Source · IMB Annual Report

Gartree

AI-generated report summary HMP Gartree faced significant challenges in the past year, marked by a notable increase in violence, self-harm incidents, and deaths in custody. The prison continues to grapple with a deteriorating infrastructure, inadequate healthcare provision, and the persistent presence of illicit items. Despite some positive developments such as efforts to reintegrate self-isolating prisoners and support for family ties, significant concerns persist regarding the overall safety, regime delivery, and the progression opportunities for its long-term and IPP prisoner population.

Year: 2025 Published: 3 Jun 2026 Type: Prison · Cat B Population: 664 Recommendations: 18 Key concerns Positive findings

Safety statistics

Incidents during reporting year
IndicatorThis yearPrevious
Deaths in custody101
Self-harm incidents457288
ACCT cases opened266241
Prisoner assaults7175
Assaults on staff6855
Use of force422349
Drug finds35

Positive findings

AI-generated summary
The Board acknowledges the effort put into providing a workable and fair regime, as well as the positive actions by Practice Plus Group to reduce agency staff reliance. Improvements in use of force data capture and the reintegration of self-isolating prisoners are welcomed. The 'Acorn Unit' for substance-free living is a positive initiative, and religious festivals are being recognised and celebrated. The gym, library, and family visits facilities are well-regarded, with efforts to support young adults and maintain family ties. The psychology team's support in segregation is also noted.

Key concerns

10 items
Safety Growing levels of violence – growing perception of the prisoners and of the Board that the prison is unsafe
Substance Misuse Repeated Prevalence of illicit items.
Healthcare Repeated Inadequate healthcare services/staffing issues, particularly mental health.
Estate/Conditions Repeated The ageing fabric and poor infrastructure, in particular heating, leaking roofs and showers.
Equality/Diversity Repeated Inadequate facilities and lack of support for some older/disabled prisoners
Safety Increase in deaths in custody.
Education/Purposeful Activity Repeated Cutbacks to the education provision.
Regime/Time Out of Cell Repeated Limited access to purposeful activities/rehabilitative facilities.
Segregation High levels of segregation / wing restrictions.
Resettlement/Release Repeated High levels of imprisonment for public protection (IPP) prisoners.

Recommendations

18 items · 14 repeated

Recommendation 1

Addressee: Ministry of Justice

The Board reiterates its concern about imprisonment for public protection (IPP) sentences, which have no set release date. Previously the Minister stated that resentencing could result in prisoners being released without licence supervision. However, not resentencing is punishing them for their behaviour, which has undoubtedly been impacted by the uncertainty of IPPs that were abolished in 2012, with the Government stating that they were ‘indefensible’. Despite the reforms introduced in February 2025 to reduce the qualifying period for consideration of licence termination, no referrals for prisoners at Gartree have been made to the Parole Board. Why? What will it take for the Minister review resentencing?

Repeated Source text verified

Government response
I recognise that the issue regarding the imprisonment of public protection (IPP) sentences has been raised by the Board over a number of years. The Government remains determined to support those serving IPP sentences to progress towards release. However, we must ensure that any decisions do not put victims or the public at risk and for that reason those serving IPP sentences must continue to satisfy the statutory release test. Legislative changes in the Victim and Prisoners Act 2024 which reduced the qualifying period for licence termination and introduced automatic termination, have already reduced the number of people serving IPP sentences in the community by around two-thirds. Further measures in the Sentencing Act 2026, implemented on 1 June 2026, will provide a clearer pathway to bringing these sentences to an end once individuals have been released. For those still in custody, cases are referred to the Parole Board to assess their suitability for initial release on licence, in line with statutory requirements. Following tariff expiry, cases must be reviewed at least every two years, with policy requiring more frequent referrals where appropriate. IPP prisoners are not eligible for consideration of licence termination until released by the Parole Board for the first time. Where individuals have been recalled, their suitability for licence termination is considered as part of the Parole Board’s review of recall. While these changes strengthen progression pathways, I recognise the Board’s concern that progress can remain slow for some individuals.

