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End-of-Life Care for Prisoners — SCE Palliative Medicine MCQ

Instant feedback + full explanation. One question, done properly.

HardLegal & Ethical FrameworkEnd-of-Life Care for PrisonersSCE Palliative Medicine

A dying prisoner in a hospice is accompanied by two officers and wishes to speak privately with his family. Security information suggests low current risk but the standing escort plan specifies restraints. What is the best approach?

Educational content. Not a substitute for clinical judgement or local policy.

Reveal the answer and explanation

Correct answer: BUse 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/