Independent Monitoring Boards annual report

Coldingley

Report year 2023 Published 5 Oct 2023 Type Prison, category C Population 500 Responsible body HMP Coldingley 16 recommendations

The summary and positive findings below were written from the report by an AI model. The Board's own wording is in the report linked above.

Summary

Summary written by this site (AI-generated)
HMP Coldingley, a Category C training prison, maintains a relatively open regime and positive staff-prisoner relationships, contributing to low self-harm levels. However, the Board notes a concerning rise in violence, use of force, and illicit substances, often linked to population pressures and insufficient new arrival checks. Significant challenges remain, including dilapidated older wings lacking in-cell sanitation, a struggling kitchen, and persistent issues with lost property and perceived disproportionality in treatment for some ethnic minority groups.

Positive findings

Summary written by this site (AI-generated)
The Board continues to observe a strong community ethos and positive staff-prisoner relationships, contributing to low self-harm levels. Healthcare services remained largely stable despite new contracts, and mental health waiting times saw reductions due to additional therapy groups and clinics. The regime offers good time out of cell compared to similar prisons. Initiatives such as the local Support Plan procedure and Restorative Justice work by Belong have been positive. Staff in the CSU are commended for their care, and efforts to reduce segregation durations have been successful. The re-boot of key work and the active Prisoner Council are also positive developments.

Recommendations

All 16 recommendations

Key concerns

All 18 key concerns

Recommendations 16 items · 7 repeated

Recommendations were extracted from the report by AI, and responses and their status from the ministerial response by AI. Each recommendation shows whether its wording has been checked against the report.

Recommendation 1

Addressee: Ministry of Justice · Topic: Estate · Repeated from a previous year

Recommendation (the Board's words)
Does the minister consider it fair and humane that any men should be living in unhygienic conditions and with no in-cell sanitation while they wait for the refurbishment to be completed?
Government response (as published)
Awareness of the start of the wider Main refurbishment programme to be completed by November 2026; this includes in-cell sanitation.

Source text verified

Recommendation 2

Addressee: Ministry of Justice · Topic: Overcrowding

Recommendation (the Board's words)
Prison estate population pressure means more than just over-crowding. It affects prisoner personal safety and welfare. Can a new policy be drafted urgently to guide prisons on how to deal with the deepening accommodation crisis?

Source text verified

Recommendation 3

Addressee: Ministry of Justice · Topic: Resettlement · Repeated from a previous year

Recommendation (the Board's words)
The number and situation of those given IPP sentences has only grown worse at Coldingley. What plans does the minister have to reconsider the Government’s response to the Justice Select Committee’s recommendation to establish a process to review how such prisoners could be re-sentenced?
Government response (as published)
Reporting that Justice Select Committee enquiry into the IPP sentence had been published and that the evidence and recommendations would be reviewed and publicised.

Source text verified

Recommendation 4

Addressee: HMPPS · Topic: Safety · Repeated from a previous year

Recommendation (the Board's words)
The refurbishment of the old wings won’t be complete until late 2026, at the earliest. Their exceptionally low ceilings mean no CCTV cameras survive very long. Without effective CCTV this will continue to be an unsafe environment for prisoners and staff alike. What can the Prison Service do as a matter of urgency to help the Governor address this dangerous situation?
Government response (as published)
No improvements in the CCTV situation despite senior management team (SMT) concern. Temporary Governor has made a bid for significant new funding.

Source text verified

Recommendation 5

Addressee: HMPPS · Topic: Safety · Repeated from a previous year

Recommendation (the Board's words)
Group arrivals of prisoners are happening without the necessary checks for connections. This has become noticeably worse over the past year. What can be done to improve the quality of pre-transfer checking being undertaken and ensure all prisoners are housed safely and kept apart from known connections?
Government response (as published)
Creating a Security in Prisons Investment Programme, an expanded Serious & Organised Crime unit, creating a crime in prisons taskforce, body scanners, biometric screening.

Source text verified

Recommendation 6

Addressee: HMPPS · Topic: Substance Misuse

Recommendation (the Board's words)
Incentivised Substance Free Living is a safe and humane way in which to treat those with substance and related issues. Coldingley’s ISFL wing has become overcrowded with a complex mix of prisoners. It is rife with illicit substances. With the associated debts and bullying, it no longer functions as a specialist place for recovery. What can be done to restore it to its original purpose?

Source text verified

Recommendation 7

Addressee: HMPPS · Topic: Safety

Recommendation (the Board's words)
The CSU is dilapidated and small with a high proportion of its residents during the past year being vulnerable and on open ACCT documents. What can be done to provide alternative accommodation for those whose need is primarily a place of shelter from threat and assault or a place for close medical oversight?

