HM Prison and Probation Service

Action Planned (AI summary) HMP Winchester has taken on a temporary staff member to transcribe telephone calls, implemented a new protocol for information gathering, transcribed interview discs, and ordered a secure storage facility for documentation regarding any death in custody. The Head of Business Assurance is reviewing accounting systems and storage of internal investigation material. Carillion has contacted HMPPS and proposed a formal instruction for staff to undergo SASH training, is ready to issue a notice to site managers to make staff available, and suggested that HMPPS maintain a training record for Carillion staff. HMPPS has confirmed that all Carillion prisoner facing staff should be required to undergo training. The prison has issued notices to staff regarding emergency call bell response times and to prisoners about the misuse of call bells. The prison is also checking ECB response times daily and bidding for funding to upgrade the ECB system; nationally, a learning bulletin will be issued to staff on ECB importance and abuse in early 2018.

Action Planned (AI summary) CNWL NHS Trust has clarified report request procedures with HMPPS, ensured report requests are communicated to consultants promptly, updated care plan templates to include release planning, audited CPA meetings to improve attendance, and launched an Offender Care Transformation Board to reduce self-harm and avoid unexpected deaths. HMPPS is reviewing procedures for fitness to plead reports, developing a framework to support families with prison visits (due in 2018), implementing recommendations from the Farmer Report on family ties, and implementing a new model of offender management in custody by March 2019 to ensure external agencies are notified of a prisoner's release.

Action Planned (AI summary) NHS England states that Care UK circulated a document with contact details of medical staff who can sign Mental Health Assessment documents, and a new provider will deliver healthcare at HMP Chelmsford from May 2017 with greater access to psychiatrists. Essex Partnership NHS Trust has submitted its admissions protocol for regional review by the Secure Services Catchment Group for East of England and will inform the coroner of the outcome; it has also referred the issue of best practice in relation to the forensic pathway to the same group. Care UK developed a new Mental Health Pathway, formally signed off on 28 March 2017, and is rolling it out across all Care UK sites via mental health workshops to examine processes and quality of care provided.

Action Planned (AI summary) The prison Mental Health services are using more specific language than "ligature" to describe observations, discussed in team meetings. The Trust will work with partners to agree and promote a guidance document within the NE prison cluster.

Action Planned (AI summary) NOMS acknowledges potential confusion regarding ACCT guidance and will resolve this in the revision of PSI 64/2011, due for completion by the end of April 2017; the revised version will be easier for staff to read and understand.

Action Planned (AI summary) The London Ambulance Service updated its Computerised Gazetteer to include multiple entrances to HMP Pentonville, and included specific reference to HMP Pentonville in refresher training for EOC staff, requiring confirmation of the gate to attend at the start of a call. They have also held meetings with senior prison staff to promote effective communication. Care UK refers to the response provided by BEH-MHT for some concerns, and states they will collaborate with them to ensure their action plan is implemented. They have implemented a training plan to ensure most healthcare staff will be ILS trained by December 2016, with yearly refresher trainings. NOMS states that the local risk assessment at Pentonville is up to date, and there is a sufficient number of staff trained in first aid. Prison control room staff have been briefed to provide the prison gate location at the beginning of calls to the London Ambulance Service.

Action Planned (AI summary) • Leeds City Council has been working to design a scheme which provides safe pedestrian assisted facilities across the Ring Road at this location and the neighbouring Coal Road junction. • Design considerations have been concluded and a final layout has been confirmed, which will be compatible with proposed future improvements planned at the Coal Road/ Ring Road junction and also longer term aspirations along this strategic corridor. • A Highways Board report is to be presented to the Chief Officer (Highways and Transportation) early in the New Year to seek formal funding approval to progress the junction improvement measures at the Ramshead Approach/ Ring Road junction.

Action Planned (AI summary) Greater Manchester West Mental Health Foundation Trust have commissioned a review of available assessment tools for the prison setting. NHS England are re-procuring the healthcare electronic healthcare system, SystmOne, which will include sharing of risk indicators.