Independent Monitoring Boards annual report

Send

Report year 2023 Published 7 Sep 2023 Type Prison, category closed women's Population 177 Responsible body HMP Send 14 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 Send is a closed women's prison that made significant efforts to ensure prisoner safety and humane treatment during a challenging year. While the Board noted positive staff-prisoner relationships, persistent staff shortages, particularly in OMU and probation, negatively impacted services and progression. Key concerns include high self-harm rates, the lack of digital in-cell technology, the unjust detention of IPP prisoners, and property issues during transfers.

Positive findings

Summary written by this site (AI-generated)
The Board commends the management and staff for their efforts in ensuring safety and fostering positive relationships with prisoners. Healthcare provision was largely good despite staff shortages, with the dental surgery refurbished and a successful hepatitis C screening event. The prison saw improvements in complaints response times and the resumption of education courses, DTC, and PIPE activities. Positive developments included an Employment Hub and Jobs Fair, as well as a return to Saturday afternoon social visits.

Recommendations

All 14 recommendations

Key concerns

All 11 key concerns

Recommendations 14 items · 6 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: Other, minister · Topic: Mental Health · Repeated from a previous year

Recommendation (the Board's words)
The Board continues to believe that prison is not an appropriate place to rehabilitate traumatised individuals and that prisoners with severe mental health issues should be accommodated in secure mental health units.
Government response (as published)
The Mental Health Bill of June 2022 seeks to improve the support for people with acute mental health needs, including those who come into contact with the criminal justice system. The Bill includes the provision to introduce a statutory limit of 28 days for transfers to hospital. The Bill also includes reforms to end the use of prison as a place of safety.

Source text verified

Recommendation 2

Addressee: Other, minister · Topic: Resettlement · Repeated from a previous year

Recommendation (the Board's words)
The Board noted the Justice Committee recommendation, of September 2022, that a re-sentencing exercise is the only way to address the injustice of IPP sentences and found the response of the Government in rejecting this recommendation in February 2023 disappointing.
Government response (as published)
At HMP Send the Women’s Estate Psychology Service (WEPS) works closely with OMU and others to provide a proactive risk assessment in response to the parole process for IPP women.The IPP prisoner mentioned in the annual report has now progressed from HMP Send to an open prison.

Source text verified

Recommendation 3

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

Recommendation (the Board's words)
The continuing failure to roll out digital technology to Send is unacceptable and amounts to unfair treatment for prisoners at Send.
Government response (as published)
The prioritisation of prisons is being carefully considered balancing available funds and greatest need. It is also recognised that there have been delays in mobilising IT for prisoners to use due to security concerns and alternatives are being trialled.

Source text verified

Recommendation 4

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

Recommendation (the Board's words)
The shortage of probation officers, both at Send – where four of the six full-time equivalent probation officer posts are currently vacant – and in the community, has had a damaging effect on prisoners’ progression and prospects for successful reintegration into society.
Government response (as published)
Recruitment marketing campaigns are being used on a variety of channels to attract candidates.

Source text verified

Recommendation 5

Addressee: HMPPS · Topic: Staffing

Recommendation (the Board's words)
The OMiC model cannot be implemented successfully with current staffing issues.

Source text verified

Recommendation 6

Addressee: HMPPS · Topic: Other

Recommendation (the Board's words)
The delays and losses of property on transfer from one prison to another need coordinated action by the whole female prison estate and the contracted transfer service providers.

Source text verified

Recommendation 7

Addressee: HMPPS · Topic: Equality

Recommendation (the Board's words)
Some prisoners identify plaiting/braiding as an important part of racial identity, yet this hairdressing module is not offered under the current education curriculum.

Source text verified

Recommendation 8

Addressee: Governor / Director · Topic: Safety

Recommendation (the Board's words)
The Board would like to see an improvement in the number and timeliness of use of force (UoF) debriefs.

Source text verified

Recommendation 9

Addressee: Governor / Director · Topic: Staffing

Recommendation (the Board's words)
The Board is concerned about the impact of prison staffing issues on delivering regular keywork as intended in the OMiC model.

Source text verified

Recommendation 10

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

Recommendation (the Board's words)
The overall impression of the Board is that the management of discrimination incident report forms (DIRFs) is disorganised. Furthermore, there is no longer an independent scrutiny of DIRFs.
Government response (as published)
7.This has not taken place during the reporting year

Source text verified

Recommendation 11

Addressee: Governor / Director · Topic: Resettlement

Recommendation (the Board's words)
The Board would like to see an increase in the number and diversity of prisoners accessing ROTL.

Source text verified

Recommendation 12

Addressee: Governor / Director · Topic: Equality

Recommendation (the Board's words)
Hair and beauty/skincare have been raised in applications by black, Asian and minority ethnic prisoners who complain that there is inadequate provision of suitable products for them on canteen.

