Provision of health and social care in the adult prison estate
The Fifth Senedd Health, Social Care and Sport Committee held an inquiry into health and social care provision in Welsh prisons.
While prisons are not devolved, the healthcare system is, and the Welsh Government has a clear set of responsibilities in providing health and social care services to prisoners held in Wales. The Committee’s inquiry focused on Welsh prisoners’ experiences of health and social care services in the adult prison estate.
The Sixth Senedd Health and Social Care Committee wrote to the Minister for Health and Social Services on 8 July 2022 to seek an update on the Fifth Senedd Committee’s recommendations. The Minister responded on 2 September 2022.
The overall responsibility for the development of prison healthcare in the public sector prisons in Wales rests with the Welsh Government. Accountability for the planning of health services for prisoners is held by NHS Wales, but this responsibility can only be exercised in partnership with Her Majesty’s Prison and Probation Service (HMPPS). At a local level, Prison Health Partnership Boards, jointly chaired by Local Health Boards and the Governors of the prisons, have responsibility for the governance of prison health services.
The exception is for HMP Parc. Primary healthcare services are funded and commissioned via the Ministry of Justice under a private contract with G4S. NHS Wales is responsible for the commissioning of secondary/tertiary care services.
The Welsh prison estate
The prisoner population in Wales is male only and was 4,291 at the end of April 2018. Prisoners are held across five sites in South Wales and at HMP Berwyn in North Wales; each prison having a different profile, function and security category. There are no female prisons in Wales. The nearest female establishments are HMP Eastwood Park in Gloucestershire and HMP Styal in Cheshire. HMP Parc is mainly an adult prison, though it also has a Young Offenders Institution (YOI) where most of the 18-24 year old prisoners in Wales are held. The Health Board in which the prison is located is responsible for providing healthcare services. The relevant Health Boards are:
Each prison has its own healthcare facilities. GPs, nurses and healthcare assistants work on site in each prison.
Date, Agenda and Minutes
1. Dr Robert Jones
Dr Robert Jones, Wales Governance Centre, Cardiff University
2. Healthcare Inspectorate Wales, Her Majesty’s Inspectorate of Prisons, and Social Care Wales
Rhys Jones, Head of Escalation and Enforcement, Healthcare Inspectorate Wales
Tania Osborne, Head of Health and Social Care Inspection, Her Majesty’s Inspectorate of Prisons
Gillian Baranski, Chief Inspector, Care Inspectorate Wales
3. Prisons and Probation Ombudsman
Sue McAllister, Prisons and Probation Ombudsman
4. Welsh Local Government Association and Association of Directors of Social Services
Jackie Davies, Head of Adult Services in Bridgend, Association of Directors of Social Services,
Cllr Huw David, Welsh Local Government Association Spokesperson for Health and Social Care and Leader of Bridgend County Borough Council
5. Local Health Boards
Rob Smith, Area Director, East, Betsi Cadwaladr University Health Board
Rob Lightburn, Deputy Head of Healthcare at HMP Berwyn, Betsi Cadwaladr University Health Board
Alan Lawrie, Director of Primary, Community and Mental Health, Cwm Taf Morgannwg University Health Board
Carmel Donovan, Integrated Communities Service Manager, Cwm Taf University Health Board
Alison Ryland, Senior Nurse / Healthcare Manager, Aneurin Bevan University Health Board
Dr Mair Strinati, Clinical Director of Vulnerable Groups, Cardiff and Vale University Health Board
Dr Anjula Mehta, Interim Associate Medical Director, Swansea Bay University Health Board
Emily Dibdin, Clinical Lead for Secure Environments and Substance Misuse, Swansea Bay University Health Board
6. Her Majesty’s Prison and Probation Service
Chris Jennings, Executive Director Wales, Her Majesty’s Prison and Probation Service
Amanda Corrigan, Governor of HM Prison Swansea
Janet Wallsgrove, Governor of HM Prison Parc
7. Welsh Government
Vaughan Gething AM, Minister for Health and Social Services
Matt Downton, Head of Mental Health and Vulnerable Groups, Welsh Government
Alistair Davey, Deputy Director, Enabling People, Welsh Government
Business type: Committee Inquiry
Reason considered: Senedd Business;
First published: 20/02/2019
- Health and social care provision in the adult prison estate in Wales - 31 March 2021 PDF 1 MB
- Welsh Government response - 27 August 2021 PDF 478 KB
- Letter from Cwm Taf Morgannwg University Health Board with additional information following their evidence session on 21 November 2019 - 11 February 2020 PDF 353 KB
- Letter to the Minister for Health and Social Services regarding the Committee's inquiry into health and social care in the adult prison estate in Wales - 7 December 2020 PDF 359 KB
- Letter from the Minister for Mental Health, Wellbeing and Welsh Language and the Deputy Minister for Health and Social Services regarding the Committee's inquiry into health and social care in the adult prison estate in Wales - 28 January 2021 PDF 640 KB
- Welsh Government evidence paper - January 2020 PDF 658 KB