Independent Monitoring Boards annual report

Swaleside

Report year 2023 Published 8 Sep 2023 Type Prison, category B Population 828 Responsible body HMP Swaleside 17 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 Swaleside experienced an unprecedented year of staff shortages, severely impacting the regime and humane treatment of prisoners with restricted time out of cell. Despite these challenges, the Board commends the SLT and staff for implementing an improving regime, which saw a decline in violence and self-harm incidents. Key concerns remain around staff retention, the poor state of facilities, long segregation times, inadequate resettlement support, and the high number of deaths in custody.

Positive findings

Summary written by this site (AI-generated)
The Board commends the Senior Leadership Team (SLT), officers, detached duty officers, service providers and administrative staff for their efforts to implement an improving regime despite severe staffing challenges. Prisoner-on-prisoner violence and self-harm cases have fallen steadily during the year, and serious assaults have shown a steady decline. The introduction of airport-style x-ray machines has improved security, and restricting sugar purchases has reduced illegal alcohol brewing. Health provision has improved since Oxleas took over, and prisoners' mental well-being appears to be improving with regime enhancements. Blossoms provides good social care. Swaleside is one of the best performing prisons in the LTHSE for education course starts and completions, with an 89% pass rate, and the library service has expanded.

Recommendations

All 17 recommendations

Key concerns

All 17 key concerns

Recommendations 17 items · 10 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: Resettlement

Recommendation (the Board's words)
Indeterminate sentences for Public Protection (IPPs) were abolished in 2012 with the government stating that they were “not defensible”. However, the change did not apply to prisoners who were already serving IPP sentences, and this left them in limbo with little hope of release. The Board are concerned that the Government has rejected the call from the Justice Select Committee to resentence IPP prisoners and reduce the licence period from 10 to five years. This is neither decent nor humane and the Board would urge the Minister to review the department’s response to the Justice Select Committee’s report.

Source text verified

Recommendation 2

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

Recommendation (the Board's words)
The Board remains concerned about the retention and recruitment of staff. 29 experienced officers from Swaleside were recruited directly by the Border Agency during the year and numbers were also lost to the police and civil service. These other agencies offer better employment terms than HMPPS for all levels and grades of staff. The result is that Swaleside has been compelled to hire expensive agency staff and transfer in detached duty officers from other prisons on higher pay and bonuses, as well as paying their hotel bills. Some detached staff do not seem to have the same level of commitment to supporting and engaging with prisoners as local staff. The prison also has to encourage officers to work long hours of overtime. In the Board’s view it is a false economy to maintain such a sharp differential between the terms and conditions of HMPPS staff and those of other agencies.
Government response (as published)
Although some progress in recruitment has been noted, there has been a continued outflow of staff which has more than offset any benefit and a continued reliance on detached duty staff. The situation has recently improved by the transfer out of prisoners allowing the closure of two wings. This change has resulted from the action taken following the enquiry into excessive deaths in custody.

Source text verified

Recommendation 3

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

Recommendation (the Board's words)
The refurbishment of showers throughout the establishment should be completed, with necessary funding provided. The identified faults with recently installed showers should be remedied as a matter of urgency.
Government response (as published)
Showers, even recently refurbished showers, continue to evidence problems relating to poor drainage and lack of ventilation.

Source text verified

Recommendation 4

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

Recommendation (the Board's words)
The Board shares the concerns expressed by the SLT that there have again been deaths in custody during the year. A thorough investigation is being conducted by the LTHSE into the causes. However, a national investigation is perhaps required to establish either commonality of cause irrespective of prison type and to highlight specific issues relating to particular establishments.
Government response (as published)
A thorough investigation involving senior LTHSE staff from all relevant disciplines has taken place over the past year. This has resulted in several practice changes and, as noted above, a real reduction in Operational Capacity allowing better use of staff.

Source text verified

Recommendation 5

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

Recommendation (the Board's words)
The length of time spent in CSRU by a number of prisoners remains far too long and far exceeds normal recommendations. An effective means of reducing this time should be sought as a matter of urgency.
Government response (as published)
No change in this has been noted, although there is an occasional success in moving prisoners between establishments. However, this often results in a move from one CSRU to another.

