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Launched in 2011, the Offender Personality Disorder Pathway (OPD) is a jointly funded partnership between HMPPS and the NHS in England and Wales. It is a long-term change programme that commissions treatment and support services nationally for individuals with some of the most complex mental health needs linked to their offending. Whilst a diagnosis is not required to access services, these needs are characterised as a ‘personality disorder’. Services for people within scope are delivered across prisons, Adult Secure Mental Health Services, and community settings. The OPD is not a single service, but a connected system of interventions, activities, training, and staff support. The Primrose Service at HMP Low Newton provides therapeutic interventions for high and very high-risk women who screen into the OPD. The service is delivered on a non-residential basis and is currently commissioned through a service level agreement (SLA) that was established prior to the formal development of the OPD programme. The Primrose Service offers up to 12 static places, alongside a small number of ‘dynamic non-residential’ (often understood as ‘outreach’) spaces, for women presenting with personality
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