The responsibility for prison mental health care transferred fully to primary care trusts in 2006. All prison mental health services are now mainstreamed within the national health service, where the reception screening tool can assess quickly all prisoners with health concerns, including mental illness, and, where appropriate, refer them to mental health in-reach teams.
NHS prison mental health services are provided through 102 in-reach teams, to which all prisons have access. Most mental health treatment and care is delivered in prison primary care settings, as is other NHS treatment (e.g. for prisoners with diabetes or heart disease) unless urgent treatment is needed, when prisoners can be transferred to secure NHS facilities outside of the prison service for treatment under the Mental Health Act.