Source · IMB Annual Report
Bedford
AI-generated report summary HMP Bedford operated under severe Covid-19 restrictions, largely maintaining safety against the virus. However, the prison continues to face significant challenges with unacceptably high violence levels, exacerbated by overcrowding and prolonged cell confinement. While healthcare provision was generally good, mental health services remained a concern, and resettlement planning was ineffective. Staffing issues, including an inexperienced workforce, also impacted overall performance during this challenging period.
Year: 2021
Published: 26 Nov 2021
Type: Prison · Cat Category B, Local, YOI
Population: 370
Recommendations: 15
Key concerns
Positive findings
Safety statistics
| Indicator | This year | Previous |
|---|---|---|
| Deaths in custody | 4 | — |
| Self-harm incidents | 138 | — |
Positive findings
AI-generated summaryThe Board commends HMP Bedford for successfully controlling Covid-19 outbreaks with only one hospitalisation and no fatalities. Significant improvements were noted in security measures, including new scanners, and the quality of use of force reporting has dramatically improved. The introduction of in-cell telephones, a well-stocked clothing store, and a new diversity and inclusion manager have positively impacted prisoner welfare. The chaplaincy team provided exceptional support, and complaints management has seen significant improvements, with a higher percentage of timely responses.
Key concerns
Prison officers were not prioritised to receive Covid-19 vaccines, indicative of the service being largely unrecognised and unappreciated.
The management of prisoners’ property remains bedevilled by an antiquated paper system, a lack of any clear inter-establishment protocols and the absence of any performance measures.
The performance of the new contract for accommodation on release is less than encouraging, and the management arrangements make it difficult for the prison, locally, to influence outcomes.
The removal of the community rehabilitation companies (CRCs) and the reintegration of probation services in June 2021 was not coordinated with new finance, debt and benefits contracts, which will not be in place until February 2022.
Reception is still an area that appears untidy and disorganised, which does nothing to suggest to new prisoners that they are coming into somewhere that is well managed and efficient.
However, there is still room for further improvements. In our view, where self-harm incidents have occurred – serious or relatively minor – progress could be made by a better investigation of the incidents initially, to understand the causal links (rather than to apportion blame) and discuss the lessons learned. This happens routinely when there is a death in custody, but not when less serious incidents occur.
We have stated our concern repeatedly over the years about the basic effectiveness of this system and the way in which it has been implemented locally. We would endorse the findings of HMIP in March 2021: ‘There were some serious weaknesses in the assessment, care in custody and teamwork (ACCT) process. Potential triggers for self-harm in individual cases were not accurately recorded and sometimes were absent’. Our observations suggest that similar deficiencies are still present today. As described in our annual reports over the last three years, and also in HMIP and PPO reports, we believe that there are two fundamental problems with the implementation of the ACCT – the first we might call ‘procedural’ and the second ‘cultural’.
We are saddened and concerned to report that there have been four deaths in custody over the last 18 months, three of which were (apparently) self-inflicted. The interim PPO reports on these deaths contain repeated themes of failures to recognise individual risk and failures to implement the ACCT process correctly. Action plans to remedy these failings are also repeated, but with little apparent effect.
Levels of violence, both prisoner-on-prisoner and prisoner-on-staff, remain unacceptably high and highest in Bedford’s comparator group.
The move of the Care and Separation Unit (CSU) to B wing has been promised for some time but remains postponed, leaving the subterranean CSU in unsatisfactory conditions.
Source wording under review
We feel that there would be considerable benefits in integrating the performance reporting of the main prison complaints and complaints to healthcare, so that there is a full picture across the establishment.
There are issues around the dispensing of medication that need resolving. Some prisoners are not receiving their medication, while others may be selling it on, as there has been inadequate supervision at the pharmacy.
Over a quarter of health appointments were missed because the prison was unable to deliver prisoners to the healthcare area.
The education arts specialist has left, with no intention to replace the role, limiting educational provision.
The gym was unavailable between March 2020 and June 2021. With time out of cell very limited, this has undoubtedly had a consequential impact on both the physical and mental health of prisoners.
Ongoing concerns about the effectiveness of mental health services within the prison, despite recognising resourcing issues.
Collective worship was prohibited in March 2020 and has only just restarted (for some smaller groups) at the end of July 2021.The largest group, of over 90 Muslims, still cannot be accommodated for collective worship.
