The report about HMYOI Aylesbury opened up a wider debate about the pay of medical staff in UK prisons compared to those in the NHS (umbrella term for the publicly-funded healthcare systems of the United Kingdom); then it was back in the headlines in 2007, after it was revealed to have a higher rate of self-harm by inmates than any other Young Offenders Institution in England.
In 1998 HMYOI Aylesbury was criticised after an inspection report highlighted its poor health regime, which saw the rapid turnover of five senior medical officers in two years. The report opened up a wider debate about the pay of medical staff in UK prisons compared to those in the NHS. HMYOI Aylesbury prison was back in the headlines in 2007 after it was revealed to have a higher rate of self-harm by inmates than any other Young Offenders Institution in England Following the introduction of the Prison Service's ACCT (Assessment, Care in Custody, and Teamwork) system the rate of self-harm has reduced significantly. The National Health Service (NHS) is the umbrella term for the publicly-funded healthcare systems of the United Kingdom (UK). 
