Medicine in secure environments

Dr Jake Hard
Dr Jake Hard discusses the medico-legal issues involved in the treatment and management of people in prison and other secure environments.

Where someone is punitively detained or incarcerated, their punishment is by definition the deprivation of liberty. It is not about restricting access to healthcare services.

Photo credit: iStock
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This page was correct at publication on 11/03/2019. Any guidance is intended as general guidance for members only. If you are a member and need specific advice relating to your own circumstances, please contact one of our advisers.

Dr Jake Hard

Dr Jake Hard is a GP and has developed further special interests in substance misuse and prison medicine. He is the current chair of the Royal College of GP's Secure Environments Group and the clinical lead for the Health and Justice Information System (HJIS). He is a clinical reviewer assisting the Prison and Probation Ombudsman investigating deaths in custody and contributed as a member of the Guideline Development Group for the NICE Guideline (NG57) Physical Health of People in Prison, 2016. He currently works one day a month in the South Gloucester prison cluster at HMP Eastwood Park and HMP Leyhill.

Dr Caroline Fryar MBChB LLM MRCGP DCH DRCOG
Professional services director

Caroline studied medicine at the University of Sheffield then worked as a GP in Cheshire before joining the MDU in 2006. While working at the MDU, Caroline obtained her LLM in Legal Aspects of Medical Practice and achieved her MBA, which was awarded with distinction.