Audit of fidelity of implementation of the older prisoner health and social care assessment and plan (OHSCAP)

Figures & data

Figure 1. Copies/uploads to prisoner and systems by facilitator role.

Table 1. Quality of completion scores for all areas

Area	Number of OHSCAPs completed	Completion score, n (%)
		Not complete	Poor	Adequate	Good	No problem
Relationships	150	0 (0)	15 (10)	38 (25)	83 (56)	14 (9)
Activities	150	0 (0)	9 (6)	55 (37)	81 (54)	5 (3)
Mobility	150	0 (0)	5 (3)	31 (21)	28 (19)	86 (57)
Emotional well-being	150	1 (1)	30 (20)	44 (29)	61 (41)	14 (9)
Physical well-being	146	0 (0)	25 (17)	49 (33)	40 (27)	32 (21)
Medication	146	0 (0)	4 (3)	33 (22)	62 (41)	47 (31)
Other	146	0 (0)	2 (1)	4 (3)	32 (21)	108 (72)
Discharge planning	146	6 (4)	22 (15)	44 (29)	67 (45)	7 (5)
Care plan	144	81 (54)	2 (1)	3 (2)	56 (37)	2 (1)
Reviews	142	68 (45)	2 (1)	20 (13)	52 (35)	52 (34)^a

Figure 2. Translation of identified problems into care plan actions by area of need.

Table 2. Percentage of identified problems translated into care plan actions by area of need and according to facilitator role

Category	Facilitator role (%)
	Prison officers	Health-care staff
Relationships	54.1	33.3
Mobility	46.2	80.0
Emotional well-being	37.5	100.0
Physical well-being	57.9	91.0
Medication	50.0	83.3
Discharge planning	30.8	100.0^a
Other	71.4	100.0

n = 1.

Table 3. Inter-rater agreement on ratings of appropriateness of care plan actions

Area of need	κ	95% CI	Significance
Relationships	0.741	0.486 to 0.996	0.000**
Activities	0.302	0.006 to 0.598	0.008*
Mobility	0.643	0.018 to 1.268	0.001*
Emotional well-being^a	–	–	–
Physical well-being	0.348	0.158 to 0.538	0.002*
Medication and treatment^a	–	–	–
Other issues	0.648	0.360 to 0.936	0.000**
Discharge planning	0.706	0.343 to 1.069	0.004*

*p < 0.05; **p < 0.001.

^aUnable to compute Cohen’s kappa as one variable was a constant