Independent Monitoring Boards annual report

Pentonville

Report year 2025 Published 2 Oct 2025 Type Prison, category B local Population 1,180 Responsible body HMP Pentonville 12 recommendations

The summary and positive findings below were written from the report by an AI model. The Board's own wording is in the report linked above.

Summary

Summary written by this site (AI-generated)
HMP Pentonville, a category B local prison, faced significant challenges including severe overcrowding, crumbling infrastructure, and a rise in drug use. While some improvements were noted in safety management, the Board raised serious concerns about inhumane living conditions, inadequate key work provision, and delays in support for vulnerable prisoners. The report highlights the impact of capacity pressures on regime delivery and resettlement efforts, stressing the need for urgent investment in the prison's fabric and resources.

Positive findings

Summary written by this site (AI-generated)
The Board noted improvements in safety management and welcomed the increased focus on violence reduction. The successful relocation of vulnerable prisoners to a dedicated wing was a positive outcome. Monthly meetings for IPP and lifers provided valuable support. There was an increase in body worn video camera footage for use of force incidents, and new arrangements were put in place to address healthcare complaints. Pentonville also had the shortest mental health transfer waiting times and the highest transfer numbers to secure units in London.

Recommendations

All 12 recommendations

Key concerns

All 15 key concerns

Recommendations 12 items · 2 repeated

Recommendations were extracted from the report by AI, and responses and their status from the ministerial response by AI. Each recommendation shows whether its wording has been checked against the report.

Recommendation 1

Response: In progress

Addressee: Ministry of Justice · Topic: Estate

Recommendation (the Board's words)
The crumbling state of Pentonville remains a serious concern to the Board. The conditions in which prisoners must live are inhumane and contribute to mental health issues, self-harm and violence. Will the Minister commit to providing additional financial resources to HMPPS to enable urgent improvements to the fabric of the prison, and if so, when?
Government response (as published)
I have read your report with care and understand the Board’s concerns around HMP Pentonville’s physical fabric. I am pleased to report that capital investment is being made with a rolling programme of shower upgrades now underway at HMP Pentonville, which is expected to complete within the current financial year. Temporary showers have been installed in G Wing, and a project to permanently convert cells into showers is in design. Delivery is being considered for the 2026/27 funding programme. The Board will be aware that the cell window replacement programme is ongoing and has significantly improved the external environment by preventing the disposal of waste from windows, which previously attracted vermin. In addition, projects to rebuild the Clothing Exchange Store (CES) and to replace boilers and heating pipework are in design and development. Both are being considered for funding in the 2026/27 programme.

Source text verified

Recommendation 2

Response: In progress

Addressee: Ministry of Justice · Topic: Resettlement

Recommendation (the Board's words)
When will the Minister provide adequate financial resources to HMPPS to enable offender management units to cope with the extra work involved in implementing initiatives aimed at reducing the prison population, as well as fulfil their day-to-day responsibilities?
Government response (as published)
With reference to Offender Management Unit (OMU) resourcing, as part of the Workforce Delivery Project, a review of staffing models across adult public sector prisons – including HMP Pentonville – has been completed. It considered cohort complexity, infrastructure, and other operational factors. Implementation planning is underway, but any staffing increases remain subject to affordability. A national review of OMU case administration led to significant investment across the estate with staffing increases of over 175 full time equivalent posts in total. This included additional resource at HMP Pentonville. Locally, the Governor has also reviewed OMU structures and recruited additional managers and case administrators to strengthen oversight.

Source text verified

Recommendation 3

Response: In progress

Addressee: HMPPS · Topic: Estate

Recommendation (the Board's words)
How will HMPPS ensure that, following the end of the maintenance contract with GFSL, robust contract arrangements will be put in place to ensure that repairs are done in a timely manner and that there are penalties for poor performance?
Government response (as published)
The Ministry of Justice is now running a competitive tender process under the Property Transformation Programme (PTP) to secure new contracts. Future contracts will include enhanced requirements and Key Performance Indicators (KPIs), with financial penalties governed by a Performance Credit Model. A revised performance framework will prioritise first-time fixes and permanent repairs. Providers will operate local helpdesks to improve efficiency and resource allocation. Furthermore, PTP is establishing a dedicated contract management team to ensure consistent oversight and timely issue resolution. Until contract expiry, existing services are managed under the GFSL Memorandum of Understanding (MoU), which includes a structured performance framework. At HMP Pentonville, a dedicated Area Property Operations Manager (APOM) works closely with GFSL and the Governor to monitor delivery. The new FM site manager attends daily operational meetings to provide updates on remedial works and enable direct escalation of delays. Maintenance progress is also reviewed at the monthly Estates Tripartite Meeting, whereby concerns can be raised with senior MOJ Property and Estates managers.

