Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what steps his Department is taking to help support prisoners with long term dependency on drugs or alcohol with the management of withdrawal of drugs and alcohol.

NHS England commissions prison health care services into every prison in England to the equivalence of the community. Access to drug or alcohol withdrawal support is available in all prisons at any stage of a person’s sentence, beginning at the point of entry.

NHS England commissions first night reception screening to review patients’ medical history by a registered nurse/practitioner, the purpose is to address immediate health needs and risks, with specific consideration of intoxication and withdrawal risks, including delayed withdrawal symptoms, ensure medication is made available as soon as possible and onward referrals to onsite healthcare teams, including drug and alcohol services for psychosocial interventions and primary care for ongoing pharmacological interventions, for both urgent face to face appointments, and routine face to face appointments are made.

Outside of reception screening, people in prison can be referred or self-refer to drug and alcohol or primary care health services at any time for support with withdrawal. The current national integrated substance misuse service specification includes specific focus on clinical stabilisation and detoxification for patients withdrawing from drugs and/or alcohol, ensuring that interventions are safe, risk aware, clinically led, evidence based and follow national guidance - including the recently published clinical guidance for alcohol treatment.