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Published in: BMC Primary Care 1/2021

Open Access 01-12-2021 | Research article

Long-term condition management for prisoners: improving the processes between community and prison

Authors: NMJ Wright, F Hankins, P Hearty

Published in: BMC Primary Care | Issue 1/2021

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Abstract

Background

Prisoner populations have a disproportionately high prevalence of risk factors for long-term conditions (LTCs), and movement between community and prisons is a period of potential disruption in the ongoing monitoring and management of LTCs.

Method

Nineteen qualitative interviews with staff, recruited by purposive sampling for professional background, were conducted to explore facilitators and barriers to screening, monitoring and medicines management for LTCs.

Results

There is variability in prisoner behaviours regarding bringing community GP-prescribed medication to prison following arrest and detention in police custody, which affects service ability regarding seamless continuation of community prescribing actions. Systems for actively inputting clinical data into existing, nationally agreed, electronic record templates for QOF monitoring are under-developed in prisons and such activity is dependent upon individual “enthusiast(s)”.

Conclusion

There is a pressing need to embed standardised QOF monitoring systems within an integrated community/prison commissioning framework, supported by connectivity between prison and community primary care records, including all activity related to QOF compliance.
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Metadata
Title
Long-term condition management for prisoners: improving the processes between community and prison
Authors
NMJ Wright
F Hankins
P Hearty
Publication date
01-12-2021
Publisher
BioMed Central
Published in
BMC Primary Care / Issue 1/2021
Electronic ISSN: 2731-4553
DOI
https://doi.org/10.1186/s12875-021-01417-9

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