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RCGP’s 6th Health & Justice Summit: Safety through Continuity

8:30am - 4:30pm
January 31-1, 2019
Hilton, Liverpool, 3 Thomas Steers Way,
Liverpool, L1 8LW
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A 2-day summit organised by the RCGP Secure Environments Group in partnership with, Broadmoor, Ashworth, and Rampton high secure hospitals, Spectrum, Care UK, NHS England, Martindale Pharma, Nottinghamshire Healthcare NHS Foundation Trust, Betsi Cadwaladr University Health Board, HMP Berwyn, West London NHS Trust, Mersey Care NHS Trust

Following on from our successful event in Glasgow in 2017, we are now focusing on ‘Continuity of Care – safety through continuity’ as this year’s theme. We recognise the need to embolden the links between primary and secondary care for people resident in secure settings and are looking to showcase examples of good practice on how we can improve on care transition to the community.

The first day will broadly address physical health in secure mental health environments, and the second day will address the health needs of people in other custodial environments such as prisons, immigration removal centres and YOI’s.

If you are registered as a delegate for the event, please register which workshop you would like to attend via the link below,



Councillor Barry Kushner

Labour Councillor

Norris Green Ward

Dr Alan Cohen

Salzburg Medical School

Chris Packham

Associate Medical Director and GP

Nottinghamshire Healthcare NHS Foundation Trust

Dr. Miranda Davies

Senior Research Analyst

Nuffield Trust

Andrew Clarke

Implementation Lead – Forensic CAMHS

National Specialised Commissioning Team (Mental Health) – NHS England

Fiona Grossick

National Quality & Lead Nurse

Health & Justice Finance, Commercial and Specialised Commissioning Group

Gill Scott

Macmillan Palliative Care Lead

North East Region

Laura Clark


Mersey Care Secure Division

Jenny Saunders

Chronic Disease Nurse

Mersey Care Secure Division

Matthew Langley

Consultant Forensic Psychiatrist

National High Secure Health Service for Women at Rampton High Secure Hospital

Marcus Bicknell

General Practitioner

Beechdale Surgery

Joe Rafferty

Chief Executive

Mersey Care NHS Trust

Tom Hewson

Junior Academic Doctor

Manchester University NHS Foundation Trust.

Dr Simon Modi

Consultant Cardiologist and Cardiac Electrophysiologist (Arrhythmia Specialist)

Liverpool Heart and Chest Hospital

Dr Jonathan Bickford

GP & RCGP representative

Equally Well

James Routen

Head of Health and Fitness

Rampton High Secure Hospital

Holly Lowther

Project Worker

Royal College of Psychiatrists

Sarah Shirley

Project Worker

Royal College of Psychiatrists

Kate Townsend

Deputy Programme Manager

Royal College of Psychiatrists

Dr K H Khan,

Consultant Forensic Psychiatrist

The State Hospital

Frances Waddell

Lead Dietitian

The State Hospital

Karen Burnett

Senior Infection Control Nurse

The State Hospital

Tracy Tait

Physical Health Steering Group coordinator

The State Hospital

Nicola Marfleet


HMP Woodhill

Dr Mary Kamara

Clinical Advisor

Medical Justice

Kate Clay

Head of Commissioning

Health and Justice NHS England

Simon Newman

Head of Prison Healthcarea

Betsi Cadwaladr University

Dave King

Head of Commissioning, Cumbria and North East (Health and Justice)

NHS England (North Specialised Commissioning Team)

