1. Prison Healthcare Jillian Galloway Dawn Wigley David Morrison
Clair Petrie

2. HMP Perth
Capacity for approx 650 prisoners
Annual turnover approx 3000 prisoners
Remand, Short Term, Long Term and Protection (offence and non offence)
HMP Castle Huntly – Open Estate
National Facility
Capacity for approx 285 prisoners
Annual turnover approx 500 prisoners
Long Term prisoners – low supervision assessed as being fit for open conditions

3. Case Work Addictions Team Visiting Podiatrist Visiting Dentist
PHC Provides Primary and some Secondary Health care services to the population of both Tayside Prisons and we are striving to deliver equitable healthcare to that delivered in the community across Tayside GP
Primary Care Nurses
Pharmacy Team
Public Health Nurse
Mental Health Team
Substance Misuse Team
Case Work Addictions Team
Visiting Podiatrist
Visiting Dentist
Visiting Optician
Assess All New Prison Admissions
SPS Talk to Me Responsibilities
Medicines Administration
Morning approx 260 patients (CDs and detox)
Evening approx 61 patients (CDs, detox, acutes)
Emergency Response
Attend all Incidents of Prisoner Restraint

5. Local Priorities Provide Safe, Effective and High Quality Care
Support Rehabilitation and Recovery (not just from a health perspective)
Enabling infrastructure, workforce and organisational culture
Joined up pathways between primary and secondary care and between clinical services
Prevention, maintaining existing health through anticipation, co-production and self management

6. Delivering Palliative Care in Prisons
Prisoners are entitled to the same medical care as those in the community
Framework and action plan 2014 Living and Dying Well
“Promoting High Quality Care for ALL adults at the end of life”
HMP Perth have had 4 palliative patients in the last 12 months
Currently have 2 palliative patients

7. Aim to provide pain and symptom relief
How do we Care for Palliative Patients in a Custodial Environment?
Aim to provide pain and symptom relief
Physical
Social
Psychological
Spiritual Needs
Total Pain
Palliative Care Pathway in place within PHC to provide care for patients with palliative care needs

8. What are our challenges in delivering palliative care within custodial environment?
Out Reach Support
Nurse Education
Symptom Management
Challenges
Officer Confidence re dying patient
Access to appropriate services within the SPS regime
Communication between NHS and SPS
Complex Population

9. Options
Care for them in custodial environment they are in
Compassionate release
Transfer to hospital or hospice

10. What should patients expect?
Open, honest communication should happen with healthcare staff about their needs and wishes as people near the end of your life.
A care plan should be made taking into account those needs and wishes.
Every service provider involved in your care must communicate with each other so that your care is coordinated. This includes prison officers and the healthcare team.
Care has to be of a high standard no matter where it’s happening.
Prison healthcare staff should be aware of your condition, they also need to consider your emotional and physical needs.
Prisoners that are close to, or caring for those with a terminal illness, should be given support where possible.
Family and other prisoners will be told when someone has died.