criminal justice

5th Annual Offender Health Provision Forum

criminal justice

08:45 - 16:15

Tuesday 29 January 2019

Prospero House- etc Venues, Central London


This Forum provides attendees with the opportunity to explore how to improve offender health services when faced with prison overcrowding, a psychoactive drugs epidemic and increasing levels of violence. Participants will examine the impact of significant prison estate reform and the input from sector leaders at the forefront of commissioning and inspecting services in secure settings on reducing health inequalities and highlighting what a healthy prison environment should look like. Attendees will also gain insight from best practice case studies that demonstrate excellent healthcare provisions within a range of settings.


This Forum is specifically designed for the Health, Criminal Justice and Voluntary Sectors. Typical job titles will include:

  • Heads of Healthcare
  • Commissioning Leads
  • Clinical Leads for Criminal Justice
  • Mental Health Leads
  • Heads of Offender Care
  • Prison Governors
  • Probation Officers
  • Liaison and Diversion Managers
  • Director of Specialist Services
  • Community Caseworkers
  • Consultant Psychologists
  • Services Managers
  • Trustees

This Forum is also open to Local Government and the Private Sector to encourage networking and debate.

Key Speakers Confirmed:
  • Kate Davies OBE, Director of Health & Justice, Armed Forces and Sexual Assault Services Commissioning, NHS England
  • Dr. Éamonn O’Moore, National Lead for Health & Justice and Director, Public Health England UK Collaborating Centre (WHO Health in Prisons Programme European Region)
  • Tania Osborne, Head of Health and Social Care Inspection, HM Inspectorate of Prisons
  • Jan Fooks-Bale, Health & Justice Inspection Manager, Care Quality Commission
View the agenda and additional speakers

As self-harm and violence in custodial settings reaches record levels, the prison system has found itself in a state of crisis. In the 12 months to March 2018, figures from the Ministry of Justice released in July 2018 showed that there were 46,859 incidents of self-harm in prisons across England and Wales, a 16% increase from the previous year. Over the past five years, the number of ambulance call-outs made to English prisons has almost doubled, with 999 calls to treat inmates now made every 40 minutes.

These figures point to the extreme pressure that the prison system is under and suggest a decline in the mental health and wellbeing of prisoners. Indeed, research shows that around 29% of offenders who start Community Orders self-report having mental health problems and of those who are formally assessed, 32% were identified as having a drug misuse need and 38% an alcohol misuse problem.

In response to concerns about the mental and physical health of the prison population, in August 2018 the government introduced a scheme designed to divert offenders towards treatment in 5 pilot areas, aiming to tackle the root causes of criminality. Public Health England have also implemented a series of initiatives designed to address health inequalities in prisons, including the roll out of the national ‘Smoke Free Prisons’ programme which has resulted in the largest smoke free prison estate in Western Europe. The commissioning and delivery of healthcare in prisons is also being addressed. A National Partnership Agreement between health and justice bodies and NHS England’s Strategic Direction for Health Services in the Justice System Report 2016-2020 outline how partners will work together to improve the health of vulnerable offenders. This includes supporting their rehabilitation and the move to a pathway of recovery.

Given the often complex and substantial healthcare needs of offenders, it is essential that prisons and prison healthcare services are meeting their physical, mental and social care needs. Improvements to prisoner’s access and experience of healthcare services are crucial if the sector is to ensure healthy prison environments for both staff and prisoners across the board.


Registration, Refreshments and Networking


Chair’s Welcome Address

Professor Rosie Meek, Professor of Law, Chartered Psychologist and Prison Researcher, Royal Holloway University of London (CONFIRMED)


Morning Keynote: Commissioning High Quality Health Care Within Prisons

  • Setting out the ambitions of the NHS to improve prison healthcare services as outlined in the Strategic Direction for Health Services in the Justice System, 2016-2020 NHS Report
  • Outlining the major challenges and upcoming priorities for the commissioning of services in secure and detained settings
  • Strengthening levels of cooperation through the National Partnership Agreement for the co-commissioning and delivery of healthcare services in prisons
  • Ensuring a greater understanding of the health needs of prisoners and the quality of the health and social care they receive by improving the quality of data collection and sharing
  • Implementing new service specifications for adult substance misuse services and mental health services to improve pathways within prisons and in the community

Kate Davies OBE, Director of Health & Justice, Armed Forces and Sexual Assault Services Commissioning, NHS England (CONFIRMED)


Special Keynote: The Role of Inspections in Improving Offender Healthcare

  • Outlining how HMPPS and the CQC work in partnership to ensure that health outcomes for prisoners are improved
  • Sharing key themes from inspection reports and highlighting what a healthy prison environment should look like
  • Promoting health equality in prisons by identifying what prisons need to do in order to reduce health inequalities and achieve equivalent healthcare
  • Developing a Prison Safety Framework to help improve conditions, meet the needs of the prison population and ensure that sufficient processes are in place
  • Outlining future priorities when it comes to the inspection of prison healthcare including the strengthening of multi-agency working and the adoption of a ‘whole-prison’ approach to health and wellbeing

Jan Fooks-Bale, Health & Justice Inspection Manager, Care Quality Commission (CONFIRMED)

Tania Osborne, Head of Health and Social Care Inspection, HM Inspectorate of Prisons (CONFIRMED)


