Clinical Research Director for the Transform Research Alliance, Dr Nat Wright, and other members of staff at Spectrum Community Health CIC have published a report pertaining to the management of long-term conditions in remand prisons.
This research project entailed extracting data from the records of 1,126 prisoners across four prisons, of which 78% were male, 61% were from a white ethnic background and 46% were sentenced. This was supplemented by 19 qualitative interviews with staff members. Seventeen percent of the sample had at least one long-term condition, the most common condition being asthma, confirmed in 12% of the sample. The confirmed prevalence rates for the other long-term conditions were hypertension 3%, coronary heart disease 2%, diabetes 2% and chronic obstructive pulmonary disease 1%. The prevalence of epilepsy was 3%. There was considerable variability between prisons regarding prevalence of “epilepsy”, the likely reason being differences in coding practice for patients with either pseudo seizures or alcohol withdrawal seizures. Having a long-term condition was associated with female gender and increasing age. QOF completion rates varied between long-term conditions and were highest for asthma with a 40% completion rate, and lowest for diabetes with an 8% completion rate.