Recorded status: In progress

Topic: Resettlement

Recommendation 2

Addressee: Ministry of Justice

The Minister should consider available advanced technology, as well as physical security, to combat the increasing drone incursions, given that current national investment appears to have little success and investment in physical security for HMP Gartree has not yet materialised.

Repeated Source text verified

Government response
The impact of drones and the delivery of illicit items into the prison continues to be tackled, nationally. On 11 June the Deputy Prime Minister announced that an extra £35 million will be invested to strengthen physical security at 17 prisons vulnerable to drone activity. There has already been investment in window replacements, external grilles and specialist netting. Alongside physical measures, HM Prison and Probation Service (HMPPS) continues to explore the use of technological and intelligence-led approaches to tackle this threat. At HMP Gartree, physical security measures including anti-drone wiring and enhanced window grilles are programmed for installation and are due to be completed by September 2026. While I recognise the frustration regarding delays, this reflects the complexity of delivering such work safely within a live environment.
HMPPS operates a multi-layered approach to tackling this risk. This includes physical security measures, intelligence activity and partnership working across Government and with law enforcement agencies. Nationally, this has included joint operations between HMPPS and the police, which have resulted in over 200 arrests linked to drone activity and the disruption of organised crime networks. A number of operational countermeasures are deployed across the estate, including X-ray body scanners, enhanced gate security, drug trace detection equipment and dedicated search teams using specialist tools to detect illicit items and mobile phones. At HMP Gartree, this is supported by enhanced local activity. The establishment has been subject to a programme of intensified searches delivered through the Long Term and High Security Estate Taskforce approach. These operations have resulted in the recovery of illicit items and act as a deterrent to further activity.

Recorded status: In progress

Topic: Safety

Recommendation 3

Addressee: Ministry of Justice

HMPPS National Services Estates and Ministry of Justice Property should allocate funding to address the continually deteriorating fabric and infrastructure, as a solution to this specific question appears to be overlooked year-on-year.

Repeated Source text verified

Government response
I understand that the prison’s infrastructure is a longstanding concern for the Board. A range of projects for HMP Gartree is currently under consideration as part of the estate wide investment pipeline. These include major works such as boiler and plant replacement, roof repairs, gate replacement and upgrades to critical systems including fire alarms and cell call systems. These projects remain at different stages of development and must undergo design, assurance and cost scrutiny processes before funding decisions can be confirmed. As you will appreciate, projects of this scale are complex, costly and require careful sequencing to minimise operational disruption. While all requests are considered, demand across the estate exceeds available funding and investment is therefore prioritised based on risk to life, capacity and decency.
Investment requirements at HMP Gartree are identified through condition surveys, which assess the state of buildings, cells and critical infrastructure across the site. These surveys inform long term forward maintenance registers, which are used to prioritise works against available capital funding. All requests submitted by the establishment are considered as part of this process. However, demand across the prison estate exceeds available funding. As a result, HMPPS must prioritise investment based on risk to life, operational capacity and decency. While this ensures that the most critical risks are addressed, it does mean that not all works can be progressed at the pace required locally.

Recorded status: In progress

Topic: Estate

Recommendation 4

Addressee: HMPPS

Adequate provisions should be made for the ageing prison population who experience problems with unsuitable access for elderly and disabled prisoners.

Repeated Source text verified

Government response
Regarding the issue of the availability of suitable accommodation for elderly and disabled prisoners, several measures are in place to support those with additional needs. These include dedicated older prisoner accommodation, increased access to ground floor cells and adaptations such as grab rails where required. Support is also provided through social care services, with staff able to make referrals to ensure needs are assessed promptly, alongside additional assistance through schemes such as prisoner buddies. Further needs are considered through local review processes and reasonable adjustment arrangements and work is underway to improve provision, including accessible exercise opportunities. In addition, NHSE England has commissioned a Health and Social Care Needs Assessment to better understand demand and inform future provision.

