The Healthcare Safety Investigation Branch (HSIB) investigated the case study of Martin, a 43-year old inmate, who suffered multiple seizures after his epilepsy medication wasn’t transferred with him to a new prison.
Each day around 120 prisoners with ongoing medication needs are moved between jails. Martin’s case is just one example of a serious outcome when medication was missed. Prisoners may also need to be treated in the community at local hospitals, with prison security staff being taken away from planned duties to accompany them.
This report highlights where improvements can be made in the communication between health and prison systems to improve patient safety and provides valuable insights, which will guide the work of partner organisations committed to improving the quality of healthcare in prisons through the National Prison Healthcare Board for England.
A summary and the final full report are available.