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AVID Visitor Handbook
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  • Welcome
  • Introduction
    • About AVID
    • About this Handbook
  • Getting started as a visitor
    • Introduction
      • Why Visit People in Detention
      • The Role of a Visitor
      • Joining a visitor group
    • Practicalities of visiting
      • Models of visiting
      • Booking a social visit
      • What to expect on arrival
      • What to expect in a visiting room
      • What to expect in prisons
      • How do people in detention find out about visitors?
    • Visiting Skills
      • Being worthy of trust
      • Empathetic listening
      • Demonstrating independence
      • Boundaries and safeguarding
    • What issues might someone raise and what can I do?
    • Step-by-step: Before, during and after a visit
    • Find a visitor group
    • Useful organisations
    • Visitor wellbeing
  • Who can be detained
    • Introduction
    • Who, Why, When
    • Decisions to Detain
    • Lawfulness of Detention
    • People considered unsuitable for detention
    • Demographics
  • Immigration Detention in the UK: Essential Legislation, Policy and Guidance
    • Introduction
    • Essential Immigration and Asylum Law for Visitors
      • UK legislation on asylum and detention
      • International Framework
      • Claiming asylum in the UK
      • Post Brexit Changes
    • Detention Policy and Guidance
      • Overview and Sources
      • Detention General Instructions
      • Detention Centre and Short-Term Holding Facility Rules
      • Detention Operating Standards
      • Detention Service Orders
      • Prison Service Instructions & Probation Orders
      • Home Office Policy and Guidance
      • What can visitors do?
  • Immigration detention in the prison estate
    • Introduction
    • Legal Framework
    • Why are people detained in the prison estate?
    • History of the use of prisons to detain people held under immigration powers
    • Additional layers of disadvantage
    • Criticisms on the use of Prison for Immigration Detention and Further Reading
    • Organisations offering legal advice & practical help in prisons
  • Legal Advice and Representation
    • Introduction
    • Legal Advice and Representation
      • Why do people in detention need legal advice?
      • What is legal aid and what does it cover?
      • Who can give immigration legal advice?
      • The Legal Aid Agency Detention Duty Advice Scheme in IRCs
      • How do I know if a solicitor is doing a good job?
    • What can visitors do?
      • Finding a legal advisor
      • Finding a legal advisor for a person detained under immigration powers in the prison estate
      • Notify a legal representative that their detained client has been moved to another IRC
      • Help a person in detention to understand what they can reasonably expect of their lawyer
      • Give Information
      • Visitors and legal advisors: constructive relationships
      • Help if there are problems with the current legal representative
      • Acting as a McKenzie Friend
  • Safeguards
    • Introduction
    • Harms of detention: what safeguarding concerns do visitors come across in detention?
      • Deteriorating mental health
      • Worsening of pre-existing health needs
      • Trauma and mental health conditions that are common in detention
      • Failures in continuity of care
      • Mistreatment and abuse
      • Disbelief
      • Suicidal thoughts and self-harm
      • Survivors of torture, human trafficking and modern slavery
      • People who lack decision-making capacity
      • Age disputed children
    • Policy and practice
      • Adults at Risk Policy (AAR)
        • Background to the Adults at Risk Policy
        • Ongoing Criticisms and Developments
        • Present position of the AAR and oversight
      • Healthcare screening, assessment and monitoring
        • Healthcare safeguarding reports: Rule 35 and Rule 32
        • Challenges and concerns about reporting under Rules 32/35
        • Key Points for Visitors
      • The ACDT System
        • Challenges and concerns
      • Use of Segregation
        • Challenges and concerns
      • National Referral Mechanism
        • Challenges and concerns
      • The Mental Capacity Act 2005
        • Challenges and concerns
      • Age Assessments
        • Challenges and concerns
    • A series of case studies
      • Dawit
      • Ali
      • Drita
      • Bao
      • Gabriel
    • What can visitors do
      • Safeguarding Principles
      • Emotional support through empathetic and active listening
      • Worried about someone’s deteriorating mental and physical health
      • Access to Medical Information
      • Support after release
    • Looking after your own wellbeing
    • Useful Organisations
  • Getting out of detention
    • Introduction
    • Immigration Bail Overview
      • Secretary of State Bail
      • Immigration Tribunal Bail
    • Bail addresses and Home Office accommodation
    • Offering financial condition supporters/sureties
    • Refusal of bail and further bail applications
    • Bail with or without a legal advisor
    • Bail for people detained in the prison estate
    • Mandatory electronic monitoring for those facing deportation
    • Bail and removal directions
    • What can visitors do?
    • Life after release
  • Removal, Return, and Deportation
    • Introduction
    • Definitions
    • Being ‘liable to removal’ or ‘liable to deportation’ and Notices
    • Third Country Removals
    • Deportation
    • Getting on the plane
    • Assisted Voluntary Returns Schemes
    • Family Returns Process
    • Consequences of being removed or deported for return to the UK
    • What can visitors do?
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  1. Safeguards
  2. What can visitors do

