08:15
Registration, Networking & Breakfast.
Registration, Networking & Breakfast.
Councillor Asher Craig (Confirmed)
Deputy Mayor (Communities, Equalities & Public Health) at St George West Ward and Bristol City Council
09:10
Dr Jonathan Leach
Joint Honorary Secretary
Royal College of General Practitioners
Chair Opening Address
09:15
Suicide & Self Harm Across The Criminal Justice Pathway
Louise Robinson
Consultant Forensic Psychiatrist in Secure Services
Lancashire and Cumbria NHS Foundation Trust
Plenary Session
09:35
Prisoners’ use of hospital services in 2017/18
Dr. Miranda Davies
Senior Fellow
Nuffield Trust
Plenary Session
This presentation will provide findings from analysis of routine healthcare data (Hospital Episode Statistics) to explore prisoners’ use of secondary healthcare services in 2017/18. Admitted patient care, outpatient and A&E data will be presented, exploring some of the primary reasons for admissions and attendances as well as how levels of service use compares to what we see in the general population. Conclusions will be drawn regarding what we can learn from hospital data about the healthcare needs of prisoners and the opportunities hospital data offers to assess quality of care
09:55
Building Recovery Capital and Reducing Harm – new ways of working with familiar medications
Tina Garrett
Public Health Programme Manager
Public Health England South West
Michelle Stimson
Head of Pharmacy Services for Offender Health
Bristol Community Health
Tarlok Singh
Substance Misuse Lead
HMP Eastwood Park Prison
Plenary Session – Ethypharm
Q&A
10:30
Morning Break, Networking & Refreshments
Morning Break, Networking & Refreshments
11:10
Dr Caroline I J Watson
Lead GP
HMP Bedford
Jemini Jethwa
Project Officer
Royal College of Psychiatrists
Megan Georgiou
Programme Manager
Royal College of Psychiatrists
Dave Banks
Lead Nurse for the Intensive Support Unit
HMP Durham and Tees, Esk and Wear Valleys Foundation Trust
Stream A
Workshop 1
“Transgender pathways and custody”
The placement and treatment of transgender individuals within the English prison estate. Operational challenges and how they are – or are not – resolved
Workshop 2
Megan Georgiou, Jem Jethwa and Dave Banks
Programme Manager for Royal College of Psychiatrists, Project Officer at Royal College of Psychiatrists and Lead Nurse for the Intensive Support Unit at HMP Durham and Tees, Esk and Wear Valleys NHS Foundation Trust
“Transforming the Care Programme Approach in Prisons”
The Care Programme Approach (CPA) has a history of being poorly implemented within a prison setting. The Quality Network for Prison Mental Health Services and Tees, Esk and Wear Foundation Trust have teamed up to review the process and develop new tools and guidance. The purpose of the workstream is to improve service delivery and patient care. The workshop will summarise the findings from the consultation event and present our work to date
Workshop 3
Dr Caroline IJ Watson
“Transitions and Transformations: Journeys through Justice”
Leading out of transformation: Breaking the cycle and changing the trajectory
A leadership consultant will bring us some tips on leadership in the secure environment and will speak about his life on the inside and his transformation from Young Offender to Leadership Consultant
11:40
Nat Wright
Primary Care Specialty Research Lead
UK National Institute for Health Research Yorkshire and Humber Clinical Research Network
Dr. Czarina Kirk FRCPsych
Consultant Neuro-Psychiatrist Clinical Lead Secure Acquired Brain Injury Service Mental Health Network (Secure Services)
Lancashire and South Cumbria NHS Foundation Trust
Emma Facer-Irwin
PhD Candidate for IoPPN
King’s College London
Stream B
Workshop 1
Dr Czarina Kirk
Consultant Neuropsychiatrist, Clinical Lead, Guild Lodge Secure ABI Service at Lancashire and South Cumbria NHS Foundation Trust
“Brain Injury and Offending – Time for Change”
In this workshop, we will explore how and why brain injury presents in the prison population. We will look at screening tools, interventions and referral pathways. Finally, there will be an update on the Government response to the Time for Change document.