Source text verified

Recommendation 4

Response: In progress

Addressee: HMPPS · Topic: Other · Repeated from a previous year

Recommendation (the Board's words)
The transfer of property between prisons remains chaotic and the 2022 Prisoners’ Property Policy Framework has made no noticeable difference. When will this dysfunctional system be overhauled?
Government response (as published)
HMPPS acknowledges the Board’s concerns regarding the management of prisoners’ property. The issue is receiving renewed focus, informed by the IMB national thematic report and a five-year review of complaints by the Independent Prisoner Complaint Investigations team. In response, Governors and senior leaders have been reminded of key property handling protocols, including adherence to volumetric control limits. Further consultation with prisons is underway to address additional issues raised in the reports.

Source text verified

Recommendation 5

Response: Implemented

Addressee: HMPPS · Topic: Safety · Repeated from a previous year

Recommendation (the Board's words)
The ACCT documentation (revised in 2022) remains overly complicated and cumbersome. When will HMPPS revise this essential documentation, given its potentially life-saving importance?
Government response (as published)
HMPPS remains committed to strengthening ACCT processes. The ongoing record form has been revised to align with the Safety Framework (effective 1 January 2025), featuring clearer prompts, simplified language, and reducing the form from six pages to a four-page format to support efficient record keeping. The Safety Group continues to provide targeted support, including an ACCT quality assurance visit to HMP Pentonville in June 2025 to upskill staff and senior leaders. In light of the urgent notification, further coaching from the National Safety Team has been provided in risk identification and management.

Source text verified

Recommendation 6

Response: In progress

Addressee: HMPPS · Topic: Resettlement

Recommendation (the Board's words)
What will HMPPS do to create more spaces in the estate for prisoners convicted of sexual offences so that they can move on from unsuitable prisons such as Pentonville and start offending-behaviour courses?
Government response (as published)
HMPPS has increased investment in accredited programme resources for PCoSO prisoners. HMP The Verne is set to begin delivering Building Choices, while HMPs Ashfield and Rye Hill have received additional funding to expand provision. Existing Offending Behaviour Programmes (OBP) resources have also been directed to PCoSO cohorts at HMPs Five Wells, Oakwood, and Fosse Way, enhancing national provision. A new Digital Prison System (DPS) approach, launched last year, enables Prison Offender Managers to identify suitable prisoners for Building Choices immediately following a completed or updated OASys. The system also facilitates rapid digital referrals and helps locate delivery sites—supporting establishments such as HMP Pentonville in making appropriate transfers. HMPPS continues to conduct annual demand reviews to ensure resources are targeted effectively.

Source text verified

Recommendation 7

Response: In progress

Addressee: HMPPS · Topic: Substance Misuse

Recommendation (the Board's words)
What will HMPPS do to support the Governor to stem the flow of drugs, especially NPS, into Pentonville, which could include, for example, increased perimeter security and anti-drone systems?
Government response (as published)
In 2025, HMPPS is investing over £40 million in physical security across 34 prisons, including anti-drone measures such as window replacements, external grilles, and netting at 15 priority sites. An anti-drone wire solution is also being trialled in the Long-Term High Security Estate. All prisons, including HMP Pentonville, are equipped with specialist contraband detection tools such as X-ray body and baggage scanners and Trace Detection Units. At Pentonville, a window replacement project is underway to further strengthen security. HMP Pentonville also has a dedicated Drug Strategy Lead overseeing a coordinated approach to supply reduction, demand management, and recovery. This includes an Incentivised Substance-Free Living (ISFL) unit, offering enhanced conditions for prisoners who commit to remaining drug-free. The mandatory drug testing programme detects a wide range of substances, including Novel Psychoactive Substances (NPS). A new testing contract enhances flexibility and responsiveness to emerging drug trends. Seized substances can also be forensically tested, including for NPS.