Mike Wheatley

Senior Manager - Recovery Advisor

Her Majesty’s Prison & Probation Service

Dr Bernadette Hard

GP Specialist, Addictions

Kaleidoscope Drug Project

Dr Catherine Glover BSc Hons, MRCGP

GP Partner Hanham Health and Medical Director

HMP Bristol

Dr. Emily Fargher Holmes BA (hons), MSc, PhD

Research Fellow in Pharmacoeconomics

Centre for Health Economics and Medicines Evaluation (CHEME), Bangor University

Dr Paul Armitage

Clinical Director


Carole Lawrence-Parr


(Our Health Hub Ltd) a Med-Co Group Company

Jayne Bennett

Lead Hepatitis Specialist Nurse NMP

Prisons Greater Manchester and Cumbria

Nat Wright


Armley Medical Practice

Laura Hinchliffe


Hanham Health and HMP Eastwood Park/ HMP Ashfield

Mark Gillyon-Powell JP

National Lead

NHS England

Professor Graham Foster

Professor of Hepatology

Barts Liver Centre, Queen Mary University of London

Professor Louise Condon


College of Human and Health Sciences

Maria O'Neil

Specialist Palliative Care Nurse

HMP LIttlehay

Bethan Leach


Offender Health, Care UK

Dr Jon Bashford

Senior Partner

Community Innovations Enterprise

Richard Keers

Clinical Lecturer in Pharmacy

The University of Manchester

Linda Harris

Chief Executive and Chief Medical Officer

Spectrum Community Health

Dr Caroline I J Watson

Lead GP

HMP Bedford

Gareth Ruse

GP and Director

Achor Healthcare

Miss Andrea Sott

Orthopaedic Consultant

St Helier and Epsom

Mrs Denise Farmer MRPharmS

Pharmaceutical Adviser

Health and Justice Commissioning and NHS England Central and East

Mr Alan J. Eagleson MPSNI

Pharmacy Lead

Prison Healthcare for South Eastern Health and Social Care Trust

Anna Taylor

IDTS Service Manager

HMP Birmingham


The Agenda


    Registration, Networking & Breakfast.


    Opening – Councillor Barry Kushner (Confirmed)

    Labour Councillor for Norris Green Ward & Cabinet Member for Children’s Services


    Introduction & Chair – Chris Packham (Confirmed)


    Dr. Alan Cohen (Confirmed)

    Equally Well, the Mental Health Intelligence Network

    ‘Analysis of national QOF data comparing the prevalence of people with SMI in ten long-term conditions’

    “The physical health of those with a severe mental illness is held up as one of the last significant health inequalities. This presentation will explore some of the data that underpins that inequality. This will describe how it can be used to enhance services, through the development of a national learning network. Equally Well.”


    Stephen Watkins (Confirmed)


    Panel Discussion


    Refreshments, posters, exhibition & networking


    Stream A

    Workshop 1:

    Miranda Davies (Confirmed)

    Understanding prisoners’ healthcare needs and their use of hospital services using routine healthcare data

    This workshop will present early findings from analysis of routine healthcare data (Hospital Episode Statistics) to explore prisoners use of inpatient, outpatient and A&E hospital services in England in 2017/18. There will be an opportunity to discuss the potential uses of such data to better understand the healthcare needs of prisoners and also, what such data might tell us about how the quality of care for prisoners compares to non-prisoners.

    Workshop 2:

    Andrew Clarke & Dr Heidi Hales (Confirmed)

    Specialist Child and Adolescent Mental Health Services for High-Risk Young People with Complex Needs (Community Forensic CAMHS)

    The National Community FCAMHS teams delivered through 13 providers across the country covering regional footprints. The teams are small and highly skilled and knowledgeable in forensic mental health presentation and interventions.
    The services are community outreach services designed to support other services with the care of these young people. The clinical model of the service is graded with advice and signposting being the first level and then referral to consultation and assessment and also intervention for the very complex cases.

    Workshop 3:

    Fiona Grossick & Gill Scott (Confirmed)

    Palliative and end of life care in prisons

    ‘Dying Well in Custody Charter: A whole prison approach to delivering high quality, dignified and decent palliative and end of life care in prison’

    Supporting people who are expected to die in custody can be a difficult and emotional time for the staff who care for them, the individual and their families. Good palliative and end of life care are being delivered in many establishments. The Dying Well in Custody Charter, a national framework for local action 2018, provides a set of standards for palliative and end of life care in prison and gives establishments guidelines that set out best practice.

    Workshop 4:

    Laura Clarke & Jenny Saunders (Confirmed)

    Tackling Obesity and Chronic Disease Management in a secure Environment.

    ‘Weight management, Diabetes prevention and improved lifestyle through education’

    The aim of the workshop is to demonstrate how collaborative working and education combine to benefit patients in a secure environment.