Source text verified

Recommendation 6

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

Recommendation (the Board's words)
The Board remains concerned about the impact of the recently introduced Offender Flow and Allocation system. Swaleside is a category B trainer in the LTHSE but is now receiving younger prisoners with shorter sentences. This is detrimental to the stability of the prison and the well-being of older, longer sentenced prisoners. The change should be re-examined and the benefit examined against its detrimental impact.
Government response (as published)
The change to the Offender Flow System continues to cause problems. It is conceivable that the recent transfer out of mainly Cat C and Cat D prisoners will improve the situation. Hopefully this will allow the key role of the establishment in dealing with longer term B Cat prisoners but this remains to be confirmed.

Source text verified

Recommendation 7

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

Recommendation (the Board's words)
The continued reliance of HMP Standford Hill on the kitchen at Swaleside for the preparation of its food continues to cause major issues, as has been stated for several years. The stalled installation of kitchens at HMP Standford Hill should be restarted urgently and be completed without further delay.
Government response (as published)
There has been no change to this situation which continues to require urgent consideration.

Source text verified

Recommendation 8

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

Recommendation (the Board's words)
The Board has raised before the inadequacy of basic apprentice officer training and believes that training must at least result in them knowing what to expect when they arrive at their establishment. Support for new officers has improved considerably at Swaleside, especially with the introduction of the mentoring system. However, this is no substitute for proper basic training.
Government response (as published)
Whilst there has been little change in the basic training provided to new recruits, within the establishment there is a much improved support network in place. This approach provides a ‘buddying’ system and the availability of experienced staff to provide help and encouragement.

Source text verified

Recommendation 9

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

Recommendation (the Board's words)
The inequality of opportunity for prisoners convicted of sexual offences (PCOSOs) and vulnerable prisoners still needs to be addressed, despite progress made in that direction.
Government response (as published)
There has been a concentration of available work (especially DHL Canteen) for the PCOSOs but little other change to available support.

Source text verified

Recommendation 10

Addressee: HMPPS · Topic: Mental Health · Repeated from a previous year

Recommendation (the Board's words)
The Board remains concerned regarding the mental health of prisoners who have suffered long-term lockdown. This is evidenced by the high number of ACCT cases, self-harm cases and violent incidents. The first indications from the recent improvement in regime are positive. However, the necessity for increased psychology and psychiatric services still needs to be assessed.
Government response (as published)
This situation continued to deteriorate in the early part of the year, due to the regime restrictions. Recent improvements to allow more time for work and education may improve this situation. A meaningful reduction in self-harm has been noted.

Source text verified

Recommendation 11

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

Recommendation (the Board's words)
Gov Facility Services Limited (GFSL) has improved the rate at which out-of-action cells are brought back into use. However, far too many cells remain unusable.
Government response (as published)
GFSL are aware of the urgency to bring damaged cells back into use and the situation has improved.

Source text verified

Recommendation 12

Addressee: Governor / Director · Topic: Staffing

Recommendation (the Board's words)
Keywork has been a major casualty of staff shortages and is currently restricted to only the most vulnerable prisoners. As the regime improves, the Board would urge the Governor to extend Keywork to all prisoners as a matter of urgency and encourage wing staff to engage more with prisoners.

Source text verified

Recommendation 13

Addressee: Governor / Director · Topic: Regime

Recommendation (the Board's words)
As the regime gradually improves with the implementation of the Core Day programme, the Board would urge the Governor to ensure that more prisoners are provided with meaningful work and education in line with their sentence plans.

Source text verified

Recommendation 14

Addressee: Governor / Director · Topic: Resettlement

Recommendation (the Board's words)
The Board remains very concerned at the situation of IPP prisoners. Courses and programmes should be made available to them so that they can have the opportunity to demonstrate that they are no longer a danger to the public.

