Source · IMB Annual Report

Pentonville

AI-generated report summary During a reporting year dominated by the Covid-19 pandemic, Pentonville successfully avoided a widespread deadly outbreak through stringent measures, though two prisoners sadly died. However, the Board found that the highly restricted regime led to inhumane conditions, with prisoners confined to cells for extended periods, impacting mental health and resettlement progression. Key concerns remain around overcrowding, inadequate facilities, the safety of vulnerable prisoners, and persistent violence and drug issues, with limited progress on ACCT quality and disproportionality in disciplinary actions.

Year: 2021 Published: 14 Sep 2021 Type: Prison · Cat B, C, YOI, local Population: 966 Recommendations: 13 Key concerns Positive findings

Safety statistics

Incidents during reporting year
IndicatorThis yearPrevious
Deaths in custody4
Self-harm incidents556682
ACCT cases opened774786
Use of force825

Positive findings

AI-generated summary
The IMB believes that the management team could not have safely provided the men with a better regime given the infection risks, the staffing numbers, the infrastructure, and the number of prisoners at Pentonville. Data collection and analysis around use of force and adjudications have improved, and Equalities is now receiving the attention that it deserves. Pentonville’s healthcare and prison staff worked well together to avoid a widespread and deadly Covid-19 outbreak. The homelessness prevention taskforce and increased drug rehabilitation places were positive initiatives. Staff and prisoners showed resilience and maintained generally good relationships despite the challenging year. The chaplaincy team maintained a continuous physical presence and provided support.

