Prison Medicine and Health (Oxford Specialist Handbooks)

There are almost 86, 000 people in the prison system in the United Kingdom, held in 118 prisons and nine immigration removal centres. People in the carceral system have some of the most complex health and social care needs in all of society. They have higher rates of cardiovascular disease, mental health issues, substance misuse problems, and the prison setting can increase the spread of infectious diseases. Therefore, they require complex, multidisciplinary care that is person-centred and that does not treat them as a prisoner, but rather as a patient.

As the specialty of prison medicine develops, this brand new Oxford Specialist Handbook provides an introduction to the discipline, offering a definitive hands-on guide that brings together up-to-date policy and guidance alongside practical tips for practitioners working in the prison estate. Focusing on the multidisciplinary care required to best protect the health of people in prison, this new title brings together perspectives from GPs, psychiatrists, nurses, and occupational therapists on how to best deliver care within the constraints of the detention setting.

• Provides the first single resource for all clinicians and practitioners working within secure environments to ensure the best outcomes for patients
• Reflects the diverse backgrounds and complex healthcare needs of people in detention, including children and adolescents and the aging prison population
• Written to include both current guidance and policy as well as practical tips and considerations for the restricted environment of the prison estate
• Focuses on the provision of quality care from the first night to transfer back into the community

1: Introduction to prison medicine, Jake Hard, Éamonn O'Moore, Jane Leamann, and Jörg Pont
2: Key laws and policies related to health in prison, Stefan Enggist, Sunita Sturup-Toft, and Sir Robert Francis QC
3: Prescribing in prisons, Denise Farmer, Laura Hinchliffe, Anna Hiley, and Pippa Morris
4: Promoting health and wellbeing in prisons, Dave Jones, Emily Phipps, Emma Plugge, Ruth Lloyd, Ellie Carslake, Susanne Howes, Sandra White, Kate Jones, and Laura Hinchliffe
5: Conducting consultations, Jake Hard, Caroline Watson, Wayne Sturley, and Chantal Edge
6: Chronic disease management, Tierney Harris, Lauren Grant, Jan Rix, Ruth Bastable, Catherine Glover, Craig Lintern, Hussein Oozerally, Caroline Watson, Ellie Henderson, Lisa Duff, Sarah Jarvis, and Alex Bunn
7: Infectious diseases, Nic Coetzee, Éamonn O'Moore, Yimmy Chow, Iain Brew, Sophie Candfield, Rob Callingham, Anjana Roy, and Susanne Howes
8: Mental health, Seena Fazel, Howard Ryland, Lynne Saunders, Don Grubin, Marcus Bicknell, Jane Leamann, and Alex Bunn
9: Substance misuse, Elish Gilvarry and Mike Kelleher
10: Women's health in prison, Emma Plugge, Ruth Lloyd, Ellie Carslake, Catherine Glover, and Lucy Potter
11: Child and adolescent health in secure environments, Nick Hindley, Alexandra Lewis, and Sheila Jenkins
12: Foreign nationals in detention, Alan Mitchell, Emily Phipps, Seena Fazel, Cornelius Katona, Jane Hunt, and Erin Dexter
13: Ageing in prison, Mary Tuner, Caroline Watson, Chris Pocock, Abi Barlet, Emma Mastracoola, and Saeed Chaudhary
14: Creating person-centred, co-ordinated, and continuous care, Richard Byng
15: Prison health emergencies, Stacey Hilton, Gareth Alderson, Lindsey Cockerill, Anna Hinley, and Husein Oozeerally

Edited by Emily Phipps, Consultant in Communicable Disease Control, UK Health Security Agency, Oxford, UK

Dr Éamonn O'Moore, Director of National Health Protection, National Health Protection Service of Ireland, Dr Emma Plugge, Senior Research Fellow, the Health and Justice Team, UK Health Security Agency, and Associate Professor of Public Health, University of Southampton, Southampton, UK, and Dr Jake Hard, HMP Cardiff, Former Chair of the RCGP Secure Environments Group, Clinical Lead for HJIS, and Medical Director for Prisons for CRG Medical Services, UK

Emily Phipps completed her undergraduate Medical Degree at the University of Liverpool and her Masters Degree in Public Health at the London School of Hygiene and Tropical Medicine. During her undergraduate training she undertook numerous public health projects with Medact, the Public Health Action Support Team, and the Royal College of Psychiatrists. She held the position of National Medical Director's Clinical Fellow with the Care Quality Commission, developing policy and operational tools for regulating healthcare in prisons. She is currently working as a consultant epidemiologist on Hepatitis C control.