Workshop 2
Emma Facer-Irwin
PhD Candidate for IoPPN – King’s College London
“The role of trauma and PTSD on negative behaviours among male prisoners: Toward a model of Trauma-Informed Correctional Care in the UK”
This presentation reports the results of a prospective cohort study conducted in a large south London prison. The study aimed to examine the prevalence of trauma and PTSD among male prisoners and explore their role in predicting outcomes such as self‐harm, suicide attempts, and violence. Findings highlight a need for trauma‐informed correctional care in the male prison estate. Associations with negative outcomes support the need for improved identification and management of trauma sequelae in this at‐risk population.
Workshop 3
Dr Nat Wright
Clinical Research Director at Spectrum CIC
“Optimising opioid dependence treatment (ODT) across the criminal justice pathway”
12:10
Nat Wright
Primary Care Specialty Research Lead
UK National Institute for Health Research Yorkshire and Humber Clinical Research Network
Dr James Matheson
GP
Hill Top Surgery
Clarissa Hemmingsen
Medical Student
Manchester Medical School
Imogen Hyndman
Medical Student
University of Manchester
Marina Boulton
Medical Student
University of Manchester
Stream C
Workshop 1
Christopher Hounslow, Mike Wheatley, Rachael Clegg and Rachel Moore
“Leadership in Recovery, Supporting Culture Change and the Holme House Approach.”
We will focus on the transformation of leadership within HMP Holme House as a Drug Recovery Prison to become a more positive place through a complex interaction of environmental, organisational and personal factors. Developing inspirational leadership and promoting a positive risk taking culture requires a certain amount of bravery on behalf of those in leadership positions; it also requires a long term strategy and patience. We will explore the following 5 themes and how this has translated into the vision values and practice within the Drug Recovery Prison-
• Clarity of vision, values and an agreed definition of what recovery is
• Empowering staff to lead and develop change
• Encouraging positive risk taking and a learning culture
• Patience is vital- change takes time to realise
• Lived experience needs to be central to change
The workshops will explore how we do this within practice in HMP Holme House Drug Recovery Prison with examples of good practice and embedding the rehab culture strategy.
Workshop 2
Dr Nat Wright
Clinical Research Director for Spectrum CIC
“The management of long-term conditions in remand prisons”
This workshop will present the results of a project that explored the management of long-term conditions (LTCs) in four remand prisons. A number of LTCs were selected and clinical decisions evaluated through both a scoping exercise of 1000 clinical records and also 20 qualitative interviews with staff. The results of each of these exercises were triangulated
Workshop 3
Dr James Matheson, GP at Hill Top Surgery
Clarissa Hemmingsen, Medical Student at Manchester Medical School
Imogen Hyndman, Medical Studnet at the University of Manchester
Marina Boulton, Medical Student at the University of Manchester
“Resources for primary care support to people in contact with the criminal justice system and their equally-affected others”
Whilst the GP workforce is short, never have we had so many GPs in training. Is general training enough without extra specialist skills training on top? How then do we create and deliver a curriculum to inspire and prepare the next generation adequately for the challenges they will face?
12:40
Lunch, Networking & Refreshments
Lunch, Networking & Refreshments
13:30
Matthew Langley
Consultant Forensic Psychiatrist at National High Secure Health Service for Women
Rampton High Secure Hospital
Alison Burrell
Trainee Health Pyschologist
The State Hospital
Dr Ken Agwuh
Director of Infection Prevention and Control
Doncaster and Bassetlaw Teaching Hospitals Foundation Trust
Stream D
Workshop 1
Dr Matthew Langley
Consultant Forensic Psychiatrist for Rampton Hospital
“Remote vital signs and activity monitoring”
Early experiences with remote vital signs monitoring technology in High Secure (Women’s)
Coral Ward (NHSHSW) is trialling Oxehealth’s remote vital signs and activity monitoring system. This is an innovative solution to support our staff but also presents challenges to integrate effectively. This presentation will discuss initial feedback from staff and patients and investigate our experience as a service with this new technology
Workshop 2
Dr Ken Agwuh
Director of Infection Prevention and Control at Doncaster and Bassetlaw Teaching Hospitals Foundation Trust
“Three case studies focussed on the management of patients with ABSSSI involving careful consideration with regards to antibiotic use”
The presentation will focus on three case studies I have been involved with. The first occurred at a maximum secure hospital and involved the use of a glycopeptide antibiotic to treat the patient’s acute on chronic skin and soft tissue infection (SSTI). The other two cases involved the use of other antibiotics initially during the acute phase then followed by discharge on Dalbavancin.
