Source · IMB Annual Report

Lowdham Grange

Year: 2022 Published: 21 Jun 2022 Type: Prison · Cat B training Population: 880 Recommendations: 10 Key concerns Positive findings

HMP Lowdham Grange, a Category B training prison, experienced a challenging year marked by the continued impact of Covid-19 restrictions, which limited board visits and significantly affected the regime. The prison leadership was successful in controlling infections, and healthcare provision was largely efficient despite severe staffing shortages. However, the report highlights a significant increase in prisoner-on-prisoner assaults and self-harm, alongside critical concerns regarding delayed inquests, inadequate mental health transfers, and a persistent lack of resolution for property management issues during transfers.

Safety statistics

Incidents during reporting year
IndicatorThis yearPrevious
Deaths in custody42
Self-harm incidents528480
Prisoner assaults12483
Assaults on staff7985
Use of force278348
Drug finds142120

Positive findings

The prison leadership successfully controlled Covid-19 infections, and HMIP noted positive staff-prisoner communication. Healthcare provision was efficient, despite pressures, and comparable to community services, with a remarkable response to Covid-19, TB, and scabies outbreaks. The prison implemented new body-worn video cameras and body scanners effectively. The Challenge, Support and Intervention Plan (CSIP) successfully managed violent prisoners, and segregation unit staff showed compassion. The chaplaincy team provided excellent pastoral care, and education services adapted well with in-cell learning. Relationships with local health and social care services strengthened, and a wellbeing centre is becoming operational.

Key concerns

9 items
Safety Total prisoner-on-prisoner assaults show a marked increase of almost 50%. Self-harm amongst prisoners has increased by 10% and there have been four deaths in custody. Therefore, it cannot be said that the prison feels as safe as in the previous reporting year.
Complaints/Property Prisoners were not given adequate opportunities to attend their adjudications in person for 11 months of this reporting year.
Mental Health The mental and emotional wellbeing of prisoners remains a significant concern due to the effect of prolonged periods of time spent by prisoners in their cells.
Staffing The shortages of healthcare staff have increased the risk to the wellbeing of prisoners... as at January 2022 the healthcare team is staffed to only 60% of the funded posts... current situation to be unacceptable and unsafe because there are prisoners with high-risk healthcare needs and no night nursing cover.
Staffing The significant shortage of probation staff in the offender management unit (OMU) has meant that many prisoners have not received their sentence planning/reviews required this year.
Safety Repeated No inquests into deaths in custody at HMP Lowdham Grange have been held in the reporting period and this means that some families have been waiting four years for the answers to their questions. The Board considers that this is grossly inconsiderate to a prisoner’s family and disrespectful to the deceased. Moreover, it does not allow the prison and healthcare partners to learn any lessons in avoiding and preventing other deaths in custody.
Mental Health Repeated There continue to be significant delays in finding appropriate treatment/beds in secure units for prisoners who have very serious mental health disorders; this will avoid the need for prisons to hold such prisoners in segregation for extended periods. As at January 2022 there were four prisoners in the segregation unit waiting for placements in specialist units with one prisoner having been there for nine months.
Complaints/Property Repeated Analysis of the complaints log and the applications received by the Board indicates that there has been no improvement in the management and handling of prisoners’ property when transferring between establishments. This issue continues to cause distress to many transferees into the prison and gives rise to anger and frustration.
Substance Misuse Although the Board recognises the efforts made by the prison management and staff to prevent drugs entering the prison, it continues to have real concerns about the availability of psychoactive and other substances and it looks forward to the implementation of a more rigorous screening programme applied to all people and material entering the prison.

