1. Work force in Prison Healthcare
Professor Alex McMahon, Chair of National Prisoner Healthcare network
Mark Richards, Chair of Leadership and Governance Group, Prison health and Social Care Programme Board

2. Methodology Survey sent out between February and March 2019
All NHS Boards responded
Full data across all prison establishments
Recognise that there may be variances in the way data was submitted
Variances in staffing model across each establishment.

3. IJB or Board managed service

4. WTE Funded establishment

5. Prisoner to Staff Ratio

6. Leadership

7. Mental Health / Addictions / Learning disability

8. Mental health/ addictions as proportion of overall staffing

9. Vacancies available

10. Long Term Sickness

11. Vacancy / long term sickness as % of funded establishment

12. Summary of Education and training offered
Through TURAS / PDP (3)
LearnPro modules (2)
SPS core training (2)
Naloxone (2)
Psychological therapies / CBT (2)
Non-Medical Prescribing (2)
Addictions harm reduction / Wellness recovery action plan (2)
Reviewing provision at present
Decider Skills
Mental health 1st aid
Smoking cessation
Motivational Change
Unscheduled care
BBV
nutritional health training;
Mental Health group work
Tissue viability
Role specific training offered
Training education logs kept for all staff
Advanced clinical examination
Clinical assessment course
6 weekly clinical skills development
Mandatory training as per board policy
2 hours per week protected learning for each nursing team for in- house training
Learning and Development Plan in place supported by senior education advisor
MAST training
Forensic Network study days
University Modules
minor injuries
ResQ and basic life support training
Respiratory disease diabetes, tissue viability and epilepsy

13. Recruitment and retention
Challenges (most frequent)
Opportunities
National vacancy pressures (4)
time spent administering medications (3)
required personal qualities not obvious until experienced in environment (2)
lack of awareness of what nurses do in prison (2)
clinical environment (2)
poor partnership with SPS / custody versus care(2)
Not an issue (2)
variety/ range of services provided (4);
Prison health as a specialism (3)
Career development (3)
autonomy (2)
service development (2)
Training provided (2)
Good support / team work (2)
structured work (2)
regular hours (2)
supportive environment
Student Placements well rated ;

14. Summary of current improvement initiatives
Name of programme
Led by
Contribution
Excellence in Care
HIS
A prison healthcare group was established at the end of 2018 and is developing quality measures
Prison Health and Social Care Programme Board
Scottish Government
4 work streams supporting better care:
Quality Outcomes and Indicators
Health and Social Care Integration
Clinical IT
Leadership and Governance
Transforming Nursing Roles
Safe Staffing Legislation
Minimum level of staffing
Education and Training Group
NPHN
Development of clear training pathway in prison healthcare and standardised approach and working with partners (RCN/RCGP) to promote of prison healthcare as a career
Expert Advisory Group for Medicines/ Prison Pharmacy Group
Solutions to administering of controlled drugs and better use of pharmacy contract to free up nursing time.
Fitness to Work
Looking at solutions to amount of nursing time spent assessing prisoners reporting as unfit for work.
Mental health
Reviewing implementation of mental health report recommendations.
Other NPHN Work
Improving use of Vision to support better care planning ; Improving co-ordination with third sector ; parole board requests ; improving co-ordination of research.