Introduction
This document sets out the agreed framework for Out of Hours (OOH) primary health care provision at HMP Bristol, HMP Ashfield and HMP Leyhill by the Severnside Integrated Urgent Care Service (IUCS). Severnside is a BrisDoc service, and commissioned by BNSSG Integrated Care Board (ICB).
The service provided by Severnside IUC supports the urgent primary care needs of prisoners at HMP Bristol, HMP Ashfield and HMP Leyhill Monday-Friday 18:30-08:00am, and 24-hour cover on weekends and bank holidays.
Objective of the procedure
The framework provided within this document aims to:
- Ensure that persons within the sites have equitable access to OOH healthcare provision. The service will be primarily telephone-based, with face-to-face by exception. Video and photos are not practicable as mobile phones are not allowed within the prison establishments
- Support the secure settings in minimising the number of unnecessary admissions/ conveyances to hospital and/ or other urgent care centres.
- Ensure that clinical staff at the site have timely access to additional clinical support during the OOH timeframes
- Facilitate safe and appropriate face to face appointments at a Severnside Treatment Centre, when this is required
- Ensure that Severnside IUC clinicians can gain safe and timely access to persons requiring further clinical assessment and a site visit is unavoidable
- Ensure that the Severnside IUC service conforms to safety regulations within the prison establishment
- Ensure an effective pathway for communication exists between the Oxleas Healthcare Service and Severnside IUC, specifically in relation to OOH interactions and actions being effectively and promptly communicated to the Oxleas Healthcare team.
- Overcome challenges and barriers associated with the differing clinical IT systems used within secure healthcare settings to support effective and prompt sharing of clinical records and safe clinical care
- Ensure that learning as a result of interactions between these services is captured and fed back to support continued shared learning and improvement.