Table 2

Implementation of previous recommendations

NoActionStatusNotes
Actions for NHS England
1Develop 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.
2Assist with DBST implementation.Implemented as of September 2015.
Actions for HMP Birmingham
3Provide translated information material and in braille.To be addressed.
4Involvement of peer mentors or health champions in information provision.Are now used.
5Collect accurate statistics regarding hepatitis C testing.Now collected and recorded by BBV nurses.
6Implement opt-out testing.All new receptions are offered testing.
7Implement DBST.Implemented as of September 2015.
8Ensure BBV staffing model is adequately resourced.Dedicated BBV nurses, training of other nurses in BBV services is under way.
9Improve the running of current wing-based clinics.In progress.
10Implementation of inreach clinics.In progress.
11Condoms and lubricants—allow free availability.Available without prescription.
12Dental dams—make available.Staff state they have never received requests for these, and therefore it is unnecessary to stock them.
13Allow free availability of disinfectant tablets.Staff have tried this and decided against it (see the Strategies for Improvement section). They are available on request.
14Implement a system for providing prison care records to general practitioner on release.Implemented by BBV nurses.
15Allow 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.