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Found 76 results
  1. News Article
    One by one, 29 women sat before Dr Laura Abbott in similarly small, nondescript rooms across five UK prisons, and described losing their babies. They were not bereaved in the conventional sense – although they were clearly holding in grief, as once the guards had left, they let rare public tears fall. Prisoners who had given birth in custody, they had been separated from their newborn children. In some cases this had happened within four or five days of becoming mothers. “It was worse than giving birth,” said one woman. “That was the hardest pain of my life. I’ve never felt pain like it … It was in my chest, in my heart. Even in my belly.” “It was as if my whole body craved him,” said another woman. “It’s like losing a limb, losing your sight,” a third explained. “It’s like losing any hope.” Some of the mothers were still producing milk when Abbott and her assistants spoke to them. One said she was so reluctant to raise this in the prison that she was expressing manually into her cell sink. Abbott, 54, a former midwife and senior lecturer in midwifery at the University of Hertfordshire, spoke to the women last year for the Lost Mothers Project, which will be launching at the British Museum in London on 8 May. A collaboration between the university, the charity Birth Companions and an advisory team of women with lived experience, the report, which is the result of three years of research, examines the experiences and needs of an invisible cohort. Anna (not her real name), 38, has endured this. She was six months pregnant when she was sent to prison nine years ago for her first offence. She was at full term when she finally stood before an MBU board. She is vocal about the horrors of giving birth in custody. She had to press her call bell “four or five times for an hour” when she felt labour pains. She says she was taken to hospital in handcuffs: “[The guard] told me to be grateful that she put me in long cuffs.” They were taken off before she was taken to the delivery suite – since 2022, it is mandated that restraints must not be used on pregnant women taken to appointments unless they are deemed essential. But it is when she talks about her subsequent separation from her son that Anna momentarily loses her words. She was initially granted an MBU place, but when bailed before sentencing she had to go back to the beginning, and needed to reapply when she returned to prison. This bureaucratic delay resulted in a five-week separation. Anna began to feel suicidal, and even stopped her mum bringing her son to visit. “It was just getting harder. Sometimes my legs felt heavy, as if they didn’t want to walk away,” she says. “Sorry, I’m getting upset …” She continues: “It was as if somebody was tearing my heart out.” Read full story Source: The Guardian, 6 May 2025
  2. News Article
    Across the USA, a troubling trend is accelerating: the return of institutionalization – rebranded, repackaged and framed as “modern mental health care”. From Governor Kathy Hochul’s push to expand involuntary commitment in New York to Robert F Kennedy Jr’s proposal for “wellness farms” under his Make America Healthy Again (Maha) initiative, policymakers are reviving the logics of confinement under the guise of care. These proposals may differ in form, but they share a common function: expanding the state’s power to surveil, detain and “treat” marginalized people deemed disruptive or deviant. Far from offering real support, they reflect a deep investment in carceral control – particularly over disabled, unhoused, racialized and LGBTQIA+ communities. Communities that have often seen how the framing of institutionalization as “treatment” obscures both its violent history and its ongoing legacy. In doing so, these policies erase community-based solutions, undermine autonomy, and reinforce the very systems of confinement they claim to move beyond. Take Hochul’s proposal, which seeks to lower the threshold for involuntary psychiatric hospitalization in New York. Under her plan, individuals could be detained not because they pose an imminent danger, but because they are deemed unable to meet their basic needs due to a perceived “mental illness”. This vague and subjective standard opens the door to sweeping state control over unhoused people, disabled peopleand others struggling to survive amid systemic neglect. Hochul also proposes expanding the authority to initiate forced treatment to a broader range of professionals – including psychiatric nurse practitioners – and would require practitioners to factor in a person’s history, in effect pathologizing prior distress as grounds for future detention. This new era of psychiatric control is being marketed as a moral imperative. Supporters insist there is a humanitarian duty to intervene – to “help” people who are suffering. But coercion is not care. Decades of research show that involuntary (forced) psychiatric interventions often lead to trauma, mistrust, and poorer health outcomes. Forced hospitalization has been linked to increased suicide risk and long-term disengagement from mental health care. Most critically, it diverts attention from the actual drivers of distress: poverty, housing instability, criminalization, systemic racism and a broken healthcare system. Read full story Source: The Guardian, 27 April 2025
