5th Report - Ageing prison population
Select Committee
Justice Committee
HC 304
27 July 2020
Government response
6th Special Report - Ageing prison population: Government Response to the Committee’s Fifth Report · published 17 Nov 2020
Recommendations & Conclusions
10 results
1
Recommendation
Not Addressed
Para 8
A clear definition of the older prisoner is necessary for establishing a more strategic approach...
Recommendation
A clear definition of the older prisoner is necessary for establishing a more strategic approach to the cohort and the ageing prison population. We do not take a view on what that definition should be, but whatever age threshold is …
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Government Response Summary
The government's response focused on the publication of updated prison population projections, which did not address the recommendation regarding the necessity of a clear, evidence-based definition of an older prisoner or the need to keep such definitions under review.
Ministry of Justice
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2
Recommendation
Not Addressed
At the very least, older prisoners will remain a significant proportion of the prison population.
Recommendation
At the very least, older prisoners will remain a significant proportion of the prison population. It is likely that the size of the cohort will rise further after increases in police numbers and changes to sentencing come into effect. It …
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Government Response Summary
The government did not commit to publishing updated projections for the ageing prison population. Instead, it described investments in new prison places designed for older prisoners and committed to providing an update on a long-term estates strategy.
Ministry of Justice
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6
Recommendation
Not Addressed
There needs to be greater recognition across the prison estate that some older prisoners will...
Recommendation
There needs to be greater recognition across the prison estate that some older prisoners will be unable to engage with the normal regime. Suitable activities and forums should be available to older prisoners to support their welfare and rehabilitation. We …
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Government Response Summary
The government's response mentions NHS England and HMPPS working to support vulnerable patients in healthcare, but it does not address the recommendation for ensuring best practice on older prisoner regimes or designating older prisoner leads in all prisons.
Ministry of Justice
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8
Recommendation
Not Addressed
Para 71
An ageing prison population will increase pressure on prison healthcare.
Recommendation
An ageing prison population will increase pressure on prison healthcare. To ensure an equivalent standard of care as in the community, it is important that prison healthcare services are appropriately resourced, and staff have awareness of age- related health conditions. …
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Government Response Summary
The government's response details the procurement and rollout of telemedicine software and equipment across prisons to ensure access to health services during the pandemic. It does not address the recommendation for designated older prisoner healthcare leads, staff training on age-related issues, or general resourcing for an older prison population.
Ministry of Justice
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9
Recommendation
Not Addressed
Para 72
Older prisoners are disproportionately affected by cancellations to external medical appointments, and their health can...
Recommendation
Older prisoners are disproportionately affected by cancellations to external medical appointments, and their health can be seriously impacted by non-attendance. While increasing the number and availability of prison staff to escort prisoners to appointments is important, we also recommend that …
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Government Response Summary
The government's response focuses on healthcare providers having targeted conversations with older prisoners about symptoms, but does not address the recommendation to review increasing telemedicine or other innovative ways for prisoners to access medical advice.
Ministry of Justice
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11
Recommendation
Not Addressed
Para 77
Continuing to incarcerate prisoners with severe dementia, who may no longer remember or understand why...
Recommendation
Continuing to incarcerate prisoners with severe dementia, who may no longer remember or understand why they are imprisoned, raises practical and ethical 46 Ageing prison population considerations, especially as their condition is very difficult to manage on the prison estate. …
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Government Response Summary
The government describes general initiatives to develop social care in custody, including a partnership board and social care training, but does not specifically address reviewing alternative housing arrangements for prisoners with advanced dementia.
Ministry of Justice
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13
Recommendation
Not Addressed
Para 90
Peer support or ‘buddy’ schemes can be an effective way to help meet the care...
Recommendation
Peer support or ‘buddy’ schemes can be an effective way to help meet the care needs of older prisoners. We commend the good work done by some prisons in partnership with third sector organisations to develop such initiatives. Prisons must …
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Government Response Summary
The government's response discusses end-of-life care and early release on compassionate grounds, but does not address the recommendation regarding training and oversight for peer support schemes for older prisoners.
Ministry of Justice
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14
Recommendation
Not Addressed
Para 96
The ageing prison population has and will continue to increase the need for end-of- life...
Recommendation
The ageing prison population has and will continue to increase the need for end-of- life and palliative care in prisons. We welcome the publication of the Dying Well in Custody Charter and the good practice at some establishments. But standards …
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Government Response Summary
The government's response focused on pre-release planning for older offenders under a new resettlement model, which did not address the recommendation to ensure properly resourced palliative care in prisons or to review care outside prison for terminally ill prisoners and the effectiveness of compassionate release.
Ministry of Justice
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15
Recommendation
Not Addressed
Prisoners applying for early release on compassionate grounds should have their applications processed in an...
Recommendation
Prisoners applying for early release on compassionate grounds should have their applications processed in an efficient and timely manner. This is especially important for terminally ill prisoners near the end of their lives. We recommend prisons identify a single member …
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Government Response Summary
The government's response discusses various accommodation services for offenders upon release, including Approved Premises and Langley House Trust, but it does not address the recommendation to designate a single staff member responsible for progressing compassionate release applications.
Ministry of Justice
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17
Recommendation
Not Addressed
Para 106
There is a shortage of suitable accommodation for older prisoners following their release, which can...
Recommendation
There is a shortage of suitable accommodation for older prisoners following their release, which can undermine their rehabilitation and prevent them from successfully re-integrating into society. We are particularly concerned about reports of older individuals being released to no-fixed abode. …
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Government Response Summary
The government's response focuses on ensuring prisoners are pre-registered with a GP in their release area to facilitate healthcare continuity. It does not address the recommendation for suitable provision of age-appropriate post-release accommodation for older prisoners.
Ministry of Justice
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