Source · IMB Annual Report

Swaleside

Year: 2022 Published: 19 Jul 2022 Type: Prison · Cat B training prison Population: 1,038 Recommendations: 21 Key concerns Positive findings

HMP Swaleside experienced a challenging year (May 2021 - April 2022), marked by severe staff shortages, a restricted regime due to Covid-19, and a high number of deaths in custody and self-harm incidents. The Board highlighted significant concerns regarding staffing, the impact of new prisoner allocations, and the lack of essential equipment like body-worn cameras. Positive developments included excellent education provision, effective outreach services, and improvements in discrimination incident reporting, though overall challenges to prisoner welfare and safety persist.

Safety statistics

Incidents during reporting year
IndicatorThis yearPrevious
Deaths in custody7
Self-harm incidents860
ACCT cases opened449
Drug finds339

Positive findings

The Board was impressed by the staff and governors' efforts to implement worthwhile regimes despite Covid-19 and severe staff shortages. Education provision by Milton Keynes College and the Swaleside outreach service (SoS) were excellent. The in-cell technology installation has commenced, and the kitchen maintained an impressive service. The equalities manager successfully cleared a backlog of discrimination incident reports, and the CSRU is generally well-run with a stable staffing group and high standards of treatment. The Sycamore Tree victim awareness course is a unique and valuable offering.

Key concerns

21 items
Staffing Repeated The Board is extremely concerned at the continuing low numbers of staff and the seeming inability to recruit. The inequality of pay and conditions when compared to other government agencies is certainly a factor in the cause of this issue together with the accessibility of the geographical area in which the prison is situated. The low numbers of staff severely impact the mental health and well-being of prisoners. Urgent action is needed to remedy this situation.
Safety The Board shares the concerns expressed by the Senior Management Team regarding the number of deaths in custody during the year and appreciates that much investigation is being conducted by the LTHSE into the root causes of these. However, a national investigation is perhaps required to establish either commonality of cause irrespective of prison type or to highlight specific issues relating to particular establishments.
Segregation Repeated The length of time spent in the CSRU by a number of prisoners is far too long and far exceeds normal recommendations. An effective means of reducing this time should be sought as a matter of urgency.
Regime/Time Out of Cell The Board is concerned at the detrimental aspects of the recently introduced prisoner flow and allocation system such that Swaleside, a category B trainer within the LTHSE, is receiving young (21-24), shorter sentenced (as little as four weeks) prisoners to the detrimental effect of the well-being of older, long sentenced prisoners. This change should be re-examined and the benefit examined against its detrimental impact.
Safety Prison staff should ALL have access to up-to-date body-worn cameras as issued to police and other services. Current equipment is inadequate and inappropriate and should be replaced urgently to support the reduced number of staff.
Food/Catering Repeated 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.
Staffing The Board has seen examples of inadequacy of apprentice officer training and believes that training must at least result in those staff knowing what to expect when they arrive at their establishment. Shortage of trained staff exacerbates failings in this respect.
Equality/Diversity Repeated The inequality of opportunity for men convicted of sexual offences (MCOSO) and vulnerable prisoners still needs to be addressed, despite progress made in that direction.
Mental Health The Board has concerns regarding the mental health of prisoners who have suffered long-term lockdown as evidenced by the high number of assessment, care in custody and teamwork (ACCTs) cases, self-harm cases and general violent incidents. The necessity for increased psychology and psychiatric services should be assessed.
Healthcare Repeated The continued occupancy of the life limited room in healthcare by one paraplegic prisoner whose needs are different, whilst there are a number of other prisoners who qualify for the use of this room requires urgent resolution.
Safety A solution should be found for the lack of external gate security (EGS) staff as a matter of urgency.
Safety Wellbeing checks for all prisoners must be increased and maintained regularly to prevent self-harm.
Mental Health The Board believes that more could be done to avoid self-seclusion by prisoners and wonders whether more help should be sought from psychological services.
Food/Catering Repeated The Board is again concerned at the lack of discipline and cleanliness at wing serveries and believes that this should receive immediate attention. This approach should insist on the use of temperature probes and ‘whites’ to avoid a health risk to prisoners.
Staffing Training on the use of Planet FM should be given to senior officers (SOs) and above to ensure a correct interface is maintained with GFSL.
Other Repeated The number of adjudications dismissed or ‘not proceeded with’ has continued at a high level. Further staff training is required to remedy this situation.
Substance Misuse Adjudication awards should be re-examined to ensure that appropriate disincentives for prisoners are available. This seems particularly pertinent for prisoners producing hooch or distilled liquor.
Safety Challenge, support and intervention plan (CSIP) should receive more attention from custody managers (CMs) as evidenced by minutes from the weekly safety intervention meetings (SIMs).
Estate/Conditions GFSL should be tasked with improving the rate at which out of action cells are brought back into use.
Estate/Conditions Repeated The installation of showers throughout the establishment should be completed. The identified faults with recently installed showers should be remedied urgently.
Safety The IMB is concerned at the occasional failure to be invited to serious incidents and planned moves to the CSRU and would appreciate the necessity for this to be reiterated to all senior staff.

