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Document Sample
South West
Offender Health and
Well-being Programme
Delivery Plan
2008 / 09
National Treatment Agency
for Substance Misuse
South West Offender Health and Well-being Programme Delivery Plan 2008 / 09 1
CONTENTS
Introduction Page 3
Reducing Reoffending Page 4
Regional Leadership and Governance Arrangements Page 5
Regional arrangements
Support national policy development
Service user involvement
Performance Management Page 7
Partnership Working & Commissioning Page 8
Work across offender pathway
Prison health development
Court services
Police services
Probation
Children and Young People
Offender Health and Social Care Research Network
Provider Development & Support Page 13
Workforce Development and Training Page 15
Partnership Arrangements Page 17
South West Offender Health and Well-being Programme Delivery Plan 2008 / 09 2
THE SOUTH WEST OFFENDER HEALTH AND WELL-BEING PARTNERSHIP
The Offender Health and Well-being Partnership in the South West builds on the work of the
Department of Health (DH), the Home Office (HO) and more recently Ministry of Justice (MoJ)
to modernise and mainstream prison health care into the wider NHS and the developments
highlighted in the consultation on ’Improving Health, Supporting Justice’. As changes in
structures within the MoJ and DH regional presence proceed, we will continue to work in
partnership to “improve health, address health inequalities and reduce crime by maximising the
opportunities provided by better integration of health, social care and criminal justice systems”.
AIM
To support the delivery and implementation of Improving Health, Supporting Justice.
OBJECTIVES
To lead efforts to improve access to health services for offenders with mental health,
physical health or substance misuse needs through partnership working with local
organisations and communities.
To support the implementation of National Service Frameworks, the NHS Plan, the
Social Exclusion Unit report and other related policy guidance within the context of the
criminal justice system.
To contribute to the reduction of reoffending across the South West
To improve the quality of commissioning processes for offenders
To enable service developments to be informed by local experience and stakeholder
participation.
To monitor and review progress in service development, targets and milestones and
assist local partnerships to achieve these
To develop the use of the Prison Health Performance Indicators (PHPIs) and support
service improvement issues arising from these
To support research and development activities, encouraging the South West to lead
national practice in key developmental areas
South West Offender Health and Well-being Programme Delivery Plan 2008 / 09 3
REDUCING REOFFENDING
The SW Reducing Reoffending (RRO) Delivery Board has identified eight strategic pathways as
a framework for the management of its work:
Accommodation.
Children and Families of Offenders.
Drugs.
Alcohol.
Education, Training and Employment.
Attitudes and Behaviour.
Finance, Benefits and Debt.
Mental and Physical Health.
The South West Offender Health and Well-being Partnership will contribute as appropriate to
the work of all these pathways and will lead on delivery of the Health pathway on behalf of the
RRO Delivery Board. It will also oversee the offender section of the regional delivery plan for
health and well being, and the DH service level agreement between CSIP and SCLGCP
Directorate. The National Treatment Agency for substance misuse and NHS SW are key
partners in delivery of this agenda. The South West Reducing Re-offending Board attaches high
priority to addressing diversity issues and to the promotion of equality in the delivery of the
Reducing Re-offending Strategy. Working through its constituent members and partners, the
Board is committed to ensuring that:
The development of services relevant to each pathway takes account of, and responds
to, the diverse characteristics of the target group.
There is equality of access to delivery and benefits of service provision for each
pathway.
Services are delivered by organisations that can demonstrate that they have proper
policies and procedures in place to support and promote diversity – both in terms of
service delivery and in terms of employment.
South West Offender Health and Well-being Programme Delivery Plan 2008 / 09 4
DELIVERY PLAN 2008/09
1. Regional Leadership and Governance Arrangements
Objective Action Governance Timescale
/Lead
Deliver SW Agree annual programme with national South West Sept 2008
work and regional stakeholders. OHW Board
programme
Develop and agree future regional
arrangements for programme delivery.
Governance Maintain clear governance arrangements, South West March 2009
with clear lines of reporting and OHW Board
accountability for the programme,
consistent with other regional business
plans managed through CSIP and the DH
regional presence.
Bradley Facilitate visit by Lord Bradley to engage SS March 2008
Review with South West stakeholders.
Support implementation of review.
Improving Provide a South West response to the RS/LE March 2008
Health, consultation on the strategy document.
Supporting
Justice Implement policy and recommendations March 2009
arising from the SW consultation process.
Carter Review Ensure that consistent advice and support TBC
is given to partnerships re delivery of
recommendations arising from the Carter
Review.