Recorded status: In progress

Topic: Equality

Recommendation 5

Addressee: NHS / Healthcare Provider

Steps should be taken to improve the provision of mental health services and reduce the waiting periods for those in crisis.

Repeated Source text verified

Government response
Mental health services at HMP Gartree are delivered as part of the commissioned healthcare contract with most patients receiving timely assessments. Recent performance shows that most routine and urgent assessments are completed within expected timeframes with all patients triaged to ensure risks are managed appropriately. Where needs cannot be met within the prison, referrals are made to secure mental health hospitals. Work is ongoing nationally and regionally to improve the timeliness of these transfers, including through the introduction of a 28-day statutory transfer limit under the Mental Health Act 2025, alongside improvements to care pathways and bed capacity. Regular oversight arrangements are in place to support timely decision making and to try to minimise delays.

Recorded status: In progress

Topic: Mental Health

Recommendation 6

Addressee: HMPPS

Gartree should receive a revenue budget and capital funding sufficient to allow prisoners to live, and staff to work within a safe, secure, and decent environment.

Repeated Source text verified

Government response
I understand that the prison’s infrastructure is a longstanding concern for the Board. A range of projects for HMP Gartree is currently under consideration as part of the estate wide investment pipeline. These include major works such as boiler and plant replacement, roof repairs, gate replacement and upgrades to critical systems including fire alarms and cell call systems. These projects remain at different stages of development and must undergo design, assurance and cost scrutiny processes before funding decisions can be confirmed. As you will appreciate, projects of this scale are complex, costly and require careful sequencing to minimise operational disruption. While all requests are considered, demand across the estate exceeds available funding and investment is therefore prioritised based on risk to life, capacity and decency.
Investment requirements at HMP Gartree are identified through condition surveys, which assess the state of buildings, cells and critical infrastructure across the site. These surveys inform long term forward maintenance registers, which are used to prioritise works against available capital funding. All requests submitted by the establishment are considered as part of this process. However, demand across the prison estate exceeds available funding. As a result, HMPPS must prioritise investment based on risk to life, operational capacity and decency. While this ensures that the most critical risks are addressed, it does mean that not all works can be progressed at the pace required locally.

Recorded status: Noted

Topic: Estate

Recommendation 7

Addressee: HMPPS

Preventive measures are to be taken to intercept and prevent drones and the influx of dangerous illicit items.

Repeated Source text verified

Government response
The impact of drones and the delivery of illicit items into the prison continues to be tackled, nationally. On 11 June the Deputy Prime Minister announced that an extra £35 million will be invested to strengthen physical security at 17 prisons vulnerable to drone activity. There has already been investment in window replacements, external grilles and specialist netting. Alongside physical measures, HM Prison and Probation Service (HMPPS) continues to explore the use of technological and intelligence-led approaches to tackle this threat. At HMP Gartree, physical security measures including anti-drone wiring and enhanced window grilles are programmed for installation and are due to be completed by September 2026. While I recognise the frustration regarding delays, this reflects the complexity of delivering such work safely within a live environment.
HMPPS operates a multi-layered approach to tackling this risk. This includes physical security measures, intelligence activity and partnership working across Government and with law enforcement agencies. Nationally, this has included joint operations between HMPPS and the police, which have resulted in over 200 arrests linked to drone activity and the disruption of organised crime networks. A number of operational countermeasures are deployed across the estate, including X-ray body scanners, enhanced gate security, drug trace detection equipment and dedicated search teams using specialist tools to detect illicit items and mobile phones. At HMP Gartree, this is supported by enhanced local activity. The establishment has been subject to a programme of intensified searches delivered through the Long Term and High Security Estate Taskforce approach. These operations have resulted in the recovery of illicit items and act as a deterrent to further activity.

Recorded status: In progress

Topic: Safety

Recommendation 8

Addressee: HMPPS

A thorough review of issues related to ‘property lost on transfer’ will be undertaken and necessary improvements made.

