Implementation of previous recommendations
| No | Action | Status | Notes | ||
| Actions for NHS England | |||||
| 1 | Develop BBV policy to include: education, hepatitis B vaccination, BBV testing, pretest and post-test checklist and/or discussion prompts, guidance on providing test results, treatment pathway, referral guidelines, clinical management protocol. | This is in progress. A generic example policy will be sent to HMP Birmingham to adapt and personalise for themselves. | |||
| 2 | Assist with DBST implementation. | Implemented as of September 2015. | |||
| Actions for HMP Birmingham | |||||
| 3 | Provide translated information material and in braille. | To be addressed. | |||
| 4 | Involvement of peer mentors or health champions in information provision. | Are now used. | |||
| 5 | Collect accurate statistics regarding hepatitis C testing. | Now collected and recorded by BBV nurses. | |||
| 6 | Implement opt-out testing. | All new receptions are offered testing. | |||
| 7 | Implement DBST. | Implemented as of September 2015. | |||
| 8 | Ensure BBV staffing model is adequately resourced. | Dedicated BBV nurses, training of other nurses in BBV services is under way. | |||
| 9 | Improve the running of current wing-based clinics. | In progress. | |||
| 10 | Implementation of inreach clinics. | In progress. | |||
| 11 | Condoms and lubricants—allow free availability. | Available without prescription. | |||
| 12 | Dental dams—make available. | Staff state they have never received requests for these, and therefore it is unnecessary to stock them. | |||
| 13 | Allow free availability of disinfectant tablets. | Staff have tried this and decided against it (see the Strategies for Improvement section). They are available on request. | |||
| 14 | Implement a system for providing prison care records to general practitioner on release. | Implemented by BBV nurses. | |||
| 15 | Allow medical hold for prisoners on hepatitis C treatment. | Staff have considered this and found it unfeasible. | |||
Status key: green, completed; amber, in progress; red, yet to be addressed.
BBV, bloodborne virus; DBST, dried blood spot testing; HMP, Her Majesty’s Prison; NHS, National Health Service.