Source text verified

Recommendation 15

Addressee: Governor / Director · Topic: Resettlement

Recommendation (the Board's words)
The Employability Hub is not yet functioning as it should. New prisoners are not receiving appropriate induction and the Board is very concerned that prisoners are being released from prison without proper support.

Source text verified

Recommendation 16

Addressee: Governor / Director · Topic: Safety

Recommendation (the Board's words)
We are pleased to note that in-cell technology has now been installed throughout the prison. This is bringing improvements for prisoners and for the operation of the prison. However, the Board is concerned by the abuse of the technology by some prisoners.

Source text verified

Recommendation 17

Addressee: Governor / Director · Topic: Equality

Recommendation (the Board's words)
Facilities for female officers are inadequate and it is not acceptable that they have to share locker rooms with male staff. This needs to be addressed, especially as there are now many female officers working in the prison.

Source text verified

Key concerns 17 items

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

Key concern 1

Staffing · Repeated from a previous year

The Board remains concerned about the retention and recruitment of staff. 29 experienced officers from Swaleside were recruited directly by the Border Agency during the year and numbers were also lost to the police and civil service. These other agencies offer better employment terms than HMPPS for all levels and grades of staff. The result is that Swaleside has been compelled to hire expensive agency staff and transfer in detached duty officers from other prisons on higher pay and bonuses, as well as paying their hotel bills. Some detached staff do not seem to have the same level of commitment to supporting and engaging with prisoners as local staff. The prison also has to encourage officers to work long hours of overtime. In the Board’s view it is a false economy to maintain such a sharp differential between the terms and conditions of HMPPS staff and those of other agencies.

Key concern 2

Regime/Time Out of Cell

The humane treatment of prisoners is questionable given regime restrictions for most of the year, especially given the lack of meaningful activity and the confinement of prisoners to their cells for long periods.

Key concern 3

Estate/Conditions · Repeated from a previous year

The refurbishment of showers throughout the establishment should be completed, with necessary funding provided. The identified faults with recently installed showers should be remedied as a matter of urgency.

Key concern 4

Segregation · Repeated from a previous year

The length of time spent in CSRU by a number of prisoners remains far too long and far exceeds normal recommendations. An effective means of reducing this time should be sought as a matter of urgency.

Key concern 5

Resettlement/Release

The Employability Hub is not yet functioning as it should. New prisoners are not receiving appropriate induction and the Board is very concerned that prisoners are being released from prison without proper support.

Key concern 6

Regime/Time Out of Cell · Repeated from a previous year

The Board remains concerned about the impact of the recently introduced Offender Flow and Allocation system. Swaleside is a category B trainer in the LTHSE but is now receiving younger prisoners with shorter sentences. This is detrimental to the stability of the prison and the well-being of older, longer sentenced prisoners. The change should be re-examined and the benefit examined against its detrimental impact.

Key concern 7

Safety · Repeated from a previous year

The Board shares the concerns expressed by the SLT that there have again been deaths in custody during the year. A thorough investigation is being conducted by the LTHSE into the causes. However, a national investigation is perhaps required to establish either commonality of cause irrespective of prison type and to highlight specific issues relating to particular establishments.

Key concern 8

Substance Misuse

However, drugs, especially spice, continue to be an issue

Key concern 9

Resettlement/Release

The Board remains very concerned at the situation of IPP prisoners. Courses and programmes should be made available to them so that they can have the opportunity to demonstrate that they are no longer a danger to the public.

Key concern 10

Food/Catering · Repeated from a previous year

The continued reliance of HMP Standford Hill on the kitchen at Swaleside for the preparation of its food continues to cause major issues, as has been stated for several years. The stalled installation of kitchens at HMP Standford Hill should be restarted urgently and be completed without further delay.

Key concern 11

Estate/Conditions · Repeated from a previous year

GFSL has improved the rate at which out-of-action cells are brought back into use. However, far too many cells remain unusable.

Key concern 12

Staffing

Keywork has been a major casualty of staff shortages and is currently restricted to only the most vulnerable prisoners. As the regime improves, the Board would urge the Governor to extend Keywork to all prisoners as a matter of urgency and encourage wing staff to engage more with prisoners.

