Asked by: Rosena Allin-Khan (Labour - Tooting)
Question to the Ministry of Justice:
To ask the Secretary of State for Justice, how many deaths have been recorded at HMP Wandsworth since 30 June 2023.
Answered by Edward Argar - Minister of State (Ministry of Justice)
Deaths recorded by prison are published as part of our Safety in Custody statistics, updated quarterly, and available in the Deaths Data Tool at the following link: Safety in custody: quarterly update to September 2023 - GOV.UK (www.gov.uk).
Please note that deaths at Wandsworth are currently published from 30 June 2023 – end of December 2023. Figures to the end of March 2024 are not due for publication until April 2024 and cannot be released at this time.
Deaths in prison custody figures include all deaths of prisoners arising from incidents during prison custody. They include deaths of prisoners while released on temporary license (ROTL) for medical reasons but exclude other types of ROTL where the state has less direct responsibility.
In addition to deaths in prison custody which occur in hospitals, hospices or nursing homes, a small proportion will occur while in an ambulance on the way to hospital, while the prisoner is under escort.
Every death in custody is a tragedy and we continue to do all we can to improve the safety of prisoners.
We have implemented a revised version of the Assessment, Care in Custody and Teamwork (ACCT) case management approach across the prison estate. Revisions in ACCT v6 include a stronger emphasis on taking a person-centred approach; better multi-disciplinary team working; a consistent quality assurance process and an improved focus on identifying and addressing an individual’s risks, triggers and protective factors.
We are implementing a new safety training package for staff. It brings together related safety topics, including suicide and self-harm prevention and understanding risks, triggers and protective factors.
We fund Samaritans through a grant providing total funding of just under £2 million between 2022 and 2025. This is primarily for the delivery of the Listener scheme (through which selected prisoners are trained to provide support to fellow prisoners in emotional distress).
We have also worked with Samaritans to develop a postvention response to providing support in the period following a self-inflicted death in order to reduce the risk of further deaths. This has been successfully piloted and the renewed grant includes funding for this service to be maintained until March 2025.
Asked by: Baroness Browning (Conservative - Life peer)
Question to the Department of Health and Social Care:
To ask His Majesty's Government what assessment they have made of the effectiveness of the dynamic support register and Care (Education) and Treatment Review policy for autistic people without a learning difficulty in (1) preventing hospital admissions, and (2) speeding up hospital discharges.
Answered by Lord Markham - Parliamentary Under-Secretary (Department of Health and Social Care)
NHS England published updated policy and guidance on both Care (Education) and Treatment Reviews (C(E)TRs) and Dynamic Support Registers (DSRs) on 25 January 2023, for implementation from 1 May 2023, to help ensure people get the support they need to stay well in their communities. This includes guidance on the timescales for C(E)TRs and on ensuring that actions are taken forward.
NHS England produced the updated policy and guidance following a process of reviewing the learning since the inception of C(E)TRs and DSRs, including consultation and engagement with people with lived experience. This process included drawing on the findings of the Norfolk Safeguarding Adults Board’s review of the deaths of Joanna, Jon and Ben at Cawston Park in Norfolk, and the subsequent safe and wellbeing reviews for all people with a learning disability and autistic people in mental health hospitals.
Asked by: Baroness Browning (Conservative - Life peer)
Question to the Department of Health and Social Care:
To ask His Majesty's Government what steps they are taking to ensure that Care (Education) and Treatment Reviews are taking place within recommended timeframes, and that recommendations arising from those reviews are being acted on.
Answered by Lord Markham - Parliamentary Under-Secretary (Department of Health and Social Care)
NHS England published updated policy and guidance on both Care (Education) and Treatment Reviews (C(E)TRs) and Dynamic Support Registers (DSRs) on 25 January 2023, for implementation from 1 May 2023, to help ensure people get the support they need to stay well in their communities. This includes guidance on the timescales for C(E)TRs and on ensuring that actions are taken forward.
NHS England produced the updated policy and guidance following a process of reviewing the learning since the inception of C(E)TRs and DSRs, including consultation and engagement with people with lived experience. This process included drawing on the findings of the Norfolk Safeguarding Adults Board’s review of the deaths of Joanna, Jon and Ben at Cawston Park in Norfolk, and the subsequent safe and wellbeing reviews for all people with a learning disability and autistic people in mental health hospitals.
Asked by: Rachael Maskell (Labour (Co-op) - York Central)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what steps she is taking to help reduce the number of alcohol-related deaths each year.
Answered by Andrea Leadsom - Parliamentary Under-Secretary (Department of Health and Social Care)
The Government is committed to supporting the most vulnerable and at risk from alcohol misuse and takes a wide-ranging approach to addressing harms. As part of the NHS Long Term Plan, we have an ambitious programme to establish specialist Alcohol Care Teams in the 25% hospitals with the highest rates of alcohol dependence-related admissions, alcohol-mortality, and deprivation. This is estimated to prevent 50,000 admissions over five years.
