Review Prison Health Services before implementing Corrections Amendment Bill
Provisions in the recently introduced Corrections Amendment Bill that shift responsibility for the provision of prisoner
health services from an independent contracted medical services officer to a prison health centre manager, should go on
hold until there has been an independent review of prison health services, says Kim Workman, Director of Rethinking
Crime and Punishment.
“In July 2010, the National Health Committee’s “Health in Justice” report noted that since 2004, at least 15 reports
have disclosed serious concerns about the health of prisoners. These reports had come from agencies such as the
Controller and Auditor-General, the Office of the Ombudsmen, the Ministry of Health, Te Rōpū Rangahau Hauora a Eru
Pōmare, the Human Rights Commission, and the New Zealand Drug Foundation. The Office of the Ombudsmen was at that time
undertaking an own-motion investigation into the delivery of primary health care services within prisons.”
“The Committee’s advice was to consider a transfer of responsibility for prisoner primary health care to the health
sector. Its report seems to have been buried, and requests under the Official Information Act have failed to unearth
it.”
“The transfer of responsibility for health services to a departmental employee may be more efficient, but the real test
is whether it will result in an improved service. A 2005 Ombudsman’s Report noted that prisoners perceived nurses as
“preventing” prisoners seeing a doctor, and the provision of dental services was a major concern. At every prison there
were complaints about the provision of dental services. Given that about 40% of all prisoners are functionally
illiterate, and another 40% have literacy issues, access to complaint mechanisms won’t suffice. There needs to be a
proper external system of checks and balances.”
“It would be helpful if the public could have access to basic prisoner health data, to show that there has been
significant improvement over the last six years, or whether a decision transfer responsibility for health services to
prison staff is premature.”
ends