Wednesday, October 28, 1998 Published at 12:07 GMT
Prison health care 'failing'
Prison doctors are paid less than those in the NHS
Prisoners get inadequate health care because medical staff in the prison service are paid less than their NHS counterparts, the chief inspector of prisons has said.
Sir David Ramsbotham said pay inequality meant that prison inmates got a worse standard of health care in custody than they would in the community.
Young offenders were particularly hard hit because they needed good health if they were to develop properly and play a useful role in society on their release, he said.
Without pay levels on a par with those in the NHS, it is difficult for the prison service to attract staff with the same abilities, Sir David warned.
However, the Home Office has denied that there is a significant pay gap between the health service and the prison service.
Value to society
Sir David said: "Virtually all these young prisoners will return to the community at the end of their sentence.
His comments followed an inspection of Aylesbury Young Offenders Institution where he criticised a rapid turnover of five senior medical officers in two years.
He called for an official to be appointed to ensure the health care of young offenders was kept up to a high standard.
The British Medical Association agreed that pay for prison doctors was low, but hoped that this could be improved through greater integration with mainstream health services.
"What we are hoping is that prison doctors will actually be integrated with NHS doctors - at the moment they are totally separate," a spokeswoman for the association said.
At the moment the role of the prison service is to provide primary care services, while the NHS provides more specialist care.
At 1997 rates, the starting salary for a prison doctor is £37,952, compared to a GP's £46,450. This can rise over time to as high as £62,856.
However, some GPs raise their income as high as £70,000 a year by adding to their core workload.
A Home Office spokesman said the reason for the difference was due to the different ways in which doctors were employed.
GPs in the NHS are employed as independent contractors, while doctors in the prison service are employed as civil servants.
The Home Office and the Department of Health are jointly reviewing health care provision in prisons, but a date has not yet been set for the review to be published.