Skip to main content
×
Home
    • Aa
    • Aa

A survey of primary and specialised health care provision to prisons in England and Wales

  • Charles S. Cornford (a1), James Mason (a1), Katie Buchanan (a2), David Reeves (a3), Evangelos Kontopantelis (a3), Bonnie Sibbald (a3), Helen Thornton-Jones (a4), Mark Williamson (a5) and Lenny Baer (a6)...
Abstract
Background

Prison health care in England, including primary care, is now incorporated into the National Health Service; the impetus for the change is in part due to concern about standards of health care within prisons. The demographic characteristics and health status of patients within prisons are relatively well understood, as are the problems faced by health care professionals. Less is known about current health care provision.

Aims

To describe the organisation of primary health care and specialised services in prisons and compare services available to different types of prison.

Method

A piloted questionnaire was sent to the governors of all prisons in England and Wales for completion by the health care manager.

Findings

Completed questionnaires were received from 122 (89%) of 138 prisons. The survey showed a low use of information technology (IT). Problems were reported with the recruitment and retention of general nurses in more than 50% of prisons. Prisoners in category A/B (higher security) prisons had available to them a greater range of health care services compared with those in other prisons. The results suggest that provision of services for chronic diseases and improvements in IT are needed. Problems with the recruitment and retention of general nurses need addressing. The reasons why lower-security prisoners are receiving a narrower range of specialised health care services compared with higher-security prisoners need justifying.

Copyright
Corresponding author
Address for correspondence: Charles S. Cornford, School for Health, University of Durham, Queen’s Campus, Wolfson Research Institute, University Boulevard, Stockton-on-Tees, TS17 6BH, UK. Email: charles.cornford@durham.ac.uk
References
Hide All
Balas E.A., Weingarten S. et al. 2000: Improving preventive care by prompting physicians. Archives of Internal Medicine 160, 301308.
Birmingham L. 2003: The mental health of prisoners. Advances in Psychiatric Treatment 9, 191201.
Bodenheimer T., Wagner E.H. et al. 2002: Improving primary care for patients with chronic illness. JAMA 288, 17751779.
Boutwell A.E., Allen S.A. et al. 2005: Opportunities to address the hepatitis C epidemic in the correctional setting. Clinical Infectious Diseases 40, (Suppl. 5), S367S372.
Butler T., Allnutt S. et al. 2005: Mental disorder in the New South Wales prisoner population. Australian and New Zealand Journal of Psychiatry 39, 407413.
Butler T.G., Dolan K.A. et al. 1997: Hepatitis B and C in New South Wales prisons: prevalence and risk factors. Medical Journal of Australia 166, 127130.
Butler T., Kariminia A. et al. 2004: The self-reported health status of prisoners in New South Wales. Australian and New Zealand Journal of Public Health 28, 344350.
Campbell S.M., Hann M. et al. 2001: Identifying predictors of high quality care in English general practice: observational study. British Medical Journal 323, 784787.
Condon L., Hek G. Harris F. 2007: A review of prison health and its implications for primary care nursing in England and Wales: the research evidence. Journal of Clinical Nursing 16, 12011209.
Department of Health. 1999: The future organisation of prison health care. London: Joint Prison Service and National Health Service Executive Working Group.
Department of Health and HM Prison Service. 2001: Report of the working group on doctors working in prisons. London: Department of Health.
Department of Health and HM Prison Service. 2002: Developing and modernising primary care in prisons. London: Department of Health.
Department of Health and HM Prison Service. 2006: A twelve-month study of prison healthcare escorts and bedwatches. London: Department of Health.
Department of Health and Home Office. 2007: National partnership agreement between the Department of Health and the Home Office for the accountability and commissioning of health services for prisoners in public sector prisons in England. London: Department of Health.
Docherty, J. 2007: The healthcare challenges of older people in prisons. http://www.phrn.nhs.uk/workstreams/primarycare/OlderPrisoners.pdf
Ewing G.B., Selassie A., Lopez C. McCutcheon E. 1999: Self-report of delivery of clinical preventive services by US Physicians. American Journal of Preventive Medicine 17, 6272.
Farrell M. et al. 1994: Methadone maintenance treatment in opiate dependence: a review. BMJ 309, 9971001.
Gray A., Pearce S. et al. 2006: The training needs of doctors working in English and Welsh prisons: a survey of doctors. International Journal of Prisoner Health 2, 121130.
Harris F., Hek G. et al. 2007: Health needs of prisoners in England and Wales: the implications for prison healthcare of gender, age and ethnicity. Health and Social Care in the Community 15, 5666.
Macdonald, W. 2006: The health needs of young offenders. http://www.phrn.nhs.uk/Prison/PCSysRevYO.pdf.
MacFarlane I.A., Gill G.V. et al. 1992: Diabetes in prison: can good diabetic care be achieved? British Medical Journal 304, 152155.
Maher L., Chant K. et al. 2004: Risk behaviors and antibody hepatitis B and C prevalence among injecting drug users in south-western Sydney, Australia. Journal of Gastroenterology and Hepatology 19, 11141120.
Marteau D. Farrell M. 2005: Clinical management of substance misuse in prisons (Chapter 23). In Gerada, C., editor, RCGP guide to the management of substance misuse in primary care. London: RCGP.
Martin E., Russell D. et al. 1991: Patients’ views of the consultation: comparison of a prison and general practice population. British Journal of General Practice 41, 207209.
National Offender Management Service. 2007: Population in Custody Monthly tables April 2007 England and Wales. Ministry of Justice. http://www.justice.gov.uk/docs/population-in-custody-0407.pdf.
Olubodun J. 1996: Prison life and the blood pressure of the inmates of a developing community prison. Journal of Human Hypertension 10, 235238.
Pettinari, C. 1996: The perception, presentation and assessment of illness in prison: a pilot study. Report to Prison Service Directorate of Health Care, Centre for Work, Interaction, and Technology. School of Social Studies, University of Nottingham.
Reed J. Lyne M. 1997: The quality of health care in prison: results of a year’s programme of semistructured inspections. BMJ 315, 14201424.
Singleton N., Meltzer H. et al. 1998: Psychiatric morbidity among prisoners in England and Wales: the report of a survey carried out in 1997 by Social Survey Division of the office for National Statistics on behalf of the Department of Health. London: The Stationary Office.
Twaddle A.C. 1976: Utilization of medical services by a captive population: an analysis of sick call in a state prison. Journal of Health and Social Behavior 17, 236248.
Watson R., Stimpson A. Hostick, T. 2004: Prison health care: a review of the literature. International Journal of Nursing Studies 41, 119128.
Weingarten S.R., Henning J.M. et al. 2002: Interventions used in disease management programmes for patients with chronic illness – which ones work? Meta-analysis of published reports. BMJ 325, 925928.
White P., Park I. et al. 1999: Prison population brief, England and Wales: March 1999. London: Home Office.
Woodroffe E. 2006: Nurse-led general practice: the changing face of general practice? British Journal of General Practice 56, 632633.
Recommend this journal

Email your librarian or administrator to recommend adding this journal to your organisation's collection.

Primary Health Care Research & Development
  • ISSN: 1463-4236
  • EISSN: 1477-1128
  • URL: /core/journals/primary-health-care-research-and-development
Please enter your name
Please enter a valid email address
Who would you like to send this to? *
×

Keywords:

Metrics

Full text views

Total number of HTML views: 3
Total number of PDF views: 11 *
Loading metrics...

Abstract views

Total abstract views: 133 *
Loading metrics...

* Views captured on Cambridge Core between September 2016 - 21st October 2017. This data will be updated every 24 hours.