• Prison healthcare

HMP Bedford

St Loyes Street, Bedford, Bedfordshire, MK40 1HG

Provided and run by:
Northamptonshire Healthcare NHS Foundation Trust

Assessment report published 25 September 2025

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Effective

Regulations met

4 September 2025

We assessed 1 quality statement for this key question. We found staff had assessed the physical and mental health of patients. Care plans were personalised and contained an adequate amount of information to inform staff of the level of care required.

Find out what we look at when we assess this area in our information about our new Single assessment framework.

Assessing needs

Regulations met

Clinical record keeping was now of a consistently high standard, which made it easy to see howprisoners’ needs were identified and addressed. Patient care plans were comprehensive, andperson centred. Staff now received improved training in care planning and risk assessing. This wasapparent from the quality of the patient notes.

Mental Health

At the last assessment we found staff did not consistently complete patient care plans with sufficient information to enable both staff and patients to understand what care and treatment they could expect.

During this assessment we saw staff within the mental health team had received one to one support on writing care plans and that further group work was planned. We reviewed a sample of care plans and found them to contain detailed information which was clear and enabled staff to understand how to care for each individual patient.

Inpatient unit

At the last assessment we found care plans for patients on the inpatient unit did not always contain the required information we would expect to see, for example, there were no clear care plans to support people with their nutrition or continence needs. This meant we could not be assured that their needs had been fully assessed. We also found there were delays in these patients receiving care and treatment including health and social care. During this assessment we found that significant improvement had been made. Care plans we reviewed were of a high standard and patients received the required level of care. We could see staff had recorded specific details of each person’s care needs to meet all their identified physical and mental health needs

Delivering evidence-based care and treatment

Regulations met

The judgement for Delivering evidence-based care and treatment is based on the latest evidence we assessed for the Effective key question.

How staff, teams and services work together

Regulations met

The judgement for How staff, teams and services work together is based on the latest evidence we assessed for the Effective key question.

Supporting people to live healthier lives

Regulations met

The judgement for Supporting people to live healthier lives is based on the latest evidence we assessed for the Effective key question.

Monitoring and improving outcomes

Regulations met

The judgement for Monitoring and improving outcomes is based on the latest evidence we assessed for the Effective key question.

The judgement for Consent to care and treatment is based on the latest evidence we assessed for the Effective key question.