Responding to
the publication of Improving Health, Supporting
Justice, the Government's
delivery plan for implementing the recommendations
of the Bradley Report,
Sean Duggan said:
"We warmly welcome the Government's
commitment to providing
liaison and diversion services to all courts and
police stations across the
country within five years. And we are delighted
that the Government is taking
action to reduce delays in the provision of
court psychiatric reports.
We are
concerned, however, that no timescale has
been given for achieving a 14-day
target for the transfer of prisoners to
hospital in an emergency.
The plan
gives scant mention to forensic mental
health services yet increasingly a
significant restructuring of secure
hospital provision is needed.
We welcome
the Government's pledge to build
the capacity of local services to improve
the health of offenders. From
investing in training for frontline staff to
offering better guidance for
commissioners, the delivery plan should help to
raise the standard of
support that services are able to offer.
We welcome the
plan to register all
sentenced prisoners with a GP. This is an important step
to offering equity
of access to services but will need to come with
investment in prison mental
health services to bridge the gap between what we
spend now and what we
should be spending.
The Government is right to say that
services should be
developed according to local needs. But it is vital that
local service
providers and commissioners know what is expected of them and
that they are
held to account for bringing about improvements.
And they will
need much
clearer guidance on how to disinvest in less effective services in
order to
spend scarce resources on better alternatives.
Otherwise we could
continue
to see piecemeal provision of services that should be available to
all.
We
are concerned that the plan gives little regard to the specific needs
of
people from Black and minority ethnic communities. But we are pleased
that
the plan emphasises the need for much better support for the health of
women
offenders and for veterans of the armed services.
And we welcome the
pledge
to review the support offered to offenders with personality
disorders,
including the high-cost DSPD pilots. There exists great potential
to
redirect resources in both the criminal justice system and the NHS
towards
better support for offenders with mental health problems.
For too
long we
have seen too many people with mental health problems in custody, at
high
cost to the taxpayer, to their health and to their communities.
By
intervening earlier and more effectively we can improve the health of
some
of the most excluded members of our society, and make communities safer
and
reduce offending.
It is now more vital than ever that public money is
spent
wisely on services that make a difference.
We have been talking
about
national coverage of liaison and diversion services since the Reed
Report
was published in 1992.
The case for action is clear. What we need now
is a
clear line of accountability for making it happen. The time to act is
now."
E-mail reaction is welcome