As part of the Government’s 10-year drug strategy, local authorities are receiving a record £516 million additional investment through to 2024/25 to improve drug and alcohol treatment and recovery services. This funding is in addition to the Public Health Grant and will improve the capacity and quality of drug and alcohol treatment. This funding is being targeted to areas of highest need first. This funding is in addition to local authorities’ expenditure on substance misuse services from the Public Health Grant.
Asked by: Rachael Maskell (Labour (Co-op) - York Central)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, whether she has set targets for the (a) reduction of (i) drug and (ii) alcohol use and (b) number of people receiving treatment for related addictions.
Answered by Andrea Leadsom - Parliamentary Under-Secretary (Department of Health and Social Care)
The Government published a 10-year drug strategy in December 2021 which sets out three core priorities: cutting off drug supply, creating a world class treatment and recovery system, and achieving a generational shift in demand for drugs. The strategy aims to reduce crime, drug related deaths, harm, and overall drug use and is backed by significant new investment. The Government has invested an additional £780 million in drug and alcohol treatment and recovery services, of which £532 million is dedicated to rebuilding local authority commissioned substance misuse treatment services in England. The drug strategy includes a specific target of getting 54,500 more people in drug and alcohol treatment between 2022/23 and 2024/25. Success is being measured against a system of local and national outcomes frameworks. More information on the strategy is available at the following link:
Delivery of the drugs strategy is a cross-government priority; the Joint Combatting Drugs Unit (JCDU) is a cross-Government team, based in the Home Office, that was set up to coordinate the drug strategy delivery across all relevant Government departments. The Department of Health and Social Care works closely with the JCDU to work to achieve the aims of the drug strategy.
No specific targets have been set for the reduction of alcohol use in England; however, the United Kingdom Chief Medical Officers’ low-risk drinking guidelines recommends that adults consume no more than 14 units of alcohol per week. According to the 2021 Health Survey for England, around 80% of adults in England drink within these guidelines. Through the NHS Long Term Plan, the Government is investing £27 million to establish alcohol care teams in the 25% of acute hospitals in England with the greatest need. These specialist teams identify alcohol dependent patients admitted to hospital for any reason, start them on specialist treatment as inpatients, and facilitate them into community-based substance misuse treatment upon discharge.
Asked by: Rachael Maskell (Labour (Co-op) - York Central)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what steps she is taking with Cabinet colleagues to improve coordination on reducing drug and alcohol harms.
Answered by Andrea Leadsom - Parliamentary Under-Secretary (Department of Health and Social Care)
The Government published a 10-year drug strategy in December 2021 which sets out three core priorities: cutting off drug supply, creating a world class treatment and recovery system, and achieving a generational shift in demand for drugs. The strategy aims to reduce crime, drug related deaths, harm, and overall drug use and is backed by significant new investment. The Government has invested an additional £780 million in drug and alcohol treatment and recovery services, of which £532 million is dedicated to rebuilding local authority commissioned substance misuse treatment services in England. The drug strategy includes a specific target of getting 54,500 more people in drug and alcohol treatment between 2022/23 and 2024/25. Success is being measured against a system of local and national outcomes frameworks. More information on the strategy is available at the following link:
Delivery of the drugs strategy is a cross-government priority; the Joint Combatting Drugs Unit (JCDU) is a cross-Government team, based in the Home Office, that was set up to coordinate the drug strategy delivery across all relevant Government departments. The Department of Health and Social Care works closely with the JCDU to work to achieve the aims of the drug strategy.
No specific targets have been set for the reduction of alcohol use in England; however, the United Kingdom Chief Medical Officers’ low-risk drinking guidelines recommends that adults consume no more than 14 units of alcohol per week. According to the 2021 Health Survey for England, around 80% of adults in England drink within these guidelines. Through the NHS Long Term Plan, the Government is investing £27 million to establish alcohol care teams in the 25% of acute hospitals in England with the greatest need. These specialist teams identify alcohol dependent patients admitted to hospital for any reason, start them on specialist treatment as inpatients, and facilitate them into community-based substance misuse treatment upon discharge.
Asked by: Rachael Maskell (Labour (Co-op) - York Central)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what steps her Department is taking to support people with (a) drug and (b) alcohol addictions.
Answered by Andrea Leadsom - Parliamentary Under-Secretary (Department of Health and Social Care)
The Government published a 10-year drug strategy in December 2021 which sets out three core priorities: cutting off drug supply, creating a world class treatment and recovery system, and achieving a generational shift in demand for drugs. The strategy aims to reduce crime, drug related deaths, harm, and overall drug use and is backed by significant new investment. The Government has invested an additional £780 million in drug and alcohol treatment and recovery services, of which £532 million is dedicated to rebuilding local authority commissioned substance misuse treatment services in England. The drug strategy includes a specific target of getting 54,500 more people in drug and alcohol treatment between 2022/23 and 2024/25. Success is being measured against a system of local and national outcomes frameworks. More information on the strategy is available at the following link:
Delivery of the drugs strategy is a cross-government priority; the Joint Combatting Drugs Unit (JCDU) is a cross-Government team, based in the Home Office, that was set up to coordinate the drug strategy delivery across all relevant Government departments. The Department of Health and Social Care works closely with the JCDU to work to achieve the aims of the drug strategy.
