RCGP Secure Environments Group 8th Health & Justice Summit: Communities of Practice in Secure Care

 

October 12-13, 2021 

Crowne Plaza Newcastle, Stephenson Quarter, Hawthorn Square, Forth Street, Newcastle upon Tyne, NE1 3SA

To address the complex health and social care needs of people resident in custodial settings, effective partnership work is required not only between health partners and the prison service but also with health and justice policymakers. PHE 2018-2019 Annual Health & Justice Review

Prisons and other secure settings can provide a unique opportunity to address a wide variety of health needs. These can range from infectious diseases such as HIV, hepatitis and tuberculosis as well as mental health issues, substance misuse disorders and long-term conditions.

‘Prison Health’ should be considered ‘Public Health’ as the vast majority of prisoners return to the community, and the investment in healthcare in these settings provides a wider overall benefit. The mission of this Summit is to share models of good practice, innovations in healthcare delivery and advances in treatment in order to best utilise the opportunity we have for our patients and for our society.

Following on from the highly successful 7th RCGP Secure environments summit in November 2019, and the 1st Virtual RCGP Health and Justice Summit in November 2020 the RCGP Secure Environments Group & Convenzis are very excited to share details of the 8th Annual RCGP Secure Environments Summit taking place on Tuesday the 12th and Wednesday 13th of October 2021 in central Newcastle.

This as always is ran with various key partners, this includes: Ethypharm, Mountain Healthcare, Spectrum Healthcare, Nottinghamshire Healthcare, Ashworth Hospital, Mersey Care, Merck Sharp & Dohme, Inclusion (Part of Midlands Partnership NHS Foundation Trust), Oxford Immunotec, SLD Training, Essex Partnerships, Public Health Wales and West London NHS Trust.

In recognition of the significant progress and collective contribution of our attendees, partners and sponsors, we are titling the 8th Summit:

Compassion, collaboration and continuity through the gate

We are now considering the next the next decade, and we look forward to receiving content on the following themes including:

• Clinical practice and teamwork
• Guidance, Research and analysis
• Innovation and technology
• Leadership and culture

As in previous years, the event will be held in partnership with a range of sector-leading strategic partners, more updates on this year’s partners will be disclosed soon.

Registration for the day is now open, and we look forward to seeing some familiar faces and new delegates across both days.

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Having attended previously (in person) the knowledge and insights gained have proved invaluable working in Adult Community Mental Health Team, Early Intervention and START - Specialist Triage Assessment Referral and Treatment Team. So if you work in prison health, secure, forensic and related health, social and community services the potential gains should be even greater. The time invested also contributed to my revalidation. I plan to attend and possibly present Hodges' model.

6th Health and Justice Summit: safety with continuity i

Whilst I am using Hodges' model (h2cm) to 

reflect on the 1st day of this event no 

endorsement should be inferred...

My exposure to forensic - prison nursing is trivial in contrast to the emotions, policy, issues, contention and hence importance that just the word 'prison' provokes. This statement can can be summarised in one point that was made this afternoon. That is, how any duty of care to prisoners must be balanced with the public's perception* of what should and should not be done. The word important is a moot one when the the aim is to stress the risk of being forgotten. Prison health is surely in danger of being lost within the Russian doll of mental health. Mental health that was (still is?) also the Cinderella service of health care? I refer to history in celebration since while there was mention of pressure of staff, long shifts, not feeling valued, heightened risk there was no shroud waving. Attending today was refreshing in the expressed passion, pride and enthusiasm that I heard; even while some of slides showing older and newer prison interiors and rooms - cells - were sobering (as they are supposed to be*).

My forensic experience is limited to time as a student nurse, making numbers up, on Ward 17 at Winwick. Visiting a medium secure unit to liaise and 'communicate' about the National Programme for IT and co-writing a paper on the Hodges' model in forensic settings. I have long wondered about the model being used educationally with groups in primary care, looking at stress and vulnerability, resilience, staying well ... and perhaps more selectively with this population. A strength here is the model's use: explicit - explained and shared or used implicitly guiding the 'teacher' or (more properly?) facilitator. We invest in 'life story' interventions for people with dementia. What about the 'life stories' of prisoners? It not the matter of their life story, but their lack of understanding of that story? What tools are there to help make sense of their 'health career' the life chances encountered and experienced in their lives?

The keynotes this morning emphasised the facts and figures of the physical health of prisoners with severe mental illnesses [SMI] and the work of Equally Well. Amid many health problems the focus is upon obesity and smoking cessation.

Dr Alan Cohen from Equally Well, reported on surveys and analysis of national QOF data comparing the prevalence of people with SMI in ten long-term conditions. As per the summit website: “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.”