Source text verified

Recommendation 8

Addressee: HMPPS · Topic: Complaints · Repeated from a previous year

Recommendation (the Board's words)
Property lost during transfer between prisons continues to be widespread, complaints are increasing year on year at a cost to the Prison Service in terms of both staff resources and financial compensation. Losing one's personal belongings has a detrimental effect on prisoners and is not fair. Last year’s Policy Framework has not solved the problem. What does the Prison Service plan to do about it now?
Government response (as published)
Policy framework aimed to provide consistency and fairness between sites and enhance prisoner outcomes. Digital transformation was a longer-term project.

Source text verified

Recommendation 9

Addressee: Governor / Director · Topic: Substance Misuse · Repeated from a previous year

Recommendation (the Board's words)
In order to keep prisoners safe and the wings more orderly, what plans does the Governor have to deal with the alarmingly high increase in the use and manufacture of illegally brewed alcohol and psychoactive substances?

Source text verified

Recommendation 10

Addressee: Governor / Director · Topic: Safety

Recommendation (the Board's words)
In view of the high levels of contraband and potential effects to both safety and good order in the establishment, what plans does the Governor have to change the levels of staffing and random cell searches that take place in Coldingley?

Source text verified

Recommendation 11

Addressee: Governor / Director · Topic: Regime

Recommendation (the Board's words)
Changes which affect prisoners have not always been well communicated within Coldingley. This creates an atmosphere of confusion and at times hostility. What can the Governor do to improve the methods of communication to ensure all prisoners understand the changes and why they are considered necessary?

Source text verified

Recommendation 12

Addressee: Governor / Director · Topic: Equality · Repeated from a previous year

Recommendation (the Board's words)
Muslim prisoners continue to be over-represented in use of force incidents in Coldingley. What does the Governor plan to do to further investigate why this issue has been so persistent?
Government response (as published)
Use of force governance is continually being reviewed and Governor reviews all incidents.

Source text verified

Recommendation 13

Addressee: Governor / Director · Topic: Equality

Recommendation (the Board's words)
Certain preferred residential areas and jobs in Coldingley are predominantly and very noticeably allocated to white prisoners. Prisoners from ethnic minorities are well-aware of this. What does the Governor plan to do to address this and ensure that every prisoner is treated equally and fairly?

Source text verified

Recommendation 14

Addressee: Governor / Director · Topic: Staffing

Recommendation (the Board's words)
Key work is central to offender management in custody (OMiC) and the relationship between key worker, offender manager and prisoner is crucial to OMiC’s success. The numbers of key work sessions recorded have greatly increased in the past year, but the lack of quality checking of reports, feedback and the patchy service given to new arrivals mean that the system still has a long way to go. What does the Governor plan to do to improve this?

Source text verified

Recommendation 15

Addressee: Governor / Director · Topic: Resettlement

Recommendation (the Board's words)
Since the start of 2023 there has been a near doubling of prisoners without sentence plans – it now amounts to around 10% of all Coldingley prisoners. How is this sudden deterioration to be addressed?

Source text verified

Recommendation 16

Addressee: Governor / Director · Topic: Complaints

Recommendation (the Board's words)
Complaints from prisoners provide a vital insight into aspects of prison life which are not working well. There is evidence that there are has been a deterioration in quality of response to complaints, with many prisoners stating 'there is no point'. What plans does the Governor have to improve the system and restore trust in the prisoners that they will be listened to when something has gone wrong?

Source text verified

Key concerns 18 items

Key concerns were extracted from the report text by an AI model.

Key concern 1

Safety

Coldingley usually has low levels of self-harm and use of force, however, there has been an increase in violence and a significantly upward trend in use of force incidents in the past year.

Key concern 2

Safety · Repeated from a previous year

There has been a concerning number of debt and gang related incidents particularly on the main induction (A) wing, often because population pressures have led to less checking on potentially dangerous connections of new arrivals.

Key concern 3

Safety · Repeated from a previous year

There is little co-ordinated and effective CCTV around the site.

Key concern 4

Substance Misuse · Repeated from a previous year

There has been a huge increase in the volume of ‘hooch’ found.

Key concern 5

Estate/Conditions · Repeated from a previous year

The much-needed refurbishment of the original old residential units is underway, but some of the existing call-bell sanitation facilities will remain in use for years and where appalling and inhumane conditions have recently been witnessed.

Key concern 6

Food/Catering

This year the Board heard considerably more on issues around food, diet and the functioning of the kitchen than in previous reporting years.