Support Contribute to Mental Health SPB and RS/LE
national policy Public Health SPB on behalf of regional
development programme leads.
Participate in national IDTS steering RS
group, DH working party on children in
secure settings.
Support national roll out of older prisoners MJ
care pathway.
Service User Support local health, social care and LE On going
Involvement criminal justice partners in developing
South West Offender Health and Well-being Programme Delivery Plan 2008 / 09 5
effective service user engagement
approaches.
Facilitate the implementation of good LE
practice guidelines for the engagement of
service users.
Support delivery of national conference on LE April 2008
women who offend.
South West Offender Health and Well-being Programme Delivery Plan 2008 / 09 6
2. Performance Management
Objective Action Governance Timescale
/Lead
Performance Quarterly and annual assessment of RS/MJ March 2009
Management prison health against nationally and Report to
of PCT/Prison regionally agreed standards. DH, NHS
Partnerships in South West
relation to Ensure robust PCT clinical governance and HMPS
prison arrangements include adverse incidents, Area
healthcare complaints procedures and death in Manager
custody investigations.
KD Report to
Support equivalent issues arising within DH/NTA,
the contracted out estate. NHS SW
and HMPS
Work in partnership with NTA to improve Area Drug
IDTS programme performance. Coordinator
Prison Health Develop use of PHPIs, supporting NHS
Performance South West and Area Management in RS/MJ
Indicators progressing service improvement.
(PHPIs)
Safer Custody Ensure that PCT action plans arising from SW Strategic March 2009
Prison/Probation Ombudsman (PPO) Safer
reports are implemented. Custody
Forum
South West Offender Health and Well-being Programme Delivery Plan 2008 / 09 7
3. Partnership Working and Commissioning Development
Objective Action Governance Timescale
/Lead
Joint Strategic Facilitate inclusion of issues relating to RS March 2008
Needs health and offending in the local
Assessment and population in Joint Strategic Needs
LAAs Assessments and LAAs.
Identify and map key stakeholders and RS On going
their engagement with local delivery
plans.
In all PCT’s, but in particular those RS
without prisons, work with key March 2009
stakeholders to ensure that the assessed
health needs of offenders are reflected in
emerging service plans.
Access of Work with Dorset PCT to develop good TBC
offenders to practice and implement across SW.
primary care
Learning Support the development of services for TBC March 2009
Disabilities offenders with learning difficulties/
disabilities.
Older Offenders Continue work with Age Concern to MJ March 2009
support the Older Prisoner Network.
Implement the care pathway for older MJ
and disabled offenders.
Alcohol Strategy Work with the South West ROMs Office RS June 2008
to develop an alcohol strategy for
offenders.
Progress recommendations arising from
strategic service review in prisons and
probation settings.
Commissioning Lead SW Prison Health Development RS
Development Team and regular meetings of PCT
prison health leads.
Offender mental Improve the speed and efficiency of LE March 2008
health pathway transfer to NHS facilities for prisoners
with acute mental health problems. All
transfers to take place within the period
South West Offender Health and Well-being Programme Delivery Plan 2008 / 09 8
specified in the national guidance.
Prepare for and support the new
minimum waiting times for mental health LE
transfers.
IDTS Facilitate and support IDTS KD/RS March 2009
implementation and ensure strong links
with NTA regional arrangements.
Escorts and Support partnerships to manage the RS/MJ April 2008
Bedwatch implications of the transfer of Sally
transfer of responsibility for escorts and bed Wordsworth
responsibility watches.
Ensure PCT/Prison Partnership Boards
have SLAs in place for this activity.
Sexual Health Develop a commissioning framework for RS/HPA March 2009
sexual health services in South West
prisons.
Arrange regional conference to further HPA
embed good practice.
Public Health
Flu Pandemic All prisons to have an action plan drawn PM/RS March 2009
Plans up in conjunction with PCT/HPU.
Plan to be exercised in 2008/9. MJ/Charles
Irish
Blood Borne Monitor the delivery of BBV testing and KD/RS March 2009
Viruses Hep B vaccination programme.
Exercise Encourage and disseminate good TBC March 2009
practice on health trainers.
Support the provision of Exercise
Referral.
Smoking Lead development of an implementation MM/RS March 2009
Cessation plan for delivery of PSO, including a
training plan for prison staff.