Recommendations

21 items · 8 repeated
#RecommendationAddresseeStatus
1 The Board is extremely concerned at the continuing low numbers of staff and the seeming inability to recruit. The inequality of pay and conditions when compared to other government agencies is certainly a factor in the cause of this issue together with the accessibility of the geographical area in which the prison is situated. The low numbers of staff severely impact the mental health and well-being of prisoners. Urgent action is needed to remedy this situation. Repeated
Response
I understand the Board’s concerns about recruitment and retention. It is recognised that there are challenges in recruiting sufficient prison officers at HMP Swaleside, as well as at two other prisons on the Isle of Sheppey. To support recruitment a £5,000 market supplement was put in place to provide a more competitive salary and the Ministry of Justice (MoJ) Resourcing team are making strenuous efforts to advertise and market the roles at these prisons over a variety of channels to attract candidates. Since April 2022 a prison officer committing to a shift pattern of 39 hours has received starting pay of £29,427 once initial training has been completed. The Prison Service Pay Review Body report was also published in July 2022 with the Government accepting 12 out of 13 of the recommendations and all of those relating to staff in Bands 2 to 11. This award means that starting pay for Band 3 prison officers at HMP Swaleside from September 2022 (for the same shift pattern) will rise to £32,702. Importantly the award consolidates £3,000 of the time-limited market supplement as permanent salary. Existing prison officers on both modernised and legacy terms and conditions will receive a minimum increase of 4%. Further details can be found at https://www.gov.uk/government/publications/psprb-twenty-first-report-on-england-and-wales-2022. HM Prison and Probation Service (HMPPS) also recognises the importance of retaining staff and action is being taken particularly to support new staff in post which is set out further in the attached annex. Locally, HMP Swaleside’s Ambassador has been supportive and a voice for operational staff since the introduction of the role in 2021. A successful initiative, ‘coffee breaks' where the Ambassador takes on the role of another member of staff, who has worked exceptionally hard, has had a difficult time or may need a break to complete other work activities is recognition welcomed by staff.
HMPPS In progress
2 The Board shares the concerns expressed by the Senior Management Team regarding the number of deaths in custody during the year and appreciates that much investigation is being conducted by the LTHSE into the root causes of these. However, a national investigation is perhaps required to establish either commonality of cause irrespective of prison type or to highlight specific issues relating to particular establishments.
Response
I acknowledge the Board’s concerns about the recent deaths and was saddened to hear there were seven deaths in custody during the reporting year. As you are aware the Prisons and Probation Ombudsman (PPO) carry out independent investigations into deaths in custody and I would like to assure the Board my officials take recommendations from the PPO very seriously. Where there are repeated deaths it is important that HMPPS also does everything it can to understand the circumstances and to identify any learning. In October 2021 a more formal approach was introduced, where clusters of self-inflicted deaths occur, to offer additional support to Governors without imposing unnecessary burdens or intervening. The Long Term and High Security Estate (LTHSE) Group has also deployed a number of strategies to support the staff, prisoners and families, including a deep dive to identify any themes or commonalities which needed to be addressed to avoid further injury or death occurring. In December 2022 the prison reached the threshold of a stage one cluster site with three apparent self-inflicted deaths within a 12 month period. An action plan was developed, based primarily on the findings of the earlier deep dive, and the prison has since received additional support from the HMPPS national safety team. Following more recent deaths occurring, the prison was moved to a stage two cluster site. A Cluster Board chaired by the Executive Director took place in June 2022 to discuss the circumstances of the deaths, the action plan progress from stage one and the operational and resourcing position at the prison. This was observed by the Board and attended by the LTHSE Prison Group Director, the Governor and other senior managers at the prison, the healthcare provider and commissioner, as well as the LTHSE Group Safety Lead and the HMPPS National Safety Team. A stage two action plan has been devised and is now being taken forward, which includes local action at the prison and engagement across HMPPS to identify additional measures that can be taken to support the prison. A further meeting of the Cluster Board will be arranged to consider progress and should it be necessary to move the prison to stage three a Task Force will be convened reporting to HMPPS Prison Performance Committee.
Ministry of Justice In progress
3 The length of time spent in the CSRU by a number of prisoners is far too long and far exceeds normal recommendations. An effective means of reducing this time should be sought as a matter of urgency. Repeated
Response
