Offender Health

London Offender Health Needs AssessmentOctober 2010

Rupert.bailie@dh.gsi.gov.uk

OVERVIEW

• Population in contact with London Criminal Justice System

• Numbers along pathway• Needs• Ethnicity• What service functions are there ?• What do we spend ?• Why do anything different ?• Resource links

DATA SOURCES FOR THE CJS

•Offender specific data through NTA

•DIR data

•Prison health & drugs needs assessments

•Prison data from NOMS ISMG

But this presentation is about:

Profile Report on Police Detainees and

Offenders in London

MoJ NOMS / NHS London

FEATURES OF THE LONDON CJS POPULATION

• YOUNG : Majority of Arrests, Probation Commencements &

Prison Receptions < 40 years • MALE : 85% Arrests, 88% Probation, 92% Prison

• OF FAITH : 48% Christianity, 26% none, 17% Islam (Prisons)

• SHORT PERIOD OF CONTACT : – Matter completes at police station following 51% of Arrests– 65% of sentenced prison receptions <12 months– 30% London sentenced prison releases <28 days served

NUMBERS : LOCATION : LONDON 2009-10

COMMUNITY

POLICE

300,000 Arrests of which

56,000 Detained

73,000 on Bail

COURT

129,000

PRISON

30,000

PROBATION

35,000

APPROVED PREMISES

855

COMMUNITY

COMMUNITY

COMMUNITY

153,000 released

of which

52,000 sanctioned

101,000

NFA

NEED : LOCATION : LONDON

COMMUNITY

POLICE

(n=646)

31% Drug / Alcohol

11% Injuries

McKinnion 2010

COURT

?

PRISON

LISARRT

PROBATION

OASys

45% MH Flag

3,000 DSPD

APPROVED PREMISES

?

COMMUNITY

COMMUNITY

COMMUNITY

London OASys Need 2009/10

(London Probation Trust)

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

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Did you have a job/study before prison August 2009 - March 2010

Refused11%

Yes33%

Unknown6%

Don't Know7%

No43%

Accommodation type prior to custody August 2009 - March 2010

Temporary15.5%

Unknow n5.4%

Traveller0.3%

Hostel2.9%

NFA18.3%

Permanent57.2%

Rough Sleeper0.4%

Main Income Source August 2009 - March 2010

0%

5%

10%

15%

20%

25%

30%

Benefits

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LISARRT NEED : LONDONERS : LONDON PRISONS 2009-10

All Arrests in London 2009/10 by Ethnic Appearance (MPS Data)

Chinese, Japanese or SE Asian

2%

Middle Eastern2%

North European - White45%

Black31%

Asian12%

Unknown1%South European -

White7%

Probation Commencements Ethnic Profile

White47%

Not Stated10%

Mixed6%

Chinese or other ethnic group

5%

Black23%

Asian9%

Prison Receptions August 2009 - March 2010: Ethnic Profile

Asian10.1%

Black27.1%

Chinese or Other Ethnic Group

3.0%

Mixed4.2%

White55.4%

Not Stated Other0.2%

SERVICE FUNCTIONS : LOCATION : LONDON

COMMUNITY

POLICE

Police Health Service

CJLD

COURT

CJLD

Psych Reports

PRISON

Prison Health EBW

Transfer

PROBATION

CJLD

APPROVED PREMISES

?

COMMUNITY

COMMUNITY

COMMUNITY

FUNCTIONS : LONDON : COST

CRIMINAL JUSTICE LIAISON & DIVERSION : £1m

MENTAL HEALTH, DRUGS & ALCOHOL SERVICES

TREATMENT ORDER REQUIREMENTS:

DRUGS (2726), ALCOHOL (1994), MENTAL HEALTH (310)

PLACES OF

SAFETY

?

POLICE HEALTHCARE

£24m

PSYCH COURT

REPORTS

?

PRISON HEALTHCARE

£39m

ESCORTS BEDWATCH

£2.6m

PRISON TRANSFERS

?

APPROVED PREMISES

Need £0.4m

WHY CHANGE ?

CRIMINAL JUSTICE LIAISON & DIVERSION

SAFETYIdentification and assessment STARTING AT Police Custody will improve risk management all the way through the system

ACCESSDoing the right assessments on the right people at the right time will deliver the right disposals and enable access to the right services

EFFICIENCY eg. we could have….

London wide agreement on efficient use of places of safetyPolice Station services that deliver health outcomesDiversion from CJS at an earlier stage, where this is appropriateFewer psychiatric reports to court, but on the right peopleFewer escorts from prison for treatmentMore timely prison transfers, at lower costFewer prison recalls as a result of treatment unavailabilityReduced re-offending and reduced crimeFewer deaths in custody

RESOURCE LINKS

Profile Report on Police Detainees and Offenders in London

http://lcjb.cjsonline.gov.uk/London/1233.html#LRRS

London Criminal Justice Liaison & Diversion reports:

http://www.gvagrimley.co.uk/x13183.xml

London Alcohol IBA Lit. Review, Case for Change & Service Survey:

http://www.offenderhealth.org.uk/OffenderCommunityHealth/Alcohol.aspx

Prison Population Statistics:

http://www.justice.gov.uk/publications/populationincustody.htm

Offender Management Caseload Statistics

http://www.justice.gov.uk/publications/prisonandprobation.htm