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<p>Her Majesty’s Prison and Probation Service’s (HMPPS) new policy was developed following
a fundamental review that involved extensive stakeholder consultation, including with
Health partners; a resource impact assessment and a data protection impact assessment.</p><p>1)
As per 2.1-2.8 of the policy, healthcare is commissioned through the health sector.
The role of HMPPS is to ensure appropriate <em>access </em>to healthcare – including
information sharing and physical access.</p><p> </p><p>2) a) Medical professional
organisations consulted include:</p><p>i) NHS England and NHS Improvement (including
the central Health and Justice Team, Clinical Reference Groups and regional commissioners)</p><p>ii)
Local prison healthcare providers commissioned by NHSE/I</p><p>iii) Public Health
England (PHE)</p><p>iv) Public Health Wales (PHW)</p><p>v) The Royal College of Midwives</p><p>
</p><p>b) Criminal justice non-governmental organisations consulted include:</p><p>i)
Voluntary sector organisations including Birth Companions, Born Inside, Hibiscus,
Barnardo’s and Family Action</p><p>ii) Academics including Dr Shona Minson, Dr Lucy
Baldwin and Dr Laura Abbott</p><p>iii) Her Majesty’s Inspectorate of Prisons and Probation
(HMIP)</p><p>iv) The Prison and Probation Ombudsman (PPO)</p><p> </p><p> </p><p>3)
Where a contractor fails to implement the policy, contractual action will be taken
as necessary. Policy implementation in both public and contracted prisons will be
supported by a variety of assurance structures and processes, to monitor compliance.
This includes external and independent assurance by HMIP, PPO and OFSTED.</p><p> </p><p>4)
A resource impact assessment has been undertaken for public prisons as part of the
development of the new Policy Framework. This assessment identified a need for additional
funding to support implementation in public prisons, which has been provided.</p><p>
</p><p>5) Resource impact assessments were also undertaken for contracted prisons
as part of the development of the new Policy Framework requirements. These identified
that no additional funding was required to fulfil new policy requirements.</p><p>
</p><p>6) National data on pregnancy and births and Mother and Baby Units is published
annually as part of the HMPPS Annual Digest: <a href="https://www.gov.uk/government/statistics/hmpps-annual-digest-april-2020-to-march-2021"
target="_blank">https://www.gov.uk/government/statistics/hmpps-annual-digest-april-2020-to-march-2021</a>.
Data on abortions and pregnancy outcomes such as miscarriage and stillbirth are recorded
on healthcare systems as they are medical in confidence.</p><p> </p><p>Information
on a prisoner’s caring responsibilities and children living in the community is monitored
locally by prison Governors/Directors to ensure appropriate support can be provided
to offenders and their families. We are developing changes to the initial reception
questionnaire to enable national data collection that can be published.</p>
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