2025

Noted (AI summary) G4S states that timeframes are already contained within policies and procedures as required nationally and pursuant to the service level agreement with CTMUHB, and those timeframes are complied with, therefore no action is proposed.

Noted (AI summary) The Department of Health and Social Care acknowledges concerns about communication and confusion during medical emergencies in prisons, confirms HM Prison and Probation Service has primacy for command and control, and highlights existing CQC guidance on reducing harm in mental health settings.

Noted (AI summary) The Trust details the role of the GIC as detailed in the service specifications published by NHS England for Gender Identity Services for Adults (Non-Surgical Interventions) and states that it is working with NHS England and other providers to develop innovative ways of reducing the waiting times. NHS England is undertaking a review of adult Gender Dysphoria Clinics, with a report due in Autumn 2025 to inform a new service specification for 2025/26. They are also working to increase capacity in children and young people's gender services.

Noted (AI summary) TfL updated operational rules for track searches on 12 May 2025 and established a review group to improve communication between operational staff and police. They are testing a prototype lighting rig to enhance track illumination at night and plan to roll it out across the LU network in 2026 if successful. The Department for Transport notes the concerns and refers to Transport for London's responsibility for operational safety and their response to the report. The Railway Safety and Standards Board (RSSB) states that its standards do not apply to London Underground, and that existing mainline regulations and safety data do not warrant further action on their part.

Noted (AI summary) HMP Guys Marsh has developed its Incentivised Substance Free Living (ISFL) unit, provides comprehensive staff information on illicitly brewed alcohol, and ensures in-cell medication safes are available and fit for purpose. Oxleas NHS Foundation Trust has committed to introducing regular assurance checks for all prisoners in receipt of IP medication. Oxleas NHS Foundation Trust will be developing and distributing new health promotion materials to the prison population at HMP Guys Marsh focusing on safe storage and proper disposal of medication. They have published a local In-possession Medication Compliance procedure outlining bi-monthly in-cell compliance checks. HMPPS has developed and disseminated materials focused on illicitly brewed alcohol (IBA), including the Drugs in Prison and Probation (DiPP) guide. The healthcare provider at HMP Guys Marsh, Oxleas NHS Foundation Trust, has committed to introducing regular assurance checks for all prisoners in receipt of IP medication, and in-cell lockers will be replaced if damaged. The Department acknowledges concerns about medication held in prisoners' possession, but states that national NHS policies for prisoners are the same as those used in the community. They believe existing processes, contractual monitoring, and learning from serious incidents are sufficient, and that national guidance could further complicate the issue.