Recommendation 30

The circumstances surrounding the deaths of Baby A and Baby B identified serious failings in the care and management of Ms A and Ms B, and some serious errors in judgement, as described in the subsequent reports by the Prison and Probation Ombudsman (PPO). The findings of both reports are serious, and urgent action by the MoJ, HMPPS, NHSE/I and other listed parties must be taken. The MoJ, HMPPS Women in Prison 79 and NHSE/I should set out the progress they are making against each recommendation in both reports from the PPO, and how lessons learned are being applied across the female estate.