Become a Member – It’s Simple and Worth It

If you work in or around London prisons, you're eligible to join our community. 

Just use your HMPPS or NHS work email during sign-up it’s that easy.

We’ll review your registration and approve it if it meets the criteria..

Once you're in, you’ll unlock a wide range of practical, supportive resources to help you in your role, every step of the way.

Key Learning of the Hub– please open and share in team meetings or supervision and print out and display on noticeboards.

Recent Learning

  • The ACCT (Assessment, Care in Custody and Teamwork) is a prison led care planning process for individuals at risk of self harm or suicide.
  • This process is just one part of multiagency risk management.
  • Sometimes decisions around whether someone is on the ACCT process can be complex and nuanced.
  • When making difficult decisions, always seek support and document your decision making clearly.
  • Also consider other possible risk management strategies and interventions such as engaging with the gym, families, peer support, Chaplaincy, Samaritans and substance misuse teams.
  • If you're in the healthcare team, always talk to and involve your prison colleagues and vice versa.
  • It can be easy to get caught up in the process, always keep the person at the centre of what you're doing.

  • If suspecting someone of using SPICE, stay curious, they may be drowsy because of other prescribed medication, check for recent changes.
  • See SPICE use as an opportunity to educate the patient in a non-judgemental way about risks, especially if also taking anti-psychotics.
  • If declining to administer medication because you suspect the person may be sedated or intoxicated, contact the prescriber and share your thoughts.
  • If you are a prescriber and your patient is regularly using SPICE consider taking ECG measures and alternative prescribed medications that may be safer.
  • When SPICE use is suspected, avoid quetiapine and other antipsychotics that prolong QTc; studies show that aripiprazole and olanzapine are the most cardiac safe in this scenario.

Curiosity

Communication about risk