because of the widespread perception among prisoners that all Healthcare services (Clinical, Mental, and substance misuse) are not up to the standard expected, going forward the prison should prioritise the review and monitoring of Complaints to Healthcare e.g. in the Monthly Clinical Governance Meeting, to ensure that standards are maintained and improved.
Matched on
terms: healthcare, prison
LGO / SPSO decision
63match
201101364 - Scottish Prison Service
Mr C, who is a prisoner, complained because he felt the prison were failing to issue privileged mail to prisoners with a reasonable time in accordance with published standards. Privileged mail is mail sent to a prisoner from their legal representative, the courts and other organisations, such as SPSO. Our investigation highlighted that best practice suggested that prisoner...
Matched on
terms: best, practice, prison
Inquiry recommendation
62match
77 - Measures for mentally disordered prisoners on wings
The measures which should be taken to minimise the risk which a mentally disordered prisoner on ordinary location poses to staff and other inmates includes: • not placing such a prisoner in a shared cell • if such a prisoner is to share a cell, carefully selecting their cellmate • ensuring that, whatever difficulties there may be in...
Matched on
terms: prison
Inquiry recommendation
62match
72 - Review of mental health care in prisons
A comprehensive review of the quality of care provided to prisoners with mental health problems and its effectiveness should be conducted once the changes introduced since Zahid’s murder have had a chance to work.
Matched on
terms: prison
Committee recommendation
62match
#20 - 5th Report - Ageing prison population
We disagree with the argument that older prisoners’ needs are too wide-ranging to generalise. Though it is important to treat each prisoner as an individual, there is a commonality among older prisoners which warrants a specific approach to their management. The MOD: Older Prisoners shows that the MoJ recognises this; indeed, it is inconsistent for them to have...
Matched on
terms: prison
Committee recommendation
62match
#13 - 5th Report - Ageing prison population
Peer support or ‘buddy’ schemes can be an effective way to help meet the care needs of older prisoners. We commend the good work done by some prisons in partnership with third sector organisations to develop such initiatives. Prisons must ensure that prisoners providing care to other inmates are suitably trained and have appropriate oversight.
Matched on
terms: prison
Committee recommendation
62match
#12 - 5th Report - Ageing prison population
An ageing prison population will increase demand for social care services in prisons. While the Care Act 2014 has brought some improvements, standards of provision are highly variable across the estate. A more strategic and coordinated approach is needed to improve consistency and ensure effective collaboration between prisons, local authorities and other organisation involved in delivering care. In...
Matched on
terms: prison
Committee recommendation
62match
#11 - 5th Report - Ageing prison population
Continuing to incarcerate prisoners with severe dementia, who may no longer remember or understand why they are imprisoned, raises practical and ethical 46 Ageing prison population considerations, especially as their condition is very difficult to manage on the prison estate. Equally, the Committee recognises that a significant element of this cohort are convicted for historic sexual offences. Particular...
Matched on
terms: prison
Committee recommendation
62match
#10 - 5th Report - Ageing prison population
The prevalence of dementia in prisons is poorly understood and prison staff can lack awareness of the condition. All older prisoners should have access to screening services for dementia, and prison officers who work with older prisoners should receive training on recognising and managing its symptoms.
Matched on
terms: prison
CJINI report
62match
Ash House (Hydebank Wood Women’s Prison) (14-17 March 2005)
Matched on
terms: prison
CJINI report
62match
Report on an announced inspection of Magilligan Prison (20-24 September 2004)
Matched on
terms: prison
CJINI report
62match
Report of an announced inspection of Maghaberry Prison (10-14 October 2005)
Matched on
terms: prison