Promoting health in prisonsBMJ 1997; 314 doi: https://doi.org/10.1136/bmj.314.7087.1128b (Published 12 April 1997) Cite this as: BMJ 1997;314:1128
Discussion is needed between prison health service and NHS
- Olwen Williams, Consultant in clinical effectivenessa,
- Jan Cassidy, Prison healthcare audit facilitatora
- a Anglia Clinical Audit and Effectiveness Team, Box 111, Clinical School, Addenbrooke's Hospital, Cambridge CB2 2SP
- b Verne Prison, Portland, Dorset DT5 1EQ
Editor—The chief inspector of prisons recently proposed that the NHS should assume responsibility for the delivery of all health care, including that required in prisons.1 2 The prison health service understandably believes that this implies criticism of its previous performance and threatens its future. For example, J M Hall claims that in many ways the prison healthcare service provides a better service for its patients than does the NHS and that the NHS would provide an inferior service for prisons.3 Perhaps this view rests on the assumption that the existing staff would be replaced and the existing service revamped by people with no experience of the special problems encountered in prisons.
Prison health care requires special skill and needs to build on the existing base of caring staff to …