  3. Event
    Join the Royal College of Nursing for the launch of a new exhibition on the history of healthcare and nursing in prisons, from the nineteenth century to the present. The launch event will include a panel discussion on the past, present and future of prison health, drop-in activities and a chance to view the exhibition. Refreshments will be provided. Speakers include: Donna Goddard, Ann Norman, Sobanan Naranthiren and Liz Walsh. Register
  4. News Article
    Pregnant women handcuffed during and after labour. Dying men shackled to their hospital bed. A prisoner restrained while having his leg amputated. Channel 4 News can reveal these are just some of the extraordinary cases where restraints are being wrongfully used on vulnerable prisoners while they’re receiving medical care. In a rare and exclusive interview, the Prisons Ombudsman, Adrian Usher, told us: “Thousands of people, men and women, are being restrained inappropriately… the fact that the Prison Service, frankly, get it wrong so frequently is an issue that we should all be concerned about.” Mr Usher said he has raised his own concerns many times with the Prison Service, but that not enough is being done quickly enough to tackle what he called “inhumane practices.” He is particularly concerned about cases like ‘Laura’ – a young ex-offender who spoke to us about being restrained while in labour in 2023. We’re not using her real name to preserve her anonymity. Serving time at HMP Bronzefield for drugs offences, she was deemed a “low risk” prisoner. She had suspected pre-eclampsia – a condition which can be life threatening for both mother and baby – and was handcuffed to a prison officer in hospital for hours after being induced and going into labour. “I felt like an animal. I was handcuffed and I was having a lot of pain in my tummy and I asked her if she could loosen my handcuffs and she argued she couldn’t do it. I was crying. I got angry and very sad for being there chained and going through the very fragile moment,” she said. “Many times I asked them to remove the chains, “ she went on. “I couldn’t have privacy with the doctor, I couldn’t use the toilet properly. And sometimes I couldn’t even walk properly. I couldn’t sleep. It was hurting me. Every time I ask them or question them about the handcuffs they told me that they had to use them, it was the rules.” Read full story Source: Channel 4 News, 8 April 2025
  5. News Article
    Pregnant women in prison in England are three times more likely to be ­diagnosed with gestational ­diabetes than those on the outside, according to “alarming” new data. Figures obtained through freedom of information (FOI) requests to NHS trusts providing healthcare to women’s prisons in England found 12% of women receiving care relating to pregnancy in 2023 were diagnosed with the condition, triple the national figure of 4%. Laura Abbott, associate ­professor in midwifery at Hertfordshire University, said these figures were “alarming but not surprising”. “We have known for many years that preterm birth is more common among ­incarcerated pregnant women, and this ­further highlights the severe health risks they face,” she said. “Gestational diabetes increases the risk of high blood pressure and pre-eclampsia, serious conditions that require early detection, good nutrition and careful obstetric management, which is extremely difficult in a prison setting. It can also increase the risk of stillbirth.” There were 215 pregnant women in prison in England between April 2023 and March 2024, according to figures published by the Ministry of Justice. There were 52 births while in custody, 98% of which took place in hospital. The NHS and Prison Ombudsman categorise all pregnancies in prison as high risk. Pregnant women in prison are seven times more likely to have a stillbirth and twice as likely to go into premature labour, according to data from FOI requests in 2022. In 2019, newborn Aisha Cleary died at HMP Bronzefield after her mother, who was in prison on remand, was left to give birth alone in her cell. Read full story Source: The Guardian, 23 February 2025
  6. News Article
