A note is brothels in toronto locations added to the statistics, When considering these estimates it must be noted that the extent to which these nationally based rates apply to the North Wales prison population is unknown and that some of the rates used are based upon males and.
No explanation is given to this apparently conflicting information.
A document prepared for the local health board has given an insight to challenges faced for health provision once the new prison opens locally.
The document lists several recommendations, including the statement The majority of healthcare will be delivered within the prison, which then leads on to other areas of support such as healthy eating and smoke free prison status.The full PDF is here and is 193 pages long.Therefore the estimates may not provide an accurate reflection of the need within the North Wales prison.Using HMP Altcourse as an example it is noted that the escorts are often for planned outpatient appointments, however can also be attendance to accident and emergency.It is noted that prisoners with complex needs could be avoided, specifically in the ramp up period as stabilisation of healthcare provision occurs.383 assaults, presumably cambridge pop up brothel prisoner on prisoner, are predicted with 84 assaults on staff also noted in the projections.There is no information to why the document was labelled as confidential.
The below social characteristics of prisoners in comparison to the general population table is also provided in the document, citing 14 year old data from 2002: One other grim prediction in the document is that there is likely.4 deaths a year in the prison.
The above numbers on bedwatch nights are scaled up in the document, showing a predicted 325 nights a year likely at the Maelor Hospital from the prison, however the escorts do not appear to be calculated.
This suggests the impact on the Maelor Hospital and associated ambulance call outs, and A E visits will depend on the make up of the prison population as well as the size.An estimated 44 of the prison population takes prescribed medication, this would equate to an estimated 926.6 prisoners in the North Wales prison taking prescribed medication.Comparison information is provided from HMP Northumberland and HMP Oakwood to predict the added demands to the local health services.Data from HMP Wymott (population 1,176 around 55 the size of Wrexham) is also given showing up to 6 escorts a day to hospital at that prison, with a possible link to an higher proportion of older prisoners explaining the larger numbers.HMP Oakwood reported that there were 196 referrals to hospital services.The document explains: If a prisoner attends a hospital they will require an escort.For comparison Wrexhams yet unnamed prison will have a capacity of 2,106, that is to say 31 bigger than Oakwood and 56 bigger than Northumberland.It is noted: In the year 2012/13 HMP Oakwood called the GP out-of-hours on 460 occasions.The latter appearing to be the main differentiator between Levels 2 and 3, noting the lack of inpatient beds being a variation to the widely excepted definition of prison healthcare level 3 which is stated as 24 hour nursing cover with in-patient unit.The lack of inpatient beds is mentioned when discussing end of life care, appearing to suggest a cell could be used instead: For end of life care in prisons with no in-patient beds, there may need to be dedicated cells where staff can have.It is assumed in the document that Wrexhams prison will be a Category C training and resettlement prison, however will provide a category B remand function, with up to 200 such places.
The PDF states the version is final confidential is publicly hosted on the site here, and although it is from May 2015 we have yet to see any reference to its contents.