Improving Health, Supporting
Justice in the East of England
Hilary Laughton
Health & Social Care in Criminal Justice
Programme
Improving Health, Supporting Justice
in the East of England
 Function and purpose of regional HSCCJ
Programme
 Regional Governance for Offender Health
 Lord Bradley’s Review
 National Offender Health Delivery Plans
 2010/11 East of England PCT Commissioning
Framework
 Alcohol and Offender Health
 Development of regional service standards and
enablers for Offender Health
 Next Steps
HSCCJ - What is it, and what does it do?
 Regional programme for Offender Health (DH)
 Building and developing partnerships across health
and criminal justice which will:
 Deliver better health outcomes for offenders
 Support a reduction in offending
 Key drivers include Bradley Review and National
Offender Health Delivery Plan
 Increasing multi-agency focus on offender health
across whole criminal justice pathway
Regional Governance
 HSCCJ Strategic Partnership Board
 Multi-agency board bringing together senior
stakeholders from health and criminal justice at the
regional level
 Responsible for setting strategic direction for the
development and implementation of health and
wellbeing services for people in contact with the CJS
in the EoE
Lord Bradley’s Review
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Commissioned by Justice Secretary Dec 07
Reported April 09 - 82 recommendations
Strong partnerships between health and the CJS
Effective, early intervention to screen, assess and
make appropriate referral
 Need to build strong multi-Agency Offender Health
services / teams to support effective early
intervention across CJS pathway
National Offender Health Delivery Plan
Five cross-Government high-level Objectives:
1.
2.
3.
4.
5.
Improving efficiency and effectiveness
Working in partnership
Improving capacity and capability
Equity of access
Improving pathways and continuity of care
PCT Commissioning Framework

For the first time, the 2010/11 EoE Commissioning
Framework contains specific reference to PCT
responsibilities for Offender Health

These operational requirements mirror the
priorities for Bradley and National Delivery Plan

All PCT’s have developed operational plans
detailing how the delivery of Offender Health
priorities will be achieved
Alcohol and Crime
 Children who have begun binge drinking by the age
of 16 are 90% more likely to have criminal
convictions by the age of 30
Alcohol and Crime cont…
 44% of young adults (18-24) are binge drinkers
 48% of violent crimes are committed under the
influence of alcohol
 63% of sentenced men and 39% of sentenced
women admitted to hazardous drinking
 49% of probation assessments identified alcohol as
an influence on offending behaviour
Development of regional Service Standards and Enablers
for Offender Health

Emphasis on mental health and learning disability
(mirroring Bradley)

Focus on Adults and key CJS intervention points –
Police, Court, Probation Approved Premises

Advised / informed by multi-agency practitioner
groups from across the region

A toolkit to support PCTs in delivering against the
EoE priorities for offender health

Cost benefit analysis and model
The product
System ‘enablers’ across all intervention points in
relation to:
 Organisational arrangements
 Quality of services
 Data collection/performance management
 Training
 Service user engagement
The product
 Framework setting out specific standards for each
intervention point:
 Screening
 Assessment
 Access to services
 Liaison and information sharing
 Through care
 A description of what “good” looks like for health
service interventions across the CJS
Key themes
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County-wide governance is crucial
Multi-agency responsibility for this agenda
Timely/consistent screening and assessment
Information sharing is vital
Multi-agency offender health services
Better access to existing services
Training
Health must lead but cannot do it alone!
Next Steps
 Validate the PCT Action Plans for Offender Health
 Test, validate & review the standards & enablers
framework with local systems / partners
 Support development of local multi-agency governance
arrangements
 Begin process of benchmarking current services
against indicative standards for Offender Health
 Gap analysis and planning for service commissioning
/re-configuration
Key messages
 Strong partnerships to deliver more effective health,
MH and LD interventions
 Offender health is a key component of Integrated
Offender Management (IOM)
 Steered regionally by the HSCCJ Partnership Board,
but local ownership and governance of delivery is
critical
 Health must lead development and commissioning of
health services, but cannot do this without strong CJS
engagement
Health and Social Care in Criminal Justice
East of England Region
Contacts
Hilary Laughton
Susan Grey
Neil McIntosh
Rob Jayne