Source · IMB Annual Report

Gartree

Year: 2024 Published: 28 May 2025 Type: Prison · Cat B Population: 558 Recommendations: 22 Key concerns Positive findings

HMP Gartree, a Category B prison, maintains an ordered environment despite an aging infrastructure. Key concerns include deteriorating buildings, inadequate healthcare provision leading to increased complaints, and persistent issues with drug influx and obscured observation panels. The Board also highlights insufficient purposeful activity and support for rehabilitation, alongside challenges in mental health service access and long-term segregation.

Safety statistics

Incidents during reporting year
IndicatorThis yearPrevious
Deaths in custody11
Self-harm incidents288266
ACCT cases opened241155
Prisoner assaults7524
Assaults on staff5569
Use of force349326

Positive findings

The Board acknowledges the continued drive to provide a consistent regime at Gartree through stable leadership and improved uniformed staffing levels. Overall, the prison provides an ordered environment where prisoners generally report feeling safe. There have been positive initiatives in the library, and commendable work to improve social visits and family days. Staffing levels have improved, and the chaplaincy team provides good pastoral care, fostering a sense of community.

Key concerns

9 items
Estate/Conditions Repeated The ageing fabric and building infrastructure at Gartree, particularly the issue with heating and leaking roofs and broken showers, etc.
Healthcare Repeated Healthcare provision, generally, and lack of response to prisoners’ complaints about this service.
Mental Health Repeated Inadequate access to mental health services.
Substance Misuse Repeated The continued influx of drugs and illicit items.
Safety Repeated Prisoners being allowed to keep observation panels obscured, which is not challenged by staff or they don’t seem to feel confident to challenge
Equality/Diversity Repeated Inadequate facilities for some of the older and/or disabled prisoners.
Regime/Time Out of Cell Repeated Access to truly purposeful activities for all.
Resettlement/Release The support and help available to rehabilitate prisoners prior to release.
Segregation The segregation unit at Gartree is small compared with other LTHSE sites and leads to the segregation of prisoners on residential wings remaining high; there are still prisoners held in the SAPU for many months, due to the lack of suitable alternative accommodation within the prison estate or secure mental health units/hospitals.