    Four in ten prisoners who took their own lives in custody were denied adequate healthcare before their deaths, according to damning new figures exposing the scale of neglect inside Britain’s overcrowded prisons. Inmates are legally entitled to receive the same standard of healthcare as someone living in the community. However, official findings uncovered by The Independent show in 101 out of 233 self-inflicted deaths investigated by the prisons watchdog between 2020 and 2023, the mental or physical healthcare did not meet this requirement. In each case a clinical reviewer assessed whether the care was equivalent to what they would expect outside of jail as part of investigations into the deaths by the Prison and Probation Ombudsman (PPO). In many of the self-inflicted deaths, failings related to mental healthcare. The chairman of the justice committee, Andy Slaughter, said “we are failing people in custody” after the figures came to light, while the chief inspector of prisons, Charlie Taylor, warned “without any doubt” there will be more potentially preventable deaths if action is not taken to drive up standards. “We see it frequently in prisons that we inspect that there are people who just aren’t getting the support that they need,” he told The Independent. “If someone needs treatment, they need treatment.” Read full story Source: The Independent, 14 February 2025
  7. Content Article
    Laura Abbott and colleagues highlight gaps in clinical care for pregnant women in prison and consider how best to meet their needs.
  8. News Article
    A female inmate remained handcuffed to a male prison officer while she had a mammogram, in an example of prisoners being denied their dignity while receiving NHS care, a watchdog has revealed. The incident is highlighted in a report by the Health Services Safety Investigation Body (HSSIB) into the difficulties prisoners can face when they leave jail to see a GP or visit a hospital. Some inmates are put on a long chain, with the prison officer guarding them staying just outside the room, while others are made to wait in cupboards for their appointments, it found. A government spokesperson said the report’s findings, based on interviews with more than 120 prisoners, were “deeply concerning”, especially about problems experienced by female inmates. The prospect that prisoners will not have the same dignity and privacy during NHS appointments as other patients is a key reason why more than half do not attend those which occur outside prison. HSSIB found that “did not attend” (DNA) rates for outpatient appointments during 2024 for those in prison “were high, at 52% and 57% for males and females respectively. This compares to a DNA rate in the general population of 26% for both sexes”, it said. Read full story Source: The Guardian, 28 November 2024
  9. Content Article
    This is the second in a series of reports by the Health Services Safety Investigations Body (HSSIB) on the theme of healthcare provision in prison. The first investigation focused on the delivery of emergency care. This investigation looks at improving patient safety in relation to continuity of care for patients detained in prison. In the context of this investigation, ‘continuity of care’ means maintaining a patient’s healthcare throughout the prison system regardless of their location. The investigation considered the movement of patients between prisons, to and from court, and on release. It also looked at patient attendance at appointments for internal primary care services and secondary care outpatient appointments. Findings of this report include: ‘Did not attend’ (DNA) rates for outpatient appointments for patients in prison during 2024 were high, at 52% and 57% for males and females respectively. This compares to a DNA rate in the general population of 26% for both sexes. Female prison patients are often taken to outpatient appointments by male prison officers or a mix of male and female officers. This can affect the patients’ decision making about whether to go or not, particularly for appointments that are for sensitive female clinics such as obstetrics and gynaecology. The use of telemedicine in prison healthcare has declined since the end of the COVID-19 pandemic and it is used rarely in comparison to face-to-face appointments. Telemedicine has the potential to reduce the burden of prison officer escort duties for outpatient appointments (which costs £48m to £50m per year), increase the number of outpatient appointments available per day to patients in prison, and reduce the number of appointments that patients refuse to go to. Patients in prison may not attend pre-arranged appointments because of a lack of information about the appointment caused by privacy and security issues. For example, they may not be informed about timings, the nature of the appointment, or the health reasons and importance of attending. This means they are not able to make an informed decision about their health and whether they want to attend or not. Patients in prison are more likely to miss outpatient appointments than patients in the community, due to the prison regime and logistics beyond the control of the patient. Prison healthcare departments rely on relationships they have developed and maintained with hospital booking