    Within the workshop we will discuss the Obesity Strategy and ongoing work being done at Mersey Care

    Workshop 5:

    Matt Langley & Marcus Bicknell (Confirmed)

    ‘Managing sodium valproate prescribing in female patients in secure hospitals’

    Valproate has been used extensively as both an antiepileptic and a mood stabilising medication. Its teratogenic effects are also well known. In April 2018 the Chief Medical Officer in the UK issued an alert indicating that Valproate medicines are now contraindicated in women and girls of childbearing age unless certain conditions are met. It is common to find women in secure settings who are already prescribed Valproate. This workshop discusses the issues often encountered in these cases and approaches that may help professionals to manage them.



    Lunch, posters, exhibition & networking


    Chair – Chris Packham (Confirmed)


    Joe Rafferty (Confirmed)

    High secure patients: keeping safe

    Approaches to improve patient safety require a number of key cultural commitments. Insecure services they require a shift in paradigm to engage both the workforce and the patients in collaborative and co-produced goals, which are audacious and challenge some of the accepted narratives in mental health.

    This presentation will highlight the key steps in our journey to accelerate improvement from: stretching zero-based goals; to the development of a just and learning culture and digital innovations to transform clinical decision-making and practice. These approaches and tools for improvement are essential to developing the collective wisdom, diversity of perspectives and psychological safety required. Also, for services to make the critical changes to maximise safety outcomes in the future.”


    Stream B

    Workshop 1:

    Tom Hewson (Confirmed)

    Forensic psychiatry and physical health – Perspectives from Australia.

    This workshop will explore, compare and contrast physical health profiles and mental health law across secure settings in the UK and Australia. International differences will be analysed and discussed to identify potential areas for service improvement. Findings from an Australian audit of physical healthcare monitoring in secure-care will additionally be presented.

    Workshop 2:

    Dr Simon Modi & Jonathan Bickford (Confirmed)

    Cardiac health in mental health settings, with particular focus upon the relationship with antipsychotic medication

    “The principal cause of premature morbidity and mortality associated with SMI is cardiometabolic disease, and practice should accordingly be focussed upon the prevention and management of such disease.”

    Dr Simon Modi, Consultant Cardiologist, Liverpool Heart & Chest Hospital and Dr Jonathan Bickford, Visiting GP Broadmoor Hospital will discuss the measurement of QTc as a means to screen for sudden cardiac death and the management of clozapine-induced tachycardia. Evidence to inform the practice of both topics is lacking, and policy is inconsistent.  Join us to debate how this can be addressed to promote safe and continued use of antipsychotic medication and how we might best focus our efforts to reduce the cardiac morbidity of our patients

    Workshop 3:

    James Routen Trevor Spafford (Confirmed)

    Implementation of high support swimming sessions in a high secure services

    ‘Managing the potential for Violence and aggression, in a high-risk area. Enabling and promoting access to this area for all patients’

    The workshop will aim to share best practice and showcase the success of the recently devised and established training package. The implementation of the high support swimming session within the high security has led to the introduction of the PFD training. Personal flotation device (PFD) which provides individual high-risk patients during a swimming pool session, to ensure that effective risk management is maintained. Also, allowing for positive and meaningful activities to take place.

    Workshop 4:

    Holly Lowther, Sarah Shirley & Kate Townsend (Confirmed)

    Patient and carer involvement: what has been achieved and what should be next?

    ‘Patient and carer involvement’

    Capturing perspectives of patients and carers in health services are fundamental to achieving a person-centred approach. However, it can be a challenge to accomplish in settings like forensic services fully. Furthermore, the workshop aims to celebrate what services and the Quality Network for Forensic Mental Health Services already have in place regarding patient and carer involvement. Also, explore what the next stages should be to embed a person-centred approach fully.

    Workshop 5:

    Dr Khuram Khan, Frances Waddell, Karen Burnett & Tracy Tait (Confirmed)

    Development and implementation of patients individualised Health and Wellbeing plans

    Research into managing co morbid long-term conditions in those with severe mental health is limited and contemporary approaches to managing health is this area warrants new ideas.  A holistic multi-disciplinary approach to achieving this in a high secure setting is being trialed.




