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Question

116. Deputy Róisín Shortall asked the Minister for Justice and Equality the ratio of medical staff, that is, the number of general practitioners and nurses per prisoner per prison in May 2019; the provision of psychologists, psychiatrists and addiction counsellors per prisoner per prison in May 2019; the number of prisoners on waiting lists per prison to access all such services; and if he will make a statement on the matter. [24791/19]

Answer

Minister for Justice and Equality (Deputy Charles Flanagan): I am advised by the Irish Prison Service that it currently directly employs four permanent prison doctors. The Prison Service also delivers general practitioner sessions through the services of locum doctors who are engaged by way of an existing contract agreement. A panel of 30 qualified general practitioners are available to the Irish Prison Service. This equates to approximately 12 whole-time equivalent locum doctors delivering general practitioner sessions across the prison estate. The Prison Service also employ 127.5 whole-time equivalent permanent prison nurses.
I am informed that the Irish Prison Service continues to explore and develop all possible avenues to ensure the recruitment of permanent prison doctors, and procure the services of qualified general practitioners to maintain its delivery of effective general practitioner services. Moreover, the Irish Prison Service has confirmed that it has recently successfully undertaken a recruitment campaign for prison nurses which is expected to realise the employment of a full complement of 143 prison nurses.
The following table below set out the average number of prisoners in each prison and the numbers of nurses assigned to each prison.

Prison Average Number of Prisoners in Custody 2018* Nurses
(WTE)
Arbour Hill 135 5
Castlerea 300 10
Cloverhill 402 14.5
Cork Prison 288 10
Dochas Centre 132 7
Limerick 247 (33 female, 214 male) 11
Loughan House 110 2
Midlands 823 20
Mountjoy 679 21.5
Portlaoise 227 8
Shelton Abbey 97 2
Wheatfield Place of Detention 452 16.5
*Provisional pending publication of Annual Report
I am further advised by the Irish Prison Service that in-reach mental health services are made available to persons in the custody of the Irish Prison Service through its collaboration with the Health Service Executive, and the National Forensic Mental Health Service. The Irish Prison Service has confirmed that the figures available for the week ending 20 May 2019, indicate that an aggregate of 27 persons in custody were awaiting a transfer to the Central Mental Hospital.
There are 19.8 whole time equivalent Addiction Counsellors posts filled across the prison estate, as shown in the following table. The Irish Prison Service have advised that 2,750 prisoners benefitted from addiction counselling services in 2018. Figures at end April 2019 indicate that there are 314 prisoners who have been referred to the addiction counselling service who are awaiting treatment.
Prison Counsellor Posts (WTE) Ratio – Counsellor: No. of Prisoners
Mountjoy 4.2 1: 236
Dochas 1.2 1: 88
Loughan House 1 1: 140
Shelton Abbey 0.8 1: 144
Wheatfield 3.2 1: 172
Cloverhill 1 1: 431
Castlerea 2 1: 170
Portlaoise 0.5 1: 582
Midlands 2 1: 423
Limerick 1.9 1: 125
Cork 2 1: 148

The current waiting list for the Irish Prison Service Psychology Service per prison is set out in the following table. In addition, all prisoners serving sentences for sex offences are screened for potential engagement in the Building Better Lives sex offender programme by the Prison Service Psychology Service and Probation Service.
The Irish Prison Service also employs 10 Assistant Psychologists across the prison estate on one year contracts, who are not included in the ratio of Prison Service Psychologists to prisoners. In the Irish Prison Service, Assistant Psychologists work predominantly in the area of primary care mental health and with young prisoners. They are heavily supervised by qualified Psychologists.
Prison Waiting List - awaiting triage or intervention
Arbour Hill 36
Castlerea 41
Cloverhill Remand 22
Cork 27
Limerick 27
Midlands 185
Mountjoy (Female) Dochas 5
Mountjoy (Male) 138
Portlaoise 69
Wheatfield 64
Total 614

The ratio of Psychologists to prisoner bed space in closed prisons* is set out as follows:
Prison Bed space Psychologist Ratio
Arbour Hill 138 1:115
Cloverhill 431 1:287
Wheatfield 550 1:166
Mountjoy 755 1:215
Dochas 105 0.5:105
Midlands 835 (exc NVRU) 1:384
Portlaoise 263 0.2:263
Limerick 238 0.8:238
Cork 296 1:227
Castlerea 340 0.5:340
NVRU 10 0.3:10
* The IPS Psychology Service provides a consultancy service to Loughan House one day per month and a Psychology "Drop-In" clinic to Shelton Abbey one day per month.