teams in order to arrange appointments that fit in with the prison regime. This is due to a lack of formal arrangements between prisons and their local hospitals. Patients who are released following a court appearance, who had treatment planned, are not routinely given information about upcoming appointments they may have. This means they may unknowingly miss booked appointments, delaying their care and treatment. Details about patients who are being transferred to different areas are not always communicated effectively between prison healthcare teams and hospital booking teams. Often hospital booking teams are not made aware that a patient has been transferred until an appointment is missed, which means treatment is delayed. In this report HSSIB recommends that: HM Prison and Probation Service updates Prison Service Order 3050, ‘Continuity of healthcare for prisoners’, including guidance on communication of information about prison patients when transferring between prisons, and on the process when prison patients are released from court. This will reduce variation and ensure better continuity of care for patients when being transferred or on their release. HM Prison and Probation Service standardises the approach to the provision of prison officer escorts for outpatient appointments to protect the dignity of patients and reduce variability of escort slots. This will assist in reducing the likelihood of patients refusing to attend healthcare appointments, while balancing appointment availability, thus improving the continuity and equality of care. NHS England, via regional commissioning teams, works with HM Prison and Probation Service to identify barriers to using telemedicine for outpatient appointments, and then implements local solutions to promote and enhance the capability and usability of telemedicine. This aims to reduce the burden on prisons of providing escorts and the likelihood of patients not attending appointments.
  10. News Article
    Patients sectioned under the Mental Health Act will have more dignity and a say over their care under proposed reforms to what has been described as an “outdated” system. Among the changes as part of the Mental Health Bill, which will come before parliament on Wednesday, police cells and prison cells will no longer be used for people experiencing a mental health crisis, with patients instead expected to be looked after within a suitable healthcare facility. In July’s King’s Speech, Labour vowed to update the Mental Health Act in a bid to shift the balance of power from the system to the patient, with the aim of putting service users at the centre of decisions about their own care. Writing exclusively for The Independent, health secretary Wes Streeting raised the story of Georgie, who was diagnosed with anorexia nervosa at 16, forced to quit school, and admitted to a mental health ward. Health secretary Wes Streeting has promised that the new bill will address a significant shift in attitudes to mental illness (PA Wire) “Despite complying with treatment, she was assessed by a clinician and then detained under the Mental Health Act,” he said. Mr Streeting added: “Her autonomy was removed and she was left feeling defeated and hopeless. This dehumanising treatment is how patients are too often treated, in this country, in 2024, under the law.” Read full story Source: The Independent, 6 November 2024
  11. Event
    NHS Resolution’s Safety and Learning team, are hosting a virtual forum on perspectives on delivering health in the prison and justice system. The purpose is to raise awareness of the cost and scale of harm, discuss the realities, best practice, challenges and recommendations around collaborating to support healthcare delivery in the justice system. The format is interactive, with presentations followed by questions and panel discussion. Event programme: Learning from prison claims – NHS Resolution The realities of delivering healthcare in prison – Practice Plus Group The medico-legal aspect of prison health claims – Bevan Brittan Q&A panel discussion Contributors: Natalie Miller – Deputy Regional Manager for West Midland Prisons (Practice Plus Group) Ruth Kavanagh – Clinical Quality and Patient Safety Lead (NHS England) Michelle Hodgkinson – Lead Commissioner (NHS England) Jo Easterbrook – Partner (Bevan Brittan) Julie Charlton – Partner (Bevan Brittan) Samantha Thomas – National Safety and Learning Lead for General Practice (NHS Resolution) Dr Anwar Khan – Senior Clinical Advisor for General Practice (NHS Resolution) Register
  12. Event
    until
