People over 60 make up the fastest growing age group in prison, but their specialist health and social needs may be difficult to accommodate on general wings. The author discusses the development of an assessment she has devised for prisoners aged over 65 at Jurby Prison on the Isle of Man to gather information on physical, social and mental health needs. Agreed plans of care covering continence, mental health, mobility, nutrition, sensory impairment and communication difficulties are also explored.