Diabetes care in East of England prisons

This project has involved speaking to prison residents with diabetes to find out about things that have happened regarding their diabetes care. We also sought information from prison staff about what they feel are the biggest risks to residents with diabetes, along with their ideas on how things could work better. As well as indicating areas for improvement, we felt it important to also acknowledge where services are working well for people.

We found people were unhappy about access to the right food and nutritional information.

This was also supported by some of the comments in the staff survey, where residents’ diet was highlighted as the second biggest risk to those with diabetes.

Limited healthy options coupled with a lack of knowledge about the content of meals served makes it difficult for residents with diabetes to effectively monitor their food consumption which can affect their diabetes.

There were some issues raised that are more specific to each prison site. Healthcare provisions are an example of this, particularly in terms of foot and eye screening. Whilst participants of the HMP Littlehey focus groups seemed satisfied with their access to screening, participants at HMP Bure indicated that access to foot screening is not always regular. There was also stark difference between prisons regarding daily monitoring of blood levels.

As soon as you come into reception, you will see a nurse, and they will take all the details and the medication you're on, and then they will make an appointment to see you.

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