    NHS Resolution’s Safety and Learning team, are hosting a virtual forum on perspectives on delivering health in the prison and justice system. The purpose is to raise awareness of the cost and scale of harm, discuss the realities, best practice, challenges and recommendations around collaborating to support healthcare delivery in the justice system. We will hear from a diverse range of experts in the field. The format is interactive, with presentations followed by questions and panel discussion. Event programme: Learning from prison claims - NHS Resolution The realities of delivering healthcare in prison - Practice Plus Group Good practice and themes from inspections - HM Inspectorate of Prisons The medico-legal aspect of prison health claims - Bevan Brittan Q&A panel discussion. Register
  13. Content Article
    This report makes several recommendations to unlock the preventative potential of Prevention of Future Deaths (PFD) Reports. These reports should be viewed as an opportunity for organisations to improve, share good practice, and ultimately prevent custodial deaths – not as criticism to be avoided at all costs. PFD reports have an integral function in ensuring compliance with the state’s duties under Article 2 of the European Convention of Human Rights (ECHR), the right to life, both locally and nationally. This, as well as their immense importance to bereaved families, must be borne firmly in mind. Recommendations For Government departments, agencies, and private providers: 1. All should ensure that their approach to the PFD process is open, non-defensive and that the public interest in preventing future deaths is prioritised over reputational considerations at every stage. For example, lawyers should be specifically instructed not to take an adversarial approach to the making of a PFD report, and instead to neutrally present the evidence in order to assist the coroner. 2. All should ensure that they approach the PFD process with full candour and proactively provide all relevant information at the earliest appropriate stage. 3. The Ministry of Justice (MoJ) should adequately resource the Chief Coroner’s Office to produce a yearly review of PFD reports for custody deaths. This should aim to identify themes and trends, and report on the timeliness and quality of responses, as part of the Chief Coroner’s role under existing guidance.3 4. The MoJ should provide dedicated funding to the Chief Coroner’s Office to enable it to centrally record the conclusions of inquest juries, even where no PFD report is issued, and publish them online for easy referral in the same way that PFD reports are currently published. 5. The Department of Health and Social Care (DHSC) should give serious consideration to the creation of an independent body for investigating deaths of those formally or informally detained in mental health settings. This would remove the anomaly between the investigation of such deaths and those of persons in other detention settings andensure that coroners consistently have the benefit of high quality evidence regarding the circumstances of such deaths for the purposes of the inquest. 6. Recipients of PFD reports relating to deaths in custody should hold a “post-inquest learning review” meeting following the conclusion of an inquest, attended by the key persons who participated in the inquest. This will help to ensure both an efficient and fully informed response to PFD reports and the formulation of an appropriate action plan to take forward necessary learning. 7. Recipients of PFD reports should ensure that their responses are timely, high quality,case-specific, and fully informed by the inquest evidence and findings. Where the response relays that action will be taken, actions should be identified in precise termsand with precise timelines. Where no action is to be taken, a clear, detailed and respectfully worded explanation should be provided to enable the coroner, family, and wider public to understand the basis for the decision. Recipients should ensure that their responses recognise and reflect the significance of PFD reports to bereaved families, with consideration given to how families can be kept informed and where appropriate consulted on the action plan. 8. All should ensure PFD reports are shared ‘horizontally’ with relevant equivalents across the country – for example, other police forces, prisons, and mental health trusts –particularly where there may be scope for national learning, to ensure opportunities tomake change across different custody areas are not missed. 9. Leaders of local custody bodies, such as prison governors, should consider adopting the approach of Milton Keynes Together Safeguarding Partnership and hold periodic meetings of representatives from all custodial settings to review relevant PFD reports, with participation, where appropriate, of local coroners. 10. Government should consider what enhanced role independent bodies might play in auditing, following up on, and reporting on PFD reports, and this could include establishing a new body for this purpose. More effective oversight of the sharing, use, and implementation of matters of concern in PFD reports is needed. For the Chief Coroner and his Office: 11. The Chief Coroner should consider supplementing his guidance on PFD reports to further address when it may be appropriate, in compliance with the statutory requirements, to make interim PFD reports and the importance of doing so, in particular where a coroner is of the opinion that there is an urgent need for action to prevent future deaths. 