Morag Martindale

I have worked as a GP for 31 years, initially in Derbyshire and for the last 22 years in a semi-rural practice with a community hospital in Blairgowrie. I was an undergraduate tutor at the University of Dundee for 4 years before undertaking Membership by Assessment of Performance in 2003 in order to become a GP trainer. I was a trainer from 2004 until 2017. I became a Fellow of the College in 2013.

In 2011 NHS Scotland took on the responsibility for providing health care in Scotland's prisons. At that time I was the Clinical Director for Perth and Kinross Community Health Partnership and so assumed responsibility for clinical governance at HMP Perth and Scotland's open prison near Dundee.

Since then I have worked as a locum GP in both establishments and spent a 3 month sabbatical working there. My plans is to leave mainstream General Practice and work in both prisons. My objectives are straightforward. Most Scottish prisons use the Vision computer system but at present there are no disease registers, medication is not recorded electronically, long term condition management is variable and there is little liaison with mainstream practice. In Perth GPs and pharmacists have already begun to make changes including the provision of GP10s at liberation, a copy of the medical summary and, where appropriate, a Med 3 certificate to allow a patient faster access to benefits. It is hoped that this will facilitate the registration process with General Practices.

Many residents of our prisons are vulnerable patients with significant mental and physical health problems. Very often patients with mental health problems fail to register with a practice following liberation, they do not have access to medication and the deterioration in their mental state causes them to re offend. I would like to see improved communication between mainstream General Practice and the prison health care service. I feel that it is vital that the health issues of our prison population are included in Scottish Council discussions on policy.

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