Receiving intravenous antibiotic outside an acute Trust, rather than as an inpatient, reduces the risk of acquiring hospital-acquired infection and also improves quality of other care which patients may require as in a prison facility.
Workshop 3
Alison Burrell
Trainee Health Psychologist at The State Hospital
“Evaluating the effectiveness and acceptability of a healthy lifestyle group intervention for patients with intellectual disabilities in The State Hospital”
Mixed-methods evaluation of a healthy lifestyle and weight management intervention for individuals with intellectual disabilities. Delivered by a MDT, the group promotes a collaborative, patient-centred approach to behaviour change on an individual and environmental level. Results will be disseminated to highlight behaviour change techniques which evoke healthy choices within an ID population.
14:00
Dr Caroline I J Watson
Lead GP
HMP Bedford
Mark Langridge
National Lead Pharmacist / Superintendent Pharmacist
Care UK
Dr Alex J Gorton
Assistant Registrar, Faculty of Forensic & Legal Medicine
Royal College of Physicians of London
Stream E
Workshop 1
Dr Alex J Gorton
Assistant Registrar, Faculty of Forensic & Legal Medicine at Royal College of Physicians of London
“Statement writing – avoiding the pitfalls”
Statement writing can be challenging for clinicians and may be an additional source of anxiety. This workshop will look at simple tactics to improve the layout and content of your statements as well as exploring some of the pitfalls to avoid.
Workshop 2
Dr Caroline IJ Watson
Secure Environments Healthcare in the Spotlight
“RCGP Spotlight Project priorities and progress”
This presentation will aim to set out the priorities and progress of the RCGP Spotlight Project and provide an introduction to the Toolkit. It has the flexibility to include sound bites from the project
Workshop 3
Mark Langridge
National Lead Pharmacist / Superintendent Pharmacist at Care UK
“Technological developments in healthcare.”
The session wishes to explore a number of technological advances that have been utilised to make healthcare services more accessible to patients, from assessment and prescribing through to medicines supply and ‘through the gate’ support.
14:30
Bernadette Hard
GP Specialist in Addictions
Kaleidoscope
Dr Iain Brew
Deputy National Medical Director Health in Justice
Care UK
Stream F
Workshop 1
Dr Iain Brew
Deputy National Medical Director of Health in Justice
Medicines Safety
“Hepatitis C – developments and outcomes”
Workshop 2
Dr Bernadette Hard
GP Specialist in Addictions, Kaleidoscope Drug Project
“Qualitative feedback from Service users and Clinical Staff with experience of switching to Espranor”
15:00
Registration, Networking & Refreshments.
Registration, Networking & Refreshments.
15:30
Dr Jonathan Leach
Joint Honorary Secretary
Royal College of General Practitioners
Chair’s Address
15:35
Dr Jonathan Leach
Joint Honorary Secretary
Royal College of General Practitioners
Conference Address
15:45
Patient Safety and Quality in Prisons
Sarah Bromley
National Medical Director Health in Justice
Practice Plus Group
Plenary Session
Deaths in Custody are still rising and the PPO have identified repeat recommendations that continue to contribute to deaths. How do we learn lessons and implement change and how do we know when we have been successful. Dr Sarah Bromley will discuss the challenges faced, the Care UK PROTECT programme and quality assurance measures in use.
16:05
Keeping Safe – how consultation with women and men in prison and health and justice professionals informs our work and advice to ministers
Juliet Lyon CBE
Independent Advisory Panel on Deaths in Custody
Chair
Plenary Session
Q&A
16:35
Chairs Closing Remarks & Hamper Prize
Dr Jonathan Leach
Joint Honorary Secretary
Royal College of General Practitioners
Chairs Closing Remarks & Hamper Prize
Close of Day
Drinks Reception
19:00
Conference Dinner & Awards
Conference Dinner & Awards
09:10
Chris Packham, MMedSci, DM, FRCP, FRCGP, FFPH
Nottinghamshire Healthcare NHS Foundation Trust
Associate Medical Director and GP
Chair’s Opening Address
09:15
Delivering Health and Wellbeing in a Women’s Prison
Suzy Dymond-White
Governor
HMP Eastwood Park
Plenary Session
A look at how health services are delivered within the operational demands of daily life at Eastwood Park given its complex population and wide geographical catchment area. How we keep wellbeing on the agenda to support our contracted health teams. What is so specific about a women’s prison? What needs to be overcome to ensure equivalent service to the community.
