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Dr Marcus Bicknell. PROPOSALS FROM THE DEATH IN CUSTODY GROUP 2018. ‘The degree of civilisation in a society is revealed by entering its prisons’ – Dostoyevsky ‘Society’s attitude to its prisoners is the measure of the stored up strength of a nation’- Churchill.
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‘The degree of civilisation in a society is revealed by entering its prisons’ – Dostoyevsky ‘Society’s attitude to its prisoners is the measure of the stored up strength of a nation’- Churchill
‘Prisons constitute the most critical area of human rights in a civilised society’ – Dr.Riaz Ahmed (PRT)
‘A country’s response to preventing suicide in custody defines its reputation’
STATISTICS THE GROUP THE PROPOSALS SUMMARY
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GP CHAIR NHSE ASSISTANT DIRECTORS PHE DIRECTOR DEPUTY PPO SENIOR CORONER FORENSIC PSYCHAITRISTS SENIOR GOVERNOR PRISON CHAPLIN THIRD SECTOR NURSE DIRECTOR MOJ ASSISTANT DIRECTORS ACADEMIC PROFESSORS
4 MEETINGS QUARTERLY 2017 AND 2018 SKIPTON HOUSE AND WELLINGTON HOUSE LIAISON WITH RCGP SEG AND BMA OUTSTANDING ATTENDANCE REPORT JULY 2018
PRESCRIPTIVE PRESCRIBING 16 PROPOSALS
PRESCRIPTIVE PRESCRIBING PROPOSAL 1 DATA AND INTELLIGENCE Develop a dynamic and integrated approach for sharing data and shared analysis relating to deaths in custody and communicating this analysis
PROPOSAL 2 LEARNING FROM CORONERS AND PPO REPORTS Systematically collate and share this learning so that meaningful changes can be implemented based upon consensus
PROPOSAL 3 ACCT CRG support implementing revised ACCT Ensure RMN input into first ACCT review MDT approach to closing ACCT
PROPOSAL 4 SUBSTANCE MISUSE Adopt a treatment first approach Support the revised service specification Target the most harmful substances when security is utilised (HARM REDUCTION)
PROPOSAL 5 SAFER CUSTODY, PEOPLE AND POPULATION WORKSTREAMS WELLBEING Wellbeing, culture, staff and prisoners Peer led, listeners, buddies, faith groups, IAPT, Samaritans, Healthcare, Occupational Health
PROPOSAL 6 BASIC LIFE SUPPORT Offer training to wing officers Provide defibrillators
PROPOSAL 7 PRISONS IN FOCUS (PIF) Targeted support to prisons with high and or increasing death rates
PROPOSAL 8 PSYCHIATRIC SERVICES Provide the best mental health services to PIF Expand RMN and psychiatric provision
PROPOSAL 9 SUICIDE PREVENTION LEAD Provide systems leadership across all parts of the prison PIF receiving additional resources to improve/develop suicide prevention
PROPOSAL 10 MENTAL HEALTH TRANSFER Good access to secure mental health beds Minimal delay
PROPOSAL 11 ENHANCED RECEPTION Resourcing to meet the needs of reception prisoners with mental health vulnerability including addiction, intellectual disability, severe mental illness and suicide risk
PROPOSAL 12 SAFE SPACE Suitable cell for acutely distressed, psychotic or disturbed prisoner/patient at risk of suicide Therapeutic component (NOT SEG)
PROPOSAL 13 DAY SPACE Optimise time out of cell for all prisoners, especially the most vulnerable Address social isolation and avoidant behaviours
PROPOSAL 14 INCENTIVES Support, recognise and reward improved practice and outcomes
PROPOSAL 15 TRAUMA AND RESILIENCE Provide training for all staff and therapeutic interventions for those experiencing trauma
PROPOSAL 16 INFORMATION SYSTEMS Information relevant to risk, vulnerability, isolation and mental illness should be effectively shared throughout health and justice journey Computer systems should identify and alert risk
SUMMARYSMALLER PRISON POPULATIONIMPRISON FEWER WOMENIMPLEMENT THE PROPOSALSSTOP SPICE