04a JSNA Appendix , item 5. PDF 6 MB - Lambeth Council
04a JSNA Appendix , item 5. PDF 6 MB - Lambeth Council
04a JSNA Appendix , item 5. PDF 6 MB - Lambeth Council
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DRAFT<br />
• Prisoners sometimes use nicotine patches to supplement cigarette use<br />
Health problems<br />
• Under-diagnosis of hypertension and smoking cessation intervention<br />
• No cardiovascular risk assessments done<br />
• Prison Health Performance Indicator for Hepatitis B vaccination not met<br />
Mental health<br />
• Low uptake of referrals to outreach team- poor management of common mental<br />
disorders<br />
• Insufficient time in nurse-led mental health outreach service for interventions<br />
• Only 1/3 of prisoners referred to mental health services attend- possible causes<br />
are release from prison, simultaneous activities, lack of communication regarding<br />
appointment, shortage of prison officers<br />
• Long waiting times to access acute mental health services (24% wait more than 3<br />
months), resulting in treatment of acutely unwell patients under common law in<br />
prison<br />
Self-harm/suicide/attempted suicide<br />
• Self harm under Safer in Custody directorate with poor link with medical services<br />
Substance misuse<br />
• Drugs smuggled into prison and injection of controlled drugs occurs in prison<br />
• Higher than expected for Brixton Prison number of prisoners on drug<br />
detoxification programme<br />
• Less drug testing than nationally<br />
Sexual health<br />
• Condoms only available on request<br />
Health promotion<br />
• Health promotion plan 2005 not fully implemented. Lack of health promotion<br />
leaflets, health promotion induction varies. Less material than nationally<br />
Physiotherapy<br />
• Only one gym open or 2 available<br />
Complaints<br />
• Recorded but not always acted on. Often reported to perpetrator<br />
Dental<br />
• Long waiting times to see dentist: median 33 days, up to 454 days<br />
Summary of recommendations<br />
Service provision<br />
• Screen all patients for mental illness, chronic diseases, controlled substances by person with<br />
appropriate training<br />
• Ensure one electronic record with linked database<br />
• Integrate primary healthcare wing with GP service<br />
• Training for all staff on primary mental health care and common medical emergencies<br />
Health problems<br />
• Urgently consider harm reduction measures e.g. needle exchange, disinfectant tablets, free<br />
condom availability for prevention/reduction HIV/Hep B and C<br />
• Follow guidance for Hepatitis B vaccination<br />
• Address dental waiting list proactively<br />
Mental health<br />
• Prioritise management of self harm with mental health lead, strategy and evidence based<br />
implementation plan<br />
<strong>Lambeth</strong> <strong>JSNA</strong> – Preliminary Assessment<br />
Version 4<br />
October 2008<br />
101
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