End-of-Life Care for Prisoners — SCE Palliative Medicine MCQ
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Correct answer: B — Use an interdisciplinary dynamic risk assessment to agree an individualised hospice escort plan
Explanation lettering: D = shown as B · E = shown as D · B = shown as E
D is correct. Equivalence, dignity and family contact remain core end-of-life principles in custody, but security duties do not disappear. Healthcare and custody staff should jointly review current risk and use the least restrictive proportionate arrangement, revisiting restraints and privacy dynamically. A historic plan is not immutable. Automatic removal ignores safety information, delaying all family contact is disproportionate, and risk responsibility cannot simply be transferred to hospice staff.
Reference: NHS England Dying Well in Custody Charter: https://www.england.nhs.uk/long-read/dying-well-in-custody-charter/