HMPPS is nearing completion of a project to convert fifty cells across thirteen establishments to ligature resistant cells, and are hopeful that further installations will be possible in 2026/27. They use the Assessment, Care in Custody, and Teamwork (ACCT) case management approach to support individuals at risk of self-harm or suicide. (AI summary)
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It is important to emphasise that an LR cell on its own cannot eliminate risk. The term “ligature-resistant” replaced “safer cell” to reflect the reality that prisoners may still find other means to self-harm. Staff guidance makes clear that LR cells are a valuable measure, but they must be used alongside other forms of support. Where LR cells are unavailable, or where moving a prisoner could increase risk, these alternative measures remain essential. Nonetheless, HMPPS’ ongoing ambition is to strengthen this approach further by expanding LR cell provision wherever resources permit. To support individuals at risk of self-harm or suicide, HMPPS uses the Assessment, Care in Custody, and Teamwork (ACCT) case management approach, with the purpose of an ACCT being to identify an individual’s risks, triggers and protective factors, and to put in place a care plan to provide individual, person-centred support to address issues and reduce risk. As part of any ACCT case review, those involved will consider a range of measures to mitigate risk, including the prisoner’s location and, where appropriate, considering a move to a cell better suited to managing their level of risk. As noted in your report, HMP Hewell has two LR cells within the segregation unit which will be suitable to use for many prisoners. In addition, as described above the prison will use other important measures to help keep people safe, including constant supervision for those at the highest level of risk. At present, HMP Hewell has three constant supervision cells available across the main residential areas, ensuring that at-risk individuals can receive close and continuous support when needed. Thank you again for bringing your concerns to my attention. I trust that this response provides assurance that action is being taken to address this matter.