Source · IMB Annual Report

Send

Year: 2022 Published: 16 Aug 2022 Type: Prison · Cat women's closed Population: 182 Recommendations: 15 Key concerns Positive findings

HMP Send is a closed prison for adult women with an operational capacity of 191, holding 182 prisoners at the end of the reporting year, including 63 ISPs. The Board considers Send a safe prison but highlights a significant increase in self-harm incidents (837) and one death in custody. Key concerns include the need for specialist mental health provision for prolific self-harmers, slow progress on digital in-cell technology, and persistent staffing shortages.

Safety statistics

Incidents during reporting year
IndicatorThis yearPrevious
Deaths in custody1
Self-harm incidents837510
ACCT cases opened154186
Prisoner assaults99
Assaults on staff1916
Use of force184103
Drug finds57

Positive findings

The Board considers Send a safe prison with humane treatment, commending staff efforts to ensure prisoner safety, provide support for complex needs, and manage Covid-19. Positive aspects include the reintroduction of therapeutic interventions, outstanding chaplaincy support, and the introduction of initiatives like the Parkrun and Redemption Roasters coffee shop. Education, despite challenges, shows excellent teaching and engagement with prisoners, and improvements in equality data and family support are welcomed. Additionally, an initiative allowing enhanced prisoners to keep budgerigars has positively impacted their anxiety and loneliness.

Key concerns

15 items
Other The government plan for 500 new prison places for women contradicts the female offender strategy (June 2018) which sets out the vision that custody should be made a last resort, reserved for the most serious offences.
Mental Health Repeated Provision should be made in appropriate secure specialist mental health facilities for the small number of very challenging women with highly complex mental health needs. These are often a result of traumatic lives and manifest as prolific self-harm. Prison is a totally inadequate ‘revolving door’ for these prisoners (4.2).
Other Repeated The Board continues to have concerns about the unjust detention of one IPP prisoner, who is 11 years past her original short tariff date (7.3).
Resettlement/Release The Board is concerned that there is a lack of appropriate resettlement accommodation (7.5).
Education/Purposeful Activity The Board urges HMPPS to speed up the plans to roll out digital in-cell technology to HMP Send (7.1).
Staffing The Board would like to see provision of training to address the specific needs of female prisoners such as trauma-informed care, de-escalation and distraction techniques (5.3).
Staffing Repeated Recruitment issues continue to impact on all areas of prison life including operational staff, healthcare and catering (3.1, 5.1, 6.1, 6.2).
Regime/Time Out of Cell The Board thinks it is important that there is association time for prisoners as well as purposeful activity (6.4).
Education/Purposeful Activity The Board would like to see the strategy for education and training at Send drive a culture of learning and become a key focus (7.1).
Estate/Conditions Repeated Despite staff efforts to alleviate the impact on the health and wellbeing of prisoners during hot summer days, ventilation is still inadequate in cells (5.1).
Complaints/Property The Board has concerns about ownership of complaint issues and lack of outcomes (5.7).
Healthcare Repeated There has been a persistent problem with the availability of healthcare complaint forms on wings (6.1).
Resettlement/Release The Board is concerned that the new visiting time of 9am on Saturdays is affecting families’ ability to visit and has a negative impact on family ties (7.4.2).
Regime/Time Out of Cell The Board would like to see a clear outline for enhanced living on C wing, clearly communicated to prisoners (5.6).
Equality/Diversity The Board would like to make sure discrimination incident reporting forms (DIRFs) are independently scrutinised by an external specialist organisation and action is taken on any themes emerging from them (5.4).

