The quality of health care in prison: results of a year's programme of semistructured inspections.

Abstract:

OBJECTIVES:To assess, as part of wider inspections by HM Inspectorate of Prisons, the extent and quality of health care in prisons in England and Wales. DESIGN:Inspections based on a set of "expectations" derived mainly from existing healthcare quality standards published by the prison service and existing ethical guidelines; questionnaire survey of prisoners. SUBJECTS:19 prisons in England and Wales, 1996-7. MAIN OUTCOME MEASURES:Appraisals of needs assessment and the commissioning and delivery of health care against the inspectorate's expectations. RESULTS:The quality of health care varied greatly. A few prisons provided health care broadly equivalent to NHS care, but in many the health care was of low quality, some doctors were not adequately trained to do the work they faced, and some care failed to meet proper ethical standards. Little professional support was available to healthcare staff. CONCLUSIONS:The current policy for improving health care in prisons is not likely to achieve its objectives and is potentially wasteful. The prison service needs to recognise that expertise in the commissioning and delivery of health care is overwhelming based in the NHS. The current review of the provision of health care in prisons offers an opportunity to ensure that prisoners are not excluded from high quality health care.

journal_name

BMJ

authors

Reed J,Lyne M

doi

10.1136/bmj.315.7120.1420

subject

Has Abstract

pub_date

1997-11-29 00:00:00

pages

1420-4

issue

7120

eissn

0959-8138

issn

1756-1833

journal_volume

315

pub_type

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