Turning to the Board’s concern about the length of time some prisoners spend in segregated conditions, the LTHSE holds some of the most challenging and complex prisoners in custody which means that some periods of segregation may be longer due to the levels of risk that need to be addressed. The use of segregation is always for no longer than is required and a safe and sustainable progression for the individual concerned is paramount to ensure staff and other prisoners are not put at increased risk. Each prisoner who is segregated for more than 42 days is subject to elevated level of reviews at 42 day periods, with further escalation at six months which make recommendations about the management of the individual and the efforts to progress them from segregated conditions. Collaborative work with the LTHSE Group is developing strategies for those prisoners who have been segregated for longer periods of time and reintegration work at the prison has been reinvigorated to support the reduction of long-term segregation. As the LTHSE has four specialist units with the specific purpose of supporting prisoners’ progression from segregated conditions, HMP Swaleside has been visited recently by the LTHSE Pathways to Progression team to support continued development of practise within the Care Separation and Reintegration Unit (CSRU). The line management structure of the CSRU has also moved to ensure the right amount of mental health support and clinical supervision is given to both staff and prisoners.
HMPPS In progress
4 The Board is concerned at the detrimental aspects of the recently introduced prisoner flow and allocation system such that Swaleside, a category B trainer within the LTHSE, is receiving young (21-24), shorter sentenced (as little as four weeks) prisoners to the detrimental effect of the well-being of older, long sentenced prisoners. This change should be re-examined and the benefit examined against its detrimental impact.
Response
Reconfiguration seeks to ensure that the adult male estate has the right type of prison places to meet the needs of the population. The offender flows, which went live in September 2020, underpin the Offender Management in Custody model to ensure that male prisoners move through the estate to access the necessary services to support their rehabilitation. Prisoners sentenced to 28 days or more, or who have 28 days time left to service (TLTS) and categorised security Category B will meet the offender flow criteria for allocation into the Category B Estate, including prisons in the LTHSE such as HMP Swaleside. The movement of these prisoners is important to create the necessary space to enable reception prisons to fulfil their role of serving the courts and the subsequent backlog in court activity following the Covid-19 pandemic, along with the rising prison population demonstrates an increased need for reception spaces. The reconfiguration team continues to work closely with the LTHSE to manage any concerns about transfers and provides support to ensure that the moves of Category B prisoners are properly planned and safely implemented. The focus has always been on moving men with the longest TLTS. Since January 2022 the LTHSE has also produced weekly data on the Category B population within local prisons which is shared with LTHSE prisons to encourage them to focus on taking these prisoners with the longest TLTS. This collaborative working has resulted in a sustained and necessary reduction in the Category B population held in reception prisons.
HMPPS Noted
5 Prison staff should ALL have access to up-to-date body-worn cameras as issued to police and other services. Current equipment is inadequate and inappropriate and should be replaced urgently to support the reduced number of staff.
Response
Further to last year’s response, the procurement process for the next generation of Body Worn Video Cameras (BWVCs) has concluded with HMP Swaleside expected to receive the new BWVC in March 2023. This procurement will provide each public sector prison with stock for every operational Band 3–5 prison officer on shift as well as a surplus and for HMP Swaleside this will be 190 cameras. In conjunction with the procurement of new cameras, the review of the current Prison Service Instruction (PSI) 04/2017 – National Security Framework – Security Management – Body Worn Video Cameras is being finalised. A new policy framework to replace the PSI is scheduled to be published in August 2022 alongside the rollout of the next generation BWVCs. This new framework will ensure that the new procedures of camera use are reflected including best practice and includes the mandatory wearing of BWVCs by operational Band 3–5 prison officers with prisons also able to target usage elsewhere as determined through their Local Security Strategy. HMP Swaleside has previously received a maintenance visit from the outgoing BWVC supplier in October 2021 providing a battery refresh of the current cameras to minimise faulty units. A maintenance contract also remains in place with the current BWVC supplier which enables prisons awaiting the new equipment the avenue to continue to report faults to the Physical Safety team for troubleshooting or escalation to the supplier. In addition, as part of the national rollout of the new BWVC, older equipment from prisons early in the implementation plan will be transferred, increasing the available BWVCs at each prison. As part of this process HMP Swaleside are scheduled to imminently receive an additional 70 cameras until the new BWVC equipment arrives.
HMPPS In progress
6 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. Repeated
Response
It is recognised that the pressures placed on the catering department at HMP Swalside and the length of time food preparation has had to be provided to HMP Standford Hill is considerable and catering staff should be commended for these efforts as the Board has recognised in its report. The liquidation of the construction company installing a new kitchen at HMP Standford Hill was not foreseeable and the MoJ took all reasonable steps to ensure the resilience of the company, including following all industry protocols through a commercial tender process in October 2021 to validate the viability and delivery at HMP Stanford Hill. All efforts are being explored with consultancy partners to procure and complete the works at HMP Standford Hill at speed and design and technical specifications are in place which will help expedite the project. In the meantime, the MoJ and HMPPS will continue to ensure that the delivery of meals is not hampered while the new facilities at HMP Standford Hill are delivered.
