Lack of accountability
Both staff and prisoners stipulated that there was a general lack of accountability for resolving prisoners’ health and social care needs across the studied prisons. Examples were provided for how this impacted the effectiveness of the OHSCAP. For example, one healthcare worker described the difficulties that they experienced in allocating wheelchairs to older adults due to no one being accountable for maintaining them (When facilitators of the OHSCAP considered recipients to be on their caseload, they were more likely to address their health and social care needs and follow-up actions required (