The following documents cover key policies and procedures for the work of Health and Justice.
Strategic direction for health services in the justice system: 2016 –2020
This strategic document outlines how health and care services, in all settings of the criminal justice system (be that pre-custody, custody, secure and detained or post custody), need to evolve between now and 2020. It sets out the seven strategic priorities that we in NHS England will focus on to reduce the health inequalities experienced.
The target audience is Health and Justice Leads, Liaison and Diversion Teams, Lived Experience Teams, Ministry of Justice, National Offender Management Service, Youth Justice Board and the Home Office.
National Partnership Agreement for the Co-Commissioning and Delivery of Healthcare Services in Prisons in England (2015-2016)
This is a partnership agreement between NHS England, National Offender Management Service (NOMS) and Public Health England. It sets out the strategic intent and joint commitment to work together to commission the best services for patients. An updated version of this document is being drafted in 2017.
National Partnership Agreement between NHS England, Home Office Immigration Enforcement and Public Health England (2015-17)
This sets out the shared strategic intent and joint commitment to work together for the purposes of setting out shared strategic intentions, joint corporate commitments and mutually agreed developmental priorities for NHS England, Public Health England and Home Office Immigration Enforcement. The agreement sets out that these organisations will work together to commission and deliver healthcare services in Immigration Removal Centres (IRCs) across England. An updated version of this document is being drafted in 2017.
Health and Justice Commissioning Intentions 2017/18
This outlines the priorities for the commissioning of services in secure and detained settings in England. It also set out priorities for liaison and diversion services, sexual assault referral centres and major national programmes (such as, smoke free prisons, the Health and Justice Information System, children and young people (CYP) mental health transformation work stream and substance misuse services).
The target audience is England Regional Directors, NHS England Directors of Commissioning Operations, Health and justice commissioners; providers of healthcare services in secure and detained settings; providers of sexual assault referral centres; providers of liaison and diversion services; National Offender Management Service; Ministry of Justice; prison governors; Home Office; Department of Health; Public Health England.
Service Specification for Immigration Removal Centre Mental Health Services (2017)
This service specification sets out the Commissioner’s requirements for a mental health and learning disability service for those people detained in Immigration Removal Centre establishments. This revised specification also reflects the recommendations found in The Shaw Report (2016).
Improving Health and Wellbeing services for children placed in the Children and Young People’s Secure Estate (2015-16)
This is a National Partnership Agreement between NHS England, Youth Justice Board and Public Health England. It sets out the shared strategic intent and joint commitment for the three respective organisations to work together for the purposes of commissioning and delivering healthcare services across the Children and Young People’s Secure Estate in England.
Below is a list of useful documents and resources for commissioners and providers.
Safer use of mental health medicines (2017)
This document provides clarification on the prescribing responsibility for initiating, continuing, reviewing or repeat prescribing of mental health medicines by specialist mental health prescribers.
Framework for patient and public participation in Health and Justice commissioning (2017)
This is a framework for patient and public participation in Health and Justice. It is designed as a framework to strengthen patient and public participation in health and justice commissioning.
The target audience is NHS England Regional Directors, NHS England Directors of Commissioning Operations.
Health and Wellbeing Needs Assessment (HNA) Programme – Immigration Removal Centres and Residential Short Term Holding Facilities
This national summary report, commissioned by the Home Office and supported by NHS England, aims to provide a national baseline for both organisations to inform future service commissioning for healthcare in Immigration Removal Centres.
The target audience is Medical Directors, Directors of PH, Directors of Nursing, NHS England Regional Directors, NHS England Directors of Commissioning Operations, All NHS England employees.
Minimum Offer for Stop Smoking Services and Support in Custody
This document defines standards for training, interventions and pharmacological support for smoking cessation to be adhered to by ‘stop smoking services’ in all prisons. It supports the work programme to reduce levels of smoking in prisons and is aimed at standardising the approach and quality of smoking cessation services delivered in prisons.
Securing Excellence in commissioning sexual assault services for people who experience sexual violence
This document aims to support commissioners in delivering a consistent, high quality approach to the delivery of services that secure the best outcomes for victims of sexual assault and rape. NHS England will use the framework to drive local improvements in quality and outcomes and reduce health inequalities.
The target audience is CCG Clinical Leaders, CCG Chief Officers, Medical Directors, Directors of Public Health, Directors of Nursing, Local Authority Chief Executives, Directors of Adult Social Services, NHS England Area Directors, Allied Health Professionals, GPs, Communications Leads, Directors of Children’s Services, NHS Trust Chief Executives.
Equal Access, Equal Care: Guidance for Prison Healthcare Staff treating Patients with Learning Disabilities
This document provides guidance on applying community-based recommendations and standards for the healthcare of people with a learning disability to a prison setting.
The target audience is Prison health care staff, Regional Health and Justice Commissioners and related roles.
Liaison and Diversion
There are several key Liaison and Diversion documents, including the Service Specification and Operating Model, as well practitioner guidance and other useful resources that you can access via the Liaison and Diversion resources page.
These pages are aimed at Liaison and Diversion stakeholders, including commissioners and providers.
The Clinical Reference Group
The Clinical Reference Group have been involved in produced several documents which can be accessed via their page. This includes information on pain management (including the Prison Pain Formulary), drug dependence, personality disorder and handling Tramadol.
The target audience is prison health commissioners and providers.
NHS England also publishes interim commissioning policies for specific services as part of its role as a direct commissioner for non-specialised services.