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Date: November 25, 2024 Mon
Time: 9:08 pm
Time: 9:08 pm
Results for medical care, inmates (u.k.)
1 results foundAuthor: Elvins, Martin Title: Provision of Healthcare and Forensic Medical Services in Tayside Police Custody Settings: An evaluation of a partnership agreement between NHS Tayside and Tayside Police (2009-2011) Summary: In January 2009 a three-year partnership agreement between Tayside Police and NHS Tayside came into effect, providing for the delivery of the following services by NHS-contracted staff: • Forensic medical services serving police requirements • Nurse-led healthcare for detained persons (welfare or therapeutic) The partnership agreement instituted some notable, substantive innovations in the delivery of medical services in Tayside Police custody settings. The most significant of these was the decision to establish a dedicated team of NHS nurses employed to operate solely within secure police custody areas (generally termed custody suites) on a round-the-clock basis, working from medically equipped rooms. A defining characteristic of the ‘pilot’ service brought in under the agreement was that it was nurse, rather than a medical or police-led service. In the period immediately prior to the ‘pilot’ partnership agreement the requirement for healthcare services by Tayside Police was serviced through a contractual arrangement with a private healthcare provider. In 2008 Her Majesty’s Inspectorate of Constabulary for Scotland (HMICS) found that Scottish police forces reported an 85-15 per cent split respectively between welfare (therapeutic) and forensic examinations carried out in connection with their day-to-day operations; the former occurring in custody suites. Around 12,500-13,000 detentions in Tayside Police custody suites occur annually. Research studies have established that detainees typically have proportionately higher health needs than the population as a whole, whilst having below average engagement with NHS services (for instance around 30 per cent of detainees are not thought to be registered with a General Practitioner). With an overall reconviction rate within two years of 42.4 per cent (2007-08 offender cohort) in Scotland it is clear that police custody affords a unique environment in which to deliver healthcare to a difficult to reach sector of the population. Such an approach also correlates with the objective of the 2007 Scottish Government Better Health, Better Care: Action Plan to address what it termed unscheduled care through ensuring that patients get the services they need in the places that they need them. The research study aimed to provide a basis to evaluate the impact of the new ways of working between NHS Tayside and Tayside Police brought in through the partnership agreement. The study was designed to test three key questions: 1. What has worked for Tayside Police and its staff and why has it worked? 2. What has worked for detainees and why has it worked? 3. What has worked for NHS Tayside and its staff and why has it worked? Unified by a realistic evaluation approach (focused on finding out ‘what works?’) the two-year study brought together researchers with specialist knowledge of both policing and healthcare (including mental health) and with methodological specialisms covering qualitative and quantitative research, as well as a specialist health economist. Primary data collection and data analysis took place in two phases, Phase 1 (2010) and Phase 2 (2011), and was undertaken through quantitative questionnaires, audit data and extensive interview-led qualitative study of the service from the perspective of healthcare and police professionals. A (more limited in scope) qualitative, interview-led study of the service from the perspective of persons detained in police custody was also undertaken. Details: Dundee: Scottish Institute for Policing Research, 2012. 68p. Source: Internet Resource: Accessed July 3, 2013 at: http://www.sipr.ac.uk/downloads/Healthcare_Custody.pdf Year: 2012 Country: United Kingdom URL: http://www.sipr.ac.uk/downloads/Healthcare_Custody.pdf Shelf Number: 129240 Keywords: Health CareMedical Care, Inmates (U.K.)Police Services |