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Actions speak louder: A second review of healthcare in ... - HMCPSI

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ACTIONS SPEAK LOUDER<br />

F<strong>in</strong>d<strong>in</strong>gs<br />

Our f<strong>in</strong>d<strong>in</strong>gs follow the format used <strong>in</strong> the phase 4 <strong>in</strong>spection reports. They will be<br />

broken down <strong>in</strong>to:<br />

• Work <strong>in</strong> the courts.<br />

• Work with children and young people <strong>in</strong> the community.<br />

• Work with children and young people subject to custodial sentences.<br />

• Victims and restorative justice.<br />

• Management and leadership.<br />

S<strong>in</strong>ce we believe strongly <strong>in</strong> the importance <strong>of</strong> positive improvement through<br />

<strong>in</strong>spection, we <strong>in</strong>clude good practice <strong>in</strong> this report, alongside comments on areas<br />

that would benefit from further change and improvement.<br />

Contextual data from our case assessments<br />

The majority <strong>of</strong> cases our health <strong>in</strong>spectors looked at were white males (figure 1)<br />

although specific <strong>in</strong>spections did highlight some difficulties <strong>in</strong> design<strong>in</strong>g appropriate<br />

<strong>in</strong>terventions with females, particularly <strong>in</strong> relation to alcohol and drug misuse.<br />

Figure 1: Sample <strong>of</strong> cases <strong>review</strong>ed by health <strong>in</strong>spectors (by group)<br />

Gender<br />

20%<br />

female<br />

80% male 80%<br />

Race and ethnic orig<strong>in</strong><br />

2%<br />

10%<br />

8%<br />

Asian<br />

Black<br />

Mixed<br />

White<br />

Note: The wider sample <strong>of</strong> case assessments, which <strong>in</strong>cluded those cases assessed<br />

by probation and education <strong>in</strong>spectors, showed 80% male with 82% White, 8% Black,<br />

6% mixed, 3% Asian and 1% other.<br />

There have been good examples <strong>of</strong> <strong>in</strong>terventions designed to meet the specific<br />

needs <strong>of</strong> m<strong>in</strong>ority groups.<br />

12

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