Source text verified

Recommendation 8

Addressee: Governor / Director · Topic: Safety

Recommendation (the Board's words)
What additional measures will you take to ensure that all officers wear their body worn video cameras and use them in the event of an incident, in particular where force is used?

Source text verified

Recommendation 9

Addressee: Governor / Director · Topic: Regime

Recommendation (the Board's words)
What will you do to ensure that a robust system is put in place to ensure that every prisoner arriving at Pentonville has a clean, fully equipped cell, a welfare call and a meaningful induction?

Source text verified

Recommendation 10

Addressee: Governor / Director · Topic: Regime

Recommendation (the Board's words)
How will you implement a system for ensuring that, at a minimum, those prisoners deemed most in need of one will be allocated a key worker, and that the amount and quality of key work is monitored?

Source text verified

Recommendation 11

Addressee: Governor / Director · Topic: Mental Health

Recommendation (the Board's words)
What will you do to increase utilisation of the wellbeing centre, which has such a beneficial impact on many of the prisoners who attend it?

Source text verified

Recommendation 12

Response: In progress

Addressee: Governor / Director · Topic: Estate

Recommendation (the Board's words)
How will you ensure that maintenance issues are recorded and fixed in a timely manner?
Government response (as published)
The Ministry of Justice is now running a competitive tender process under the Property Transformation Programme (PTP) to secure new contracts. Future contracts will include enhanced requirements and Key Performance Indicators (KPIs), with financial penalties governed by a Performance Credit Model. A revised performance framework will prioritise first-time fixes and permanent repairs. Providers will operate local helpdesks to improve efficiency and resource allocation. Furthermore, PTP is establishing a dedicated contract management team to ensure consistent oversight and timely issue resolution. Until contract expiry, existing services are managed under the GFSL Memorandum of Understanding (MoU), which includes a structured performance framework. At HMP Pentonville, a dedicated Area Property Operations Manager (APOM) works closely with GFSL and the Governor to monitor delivery. The new FM site manager attends daily operational meetings to provide updates on remedial works and enable direct escalation of delays. Maintenance progress is also reviewed at the monthly Estates Tripartite Meeting, whereby concerns can be raised with senior MOJ Property and Estates managers.

Source text verified

Key concerns 15 items

Key concerns were extracted from the report text by an AI model.

Key concern 1

Safety

First-night cells were often lacking basic equipment, such as pillows and kettles, and prisoners were not always given a welfare call on their first night in the prison.

Key concern 2

Safety · Repeated from a previous year

Accurate completion of assessment, care in custody and teamwork (ACCT) documents (used to support prisoners who are at risk of self-harm or suicide) remains an issue, as reported last year, and the Board maintains its view that the documentation is over-complicated and illogically set out and that it should be revised.

Key concern 3

Mental Health

There was an insufficient number of Listeners (prisoners trained by the Samaritans to provide confidential emotional support to fellow prisoners) in the prison over most of the reporting year. This was largely down to the fact that, at times during the year, Listeners could not be put on hold and kept at Pentonville due to capacity pressures in the prison estate nationally.

Key concern 4

Estate/Conditions

The crumbling fabric of the prison and poor conditions remain a serious concern to the Board. The building is susceptible to continual infestations of rats, mice, cockroaches and flies, and cells being taken out of use increases overcrowding. In addition to the potential health hazard of living with vermin, two men share cramped and sometimes damp cells built for single occupancy. These conditions are not decent or humane.

Key concern 5

Estate/Conditions

The Board was particularly concerned about the condition of the cells in the care and separation unit, or CSU, where men are segregated, some of which have damp walls and frequently blocked drains.

Key concern 6

Regime/Time Out of Cell

Only minimal levels of key work took place, with no proper system for allocating key workers or for monitoring the number of sessions.

Key concern 7

Equality/Diversity

Pentonville remains a completely unsuitable environment for prisoners with mobility issues.

Key concern 8

Estate/Conditions

it was very disappointing that, due to damage to the flooring because of an undetected leak, the mosque remained out of use.

Key concern 9

Other · Repeated from a previous year

The system for transfer of prisoner property between prisons remained unfit for purpose, with prisoners often having to wait weeks or months for their belongings to arrive, and property sometimes being lost altogether.