09:35
Dr Elizabeth Sharkey
Clinical Teaching Fellow and Emergency Medicine Fellow
Royal United Hospital
Plenary Session
09:55
Mental Health and Substance Misuse in the Immigration Estate
Plenary Session
Dr Brad Hillier
Consultant Forensic Psychiatrist at Heathrow Immigration and Removal Centres
Q&A
10:30
Morning Break, Networking & Refreshments
Morning Break, Networking & Refreshments
11:10
Ms Chantal Edge
NIHR Clinical Doctoral Research Fellow, UCL Collaborative Centre
Inclusion Health
Stephanie Burgess
Specialist Speech and Language Therapist
Airedale NHS Foundation Trust
Dr Rajesh Moholkar
Consultant Forensic Psychiatrist and Physical Health Lead
Birmingham and Solihull Mental Health NHS Trust
Stream A
Workshop 1
Steph Burgess
Speech and Language Therapist for Airedale NHS Foundation Trust
“Airedale’s Award Winning Stammering Therapy. Providing speech therapy via video link to people in prison who stammer”
Stammering is a serious communication disability, potentially leading to educational under-attainment/drop-out and an increased risk of criminalisation. We provide speech therapy by video link to people in prison, which is very effective in reducing or eliminating the negative impacts of stammering and can help with reintegration and employability on release
Workshop 2
Chantal Edge
NIHR Clinical Doctoral Research Fellow for Department of Epidemiology and Public Health
“Systems barriers to telemedicine in prisons”
Experiences of systems barriers (prison and hospital/community) encountered in England whilst attempting to operationalise a local prison-hospital telemedicine model, alongside broader evidence on prison telemedicine implementation barriers drawn from a systematic qualitative literature review of published prison telemedicine evidence
Workshop 3
Dr Rajesh Moholkar
Consultant Forensic Psychiatrist, Visiting Psychiatrist- HMP Birmingham, Lecturer- Birmingham University, Specialist advisor to the CQC
“National guidelines for prevention and treatment of obesity in secure psychiatric hospitals- learning points for prison healthcare”
Workshop will focus on national guidelines for prevention and treatment of obesity in secure psychiatric hospitals. Specific interventions to prevent and treat obesity will be discussed. This would be particularly relevant given the psychiatric morbidity in prison and number of prisoners being prescribed obesogenic psychiatric medications. Role of primary, secondary mental health services and tertiary weight management services will be explored. Attendees will be encouraged to think of innovative ways of working collaboratively between primary and secondary healthcare staff and with prison officers. Participants are encouraged to discuss innovative ways of improving diet, increasing activity and exercise in prison settings.
Specific emphasis will be given to antipsychotic choice, weight and health monitoring, identification and treatment of obesity as a complication. Implications for commissioning and contracts/ service specifications will be explored.