Recommendations

15 items · 5 repeated
#RecommendationAddresseeStatus
1 The Board remains concerned that the government plan for 500 new prison places for women contradicts the female offender strategy (June 2018) which sets out the vision that custody should be made a last resort, reserved for the most serious offences.
Response
I recognise the Board’s ongoing concern about the introduction of new prison places for women, in light of the Female Offender Strategy for more women to be managed in the community and fewer serving a short custodial sentence. However, custody will always be the appropriate sentence for some women in light of their offence, and the proposed new places reflect a projected increase in demand – for example as a result of the recruitment of approximately 20,000 new police officers. The Justice Select Committee’s recent report on women in prison looked at this issue and noted that the additional facilities had the potential to improve custodial conditions, as well as going some way towards achieving the Strategy’s aim of making the female estate more trauma informed. It is also important to note that there will be new Open facilities, including at HMP Send. These will extend the prison’s existing scope under which women are eligible to work in the community on licence. Should the projected increase in the women’s population not materialise, the Ministry of Justice has committed to using the new places to close existing older, less suitable accommodation in the women’s estate. I can reassure the Board that the Government remains committed to the Female Offender Strategy and the Delivery Plan, which was announced in the Prison Strategy White Paper, and will set out clear plans for progressing this work over the next three years. We aim to publish the Plan later this autumn.
Ministry of Justice Noted
2 Provision should be made in appropriate secure specialist mental health facilities for the small number of very challenging women with highly complex mental health needs. These are often a result of traumatic lives and manifest as prolific self-harm. Prison is a totally inadequate ‘revolving door’ for these prisoners (4.2). Repeated
Response
I understand the Board’s concerns about the number of women with acute mental health difficulties who enter the prison system. The Government published the draft Mental Health Bill in June 2022 which 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 time limit of 28 days for transfers to hospital as proposed in the Reforming the Mental Health Act (MHA) White Paper published in January 2021. This time limit, together with operational improvements, will help reduce unnecessary delays and ensure women in the criminal justice system receive swift access to treatment. I am very pleased that the Bill also includes reforms to end the use of prison as a place of safety. This will stop the practice of courts diverting offenders and defendants who require assessment and treatment in an inpatient setting to prison, and instead ensure they receive the right support in the right setting. It also includes an amendment to the Bail Act (1976) to ensure vulnerable defendants can no longer be remanded to prison for their own protection where the court’s sole concern is a defendant’s mental health. In addition, HM Prison and Probation Service (HMPPS) and NHS England have jointly commissioned a review of health and social care across the women’s estate to obtain a better understanding of the current provision and ensure equity and next steps will be considered once the review reports, which is expected to be later this year.
Ministry of Justice In progress
3 The Board continues to have concerns about the unjust detention of one IPP prisoner, who is 11 years past her original short tariff date (7.3). Repeated
Response
I also share the Board’s ongoing concern about indeterminate sentenced prisoners (IPP). Whilst the main priority is to protect the public, HMPPS is committed to supporting IPP prisoners’ progress towards a safe and sustainable release through a broad range of work streams in the IPP action plan. Despite the challenges that Covid-19 presented, the latest published national figures at the end of June 2022 show the unreleased IPP population standing at 1,492. This is a reduction from 1,722 at the end of June 2021, demonstrating that opportunities remained available to IPP prisoners wishing to progress. Every effort is made to locate an IPP prisoner in a prison best placed to meet their sentence planning needs in terms of interventions as promptly as is reasonably possible. At HMP Send the Women’s Estate Psychology Service (WEPS) works closely with the Offender Management Unit and others to provide a proactive risk assessment in response to the parole process for IPP women, rather than waiting for assessments to be directed. In addition, the WEPS team at HMP Send has expanded to provide greater capacity for the completion of individual psychological interventions with women who require bespoke offence-related work to address their risks. I hope it also provides reassurance to the Board that the IPP prisoner mentioned in the annual report has now progressed from HMP Send having been granted access to the women’s open prison estate, where increased provision will be delivered as part of the Female Offender Strategy to ensure the time spent there is as effective and decent as possible.
Ministry of Justice Implemented
4 The Board is concerned that there is a lack of appropriate resettlement accommodation (7.5).
Response
Turning to the ongoing concern about resettlement accommodation, the Prisons Strategy White Paper set out plans for supporting women with accommodation needs on release. These included the expansion of the temporary accommodation service across England and Wales, as well as Strategic Housing Specialists who will support prisons to reduce homelessness. An extra £200 million is being invested each year until 2024/25 to transform the approach to rehabilitation and improve access to settled accommodation for all prison leavers. This includes an offender at risk of homelessness on release from prison being able to access up to 12 weeks of transitional accommodation as well as support to move on into settled housing. The new transitional accommodation service accounts for the needs of women, providing 10% of all beds for women leaving prison. These beds are within dedicated single gender accommodation and offer the option of a female support worker. In addition, Homeless Prevention Teams are continuing to strengthen relationships with local authorities and other strategic partners to help find accommodation for prison leavers; all have access to specific guidance on working with women. The number of Housing Specialists increase from 20 to 48 across the estate from late 2022 to provide strategic support to regional prison and probation leads to reduce homelessness.
Ministry of Justice In progress
5 The Board urges HMPPS to speed up the plans to roll out digital in-cell technology to HMP Send (7.1).
Response
HMPPS is committed to the continued rollout of in-cell technology across the prison estate including at HMP Send in line with the funding that is made available. 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.
HMPPS In progress
6 The Board would like to see provision of training to address the specific needs of female prisoners such as trauma-informed care, de-escalation and distraction techniques (5.3).
Response
It is recognised that staff training has been impacted by the Covid-19 pandemic. However, training has now recommenced across the prison which includes Becoming Trauma Informed training. The training looks at how having an understanding of trauma can affect the behaviour of women whilst in custody and gives staff the tools and knowledge to be better equipped to manage situations that may arise from a result of any trauma to reduce conflicts and make prisons safer.
HMPPS In progress
7 Recruitment issues continue to impact on all areas of prison life including operational staff, healthcare and catering (3.1, 5.1, 6.1, 6.2). Repeated
Response
Recruitment marketing campaigns are being used on a variety of channels to attract candidates. These campaigns demystify that you need to be a certain type of person to be a prison officer and explain the impact prospective candidates could make on prisoners and society. Whilst operational staff are recruited centrally, for all other recruitment HMP Send holds a local workforce planning meeting bi-weekly to ensure that all recruitment campaigns are on track to ensure that each vacancy within the prison is being addressed as soon as possible. MoJ Resourcing are alert to the specific challenges many sectors face in attracting diverse talent and there is an emphasis on embedding inclusivity throughout the delivery of recruitment campaigns and the support offered to staff. Recruitment is kept under review for effectiveness in attracting diverse candidates and evidence of any adverse impacts in the assessment process. HMPPS is already using an enhanced recruitment approach targeting where there is disparity between the ethnic minority workforce population within a particular prison area compared to the regional working population. This approach includes outreach with the wider diverse community to increase knowledge of careers within HMPPS, designing and facilitating recruitment attraction events through digital platforms and providing a buddy for candidates from ethnic minority backgrounds to support them through the recruitment process. Additionally, the HMPPS Race Action Programme continues to build on the ambitions of Lammy recommendations 28 and 29 and enhancing regional recruitment activity.
HMPPS In progress
8 The Board thinks it is important that there is association time for prisoners as well as purposeful activity (6.4).
Response
In May 2022, HMPPS exited the National Framework for Prison Regimes and Services and ceased central Covid Gold command which moved regime delivery and local decision making wholly back to governors. It is recognised that the level of restrictions that prison regimes have experienced during the Covid-19 pandemic means there is a need to increase access to purposeful activity and the time prisoners are unlocked to support well-being, rehabilitation and sentence progression. HMPPS is committed to expanding prison regimes at an appropriate pace which balances the competing demands, whilst maintaining safety through building the confidence and competence of staff and ensuring there is capacity to respond to the most acute staffing challenges in the system. Locally HMP Send has been operating a full regime since April 2022 which is providing numerous purposeful activities opportunities and during this financial year the prison will be developing further opportunities for the women in its care.
HMPPS In progress
9 The Board would like to see the strategy for education and training at Send drive a culture of learning and become a key focus (7.1). Governor / Director
10 Despite staff efforts to alleviate the impact on the health and wellbeing of prisoners during hot summer days, ventilation is still inadequate in cells (5.1). Repeated Governor / Director
11 The Board has concerns about ownership of complaint issues and lack of outcomes (5.7). Governor / Director
12 There has been a persistent problem with the availability of healthcare complaint forms on wings (6.1). Repeated Governor / Director
13 The Board is concerned that the new visiting time of 9am on Saturdays is affecting families’ ability to visit and has a negative impact on family ties (7.4.2). Governor / Director
14 The Board would like to see a clear outline for enhanced living on C wing, clearly communicated to prisoners (5.6). Governor / Director
15 The Board would like to make sure discrimination incident reporting forms (DIRFs) are independently scrutinised by an external specialist organisation and action is taken on any themes emerging from them (5.4). Governor / Director