Key concern 13

Equality/Diversity

Facilities for female officers are inadequate and it is not acceptable that they have to share locker rooms with male staff. This needs to be addressed, especially as there are now many female officers working in the prison.

Key concern 14

Equality/Diversity

A range of equality and access issues, including in-cell technology only in English, laptops inappropriate for visually impaired, lift issues, kitchen menus only in English, no in-cell telephony for healthcare, no Pagan or Rastafarian Chaplain, limited corporate worship for some religions, issues with some wings getting to visits due to staff, and skewing of enhanced status in favour of white prisoners.

Source wording under review

Key concern 15

Staffing · Repeated from a previous year

The Board has raised before the inadequacy of basic apprentice officer training and believes that training must at least result in them knowing what to expect when they arrive at their establishment. Support for new officers has improved considerably at Swaleside, especially with the introduction of the mentoring system. However, this is no substitute for proper basic training.

Key concern 16

Equality/Diversity · Repeated from a previous year

The inequality of opportunity for prisoners convicted of sexual offences (PCOSOs) and vulnerable prisoners still needs to be addressed, despite progress made in that direction.

Key concern 17

Mental Health · Repeated from a previous year

The Board remains concerned regarding the mental health of prisoners who have suffered long-term lockdown. This is evidenced by the high number of ACCT cases, self-harm cases and violent incidents. The first indications from the recent improvement in regime are positive. However, the necessity for increased psychology and psychiatric services still needs to be assessed.

Safety statistics

Incidents during the reporting year.

IndicatorThis yearPrevious
Deaths in custody107
Prisoner assaults231138
Assaults on staff214234

Population

Population828
CNA (designed for)1,111 (75% occupied)

Applications to the IMB

CategoryCurrentPrevious
Accommodation (including transfers) 45 38
Discipline 52 19
Equality 101 19
Fairness 171 22
Healthcare 100 25
Meals 61 27
Other 129 24
Property 254 44
Regime 145 31
Requests 186 45
Safety 39 19
Staff 72 26
Visits 17 2
Work / Education 11 2

Report details

Establishment
Swaleside
Type
Prison, category B
Report year
2023
Published
8 September 2023
Responsible body
HMP Swaleside
Recommendations
17
MoJ rating (2025/26)
1, Serious concern

Service providers

ServiceProvider
Drug and Alcohol RehabilitationOutlook
EducationMilton Keynes College
Facilities ManagementGov Facility Services Limited (GFSL)
HealthcareOxleas
Social CareBlossoms

Related inspections and investigations

HMIP inspection, 15 Dec 2025

Urgent Notification

HMIP inspection, 1 Dec 2025

Unannounced · Safety 1 · Respect 1 · Activity 1 · Release 1

HMIP inspection, 12 Aug 2024

IRP

HMIP inspection, 11 Sep 2023

Announced · Safety 2 · Respect 2 · Activity 2 · Release 2

HMIP inspection, 18 Jul 2022

IRP

Thomas Ruggiero

Prevention of future deaths report · 24 Mar 2026 · State Custody related deaths

Sean Davies

Prevention of future deaths report · 8 Aug 2024 · Suicide (from 2015)

Idris Habib

Prevention of future deaths report · 24 Jan 2022 · State Custody related deaths | Mental Health related deaths

Douglas Birch

Prevention of future deaths report · 13 Jul 2015 · State Custody related deaths

Other reports for Swaleside

2026

Published 24 Sep 2026 · Population 760 · Key concerns recorded

2025

Published 14 Oct 2025 · Population 922 · Key concerns recorded

2024

Published 30 Aug 2024 · Population 900 · Key concerns recorded

2022

Published 19 Jul 2022 · Population 1,038 · Self-harm 860 · Key concerns recorded

2021

Published 3 Sep 2021 · Population 989 · Key concerns recorded

2020

Published 5 Aug 2020 · Population 1,083 · Key concerns recorded