Implement Review the use of inpatient Report to July 2008
specific actions accommodation across the South West Area
arising from prison estate. manager/
review of PHPIs Prison Health
Audit compliance with cleanliness and Development
infection control standards across prison Team.
healthcare facilities. NHS South
West/HPA
South West Offender Health and Well-being Programme Delivery Plan 2008 / 09 9
Input into health-related aspects of
estates provision. MJ
Court Services Continued partnership working between SS March 2009
Assessment and Court Services, NHS providers, prison
Advice (reports) service and, where applicable, third
sector providers to improve access to
mental health assessment and liaison
services.
Deliver the national pilot on court reports SS
and the development of a
comprehensive mental health services to
all courts.
Prepare the region for the potential
implementation of national SS
recommendations and guidance based
on the OHWB Strategy, the Bradley
review and the evaluation of national
pilots.
Support local steering groups,
commissioners and providers to review SS/DS
existing and develop liaison and
diversion services for offenders with
mental health needs.
Train assessors and complete OCJR
audit check list assessments across the SS/DS
South West.
Use the information gained from the
OCJR check list to inform the SS/LE
development of local services.
Dorset Police Support Dorset PCT/Police development RS March 2009
custody pilot and evaluation of a commissioning
framework for health services in police
custody.
Revolving Doors Support the development work of the LE March 2009
Revolving Doors project in North Devon
(Police custody).
Develop access Implement action plan based on JF December
to health and recommendations of SW review. 2008
social care
services for
offenders in
Approved
Premises
South West Offender Health and Well-being Programme Delivery Plan 2008 / 09 10
Delivery of Implement the extension of ACCT into JS/LE March 2009
ACCT Approved Premises.
(Assessment, Ensure healthcare staff participation in MJ/JS
Care in Custody ACCT foundation module training.
and Teamwork)
Mental Health Produce an action plan for the delivery of LE July 2008
Awareness mental health awareness training across
Training South West probation teams.
Offender access Undertake process mapping within each LE March 2009
to Mental Health probation area to identify how systems
Services currently work and identify objectives for
service improvement.
MAPPA Develop a detailed plan for high risk LE/TBC
offenders to :
Improve access to mainstream health
services relevant to identified need and
level of risk.
Improve availability of relevant forensic,
psychiatric and psychological information
(incl. psychopathy assessments) to
support the risk assessment and
management of dangerous and sexual
offenders in the community.
“Working Produce an action plan reflecting the MM/LE April 2008
Towards outcomes of the conference and set out
Healthy Non- the direction for further work.
Offending
Lifestyles”
Establish Establishment of leadership and RS
partnership governance for this area of work.
arrangements for
young offenders Link with SW YP Substance Misuse
programme with Steering Group.
DCSF and CSIP
Comprehensive Implement comprehensive health RS/MJ
Health assessment in the young people’s
Assessment secure estate.
CAMHS Contribute to national, regional and local RS
work on CAMHS development for CYP in
secure settings.
Continue the Develop a network of research-active NdeV
South West Offender Health and Well-being Programme Delivery Plan 2008 / 09 11
development of a offender management settings (including
multi-agency, prisons).
collaborative
regional network
for
offender health
and social care
research
Facilitate research across offender NdeV
pathways, in all health-related areas,
including public health.
Share research intelligence via the NdeV
project website -
http://www.offender-health-sw.org.uk/
Highlight research training opportunities NdeV
for health and social care practitioners
across the criminal justice sector.
Facilitate meetings/events in the region NdeV
to acknowledge and share local
experiences and expertise.
South West Offender Health and Well-being Programme Delivery Plan 2008 / 09 12
4. Provider Development and Support
Objective Action Governance Timescale
/Lead
Ensure peer Support healthcare managers’ forum. C L-P Ongoing
support for
prison
healthcare
managers
Prison mental Develop plan and implement LE March 2009
Health extension of the Offender Care
Pathway in prisons, especially in local
prisons.
Support the development of LE March 2009
comprehensive mental health
services across all South West
prisons, especially primary mental
health care.
Continue support network for prison
inreach teams. LE
Increased Pilot the delivery of Increased Access LE December
Access to to Psychological Therapies for 2008
Psychological offenders in Dorset prisons.
Therapy (IAPT)
Support the delivery of IAPT, to LE
include offenders, across the South
West.
Suicide and Support the ACCT process within SW Strategic
self harm South West prisons. Safer Custody
Forum
Offender Support local services to address the LE March 2009
Mental Health health and social care needs of
Care Pathway offenders in the community from first
point of contact with the criminal
justice system through to
reintegration within the community.
IDTS Support and develop clinical network. KD
Information Support local partnerships in roll out MJ March 2009
Systems of the national prison IT clinical
system.