Recommendations

10 items · 3 repeated
#RecommendationAddresseeStatus
1 In its 2020-2021 report, the Board requested priority be given to holding coroners’ inquests for deaths in custody to provide bereaved families with an understanding of the circumstances of the deaths of their relatives. No inquests into deaths in custody at HMP Lowdham Grange have been held in the reporting period and this means that some families have been waiting four years for the answers to their questions. The Board considers that this is grossly inconsiderate to a prisoner’s family and disrespectful to the deceased. Moreover, it does not allow the prison and healthcare partners to learn any lessons in avoiding and preventing other deaths in custody. Repeated
Response
Regarding the outstanding inquests into the deaths in custody referenced in last year’s annual report, my officials have contacted the Coroner’s Office on my behalf. As in many areas across England and Wales, jury inquests in this coroner area could not be completed during the national pandemic restrictions and have also been affected by social distancing requirements. Although investigations are often complex, involving many Agencies as Interested Persons, and necessitate the summoning of a jury where the deceased died an unnatural death or the cause of death is unknown, the Coroner’s team have continued to do all they can to ensure bereaved families remain central to processes. Since September 2021, the City of Nottingham and Nottinghamshire Coroner Service (who also undertake inquests for deaths in three other prisons, a secure hospital, and police custody), has completed ten death in custody inquests, all requiring a jury, and including the two oldest deaths at HMP Lowdham Grange. All deaths in custody prior to 2021 across the coroner area now have allocated listing dates before a nominated coroner and will be completed within the next ten months. Of the five outstanding inquests at HMP Lowdham Grange, inquest hearings for the three oldest deaths are scheduled to take place by March 2023. PPO reports are awaited on the two most recent deaths (in August 2021 and October 2021). The Senior Coroner for the City of Nottingham and Nottinghamshire can provide your Board with further updates if required through the IMB Secretariat.
Ministry of Justice In progress
2 The Board believes there should be a greater focus on reviewing the sentences of indeterminate sentenced prisoners, enabling them to progress and move towards a safe release.
Response
As the Board is aware, the Imprisonment for Public Protection (IPP) sentence was abolished in late 2012 by the Legal Aid, Sentencing and Punishment of Offenders Act. This abolition was not applied retrospectively as the Government at the time took the view it would not be right to alter sentences that had been lawfully imposed prior to abolition. In terms of progression and risk, HM Prison and Probation Service (HMPPS) is committed to doing all they can to support these individuals in their progression towards a safe release. This commitment continues to be delivered by a bespoke and regularly refreshed IPP Action Plan. This also includes a work stream to oversee specialist progression regimes, which gives a chance to develop and test prisoner’s ability to manage their risks in an environment of increasing freedom and responsibility. These efforts continue to deliver a substantial reduction in the number of IPP prisoners who have never been released with the number standing at 1,554 at the end of March 2022. It is important to note that a proportion of those who remain in prison are still assessed as posing a high risk of committing further violent or sexual offences and have a complex set of risks and needs. Following the publication of the Justice Committee’s report into the IPP sentence, expected in early July 2022, HMPPS will be reviewing the IPP Action Plan taking account of the evidence presented in the publication, so HMPPS can be confident that they are focusing its resources and efforts on the right aspects of progression.
Ministry of Justice In progress
3 There is a compelling need for all government departments to work together to ensure that appropriate facilities are available for those prisoners with severe mental health disorders; this will avoid the need for prisons to hold such prisoners in segregation for extended periods. Repeated
Response
Turning to your comments on mental health, some closures within the secure hospital estate due to positive Covid-19 cases caused delays to admission and significant waiting times. NHS England and NHS Improvement Health and Justice are concerned that people in prison are experiencing long transfer waits to a suitable secure hospital but as the Board will appreciate, the secure care pathway is complex and challenging. However, I can assure you that the healthcare provider is working collaboratively with colleagues across departments to aid better access to secure hospitals. Multi-agency Delayed Hospital Transfers clinical case reviews continue and since April 2022 there has been a greater presence by the Mental Health Team at Segregation review meetings. The individual mentioned in your report who had been waiting nine months for a secure bed has recently been transferred to a hospital. More broadly, my department has been working closely with the Department of Health and Social Care to reform the Mental Health Act (1983) to ensure people with severe mental health needs receive better, more personalised care, with greater autonomy over their treatment. The draft Mental Health Bill for pre-legislative scrutiny was published on 27 June 2022 and it contains several policies to improve support for people with acute mental health needs in contact with the criminal justice system. This includes, introducing a statutory time limit of 28-days for transfer from prison and other places of detention to hospital, where the individual meets the threshold for treatment under the Act.
Ministry of Justice In progress
4 To provide a framework in the post-Covid structured regime that supports and funds innovative programmes of rehabilitation, mental health provision, education, skills development and self-improvement for prisoners instead of requiring them to be locked in their cells for long periods.
Response
