PSO 2855 - Inside Time

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PSO 2855 Page 9Chapter 7Older prisoners7.1 It is important to stress that age does not necessarily produce disability issues. However,studies have revealed that the health of older prisoners, statistically, is worse than thegeneral population and therefore chronic illness, infirmity and disabilities will be moreprevalent in older prisoners than in people of the same age group outside prison.7.2 Older prisoners are increasing as a proportion of the overall prison population. There arenow concentrations of older prisoners in specific establishments, and Governors and staffneed to be aware of the challenges presented by this group. These prisoners requireregular review to maintain well-being and identify and respond to the onset of any disability.7.3 All governors and staff should ensure that specific Needs Assessments are carried out forsuch groups and look to make adjustments to routines for those older prisoners who havereached 55 and require help. The National Service Framework for older people sets outthe standards of care.7.4 As part of the Reducing Re-offending Action Plan all prisons are responsible for ensuringthat Offending Behaviour Programmes as well as Education, Training and EmploymentOpportunities are available for all prisoners. The DDA applies and Governor‟s and theirrepresentatives should look to make reasonable adjustments where appropriate.7.5 Accommodation of older prisoners may be particularly difficult and it is essential that thereis a clear distinction drawn between security and health needs. Governor‟s should developa clear understanding of the issues and consider:Setting up an older prisoner committee with prisoner representatives;Setting up a day room where older prisoners could go during the day, awayfrom their cells and the wing environment;Appointing a member of staff to take the lead on considering the needs ofolder prisoners.7.6 It is essential to ascertain and draw a distinction between the Health and Social Care needsof older prisoners and contact should be made with local Social Services Departments aspart of the wider Prison/PCT Partnership Agenda. This is particularly important in advanceof release to identify what local older people services could be accessed. Age Concern(contact details at Annex I) can advise on issues affecting older people and contact withIssue No. 295 Issue date 3/04/08
PSO 2855 Page 10them is encouraged as it is with other groups concentrating on the needs of older people inthe community.7.7 The medical and clinical care of older prisoners is age dependent mainly in relation to themanagement of their chronic conditions such as type 2 diabetes, chronic obstructiveairways disease, some cancers, and cardiovascular disease. The continuity of their care isan essential element of its overall quality, which is challenged as people move in to andbetween prisons, are managed across NHS and social care sectors, are released to thecommunity and also in relation to ensuring care delivery at different times of the day.Continuity is assured by:Named case workers overseeing a case and ensuring full transfer support; TheOlder Prisoner Care Pathway (hyperlink) provides a framework for assessing andrecording care needs.Shared electronic health and social care records, particularly with the community;Health and social care professionals delivering on their duty of effective referral andhand over;Multi disciplinary care planning and delivery, especially in relation to significantchanges in condition or circumstances.7.8 The outcomes of the management of older people with chronic conditions, which maycontribute to their range of disabilities, should be no different for those who are in contactwith the criminal justice system than for those who are not. All health and social careprofessionals should promote this vision and identify and mitigate all factors which mighttend to impair excellent health outcomes in the criminal justice system.Issue No. 295 Issue date 3/04/08
Page 1 and 2: PrisonServiceOrderPRISONERS WITH DI
Page 3 and 4: PSO 2855 Page 2Governors must ensur
Page 5 and 6: PSO 2855 Page 4ANNEXESABCDEFGHIJSam
Page 7 and 8: PSO 2855 Page 6discriminated agains
Page 9 and 10: PSO 2855 Page 8not poor eyesight wh
Page 11 and 12: PSO 2855 Page 10with disabilities,
Page 13 and 14: PSO 2855 Page 12CHAPTER 4The Minist
Page 15 and 16: PSO 2855 Page 14particular signific
Page 17 and 18: PSO 2855 Page 16Recording disabilit
Page 19 and 20: PSO 2855 Page 186.7 Any special nee
Page 21 and 22: PSO 2855 Page 2prisoners to partici
Page 23 and 24: PSO 2855 Page 4confidential access
Page 25 and 26: PSO 2855 Page 6• If a lot of writ
Page 27: PSO 2855 Page 8Escorting IssuesActi
Page 31 and 32: PSO 2855 Page 12SAMPLE LOCAL POLICY
Page 33 and 34: PSO 2855 Page 14ANNEX BDISABILITY Q
Page 35: PSO 2855 Page 16DIFFERENT DISABILIT
Page 38 and 39: PSO 2855 Page 19Draft Establishment
Page 40 and 41: PSO 2855 Page 21Highlight any risks
Page 42 and 43: PSO 2855 Page 23LD979/2 CREATE INMA
Page 44 and 45: PSO 2855 Page 25The system will dis
Page 46 and 47: PSO 2855 Page 27LDEE01/1 VIEW FULL
Page 48 and 49: PSO 2855 Page 29A new sort option d
Page 50 and 51: PSO 2855 Page 31ANNEX GACCESS TO EX
Page 52 and 53: PSO 2855 Page 33123 Golden Lane Web
Page 54 and 55: PSO 2855 Page 35Copies were issued
Page 56: PSO 2855 Page 37ANNEX IFULL DISABIL
Page 59: PSO 2855 Page 404. Conclusion4.1 Li

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