Comparisons with the existing literature
Rigidity
The dichotomy of ‘meeting health and social care needs’ versus ‘incarceration’, has resulted in challenges for the effective implementation of health or social care initiatives within prison.Health and social care and custodial silos have been inadvertently created in an attempt to meet the dual requirements of care and custody, resulting in a lack of meaningful and effective collaborative working. The existence of silos appeared to have impacted negatively on the successful implementation of the OHSCAP. Indeed, organisational silos and inter-profession tensions have created barriers to improving health outcomes across the public sector and beyond.The OHSCAP facilitators’ efforts to meet health and social care needs were often process-focussed, with a lack of attention to whether or not the desired outcomes were achieved. Rigidity appeared to be a survival tactic for prison officers attempting to cope in challenging, emotive and, at times, violent scenarios and environments. This is comparable to Crawley et al.'s