Public Inquiry
Brook House Inquiry
Status: Completed
Chair: Kate Eves
Established: Feb 2020
Report: Sep 2023
Commissioned by: Home Office
The Brook House Inquiry examined mistreatment of detainees at Brook House Immigration Removal Centre near Gatwick Airport between April and August 2017, following undercover footage broadcast by BBC Panorama. The inquiry found 19 incidents of mistreatment and made 33 recommendations.
Response breakdown
Evidence & impact
The Brook House Inquiry examined events at Brook House Immigration Removal Centre following undercover filming by BBC Panorama in 2017 which revealed mistreatment of detained people. The inquiry made 33 recommendations addressing oversight, conditions, safeguarding, use of force, healthcare, staffing, and complaints processes.
The government accepted 27 recommendations in principle, accepted one fully, placed two under consideration, and rejected three. The rejected recommendations concerned a 28-day detention time limit, NHS England responsibility for healthcare quality assurance, and changing the seniority of the Professional Standards Unit head.
According to a Written Parliamentary Answer in January 2025, the Home Office reported that 17 recommendations had been 'completed and closed as of October 2024', with a further five 'due for closure by end of January 2025', and 11 'on track for closure by summer 2025'. However, the evidence base for these assertions remains limited in the public domain.
Documented changes include new contractual arrangements for immigration removal centres, establishment of compliance and engagement teams, prohibition of specific restraint techniques, and a new staffing model. An interim Detention Services Order on Rule 40/42 has been published, with substantive revisions underway. The government has committed to legislative reform for Independent Monitoring Boards, though this awaits Parliamentary time.
A High Court ruling in December 2025 found the Home Secretary had failed to comply with Article 3 ECHR systems duty in Rule 35 safeguarding at Brook House between July 2023 and March 2024, noting only 20 Rule 35 reports were filed despite 260 ACDT care plans during this period. This suggests ongoing challenges in implementing safeguarding recommendations.
Many recommendations involve ongoing reviews and policy development work, including comprehensive reviews of complaints processes, Adults at Risk policy, and use of force protocols. While the government has indicated progress through ministerial statements, published evidence of completed implementation remains limited for most recommendations.
The government accepted 27 recommendations in principle, accepted one fully, placed two under consideration, and rejected three. The rejected recommendations concerned a 28-day detention time limit, NHS England responsibility for healthcare quality assurance, and changing the seniority of the Professional Standards Unit head.
According to a Written Parliamentary Answer in January 2025, the Home Office reported that 17 recommendations had been 'completed and closed as of October 2024', with a further five 'due for closure by end of January 2025', and 11 'on track for closure by summer 2025'. However, the evidence base for these assertions remains limited in the public domain.
Documented changes include new contractual arrangements for immigration removal centres, establishment of compliance and engagement teams, prohibition of specific restraint techniques, and a new staffing model. An interim Detention Services Order on Rule 40/42 has been published, with substantive revisions underway. The government has committed to legislative reform for Independent Monitoring Boards, though this awaits Parliamentary time.
A High Court ruling in December 2025 found the Home Secretary had failed to comply with Article 3 ECHR systems duty in Rule 35 safeguarding at Brook House between July 2023 and March 2024, noting only 20 Rule 35 reports were filed despite 260 ACDT care plans during this period. This suggests ongoing challenges in implementing safeguarding recommendations.
Many recommendations involve ongoing reviews and policy development work, including comprehensive reviews of complaints processes, Adults at Risk policy, and use of force protocols. While the government has indicated progress through ministerial statements, published evidence of completed implementation remains limited for most recommendations.
Reports & milestones
Reports
Timeline
01 Sep 2017
Panorama Broadcast
BBC Panorama broadcast undercover footage from Brook House IRC.
05 Nov 2019
Chair Appointed
Kate Eves appointed as Chair.
13 Feb 2020
Terms of Referenc…
Inquiry to examine treatment of detainees April-August 2017.
· Source
01 Nov 2021
Hearings Begin
Public hearings commenced.
19 Sep 2023
Final Report Publ…
Report found "cruel, inhuman and degrading treatment" of detainees.
· Source
19 Sep 2024
One Year Progress…
Home Office published progress update one year after report.