Access to Medical Information

PreviousWorried about someone’s deteriorating mental and physical healthNextSupport after release

Last updated 23 days ago

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One of the key things visitors can do to help people in detention is to explain that they are entitled to a copy of their medical records free of charge and to offer support with the practicalities of obtaining them.

Having copies of medical records can be really helpful for detained people when they are in detention to seek externals referrals to NGOs and to obtain legal advice. These records can also be useful after release to share with a GP or to help access other support in the community.

Signposting

If the person you are visiting is interested in obtaining a copy of their detention medical records then this can be quite straightforward. All you may need to do is to explain that this is possible and free, and explain if they go to the healthcare department, staff there will be able to explain the process to them.

Requesting medical records on behalf of another person

Where the person you are visiting is feeling concerned or worried about how they can make the request and would like more help, you can offer more active support. They will need to sign a form (see below) which will allow you to make the request on their behalf. As you will be part of the process to request the person’s records then you will also need to explain that you will see their medical information but can also reiterate your group’s confidentiality policy (if your group does not have a confidentiality policy you can contact AVID for advice on this).

Once the person has signed the form, you can email a letter (see below) attaching a copy of the signed form to the healthcare department of the IRC, RSTHF or prison. The email addresses are published for each site .

When you receive an electronic copy of the medical records you can forward them to the email address of the person you are visiting.

If the person has been released from detention but remains in contact with you then you can help them obtain their records by applying to the same email address, but you may also need to provide a copy a type of their photo ID such as an ARC card with the request.

Timing

Generally healthcare departments should respond within one month of receipt of your email request. If you have not received an acknowledgment of the request from the healthcare department within a week then it may be worth following this up with a further email to check that the request has been received.

Letter to request medical records

[Insert name of IRC, their postal and the email address you are using]

[Insert date]

Dear Medical Team

[Insert full name of the person you are visiting]

[Insert date of birth of the person you are visiting]

Insert Home Office reference number if you know this]

I have been visiting the above-named as a member of [insert the name of your group] and they have asked for my help to access their medical records.

I would therefore like you to send me a copy of their records to [insert your email address or your group’s email address]. I have attached a copy of a form signed by [insert name of person] authorising you to send their information to me.

Thank you for your assistance with this. I would be grateful if you would acknowledge receipt of this request and if you need any more information, please contact me on [insert your telephone number.]

Yours faithfully

[Insert your name]

Form to access medical records and information

I: [name of the detained person],

Date of birth: [add details]

Currently detained at: [add details]

[Also add previous address in the community if asking for information for treatment before detention]

I am authorising you to discuss my medical care with [INSERT FULL NAME OF VISITOR] and to provide them with any of my records they request.

Signed …………………………………………………………………………………..

Dated …………………………………………………………………………………..

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