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Offender Health

Offender Health. London Offender Health Needs Assessment October 2010 Rupert.bailie@dh.gsi.gov.uk. OVERVIEW. Population in contact with London Criminal Justice System Numbers along pathway Needs Ethnicity What service functions are there ? What do we spend ? Why do anything different ?

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Offender Health

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  1. Offender Health London Offender Health Needs Assessment October 2010 Rupert.bailie@dh.gsi.gov.uk

  2. OVERVIEW • Population in contact with London Criminal Justice System • Numbers along pathway • Needs • Ethnicity • What service functions are there ? • What do we spend ? • Why do anything different ? • Resource links

  3. DATA SOURCES FOR THE CJS • Offender specific data through NTA • DIR data • Prison health & drugs needs assessments • Prison data from NOMS ISMG • But this presentation is about: • Profile Report on Police Detainees and • Offenders in London • MoJ NOMS / NHS London

  4. FEATURES OF THE LONDON CJS POPULATION • YOUNG : Majority of Arrests, Probation Commencements & Prison Receptions < 40 years • MALE : 85% Arrests, 88% Probation, 92% Prison • OF FAITH : 48% Christianity, 26% none, 17% Islam (Prisons) • SHORT PERIOD OF CONTACT : • Matter completes at police station following 51% of Arrests • 65% of sentenced prison receptions <12 months • 30% London sentenced prison releases <28 days served

  5. NUMBERS : LOCATION : LONDON 2009-10 POLICE 300,000 Arrests of which 56,000 Detained 73,000 on Bail COURT 129,000 PRISON 30,000 APPROVED PREMISES 855 PROBATION 35,000 COMMUNITY COMMUNITY 153,000 released of which 52,000 sanctioned 101,000 NFA COMMUNITY COMMUNITY

  6. NEED : LOCATION : LONDON POLICE (n=646) 31% Drug / Alcohol 11% Injuries McKinnion 2010 COURT ? PRISON LISARRT APPROVED PREMISES ? PROBATION OASys 45% MH Flag 3,000 DSPD COMMUNITY COMMUNITY COMMUNITY COMMUNITY

  7. LISARRT NEED : LONDONERS : LONDON PRISONS 2009-10

  8. SERVICE FUNCTIONS : LOCATION : LONDON POLICE Police Health Service CJLD COURT CJLD Psych Reports PRISON Prison Health EBW Transfer APPROVED PREMISES ? PROBATION CJLD COMMUNITY COMMUNITY COMMUNITY COMMUNITY

  9. FUNCTIONS : LONDON : COST CRIMINAL JUSTICE LIAISON & DIVERSION : £1m POLICE HEALTHCARE £24m PSYCH COURT REPORTS ? ESCORTS BEDWATCH £2.6m APPROVED PREMISES Need £0.4m PLACES OF SAFETY ? PRISON HEALTHCARE £39m PRISON TRANSFERS ? MENTAL HEALTH, DRUGS & ALCOHOL SERVICES TREATMENT ORDER REQUIREMENTS: DRUGS (2726), ALCOHOL (1994), MENTAL HEALTH (310)

  10. WHY CHANGE ? CRIMINAL JUSTICE LIAISON & DIVERSION • SAFETY • Identification and assessment STARTING AT Police Custody will improve risk management all the way through the system • ACCESS • Doing the right assessments on the right people at the right time will deliver the right disposals and enable access to the right services • EFFICIENCY eg. we could have…. • London wide agreement on efficient use of places of safety • Police Station services that deliver health outcomes • Diversion from CJS at an earlier stage, where this is appropriate • Fewer psychiatric reports to court, but on the right people • Fewer escorts from prison for treatment • More timely prison transfers, at lower cost • Fewer prison recalls as a result of treatment unavailability • Reduced re-offending and reduced crime • Fewer deaths in custody

  11. RESOURCE LINKS Profile Report on Police Detainees and Offenders in London http://lcjb.cjsonline.gov.uk/London/1233.html#LRRS London Criminal Justice Liaison & Diversion reports: http://www.gvagrimley.co.uk/x13183.xml London Alcohol IBA Lit. Review, Case for Change & Service Survey: http://www.offenderhealth.org.uk/OffenderCommunityHealth/Alcohol.aspx Prison Population Statistics: http://www.justice.gov.uk/publications/populationincustody.htm Offender Management Caseload Statistics http://www.justice.gov.uk/publications/prisonandprobation.htm

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