    Stream C

    Workshop 1:

    Karen Burnett (Confirmed)

    “Care of the dying in a forensic setting – a multifaceted approach”

    Workshop 2:

    Nikki Marfleet (Confirmed)

    Building great teams: delivering under pressure 

    Building great teams doesn’t happen by itself. Come and hear stories and practical tips about being intentional with our teams when the pressure is on!  Are results and output the only thing that matter to us?  How do we build ‘gritty’ teams who deliver with perseverance and passion and have clear operational grip?

    Workshop 3:

    Dr. Mary Kamara (Confirmed)

    The Impact of Immigration Detention on Health

    Lessons learned from independent medical assessments for immigration detainees

    The transition into immigration detention from the community is often abrupt, where are the critical points of breakdown in continuity of care?

    How can we effectively identify vulnerable adults and victims of torture? what should we know about the impact of detention on health?

    Workshop 4:

    Kate Clay & Simon Newman (Confirmed)

    12 months to set up the most complex integrated health service in the UK. What did we learn?

    Workshop 5:

    Jane Voke, Su Thomas, Louise Arscott & Nicola Morgan (Confirmed)

    Developing a physical health service at Langdon hospital.

    Langdon hospital is a forensic mental health facility that includes medium & low secure and open wards. We have 110 male service users. The original physical health service involved using a local practice and having a visiting GP and RGN once a week.

    The new service has an integrated cross-site and primary care hub service. The multidisciplinary team members see services users individually and work alongside the psychiatric teams on the ward. Service users can also be seen in physical health clinics. Each ward is also assigned a Sports & Leisure Coordinator to offer physical activity sessions, tailored to meet individual needs.

    Many service users have been unwell for an extended period of time, and this contributes to both poorer physical health and difficulty in beneficially using a medical service. They may also have developed lifestyle habits which help to lower quality of life and shorter life expectancy.
    An excellent mental health service is patient centred, and the physical health provision requires a similar degree of flexibility.
    We would like to share our film with you and discuss what has worked and what our future plans are.



    Conference drinks and award presentation


    Close of Day


    Conference dinner,

    Hilton, Liverpool City Centre


Registration, refreshments, posters, exhibition & Networking


Introduction & Chair – Chris Packham (Confirmed)


Dave King & Mike Wheatley (Confirmed)

Drug Recovery Prison

HMP Holme House is the national pathfinder Drug Recovery Prison. Understand our ‘why’ and more about the Holme House approach to Safety, Care, Continuity of Care and Making Prison a Positive Place.


Dr. Bernadette Hard (Confirmed)

Kaleidoscope Drug Project

‘Time to stop throwing the baby out with the bathwater.’

The impact of introducing Espranor into a community OST service for offenders.


Dr Caroline Fryar MBChB MRCGP LLM DRCOG DCH (Confirmed)

‘Staying out of trouble – dealing with medico-legal processes following the death of a patient’

Being involved in a case involving the death of a patient is a harrowing experience for all concerned.  Such an incident is often followed by many unfamiliar processes.  Dr Fryar will discuss the potential sequelae following the death of a patient, focusing in particular on complaints, inquests and GMC investigations and will provide some top tips for staying out of trouble.


Nikki Marfleet (Confirmed)

Keeping our Teammates: Building a great culture

Retention of staff is a current issue across much of the public sector.  How can we build a culture which allows our staff to flourish and belong, to feel recognised and appreciated in a fast paced, constantly changing workplace?  This workshop will include stories and practical tips for influencing workplace culture at all levels


Panel Discussion


Refreshments, posters, exhibition & networking


Stream A

Workshop 1:

Catherine Glover (Confirmed)

Prison Emergency Treatment & ALS course for prisons that is being developed in Bristol

Myself and colleagues are developing a bespoke training course to manage clinical emergencies that may commonly be seen in prisons. We are working closely with HMPPS to make it very prison specific. I will be giving an overview of the course format and topics that we are covering and Mark Simpson from HMPPS fire and safety will talk about the process that the prison officers and fire brigade must follow in the case of a cell fire prior to us assessing the patient.

