Four in 10 prisoners miss out on hospital visits ‘due to frontline staff cuts in jails’
Prisoners in Britain frequently have hospital appointments cancelled and receive less healthcare than the general public, a new study has found. As many as four in 10 hospital appointments made for a prisoner were cancelled or missed in 2017-18, with missed appointments costing the NHS £2m.
The in-depth analysis of prison healthcare by the Nuffield Trust think tank examined 110,000 hospital
records from 112 prisons in England. It revealed 56 prisoners gave birth during their prison stay, with six prisoners giving birth either in prison or on their way to hospital.
The Nuffield Trust said its findings raised concerns about how prisoners are able to access hospital care after a cut in the number of frontline prison staff and a rising prison population. It said this was likely to have reduced the number of prison escorts available to transport and guard prisoners while at hospital.
The study, funded by the Health Foundation, found 24 per cent of prisoners had fewer admissions to hospital and outpatient appointments than members of the public of the same age and sex. They also had 45 per cent fewer admissions to A&E departments. A total of 33,000 appointments were missed, 40 per cent, double the amount seen in the general population. Of the admissions to hospital, 18 per cent were linked to injuries and poisoning. A quarter of all admissions involved some form of substance abuse.
Lead author Dr Miranda Davies, a senior fellow at the Nuffield Trust, said: “The punishment of being in prison should not extend to curbing people’s rights to healthcare. Yet our analysis suggests that prisoners are missing out on potentially vital treatment and are experiencing many more cancelled appointments than non-prisoners.”
She added: “As well as the moral case for high-quality prisoner health, improving prisoners’ access to hospital care makes sense from a practical and financial perspective too. Delays in treating conditions such as cancer or diabetes early can result in longer and more complex treatments when prisoners do eventually get to hospital. Ensuring prisoners receive the healthcare they need is also a vital part of rehabilitation and could help ensure people leave prison less likely to re-offend.”
The independent think tank called for more public data on prison healthcare and more transparency around the numbers of prisoner escorts.
NHS England was approached for comment.