Recommendations
We find it surprising that prison officers were not prioritised to received Covid-19 vaccines, and see this as indicative of the service being largely unrecognised and unappreciated. We would like to see the minister take the lead in raising the national profile of the Prison Service.
Government response
I note the Board’s concerns about the non-prioritisation of prison officers to receive the Covid-19 vaccine. The Government takes the advice of the independent Joint Committee on Vaccination and Immunisation (JCVI) on vaccination eligibility and prioritisation. Their focus on age and medical vulnerability were determined as the optimal approach to maximise vaccination roll-out at pace. Their reasoning was that this would have the greatest positive impact on hospitalisations and reduce the pressure on the National Health Service, their priority at the time. Regrettably, this meant no prioritisation for prison staff and was a decision outside the control of prison senior leaders and Prison Ministers. I am pleased to inform you that HMP/YOI Bedford engaged with the Associate Director of Vaccination Site Operations, the Bedfordshire, Luton and Milton Keynes Mass Vaccinations Programme and Hertfordshire Community NHS Trust. As a result, external outreach vaccination clinics for prison staff took place in October 2021.
Recommendation 2
The management of prisoners’ property remains bedevilled by an antiquated paper system, a lack of any clear inter-establishment protocols and the absence of any performance measures. It is unclear whether there is any will to resolve these issues and so address a real ongoing problem for prisoners.
Government response
Following a pause in the development of the new Prisoners’ Property policy framework due to Covid-19, a meeting with IMB representatives took place in August 2020. The feedback received from those members was considered alongside the comments received from other stakeholders, and comments from subsequent operational engagement. HMPPS has now circulated the draft framework with internal and external stakeholders, including the IMB Secretariat and the IMB representatives previously consulted, and the large number of comments received are being considered. As a result, the framework is expected to be published early this year. The framework will provide greater direction and standardisation on a national basis and has been designed with procedural justice at its core. It strengthens guidance on known problem areas such as volumetric control and seeks to ensure prisoners’ property is managed efficiently, effectively, consistently and with care and respect. While digital improvements to property processes are being explored, the nature of that work means that any digital changes are likely to be longer-term and will not be part of the framework at this stage.
Recommendation 3
The performance of the new contract for accommodation on release is less than encouraging, and the management arrangements make it difficult for the prison, locally, to influence outcomes. As with all the outsourced services, the prison Governor is accountable for the outcomes without the responsibility for delivery. Clear and quick mechanisms need to be in place for the resolution of local performance issues.
Government response
A number of issues arose post reunification of the Community Rehabilitation Company and the National Probation Service (NPS) and the subsequent commissioning and allocation of the new Commissioned Rehabilitative Service (CRS) contracts in respect of accommodation on release. However, the gaps in provision have been resolved with the work being undertaken by the Community Probation Practitioners and the Probation Resettlement Staff. The regional Contract Management Team is working closely with the supplier of Commissioned Rehabilitative Services (CRS) Accommodation services to HMP/YOI Bedford to ensure the quality and performance of service delivery and outcomes meets expected standards. If a contractor fails to meet contracted service levels and their performance becomes a concern, there are remedies available within the contract that can be applied to drive up performance. These include improvement plans and rectification plans, which will be put in place if necessary and monitored by the Contract Management Team. Although we are still in the early days of the new contracted provision, we are committed to ensuring that those within our care, including those in custody, receive the support they need to address their rehabilitative and resettlement needs via the pathways available through the CRS framework.
Recommendation 4
It is very surprising that the removal of the community rehabilitation companies (CRCs) and the reintegration of probation services in June 2021 could not be coordinated with the letting of new finance, debt and benefits contracts, which, we understand, will not be in place until February 2022, some eight months later. Without support in these key areas, released prisoners are much more likely to find themselves back in prison.
Government response
On 26 June 2021 when the NPS and Community Rehabilitation Companies unified to become the Probation Service, responsibility for the delivery of resettlement services moved to the Regional Probation Directors (RPDs) with key interventions delivered by CRS providers (commissioned by RPDs). We are looking to commission services related to finance, benefit and debt and expect these services to be in place by mid-2022. In the meantime, the Pre-release Team at HMP/YOI Bedford will provide pre-release services not currently available via CRS including support for unconvicted people and finance, benefit and debt services and support services to the people in prison. Whilst we had hoped it would have been possible to commission these services more quickly following unification, it has taken some time for the new contracts and different structures to embed but we are working on procuring these as quickly as possible.