Workshop 2:

Dr. Emily Fargher Holmes & Justin Lawson(Confirmed)

Management Process at HMP Berwyn: Challenging Prescribing Practice in Prisons

‘Berwyn: Challenging Prescribing Practice in Prisons’

Modelling the health economic outcomes of ‘medicines management of sedating medications’ at HMP Berwyn.  A feasibility study.

Changing prescribing practice in prisons has economic consequences. Fewer items being prescribed reduces the pressure on pharmacy and nursing teams that gives back time that can be spent in managing the medicines that are prescribed. There is an impact on security with reduced queues at hatches and fewer illicit drugs in the environment. However, this has to be balanced against the time involved with the initial disruption when men have medication discontinued. In order to formally assess the cost-effectiveness of the sedating medicines management programme at HMP Berwyn, a feasibility study is being conducted. Using audit data and purposive reviews of the literature, this study will identify the data required to model the health outcomes and resource use of medicines management of sedating medications at a local (HMP Berwyn) and national (UK Prison Service) level.

Findings will report on the feasibility of conducting definitive research at HMP Berwyn and report on the costs and outcomes associated with this programme to date. Collecting economic data in a feasibility study ensures sufficient data at both a local (HMP Berwyn) and national (UK Prison service) level are available to produce a robust estimate of the economic impact of changes to prescribing policy in the future.

Workshop 3:

Dr Paul Armitage & Carole Lawrence-Parr (Confirmed)


Quality & Outcome Framework in prisons: Opportunity or Threat?

‘Drawing on years of commissioning and providing the Quality and Outcome Framework (QoF) within prisons’

The presentation will include

Identify challenges associated with delivering QoF in prisons.

Improving outcomes in chronic disease management

Suggest practical ways in which QoF deliver including leadership, engagement, audit, and training.

Workshop 4:

Chris Packman (Confirmed)

Epidemiology of  CVD risk and anxiety and depression markers in 7 east midlands male-only prisons

The workshop will describe the methodology and some interim findings from a large CVD and mental health risk study carried out in over 1000 male prisoners in the East Midlands. It will explore  both logistic method issues but also discuss some of the early findings and possible lines of analysis that could be helpful to colleagues and policy makers

Workshop 5:

Jake Hard & Amanda Hizzett (Confirmed)

Pre Registration for the detained estate

“To assist in preparing healthcare teams to register patients who do not have a registered Community GP for General Medical Services in the community  prior to discharge from the detained estate

Currently, some patients are leaving the detained estate without a registered GP, and this can impact on the continuation of their care and the continuation of the medication. The patients may require hospital appointments or appointments with Substance Misuse or Mental Health providers, and without a registered GP these may not be attended, or the patient will not be followed up. In 2017 a change in the GMS Regulations made it possible for the detained estate to register a patient for GMS in the community prior to them being released. Once GMS registration is rolled out to the detained estate later on in 2019 it is hoped all patients will register with the Prison healthcare team which will deregister the patient from the community GP, this will mean that the process of Pre-Registration will be used for every patient being discharged which will enable a continuous medical record to follow the patient both in and out of the detained estate. In this workshop, we will look at how the pilot site HMP Moorland created their process, what the process is and any obstacle they have encountered.



Stream B

Workshop 1:

Jayne Bennett – MSD (Confirmed)

Is micro elimination of Hepatitis C achievable in your prison?

Finding and treating Hepatitis C patients in prisons is a key requirement in the pursuit of eliminating Hepatitis C and meeting national treatment targets. This workshop focuses on the potential challenges and barriers that exist in terms of Hepatitis C screening and diagnosis in prisons and on the proposed ways to overcome them. Additionally, we will explore the potential shortfalls in care pathways and the need to introduce integrated and more effective pathways.

Workshop 2:

Nat Wright (Confirmed)

“Management of Alcohol Dependence in Secure Environments”

This workshop will consider the risks to prisoners and detained persons of uncontrolled alcohol withdrawal in secure environments. Through both a presentation, case scenarios and open discussion it will discuss how such risks can be effectively managed and how the setting of the secure environment can be optimised to support those dependent on alcohol to start a process of recovery.

