Page last updated at 13:49 GMT, Monday, 19 November 2012

Justice Committee 1

Dr Gregor Smith from NHS Lanarkshire told the Justice Committee there had been "small steps, but progress" since the transfer of prison healthcare to the NHS.

Dr Smith said: "What we've striven to try to ensure is that being in a prison is no barrier to health care."

He was giving evidence in a round table discussion on the transfer on 20 November 2012.

Also giving evidence in the disucussion were Richard Groden from the Glasgow Community Health Partnership; Frank Gibbons from HMP Barlinnie; Mark McEwan from NHS Grampian; Dr Gregor Smith from NHS Lanarkshire; Dr Lesley Graham from NHS National Services Scotland; Marion Logan from Phoenix Futures Scotland; Ruth Parker and Peter Wilson from the Scottish Prison Service and Kirsty Pate from Willow Services.

Dr Graham said "We can't yet fully answer the question has the health of prisoners got better or worse" since the transfer of health care from the transfer of prison healthcare to the NHS.

She said it was difficult to answer the question due to the lack of a fully integrated electronic prison health records system across Scotland, although she agreed progress was being made.

Committee convener Christine Grahame said the panel would be invited back in six months time for an update on any progress made on NHS care in prisons.

Dr Gregor Smith from NHS Lanarkshire told MSPs "We have striven to try to ensure being in prison is no barrier to health care

HM Shotts look after prison population stable, plan services more effectively, process of transfer was a very good process working with SPS everything worked really smoothly, what have we done, striven try to ensure being in a prison is no barrier to health care equivalent as in community. Dental care as an example fair to say great importance, bring standard of care much closer to that of our genral population enjoy, number of complaints greatly and substantially reduced 10'08 small steps but progreess 10'08

Mark McEwan, Service Planning Manager, NHS Grampian; pointy nose 10'08 progress dentistry, familiarity same practioners similar care in the prison as outwith. Female prisoners reluctance toa ccess services out in the community, trying to get back into prison access basic services, breaks down barrier when back into community ANECDOTALLY.

GRODDEN: health needs assessment public health specialists identify needs population, move forward identify posts learning disability, one of the advanatages medical staffing interview process, two very experienced addictions doctors, addicton services 10'10 Stable doctor service

GIBBONS: transition health care manager SPS to NHS, see significant improvements links with NHS, particularly new IT systems use, get info on prisoners coming in quickly link with care in the community, systems provide blood results far more quicly treat far more quickly, education on par with NHS, hard to gain under SPS, expertese there now, some new IT systems induction process staff empowered us to improve over all care

MARION: transfer improve through care?? Addictions and holisitic ongoign recovdery, unintended consequences that has not happenedl. Partnership with SPS and NHS now important. Point making not reflect the community drug alc smoking issues seen wholly under healthcare not like that in communities, voluntary sector need to be part of recovery, reinforcing the road to recovery strategey. Unintended consequnec ongoing uncertainty enhanced addiction service..

KATE: 10'23: integrated services reall challenge in NHS council and voluntary sector very very diffuclt, paralletl to each other rather than an integrated ser4vice, partnership working is very very complex and difficult. Challeng around partnership workiing and that being equal. Bigger players. Willow worked welll

218 services, where very close and integreated servicers, massive challenge around partnership working, a lot of efforts to move things forward. Equivalent care continuing challenges, very broad and complex population not necessarily equal outcomes, continues to be a challenge. LES GRAHAM outcome measures

Don't have national indicators, gender specific outcome, what is success going to look like mental health addictiosn.

DR GRAHAM: 10'27 addictions, series research projects Health Scotland booze problems, evidence high prevalence booze problems, whole range of interventions, staff and prisoners themeselves, booze in the shadow of drugs

Is health of prisoners better?Don't have any reporting what is going on in prisons, indicators, can't yet fully answer the questions has the health of prisoners got better or worse.

By addressing whealth need and wider need triple win, reducing reoffneding, health inequalites and well bei

Justice Committee membership


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