Source text verified

Recommendation 13

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

Recommendation (the Board's words)
The Board would like to see more prisoners engaged in education.
Government response (as published)
1. Education was seen as a priority.

Source text verified

Recommendation 14

Addressee: Governor / Director · Topic: Education

Recommendation (the Board's words)
The Board would like to see the teaching of beauty resumed.

Source text verified

Key concerns 11 items

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

Key concern 1

Mental Health · Repeated from a previous year

Self-harm remains worryingly high with a significant proportion of the incidents carried out by a small number of prisoners whose behaviour is defined as prolific (those who have self-harmed five or more times a month). The Board continues to believe that prison is not an appropriate place to rehabilitate traumatised individuals and that prisoners with severe mental health issues should be accommodated in secure mental health units.

Key concern 2

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

The continued lack of digital in-cell technology remains a significant concern.

Key concern 3

Resettlement/Release · Repeated from a previous year

It is unjust that there are two indeterminate sentence for public protection (IPP) prisoners, held well beyond their tariff.

Key concern 4

Staffing · Repeated from a previous year

Staff shortages within the Offender Management Unit (OMU), and for probation officers, have impacted services to prisoners.

Key concern 5

Other

The delays and losses of property on transfer from one prison to another need coordinated action by the whole female prison estate and the contracted transfer service providers.

Key concern 6

Equality/Diversity · Repeated from a previous year

The overall impression of the Board is that the management of discrimination incident report forms (DIRFs) is disorganised. Furthermore, there is no longer an independent scrutiny of DIRFs (5.4).

Key concern 7

Resettlement/Release

The Board would like to see an increase in the number and diversity of prisoners accessing ROTL.

Key concern 8

Safety

The Board would like to see an improvement in the number and timeliness of use of force (UoF) debriefs.

Key concern 9

Healthcare

The waiting lists for routine dental treatment deteriorated significantly during the year.

Key concern 10

Healthcare

Obesity among prisoners remains worryingly high.

Key concern 11

Mental Health

The waiting time for individual counselling or psychology services may run to several months.

Safety statistics

Incidents during the reporting year.

IndicatorThis yearPrevious
Self-harm incidents867837
ACCT cases opened174not recorded
Prisoner assaults199
Assaults on staff1319
Use of force98184

Population

Population177
Operational capacity196

Applications to the IMB

CategoryCurrentPrevious
Accommodation, including laundry, clothing, ablutions 6 9
Canteen, facility list, catalogues 1 2
Discipline, including adjudications, incentives scheme, sanctions 13 6
Equality 8 4
Finance, including pay, private monies, spends 1 8
Food and kitchens 8 9
Health, including physical, mental, social care 21 11
Letters, visits, telephones, public protection, restrictions 24 21
Miscellaneous 10 8
Property during transfer or in another facility 17 8
Property within the establishment 18 12
Purposeful activity, including education, work, training, time out of cell 10 17
Sentence management, including HDC, ROTL, parole, release dates, re-categorisation 20 6
Staff/prisoner concerns, including bullying 11 12
Transfers 5 0

Report details

Establishment
Send
Type
Prison, category closed women's
Report year
2023
Published
7 September 2023
Responsible body
HMP Send
Recommendations
14
MoJ rating (2025/26)
3, Good

Service providers

ServiceProvider
EducationWeston College
Escort contractorSerco
HealthcareCentral & Northwest London (CNWL) NHS Foundation Trust
MaintenanceGov Facilities Services Limited (GFSL)
Mental healthCNWL NHS Foundation Trust
Resettlement supportProbation Service
Social CareSurrey County Council
Substance misuse programmeThe Forward Trust
Visitors’ centrePrisoner Advice & Care Trust (PACT)

Related inspections and investigations

HMIP inspection, 17 Mar 2025

Unannounced · Safety 4 · Respect 4 · Activity 3 · Release 4

HMIP inspection, 10 May 2021

Unannounced

Kim Chapman

PPO fatal incident · 6 Jan 2024 · Natural causes

Other reports for Send

2026

Published 7 Oct 2026 · Population 236 · Self-harm 661 · Key concerns recorded

2025

Published 10 Sep 2025 · Population 245 · Self-harm 590 · Key concerns recorded

2024

Published 27 Sep 2024 · Population 247 · Self-harm 479 · Key concerns recorded

2022

Published 16 Aug 2022 · Population 182 · Self-harm 837 · Key concerns recorded

2021

Published 26 Aug 2021 · Population 168 · Self-harm 510 · Key concerns recorded

2020

Published 10 Jul 2020 · Self-harm 543 · Key concerns recorded