Swansea Bay University Health Board

“formal meeting has been held between the Service and Head of Adult Services and Tackling Poverty from CCOS, to identify specific actions”

“Please ensure that any plan of care is placed at the front of clinical notes or where a digital record is used (WCCIS) that the plan of care is on the digital front page.”

“The Welsh Government has set up a National Strategic Programme for Mental Health in May 2024. This is being led by the NHS Executive, our delivery function within NHS Wales. An immediate focus for the mental health programme was the establishment of a Mental Health Patient Safety Programme, which all health boards are actively engaged in. There are five workstreams within the patient safety programme which cover procedural, relational, environmental, psychological and discharge areas.”

“The Governing Governor is also committed to encouraging an environment in which all staff, including those who are not directly employed by HMPPS, feel able to raise concerns about an individual's management and will discuss with the Head of Healthcare how healthcare staff can be empowered to do so in accordance with Prison Service Instruction 16/2015 Adult Safeguarding in Prison.”

“The protocol also provides guidance as to what should be considered in deciding where a person should be placed post hospital treatment i.e. whether they should be returned to the HMP from whence they were originally referred or whether a temporary placement in a local remand facility is required as an interim step.”

“We have also provided £1.6 billion of funding over two years to support the NHS and local authorities to ensure timely and effective discharge from hospital.”

“We acknowledge the need for a sustainable engagement strategy with the Multi-Agency Public Protection Arrangements (MAPPA). Currently the Prison Discharge Coordinator acts as the main link with the MAPPA process.”

“The Standard Operating Procedure has been revised. In addition to this there is an intention to review the Job Description of this role and understand in more depth the scope of what this role can achieve currently or will need to achieve in the future including any potential additional resource requirements.”

“A comprehensive review of the current interaction process between the Prison In-reach team and the CMHT is planned. This will involve a detailed gap analysis to determine areas needing strengthening. We aim to develop a clear plan to enhance this interface, thereby improving continuity of care and ensuring that individuals receive the necessary support as they transition from prison to community-based services.”

“We anticipate we will have a decision around this within the next month.”

“the Trust has improved the structure and supervision surrounding the prison discharge coordinator roles, such that the practitioners have weekly supervision with opportunity to escalate cases of concern, and an improved system of referrals and discharge procedures, reflected in the updated standard operating protocol.”

“RECONNECT is a vulnerability service supporting multiple service user needs including accessing mental health support. They are based within HMP Birmingham however are a national service and accept referrals from Out of Area prisons for prison leavers relocating to Birmingham and Solihull. Additionally, prison leavers can be referred up to 28 days post release by probation offender managers, other professionals, family/friends or self-referrals.”

“Board Swansea University Health Board recognise that there is not a shared database for interagency working in place across England and Wales prison establishments to enable the transfer and access to key information by agencies coordinating the discharge of high risk individuals.”

“The Health Board recognises the need to take urgent action to address the issues that have been identified and understands that this cannot wait for the further development/roll out of WCCIS. The following actions will therefore be taken: 1. For Swansea based teams there is opportunity to share information between community mental health teams and drug and alcohol services via WCCIS which will allow 2 way sharing of all information in the WCCIS system relating to episodes of care both within community”

“The current system for urgent and immediate care of patients with Emergency Neurosurgery needs will continue with the referral being made through the bleep system to the on call Neurosurgical Registrar. [name redacted] effect from Monday 23rd September 2019 the referrer will be asked a question to gauge if the call is urgent or routine in nature. The urgency of the call will be communicated to the r Registrar via the bleep system which will enable them to prioritise urgent calls over less urgent tasks. If”