In the forward to the Inspector of Custodial Services Report published last month, Fiona Rafter says that the provision of health services to inmates in New South Wales custodial facilities is a complex and challenging responsibility. This is due to a combination of the size of the NSW correctional system, the need to deliver these services in a secure environment and a patient group with frequently complicated medical histories and co-occurring medical conditions. Ms Rafter says that challenges to delivering health services in custodial settings have been previously identified in public reports. ‘The 2015 Inspector of Custodial Services (ICS) report Full House noted the impact of rising prisoner numbers on the adequacy of health staffing, infrastructure and access hours.