Workshop 3:

Laura Hinchliffe (Confirmed)

Gender Dysphoria in Prisons

Gender dysphoria is quite topical currently and perhaps even more so within prisons, yet most GPs have little experience in this area. This session will focus on first consultations, referrals and common prison-related issues which may arise, as well as discussion of some pertinent cases.

Workshop 4:

Professor Louise Condon & Nerys Williams (Confirmed)

Improving continuity of care for burn victims between prison and the community: a specialist outreach nursing service in Wales

‘A specialist nursing service in Wales addressed a need to improve burn care in prisons by developing a collaborative educational programme for prison healthcare staff’

As a result of increased referrals for burn injuries from prisons in South Wales, an outreach team developed a programme of education for prison staff to improve the quality of referral and treatment in prison. The evaluation showed that this service resulted in enhanced collaboration, with a consequent benefit for patients.

Workshop 5:

Stephanie Perrett (Confirmed)

Public Health Wales: Infectious Disease presentation

‘Screening for latent tuberculosis infection (LTBI) at a local remand prison: findings and lessons learnt’

NICE guidance on Tuberculosis (TB) recommends routine interferon-gamma release assay (IGRA) testing as part of the blood-borne virus screen to detect latent TB amongst those under 65 years of age in prison.  Funding was secured to pilot IGRA screening for LTBI infection at a local remand prison in South Wales, UK.  570 men were tested on admission to prison for LTBI and blood-borne viruses.  IGRA positivity rate was 7.1%, hepatitis C antibody positivity rate was 8.2%.  All those with a positive IGRA result underwent chest X-ray for active infection.  Once the case of active TB infection was identified. The workshop will discuss the process and findings and engage discussion on the role of LTBI screening in prisons.



Lunch, posters, exhibition & networking


Chair – Chris Packham (Confirmed)


Marcus Bicknell (Confirmed)

Findings and proposals from the Death in Custody Group


Mark Gillyon-Powell JP & Professor Graham Foster (Confirmed)

“Hepatitis C Elimination; six years to 2025”

The elimination of Hepatitis C Elimination as a public health issue in England

“With the advent of vastly more effective and acceptable treatment options for people with Hepatitis C, we have a real opportunity now to see the end of the virus as a public health issue in England.  The WHO have set a Hep C elimination target of 2030, and NHS England has committed to achieving this by 2025.  Given the scale of this challenge, the timescale and the expected prevalence of the virus amongst populations accessing healthcare in the custodial system, the workshop will consider the importance of the issue for the workforce, what is currently happening how we can all take a role in the ‘once in a lifetime opportunity of eliminating Hepatitis C.”


Stream C

Workshop 1:

Maria O’Neil & Annelise Matthews (Confirmed)

Palliative care in the prison setting

‘How looking after residents in a prison environment can be a challenge, how these are overcome and hopes for the future’

Four years ago, HMP Littlehey changed its demographics from Adult/YOI to one which houses those mainly convicted of sexual offences. The prison is one which now caters for a large population of older/ageing residents. Along with this increases the number of cancers and other life-limiting illnesses.

Working in the hospice with Dr Matthews, I was able to convince her to help me provide symptom control and End of Life care to the residents. Care is on a par in prison to that which is offered in the community, and in many cases more than. However, due to the nature of the environment, it provided its own challenges on delivering palliative care to ensure a person has a dignified death.

Workshop 2:

Dr. Jon Bashford (Confirmed)

Inside gender identity

‘Meeting the health and social care needs of transgender people in the criminal justice system’

Findings from a review of transgender individuals in the criminal justice system, and the subsequent report Inside Gender Identity highlights the broader range of ways in which health and social care needs for trans individuals in the criminal justice system can result in heightened risk and vulnerability. Particularly with respect to mental health, well-being and the experience of fractured and disjointed care pathways.

The workshop will explore the findings from the report and highlight the particular work that needs to be done. How to improve safety and effectiveness of services including greater inclusion of the lived experience of transgender offenders.

Workshop 3:

Bethan Leach & Christine Chrisostomou (Confirmed)

Healthy Inside – Tackling Malnutrition in Her Majesties Prison (HMP)

Links between poor food intake and chronic disease are well documented. Rates of chronic disease in prison are high. Prisoners’ food choices are limited.