HMPPS In progress
7 The Board has seen examples of inadequacy of apprentice officer training and believes that training must at least result in those staff knowing what to expect when they arrive at their establishment. Shortage of trained staff exacerbates failings in this respect.
Response
HMPPS has now moved away from the Prison Officer Entry Level Training having fully implemented the Custody and Detention Apprenticeship during the 2021/22 financial year. The apprenticeship has been designed to support early development and upskill new starters to provide them with the confidence and competence to undertake their role by enhancing practical skills, as well as to provide a clear understanding of the role and its expectations. All new prison officers are provided with an initial two-week training at their prison to embed them within their surroundings and allow them to start to learn the prison officer role. All prisons have a single point of contact who will ensure all the requirements of initial training are completed and that the learner understands what is expected of them as a prison officer. Learners then commence their foundation training where they are taught all the required skills to become a confident and competent prison officer. This is a seven week training package with an additional consolidation week back at their prison which tests the learner’s knowledge and capability and provides opportunities to practise skills acquired. During the programme staff are fully supported by an Apprenticeship Coach who will assess their knowledge, skills, and behaviour in a live environment to ensure all training is completed to the standard required. All new officers are also expected to meet with their line manager every 12 weeks to discuss progress and developmental goals.
HMPPS Implemented
8 The inequality of opportunity for men convicted of sexual offences (MCOSO) and vulnerable prisoners still needs to be addressed, despite progress made in that direction. Repeated
Response
Whilst HMP Swaleside has already delivered some non-accredited courses for men convicted of sexual offences (MCOSO) the prison is looking at avenues to expand these further. The prison is also looking at ways to enhance the overall purposeful activity offer to MCOSO and vulnerable prisoners which the Governor will be able to inform the Board about as staffing improves.
HMPPS In progress
9 The Board has concerns regarding the mental health of prisoners who have suffered long-term lockdown as evidenced by the high number of assessment, care in custody and teamwork (ACCTs) cases, self-harm cases and general violent incidents. The necessity for increased psychology and psychiatric services should be assessed.
Response
The most recent Health Needs Assessment (HNA) was conducted in 2019 prior to the award of the new healthcare contract at HMP Swaleside in April 2022 and both primary and secondary mental health services were carefully considered in the award of the contract. It is recognised that needs do change and NHS England are currently procuring a full HNA for HMP Swaleside which will reflect any changing need as a result of the pandemic and services altered to reflect the HNA evidence.
HMPPS In progress
10 The continued occupancy of the life limited room in healthcare by one paraplegic prisoner whose needs are different, whilst there are a number of other prisoners who qualify for the use of this room requires urgent resolution. Repeated
Response
The Board’s continued concerns about the individual occupying the life limited room in healthcare is recognised. HMPPS remains committed to moving the individual to a suitable location for his needs but as previously advised HMPPS are unable to indicate when the move will take place.
HMPPS Noted
11 A solution should be found for the lack of external gate security (EGS) staff as a matter of urgency. Governor / Director
12 Wellbeing checks for all prisoners must be increased and maintained regularly to prevent self-harm. Governor / Director
13 The Board believes that more could be done to avoid self-seclusion by prisoners and wonders whether more help should be sought from psychological services. Governor / Director
14 The Board is again concerned at the lack of discipline and cleanliness at wing serveries and believes that this should receive immediate attention. This approach should insist on the use of temperature probes and ‘whites’ to avoid a health risk to prisoners. Repeated Governor / Director
15 Training on the use of Planet FM should be given to senior officers (SOs) and above to ensure a correct interface is maintained with GFSL. Governor / Director
16 The number of adjudications dismissed or ‘not proceeded with’ has continued at a high level. Further staff training is required to remedy this situation. Repeated Governor / Director
17 Adjudication awards should be re-examined to ensure that appropriate disincentives for prisoners are available. This seems particularly pertinent for prisoners producing hooch or distilled liquor. Governor / Director
18 Challenge, support and intervention plan (CSIP) should receive more attention from custody managers (CMs) as evidenced by minutes from the weekly safety intervention meetings (SIMs). Governor / Director
19 GFSL should be tasked with improving the rate at which out of action cells are brought back into use. Governor / Director
20 The installation of showers throughout the establishment should be completed. The identified faults with recently installed showers should be remedied urgently. Repeated Governor / Director
21 The IMB is concerned at the occasional failure to be invited to serious incidents and planned moves to the CSRU and would appreciate the necessity for this to be reiterated to all senior staff. Governor / Director