Applications to the IMB

CategoryCurrentPrevious
Accommodation (including transfers) 2 2
Adjudications 3 2
Bullying 1 0
Complaints procedure 1 2
Discrimination/equality 1 0
Education/work 1 2
Family concerns 4 2
Food/canteen 1 2
Healthcare 11 16
Indeterminate Sentences 2 0
Legal 2 1
Money/finances 2 1
Property 20 16
Regime 16 21
Release/parole 10 10
Remand/recall 0 0
Staff behaviour 1 1
Support (Listener/ACCT/Safecustody) 2 3
TOTAL 87 84
Transfers 1 1
Visits 4 2
Welfare 2 3

Related inspections & investigations

17 Mar 2025 HMIP · Unannounced
PPO fatal incident Ann Browning · Natural causes
PPO fatal incident Georgina Vilella
PPO fatal incident Stella McNulty
PPO fatal incident Scarlet Witch
6 Jan 2024 PPO fatal incident Kim Chapman · Natural causes

Other reports for Send

2025 Published 10 Sep 2025 Population 245 · Self-harm 590 · Concerns
2024 Published 27 Sep 2024 Population 247 · Self-harm 479 · Concerns
2023 Published 7 Sep 2023 Population 177 · Self-harm 867 · Concerns
2021 Published 26 Aug 2021 Population 168 · Self-harm 510 · Concerns
2020 Published 10 Jul 2020 · Self-harm 543 · Concerns

Report details

Establishment
Send
Type
Prison · Cat women's closed
Report year
2022
Published
16 August 2022
Responsible body
HMP Send
Recommendations
15
MoJ rating (2024/25)
3 — Good

Population

Population182
Operational capacity191

Service providers

Care Act services
Surrey County Council
Dental care
Time for Teeth
Education services
Weston College
Facilities management
Gov Facility Services Limited (GFSL)
GPs
Med-Co Secure Healthcare Services
Integrated substance misuse service
The Forward Trust
Mental health in-reach (MHIR)
Central and North West London (CNWL) NHS Foundation Trust
Optician service
The Prison Optician Trust
Pre-and post-release support (until June 2021)
London Community Rehabilitation Company (CRC)
Primary care services
Central and North West London (CNWL) NHS Foundation Trust
Probation Service (from June 2021)
government-run Probation Service
Video call service
Prison Video

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