We recommend that the Ministry of Justice and the Welsh Government co- commission an independent review of the provision of healthcare services in prisons in Wales. This review should specifically investigate the effectiveness of the current health board model and should consider the potential merits 71 and demerits of moving to a national oversight model overseen by NHS Cymru. In the meantime, we suggest that health boards in Wales commit to making prisoner healthcare a standing item in their governance agendas and to publishing regular data releases on individual healthcare provision in prisons compared with the community. We also call on the UK Government and Welsh Government to collaborate on the production of a Memorandum of Understanding between NHS Cymru and the Department for Health and Social Care to standardise processes for health record transfers, medicines reconciliation, and continuity of care for prisoners moving between England and Wales. (Recommendation, Paragraph 108)