Key concerns

20 items
Overcrowding Most men had to share a 12 x 8 feet cell with another prisoner. This cell has been for the last year their shared bedroom, toilet, dining room and living room, in which many often spent 23 hours a day having to tolerate an unimaginable lack of privacy. It is no surprise that applications to the IMB about accommodation almost tripled compared to last year. It is extremely fortunate that the installation of in-cell phones coincided with the start of the pandemic. Additional channels became available on in-cell TV which was also helpful. The operational capacity of the prison was reduced to 1000 in September. One wing was decanted and refurbished and now looks very good, but these small cells should not house two men. There is nothing that the management team at Pentonville can do about the overcrowding. The operational capacity should be reduced further to allow for single occupancy of the cells.
Estate/Conditions Repeated Renovation of a few shower rooms took place, but some shower rooms are still in an appalling state: damaged floors, mouldy ceilings, partitions falling apart and offering almost no privacy, and recurring fly infestations. There are insufficient showers for the number of prisoners at Pentonville. This led the management to investigate the installation of field showers, but the plumbing logistics proved to be too complicated. The heating has been problematic for years at Pentonville and it reached crisis point in February. It failed on various wings and some men were left without any heating or hot water for the best part of 10 days at a time when the weather was at its coldest.
Mental Health The mental health team is comprised of mental health nurses, a psychiatric social worker, forensic psychiatrists and a part-time occupational therapist. They work in tandem with the wellbeing centre where, in normal times, staff provide a range of group work (including support for those with anger management needs, those hearing voices, and peer support). However, these group sessions were not permitted during lockdown. The pandemic has dramatically reduced mental health provision for prisoners. The care has, in part, moved from therapeutic (helping prisoners to improve) to basic monitoring (trying to ensure patients do not get worse).
Safety Repeated For most of this year, up to 18 VPs were located outside the VPU, amid the general population. Reduced transfers out due to Covid-19, court delays and insufficient space in the prison estate exacerbated this overspill. It is unrealistic to expect that VPs housed outside the self-contained unit can be fully protected. Their safety was a serious concern to the Board and prison management, particularly following an influx of volatile prisoners onto this wing in June. In the last six months VPs frequently complained about abuse, threats, being spat at, having urine thrown at them, and assault. Some of their families were threatened. Several men complained that their food had been contaminated; investigations by the Board could not confirm or rule this out.
Safety Repeated Young adult violence numbers remain too high, and notwithstanding the innovative Time4Change programme, much more is needed to engage this population.
Substance Misuse Repeated More drugs dogs have been working this year than last, although there have still been gaps in cover, and there was no mandatory drug testing (MDT) during the reporting period.
Safety Backlog in Prisons and Probation Ombudsman (PPO) reports and inquests for deaths, meaning Pentonville is unable to act on independent recommendations and potentially delaying improved outcomes for vulnerable prisoners.
Safety Repeated Variable quality of ACCT documents, an issue not effectively resolved since HMIP's February 2020 visit, and the Challenge, Support and Intervention Plan (CSIP) not being fully embedded with all staff. Source wording under review
Complaints/Property Lack of timeliness of internal prison communication regarding prisoners’ sentence management, generating anxiety among prisoners.
Other Repeated Issues with prisoners’ property continued to be a concern during this reporting year. The number of applications concerning property within the prison went up by 20% to 60, and in spite of the much-reduced number of movements in and out of the prison the number of applications about property during transfer or in another establishment only decreased slightly on last year, from 29 to 27. Complaints about property were the highest of any single category during the year. The impact of loss of property on prisoners must be hard at any time, but especially during the isolation and boredom experienced during the pandemic. The Board heard of delays in the searching and issuing of property at reception due to drug issues, especially impregnated clothing, partly due to a lack of drug dog cover. By March this had improved somewhat due to a scanner being taken from visits. Another fairly common problem was legitimate property that had been sent in by family or friends being delayed getting up to the wings. Applications about property being lost on transfer included one involving the loss of a mobile phone which contained evidence the prisoner needed for his trial, causing him much distress.
Equality/Diversity Disproportionate representation of 18-24-year-olds, Muslim, Black, and mixed ethnicity prisoners in use of force incidents and adjudications.
Regime/Time Out of Cell How well are prisoners progressed towards successful resettlement? With limited access to work and education, and the absence or curtailing of other group activities, progress toward resettlement was, inevitably, compromised.
Safety Repeated Use of BWVCs has improved but remains an issue. The number of cameras being drawn daily has increased steadily since April 2020. March 2021 saw a big increase, with an average of 32 of 47 active cameras being drawn daily. They are being switched on more often during incidents but there are still many occasions on which they are not activated, despite the Governor continuing to reinforce to staff how important this is.
Regime/Time Out of Cell Repeated Work opportunities for VPs have been historically poor but during lockdown a small number of VPs continued to work in prison industries and bin parties (7.2). Education has always been limited due to lack of space and was further reduced by Covid-19 restrictions (7.1). Like many other prisoners this year, VPs complained of not having enough to do.
Regime/Time Out of Cell Repeated The new Incentives and Earned Privileges (IEP) policy has not been implemented due to Covid-19, and the basic level was used disproportionately and contrary to national guidance for much of the year. Source wording under review
Estate/Conditions Repeated Vermin is still an issue at Pentonville despite a three-month program of eradication.
Other There has been a shortage of kit all year. There is not always enough clothing for all the new prisoners and the replacement system for clothing and bedding is not working. This is especially difficult for those prisoners who cannot rely on their friends and family to send clothing to them.
Food/Catering Repeated The IMB continues to receive many complaints about the quality and quantity of prisoners' food. These complaints peaked when the food started being served at cell doors in containers rather than at serveries.
Segregation Repeated The care and separation unit (CSU) remains very tired and in urgent need of further major renovations, with cells often out of use due to damage, and radios/distraction packs not always available.
Substance Misuse However, continued lax supervision of the medication queues by prison officers for much of the reporting year meant that opiate substitutes become a tradeable substance. Fortunately, towards the end of the reporting year the pharmacists refused to dispense unless officers were present, and supervision consequently improved.

Recommendations

13 items · 3 repeated

Recommendation 1

Addressee: Ministry of Justice

Will you take steps to reduce the population in Pentonville?

Source text verified

Government response
Further to last year’s response regarding the population at HMP/YOI Pentonville, the national prison population has fallen since March 2020 and was primarily driven by a reduction in inflows from the courts during the lockdowns. This has meant there has been a reduction in the number of prisoners sharing cells and has enabled HM Prison and Probation Service’s (HMPPS) Compartmentalisation Strategy to be implemented. Despite this, HMP/YOI Pentonville has continued to need to operate in excess of its certified normal accommodation level (i.e. its uncrowded capacity) because of regional capacity pressure. Latest population projections indicate HMPPS will have significant challenges in dealing with demand once the population returns to pre-Covid-19 levels and therefore it is likely that the prison will continue to be required to hold prisoners over its uncrowded capacity in the future. As such, there are no plans to reduce the population. As the Board will appreciate, the wider problem of crowding in prisons is a longstanding issue that will not be easily addressed. The Government has recently announced to commit over £4 billion capital funding to make significant progress in delivering 18,000 additional prison places across England and Wales by the mid-2020s. This includes creating four new prisons over the next six years and expanding another four prisons over the next three years. These additional prison places will have a positive impact on lowering the proportion of crowding within the prison estate by providing accommodation that is safe, decent and uncrowded. However, the extent to which the proportion of prisoners held in crowded accommodation will reduce will always be dependent on levels of demand in the system.

