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
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
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
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
Wilfred Aspinwall
Healthcare provider at HMP Liverpool did not receive critical PPO and Clinical Review reports, hindering effective implementation of recommendations for prison fatalities.
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
Zeeyad Hamadi
Inadequate patient weighing and poor medical record-keeping within the prison were noted. There was limited liaison between prison and hospital staff, confusion over prisoner private healthcare policies, and delays in securing bed watch cover.
Matched on
terms: healthcare, prison
PFD report
69match
Andrew Hall
Inadequate communication and documentation of mental health risks, failure to administer prescribed medication, and insufficient patient observation within the prison healthcare unit were identified. Training gaps for staff in risk assessment and ACCT procedures also contributed to concerns.
Matched on
terms: healthcare, prison
PFD report
69match
Kevin Scarlett
The prison service and healthcare failed to assess the deceased's suicide risk, as staff lacked access to proper risk assessment tools or protocols.
Matched on
terms: healthcare, prison
PFD report
69match
Laurence Boyens
Healthcare professionals appeared to misunderstand guidelines for managing drug dependence in adult prison settings, particularly around monitoring blood pressure before administering methadone or buprenorphine, and some nurses did not know when to withhold medication or escalate concerns.
Matched on
terms: healthcare, prison
PFD report
69match
Ian Emsley
Inadequate formal guidance for healthcare staff on assessing re-offending and escape risk contributed to delays in compassionate release or transfer decisions for terminally ill prisoners.
Matched on
terms: healthcare, prison
PFD report
69match
Steven May
Prison healthcare suffered from reception nursing staff failing to consult medical notes, lacking mental health expertise, and incomplete ACCT documents. Inadequate First Aid/CPR training and poor weekend/Bank Holiday healthcare access also posed significant risks.
Matched on
terms: healthcare, prison
PFD report
69match
Thomas Jordan
Communication failures between the hospital and prison healthcare resulted in continued administration of a discontinued drug, as discharge information was not promptly reviewed by prison staff.
Matched on
terms: healthcare, prison
PFD report
69match
Daniel Davey
Healthcare staff's non-routine attendance at ACCT reviews in prison highlighted a gap in collaborative care, requiring closer integration between prison and healthcare services.
Matched on
terms: healthcare, prison
PFD report
69match
Marlon Watson
Healthcare staff at HMP Dovegate demonstrated an inadequate understanding of the ACCT process, which is a significant concern for managing prisoner welfare and suicide risk.
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
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
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
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
PFD report
61match
Satheeskumar Mahatheaven
Failures in information sharing, multi-agency communication procedures, and inadequate training contributed to an accident within prison services.
Matched on
terms: prison
PFD report
61match
Shalane Blackwood
The prison lacks adequate provision for complex health needs, has insufficient staff for prisoner regimes, faces rife NPS use, and has unclear decision-making tools and staff awareness for physical symptoms alongside mental health issues.
Matched on
terms: prison
PFD report
61match
Dean Saunders
Serious systemic issues include a rigid protocol preventing mentally disordered individuals' transfer from police custody, unclear hospital transfer processes, and inadequate staff training in the ACCT process, compounded by insufficient psychiatric cover in prisons.
Matched on
terms: prison
PFD report
61match
James Frankish
Healthcare professionals lacked understanding of Pica's dangers, and there is no national guidance for its identification, assessment, management, or monitoring for complications like bezoars.
Matched on
terms: healthcare
PFD report
61match
Richard Ormond
A 9-minute delay in upgrading an ambulance response occurred because prison staff initially failed to provide critical information about the patient's condition to emergency services, highlighting a gap in following emergency protocols.
Matched on
terms: prison
Committee recommendation
61match
#19 - 5th Report - Ageing prison population
We are concerned about reports of older prisoners being released without prescription medication or without being registered with a GP. We recommend all older prisoners are supported to register with a GP prior to release; where a prisoner is unable to do so, they should be provided with guidance and formal ID so they are able to register...
Matched on
terms: prison
Committee recommendation
61match
#1 - 5th Report - Ageing prison population
A clear definition of the older prisoner is necessary for establishing a more strategic approach to the cohort and the ageing prison population. We do not take a view on what that definition should be, but whatever age threshold is used should be based on firm evidence, and we encourage the MoJ to keep definitions used under review....
Matched on
terms: prison
LGO / SPSO decision
61match
201507736 - Scottish Prison Service
Mr C complained to the Scottish Prison Service (SPS) about the time it took prison staff to escort him to the health centre located within the prison. Mr C, who has diabetes, was unhappy it took two hours to receive assistance with his insulin pen. He also felt the SPS's response to his complaint was inappropriate. We were...
Matched on
terms: prison
IMB recommendation
60match
Featherstone (2020)
While the performance of healthcare staff appears adequate, there are a number of concerns: attendance at segregation reviews and use of force incidents; the monitoring of self-dispensing of medication held by prisoners; the operation of the healthcare complaints procedure; the thoroughness of mental health reviews and the reporting relationship with general healthcare. Can the Governor discuss these shortcomings...
Matched on
terms: healthcare, prison
IMB recommendation
60match
Dovegate (2021)
Accelerate plans for the conversion of the in-patient unit in healthcare to provide consultation and treatment rooms adequate for the number of residents in the prison. Should it be decided not to proceed with the above, then urgently upgrade the inpatient bath/shower room.
Matched on
terms: healthcare, prison
IMB recommendation
60match
Gartree (2022)
Therefore, can the Prison Service confirm to the Board that the integrated health services at Gartree are achieving the outcomes expressed in various commissioning documents, and that the healthcare is equivalent to the local wider community (i.e. the Market Harborough district)?
Matched on
terms: healthcare, prison
IMB recommendation
60match
Durham (2022)
How will you ensure that all prisoners in reception receive healthcare screening before moving to first night centres (4.1.6)?
Matched on
terms: healthcare, prison
IMB recommendation
60match
Liverpool (2023)
The Board has repeatedly raised concerns around the inhumane length of time prisoners experiencing mental health illness are kept segregated whilst waiting for transfer to an appropriate mental health establishment. A recent example is a prisoner who spent 377 days in the CSU waiting for a transfer, which the Board view as completely inhumane. What immediate action will...
Matched on
terms: practice, prison
IMB recommendation
60match
Hollesley Bay (2023)
The need for hourly observations over prisoners arriving too late to be seen by the healthcare department highlights an important need. Those responsible for transport should be aware of those prisons without 24-hour healthcare provision.
Matched on
terms: healthcare, prison
IMB recommendation
60match
Gartree (2023)
We ask the Minister to explain how the Ministry of Justice perceives the performance of prisoner healthcare at HMP Gartree when compared against the performance specification in the contract.
Matched on
terms: healthcare, prison