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Dr Marcus Bicknell

Dr Marcus Bicknell. PROPOSALS FROM THE DEATH IN CUSTODY GROUP 2018. ‘The degree of civilisation in a society is revealed by entering its prisons’ – Dostoyevsky ‘Society’s attitude to its prisoners is the measure of the stored up strength of a nation’- Churchill.

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Dr Marcus Bicknell

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  1. Dr Marcus Bicknell

  2. PROPOSALS FROM THE DEATH IN CUSTODY GROUP 2018

  3. ‘The degree of civilisation in a society is revealed by entering its prisons’ – Dostoyevsky ‘Society’s attitude to its prisoners is the measure of the stored up strength of a nation’- Churchill

  4. ‘Prisons constitute the most critical area of human rights in a civilised society’ – Dr.Riaz Ahmed (PRT)

  5. ‘A country’s response to preventing suicide in custody defines its reputation’

  6. STATISTICS THE GROUP THE PROPOSALS SUMMARY

  7. https://fullfact.org/media/uploads/ff-wp-files/2014/12/graph2b.pnghttps://fullfact.org/media/uploads/ff-wp-files/2014/12/graph2b.png

  8. GP CHAIR NHSE ASSISTANT DIRECTORS PHE DIRECTOR DEPUTY PPO SENIOR CORONER FORENSIC PSYCHAITRISTS SENIOR GOVERNOR PRISON CHAPLIN THIRD SECTOR NURSE DIRECTOR MOJ ASSISTANT DIRECTORS ACADEMIC PROFESSORS

  9. 21 PARTICIPANTS

  10. 4 MEETINGS QUARTERLY 2017 AND 2018 SKIPTON HOUSE AND WELLINGTON HOUSE LIAISON WITH RCGP SEG AND BMA OUTSTANDING ATTENDANCE REPORT JULY 2018

  11. PRESCRIPTIVE PRESCRIBING 16 PROPOSALS

  12. PRESCRIPTIVE PRESCRIBING PROPOSAL 1 DATA AND INTELLIGENCE Develop a dynamic and integrated approach for sharing data and shared analysis relating to deaths in custody and communicating this analysis

  13. PROPOSAL 2 LEARNING FROM CORONERS AND PPO REPORTS Systematically collate and share this learning so that meaningful changes can be implemented based upon consensus

  14. PROPOSAL 3 ACCT CRG support implementing revised ACCT Ensure RMN input into first ACCT review MDT approach to closing ACCT

  15. PROPOSAL 4 SUBSTANCE MISUSE Adopt a treatment first approach Support the revised service specification Target the most harmful substances when security is utilised (HARM REDUCTION)

  16. PROPOSAL 5 SAFER CUSTODY, PEOPLE AND POPULATION WORKSTREAMS WELLBEING Wellbeing, culture, staff and prisoners Peer led, listeners, buddies, faith groups, IAPT, Samaritans, Healthcare, Occupational Health

  17. PROPOSAL 6 BASIC LIFE SUPPORT Offer training to wing officers Provide defibrillators

  18. PROPOSAL 7 PRISONS IN FOCUS (PIF) Targeted support to prisons with high and or increasing death rates

  19. PROPOSAL 8 PSYCHIATRIC SERVICES Provide the best mental health services to PIF Expand RMN and psychiatric provision

  20. PROPOSAL 9 SUICIDE PREVENTION LEAD Provide systems leadership across all parts of the prison PIF receiving additional resources to improve/develop suicide prevention

  21. PROPOSAL 10 MENTAL HEALTH TRANSFER Good access to secure mental health beds Minimal delay

  22. PROPOSAL 11 ENHANCED RECEPTION Resourcing to meet the needs of reception prisoners with mental health vulnerability including addiction, intellectual disability, severe mental illness and suicide risk

  23. PROPOSAL 12 SAFE SPACE Suitable cell for acutely distressed, psychotic or disturbed prisoner/patient at risk of suicide Therapeutic component (NOT SEG)

  24. PROPOSAL 13 DAY SPACE Optimise time out of cell for all prisoners, especially the most vulnerable Address social isolation and avoidant behaviours

  25. PROPOSAL 14 INCENTIVES Support, recognise and reward improved practice and outcomes

  26. PROPOSAL 15 TRAUMA AND RESILIENCE Provide training for all staff and therapeutic interventions for those experiencing trauma

  27. PROPOSAL 16 INFORMATION SYSTEMS Information relevant to risk, vulnerability, isolation and mental illness should be effectively shared throughout health and justice journey Computer systems should identify and alert risk

  28. SUMMARYSMALLER PRISON POPULATIONIMPRISON FEWER WOMENIMPLEMENT THE PROPOSALSSTOP SPICE

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