Recommendation 18

The increasing level of self-harm in the female estate over the last decade is alarming and while the number of self-inflicted deaths is low, even one death is one too many. We recognise that the MoJ and HMPPS are working to address self-harm levels across the female estate and welcome the ongoing work to improve the Assessment, Care in Custody and Teamwork (ACCT) process, and roll out the Offender Management in Custody Model. We note that the revised ACCT process is still relatively new, and there is not yet an evidence base to determine whether it will contribute to reduced levels of self-harm. The Ministry of Justice should set out how it intends to evaluate and measure the success of the new ACCT process in comparison to the previous version of the process.