Stevie, a prisoner with significant mobility challenges, spent a long time without key equipment to support daily life in his cell, leaving him feeling isolated, and his quality of life quickly deteriorated. Requests for specialist items and an occupational therapist had gone unanswered for over a year, with faulty equipment within his cell. Despite efforts from his family, progress felt impossible.

SPARC became involved after a referral from Stevie’s local MSP. Before we could advocate on his behalf, we needed to secure formal mandates covering three different bodies: the Scottish Prison Service, the NHS, and the private care provider. This took time, but with consistent communication from SPS and the private healthcare management, the process was clearly explained and ultimately straightforward.

Once authorised, we were able to begin advocating for Stevie’s needs. An occupational therapist was assigned and due to see Stevie within weeks, and the first pieces of specialist equipment were installed in his cell and the faulty equipment fixed. More importantly, the private care company took the opportunity to review and change its internal procedures, resulting in improved care protocols for all people in custody under its remit.

We were genuinely encouraged by all agencies’ positive and collaborative responses. This case highlighted how persistent, respectful advocacy—grounded in lived experience and backed by consent—can lead to real, system-wide change.

Names, relationships, and minor identifying details have been changed to protect confidentiality.