Dr. Éamonn O'Moore is Director of HSE's National Health Protection Service of Ireland. Previously working in the UK as National Lead for Health & Justice, he led the public health response to the COVID-19 pandemic in prisons & other places of detention. A former Director of the UK Collaborating Centre for the WHO Health in Prisons Programme (WHO HIPP), he continues as a member of the WHO HIPP Steering Group. He is a founding member of the Worldwide Prison Health Research Engagement Network (WEPHREN). He is an international expert on health protection in prisons and passionate advocate for social inclusion.

Emma Plugge is Associate Professor of Public Health based in the Faculty of Medicine at the University of Southampton. Before becoming a researcher, Emma qualified as a doctor and undertook postgraduate training in tropical medicine and in primary care, working in the UK and overseas as a clinician. She subsequently trained in public health and also completed a doctorate at the University of Oxford. Her research now focuses on the health of marginalized groups, particularly the health of people in contact with the criminal justice system and the health of migrants. She is currently involved in a number of research studies investigating communicable and non-communicable diseases in prisons in the UK and internationally. Her work has a particular focus on the health of women and the meaningful involvement of marginalised groups in research.

Jake Hard has worked as a prison GP for several years, enjoying a portfolio career that has seen him chair the Royal College of GPs Secure Environments Group, act as Medical Director for Prisons for CRG Medical Services and also as Clinical Lead for the Health and Justice Information Services. He has worked on the development of several prison policies and networks, and is passionate about supporting clinicians and patients to improve the health and wellbeing of people in secure settings.

Contributors:

