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What's more, there is no aggregate data on prison palliative care units particularly surprising when you consider that older prisoners are the fastest-growing group in the custodial population.
The paucity of local GP appraisers with secure environment experience may be due to the relatively small size of the UK custodial population, but PCTs could encourage more GPs working in secure environments to become GP appraisers.
(41)" The GPs generally felt that the custodial population, with lower levels of cognitive skills and English literacy and higher rates of mental health issues than the general population, may experience problems in understanding the questions and thus produce unrepresentative patient population feedback.
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More than one-third of the male cases had a criminal history and when compared with the general population, custodial sentence, psychiatric treatment and violent offences were important predictors for suicide.
GPs reported difficulty in collecting supporting information for valid patient feedback, full-cycle clinical audits and evidence for their extended practice role(s) as sessional practitioners in the high population turnover custodial environment.
In Texas, Florida, and other G.O.P.-run states, Republican governors have launched initiatives aimed at reducing the prison population and ending custodial sentences for non-violent offenders, such as low-level drug dealers.
Poor IT infrastructure in custodial settings and a high detainee population turnover appeared to be barriers to GPs producing full-cycle audits.
There are several reports from the UK 1 4 and internationally 5 8 that suggest higher levels of mental health problems in adolescents (<18 years) in custodial settings compared with the general population of adolescents.
The GPs reported that the prison electronic medical record systems did not possess an accurate picture of patient population as NHS and custodial electronic medical record systems were not linked and new detainee notes were absent until the GP had obtained the detainee's consent to request their NHS medical records from their own GP.
The prevalence of HCV infection among prison inmates is many times higher in most custodial settings than in the general population [ 19, 20], primarily because of the high proportion of people who inject drugs (PWID) [ 6] who are known to be at high risk of infection.
In the Netherlands, where the use of non-custodial sentences has grown, the prison population and the crime rate have both been falling (see article).
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