The Covid-19 pandemic has seen the biggest operational impact on prisons for a generation. HMPPS recovery from the restrictions presents as great a challenge as the response itself. As the Board has identified, the pandemic has left areas of backlog and a series of competing demands. We intend to move beyond restoring our service to transforming delivery in a range of areas, including regimes, considering pandemic learning, and our experience of different ways of working in the past two years. An oversight of the level of purposeful activity in each prison is being captured weekly and currently a positive upward trend showing increased employment and regime engagement. A dedicated Regime dashboard now provides this management information locally and centrally ensuring progress is tracked and any concerns identified to drive supportive action via the management line or centrally where required. There has been considerable active engagement between HMPPS Directors and the Future Regime Design Project Team to achieve the maximum quality from the quantity of regime that can be delivered in prisons. We continue to be ambitious in transforming the regimes we deliver and developing new practice to make prisons more purposeful and more able to meet individual needs and ensuring we have the capacity to respond to the most acute staffing challenges in the system through cross deploying resources where there is greatest need. HMP Lowdham Grange has recently exited the Covid-19 national framework and successfully re-mobilised its operations enabling prisoners to have the opportunity to attend all aspects of the prison regime.
HMPPS In progress
5 To give priority to resourcing of probation services to the required levels within the prison estate and in the community, so that prisoners have adequate support and guidance before and after their release.
Response
Key probation interventions to support successful resettlement, such as accommodation and personal wellbeing, are delivered by the Commissioned Rehabilitative Service (CRS) providers to sentenced people in prison and on probation. CRS providers are mandated to have a presence in the resettlement prisons in their region and HMPPS is currently working on extending the contracts for Accommodation to unsentenced people in prison with delivery expected to commence this Summer. Additional CRS contracts, to provide Finance, Benefits and Debt (FBD) will commence across several Regions in Autumn 2022. Under the new resettlement approach all resettlement prisons including locals, will have an embedded resettlement provision managed by or otherwise linked to a Probation Delivery Unit. The embedded Pre-Release Teams will provide pre-release services not currently available via CRS including FBD services and support services to the people in prison. The transition period following unification has affected the delivery of resettlement services in some prisons. Regional Probation Directors are working to stabilise the Pre-Release Teams and CRS provision to secure improved service delivery to all people in prison. HMP Lowdham Grange has a total of 8.2 Probation Officers (POs) against a target of nine POs. As such, there is no reason for Prison Offender Managers to be working with high-risk prisoners except in a case management support role.
HMPPS In progress
6 To give renewed emphasis to the development of a national system of storage and retrieval of prisoners’ property when prisoners are moved between prisons. Despite a framework being developed in April 2020, nothing significant appears to have happened and greater efforts are needed to find a national solution to this problem. Repeated
Response
It is anticipated that the new Prisoners’ Property Policy Framework will be published this Summer 2022 and any digital changes are likely to be longer-term and will not be part of the forthcoming Framework.
HMPPS In progress
7 To give priority for the training of family liaison officers (FLOs) in 2022 so that appropriate resources are allocated for this important role and to support those volunteer prison staff already undertaking it.
Response
The central Learning and Development (L&D) Team worked in conjunction with HMP Lowdham Grange to prioritise access to FLO training places to reach the desired staffing level of six (as three trainees have recently passed the course). Regarding the Board’s concerns about the number of courses offered, L&D Team has delivered 23 courses since April 2021 when they resumed training following the easing of lock down restrictions. The baseline figure is normally 12 courses a year (one per month), but in order to cater for the increased demand, they have almost doubled this. The L&D Team will continue to work closely with establishments to ensure their training needs are responded to efficiently and as soon as practicable.
HMPPS In progress
8 To continue to support the fair treatment of all prisoners by ensuring that adjudication hearings are held in person with the prisoner(s) present in the room. Governor / Director
9 To implement a post-Covid structured regime that gives all prisoners the opportunity to progress through their sentences with sufficient and high-quality support and programmes of learning.
Response
The Covid-19 pandemic has seen the biggest operational impact on prisons for a generation. HMPPS recovery from the restrictions presents as great a challenge as the response itself. As the Board has identified, the pandemic has left areas of backlog and a series of competing demands. We intend to move beyond restoring our service to transforming delivery in a range of areas, including regimes, considering pandemic learning, and our experience of different ways of working in the past two years. An oversight of the level of purposeful activity in each prison is being captured weekly and currently a positive upward trend showing increased employment and regime engagement. A dedicated Regime dashboard now provides this management information locally and centrally ensuring progress is tracked and any concerns identified to drive supportive action via the management line or centrally where required. There has been considerable active engagement between HMPPS Directors and the Future Regime Design Project Team to achieve the maximum quality from the quantity of regime that can be delivered in prisons. We continue to be ambitious in transforming the regimes we deliver and developing new practice to make prisons more purposeful and more able to meet individual needs and ensuring we have the capacity to respond to the most acute staffing challenges in the system through cross deploying resources where there is greatest need. HMP Lowdham Grange has recently exited the Covid-19 national framework and successfully re-mobilised its operations enabling prisoners to have the opportunity to attend all aspects of the prison regime.
Governor / Director In progress
10 To exert pressure on the commissioners of Nottinghamshire Healthcare NHS Trust to secure and maintain staffing at a level to provide the service required for all prisoners’ health and wellbeing needs. Governor / Director