South West Offender Health and Well-being Programme Delivery Plan 2008 / 09 13
Non statutory Develop approaches that will fully MJ/LD March 2009
sector engage the independent sector and
third sector providers in the delivery
of strategic aims.
Consider potential opportunities
offered by social enterprise
approaches to service development.
Facilitate good Review local data and develop / LE March 2009
practice. initiate service improvements.
Share good practice across Prison / LE
PCT partnerships.
Contribute to conflict resolution e.g. As Required
provision of advice and facilitation to
staff organisations where required.
South West Offender Health and Well-being Programme Delivery Plan 2008 / 09 14
5. Workforce Development and Training
Objective Action Governance Timescale
/Lead
Agenda for Develop a local strategy for the LE/MJ September
Change – delivery of KSF training to all Prison 2008
Knowledge Service employed healthcare staff
and Skills transferred to Agenda for Change
Framework Terms and Conditions of employment
(KSF) and to Health Care Officers to the
Implementation agreed training specification.
Facilitate the delivery of KSF training. LE/SJB September
2008
Establish a baseline of the number
and types of student placements SJB September
which have taken place over the past 2008
twelve months.
Engage staff in each establishment to
undertake a SWOT analysis of the SJB/MJ September
feasibility of implementing 2008
placements, (or where possible
increasing the range and type of
student).
Stimulate the process of initiating
new placements for example, by SJB/MJ September
brokering a meeting with 2008
representatives from local higher
educational establishments.
Complete the feedback form September
provided. SJB 2008
South West Offender Health and Well-being Programme Delivery Plan 2008 / 09 15
Delivering Liaise with PCT Race Equality and Regional March 2009
Race Equality other diversity leads to ensure that return to be
(DRE) and offenders are included in race submitted to
Diversity equality and diversity action plans. Offender
Health using
Liaise with PCTs to ensure that: the agreed March 2009
template.
o Healthcare staff working in
prisons have access to race
equality and diversity training. March 2009
o PCTs will include prison
healthcare as part of their wider
impact assessment programme.
Map the projects / pilots currently
planned or underway in the region LE/SC March 2009
around race equality and diversity in
relation to offenders.
Deliver culturally sensitive training
across all South West prisons. LE April 2008
Mental Health Develop a sustainable cross sector LE Regional March 2009
Awareness regional plan for the delivery of management
Training mental health awareness training plans to be
across CJ organisations, submitted to
incorporating the development of Offender
sustainable local delivery structures Health.
for HMPS Staff.
Management of the Provision of LE
minimum level MHA training to 20% March 2009
of all HMPS staff.
Pilot and evaluate mental health
awareness training across criminal LE/SC
justice organisations.
South West Offender Health and Well-being Programme Delivery Plan 2008 / 09 16
Partnership Arrangements
Healthcare Managers
Bob Jones, YOI Ashfield
Carol Groom, HMP Bristol
Jane Easey, HMP Earlstoke
Janet Mountford, HMP/YOI Eastwood Park
Jo Pring, HMP Exeter
Laura Williams, HMP Bristol
Carole Lawrence-Parr, Dorset PCT
Lucy Hornshaw, HMP Shepton Mallet
Majella Pearce, HMP Channings Wood
Marieanne Bubb-McGhee, HMP Gloucester
Mike Jenkins, Offender Health Development Manager
Sally Old, South West Dorset PCT
Roger Dennis, HMP Channings Wood
Kim Sedwell, HMP The Verne
Sue Snowdon, HMP/YOI Portland
Frances Stevens, HMP Dorchester
Melissa Thomson, Dorset PCT
Tom Hastings, HMP/YOI Eastwood Park
Wendy Sparrow, HMP Leyhill
South West Offender Health and Well-being Programme Delivery Plan 2008 / 09 17
South West OHW Board Members
Paddy Cooney, Director CSIP SW
Lynn Emslie, Lead Consultant Health and Social Care in Criminal Justice, CSIP SW
Mike Jenkins, Offender Health Development Manager
Mal Munday, ACO Specialist Services Probation
