. Working together to regulate and inspect Elizabeth Tysoe, HMIP Sue McMillan, CQC. We ensure independent inspection of places of detention and report on conditions and treatment and promote positive outcomes for those detained and the public. HMIP Statement of Purpose. HMIP value statements.
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Working together to regulate and inspectElizabeth Tysoe, HMIPSue McMillan, CQC
We ensure independent inspection of places of detention and report on conditions and treatment and promote positive outcomes for those detained and the public.
HMIP Statement of Purpose
HMIP value statements
Dept of Health
Care Quality Commission (Registration) Regulations 2009
Health and Social Care Act 2008 (Regulated Activities) Regulations 2010
Health and Social Care Act 2008
NHS April 2010
Single system of registration
Single set of standards
Strengthened and extended enforcement powers
Adult Social Care
Adult social care
Care October 2010
Dental Care & Ind.
Ambulances Apr 2011
Services April 2012
Bringing the two systems together: CQC/HMIP memorandum of understanding
Guidance about Compliance
Prison Act 1952
Criminal Justice Act 1982
Health & Social Care Act 2008 and regulations
Courts, escorts, transfers, early days
Bullying, violence reduction, self harm & suicide prevention, safeguarding
IEP, disciplinary procedures
Res units, staff/prisoner relationships
Equality, diversity, faith, religious activity
Complaints, legal rights, health services, catering, purchases
Time out of cell
Learning, skills & work activities
PE & healthy living
Offender management & planning
Prisoners should be cared for by a health service that assesses and meets their health needs while in prison and which promotes continuity of health and social care on release. The standard of health service provided is equivalent to that which prisoners could expect to receive in the community.
Resettlement – pathway 3
People who use services, families and carers
Other regulatory bodies and inspectorates
Staff and other professionals
Other bodies eg. Ombudsman, commissioners
CQC Assessors and Inspectors
Who has to register?
Providers delivering regulated activities in prisons are subject to registration requirements in the same way as any other setting; BUT
Services provided under direct contract with a government department;
Including where HM Prison Service is the provider (eg nurses employed by the prison) – part of MoJ
A CQC inspector joins HMIP at all full inspections and some follow up. Inspection activities are co-ordinated on site
HMIP and CQC share information to prevent duplication of effort. This may be used to assess registration and monitor compliance with HSCA
CQC and HMIP will work together to address concerns at the appropriate level of enforcement to ensure improvement
HMIP and CQC meet quarterly to review recent inspections, share training, support joint work
Good Practice examples
The use of telemedicine enabled prisoners to have fast access to secondary care, with little disruption to the prison regime
The systematic approach to ‘prized medications’, including opiates, was helping prisoners to access evidence-based pain relief, and the prison to ensure that the availability of tradable medications was at a minimum.
The practice of ensuring that prisoners received the outcome of their diagnostic tests as soon as possible helped alleviate unnecessary worry
Good practice examples 2
A designated IDTS gym and individual exercise programmes had been developed which provided prisoners undertaking methadone reduction regimes with additional motivation and support.
The named nurse system for triage operated effectively and provided a good service to prisoners.
A registered mental health nurse saw every referred young person as soon as possible and completed a mental health assessment.