Prison Doctor

Being a GP in a prison gives the medical practitioner access to some of the most disadvantaged people in society and the opportunity to provide consistent care which otherwise might not have been accepted. Mental health, substance misuse and the control and prevention of communicable disease are practiced often within isolation from the mainstream NHS, but prison doctors are supported by nurses and staff.

Dr Mary Bradley is a prison GP in Devon.

How long have you been in General Practice?
26 years –18 of them as a Prison Medical Officer

 

What made you decide to become a GP?
I enjoyed the variety of general practice and the setting of the patients in their homes or their community. It was also a choice that was compatible with my family commitments.

 

What are your current roles? Please list.
I am currently a Prison Medical Officer, providing Primary Care to prisoners in a Remand Prison.

 

What other roles have you had (in general practice and beyond)?
I was a Retained Doctor in General Practice for five years.

 

How many hours would you say are in your average working week?
About 23 hours (my contract is for 20hours a week)

 

How do you spend those hours?

Activity

Time expressed in hours

Seeing patients in surgery

10 hrs

 

Seeing patients out of hours

3+ hours (includes evening receptions at HMP)

Team meetings

2 hours

Doing paperwork

6 hours

Teaching / Training

½ hour

Continuing Professional Development

1 hour

Telephone consultation

When on-call, telephone communication is with a nurse at HMP

Other 2

There are other Prison-specific medical activities such as seeing patients before release.

Childcare

(This has been a big part of my week)

 

Do you have any special clinical interests?
Prison Health Care

 

Are you involved in any other professional organisations or committees?
I am a member of our local non-principal group

 

What has been your career high point so far? / What do you enjoy most about general practice?
Holistic care for the patient

 

Low points? / What do you enjoy least?
Being woken up when on-call!

 

What three words would you use to describe General Practice?
Continuing varied, unfolding.

 

If you were making your career choice now, what would you choose?
I would still choose General Practice.

 

Useful links:

Prison Health Care Practitioners
Student BMJ - Combining Medicine and Law (page 13)

 

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