12. The Chief Coroner should consider supplementing his guidance to advise coroners on the importance of ensuring relevant evidence is provided at a sufficiently early stage, inparticular where coroners consider there may be a need for urgent action. The guidance should remind coroners that previous PFD reports and evidence of ‘near-miss’ incidents may be relevant and important. 13. The Chief Coroner’s Office should review and consider expanding the list of organisations which should receive PFD reports on deaths in state custody (found at paragraphs 56 and 57 of the guidance on PFD reports) to ensure more comprehensive coverage of relevant bodies, organisations, and departments. This should be circulated to all coroners and used in training on PFD reports. The IAPDC could assist with ensuring this list is up to date and comprehensive. 14. The Chief Coroner’s Office should ensure that its online database of PFD reports is fully searchable by thematic areas and location, and that deaths in detention (particularly under the Mental Health Act 1983 (MHA) are readily identifiable. Consideration should be given to tagging reports according to the deceased’s protected characteristics to help better identify and understand issues of disproportionality. For other bodies with a key role to play in preventing custody deaths: 15. The Ministerial Board on Deaths in Custody secretariat should send PFD reports on deaths in custody to the House of Commons Justice, Health, and Home Affairs Select Committees, which should consider taking evidence and reporting on significant themes. 16. All organisations which scrutinise places of detention should make explicit use of PFD reports to inform their investigations, inspections, and thematic reports and bulletins, including monitoring and reporting on progress made against responses to PFD reports by services and agencies. They should work with the Chief Coroner to agree protocols to work together and share learning. 17. The Ministerial Board on Deaths in Custody (MBDC) secretariat should continue to review and distribute PFD reports relating to death in custody to MBDC members for the purpose of sharing learning, and consider involving all relevant agencies and partners who would benefit from additional learning across all places of state detention. Issues of significant wider concern arising from recent PFD reports should be discussed at MBDC meetings. 18. The Judicial College should work with the Chief Coroner to deliver mandatory training to coroners on the purpose, process, publication, and distribution of PFD reports, as well as the role of independent scrutiny bodies, incorporating the perspective of bereaved families. Read the full report via the link below.
  14. News Article
    Serious systemic failings contributed to the death of a newborn baby in a cell at Europe’s largest women’s prison, a coroner has concluded. Rianna Cleary, who was 18 at the time, gave birth to her daughter Aisha alone in her prison cell at HMP Bronzefield, in Surrey, on the night of 26 September 2019. The care-leaver was on remand awaiting sentence after pleading guilty to a robbery charge. The inquest into the baby’s death heard that Cleary’s calls for help when she was in labour were ignored, she was left alone in her cell for 12 hours and bit through the umbilical cord to cut it. In a devastating witness statement read to the court, Cleary described going into labour alone as “the worst and most terrifying and degrading experience of my life”. She said: “I didn’t know when I was due to give birth. I was in really serious pain. I went to the buzzer and asked for a nurse or an ambulance twice.” Cleary passed out and when she woke up she had given birth. The senior coroner for Surrey, Richard Travers, said Aisha “arrived into the world in the most harrowing of circumstances”. He concluded it was “unascertained” whether she was born alive and died shortly after or was stillborn. Read full story Source: The Guardian, 28 July 2023
  15. Content Article
    Reducing avoidable healthcare-associated harm is a global health priority. Progress in evaluating the burden and aetiology of avoidable harm in prisons is limited compared with other healthcare sectors. To address this gap, this study, published in PLOS ONE, aimed to develop a definition of avoidable harm to facilitate future epidemiological studies in prisons. Authors conclude: "We have developed a working definition of avoidable harm in prison health care that enables consideration of caveats associated with prison environments and systems. Our definition enables future studies of the safety of prison healthcare to standardise outcome measurement."
