Improving healthcare commissioning for probation: mapping the landscape

Healthcare services available to probationers and how they access them will be examined as part of a new research project.

The project, funded by the National Institute of Health Research (NIHR) Research for Patient Benefit Programme aims to produce a toolkit which will help commissioners and staff delivering health services to effectively measure and improve the quality of probationers’ healthcare.

Researchers say better healthcare could help increase the number of people successfully completing community sentences and could potentially reduce the rate of recidivism, while also saving the NHS substantial sums of money by reducing the unnecessary use of urgent and emergency services.

The research, led by the University of Lincoln (Dr Coral Sirdifield, Professor Niro Siriwardena) with colleagues from Royal Holloway, University of London (Professor David Denney, Professor Charlie Brooker), will address three key areas: the best way of providing healthcare to achieve good health outcomes for probationers; how healthcare is currently delivered to probationers, for example by probation services, through local partnerships, or through clinical commissioning groups; and what data are already available that could be used to measure and improve probationers’ health and the quality of their healthcare.

The team of researchers will carry out a literature review of the existing studies, conduct national surveys, examine written policy and procedure documents, and conduct telephone interviews with senior members of probation and health services.

Lead investigator, Dr Coral Sirdifield from the University of Lincoln’s School of Health and Social Care, said: “There are more than 200,000 offenders on probation in the UK, and they are often deprived, vulnerable and have complex health needs such as mental health, drug and alcohol problems compared with the general population.

probation wordcloud“Many probationers are not registered with a GP, or only access healthcare during crises. To reduce health inequalities, we first need to understand how healthcare is provided to probationers, and how its quality can be measured and improved.

“This is important because providing better, evidence-based healthcare will improve probationers’ health, increase their chances of completing probation, and could potentially reduce their risk of reoffending. There are potential cost savings to the NHS by reducing the unnecessary use of urgent and emergency services.”

The grant bid was put together following consultation with probation workers and service users to ensure the research would tackle relevant issues. Those probation workers and the service users will be on the project steering group and will help develop information resources, carry out interviews, and share the findings of the study. The funding is just under £150,000.

The findings will be shared with all participants, relevant organisations and policy makers as a toolkit, and submitted to relevant journals for publication.

Details on the research as it progresses will be uploaded to the Community and Health Research Unit at the University of Lincoln. Visit http://cahru.org.uk/ for more.

The National Institute for Health Research (NIHR) is funded by the Department of Health to improve the health and wealth of the nation through research. The NIHR is the research arm of the NHS. Since its establishment in April 2006, the NIHR has transformed research in the NHS. It has increased the volume of applied health research for the benefit of patients and the public, driven faster translation of basic science discoveries into tangible benefits for patients and the economy, and developed and supported the people who conduct and contribute to applied health research. The NIHR plays a key role in the Government’s strategy for economic growth, attracting investment by the life-sciences industries through its world-class infrastructure for health research. Together, the NIHR people, programmes, centres of excellence and systems represent the most integrated health research system in the world. For further information, visit the NIHR website (www.nihr.ac.uk).

Profile photo of Niroshan Siriwardena

About Niroshan Siriwardena

GP and professor of primary and prehospital health care

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