To provide a clinical healthcare inpatients service to the prisoner population of HMP Wakefield (currently 17 beds);

To deliver a patient-centred clinical service designed to meet the physical and mental health clinical needs through a clinically governed and clinically safe operating model;

To provide the first and most appropriate location for the care of this particular group of patients-prisoners needing sub-acute, step-down, intermediate care;

To provide care for those prisoners who are particularly vulnerable or need more intensive or closer medical and nursing care beyond that which can be provided by prison primary care services in the wider prison community;

To deliver clinical healthcare which is equivalent in terms of access, quality and best practice to that which is available in the community;

To develop integrated care pathways to ensure seamless care is provided between primary care and secondary care and between healthcare and custodial care;

To provide care ‘closer to home’ through sub-acute management, minor injuries clinics, use of telemedicine etc;

To deliver a coordinated package of clinical care and effective case management in partnership with other prison health providers and the prison;

To provide services which are needs led and are clinically driven and are delivered by registered healthcare professionals with the suitable experience and qualifications;

Clinical service delivery will include provision for a broad range of health problems, for example:

— Sub-acute care, e.g. close monitoring of health status,

— Acute care closer to home, i.e. to avoid unnecessary admission to hospital,

— Palliative or terminal care, including end-of-life care,

— Rehabilitation for long-term conditions, e.g. COPD, CHD, diabetes, multiple sclerosis, epilepsy, other neurological conditions etc,

— Intravenous iron therapy,

— Intermediate or step-down nursing and medical treatment and care,

— Intermittent or continuous intravenous or subcutaneous fluids,

— Intravenous antibiotics,

— Medical assessment prior to determining long term care needs,

— Clinical care, support and supervision to maintain a safe environment,

— Medical or Nursing intervention to support activities of daily living, i.e. eating and drinking, cleansing and dressing, elimination etc,

— Sub-acute mental healthcare, e.g. those patients who may be confused or disorientated, or suffering from psychosis (may not actually be legally detainable under the Mental Health Act or conversely may be awaiting transfer under the Mental Health Act).