The commissioning structure for substance misuse and healthcare services is complex and fragmented. This compromises the efficacy of treatment outcomes and continuity of care for prisoners. The current healthcare model, where a single contractor covers all health services and then subcontracts drug treatment, means that commissioners are distant from substance misuse services. (Conclusion, Paragraph 126)

The commissioning structure for substance misuse and healthcare services is complex and fragmented. This compromises the efficacy of treatment outcomes and continuity of care for prisoners. The current healthcare model, where a single contractor covers all health services and then subcontracts drug treatment, means that commissioners are distant from substance misuse services. (Conclusion, Paragraph 126) Type: conclusion | Number: 199 | Response status: partially_accepted Government response: Partially accept NHS England is responsible for the delivery of healthcare services in prisons under the Health and Care Act 2012. This includes substance misuse services, ensuring health services in prison are integrated to build recovery outcomes and improve overall health. NHS England has a Natio