THE ROLE OF THE NURSE IN REMOVAL CENTRES AND LINKS WITH PRIMARY CARE

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THE ROLE OF THE NURSE IN REMOVAL CENTRES AND
LINKS WITH PRIMARY CARE

• Marcia Guy RGN
• Healthcare Manager
• Immigration Removal Centre Haslar

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IMMIGRATION REMOVAL CENTRE HASLAR
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TRUE OR FALSE

• Detainees in Removal Centres are not given access
  to NHS Treatment
• All Foreign National Prisoners get deported
• Nurses in Removal Centres are not proper nurses

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TRUE OR FALSE

• 4. Detainees have access to a NHS Dentist
• 5. There is a high incidence of Tropical Disease
  amongst detainees from Sub Saharan Africa
• 6. Detainees with HIV can be deported

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TRUE OR FALSE

• False
• False
• False

• Detainees in Removal Centres are not given access
  to NHS Treatment
• All Foreign National Prisoners get deported
• Nurses in Removal Centres are not proper nurses

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TRUE OR FALSE

• 4, Detainees have access to a NHS Dentist
• 5. There is a high incidence of Tropical Disease
  amongst detainees from Sub Saharan Africa
• 6. Detainees with HIV can be deported

• True
• False
• True

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IRC HASLAR

• HM Prison Service Establishment
• 160 Adult Male detainees (18)
• Held detainees for 20 years
• Service Level Agreement with IND

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HASLAR 14 YEARS AGO

• No Pharmaceutical input
• No Infection Control Link or formal disposal of
  clinical waste.
• No onsite dentistry (missed appointments)
• Only links with Primary Care through GPs
• No formal structure to training needs or means of
  identifying needs of staff
• Only one trained nurse one SHCO

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HASLAR NOW

• Four Registered General Nurses ( 1 dual
  qualified)
• Centre covered 08.00 21.00 (weekdays) 08.00
  17.00 (Weekends / Bank holidays)
• GP surgeries Monday Saturday (inc)

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MENTAL HEALTH CARE

• Mental Health Management
• Anxiety Stress Management
• PTSD/ Torture
• Occasional Personality Disorder Management

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PROVISION OF CARE

• Chronic Disease Management
• Communicable Disease Management
• Minor Illness
• Well Person Checks
• Suicide Prevention / Awareness / Management
• Smoking Cessation

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PROVISION OF CARE Cont

• Sexual Health
• Infection Control Link Nurse
• Pre and Post operative care (dressings)
• Emergency Aid (sports injuries, self harm minor
  injuries)
• Dental Treatment
• Health Promotion

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HEALTH PROMOTION
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THE DETAINEES JOURNEY

• General Observations
• Past Medical History (including allergies)
• Family History
• GP (seek permission to obtain relevant records)
• Torture/PTSD
• Substance misuse
• Suicide risk
• Present health/Dental needs

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RECEPTION SCREENING
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OTHER DETAINEE SUPPORT

• Welfare Officer
• Samaritans
• Haslar Visitors Group
• Independent Monitoring Board
• Chaplaincy
• Education
• Gymnasium

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LINKS WITH PRIMARY CARE IN THE COMMUNITY

• Part of Clinical Governance Group
• Involved in Nurse Strategy Group for Fareham
  Gosport
• Practice Nurse Meetings held Bi-monthly
• Access to tissue Viability nurse
• Smoking Cessation Support
• Similarities
• Clinical Supervision
• Adverse/Critical Incident forms open policy
• Monthly Team Meetings
• Clinical Governance Policy

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THE DIFFERENCES

• Not fully commissioned/funded by the PCT
• Dual Standards (HMPS/IND)
• Clinical Governance group
• Health Care Steering Group
• Detention Users Group
• Nurses carry keys/radio/cut-down tool
• Security Awareness
• Personal Protection training