Peter Risk, South West Courts Service
Jackie Roberts, ACC Avon and Somerset Constabulary
Ruth Shakespeare, Regional Public Health Team (Chair)
Dave Spurgeon, NACRO
Carole Lawrence-Parr, Director of Primary Care, Dorset PCT
Di Askwith, Acting ROM
Tony Goss, Regional NTA Manager
Peter Blomley, Commissioning lead NOMS
Liz McCarty, Regional Crime Director
IDTS Steering Group
Andy Ainsworth, SW Area Drug Coordinator
Peter Blomley, Commissioning lead NOMS
Kevin Driscoll, Regional IDTS Implementation Manager
Tim Beeston, Governor, HMP Eastwood Park
Dave Sherwood, NDPDU
Tony Goss, Regional Manager
Dave Marteau, Dept of Health
Ruth Shakespeare, CSIP IDTS Lead
Mike Jenkins, Prison Health Development Manager
South West Offender Health and Well-being Programme Delivery Plan 2008 / 09 18
Safer Custody Forum
Steve Cope, Training Manager, Reliance Secure Task Management Ltd
Jill Cotgrove, Asst Chief Officer, Avon and Somerset Probation
Lynn Emslie, Lead Consultant, Health and Social Care in Criminal Justice, CSIP
Mike Jenkins, Prison Health Development Manager
Bob Jones, Assistant Healthcare Manager, HMP & YOI Ashfield
Vicky O'Dea, Contract Director, SERCO Ltd
Jackie Roberts, Assistant Chief Constable, Avon and Somerset Constabulary
Alan Scott, SW Area Manager Prison Service
Ruth Shakespeare, Consultant in Public Health, Government Office for the South West
Jez Spencer, SW Lead for Safer Custody, Prison Service South West
Prison Health Development Team South West
Cathy Cooke, Prison Pharmacy Lead, Bristol PCT
Lesley Dibben, Primary Care Development Manager, Gloucester PCT
Maggie Rae, Director of Public Health, Wiltshire PCT
Lynn Emslie, Lead Consultant, Health and Social Care in Criminal Justice, CSIP SW
Sue Vining, Devon PCT
Mike Jenkins, Prison Health Development Team
Jim O’Gorman, Prison Health Lead, South Glos PCT
Angela Perrett, Project Manager, Bristol PCT
Ruth Shakespeare, Regional Public Health Group, GOSW (Chair)
Frances Stevens, Prison Health Lead, Dorset PCT
Dave Wells, Healthcare Governor, Devon Prisons
Pam Mallalieu, Health Protection Agency
South West Offender Health and Well-being Programme Delivery Plan 2008 / 09 19
Older People and Disabled Prisoners Working Group
Sandy Clarke, CSIP SW, Change Agent Team
Tina Fear, University of the West of England
Mark Freeman, Dept of Health
Mike Jenkins, Offender Health Development Manager (Chair)
Jim O’Gorman, South Glos PCT
Sue Parris, South Glos PCT
Stuart Ware, Age Concern, Service User
Sue Sharples, HMP Leyhill
John Eccles, HMP Leyhill
Lucy Hornshaw, HMP Shepton Mallet
Dave Crook, Head of Services – Operations, Gloucestershire
Liz Davis, Age Concern
Mental Health Managers Group
Lynn Emslie, Lead Consultant, Health and Social Care in Criminal Justice, CSIP SW
Dave Walker, Dorset PCT
Kath Hodges, Gloucester Partnership Trust
Kim Aplin, Devon Partnership Trust
Calum Mieklejohn, Avon and Wiltshire Partnership Trust
Court Assessment Steering Group
Lynn Emslie, Lead Consultant, Health and Social Care in Criminal Justice, CSIP SW
Mary Le Feuvre, Head of Legal Services, HMCS
Richard Lyle, Bristol Primary Care Trust
Sue O’Connor, Medical Director, AWP
South West Offender Health and Well-being Programme Delivery Plan 2008 / 09 20
Arden Tomison, Consultant Forensic Psychiatrist, Fromeside
Peter Risk, South West Court Services Director, HMCS (Chair)
Dave Spurgeon, Nacro
Dot Starkey, Bristol Crown Court Manager, HMCS
Rob Wakefield, Avon & Somerset Probation Service
Sue Staddon, Project Manager
Calum Meiklejohn, Avon and Wiltshire Partnership Trust
Suzy Dymond-White, HMPS
Stephen Meredew, Banes PCT
Ian Kelcey, Defence Practitioner
Jim Ormsby / John O’Grady, Consultant Forensic Psychiatrist, Ravenswood
Julie Mills, Deputy Chief Clerk, Bristol Magistrates Court
Mark Satchell, Head of Specialist Services Commissioning, Hampshire
Michael Logan, HMCS Central Office
Glyn Thomas, HM Courts Service
Faye Brazier (Note Taker)
South West Health & Social Care in Criminal Justice Research Network
Facilitated by Nick de Viggiani, University of West of England
www.offender-health-sw.org.uk
South West Offender Health and Well-being Programme Delivery Plan 2008 / 09 21
