HMP Doncaster
Doncaster-web-2015
Doncaster-web-2015
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Section 2. Respect<br />
Dentistry<br />
2.76 The longest wait to see the dentist was about four weeks and urgent dental cases were seen<br />
at the next clinic. 'Time for Teeth' provided six dental sessions a week by a dentist and<br />
dental nurses. A good range of treatments was available, and oral health was promoted as<br />
part of consultations. The dental surgery was adequate, although the dental chair required<br />
upgrading and this was taking some time. Storage was limited and the decontamination<br />
facilities were not in a separate room, which did not comply with best practice guidance (see<br />
recommendation 2.53). There was appropriate certification of equipment and infection<br />
protection audits.<br />
Delivery of care (mental health)<br />
2.77 The team had a 50% shortfall in agreed nurse staffing, which affected many aspects of service<br />
delivery. An increase in psychiatric sessions was due to begin but the clinical psychology post<br />
was vacant There were over 60 prisoners on several mental health waiting lists; the longest<br />
wait was nine weeks, which was too long. The nursing team prioritised cases each day and<br />
urgent cases were seen in a reasonable time. There was an open referral system at primary<br />
level with triage and assessment in a stepped approach to secondary care. The service was<br />
busy with around 125 referrals a month, and about 10% of the population (90-100 prisoners)<br />
were in contact with the service.<br />
2.78 Patients with serious and enduring mental health problems were subject to the care<br />
programme approach and an 'improving access to psychological therapies' (IAPT) therapist<br />
was on staff. Nurses were frustrated that the staffing shortages meant that they could not<br />
deliver anything more substantial than brief individual solution-based interventions. There<br />
was no professional counselling service, despite the level of need and our previous<br />
recommendation.<br />
2.79 Four of the nine transfers of patients to mental health services since April 2015 had not been<br />
within the current time guideline and meant they experienced prolonged unassessed and<br />
untreated mental disorders, which was unacceptable. Mental health professionals believed<br />
that prison officers’ awareness about the mental health care needs of prisoners could be<br />
improved with training, which they did not currently receive.<br />
Recommendations<br />
2.80 Mental health patients should have access to all clinically indicated psychological<br />
and group interventions, including professional counselling.<br />
2.81 Transfers of patients to mental health services should take place within the<br />
current time guideline.<br />
2.82 There should be a rolling programme of mental health awareness training for all<br />
discipline staff.<br />
42 <strong>HMP</strong> <strong>Doncaster</strong>