11:40
Dr Laura Hinchliffe
GP
Hanham Health and HMP Eastwood Park/ HMP Ashfield
Dr Cathy Stannard
Consultant in Complex Pain/Pain Transformation Programme Clinical Lead
NHS Gloucestershire CCG
Rachel Gibbs
Assistant Director
Prison Healthcare South Eastern Health and Social Care Trust Northern Ireland
Stream B
Workshop 1
Rachel Gibbs
Assistant Director for Prison Healthcare Services for Northern Ireland
“Equalising Spaces”
Rachel Gibbs was awarded a Winston Churchill Memorial Trust Fellowship in 2019. She will share learning from her visits to Prison Healthcare services/Transitions clinics/Harm reduction rooms in California, North Dakota, New York, Barcelona, Geneva and Stockholm over an eight week period in order to being back innovative ideas to the UK. She will share some of the user involvement work happening in Northern Ireland
Workshop 2
Dr Cathy Stannard
“Pain management in Secure Environments”
Top tips, open questions, structure for pain consultations in secure environments, what makes them complex? how to unravel them, separating substance misuse from genuine pain management challenges. How to ensure safe and appropriate prescribing and address unsafe prescribing. Experience from a multidisciplinary prison pain clinic
Workshop 3
Dr Laura Hinchliffe
GP for Hanham Health and HMP Eastwood Park/ HMP Ashfield
“Gender Dysphoria”
I will cover a primary care approach to gender dysphoria from initial consultations to ongoing management and monitoring. We will also cover some more prison specific considerations, including case studies
12:10
Dr Richard Keers
Clinical Lecturer in Pharmacy and Honorary Research Pharmacist
Greater Manchester Mental Health NHS Foundation Trust
Elinor Taylor
Health and Justice Information Services (HJIS) Programme Manager
North and East London Commissioning Support Unit (NEL CSU)
Dr Alex J Acosta-Armas
Consultant Forensic Psychiatrist
The North London Forensic Service
Stream C
Workshop 1
Elinor Taylor
Health and Justice Programme Manager for NEL CSU
“Health and Justice Information System (HJIS)”
The HJIS programme of improvement to SystmOne functionality and usage has been running since 2016. This presentation will provide an overview of the work carried out so far, will detail the upcoming changes for 2020 and onwards and the benefits the programme has achieved to date
Workshop 2
Dr Alex Acosta-Armas & Ms Sarah Hill
Consultant Forensic Psychiatrist & Service Manager for North London Forensic Service
“Forensic Learning Disability Pathways, from prison to the community: Less restrictive practices in secure care and the development of a specialist community forensic LD service”
Pathways of care for people with learning disabilities, from prison with the establishment of assessment and detection services, followed by secure inpatient care, focussed on introducing less restrictive practice interventions. Development of a community forensic learning disability service aimed to facilitate transition into the community and to support community services
Workshop 3
Richard Keers
Clinical Lecturer in Pharmacy and Honorary Research Pharmacist for The University of Manchester and Greater Manchester Mental Health NHS Foundation Trust
“Improving the safety of prescribing in prisons – what are the challenges and opportunities?”
This presentation/workshop will compare and contrast the challenges to safer prescribing faced by prescribers in the prison setting. Interventions to improve prescribing will be presented and discussed to identify potential solutions to these challenges and consider how they can be scaled up and implemented in prisons
12:40
Lunch, Networking & Refreshments
Lunch, Networking & Refreshments
13:30
Kat Wolf
Advanced Clinical Specialist- Blood Borne Virus Lead
Hanham Secure Health
Abi Bartlett
Head of Nursing and Allied Health Professionals
Hanham Secure Health Ltd
Lee Devereux
South West Regional Prisons Peer coordinator
The Hepatitis C Trust
Graeme Henderson
Professor of Pharmacology
University of Bristol
Stream D
Workshop 1
Professor Graeme Henderson
School of Physiology, Pharmacology and Neuroscience for The University of Bristol
“Why are fentanyls so deadly?”
Fentanyls are highly potent opioid agonists. Only small quantities are required to produce their effects and this may make them attractive drugs for smuggling into prisons. fentanyls have pharmacological properties that make them more likely to lead to overdose than other opioids – in addition to their high potency and rapid onset of action these drugs induce respiratory muscle stiffness making it difficult to breath, are less sensitive than heroin to naloxone reversal and may show reduced cross tolerance to other opioids
Workshop 2
“Delivering the Strategic Direction for mental health perinatal services in the adult women’s secure estate”
Recognising the need for a whole estate approach to supporting the management of Perinatal women across the female estate
Across the female estate we deal with a number of pregnant women at different maternity stages. The workshop demonstrates the strategy and operation supporting women whatever the circumstances of their birth outcomes, securing the best management of PN pathways for women within an establishment and between the community and custodial settings
Workshop 3
Abi Bartlett & Kat Wolf and Lee Devereux
Clinical Services Lead for Bristol Community Health & GP Partner Hanham Health and Medical Director for HMP Bristol, South West Regional Prisons Peer Coordinator at The Hepatitis C Trust
“Setting up an in house Hepatitis referral service”
Learning from incidents and sharing our experience of setting up an in house Hepatitis diagnosis and referral service with virtual MDT. We have worked closely with the local hospital trust to develop a pathway that enables us to maximise on our diagnosis and treatment of hepatitis C patients in our reception prisons
14:00
Pete Wynter
Director
Leadership College London
Fernando Carrillo
Founder
Wellwater
Dr Will Kenyon
GP
Hanham Health
James Henderson
Hand Surgery Team
Southmead Hospital
Michelle Osborne
Ward Manager
Arnold Lodge
Robert McEntree
Staff Nurse at Arnold Lodge
Nottinghamshire Healthcare NHS Foundation Trust
Stream E
Workshop 1
Michelle Osborne & Robert McEntree
Ward Manger & Staff Nurse for Arnold Lodge
“Trauma Informed Care in Forensic Health Care: Male Mental Illness”
How the admission ward of a Medium Secure Forensic Mental Health Unit in Leicester is introducing a framework for Trauma Informed Care.
