Mixed methods were adopted in this part of the study, comprising a national questionnaire and
semistructured interviews with a range of professional respondents. The questionnaire was distributed
to health care managers at all prisons housing adult men in England and Wales (n=97) between
October 2010 and June 2011. The questionnaire aimed to ascertain current levels and integration of health
and social care services. Descriptive statistics were generated from these data and analyses by prison type
were conducted. Data from the questionnaires were used to identify prisons that reported particular
successes or challenges in integrating health and social care services. From these prisons a total of 32 staff
members undertaking a wide range of professional roles were invited to participate in semistructured
interviews between November 2011 and May 2012. The interviews explored facilitators and barriers to