No specific targets have been set for the reduction of alcohol use in England; however, the United Kingdom Chief Medical Officers’ low-risk drinking guidelines recommends that adults consume no more than 14 units of alcohol per week. According to the 2021 Health Survey for England, around 80% of adults in England drink within these guidelines. Through the NHS Long Term Plan, the Government is investing £27 million to establish alcohol care teams in the 25% of acute hospitals in England with the greatest need. These specialist teams identify alcohol dependent patients admitted to hospital for any reason, start them on specialist treatment as inpatients, and facilitate them into community-based substance misuse treatment upon discharge.
Asked by: Lord Blunkett (Labour - Life peer)
Question to the Ministry of Justice:
To ask His Majesty's Government, further to the Written Answer of Lord Bellamy on 28 November (HL272), whether the figure quoted, of 18 deaths among those serving imprisonment for public protection sentences in secure hospitals up to 31 December 2022, is included within the overall figures of deaths of IPP prisoners published by the HM Prison and Probation Service for the same period.
Answered by Lord Bellamy - Parliamentary Under-Secretary (Ministry of Justice)
HMPPS publishes quarterly Safety in Custody statistics which cover deaths, self-harm and assaults in prison custody, in England and Wales. These published statistics do not include the death of those in secure mental health facilities.
I also refer the noble Lord to the answer I gave to question HL273 on 28 November 2023, which can be found via the following link: Written questions and answers - Written questions, answers and statements - UK Parliament.
Asked by: Lord Blunkett (Labour - Life peer)
Question to the Ministry of Justice:
To ask His Majesty's Government whether the deaths of prisoners serving an imprisonment for public protection (IPP) sentence in secure mental health facilities are included in overall figures of deaths of IPP prisoners, published by the HM Prison and Probation Service.
Answered by Lord Bellamy - Parliamentary Under-Secretary (Ministry of Justice)
On 16 October 2023, the Lord Chancellor announced he would be looking at options to curtail the licence period to restore greater proportionality to IPP sentences in line with recommendation 8 of the report by the Justice Select Committee (JSC), published on 28 September 2022.
These changes are being taken forward in the Victims and Prisoners Bill. The measure will make it quicker and easier to terminate the IPP licence (and therefore the IPP sentence as a whole) whilst balancing public protection considerations.
The new measure will:
The Lord Chancellor was persuaded by the Committee’s recommendation to reduce the qualifying licence period from 10 years to 5 years and is going further: reducing the period to 3 years. These amendments will restore greater proportionality to IPP sentences and provide a clear pathway to a definitive end to the licence and, therefore, the sentence, while balancing public protection considerations.
There were 18 deaths of those serving IPP sentences in secure hospitals, up to 31 December 2022.
Please Note:
(1) Data is only available from 2009 onwards.
(2) Figures have been taken from a subset of published data in the Restricted Patients Statistical Bulletin, which has been published up to 31 December 2022.
(3) The data relates to all deaths, including natural causes and self-inflicted.
(4) Some cases may have ongoing investigations to determine the cause of death.
HMPPS publishes quarterly Safety in Custody statistics which cover deaths, self-harm and assaults in prison custody, in England and Wales. These published statistics do not include the death of those in secure mental health facilities.
Asked by: Lord Blunkett (Labour - Life peer)
Question to the Ministry of Justice:
To ask His Majesty's Government how many people serving an imprisonment for public protection sentence have died in secure mental health facilities.
Answered by Lord Bellamy - Parliamentary Under-Secretary (Ministry of Justice)
On 16 October 2023, the Lord Chancellor announced he would be looking at options to curtail the licence period to restore greater proportionality to IPP sentences in line with recommendation 8 of the report by the Justice Select Committee (JSC), published on 28 September 2022.
These changes are being taken forward in the Victims and Prisoners Bill. The measure will make it quicker and easier to terminate the IPP licence (and therefore the IPP sentence as a whole) whilst balancing public protection considerations.
The new measure will:
The Lord Chancellor was persuaded by the Committee’s recommendation to reduce the qualifying licence period from 10 years to 5 years and is going further: reducing the period to 3 years. These amendments will restore greater proportionality to IPP sentences and provide a clear pathway to a definitive end to the licence and, therefore, the sentence, while balancing public protection considerations.
There were 18 deaths of those serving IPP sentences in secure hospitals, up to 31 December 2022.
Please Note:
(1) Data is only available from 2009 onwards.
(2) Figures have been taken from a subset of published data in the Restricted Patients Statistical Bulletin, which has been published up to 31 December 2022.
(3) The data relates to all deaths, including natural causes and self-inflicted.
(4) Some cases may have ongoing investigations to determine the cause of death.
HMPPS publishes quarterly Safety in Custody statistics which cover deaths, self-harm and assaults in prison custody, in England and Wales. These published statistics do not include the death of those in secure mental health facilities.