1. Prison Health in NHS Greater Glasgow & Clyde A health needs assessment 2012 Dr Gillian Penrice Consultant public health medicine “Offenders and ex-offenders should have access to the health and other public services they need and benefit from the same quality of service as the rest of the population” [Scottish Government, 2008]

2. November 2011 - Prison health care transfers from SPS to NHS what is the state of prisoner health? what services are being delivered? how are services being delivered? where are the gaps in services? Baseline to inform future planning & development of services

3. Methodology 3 approaches: - Epidemiological Corporate Comparative Prisons in Greater Glasgow and Clyde

4. Epidemiological Describing the health of the prison population from: - –the available literature; –locally available prescribing data and –point prevalence information from 22nd February 2012 in Greenock.

5. Corporate Interviews with approx 50 with key stakeholders Prisoners, officers, prison health care staff, third sector organisations Prisoner focus groups in Barlinnie Views and opinions on how are services being delivered – both good and bad

6. Comparative Service mapping Discussions with full range of health improvement topic teams What are we providing? What can NHS provide from outside to prisons?

7. Alcohol Misuse Drug Misuse Tobacco Use Diet, physical activity and healthy weight Dental Health Long term conditions Mental Health Problems Learning Disability Literacy and Numeracy Sexual Health and Blood Borne Viruses (BBV)

8. Parenting Employability Re-offending Communication Training Relationships

11. Results - overarching Reinforces what we already know Despite characteristic differences between the prisons within NHSGGC - high level of consensus amongst both prisoners and staff groups about health needs and priorities

12. Alcohol misuse

13. Drug misuse

14. Tobacco use

15. Diet, activity and healthy weight

16. Dental health

17. Mental health

18. Sexual health & BBV

19. What happened next? Wide dissemination Planning day – July 2012 Linking with prison workplans Some work already completed