Updated 18 March 2026
We carried out a remote assessment on 17 and 18 March 2026 which did not include a site visit. Dr PA Secure is a healthcare provider, currently delivering GP services to 20 prisons in England. They also have a wider portfolio including immigration removal centres, short-term holding facilities and secure children's centres. We carried out an announced assessment, focusing only on the prison provision. We assessed our Safe, Effective and Well Led key questions covering 15 quality statements. We spoke with directors, clinical and governance leads, and support staff. We also received feedback from GP's before and during the inspection. We found a service that delivers a diverse scope of care across a complex portfolio of prisons. Staff and leaders were professional and caring with a good understanding of the needs of patients while navigating and delivering care with their partners and His Majesty’s Prison and Probation Service. There were strong recruitment, induction and training processes with an effective system for managing and responding to complaints and incidents. There were processes to ensure appropriate numbers and skill mix of staff across the prisons with processes to identify and support staff when performance was poor or variable. However, we found some areas for improvement The service lacked sepsis recognition, learning disability and autism on core list of training. Overall governance is developing and requires ongoing oversight and tightening to provide a consistent level of quality. The service had not assured themselves that previous recommendations to send antimicrobial swabs of microscopy and culture had been acted upon by the trust. Neither could the service assure themselves that annual medicines reviews were taking place by the trust. Governance systems did not identify, assess, and address the full range of risks including those affecting staff safety and wellbeing. Plans for gathering feedback from staff and using this to inform improvement activities or sharing good practice were in their infancy and required ongoing development. Overall, we found the provider had met the regulations and evidence showed that people received a good standard of care and treatment. We do not currently rate services provided in prisons. We highlight good practice, identify areas requiring improvement, and take regulatory action where necessary.