Recommendation 5
The removal of the CRCs and the integration of many probation and resettlement services gives, in our view, an opportunity for improved effectiveness, but it does require clear leadership and a strong focus on outcomes.
Government response
The Regional Probation Director continues to work with Governors across the region to ensure joint Prison-Probation working and any issues can be raised via the East of England Regional Resettlement Board or via the Senior Leaders Forum. In addition to this, East of England Probation Region have a Head of Resettlement who is working with the Governor and staff at HMP/YOI Bedford to provide a pre-release service. There were some issues with SEETEC, the CRS accommodation provider reaching its full staffing complement, but this was achieved by mid-October. This includes a dedicated resource for HMP/YOI Bedford, reporting through to a regional Accommodation Manager. CRS provision at HMP/YOI Bedford is supported by the probation Pre-release Team. This team has had some vacancies but active recruitment, including the use of agency staff resources, is ongoing. The team is led by a dedicated manager who is well regarded by the prison and who is managed by the regional Head of Resettlement.
Recommendation 6
Reception is still an area that appears untidy and disorganised, which does nothing to suggest to new prisoners that they are coming into somewhere that is well managed and efficient.
Recommendation 7
While there is a steady decrease in self-harm incidents, we feel that a better system of investigation of incidents, to understand the causal links, would lead to further improvements.
Recommendation 8
We echo the concerns of Her Majesty’s Inspectorate of Prisons (HMIP) regarding the implementation of the assessment, care in custody and teamwork (ACCT) process and would hope that the new version might lead to improvements. We can also see real value in involving prisoners in assessing the effectiveness of the ACCT system.
Recommendation 9
The interim Prisons and Probation Ombudsman (PPO) reports on two deaths in custody raise some significant issues and we would ask that a clear action plan is put in place in response to the final reports.
Government response
I was saddened to hear there were two deaths in custody during the reporting year and can assure you that my officials take recommendations from the Prisons and Probation Ombudsman very seriously.
Recommendation 10
Despite some improvements, levels of violence remain unacceptably high.
Recommendation 11
The move of the CSU to B wing has been promised for some time and, although it is understandable that it was postponed by the pandemic, it is important that it happens in the next 12 months.
Recommendation 12
We feel that there would be considerable benefits in integrating the performance reporting of the main prison complaints and complaints to healthcare, so that there is a full picture across the establishment.
Recommendation 13
There are issues around the dispensing of medication that need resolving. Some prisoners are not receiving their medication, while others may be selling it on, as there has been inadequate supervision at the pharmacy.
Recommendation 14
Over a quarter of health appointments were missed because the prison was unable to deliver prisoners to the healthcare area, which is both a waste of healthcare resources and really unhelpful for prisoners.
Recommendation 15
We regret that the education arts specialist has left and that there is no intention to replace the role.
Applications to the IMB
| Category | Current | Previous |
|---|---|---|
| Accommodation (including transfers) | 45 | — |
| Adjudications | 13 | — |
| Bail applications | 2 | — |
| Clothing and property | 18 | — |
| Communications and visits | 23 | — |
| Complaints (including responses) | 26 | — |
| Discipline, Incentives and Earned Privileges (IEP) | 6 | — |
| Education | 4 | — |
| Employment and activities | 5 | — |
| Equality and diversity | 0 | — |
| Family issues | 1 | — |
| Food | 1 | — |
| Health and mental health | 20 | — |
| IPP (Indeterminate Sentence for Public Protection) | 0 | — |
| Legal | 5 | — |
| Miscellaneous | 14 | — |
| Release | 10 | — |
| Safety | 3 | — |
| Staff conduct | 1 | — |
| Substance misuse | 0 | — |
| Total | 204 | — |
| Treatment and respect | 4 | — |
| Welfare | 3 | — |
Related inspections & investigations
Safety 1
· Respect 1
· Activity 1
· Release 2
Sorin Fodor · Natural causes
Edward Hands · State Custody related deaths
Ezra Tamiem · State Custody related deaths | Suicide (from 2015)
Mark Vagnoni · State Custody related deaths
Other reports for Bedford
Population 367
· Concerns
Population 370
· Self-harm 484
· Concerns
· Concerns
· Self-harm 367
· Concerns
· Concerns