Workshop 2
Dr Will Kenyon & Mr James Henderson
GP & Consultant Surgeon at Hanham Health & North Bristol NHS Trust, Southmead Hospital
“Hand Injury Pathway in Prisons . Management of Hand Injuries within Custodial Setting”
Violence levels within the custodial estate continue to rise.[1] Hand injuries represent a significant cause of short and long term morbidity[2]. Work has been undertaken by clinicians at HMP Bristol alongside secondary care colleagues at North Bristol Trust to develop pathways that would both allow triage of injuries to be undertaken in the prison setting and enable access to the Hand Trauma clinic within the appropriate timeframe. This will ensure the prisoner is treated in the right place at the right time according to need and will prevent unnecessary escorts or attendances at the Emergency Dept
Workshop 3
Pete Wynter and Fernando Carrillo
Director at Leadership College London and Founder at WellWater
“Leading Inside 1: Transforming Teams. Getting the best out of your Multi-Disciplinary Team – developing a culture of compassion, inclusion and collaboration”
This workshop will share tools and tips that will assist in transforming a multi-disciplinary team from a series of individuals working loosely alongside one another into an effective cohesive empowered team working within a culture of compassion, inclusion and collaboration.
14:30
Chris Packham, MMedSci, DM, FRCP, FRCGP, FFPH
Nottinghamshire Healthcare NHS Foundation Trust
Associate Medical Director and GP
Chair’s Address
14:35
Building a sustainable correctional healthcare workforce
Christine Fuller
Chief Nursing Officer
Correct Care Australasia
Dr Foti Blaher
Chief Medical Officer
Correct Care Australasia
Attracting and retaining a multidisciplinary workforce is challenging in correctional health; particularly across a range of male, female and youth facilities. Correct Care Australasia, sister company to Correct Care UK and part of the Wellpath Group, has implemented a variety of strategies that begin with introducing undergraduate students to the correctional setting, partnering to provide a graduate nurse program and providing GP registrar placements. Our nurse-led model of primary healthcare is supported by multidisciplinary clinicians with extended scope of practice and an internal career pathway. A high-level of autonomy and ongoing professional development underpin a stable and capable workforce.
14:55
The Creation of Learning Environments for Junior Doctors within Prisons
Dr Charlotte Illingworth
Consultant Psychiatrist and Foundation Lead for Psychiatry
Avon and Wiltshire Mental Health Partnership NHS Trust
Dr Zabelle Aslanyan
Core Trainee Psychiatrist
Avon and Wiltshire Mental Health Partnership NHS Trust
Innovative development in training Foundation doctors and psychiatric trainees, in Avon and Wiltshire Mental Health Partnership NHS Trust (AWP) and Severn Deanery, in the prison environment.
Working with prison mental health teams offers unique and significant learning opportunities for junior doctors training in Psychiatry. Our innovative FY2 post is a national ‘first’. Our junior doctors also teach prison and healthcare staff and lead on QIPs*. This learning environment brings parity of esteem to prisoner mental health.
15:15
RECONNECT – Care After Custody
Plenary Session
Q&A
15:45
Chairs Closing Remarks & Hamper Prize
Chris Packham, MMedSci, DM, FRCP, FRCGP, FFPH
Nottinghamshire Healthcare NHS Foundation Trust
Associate Medical Director and GP
Chairs Closing Remarks & Hamper Prize
Close of Day
RCGP’s 7th Health and Justice Summit: Journeys Through Justice – Leadership and Transformation