Recorded status: Rejected

Topic: Overcrowding

Recommendation 2

Addressee: Ministry of Justice

Will you invest in the fabric of the prison to provide a safe, decent and rehabilitative environment?

Source text verified

Government response
The fabric of HMP/YOI Pentonville is being improved. Windows were replaced on A and J wings in the previous financial year and those on C, D and G wings will be replaced during the current financial year. The windows requiring the most urgent need for replacement have been prioritised. Other projects in the pipeline yet to be mandated include the replacement of heating pipework, smoke compartment work on G wing and basement, A and J wing cellular accommodation mesh and render works and C and D Unit utility cupboard security protection. CCTV was installed on E and F wings plus increased coverage of A, J and G wings in the previous financial year. CCTV will also be installed in the reception and kitchen buildings during the current financial year.

Recorded status: In progress

Topic: Estate

Recommendation 3

Addressee: Ministry of Justice

Will the investment in technology made during lockdown be sustained and developed going forward to give prisoners more technology for personal use? For example, more prisoner laptops for education, more video links for those having legal visits, and biometric kiosks on wings.

Source text verified

Government response
Investments in technology made during the lockdowns will be sustained. The use of technology to support remote learning and facilitate a blended approach to learning will be further developed going forward. HMPPS is working with the Ministry of Justice In-Cell Technology Programme team, prison education suppliers, and Awarding Organisations to prepare the digital infrastructure across the prison estate to ensure readiness to deliver Essential Digital Skills in prisons as part of the Governments’ commitment to improving the country’s digital literacy skills. The Governor also has the ability to access a wide choice of differing delivery methods through the education provision and online education with the University of Westminster will continue. The roll out of laptops, as part of the In-Cell Technology Programme, continues at pace and will continue to be deployed in more establishments over the coming months. Additionally a new two-year contract has been awarded to a new supplier to continue the Secure Social Video Calling service which will run alongside the return of face-to-face visits and HMPPS is also in the process of re-procuring prisoner self- service kiosks to ensure that more modern services are available to prisoners across the estate.

Recorded status: In progress

Topic: Technology, Regime

Recommendation 4

Addressee: HMPPS

Will the Prison Service fund and deliver more essential refurbishment for decency, such as toilets and showers?

Source text verified

Government response
Planned decency-based projects were carried out in the last financial year including works on A, C, E, G and J wing showers. An increase in the showering facilities on E wing was also achieved via the conversion of a storage room. A further £600 thousand worth of decency works has been committed to for delivery during this financial year with an increase of showering facilities on G wing being explored plus the refurbishment of wings C and F, and the Care and Separation Unit.

Recorded status: In progress

Topic: Estate

Recommendation 5

Addressee: HMPPS

In the case of further lockdowns, will the Prison Service ensure that prisoners have better access to the education staff than during this past year?

Source text verified

Government response
During the pandemic, restrictions were put in place which restricted the regime. Education delivery was in line with the Exceptional Delivery Models (EDM) process and as the establishment moves towards EDM Stage 1 education provision will increase in line with the easing of restrictions of the wider regime. Throughout the pandemic HMPPS has been capturing and sharing lessons learned and we continue to gather and share a range of information, including feedback from scrutiny bodies, staff, those in our care and the voluntary sector. We are feeding learning into prison safety and wellbeing initiatives, regime redesign, and planning and ongoing mitigations for prisoners. Prisons are also using lessons learned from the pandemic to adapt provision, reinforce fair and decent behaviours, and to show visible leadership. HMPPS’ Scrutiny and Intelligence Unit also routinely reviews external scrutiny and internal assurance reports to draw out good practice and themes which are communicated to prisons and more widely across HMPPS. They also identify where lessons could be learned or implemented more effectively.

Recorded status: In progress

Topic: Education, Regime

Recommendation 6

Addressee: HMPPS

Will the Prison Service increase the capacity of offending behaviour programmes at Pentonville, so that prisoners can benefit from these programmes without needing to transfer to another prison?

Source text verified

Government response
Further to last year’s response, HMP/YOI Pentonville continues to primarily be a reception prison with the main purpose of serving the courts and then moving prisoners to a more suitable establishment post- sentencing. Consequently there are no plans to expand the Offending Behaviour Programme provision at the prison at this time. However, the prison will continue the work with the Time4Change programme for Young Adults and Sycamore Tree will also remain active.

