An independent evaluation of the Department of Health's procedure for the transfer of prisoners to hospital under the Mental Health Act 1983

Abstract

In the UK, the Mental Health Act 1983 allows for the transfer of prisoners to hospital for treatment of acute mental illness. Historically, this process has been problematic with long delays. The Department of Health has produced guidance to encourage significant improvements in transfer delays. The research comprised: a clinical assessment of the psychiatric symptoms of prisoners awaiting transfer, an audit of transfer times, and interviews with key stakeholders. Prisoners awaiting transfer were severely ill with a mean score of 65 (range 25–120) measured by the Brief Psychiatric Rating Scale. Transfers were completed on average in 42 days. Barriers in the process included: communication difficulties, bed availability, a clash in organisational cultures, as well as security, clinical and assessment disputes. Since the guidance there has been a marked improvement transfer times. However, remaining difficulties within the transfer process are discussed.