HEALTHCARE OPERATIONSINNOVATIONS THROUGH DISRUPTION

Dev Muniah

Head of Healthcare

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WHOAM I ?

Dev Muniah (RMHN, Dip Prof consulting, MBA)

• Mental Health Nurse

• Worked in High Secure Hospital, Medium Security and Low Secure Hospital

• Managed a number Prisons as Regional Operations Manager

• Currently Head of Healthcare leading a change programme at HMP Bronzefield

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• Previous managed a 2.2 million build to create a bespoke secure unit

• Lead of a number of programme of innovations across different sectors

• Lead consultancy project internationally as part of my MBA programme

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WHY AM I HERE & WHY IS THIS RELEVANT ?

• I am making the case that Healthcare is considered as a core part of Prison Design

• Here are some of the quotes of Nurses, GPs etc across all the prisons I have worked in

• ‘Not enough freedom to Practice’

• ‘Cannot use IT solutions to improve care that a member of the public will be able to

access’

• ‘Not enough Space’

• ‘Healthcare provision is too reliant on how Regime runs’

• ‘Physical environment not conducive to provide the full extent of care’

• We are ‘Lagging Behind’ compared to other segments!

• Yes, we can argue, safety and security procedures will take precedent – good reason – but

we should aspire to do more.

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WHY DO WE NEED TO THINK ABOUT THIS ?

• Professor Ian Woodward talks about

Altitude sickness

• Senior Leaders experience – 70% of

those are stuck at one level, either

too strategic or too tactical.

• We have to consider impact at all 3

levels when considering design and

commissioning.

• We have to ensure that Healthcare

is at the forefront of design

solutions.

PAST - PRESENT - FUTURE

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WHY DO WE NEED TO THINK ABOUT THIS ?

• COVID-19 Caused a

Disruption

• Bred Innovations at a

pace that we have

never seen before!!!

SOME EXAMPLES OF INNOVATIVE APPROACHES

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TELEMEDICINE

• Telemedicine for access to

Hospital Specialist Doctors

• Conducting remote Mental

Health Assessments for

transfer to mental health

hospital

• Great but issues with Access

– rooms, space, COVID-19

infections control procedures

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WING BASED MODEL

• Improved Access

• Reduction of Movement during

COVID

• Improved Therapeutic Relationship

with nurses

• Agile solution to regime constraints

• Multipurpose healthcare room

(Physical / Mental Health clinics)

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BBV TESTING

• Introduced In Cell Self Testing –

Not sure why we did not thinks

about this before

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HEPATITIS C

• 44 Patients through treatment.

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HEPATITIS C

• Significant increase in testing through use of Cepheid Machines

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IN CELL TELEPHONY

• Dental Clinics

• GP Clinics

• Nurse Clinics

• Mental Health Clinics

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OPPORTUNITIES

• Interface of Prison and Health Technology

• BIG DATA

• Assessment tools – ARDEN’s Templates – Self Assessments

• Creative use of Space / Design

• Self Help and Self Administration

• Mental Health Clinics

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WHY IS MORE SO IMPORTANT NOW ?

• Over 11 Million people imprisoned Globally (Johnson, 2021)

• Social Distancing difficult to maintain in Prison

• Longer time in cell

• Impact on Mental Health

• Lack of social contact – Family / Visits / Peer

• Johnson (2021) summarised challenges during COVID as follows:

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THANKYOU

Dev Muniah

Dev.Muniah@sodexogov.co.uk