Update guidance on fit to fly and fit for detention medical assessments
Brook House Inquiry · The Brook House Inquiry Report · Issued 19 September 2023 · Addressed to: Home Office
Source — verbatim from the inquiry
●Inquiry recommendation
The Home Office must review and update Detention Services Order 01/2016: The Protection, Use and Sharing of Medical Information Relating to People Detained Under Immigration Powers, to ensure that guidance given to GPs working in the immigration detention estate in relation to their duties and responsibilities in writing 'fit to fly and fit for detention' letters is clear. It must liaise with NHS England and any relevant medical regulators as necessary. The Home Office must ensure that training about the updated guidance takes place on a regular (at least annual) basis for GPs working in the immigration detention estate and those responsible for managing them. The training must be subject to an assessment. The Home Office must monitor compliance with this updated guidance at least annually.
Brook House Inquiry, The Brook House Inquiry Report · 19 Sep 2023 Source PDF →
Response — verbatim from government
●Home Office
The government acknowledged NHS England's commissioning responsibility. The government stated that fit to fly letters are 'a medico-legal practice' and outside the responsibility of NHS England.
Home Office · 19 Mar 2024 Written response →
Evidence trail — what's actually happened since
- 14 Jan 2025 Angela Eagle, Written PQ 23170 (15 January 2025): 'On track for closure by summer 2025.' Source →
- 3 Sep 2025 · HM Inspectorate of Prisons Better-resourced welfare and reception services. Healthcare provision improved but gaps remain in mental health support. View source → Reasonable Progress
- 19 Sep 2024 · Brook House Inquiry Chair Inquiry Chair Kate Eves described government response as "inadequate" and called for a "reset" with the new government. Warned abuse "becomes a question of when, not if" it happens again. Insufficient Progress
Each entry above links to a primary source — gov.uk written statement, consultation response document, or inspection report. The Index does not characterise government intent; it tracks what has been published.
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Source and Response are verbatim from primary documents. The Evidence trail records published activity since — written statements, consultation outcomes, inspection findings, parliamentary references. The Index does not paraphrase or characterise intent; it tracks what has been published. Where the evidence is the absence of action (a missed deadline, a slipped timetable), that absence is documented from primary sources rather than inferred.
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