Thank you Julia Tabreham for putting a spotlight on 'carers behind bars' - prison inmates giving routine care to others who are elderly, vulnerable or ill.

The article also highlights the ageing population and increasing number of prisoners with complex medical and social care issues.

Dispelling myths

It also challenges the myth that prisoners do not care, while raising some questions. Wandsworth Prison, Wandsworth primary care trust and prison healthcare provider Secure Healthcare are investing heavily in training inmates to be health trainers and to find ways to help them to care for themselves and others, both on the inside and outside.

In addition to our continuing efforts to support care in prisons, we would also like to start the debate about how we involve our local government colleagues to take on the responsibility for the social care needs of prisoners as the demands for social care increase.

A longer-term challenge is to consider how we can all become great employers of ex-offenders, to actively employ them in appropriate health and social care positions to help reduce re-offending.

Peter Mason, chief executive, Secure Healthcare