I thank the hon. Member for City of Durham (Mary Kelly Foy) for securing this important debate this evening. As she started her remarks, she said that staff have done so much on the frontline in our prisons across the country. I start by paying tribute to that work and recognising the important work that they have done in our prisons, together with PHE and the NHS. They are all working in extremely challenging circumstances.
I will start by explaining the general approach that we are taking in prisons to manage covid and then address the specific situation in Frankland against that background. I do that because it is important to understand the context before considering the particular measures taken in a particular prison.
From the outset of the pandemic, the safety of our staff and those in our care has been paramount. We have at all times been conscious of the potential for the virus to spread quickly in prisons, which are closed environments, which could lead to significant deaths. Indeed, in March, at the beginning of the outbreak, PHE advised us that we could expect 2,500 to 3,500 deaths in our prisons if we took no action.
When the first wave hit, we took decisive action early and changed how we delivered our services. We implemented significant restrictions in prisons to support social distancing, reduce physical contact between staff and prisoners and minimise movement between prisons. We stopped social visits and transfers.
To protect the most vulnerable, we quickly implemented our compartmentalisation strategy, which quarantines new arrivals, isolates the sick and shields the vulnerable. We brought in mitigations to cover staff absences and provided extra support to prisoners facing restricted regimes as well as those being released from custody during this challenging time.
We also recognised that the lockdown had an effect on the mental health of those in our care who were subject to the restricted regimes. We thought about ways in which we could continue to allow them to have contact with their family. We rapidly deployed video calling into 50 prisons within weeks. That helped maintain family contact for prisoners when face-to-face visits were not possible.
That robust response by Her Majesty’s Prison and Probation Service, working extremely closely with PHE, meant that we limited the number of deaths in custody. Sadly, 24 prisoners died of covid-related causes during the first wave. Although that is considerably less than the thousands of deaths that PHE initially modelled back in March, it does not detract from the loss experienced by the families of those individuals who passed away. I offer my sincere condolences to their loved ones.
In the 12 months to September 2020, 176 prisoners died of natural causes, including covid. That is only six more than in the previous 12 months. Each life lost is a tragedy and that is why we are doing everything to manage potential outbreaks of the virus across the prison estate in the second wave. However, we must also recognise that, given the length of time since the virus began, we now need to allow prisoners more flexibility in their regimes.
We recognise that the burden of covid-19 goes beyond the risk of infection. We are alive to the risk that anxieties about covid-19 and the regime restrictions required for infection control may exacerbate prisoners’ mental health needs. We take that extremely seriously.
We are now thankfully better prepared than we were in March to respond to the challenge and therefore some flexibility in regime is now possible. We are continuing with all the measures we put in place in March, but in addition, we have more effective measures from wave one. For example, we now have greater capacity to test prisoners and staff for the virus. We are implementing the weekly testing of staff and that of prisoners on reception and transfer. That is an essential tool to help identify outbreaks early, reduce transmission and bring outbreaks under control as swiftly as possible.
Our aim is to balance the risk of infection while managing prisoners’ wellbeing. To do that, we need to run the fullest regimes possible consistent with infection control. That is why we have given our governors the flexibility to react to the local situation, acting on PHE advice. We published our national framework in June. That sets out how we will take decisions about restrictions in prisons. It allows prisons to move between different stages of regime delivery according to their local circumstances.
We eased restrictions in prisons over the summer, but we knew that in some cases we would need to reimpose them temporarily as the risk changed or as part of our response to outbreaks. Although our interventions reduced the likelihood and impact of covid-19 spreading in custody, we realise that we cannot reduce that risk to zero. Prisons cannot and should not be cut off from the community. If the number of cases in the community rises, the likelihood of an outbreak in the local prison will also inevitably rise. We are therefore ready to intervene quickly in response to suspected or confirmed cases among staff and prisoners, and to provide further support. Our success in closing outbreaks in prisons in both the first wave and the second wave shows that our approach is effective.
Having outlined our national response, I would like to turn to the situation at HMP Frankland. I very much welcome the conversation I had with the hon. Member for City of Durham earlier today to understand the concerns that she raised. I have also had an opportunity to speak to the governor at Frankland. I thank him and his staff, and all those working in prisons, for all their efforts in this challenging period.
On 13 October, an outbreak was declared at the prison after members of staff developed symptoms and tested positive for covid-19. As the hon. Member mentioned, Her Majesty’s Prison and Probation Service, PHE and the NHS took immediate action and a multi-agency outbreak control team was stood up to manage the response. In response to that, affected areas of the prison were quarantined, contact within the prison was reduced to a minimum and social visits were suspended. Cleaning practices across the prison were enhanced and all staff and prisoners are now wearing face coverings.
A mobile testing unit was deployed to the site and contact tracing carried out to identify close contacts needing to isolate. That mobile testing has now been replaced by regular on-site testing within the prison itself. Staff are being deployed in groups to assigned wings of the prison to minimise the chance of cross-infection. Prisoners are grouped in bubbles for access to essential services such as showers, phones and medication.
As I set out earlier, we have planned for outbreaks such as the one in Frankland. Although prisons are, by their nature, complex and high-risk settings for covid, I have every confidence in the range of measures that we have in place to contain outbreaks. The governor of the prison has told me that the measures he is taking are having an impact, but of course we will continue to monitor the situation closely.
I would like to respond to some of the particular concerns that the hon. Member raised. She mentioned that the regime should go to level 5. Frankland is currently operating at the most restrictive measure within the framework that is reasonable in the circumstances. We cannot take away basic dignity—basic decency—for the men. It would be difficult to take away a shower and some time in the open air. Indeed, as the governor said to me earlier today, if we did so, we would not only put the mental health of the men at risk, but we would heighten tension in the prison and put our staff at risk.
The hon. Member suggested that the POA and PHE support a different regime. I understand that PHE and the governor have agreed on a regime that both minimises the risk of infection and is operationally deliverable, and that continues to protect staff and prisoners from mental ill effects in the manner that I previously described.
I, too, would like to thank the POA for its constructive approach. At national level, throughout this crisis, HMPPS has worked very closely with the POA, and I thank it for all its constructive work in this period. As the hon. Member mentioned, there has been a meeting locally at HMP Frankland every morning with the POA to discuss management of the prison, and relations with the POA locally are good. I understand from the governor that the local POA did not raise any concerns about the management of covid at the prison.
The hon. Member raised the issue of staffing. She is absolutely right to highlight that there are staff absences at the prison. I have been reassured that the staff complement is sufficient, given the restrictive regime. As a high security prison, the staffing is higher than at other prisons. Of course, with a restricted regime it is also possible to operate with a lower number of staff. We keep all those measures under consideration, and have contingency measures in place across the country to ensure that additional staff and support can be provided where we have low staff complement.
The right hon. Member for North Durham (Mr Jones) mentioned the Prison Service’s approach to those who are shielding or who might have other issues. If there are any particular instances, I would be happy to take them up; it is very important that we look after our staff across the estate. There was also a question about in-cell telephony. We have installed that over the last 18 months in 48,000 cells. Frankland is on the programme, with the aim to roll out for 2021-22, subject to funding.
We will continue to act based on public health advice to protect our staff, prisoners and the NHS over the winter.
Question put and agreed to.