HMP Wakefield

On this page

• Overview
• Assessing needs
• Delivering evidence-based care and treatment
• How staff, teams and services work together
• Supporting people to live healthier lives
• Monitoring and improving outcomes
• Consent to care and treatment

We assessed a total of one quality statement from this key question. We found the provider was providing effective care in accordance with the relevant regulations. The provider had improved systems and processes relating to quality and patient safety.

Find out what we look at when we assess this area in our information about our new Single assessment framework.

The judgement for Assessing needs is based on the latest evidence we assessed for the Effective key question.

The judgement for Delivering evidence-based care and treatment is based on the latest evidence we assessed for the Effective key question.

The judgement for How staff, teams and services work together is based on the latest evidence we assessed for the Effective key question.

The judgement for Supporting people to live healthier lives is based on the latest evidence we assessed for the Effective key question.

At the previous inspection we found the management of long-term conditions (LTC) required improvement in relation to care planning and oversight. During this inspection managers told us a dedicated LTC nurse was now an established part of the primary healthcare team. Alongside other clinicians, this role has had an impact on the development and delivery of the service. Managers have supported staff to complete relevant training to gain the necessary skills and competencies to deliver an effective LTC service. We reviewed 11 care records for patients with different LTC. The quality of care plans had significantly improved, each providing a complete record of individual patient need, current physical observations, record of prescribed medication and when the patient was due their next review. Staff confirmed all patients are provided with a copy of their care plan on review.

A LTC care pathway has been established, meaning staff have a clear process to follow for referral from the point of reception into the prison. The care pathway was effective; staff identified patients and made the appropriate referrals. The service provided dedicated clinics on a weekly basis to assess and review patients with LTC. We reviewed the clinic schedules and waiting lists, staff managed these well and waiting times were minimal. Staff scheduled annual reviews of LTC based on the patients’ birth month, this process allowed for a co-ordinated approach to forecasting reviews. Although staff acknowledged there may be some risk linked to this in relation to a deteriorating patient. However, staff were confident that this was mitigated through the wider primary care provision, such as GP appointments, pharmacist reviews and nurse triage. Managers monitored and maintained oversight of LTC through regular audit. Outcomes for the last seven months demonstrated compliance between 93-99%. Following national review by PPG, the audit tool now measured the quality of care plans and care records. To ensure consistency, managers worked regionally with other prisons on LTC and this work was shared with the national primary care lead.

The judgement for Consent to care and treatment is based on the latest evidence we assessed for the Effective key question.