Recommendation 1
We are also continuing to work in close collaboration with health partners to make sure that vulnerable offenders are diverted away from custody and, where possible, from the criminal justice system altogether. This includes Health and Justice partners working together through the Community Sentence Treatment Requirement Programme, to ensure greater use is made of mental health, alcohol and drug treatment requirements as part of community sentences. Revised guidance on the transfer and remission to hospital from prison will also be published later in the year, which will promote timely access to appropriate treatment under the Mental Health Act and should reduce unnecessary delays to treatment. The Government is also committed to legislate to reform the Mental Health Act and is working on producing a White Paper in the coming months.
HMPPS also has a duty to make reasonable adjustments for prisoners with disabilities and introduced a new Learning Screening Tool at the end of October 2019 to help identify those who may be more likely to have learning disabilities or challenges. Although this does not replace a comprehensive assessment and diagnosis, the tool aims to help prisons be more responsive to those who might need support or adjustments to their care. In addition, HMPPS provides specific learning and development resources to all staff on the MyLearning platform including e-learning aimed to encourage more confident working with those with low IQ, learning disabilities or autism. The new prison staff apprenticeship for all new prison officers includes autism-specific training which will help increase their awareness and the overall safety training for all staff will be refreshed later this year, with the development of an improved modular approach and a specific module taking a more in-depth look at mental health and neurodiversity.
Locally, a new healthcare provider, Care UK, took over at HMP Lewes on the 1 April 2020, who is maintaining strong ties with the local community and wider access to services to ensure, where appropriate, transfer to secure units are managed appropriately and within the approved clinical guidelines. Prisoners identified as needing mental health services receive ongoing support from the on- site Integrated Mental Health Team (IMHT) and anyone identified as having a learning disability or indeed any other disability is also provided with support. HMP Lewes has also been identified to take part in the NHS England Early Days Mental Health Practitioner pilot, which will provide additional support to prisoners during the initial stages of their time in custody. Specific cells are identified for individuals with physical disabilities and the weekly Safety Intervention meeting and a quarterly Equalities meeting discuss and manage complex cases. Where an individual is identified as requiring immediate or urgent attention, the prison coordinates multi-disciplinary professional meetings to discuss the individual needs and agree actions. The prison also works closely with East Sussex County Council to provide Adult Social Care packages for those with physical disabilities and with the education provider, Weston College, to ensure education facilities are maximised to help those with learning disabilities.