Gareth Alderson, Senior Paramedic, North East Ambulance Service, UK
Abi Bartlett, Head of Clinical Services, Oxleas NHS Trust, UK
Ruth Bastable, Formerly GP of HMP Littlehey, Huntingdon, UK
Marcus Bicknell, Chair, BMA Forensic and Secure Environments Committee, Nottingham, UK
Iain Brew, National Deputy Medical Director (Health in Justice) Practice Plus Group
Alex Bunn, Lead GP, HMP Wandsworth, London, UK
Richard Byng, GP and Professor in Primary Care Research, Community and Primary Care Research Group, Plymouth University, Plymouth, UK
Rob Callingham, BMA Representative for Primary Care in Prisons and Lead GP, HMP Haverigg, Cumbria, UK
Sophie Candfield, Specialist Registrar in Public Health, West Midlands, UK
Ellie Carslake, General Practitioner, HMP Eastwood Park, South Gloucestershire, UK
Saeed Chaudhary, GP and Medical Director at DrPA Secure Healthcare Solutions, Kingston Upon Thames, UK
Yimmy Chow, Consultant in Communicable Disease Control at UK Health Security Agency, London, UK
Lynsey Cockerill, Hanham Secure Health, in partnership with Avon & Wiltshire Mental Health Partnership NHS Trust, UK
Nic Coetzee, Consultant in Communicable Disease Control, West Midlands Health Protection Team, UK Health Security Agency, Birmingham, UK
Erin Dexter, Paediatric trainee, North Middlesex University Hospital NHS Trust, London, UK
Lisa Duff, Nurse, HMP Littlehey, UK
Chantal Edge, National Lead for Health and Justice, UK Health Security Agency, UK
Stefan Enggist, Head of the Section Prevention and Promotion, Department of Communicable Diseases, Federal Office of Public Health, Bern, Switzerland; Consultant for Prisons and Health
Denise Farmer, Health and Justice Pharmaceutical Adviser, NHS England's Central and East Commissioning Teams, UK
Seena Fazel, Professor of Forensic Psychiatry, University of Oxford, Oxford, UK
Sir Robert Francis, KC Barrister, Serjeants' Inn Chambers, London, UK
Eilish Gilvarry, Professor of Addiction Psychiatry, Newcastle University, Deputy Medical Director Cumbria Northumberland, Tyne and Wear NHS Foundation Trust, UK
Catherine Glover, GP Partner Hanham Health, Bristol, UK
Don Grubin, Emeritus Professor of Forensic Psychiatry, Newcastle University, Newcastle, UK
Jake Hard, HMP Cardiff, Former Chair of the RCGP Secure Environments Group, Clinical Lead for HJIS, and Medical Director for Prisons for CRG Medical Services, UK
Tierney Harris, Hanham Secure Health, in partnership with Avon & Wiltshire Mental Health Partnership NHS Trust, UK
Ellie Henderson, Hanham Secure Health, in partnership with Avon & Wiltshire Mental Health Partnership NHS Trust, UK
Anna Hiley, GP and Associate Medical Director, Nottinghamshire Healthcare NHS Foundation Trust, UK
Laura Hinchliffe, GP at HMPs Ashfield, Bristol, Eastwood Park, Erlestoke, and Leyhill, UK
Nick Hindley, Consultant Child and Adolescent Forensic Psychiatrist, Oxford Health NHS Foundation Trust, Oxford, UK
Susanne Howes, Consultant in Communicable Disease Control, Public Health England, UK
Jane Hunt, GP and Senior Medical Advisor, Helen Bamber Foundation, London, UK
Sheila Jenkins, Quality and Safety Manager (retired) - Safeguarding in Health and Justice, NHS England (South), UK
Dave Jones, Head of Financial Efficiency, Strategic Finance Team, NHS England and NHS Improvement, UK
Kate Jones, Director of Dental Public Health, NHS Sheffield, Sheffield, UK
Cornelius Katona, Honorary Medical and Research Director, Helen Bamber Foundation, UK
Mike Kelleher, Consultant Addictions Psychiatrist at the South London and Maudsley NHS Trust (SLAM), London, UK
Jane Leamann, Consultant in Public Health, Health & Justice PHE, UK
Alexandra Lewis, Consultant Forensic and Child & Adolescent Psychiatrist, Cambridge & Peterborough Foundation NHS Trust, Cambridge, UK & Clinical Adviser, Health & Justice Team, National Health Service England, UK
Craig Lintern, Hanham Secure Health, Bristol, UK
Ruth Lloyd, General Practitioner, HMP Eastwood Park, South Gloucestershire, UK
Emma Mastracola, Lead GP at HMP Eastwood Park, Practice Plus Group, UK
Alan Mitchell, GP, Dungavel House Immigration Removal Centre, Lanarkshire, UK
Pippa Morris, Lead GP HMP Leyhill, UK
Dr Éamonn O'Moore, Director of National Health Protection, National Health Protection Service of Ireland
Husein Oozeerally, GP and Co-Director of DRPA secure, Kingston Upon Thames, UK
Emily Phipps, Consultant in Communicable Disease Control, UK Health Security Agency, Oxford, UK
Emma Plugge, Senior Research Fellow, the Health and Justice Team, UK Health Security Agency, and Associate Professor of Public Health, University of Southampton, Southampton, UK
Chris Pocock, Medical Director, Leyhill Prison, Gloucestershire, UK
Jörg Pont, External Lecturer, Medizinische Universität Wien, Vienna, Austria
Lucy Potter, Academic GP, University of Bristol, UK
Jan Rix, Primary Care Nurse, previously cardiovascular nurse, HMP Littlehey, UK
Anjana Roy, Consultant in Public Health, Vulnerable People & Inclusion Health, Health Equity & Clinical Governance Directorate, UK Health Security Agency
Howard Ryland, Senior Clinical Researcher, Department of Psychiatry, University of Oxford
Lynn Saunders, Professor of Applied Criminology at the University of Derby
Wayne Sturley, BMA GPC Prison Doctor Representative, GP Devon Prisons, UK
Sunita Sturup-Toft, Consultant in Global Public Health, UK Health Security Agency
Mary Turner, Reader in Health Services Research, Department of Nursing and Midwifery
School of Human and Health Sciences, University of Huddersfield, UK
Caroline Watson, GP HMP Bedford, Clinical Director Secured Services Northamptonshire Healthcare NHS Foundation Trust, Chair of RCGP Secure Environments Group, UK
Sandra White, Director of Dental Public Health, Public Health England, UK

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