09.03.2016 Views

HMP Doncaster

Doncaster-web-2015

Doncaster-web-2015

SHOW MORE
SHOW LESS

You also want an ePaper? Increase the reach of your titles

YUMPU automatically turns print PDFs into web optimized ePapers that Google loves.

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>

Hooray! Your file is uploaded and ready to be published.

Saved successfully!

Ooh no, something went wrong!