1. Compassionate Care: Delivering the 6 C’s in HMP Manchester Healthcare Jo Daniels General Manager, Prison Healthcare 29 November 2013

2. HMP Manchester Healthcare Treating the symptoms not the crime

3. Delivering the 6 C’s workshops Three workshops took place to answer the following questions- What gets in the way of delivering on the 6C’s? What would overcome this? What can we do today? What could the Trust do?

4. What gets in the way of delivering on the 6C’s? Care The environment Staffing levels Prison regime Paperwork Patient insight Care The environment Staffing levels Prison regime Paperwork Patient insight Compassion Environment Security Risk levels Attitudes VPs Compassion Environment Security Risk levels Attitudes VPs Competence Training/skills Supervision Knowledge Support /monitoring Competence Training/skills Supervision Knowledge Support /monitoring Communication Multi disciplinary Conflict of opinions Not listening Fragmented care No discharge info Communication Multi disciplinary Conflict of opinions Not listening Fragmented care No discharge info Courage Positive risk taking Support Courage Positive risk taking Support Commitment Feeling valued Tiredness Stress Commitment Feeling valued Tiredness Stress

5. What would overcome this? What can we do today? Group 1 Group 2 Group 3 Listen to patients Leadership Team building Paperwork review Recognition events Skill mix Focus on positives Listen to patients Leadership Team building Paperwork review Recognition events Skill mix Focus on positives More staff More training Supervision structure Improved communication methods Education about different departments More staff More training Supervision structure Improved communication methods Education about different departments Improve staffing levels General resources- bank General/historical attitudes Training and education Experience Improve staffing levels General resources- bank General/historical attitudes Training and education Experience

6. What could the Trust do? All groups- Team building More staff Improved mental health training for discipline staff Address bank/agency Recognise that Prison is a unique environment Achieve Senior Trust Board support and backing

7. Quick wins Staff meetings Ward round forms Patient focus groups