As lead provider at HMP Full Sutton, a maximum security male prison just outside York, we provide a range of healthcare services. This includes GP, pharmacy and nursing services, mental health services, clinical and non-clinical substance misuse services, chiropody, physiotherapy, dental and optical services. We offer a range of GP and Nurse-led clinics.
Long Term Conditions
Should patients have any Long Term Conditions (LTC), such as diabetes, heart disease, asthma or similar these will be managed by healthcare in the same way they would be by the patient’s own GP.
Mental health problems can range from anxiety and depression to more long term conditions such as schizophrenia. The mental health team at Full Sutton can offer support for a wide range of conditions, the nurses are supported by visiting specialist psychiatrists.
Blood Borne Viruses and Sexual Health
Conditions such as Hepatitis and HIV can be caught in a variety of ways. We offer a full screening program for anyone who is concerned they may have been exposed to a Blood Borne Virus.
We can also screen for all common Sexually Transmitted Infections (STI), with treatment available under specialist supervision for Hepatitis C and HIV.
Spectrum is the lead partner to deliver healthcare services at 3 prisons in the North West.
We are working with our established partners, Lifeline and TEWV (Tees, Esk & Wear Valleys NHS Foundation Trust) to deliver an integrated service model at each of the three prisons.
The 3 prisons are:
- HMP Preston
- HMP Kirkham
- HMP Lancaster Farms
Spectrum provides Primary Care Services at each prison, including integrated substance misuse services, pharmacy services and GP sessions. Spectrum is also responsible for the following services:
- Mental Health Services
- Non-clinical substance misuse services
- Optical services
- Dental Services
- A range of therapies (including physiotherapy and podiatry).
Our staff based in secure environments often work with vulnerable women who may have chaotic lifestyles and require specialist healthcare support. We adopt a caring approach focused on recovery and rehabilitation, providing an enabling culture and an emphasis on patient engagement.
Spectrum is the lead healthcare provider at HMP & YOI Styal, being responsible for primary care, mental health (working with Greater Manchester West Mental Health NHS Foundation Trust), drug treatment services (working with Lifeline) and dental and optical services.
In April 2016, Spectrum successfully retained the contract to provide healthcare at HMP Styal. The service comprises an integrated model of care with Spectrum acting as lead provider. There are a number of sub-contractors who are supporting the delivery of the service. They are as follows:
- Spectrum CIC delivering primary care GP and nursing services
- Spectrum CIC delivering clinical substance misuse services
- Greater Manchester West delivering an integrated mental health service
- Lifeline providing psychosocial care as part of DARS
- Smart Dental providing dental care
- A number of primary care sub-contractors include physiotherapy, ophthalmic services, podiatry
In addition to this, the model includes social care assessment and provision. This is a new way of delivering an integrated health and social care agenda which is very much in line with the direction of travel for health and social care nationally following the introduction of the Health and Social care Act 2015.
Based at Manchester Airport, Pennine House IRC is one of only two short term holding facilities in the UK. Up to 4000 detainees pass through Pennine House each year, each one of whom is seen by our professional healthcare team immediately after they arrive at the centre.
Spectrum’s healthcare teams provide 24hour care for all detainees, including:
- Healthcare screening of all detainees on arrival
- Advice and support
- Nurse triage
- Prevention and control of communicable diseases
- Responding to any medical emergencies
Spectrum provides primary care services within The Bretton Centre and Newton Lodge at Fieldhead Hospital in Wakefield.
The Bretton Centre is a low secure unit at Fieldhead Hospital, whilst Newton Lodge is a medium secure facility. Both provide mental health care for patients who are either within the criminal justice system or have severe and disruptive mental disorders.
Our GPs visit the low and medium secure units regularly to provide primary care to patients, working alongside our onsite nursing team. Our services include:
- Triage clinics
- GP clinics
- Advance nurse prescriber
- Long term conditions management
- Sexual health service
- Annual health screen
- A range of clinics, including sexual health, vaccinations, smoking cessation
- Acute assessments and support psychosis
- Palliative care
- Secondary care as required
Healthcare services are provided under a healthcare partnership – the North East Prison Cluster (NEPC) Healthcare Community. The five health organisations working together to provide patients with the best quality of care are: Spectrum, G4S, Lifeline (DART), Burgess & Hyder and Tees, Esk and Wear Valleys NHS Foundation Trust.