This workshop stems from the work of two undergraduate dietetic students in one male community prison asking

What nutrients does this prison menu provide?

What choices do the men make within this menu?

How do these compare to the amount needed for health (UK dietary reference values DRVs)?

Workshop 4:

Richard Keers (Confirmed)

Medication safety in prisons

‘Improving medication safety in prisons. What is the Patient Safety Research Unit doing about this and what can I do where I work?’

Medication safety challenges in prisons are poorly understood, which also could stifle the development and impact of improvement efforts on the ground. This workshop aims to report on the exciting projects being undertaken by the Patient Safety Research Unit to address this need and also how you might get involved, and to equip you with the knowledge, motivation and fresh ideas needed to go back to your place of work and make a difference!

Health in secure environments; prisons, immigration removal centres, and YOIs.

Workshop 5:

Linda Harris (Confirmed)

Workforce planning, skill mix, and redesign, recruitment and retention

With the scale of the workforce challenges facing those working and seeking to innovate in health and justice and in the wake of the publication of a new NHS Long Term Plan and prison reform agenda this workshop will explore a framework for addressing such challenges and consider and share good practice and strategic thinking in workforce planning and new ways of working.


Stream D

Workshop 1:

Caroline Watson (Confirmed)

A multi-disciplinary approach to managing chronic pain in prison

This workshop will be facilitated by Mac Jawad (physiotherapist) and Dr Caroline Watson (GP). It will draw on 4 years of experience of running a multi-disciplinary pain clinic in HMP Bedford, including the highs and lows, the approaches that have worked well and those that have been less successful, and the management of expectations and prescribing in a local remand prison with a high turnover and revolving door population. The session will be interactive, using case studies and we hope it will provide tools and tips to take away.

Workshop 2:

Dave King & Mike Wheatley (Confirmed)

From theory to practice: Workshop on Drug Recovery Prison

HMP Holme House is the national pathfinder Drug Recovery Prison. You’ve heard the ‘why’ and the ‘how’; now learn ‘what’ we did to move theory into practice and the lessons that we’ve learnt along the way.

Workshop 3:

Dr. Gareth Ruse & Andrea Sott (Confirmed)

Outcomes from the Provision of Orthopaedic and Fracture Clinics inside a remand Prison.

“How to run a secondary care fracture clinic and orthopaedic service in a remand prison”

Many patients in prison fail to gain access to orthopedic and fracture services.

We present the impact on patient care, including the practicalities, obstacles and the outstanding results of a 12 month trial of biweekly Consultant clinics in HMP Highdown.

These include:

A 600% increase in patients seen in the year.

Vastly improved patient experiences.

Safer outcomes pre and postoperatively.

Reduced escorts and cancellations.

Improved equivalence of care for orthopaedic and trauma patients.

Improved teamwork, nurse education,  access to scans and operations

Workshop 4:

Denise Farmer & Alan Eagleson (Confirmed)

Continuity of medicines on admission and release: What makes this safer?

‘What do we currently do to support safer medicines continuity? What’s in the pipeline to improve this further? What can we learn from our colleagues in Northern Ireland?’

This workshop describes the current tools and guidance available to support the safe continuity of medicines by people coming into, moving between and out of custody. Information about future opportunities will also be shared and we will be hearing about some work in Northern Ireland that will inform our approach in England.

Workshop 5:

Anna Taylor: (Confirmed)

HMP Birmingham IDTS Naloxone on release and Espranor to maximise recovery potential.

HMP Birmingham IDTS supports 200 patients on mediation with an average stay of 6 weeks. We have a deep commitment to enabling recovery and have introduced Naloxone on release and changed to Espranor to maximise recovery potential. This workshop discusses some of the barriers we overcome.



Marcus Bicknell Caroline Watson & Denise farmer (Confirmed)

Safer Prescribing in Prison – Key recommendations from the 2nd edition


Prize draw hamper & Refreshments


Close of Day

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January 31 @ 8:30 am
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Hilton, Liverpool
3 Thomas Steers Way,
Liverpool, L1 8LW

Daniel Snape



0161 820 0631

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