  16. News Article
    A Mississippi prison denied medical treatment to an incarcerated woman with breast cancer, allowing her condition to go undiagnosed for years until it spread to other parts of her body and became terminal, according to a lawsuit filed on Wednesday. Susie Balfour, 62, alleges that Mississippi department of corrections (MDOC) medical officials were aware she might have cancer as early as May 2018, but did not conduct a biopsy until November 2021, one month before she was released from prison. It was not until January 2022, after she left an MDOC facility, that a University of Mississippi Medical Center doctor diagnosed her with stage four breast cancer, according to her federal complaint. Her lawsuit and medical records paint a picture of a prison healthcare system that deliberately delayed life-saving healthcare and for years repeatedly failed to conduct follow-up appointments that the MDOC’s contracted clinicians recommended. Read full story Source: The Guardian, 14 February 2024
  17. News Article
    Regulators have apologised to a health manager who went through “five years of hell” while being investigated for misconduct, before being told there was no case to answer. Debbie Moore was a senior manager at the former Liverpool Community Health Trust, where there was a major care scandal in the early 2010s. As head of healthcare at HMP Liverpool, where many of the most serious failings were identified, Ms Moore was suspended in 2014 and referred to the Nursing and Midwifery Council. She was accused of multiple failures to take action or escalate concerns, of failing to investigate deaths, and discouraging staff from reporting incidents. However, in a first public interview about her experience, she told HSJ she was “scapegoated” for the problems at the prison, where she says she worked tirelessly to address the issues and had repeatedly flagged concerns to the LCH management team. External inquiries have found the trust would routinely downgrade risks escalated by divisional managers, as it sought to make drastic cost savings in pursuit of foundation trust status. Read full story (paywalled) Source: HSJ, 30 November 2020
  18. News Article
    Five NHS trusts in the South West have been ordered to make immediate improvements after the death of a 20-year-old prisoner who needed healthcare. Lewis Francis was arrested in Wells, Somerset, in 2017 after stabbing his mother while “acutely psychotic” and taken into custody. Although his condition mandated a transfer to a medium secure mental health hospital, there was “no mechanism” in place to move Mr Francis and he was taken to prison, where he died by suicide two days later, according to a coroner. Contributory factors to his death included “insufficient collaboration, communication and ownership between and within organisations… together with insufficient knowledge of… the Mental Health Act,” according to Nicholas Rheinberg, the assistant coroner for Exeter and Greater Devon. In a Prevention of Future Deaths report, Mr Rheinberg said a memorandum of understanding was in place for the transfer of “mentally ill prisoners direct from police custody” in the West Midlands, and he called on the South West Provider Collaborative to agree a similar deal with “relevant organisations and agencies”. Read full story (paywalled) Source: HSJ, 14 July 2020
  19. News Article
    Prisoners in Britain frequently have hospital appointments cancelled and receive less healthcare than the general public, a new study has found. As many as 4 in 10 hospital appointments made for a prisoner were cancelled or missed in 2017–18, with missed appointments costing the NHS £2 million. The in-depth analysis of prison healthcare by the Nuffield Trust think tank examined 110,000 hospital records from 112 prisons in England. It revealed 56 prisoners gave birth during their prison stay, with six prisoners giving birth either in prison or on their way to hospital. The Nuffield Trust said its findings raised concerns about how prisoners are able to access hospital care after a cut in the number of frontline prison staff and a rising prison population. Lead author Dr Miranda Davies, a senior fellow at the Nuffield Trust, said: “The punishment of being in prison should not extend to curbing people’s rights to healthcare. Yet our analysis suggests that prisoners are missing out on potentially vital treatment and are experiencing many more cancelled appointments than non-prisoners.” Read full story Source: The Independent, 26 February 2020
  20. News Article
