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Prison healthcare services: the need for political courage

  • Mary Piper (a1) (a2), Andrew Forrester (a3) (a2) and Jenny Shaw (a4)
Summary

Prisons in England and Wales have reached a low point in service delivery. Despite initial improvements after National Health Service transfer in 2006, it has deteriorated since 2010, with numerous reports giving cause for concern. Improvements are now urgently required, and political courage and a revised national programme of expenditure are necessary.

Declaration of interest

None.

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Copyright
Corresponding author
Correspondence: Andrew Forrester, Edenfield Centre, Bury New Road, Prestwich, Manchester M25 3BL, UK. Email: andrew.forrester1@nhs.net
References
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1Forrester, A, Piper, M, Chadda, R, Exworthy, T, Farrell, M, Fazel, S, et al. World Psychiatric Association Prison Public Health Position Statement. World Psychiatric Association, 2017 (http://wpanet.org/uploads/Position_Statement/WPA%20Position%20Statement%20prison%20policy%20fin.pdf).
2Forrester, A, Piper, M, Chadda, R, Exworthy, T, Farrell, M, Fazel, S, et al. World Psychiatric Association Prison Public Health Position Statement. World Psychiatric Association, 2017 (http://wpanet.org/uploads/Position_Statement/WPA%20Prisoner%20Mental%20Health%20care%20curriculum%20fin.pdf).
3United Nations General Assembly. The UN Standard Minimum Rules for the Treatment of Prisoners (the Nelson Mandela Rules). United Nations General Assembly, 2015 (http://www.un.org/en/events/mandeladay/mandela_rules.shtml).
4Allen, G, Watson, C. UK Prison Population Statistics, Briefing Paper SN/SG/04334. House of Commons Library, 2017 (https://researchbriefings.parliament.uk/ResearchBriefing/Summary/CBP-7892).
5Prison Reform Trust. Bromley Briefings Prison Factfile. Prison Reform Trust, 2017 (http://www.prisonreformtrust.org.uk/Portals/0/Documents/Bromley%20Briefings/Autumn%202017%20factfile.pdf).
6Her Majesty's Inspectorate of Prisons for England and Wales (HMIP). Annual Report 2016–17. HMIP, 2017 (https://www.justiceinspectorates.gov.uk/hmiprisons/inspections/annual-report-2016-17/).
8Her Majesty's Inspectorate of Prisons for England and Wales (HMIP). Report on an Unannounced Inspection of HMP Liverpool. HMIP, 2017 (https://www.justiceinspectorates.gov.uk/hmiprisons/wp-content/uploads/sites/4/2018/01/HMP-Liverpool-Web-2017.pdf).
9Her Majesty's Chief Inspector of Prisons. Urgent Notification: HM Prison Exeter. HM Inspectorate of Prisons for England and Wales, 2018 (https://www.justiceinspectorates.gov.uk/hmiprisons/wp-content/uploads/sites/4/2018/05/Exeter-UN-letter-and-debrief-for-publication.pdf).
10Prisons and Probation Ombudsman (PPO). Learning from PPO Investigations: Natural Cause Deaths in Prison Custody 2007–2010. PPO, 2012 (http://www.ppo.gov.uk/app/uploads/2014/07/learning_from_ppo_investigations-natural_cause_deaths_in_prison_custody.pdf).
11Shaw, J, Wainwright, V, Webb, R, Appleby, L, Piper, M, Rees, J, Elder, R. National Study of Self-Inflicted Death by Prisoners 2008–2010. University of Manchester, Ministry of Justice and Department of Health, 2013 (http://research.bmh.manchester.ac.uk/cmhs/research/centreforsuicideprevention/suicideinprisons/report_2013.pdf).
12Hope, V, Ncube, F, Hickman, M, Judd, A, Parry, JV. Hepatitis B vaccine uptake among injecting drug users in England 1998 to 2004: is the prison vaccination programme driving recent improvements? J Viral Hepat 2007; 14: 653–60.
13Woodall, J. Health promoting prisons: an overview and critique of the concept. Prison Serv J 2012; 202: 611.
14Rivlin, A, Fazel, S, Marzano, L, Hawton, K. The suicidal process in male prisoners making near-lethal suicide attempts. Psychol Crime Law 2011; 4: 305–27.
15House of Commons Speech [1910] July 20th per Churchill W.
16Independent Advisory Panel on Deaths in Custody. Keeping Safe - Preventing Suicide and Self-Harm in Custody: Prisoners’ Views. Independent Advisory Panel on Deaths in Custody, 2017 (http://iapdeathsincustody.independent.gov.uk/wp-content/uploads/2017/12/Keeping-Safe-FINAL-Dec-2017.pdf).
17Fazel, S, Baillargeon, J. The health of prisoners. Lancet 2011; 377 (9769): 956–65.
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The British Journal of Psychiatry
  • ISSN: 0007-1250
  • EISSN: 1472-1465
  • URL: /core/journals/the-british-journal-of-psychiatry
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Prison healthcare services: the need for political courage

  • Mary Piper (a1) (a2), Andrew Forrester (a3) (a2) and Jenny Shaw (a4)
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