There are plans for an evaluation phase of the work and other audits. Dr Cohen almost had me ask a question, with regards to some people having three health problems across least and most deprived populations. How can this be explained?

The second keynote c/o Stephen Watkins confirmed (for me) the history of mental health beds (below) and how ongoing studies and graphs can illustrate processes across prisons. How long do prisoners have to wait for mental health transfer and remission? Diagnoses, across gender, ethnicity and outcomes were also presented.

Today @NHSBenchmarking presented results from our national review of prison mental health transfers and remission. Findings include delays in the pathway in some areas, over representation of BAME groups, variations in prisoner location, & low remission rates

— Stephen Watkins (@SteveWatkinsNHS) January 31, 2019

Stephen Watkins NHS Benchmarking

Stephen Watkins NHS Benchmarking

I will post soon on the workshops I attended. As is often found with satellite sessions the choice is difficult at times.

Tomorrow I must ask someone about 'social care' input. I have had cause to liaise with palliative care and local hospices recently, dementia and cancers. A question concerning a very literal form of 'in-reach' was asked for me. With four people to follow up with tomorrow, great organisation and day 2 to follow it will be a 'breeze' getting out of bed - even if that breeze is chilly...

individual

|

INTERPERSONAL : SCIENCES

humanistic ----------------------------------------------- mechanistic

SOCIOLOGY : POLITICAL

|

group

	primary care
::: Society: SOCIAL (care): Family interface :::::: :::	Prison Health --------------  INTERFACE ------------- Prison Service

individual

|

INTERPERSONAL : SCIENCES

humanistic ----------------------------------------------- mechanistic

SOCIOLOGY : POLITICAL

|

group

personal autonomy	OPEN door CLOSED door Mechanistic: 'Lock' 'Up' Ability to step on the grass
Family involement (What do they know?)	prison experience in-validates the 'person' narrows - restrains - autonomy

Reflective exercises: define 'continuity' as per Hodges' model?

What is the bandwidth of autonomy across the domains of Hodges' model?

Contrast the return to society of prisoners and service veterans?

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

Perhaps I will see you in Liverpool, UK later this week? 
I will be taking notes and look forward to reporting here.

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:

www.convenzis.co.uk/6th-health-justice-summit-safety-through-continuity-registration/

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n.b. There are two papers listed in the bibliography (please see the sidebar) that show how h2cm is applicable to this specialist field.

The NHS at 70 or on the Fringe(s)?

individual

|

INTERPERSONAL : SCIENCES

humanistic ----------------------------------------------- mechanistic

SOCIOLOGY : POLITICAL

|

group

A Fortunate Man	fringe fringe
fringe fringe	After the Cuts

See also: Edinburgh Fringe: A round-up of the NHS themed shows reflecting the chaos of ordinary people's lives

My source: Foyles, London, The Fringe, Free

GP launches YouTube health films

Bob Pyke posted the following today:
--------------
I wrote about this about a year ago and they recently updated it, but it is still pretty cool.
http://www.builthsurgery.co.uk/

A GPs' surgery in mid Wales has launched a series of health education films on YouTube, better known as a website featuring home videos.

Advice about flu vaccination and cervical screening are two of the topics covered by Builth and Llanwrtyd Medical Practice in Powys.

Doctors said they wanted to help educate their 7,700 patients and a wider global audience.

Last year, the surgery launched a series of podcasts to advise patients.

YouTube allows users to upload their home videos and other clips online.

Dr Richard Walters, who helped to develop the practice's project, said surgeries normally printed leaflets to advise patients, but added that things were changing.

He told the Western Mail newspaper: "There are a lot of things that we do in a GP practice that have to be conveyed to patients, some of which are not easy to demonstrate within the surgery.

"Sometimes getting patients to watch a quick video on the computer screen is a lot easier."

He added: "We are a practice in rural mid Wales, shops in Hereford and Aberystwyth are an hour away, Cardiff an hour-and-a-half, so although broadband access is not ideal, people tend to use the internet for all sorts of things."

The practice, which covers more than 500 square miles (1,295 sq kms), hopes its advice online will avoid unnecessary travelling to a see a doctor. The videos include tips about asthma inhalers, smear testing, blood sugar testing and the winter flu vaccine, and are made by two practice nurses.

New topics are planned to be added every month. As well as being available on YouTube, the videos are posted on the practice's own website and can be downloaded onto an MP3 player. The surgery is no stranger to using modern technology to get across its health messages to patients. Last year, it launched podcasts demonstrating, among other topics, how to use an asthma inhaler properly.

Story from BBC NEWS:
http://news.bbc.co.uk/1/hi/wales/mid/6234141.stm