Questions and Answers Session


Refreshments and Networking


Case Study: Delivering High Quality Healthcare in a Custodial Environment

  • Examining the health implications of prison living conditions and strategies to overcome the challenges associated with delivering healthcare services in a custodial setting
  • Sharing the lessons learned on the journey to achieving ‘excellent’ healthcare provision which is responsive to the varied and complex needs of prisoners
  • Improving care for pregnant women at HMP Low Newton by developing clear perinatal and maternity pathways with a dedicated support team and access to a midwife onsite
  • Successfully reducing the need to transfer women out of prison for routine care, and offering a more consistent healthcare approach
  • Supporting the long-term wellbeing of prisoners by ensuring that they engage in physical activity and have sufficient time out of their cell
  • Increasing the engagement of offenders in healthcare services through outreach services within the prison as well as buddying and coaching throughout treatment

Julie Bowmaker, Head of Healthcare, HMP Low Newton (invited)

Winners of Maternity and Midwifery Services Award, HSJ Patient Safety Awards 2018


Case Study: Providing Continuity of Care Following Release from Prison

  • Supporting prisoners with common mental health issues as they approach being released from prison through The Engager Project, funded by the National Institute for Health Research
  • Analysing the problems faced by prisoners’ post-release and to develop a collaborative system of care to address those problems with local support and social care services
  • Working with offenders to inform research and maximise the relevance of interventions
  • Outlining the challenges faced by offenders with mental health needs following release from prison
  • Transitioning between prison and the community, navigating fragmented health and social care services and reluctance to trust services
  • Setting up a pathway of care in preparation for discharge and for up to 16 weeks out of the community
  • Liaising with a range of services inside and outside of the prison estate to support health and social care needs of offenders

Professor Richard Byng, PenCLAHRC Deputy Director, GP and Professor in Primary Care Research, University of Plymouth (CONFIRMED)


Case Study: A Different Sense of Time – Working with the Older Population to Meet Their Specific Needs

  • Consultation, co-design and delivery of purposeful and meaningful activity to aid health and well-being; Promoting empowerment, social inclusion and independence
  • Outlining RECOOP services and working with Prison and Probation (Approved Premises) partners to deliver these
  • Sharing challenges, good practice and lessons learned
  • Understanding the Buddy Support Training and Management service, commissioned by the local authority and prisons
  • Delivering National Care Certificate training, adapted for prisons, and supporting well-being management services for those close to or meeting the social care eligibility threshold

Paul Grainge, Chief Officer, Resettlement and Care for Older Ex-Offenders and Prisoners (RECOOP) (CONFIRMED)


Questions and Answers Session


Lunch and Networking


Afternoon Keynote: Reducing Health Inequalities in Prisons

  • Understanding why the physical and psychological wellbeing of those in prison is a public health issue
  • Exploring how Public Health England works to reduce health inequalities between prisoners and the general population
  • Improving the quality of access to primary care within prisons through initiatives such as the ‘Prison Health Check Programme’ which allows for earlier identification of modifiable risks
  • Supporting offenders to make healthier choices; implementing smoke-free prisons across England and Wales and being the largest smoke-free prison estate in Europe
  • Addressing health improvement opportunities within prisons through effective delivery of public health screening and vaccination programmes
  • Comparing health inequalities in UK prisons to those in other countries, and learning from international best practice

Dr. Éamonn O’Moore, National Lead for Health & Justice and Director, Public Health England UK Collaborating Centre (WHO Health in Prisons Programme European Region) (CONFIRMED)


Special Keynote: Learning Lessons from Investigations to Improve Healthcare Standards for Prisoners

  • Outlining the role of the PPO in investigating failures relating to poor healthcare standards in prison
  • Exploring how to enhance healthcare provisions within prisons to meet standards of provisions in the community
  • Discussing what quality mental health care within prisons consists of, and how to ensure continuity of care upon prisoner release
  • Tackling drug misuse within prisons to decrease related to deaths: Exploring the roles of different stakeholders in this journey
  • Ensuring adequate provisions are in place to deliver effective and timely emergency response healthcare

Sue McAllister, Prisons and Probation Ombudsman (CONFIRMED)


Case Study: Meeting the Mental Health and Social Care Needs of Offenders

  • Understanding how to develop an effective multi-sector approach, taking lessons from the Liaison and Diversion model, to respond to and support the mental wellbeing and social care needs of offenders and prisoners
  • Exploring the role that each stakeholder can play in assisting offenders to provide a holistic approach, including police seeking stable accommodation and health and voluntary organisations offering interventions for substance misuse
  • Enabling prison staff to respond more effectively to cases of potential self-harm and self-inflicted deaths through a comprehensive support, training and delivery model
  • Discussing the relationship between addressing mental health issues to reduce behaviour linked with offending and criminality, to reduce reoffending and overall rates of offending
  • Understanding how the multi-sector approach helps to ensure legal teams are provided with more accurate and helpful information to determine sentencing decisions
  • Embedding learning through follow up visits with those who have engaged with the multi-sector service, and ensuring ongoing support were necessary

Matina Marougka, Strategic Project Manager, NHS England London Liaison & Diversion Programme (CONFIRMED)


Questions and Answers Session


Refreshments and Networking


Panel Discussion: Working Collaboratively to Improve Healthcare Provision Within Prison

  • Exploring effective methods for delivering healthcare for offenders from a healthcare setting outside of prison
  • Discussing the role of governors in ensuring excellent physical and mental healthcare for offenders, including related rehabilitation programmes
  • Exploring innovative ways of working with local services as required by a particular prison population
  • Forming partnerships that ensure continuity of care
  • Looking at the impact of employment opportunities on health
  • Sharing best practice around training on culture, ethnicity, gangs and violence within the prisons

Dr Steffan Davies, Consultant Forensic Scientist, Nottinghamshire Healthcare NHS Trust (CONFIRMED)

Sheldon Thomas, Founder and Chief Executive, Gangsline (CONFIRMED)

Helen Berresford, Director of External Engagement, Nacro (CONFIRMED)


Chair's Summary and Close

*Programme subject to change

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