NHS England South (South East) Health Needs Assessments for Adult Secure Settings in Surrey

Descriptions

NHS England seeks bids from providers who have the capability to deliver Health Needs Assessments (HNAs) for those in adult secure prisons in Surrey (HMP Send, HMP Coldingley, HMP Downview, HMP High Down and HMP Bronzefield). The needs assessments will explore the following: •Background geographical information, including key services, boundaries issues •General demographics of the offender and secure setting populations, with a particular focus on demographics which contribute to vulnerability (mental health, substance misuse, housing, unemployment, learning disability, physical health etc.) •Opportunities to segment the populations of the five estates in to different potential patient cohorts with shared and differing health needs. •Profile of health service provision in the area that is typically accessed by patients from Surrey adult secure settings including: primary and acute healthcare settings; mental health provision; specialist substance misuse provision and dental services. •Views of the service users on the quality and availability of healthcare in Surrey adult secure settings, including experience of assessment and delivery at the point of entry and release planning and management. •Information from Her Majesty's Prison & Probation Service (HMPPS) and other relevant criminal justice agencies on trends in type and volume of offences; typical sentence lengths of the populations at the five establishments. •Identify key relevant strategies that may impact on adult male and female secure settings populations. •Review and comparison of existing practice (provision of healthcare services in secure settings) regionally and nationally via relevant comparison data sets, for example, Health & Justice Indicators of Performance (HJIPS) data, current provider performance data; relevant available HMPPS data. •Identify best practice and opportunities for development of healthcare provision in Surrey adult secure settings. •Identify gaps in provision and inform future commissioning of services. •To investigate the full range of health needs and report on the epidemiology of health problems experienced by the men and women in each of the establishments compared to the general population and compared to offenders in similar establishments, with a specific focus on key health conditions within each prison. This will be determined from the data but likely to include: communicable disease (Sexually Transmitted Illnesses, TB, Hepatitis, and HIV), coronary heart disease and mental health (cross referencing with sections below). •Identify opportunities for improved health and social care integration and provisions to enable prisoners to live an independent and quality life. •Review escort and bed watch levels. Formulate recommendations for existing pathway improvements and opportunities for onsite care to reduce the need for external appointments.