Applications to the IMB

CategoryCurrentPrevious
Accommodation (including transfers) 45 38
Assaults (bullying/violence) 21 18
Discrimination (inc. Race, Faith, Disability, Age, LGBT) 15 16
Drug related issues 7 3
Family related issues (inc. visits) 12 10
Finance/pay 14 12
Food 13 11
Health and Wellbeing (inc. mental health) 55 45
Legal 11 9
Other (inc. adjudications, complaints, general welfare) 30 25
Property 32 30
Security (inc. searches, categorisation) 18 15
Staff conduct 28 22
Work/Education/Activities 16 14

Related inspections & investigations

3 Mar 2025 HMIP · Unannounced
8 Jan 2024 HMIP · IRP
15 May 2023 HMIP · Unannounced Safety 2 · Respect 2 · Activity 1 · Release 2
PPO fatal incident Adam Diesa-Green · Other non-natural
PPO fatal incident Uziel Mendoza-Sillerico · Natural causes
PPO fatal incident Stephen Metcalfe · Other non-natural
PPO fatal incident Patrick Maughan · Other non-natural
25 Nov 2023 PPO fatal incident Matthew Osborne · Self-inflicted
17 Dec 2025 PFD Anthony Binfield · Suicide (from 2015) | State Custody related deaths
3 Aug 2022 PFD Nigel Saunders · State Custody related deaths

Other reports for Lowdham Grange

2025 Published 18 Jun 2025 Population 837 · Self-harm 821 · Concerns
2024 Published 12 Jul 2024 Population 808 · Self-harm 844 · Concerns
2023 Published 31 May 2023 Population 860 · Self-harm 606 · Concerns
2021 Published 17 Aug 2021 Population 885 · Self-harm 480 · Concerns
2020 Published 15 Jul 2020 Population 885 · Concerns

Report details

Establishment
Lowdham Grange
Type
Prison · Cat B training
Report year
2022
Published
21 June 2022
Responsible body
HMP Lowdham Grange
Recommendations
10
MoJ rating (2024/25)
1 — Serious concern

Population

Population880
Operational capacity888
CNA (designed for)894 98%

Service providers

Education
Serco
Facilities management
Serco
Healthcare
Nottinghamshire Healthcare NHS Trust
Prison operator
Serco Justice and Immigration

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