Prisons: Pregnancy Healthcare Debate

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Department: Scotland Office

Prisons: Pregnancy Healthcare

Lord Ramsbotham Excerpts
Thursday 31st October 2019

(4 years, 9 months ago)

Lords Chamber
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Lord Keen of Elie Portrait Lord Keen of Elie
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My noble and learned friend makes a very good point. It is essential that we provide medical care across the board for those in custody. As I mentioned, that is why the National Prison Healthcare Board has produced its principle of equivalence of care for prison healthcare in England. That followed a report by the House of Commons Health and Social Care Committee, published in November 2018, which recommended that the board should work with stakeholders over the next 12 months to agree a definition of equivalent care and indicators to ensure that they can measure that there are no health inequalities for people detained in prison. Of course, that includes mental health, which is a major issue, particularly in respect of women’s custody, with more than half of women in custody recorded as reporting or suffering from mental health issues. I agree that that needs to be addressed.

Lord Ramsbotham Portrait Lord Ramsbotham (CB)
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My Lords, when I suspended my first inspection of HMP Holloway after discovering that women were routinely chained while in labour, I was very disturbed to discover that there was nobody in Prison Service headquarters responsible for the overall direction and co-ordination of women’s prisons. Could the Minister tell the House who in Prison Service headquarters is responsible for the co-ordination of the delivery of services to pregnant women in prison?

Lord Keen of Elie Portrait Lord Keen of Elie
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My Lords, that ultimately rests with the director-general, who in turn takes steps to deal with those concerned at a regional level. That remains the position. I am pleased to say that the director- general of the Prison Service is always in communication with prison group directors regarding all these issues. I am also pleased to observe that we have moved on significantly since the days when the noble Lord, Lord Ramsbotham, made the discoveries he referred to. Matters have improved. Indeed, my understanding is that Holloway prison is no longer open.