Key concern 7

Safety

The lack of a dedicated vulnerable prisoner area and only very limited enhanced safety facilities have meant the small separation unit (CSU) is increasingly used as a place of shelter for vulnerable prisoners, those on open assessment, care in custody and teamwork documents (ACCTs) or others with mental health needs.

Key concern 8

Mental Health

Demand for mental health services is high and increasing with more resources required.

Key concern 9

Substance Misuse

The Substance Misuse Services are well regarded but the Incentivised Substance Free Living (ISFL) wing no longer operates in the way it was intended with overcrowded conditions and much evidence of substance misuse.

Key concern 10

Education/Purposeful Activity · Repeated from a previous year

There has been no increase in the number of prisoners engaging in education or the main workshops over the year, despite the overall population increase.

Key concern 11

Resettlement/Release · Repeated from a previous year

Many of the high proportion of prisoners serving indeterminate sentences have been impacted by Parole Board changes and regrettably the number of prisoners still serving an imprisonment for public protection (IPP) sentence has risen for the third year in a row.

Key concern 12

Resettlement/Release

Family contact has suffered as the local, largely manual system of visits booking and notification has not functioned well.

Key concern 13

Complaints/Property · Repeated from a previous year

Property lost during transfer between prisons continues to be widespread, complaints are increasing year on year at a cost to the Prison Service in terms of both staff resources and financial compensation.

Key concern 14

Equality/Diversity · Repeated from a previous year

Muslim prisoners continue to be over-represented in use of force incidents in Coldingley.

Key concern 15

Equality/Diversity

Certain preferred residential areas and jobs in Coldingley are predominantly and very noticeably allocated to white prisoners. Prisoners from ethnic minorities are well-aware of this.

Key concern 16

Staffing

The numbers of key work sessions recorded have greatly increased in the past year, but the lack of quality checking of reports, feedback and the patchy service given to new arrivals mean that the system still has a long way to go.

Key concern 17

Resettlement/Release

Since the start of 2023 there has been a near doubling of prisoners without sentence plans – it now amounts to around 10% of all Coldingley prisoners. How is this sudden deterioration to be addressed?

Key concern 18

Complaints/Property

Complaints from prisoners provide a vital insight into aspects of prison life which are not working well. There is evidence that there are has been a deterioration in quality of response to complaints, with many prisoners stating 'there is no point'.

Safety statistics

Incidents during the reporting year.

IndicatorThis yearPrevious
Deaths in custody10
Self-harm incidents60100
ACCT cases opened145120
Use of force180114

Population

Population500
CNA (designed for)513 (97% occupied)
Time out of cell8.0h/day

Applications to the IMB

CategoryCurrentPrevious
Accommodation (including transfers) 45 38
Canteen/Money/Wages 5 2
Discipline/Adjudications/Segregation 12 17
Discrimination/Equality 1 0
Education/Work/Learning 2 2
Food 8 3
Health / Dental 20 5
Legal/Confidential Access 1 0
Other 1 1
Property 24 25
Regime 5 5
Security/Risk Assessment/Public Protection 2 0
Staff conduct/Attitude 3 3
Visits 0 1
Welfare/Social Care 4 3

Report details

Establishment
Coldingley
Type
Prison, category C
Report year
2023
Published
5 October 2023
Responsible body
HMP Coldingley
Recommendations
16
MoJ rating (2025/26)
2, Concern

Service providers

ServiceProvider
EducationNovus
HealthcareCentral & North West London NHS Trust (CNWL)
IMB SecretariatIndependent Monitoring Boards Secretariat (HMPPS)
Kitchen & CateringAramark
Maintenance & InfrastructureGlobal Facilities & Services Ltd (GFSL)
Substance Misuse ServiceForward Trust
Transport & EscortingSerco

Related inspections and investigations

HMIP inspection, 10 Nov 2025

Unannounced · Safety 2 · Respect 3 · Activity 2 · Release 3

HMIP inspection, 10 Jan 2022

Unannounced

Haydar Jefferies

Prevention of future deaths report · 20 Dec 2024 · State Custody related deaths | Mental Health related deaths

Other reports for Coldingley

2026

Published 27 Oct 2026 · Population 513 · Self-harm 96 · Key concerns recorded

2025

Published 30 Sep 2025 · Population 513 · Key concerns recorded

2024

Published 3 Oct 2024 · Population 507 · Self-harm 71 · Key concerns recorded

2022

Published 13 Oct 2022 · Population 471 · Self-harm 100 · Key concerns recorded

2021

Published 13 Oct 2021 · Population 452 · Self-harm 163 · Key concerns recorded

2020

Published 29 Sep 2020 · Population 438 · Self-harm 86 · Key concerns recorded