Evaluation of Keep Well in Scottish Prisons

Keep Well was developed as part of plans to tackle health inequalities in Scotland in 2006.

The final Keep Well in Prisons evaluation report is available below.


The Keep Well model aims to increase the rate of health improvement in areas of greatest need. It focuses on cardiovascular disease and the main associated risk factors, in particular blood pressure, cholesterol, smoking and diabetes. Resources are targeted where they are needed most – that is in areas and settings where the risk of ill health is high.


In 2009 the Scottish Prison Service (SPS) secured funding from the Scottish Government to implement and deliver ´Keep Well´ checks for prisoners. Reflecting the high risk factors among this population, the health checks are targeted at prisoners aged 35 years and over. The health checks began in May 2010 and are delivered by two peripatetic SPS Keep Well teams


The evaluation of Keep Well in Scottish Prisons will provide valuable learning to inform the national implementation of the Keep Well programme and to allow for lessons to be drawn about the delivery of healthcare within a prison context. In short, the study will also contribute to an understanding of the barriers and facilitators to providing effective anticipatory care for prisoners and ex-prisoners, as well as feeding in additional evidence to inform current deliberations regarding the mainstreaming of primary prevention in Scotland

The evaluation of Keep Well in Scottish Prisons has been conducted by a team from the Scottish Centre for Social Research (Scotcen).

The final Keep Well in Prisons report is now available.

For further information on the evaluation, please contact jill.muirie@nhs.net.

Updated 24 July 2014

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