    Levels of self-harm in prisons have hit a new high, with more than 60,000 incidents in a year, official figures show. The number of self-harm incidents was up 16% to 61,461 in the 12 months to September 2019, when there were 53,076, according to data released by the Ministry of Justice (MoJ). Prison reform campaigners have criticised the government for failing to respond effectively to serious mental health problems and called Thursday’s figures a “national scandal”. Deborah Coles, the Director of the charity Inquest, said: “Despite investment and scrutiny, the historical context shows that still more people are dying in prison than ever before. A slight recent reduction in the number of deaths comes alongside unprecedented levels of self-harm, while repeated recommendations of coroners, the prison ombudsman and inspectorate are systematically ignored." "This is a national scandal and reflects the despair and neglect in prisons. Despite this, the health and safety of people in prison appears to be very low on the agenda of the new government." Read full story Source: 30 January 2020
  21. Content Article
    Prisons and Probation Ombudsman Sue McAllister has published the independent investigation into the death of a baby (Baby A) at HMP Bronzefield on 27 September 2019. The investigation identified a considerable number of issues and concerns about the care and management of Ms A, the baby’s mother. Sue makes a significant number of recommendations to improve maternity services in Bronzefield. There is wider learning for the whole of the women’s prison estate from the death of Baby A, and the Prison Service must take this opportunity to improve the outcomes for pregnant prisoners so that this tragic event is not repeated. Click here to view the report Click here to view the action plan
  22. Content Article
    There are estimated 24 000–60 000 women who are pregnant and incarcerated worldwide and they often lack access to antenatal care at the same level as that available in their communities. Despite clear international standards that mandate equivalent care for people in prison, pregnant women in these settings face significant barriers to adequate antenatal care. The needs of pregnant women are often overlooked in prisons designed to house men . We must not forget this vulnerable and hidden cohort of women. Molly Skerker et al. explore the challenges for pregnant women in prisons worldwide.
  23. Content Article
    This article, published by the Institute for Healthcare Improvement, discusses some of the key patient safety issues in the Danish Prison and Probation Service. The author, Christian Vestergaard, a Medical Advisor with the Danish Society for Patient Safety, highlights differences in approaches to patient safety in prisons compared to other areas of healthcare provision in Denmark and stresses the need for action to improve the safety of care in these settings.
  24. News Article
    A troubled NHS trust failed for months to give vital medication to a prison inmate who had a long-standing diagnosis of HIV, an inquest has found. A jury at Essex Coroner’s Court concluded that a series of failures and neglect by Essex Partnership University Trust (EPUT) contributed to the death of Thokozani Shiri in April 2019. The 21-year-old spent two spells as a prisoner at HMP Chelmsford, where EPUT provided some services at the time. He was considered vulnerable due to a long-standing diagnosis of HIV for which he was receiving treatment before he went to prison, and the trust was aware he had HIV throughout both stays, the inquest heard. The inquest jury identified that five separate failings had “probably caused” Mr Shiri’s death. These included: a failure to provide antiretroviral medication to Mr Shiri during both periods of imprisonment; a failure to refer him to an HIV clinic; the absence of an appropriate care plan and engagement with a multidisciplinary team; and inadequate management of records. Each failing on behalf of the trust was considered by the jury to have amounted to neglect. Read full story (paywalled) Source: HSJ, 9 June 2022
  25. Content Article
    The Crown Prosecution Service (CPS) prosecutes criminal cases that have been investigated by the police and other investigative organisations in England and Wales. The CPS is independent and make their decisions independently of the police and government. This web page includes information on: What is a 'death in custody'? Death following contact with the Police Handling of death in custody cases Who investigates deaths in custody? Who advises on charge and prosecutes death in custody cases? Self-defence and Reasonable Force CPS contact with families The Coroner The Inquest.
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