Applications to the IMB

CategoryCurrentPrevious
Accommodation (including transfers) 129 100
Discipline 128 155
General treatment 179 185
Healthcare 105 104
Information 119 120
Other/unknown 163 115
Property 196 185
TOTAL 1,019 964

Related inspections & investigations

15 Dec 2025 HMIP · Urgent Notification
11 Sep 2023 HMIP · Announced Safety 2 · Respect 2 · Activity 2 · Release 2
PPO fatal incident Charles Stevens · Other non-natural
PPO fatal incident Stephen Finnigan
PPO fatal incident Thomas Ruggiero · Self-inflicted
PPO fatal incident Scott Napier
6 Feb 2025 PPO fatal incident Peter Turner · Natural causes
24 Mar 2026 PFD Thomas Ruggiero · State Custody related deaths
8 Aug 2024 PFD Sean Davies · Suicide (from 2015)
24 Jan 2022 PFD Idris Habib · State Custody related deaths | Mental Health related deaths
13 Jul 2015 PFD Douglas Birch · State Custody related deaths

Other reports for Swaleside

2025 Published 14 Oct 2025 Population 922 · Concerns
2024 Published 30 Aug 2024 Population 900 · Concerns
2023 Published 8 Sep 2023 Population 828 · Concerns
2021 Published 3 Sep 2021 Population 989 · Concerns
2020 Published 5 Aug 2020 Population 1,083 · Concerns

Report details

Establishment
Swaleside
Type
Prison · Cat B training prison
Report year
2022
Published
19 July 2022
Responsible body
HMP Swaleside
Recommendations
21
MoJ rating (2024/25)
1 — Serious concern

Population

Population1,038
CNA (designed for)1,111 93%

Service providers

Drug and alcohol addiction treatment
Forward Trust
Education
Milton Keynes College
Family support
Spurgeons
GP Services
The Medical Centre Group
Healthcare
Integrated Care 24 (IC24)
Maintenance services
Government Facility Services Limited (GFSL)
Mental health (Inreach)
Oxleas NHS Foundation Trust
Optical Services
The Prison Optician Trust

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