1. A changing prison population
Kirstin Leath
Health and Social Care Manager

2. A Changing Population

3. An ageing prison population
A Changing Population
An ageing prison population
A population drawn disproportionately from more deprived communities
35% of Scottish prison population describe themselves as having a disability or long term health condition
Carnie, J., Broderick, R. (2017) Scottish Prisoner Survey 2017, Scottish Prison Service

4. A Changing Population
Scottish Government, ( ),( ), ( ), Prison statistics and population projections Scotland ( Prison statistics not currently available – 2018 numbers taken from PR2)

5. Prisons in your backyard
Total Pop (27/04/18)
50+
(30/04/18)
% 50+
65+
% 65+
HMP Open Estate
191 49
25% 4 2%
HMP Perth
663 74
12% 10
1.6%

6. Carnie, J., Broderick, R. (2017) Scottish Prisoner Survey 2017, Scottish Prison Service

8. Modelling
Number estimated to require care or reablement support (April 2018)
As a % of relevant population
Total
170
1.85% of total
Under 50 50
0.84% of pop under 50
Over 50
120
8.66% of pop over 50

9. A Changing Population - Challenges
Social Care Provision
Prison Design and Accessibility
Accommodation on release
Population Management
Adaptive Equipment and Furniture
Palliative Care

10. Palliative Care in Prisons Project
Macmillan Palliative Care in Prisons Coordinator (Gail) in role January 2017
SPS chair and provide admin support to Steering and Operational groups
Steering Group
Operational Group
SPS Strategic and Operational
Macmillan
Marie Curie/Medical Director and Consultant in Palliative Medicine
Scottish Partnership for Palliative Care
Health Board Lead (NHS Forth Valley)
National Clinical Lead PEOLC Scotland/ Nursing
Scottish Government (joining next meeting)
Social Care (tbc)
Health Managers (HMP Shotts & HMP Kilmarnock)
Chaplaincy Advisors

11. A Changing Landscape Royal College of Nursing – 5 years On
Scottish Parliament Health and Sport Committee Inquiry Report
HMIPS, Who Cares? - The lived experience of older prisoners in Scotland’s prisons
New Health and Justice Collaboration Improvement Board

12. Health and Justice Collaboration Improvement Board
Social Care
Governance
Outcomes and Performance Management
Health and Social Care in Prisons Programme Board

13. What next? Palliative Care in Prisons Project
SPS working with Scottish Government on a new population management strategy
SPS exploring options for accessible design
Health and Justice Collaboration Improvement Board
Refreshing the NHS and SPS MOU
Designing a model of Social Care delivery in Scotland’s prisons
Clarifying roles and responsibilities

14. Questions?

15. SPS Social Care Needs Assessment
Who was assessed?
181 assessed
145 men
36 women
50% 50 or under
46% (57% of men) SO marker
45% sentence 5 years +

16. 84% 47% 70% SPS Social Care Needs Assessment Key Findings
judged likely to require social care/assessment on release
self reported difficulty with specific activities of daily living
thought likely to benefit from additional assessment /professional input

17. 46% 44% 50%
would not describe themselves as confident “getting around” their prison
I am confident. I have fallen at times, but I can move around prison if not too far. I keep close to the walls when walking and will cling to a prisoner if I’m about to fall. They are pretty helpful and understanding.
use equipment to get around the prison
of those who use assistive equipment use more than one piece
24%
discussed falls or fear of falling