The Cluster includes:
- HM YOI Deerbolt
- HMP Durham
- HMP Frankland
- HMP Holme House
- HMP Kirklevington Grange
- HMP & YOI Low Newton
- HMP Northumberland
Spectrum delivers both GP and Pharmacy services within the North East Prison Cluster (NEPC), as well as Escort Responsibility.
Serving a mainly static population at this high-security prison for up to 740 men, Spectrum’s healthcare team provides the psychosocial substance misuse recovery service.
Spectrum is dedicated to ensuring that service users remain at the heart of their own recovery journeys and that the service is client led. We are dedicated to providing the tools to enable service users to recover from their addiction and we promote sustainable change; exposing individuals to positive recovery messages and examples throughout our recovery community at HMP Wakefield. We believe in an approach that incorporates physical and mental wellbeing, social networks, criminal justice and peer support. We are confident that supporting our service users to embrace local resources and the ethos of the service, provides opportunities for genuine and long-lasting recovery. Our recovery interventions are flexible, dynamic, innovative, holistic and partnership-based.
Creative Recovery Course
We deliver this course in conjunction with Novus. Clients are able to explore addiction and their recovery journey through creativity and art over a number of weeks, working towards a final project piece which they exhibit during a presentation to other group members and prison staff.
Strengths-Based Recovery Programme
Behaviour change is the primary goal of the strengths-based recovery programme. The modular method offers the ability to deliver a comprehensive behaviour change programme that concentrates on the development of the skills needed for life, which ultimately reduce the risk of relapse whilst residing at HMP Wakefield, on transfer or release. This programme includes topics such as communication, anger, coping with stress, setting realistic goals, motivation, beating procrastination, maintaining positive relationships and affirming ourselves.
Recovery Champion Training Programme
Individuals engaged in the Recovery Service, who demonstrate the necessary commitment and responsibility and who are making steady progress, will be invited to apply for a place on the Recovery Champion Peer Supporter training programme.
The Recovery Service has a clear stepped-change approach with progression routes and exit/graduation strategies. Recovery Champions are an important element of this service design. This includes role definition, recruitment, a structured training programme, graduation, role selection, 12 month role tenure confirmation, regular clinical supervision and a supported exit from the role.
Stress and Stress Management (CERTA)
Run in conjunction with the gym staff, this course is accredited and runs over 6 sessions, looking at stress and stress management in recovery.
Diet and Nutrition (CERTA)
Run in conjunction with the gym staff, this course is accredited and runs over 6 sessions, looking at diet and nutrition in recovery.
Auricular acupuncture is delivered weekly for eight sessions and is run in conjunction with the gym staff.
Run in partnership with community NA and AA fellowships, regular meetings are an important part of enabling a recovery community at HMP Wakefield. Building a fellowship of those recovering from a range of addictions (including gambling), to inspire and spread the word of recovery in a supportive environment through a range of ‘shares’ (personal stories of recovery) given by members of external community groups and individual working of the 12 steps.
The Prison & Probation Ombudsman (PPO) have a legal responsibility to investigate all deaths occurring in prisons in England and Wales. This process is supported by NHS England who are responsible for arranging a review of the clinical care provided.
Spectrum CIC is commissioned by NHS England Health & Justice Commissioners to provide a comprehensive Death in Custody Review Service for the North of England (North East & Cumbria, North West and Yorkshire & The Humber).
The Death in Custody Review Service liaises with the PPO on behalf of NHS England to co-ordinate and manage all aspects of the clinical review process. Spectrum receives the initial notification of a prison death from the PPO, assigns an appropriate clinical reviewer from our bank of skilled and experienced professionals, supports the reviewer with any queries that arise during the course of the investigation, receives and quality assures the draft clinical review report and arranges submission of the final report to the PPO within the strict timeframes required.
Additionally, as part of our service offer, Spectrum provides monthly Death in Custody reports to our commissioners and we utilise our Death in Custody database to produce twice yearly regional lessons learned bulletins. With our increasing database capability we are developing regionally informed Continuing Professional Development (CPD) sessions to support the quality and safety agenda for prison healthcare.