Spectrum Healthcare were providing primary medical services, integrated drug treatment services (IDTS), pharmacy and non-clinical substance misuse -services at HMP Wakefield. This formed part of the wider healthcare services available at HMP Wakefield provided by multiple providers. Due to the complex nature of the provider arrangements in place at the prison, partnership working with both the other providers and the prison itself were necessary in order to ensure a joined up service was provided. This was not always at the level it needed to be and there were gaps in joint working.
Appointment times and access to specialist services were good. There was a good staff skill mix within the healthcare team and staff told us that they felt well supported and able to access training and supervision when required.
Medication administration and storage, auditing and management were all in place and being implemented effectively. There were some issues with confidentiality and organisation of queues for medication.
The environment was as well maintained by staff as was possible but required some attention to ensure that healthcare provision was delivered in a way that met infection prevention and control guidelines.
There was some auditing and monitoring in place and mechanisms for gathering feedback from patients was reasonably well established. There were some issues with the various complaints systems being used and current levels of confidentiality which required some attention.