Recommendations
| Code | Recommendation | Addressed to | Response | |
|---|---|---|---|---|
| 1 |
The Home Office must actively and robustly monitor the performance of the Brook House contract, including satisfying itself that any self-reported information …
|
Home Office | Accepted in Part | View → |
| 2 |
The Home Office must ensure that each contract for the management of an immigration removal centre must expressly require compliance with the …
|
Home Office | Accepted in Part | View → |
| 3 |
The Home Office must ensure that a maximum of two detained people are accommodated in each cell at Brook House.
|
Home Office | Accepted in Part | View → |
| 4 |
The Home Office and its contractors must ensure reasonable access to computers and the internet. Contractors must comply in full with Detention …
|
Home Office | Accepted in Part | View → |
| 5 |
The Home Office must ensure that adequate risk assessment for cell sharing is carried out by contractors in relation to every detained …
|
Home Office | Accepted in Part | View → |
| 6 |
The Home Office, in consultation with the contractor responsible for operating each immigration removal centre, must review the current lock-in regime and …
|
Home Office | Accepted in Part | View → |
| 8 |
The Home Office (in collaboration with NHS England as required) must ensure that comprehensive training on Rule 34 and Rule 35 of …
|
Home Office | Accepted in Part | View → |
| 11 |
The Home Office and the current operator of Brook House must keep under review the appropriateness of the multi-purpose use of E …
|
Home Office | Accepted in Part | View → |
| 12 |
The Home Office and contractors operating immigration removal centres must provide regular training, at least annually, on the operation of Rule 40 …
|
Home Office | Accepted in Part | View → |
| 13 |
The Home Office must regularly (and at least quarterly) audit the use of Rule 40 and Rule 42 across the immigration detention …
|
Home Office | Accepted in Part | View → |
| 15 |
The Home Office must introduce, as a matter of urgency, a new and comprehensive detention services order to address use of force …
|
Home Office | Accepted in Part | View → |
| 16 |
The Home Office must urgently commission an independent review (with the power to make recommendations) of use of force on detained people …
|
Home Office | Accepted in Part | View → |
| 17 |
The Home Office must ensure, as a matter of urgency, that training is delivered on how to conduct an effective use of …
|
Home Office | Accepted in Part | View → |
| 18 |
The Home Office must, as a matter of urgency, update Detention Services Order 03/2017: Care and Management of Detained Individuals Refusing Food …
|
Home Office | Accepted in Part | View → |
| 20 |
The Home Office must review and update Detention Services Order 01/2016: The Protection, Use and Sharing of Medical Information Relating to People …
|
Home Office | Accepted in Part | View → |
| 21 |
The Home Office must review and update Detention Services Order 04/2020: Mental Vulnerability and Immigration Detention: Non-Clinical Guidance to set out comprehensive …
|
Home Office | Accepted in Part | View → |
| 22 |
The Home Office must review and update Detention Services Order 03/2015: Handling of Complaints to ensure that appropriate guidance is given to …
|
Home Office | Accepted in Part | View → |
| 23 |
The Home Office and contractors operating immigration removal centres must ensure that there is ongoing assessment of staffing levels (at least on …
|
Home Office | Accepted in Part | View → |
| 24 |
The Home Office, in conjunction with contractors, must ensure that all relevant immigration removal centre staff receive mandatory introductory and annual training …
|
Home Office | Accepted in Part | View → |
| 25 |
Contractors operating immigration removal centres must ensure that senior managers are regularly present and visible within the immigration removal centre and are …
|
Home Office | Accepted in Part | View → |
| 26 |
The Home Office must ensure that its staff are regularly present and visible within each immigration removal centre.
|
Home Office | Accepted in Part | View → |
| 27 |
Contractors operating immigration removal centres must develop and implement an action plan to ensure a safe and healthy staff culture in immigration …
|
Home Office | Accepted in Part | View → |
| 28 |
The Home Office and its contractors operating immigration removal centres must take steps to identify and address the barriers to making complaints …
|
Home Office | Accepted in Part | View → |
| 29 |
The Home Office must update Detention Services Order 03/2015: Handling of Complaints to clarify that, in investigations carried out by the Professional …
|
Home Office | Accepted in Part | View → |
| 31 |
The Home Office must update Detention Services Order 03/2020: Whistleblowing – The Public Interest Disclosure Act 1998 to require contractors that run …
|
Home Office | Accepted in Part | View → |
| 32 |
The government must: respond to and publish responses to all concerns raised by any Independent Monitoring Board regarding immigration removal centres; take …
|
Accepted in Part | View → | |
| 33 |
HM Inspectorate of Prisons and Independent Monitoring Boards working within immigration removal centres must ensure that they have robust processes for: obtaining …
|
HM Inspectorate of Prisons | Accepted in Part | View → |
Parliamentary activity
1 debate
19 questions
4 statements
10 Jan 2025
Written Question
Mistreatment of Detainees at Brook House Immigration Removal Centre Inquiry
Bell Ribeiro-Addy (Labour)
Bell Ribeiro-Addy (Labour)
13 Nov 2024
Written Question
Mistreatment of Detainees at Brook House Immigration Removal Centre Inquiry
Siân Berry (Green Party)
Siân Berry (Green Party)