Source text verified

Government response
Property Lost on Transfer: HMPPS has reviewed this issue nationally, including consideration of the IMB thematic report and Independent Prisoner Complaint Investigations. As a result, a revised Prisoners’ Property Policy Framework was introduced in November 2025. This includes strengthened guidance on key areas such as the sending on of excess property, the handling of laundry and the correct completion of cell clearance documentation, which have been identified as common sources of issues. At a transport level, Prison Escort and Custody Services (PECS) reviews complaints during formal contract meetings with the supplier. During the reporting period, no complaints have been recorded from HMP Gartree relating to property loss attributable to PECS. The introduction of the digital Person Escort Record (dPER), which includes a dedicated property section, is now embedded. This provides an accurate record of property held and transferred with the prisoner and of handover between stakeholders. This has improved accountability and supports investigation where concerns are raised.

Recorded status: Implemented

Topic: Other

Recommendation 9

Addressee: HMPPS

Rules covering the possession of prisoner property in the LTHSE are to be standardised.

Source text verified

Government response
Standardisation of Property Rules: All establishments must comply with the Prisoners’ Property Policy Framework. This ensures a level of consistency in terms of procedures followed and volumetric controls. It also provides for where prisoners arrive on transfer from another establishment with items which are not permitted in the receiving establishment’s facility list but were permitted at the previous establishment. Governors are required to consider these items on a case-by-case basis and decide whether or not they should be allowed. However, unless the item is considered a risk to good order, discipline, security, safety and/or exceed volumetric control limits, the expectation will be that the prisoner should be allowed to retain it in possession.

Recorded status: Implemented

Topic: Other

Recommendation 10

Addressee: HMPPS

The Prison Service should ensure that an acceptable level of inpatient care is provided at Gartree, particularly given the high level of complaints about healthcare provision and lack of access to a range of services since the appointment of the new healthcare provider.

Repeated Source text verified

Government response
Responsibility for Healthcare Provision: NHS England Health and Justice Commissioners are responsible for commissioning integrated healthcare services at HMP Gartree in line with national service specifications. Responsibility for inpatient and specialist care does not sit with the prison or HMPPS. This is provided either through Provider Collaboratives, which manage secure mental health beds, or through local Integrated Care Boards and Hospital Trusts. Performance of healthcare services is monitored through quarterly contract review meetings. During the current financial year, complaints and concerns have reduced, alongside an increase in positive feedback. Service improvements have included the introduction of a dedicated patient engagement lead, analysis of complaint themes, and weekly complaints clinics. In addition, listening groups are being introduced to strengthen engagement and a “You Said, We Did” approach has been used to respond to priority issues identified through patient feedback.

Recorded status: In progress

Topic: Healthcare

Recommendation 11

Addressee: HMPPS

The Prison Service should provide sufficient funding so that prisoners can access employment, purposeful activity and education.

Repeated Source text verified

Government response
Education and Purposeful Activity: HMPPS remains focused on maximising the value and quality of provision within available resources, including ensuring that allocation to education and attendance are prioritised. Delivery and outcomes are monitored through contract management arrangements, and the Ministry of Justice is currently undertaking a full evaluation of the Prisoner Education Service to inform future development. Wider provision continues to include vocational training, work-based activity and additional opportunities funded through flexible commissioning routes.

Recorded status: In progress

Topic: Education

Recommendation 12

Addressee: Governor / Director

That the healthcare provider is delivering an adequate serve of healthcare provision?

Repeated Source text verified

Government response
Responsibility for Healthcare Provision: NHS England Health and Justice Commissioners are responsible for commissioning integrated healthcare services at HMP Gartree in line with national service specifications. Responsibility for inpatient and specialist care does not sit with the prison or HMPPS. This is provided either through Provider Collaboratives, which manage secure mental health beds, or through local Integrated Care Boards and Hospital Trusts. Performance of healthcare services is monitored through quarterly contract review meetings. During the current financial year, complaints and concerns have reduced, alongside an increase in positive feedback. Service improvements have included the introduction of a dedicated patient engagement lead, analysis of complaint themes, and weekly complaints clinics. In addition, listening groups are being introduced to strengthen engagement and a “You Said, We Did” approach has been used to respond to priority issues identified through patient feedback.