Recorded status: Rejected

Topic: Rehabilitation

Recommendation 7

Addressee: HMPPS

Will the Prison Service commit to increasing the devolution of decision-making powers to local Governors?

Source text verified

Government response
HMPPS continues to keep under review the balance of responsibilities across different areas and levels of the organisation.

Recorded status: Noted

Topic: Governance

Recommendation 8

Addressee: Governor / Director

What will you do to improve the quality of assessment, care in custody and teamwork (ACCT) documents?

Repeated Source text verified

Recorded status:

Topic: Safety

Recommendation 9

Addressee: Governor / Director

Will you refresh the local incentives and earned privileges (IEP) policy to give: (i) better recognition to positive behaviour and (ii) enhanced prisoners meaningful privileges that will incentivise sustained good behaviour?

Repeated Source text verified

Government response
The prison is waiting for further guidance from HMPPS on the reintroduction of the policy. The current position continues with minimal numbers of residents on basic regime and although there is no guidance on when incentives will be reintroduced, it is understood that following the recent move into level 3 and planning for levels 2 and 1, a timeframe for delivery of the new policy will be re-established.

Recorded status:

Topic: Regime

Recommendation 10

Addressee: Governor / Director

Will you commit to developing a record of achievement for prisoners that they can use in job applications upon release?

Source text verified

Recorded status:

Topic: Resettlement

Recommendation 11

Addressee: Governor / Director

Will you ensure that each equalities meeting is attended by yourself or your deputy, and commit to updating and progressing the equalities action plan?

Repeated Source text verified

Recorded status:

Topic: Equality

Recommendation 12

Addressee: Governor / Director

Will you commit to improving the analysis and action driven by the equalities data that is being collected, including discrimination incident reporting forms (DIRFs)?

Source text verified

Recorded status:

Topic: Equality

Recommendation 13

Addressee: Governor / Director

Will you urgently address the lack of timeliness of internal prison communication regarding prisoners’ sentence management, which generates a lot of anxiety among the prisoners?

Source text verified

Recorded status:

Topic: Administration, Complaints

Applications to the IMB

CategoryCurrentPrevious
Accommodation (including transfers) 45 38
Adjudications 32 31
Assaults 12 14
Bullying 20 24
Discrimination/Equality 4 1
Education/Training/Work 12 30
Food 20 16
Healthcare 141 187
Legal 30 32
Money/Pay 52 36
Offender Management (OMU) 28 30
Other 67 61
Property 60 50
Release/Transfer 27 29
Remand Status 3 5
Segregation 28 22
Staff Conduct 46 38
Visits/Telephones 24 23
Welfare 28 32

Related inspections & investigations

16 Mar 2026 HMIP · IRP
16 Jul 2025 HMIP · Urgent Notification
30 Jun 2025 HMIP · Unannounced Safety 1 · Respect 2 · Activity 1 · Release 1
11 Apr 2023 HMIP · IRP
11 Jul 2022 HMIP · Unannounced
PPO fatal incident Stephen Nuth · Self-inflicted
PPO fatal incident Moses Hailemichel · Self-inflicted
PPO fatal incident Peter Campbell · Other non-natural
PPO fatal incident Karim Simi · Self-inflicted
PPO fatal incident Mardan Halimi · Natural causes
PFD Rickie Poon · State Custody related deaths
11 Mar 2026 PFD Peter Campbell · This report is being sent to: HM Prison & Probation Service | Phoenix Futures | Practice Plus Group
3 Mar 2026 PFD Mujahid Adam · Suicide (from 2015)
9 Feb 2026 PFD Gareth Chumber-Kelly · State Custody related deaths | Suicide (from 2015)
18 Sep 2023 PFD Amarjit Singh · State Custody related deaths

Other reports for Pentonville

2026 Published 26 Aug 2026 Population 1,180 · Self-harm 435 · Concerns
2025 Published 2 Oct 2025 Population 1,180 · Self-harm 565 · Concerns
2024 Published 29 Oct 2024 Population 1,195 · Self-harm 610 · Concerns
2023 Published 26 Sep 2023 Population 1,140 · Self-harm 487 · Concerns
2022 Published 24 Aug 2022 Population 1,043 · Self-harm 564 · Concerns
2020 Published 9 Sep 2020 Population 1,025 · Self-harm 682 · Concerns