1. Embracing decency and dignity together Darren West George Day HMP WHATTON Working to provide care for the elderly and terminally ill in prisons.

2. Understanding roles and responsibilities PRISONER or PATIENT?

3. HMP Whatton  accommodates 841 prisoners with an ageing population  40 years to 49 years 199 - 23.7%  50 years to 59 years 155 - 18.4%  60 years to 69 years 92 - 10.9%  70 plus years 73 - 8.7%  high rate of prisoners with cancer or life threatening illness  14 deaths since January 2014 by natural causes  High incident of emergency escorts as well as frequent outpatient appointments and planned operations

4. Our approach  Offer the same choices that are available in the community  Develop protocols to meet Patient, Prisoner and Healthcare needs  Engage and communicate as a multi-agency to provide support and care  Involve family and friends, supported by Healthcare and Family Liaison Officers

5. OPAL  Older Prisoners Activities and Learning (OPAL) is supported by Nottingham and Nottinghamshire Age UK. This promotes social, activity based and learning orientated activities.  Research prisoners needs and evaluate activity delivery/attendance.  Target age is 65 and over or 55 and over being medically retired.  Age UK co-ordinator based at the prison.  Providing professional oversight.

6. One step at a time  Prisoner/ patient needs are identified by healthcare, self referral of by prison staff  Care plan’s are initiated as appropriate  Visits protocol allows family and friends to visit prisoners in their designated cell areas.  Local Social care scheme includes older prisoners as well as those with palliative care needs.

7. Social Care Advocacy project

8. Inexpensive solutions to deliver decency for those in our care  Identified wings for prisoners over the age of 55 and those retired either medically or at retirement age.  Prisoners are informed of expected behaviours towards others.  Dignity line on the landing to provide privacy  Staff awareness, training, and a change to working practices in order to deliver decency and dignity to those in our care.

9. Supporting a Healing Environment  Dementia Suite in operation. WWrist band alert system in place for those who are less mobile.  Operational procedures have been adapted for dealing with seriously ill and those with social care needs. OOpen door policy has been introduced.  Improving awareness between all key stakeholders

10. Palliative Care WWhatton has adapted a unit specialising in the care of both elderly and palliative care patients.  A Palliative Care Cell is located within a living unit.  The Kings fund project provided funding used to create the Retreat. An end of life suite. PPrisoners are risk assessed and trained to assist in the care of those prisoners who are less able. rained carer’s are brought in to support prisoners with both social care and palliative care needs.

11. Palliative Care Cell

12. The Retreat

13. Retreat Garden

14. Thank you for Listening HMP Whatton Happy to take any Questions