Cookie policy notice

By continuing to use this site you agree to our cookies policy below:
Since 26 May 2011, the law now states that cookies on websites can ony be used with your specific consent. Cookies allow us to ensure that you enjoy the best browsing experience.

This site is intended for health professionals only

At the heart of general practice since 1960

GPs urgently required to address 'very significant risks' in prison health system

Exclusive GPs are being asked to urgently come forward to work in the prison health system and help ‘shore-up’ the service against ‘very significant risks’, according to the community health trust responsible.

In a letter seen by Pulse, Bridgewater Community Healthcare NHS Foundation Trust is requesting GPs able to work day time shifts at HMP Wymott, Leyland, Lancashire Monday to Friday.

Bridgewater, which took over health services at HMP Wymott and nearby HMP Garth in April this year, said workforce is in a ‘very fragile state’ with a scarcity of experienced staff to deliver very complex care.

A spokesperson for the Trust told Pulse that recruiting to GP posts in prison was a challenge nationally and it is doing its ‘utmost’ to address problems in HMP Wymott that became apparent in the contract handover.

It added it was in ‘close contact’ with the prison governor and CQC on their plans for a long-term turnaround of the service.

But GP leaders said the problems in prisons are 'yet another alarm bell warning' of the acute workforce crisis facing the UK and leaving GPs too stretched to take on additional roles.

In the letter sent by interim operations director Caroline Williams, the Trust says that significant risks have led it to ask for extra GP support.

Funding will be available to practice to cover GPs working in the prisons.

The letter says: ‘I really do appreciate the fact that every provider is enduring its own staffing pressures, particularly during peak holiday periods, and I would not ask for this assistance were the risks not very significant in this service.’

The same appeal also asks for practice nurses, and advanced nurse practitioners, who can offer support with long-term conditions management

The letter sent to local commissioners this month says: ‘The services at HMP Wymott are in a very fragile state in terms of the numbers and experience of clinical staff compared to the levels and complexity of demand for health care services.

‘Recruitment to the service is very difficult, and the systems and processes supporting the delivery of high quality care are in need of significant remedial attention.’

A spokesperson for Bridgewater Community Health NHS Foundation Trust told Pulse: ‘During the transition period we identified issues that we are doing our utmost to address. 

'Recruiting to prison healthcare and GP positions is widely acknowledged to be challenging and due to the current significant demands on the health service in HMP Wymott we submitted a genuine appeal to partners and other NHS providers with a view to providing a short term solution whilst we work to bring more stability to the service in the longer term.’

Dr David Barrett, a portfolio GP who works in offender health at prisons and secure sites in the Midlands, said HMP Wymott is far from an isolated case.

He told Pulse: 'I am being overwhelmed by emails and text messages from prisons and locum agencies with long lists of empty rota slots to fill. Rates of pay are increasing but even then I avoid certain prisons as it is just not worth the personal risks.'

Dr Richard Vautrey, BMA GP committee chair, told Pulse: 'This is yet another alarm bell warning of the GP recruitment and workload crisis.

'There are far too few GPs and those that are available are far too overstretched and far less able to take on additional roles such work in prisons. There is an urgent need to invest in general practice right across the board, not only in practices but in prison, out-of-hours services and other areas that depend on GPs to deliver services.'

The worrying state of the nation's GP workforce has been highlighted again this week.

The BMA warned that a reported increase in GP numbers in the three months from March to June mask the fact that nearly 450 qualified, full-time equivalent GPs have been lost since 2015.

Meanwhile Pulse revealed that NHS England was ramping up its recruitment of GPs from overseas, with 600 to be ready to recruit by April 2018 and 2,000 by 2020 - rather than the 500 originally planned.

Readers' comments (14)

  • Mr Mephisto

    Crisis. What "crisis"?

    Unsuitable or offensive? Report this comment

  • Sorry can't help too busy doing over 75 car driving medicals and checking boilers

    Unsuitable or offensive? Report this comment

  • Cobblers

    If you pay them they will come.

    Usual mantra. 2/6d an hour and be grateful. Ooh look we are short of staff.

    Market forces innit? Might look at it for £200 per hour. Might not.

    Unsuitable or offensive? Report this comment

  • The prison will just use the ooh service anyway
    like a nursing home or residential care home
    Home visits to prison ??!!

    Unsuitable or offensive? Report this comment

  • Any doctors un-fortunate to be prisoners ... they could use their expertise (just thinking..)
    GMC could go on a whitch hunt and then use them..

    Unsuitable or offensive? Report this comment

  • 2020 headline…

    GPs urgently required to address 'very significant risks' in primary care system.

    Unsuitable or offensive? Report this comment

  • Let's see
    increased indemnity - check
    'Challenging population' - check
    Increased chance of litigation - check
    Lack of support from NHSE GMC RCGP BMA (even below standard abysmal levels) - check check check check
    Increased risk to GP (physical/verbal) - check

    Right then, what's is there to lose. Where do I sign?

    Unsuitable or offensive? Report this comment

  • oh.. I see now where we got our recruitment strategy wrong. instead of advertising with practice description and offering competitive rates and terms we should've said that the services are fragile and GPs are urgently required. Thank you Bridgewater Community Healthcare NHS Foundation Trust. You have shown me the way.

    Unsuitable or offensive? Report this comment

  • the clip board junkies just will not learn that crap jobs with low pay and poor conditions are difficult to fill.

    Unsuitable or offensive? Report this comment

  • NHSE will probably allocate them to the nearest GP Practice........

    Unsuitable or offensive? Report this comment

View results 10 results per page20 results per page

Have your say