MYTHS AND DRAGONS or Healthcare in IRCs

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MYTHS AND DRAGONSorHealthcare in IRCs

• By
• Dr Celia Grummitt

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The Healthcare in IRCs

• All Day?
• Varied presentation with plenty of time for
  discussion
• And you are?..........

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Myths and Legends

• To dispel myths we must first identify them
• And legends are just tales that are handed down,
  possibly with embellishment
• These may be formed from what others have said,
  what has been read.....
• Judgement
• And so to work

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Did You Know?

• When your group has finished the Myths and
  Legends sheet please spend a few minutes looking
  at the posters around the room.

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Whats in a Name?

• Lead GP Harmondsworth, 10 years in Secure
  Health
• Contact person Health Care Steering Group
• Principal in Wiltshire
• GP Appraisor
• Lead of Commissioning Consortium
• GPwSI substance misuse
• Ranger Guider/ Assistant Ride Leader /Walking
  Group Leader
• Exec officer for a charity providing Equine
  Assisted Therapy

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The Environment
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Dragons

• Difficult environment
• Litigation and complaint at every turn
• Very few Knights, 4 regular GPs at HCSG meetings
• The Lying Detainee
• The lack of Clinical Information Systems, imagine
  prescribing without one
• Change is very hard.....Rules......
• So many auditors, so little primary care
• Child health
• Pre admission health
• Finance

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Snakes and LaddersThe Detainees Eye View

• Ladders are aimed to get you out
• Snakes take you back in

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Repatriation Medicine

• Perhaps the correct title
• 95 will go home as our new names suggest, IRC
  not IDC
• Prescribing must take this into account
• Fitness to Fly
• Detox rather than maintenance?
• Services at home

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COWS

• CHALLENGES
• Dragons
• OPPORTUNITIES
• Possible NHS status like prisons
• To make a difference
• WEAKNESSES
• Divide and Rule
• Environment
• STRENGTHS
• HCSG, CGG, NAT, BHIVA, AVID, Medical DUG
• Teams