Recorded status: In progress

Topic: Healthcare

Recommendation 13

Addressee: Governor / Director

Further support should be provided to ensure that key work is delivered consistently and to a high standard for all prisoners.

Repeated Source text verified

Recorded status:

Topic: Regime

Recommendation 14

Addressee: Governor / Director

Issues around the ‘roll correct’ (the prisoner head count) will be addressed to reduce the impact this has on the wider regime.

Source text verified

Recorded status:

Topic: Regime

Recommendation 15

Addressee: Governor / Director

The Governor should identify who ensures that the actions requiring the input of AMEY are progressed in a timely manner, particularly those raised at the health and safety meeting.

Repeated Source text verified

Recorded status:

Topic: Estate

Recommendation 16

Addressee: Governor / Director

All outstanding repairs to the fabric of the kitchen will be undertaken as a priority and that all broken unserviceable kitchen appliances will be repaired or replaced without delay.

Repeated Source text verified

Recorded status:

Topic: Estate

Recommendation 17

Addressee: Governor / Director

Additional steps should be taken to keep the prison clear of litter and waste often thrown out of cell windows by prisoners.

Source text verified

Recorded status:

Topic: Estate

Recommendation 18

Addressee: Governor / Director

Assurance should be provided that all prisoners are allowed access to work, and training opportunities, regardless of their educational attainment.

Repeated Source text verified

Government response
Education and Purposeful Activity: HMPPS remains focused on maximising the value and quality of provision within available resources, including ensuring that allocation to education and attendance are prioritised. Delivery and outcomes are monitored through contract management arrangements, and the Ministry of Justice is currently undertaking a full evaluation of the Prisoner Education Service to inform future development. Wider provision continues to include vocational training, work-based activity and additional opportunities funded through flexible commissioning routes.

Recorded status: In progress

Topic: Education

Applications to the IMB

CategoryCurrentPrevious
Accommodation, including laundry, clothing, ablutions 21 23
Canteen, facility list, catalogue(s) 3 2
Discipline, including adjudications, incentives scheme, sanctions 32 17
Equality 10 13
Finance, including pay, private monies, spends 21 15
Food and kitchens 6 8
Health, including physical, mental, social care 40 56
Inappropriate 0 0
Letters, visits, telephones, public protection restrictions 24 15
Miscellaneous, including complaints system 30 25
Property during transfer or in another establishment or location 18 10
Property within this establishment 25 25
Purposeful activity, including education, work, training, library, regime, time out of cell 16 12
Sentence management, including HDC, release on temporary licence, parole, release dates, recategorisation 21 8
Staff/prisoner concerns, including bullying 35 41
Transfers 6 4

Related inspections & investigations

16 Jan 2023 HMIP · Unannounced Safety 3 · Respect 3 · Activity 2 · Release 3
29 Sep 2020 HMIP · Inspection
PPO fatal incident Martin McDermott
PPO fatal incident Nicholas Halling · Natural causes
PPO fatal incident Ian Kerr
PPO fatal incident Jordan Nuttall
PPO fatal incident Anthony Aldoescu · Other non-natural
5 May 2016 PFD Ahmedreza Fathi · State Custody related deaths; Suicide (from 2015); Hospital Death (Clinical Procedures and medical management) related deaths

Other reports for Gartree

2024 Published 28 May 2025 Population 558 · Self-harm 288 · Concerns
2023 Published 14 May 2024 · Self-harm 266 · Concerns
2022 Published 10 May 2023 Population 593 · Self-harm 242 · Concerns
2021 Published 25 May 2022 · Self-harm 223 · Concerns
2020 Published 18 Mar 2021 Population 636 · Self-harm 350 · Concerns