Key concern 10

Regime/Time Out of Cell

with structured wing activity (SWA) happening only once a day, some prisoners were still locked up for 22 hours a day or more.

Key concern 11

Mental Health

A lack of beds in the secure mental hospitals meant that some very unwell prisoners remained in Pentonville awaiting a place, either on the in-patient unit, or sometimes on the wings or in the CSU.

Key concern 12

Mental Health

The wellbeing centre continued to be an underused resource. This is regrettable, as Board members were frequently told by prisoners who attended the centre how beneficial they felt it was for their wellbeing.

Key concern 13

Resettlement/Release

Government-imposed measures to reduce prison overcrowding continued to have an impact on the offender management unit’s (OMU) ability to fulfil its remit. The additional work involved in these initiatives reduced the time available for the team to complete its day-to-day work, causing much anxiety and frustration for prisoners.

Key concern 14

Resettlement/Release

Immediate releases from court, due to long periods spent on remand, as well as transfers occurring during the last 12 weeks of sentence due to national population pressures, meant that some prisoners missed out on important pre-release support.

Key concern 15

Substance Misuse

The Board was concerned by an increase in the availability and use of new psychotic substances (NPS), often resulting in medical emergencies.

Safety statistics

Incidents during the reporting year.

IndicatorThis yearPrevious
Deaths in custody82
Self-harm incidents565608
ACCT cases opened769723
Prisoner assaults444not recorded
Assaults on staff240not recorded
Use of force1,128895
Drug finds273not recorded

Population

Population1,180
Operational capacity1,205
CNA (designed for)909 (130% occupied)
Time out of cell2.0h/day

Applications to the IMB

CategoryCurrentPrevious
Accommodation (including transfers) 110 183
Adjudications 17 21
Discrimination 8 11
Family issues (including contact) 58 72
Food 3 5
Healthcare 158 158
Other 125 150
Progression (including sentence planning) 10 15
Property (including transfers) 110 183
Regime (including purposeful activity) 10 14
Release on temporary licence 23 27
Rule 39 (legal correspondence) 22 25
Safety 11 15
Segregation 12 10
Total applications 689 946

Report details

Establishment
Pentonville
Type
Prison, category B local
Report year
2025
Published
2 October 2025
Responsible body
HMP Pentonville
Recommendations
12
MoJ rating (2025/26)
1, Serious concern

Service providers

ServiceProvider
HealthcarePractice Plus Group
MaintenanceGov Facility Services Limited
Violence Reduction SupportCatch22

Related inspections and investigations

HMIP inspection, 16 Mar 2026

IRP

HMIP inspection, 16 Jul 2025

Urgent Notification

HMIP inspection, 30 Jun 2025

Unannounced · Safety 1 · Respect 2 · Activity 1 · Release 1

HMIP inspection, 11 Apr 2023

IRP

HMIP inspection, 11 Jul 2022

Unannounced

Stephen Nuth

PPO fatal incident · 24 Sep 2025 · Self-inflicted

Peter Campbell

PPO fatal incident · 8 Oct 2024 · Other non-natural

Rickie Poon

Prevention of future deaths report · State Custody related deaths

Peter Campbell

Prevention of future deaths report · 11 Mar 2026 · This report is being sent to: HM Prison & Probation Service | Phoenix Futures | Practice Plus Group

Mujahid Adam

Prevention of future deaths report · 3 Mar 2026 · Suicide (from 2015)

Gareth Chumber-Kelly

Prevention of future deaths report · 9 Feb 2026 · State Custody related deaths | Suicide (from 2015)

Amarjit Singh

Prevention of future deaths report · 18 Sep 2023 · State Custody related deaths

Other reports for Pentonville

2026

Published 26 Aug 2026 · Population 1,180 · Self-harm 435 · Key concerns recorded

2024

Published 29 Oct 2024 · Population 1,195 · Self-harm 610 · Key concerns recorded

2023

Published 26 Sep 2023 · Population 1,140 · Self-harm 487 · Key concerns recorded

2022

Published 24 Aug 2022 · Population 1,043 · Self-harm 564 · Key concerns recorded

2021

Published 14 Sep 2021 · Population 966 · Self-harm 556 · Key concerns recorded

2020

Published 9 Sep 2020 · Population 1,025 · Self-harm 682 · Key concerns recorded