Recommendations

22 items · 18 repeated
#RecommendationAddresseeStatus
1 Will the Minister confirm when funding will be allocated to address the seriously deteriorating fabric and infrastructure of Gartree, including the unacceptable state of the residential blocks, showers and heating? The prison infrastructure is now so degraded that effective routine maintenance is no longer possible. Repeated
Response
I understand the Board’s ongoing concerns about the prison’s infrastructure and as an update to last year, progress is being made on the fire safety project which is due to complete by the end of the 2025/26 financial year. A comprehensive review of the showers is being planned to identify defects and target capital funding bids effectively and as identified a Genox machine is now in place to purify the water supply at source to tackle legionella. The Board can be assured that funding has been actively pursued to replace outdated heating systems and reduce the reliance on temporary heating. A site-wide boiler replacement scheme is due to be delivered in this 2025/26 financial year capital programme.
Ministry of Justice In progress
2 Last year after the Board again raised concerns about the ageing fabric of Gartree, the Minister advised that: ‘Over the past year, improvements have been made to the heating and hot water pumps and valves linked to a new Building Management System continuing to be changed to improve control of these systems across HMP Gartree.’ It is disappointing to report there remain major issues with the heating systems throughout the prison, suggesting that the original fix has not worked. Is it reasonable for prisoners, including those on the over 50s wing, to be left for weeks with no heating? Can the Minister confirm that overall responsibility for the fabric lies outside of the control of the Governor and with the LTHSE? When issues arise that cannot be resolved in a timely or satisfactory manner, who is accountable? Repeated
Response
A site-wide boiler replacement scheme is due to be delivered in this 2025/26 financial year capital programme. It is recognised that the prisoners located on the over 50’s Unit were affected when issues with the heating became protracted. All prisoners were offered a move to an alternative location, but this was declined and therefore additional blankets were provided. The infrastructure of our prisons is overseen by the HM Prison and Probation Service (HMPPS) National Services Estates who provide the capital maintenance funding, with the Ministry of Justice Property managing many of the funded projects, as well as overseeing the local facilities management maintenance provider contracts. Additional projects at HMP Gartree, including window replacements, window grilles and anti-drone wire site wide are in development. Should funding be approved it is expected delivery of the grilles and wires would be able to commence this financial year, with window replacements starting in the 2026/27 financial year. A business case has also been submitted for a replacement fire alarm system, but this is at an early stage and projects of this scale are complex and will require taking many places offline which will need to be carefully considered.
Ministry of Justice In progress
3 As the age of the prison population continues to rise, the fabric of the buildings continue to cause problems with a lack of suitable access for elderly and disabled prisoners. What alternative provisions are being considered for this group of prisoners? Repeated
Response
The challenges posed by the rising older prison population over recent years, with their complex health and social care needs and the physical design of some prisons are acknowledged. This is why the new prison places being built have been designed with accessibility in mind and will significantly increase the number of adapted cells for those with mobility and physical disabilities. The recommendation made by the Independent Sentencing Review to produce a strategy for older prisoners is also welcomed and we will work with partners to publish our strategy in due course. I note that HMP Gartree does accommodate older prisoners primarily in H Wing on the over 50’s Unit, however older prisoners are accommodated and managed in all areas of the prison, with any adaptations needed considered on a case-by-case basis. The six prisoners that currently need social care is delivered in tandem between Leicestershire County Council and the healthcare provider Practice Plus Group (PPG) which works effectively. The prison also has four disabled cells. Based on current demand there are no plans to increase the capacity for older prisoners.
Ministry of Justice In progress
4 The Board raised questions with the Minister last year about the quality and performance of service providers and remains concerned, particularly with regard to healthcare. So, we ask, again, how the Minister plans to address these issues? Repeated
Response
I can assure the Board that all service providers are continually assessed as per their contractual obligations with the use of various benchmarks and mechanisms to identify and address performance. It is recognised that during the reporting year the healthcare provision at HMP Gartree transitioned from Nottinghamshire Healthcare Foundation NHS Trust to PPG whose contact started on 1 March 2024. This resulted in staff recruitment being paused which did result in staffing levels impacting on delivery. These have been mitigated through contingency planning with the night shifts covered since the new contract began and the vacancy rate reducing from 50% to 31% by the end of the Board’s reporting period.
Ministry of Justice In progress
5 The Minister has previously advised that healthcare provision is monitored and reviewed by NHS England Midlands Clinical and Quality Team. Despite numerous requests by the Board, the healthcare provider has steadfastly declined to provide any meaningful quantitative data for monitoring the healthcare provision and benchmark against the community equivalent. Again, we ask the Minister to explain how the Ministry of Justice perceives the performance of prisoner healthcare at HMP Gartree, compared with (a) the performance specification in the contract and (b) the equivalent in the local community? Repeated
Response
To clarify, the responsibility for monitoring healthcare performance remains with NHS England through established contract and performance management processes. However, regionally PPG healthcare also internally scrutinises all aspect of the care provided locally. A Clinical Quality Visit to the prison was conducted by NHS England in November 2023 and an action plan was developed to improve service delivery. PPG took over responsibility of the action plan in March 2024 and actions have been completed across pharmacy, infection prevention and control, complaints, staffing and patient engagement. The MoJ and HMPPS does not have access to healthcare data to provide the comparisons the Board asks. However, I can provide assurance that NHS England will ensure that the Board has access to the relevant healthcare performance data.
Ministry of Justice Accepted
6 The Board remains concerned that many prisoners wait for long periods to access specialist mental health services and/or assessments. Can the Minister please explain how longstanding problems with the assessment and transfer of prisoners who present with serious mental health and personality disorders from Gartree to suitable secure hospital will be addressed (as per Section 47 of the Mental Health Act 1983). Repeated
Response
I do recognise that vulnerable people across the prison estate continue to experience delays in accessing the specialist mental health care and treatment they need in a secure hospital and healthcare providers are seeing prisoners with more complexities. In March 2025 the Care Quality Commissions regulatory report on the Mental Health Act 1983 found inpatient services in the UK lacked sufficient bed. NHS England are maintaining oversight, with weekly clinical case discussions for those who are awaiting transfer and delays are being escalated to the Mental Health Provider Collaborative who have the responsibility for the commissioning secure mental health beds. A recently established Mental Health and Justice Strategic Advisory Group is being developed to improve oversight of the transfer process and deliver solutions to address the common causes of delay. The healthcare provider at HMP Gartree is also working with prison staff to increase the use of the Wellbeing Centre to support patient needs and a neurodiversity project commissioned by NHS England is providing funding to the healthcare team to enhance support for prisoners with complex needs. In addition, progress is being made with the Mental Health Bill which has now been introduced in the House of Commons and we are working with other departments to create an implementation plan which sets out the operational improvements necessary to commence these reforms 18-24 month post Royal Assent.
Ministry of Justice In progress
7 Gartree continues to hold a large number of prisoners sentenced to an indeterminate sentence of imprisonment for public protection (IPP). Many of these IPP prisoners are now years over tariff and they make up a higher proportion of segregated prisoners and those with complex mental health issues and/or behaviour. The Board asks the Minister for a further update about how issues affecting IPP prisoners at Gartree will be addressed. Repeated
Response
The Government is very mindful of the specific challenges faced by those serving Imprisonment for Public Protection (IPP) sentences and is determined to support the rehabilitation of IPP offenders. A refreshed IPP Action Plan was published on 17 July 2025 in our IPP Annual Report that puts an important emphasis on effective frontline delivery in our prisons and the Probation Service. This is the most effective way to help prisoners at HMP Gartree to reduce their risk so that they can progress towards safe release and staff locally are being upskilled to support prisoners through their sentence plan. We have also implemented reforms to the IPP licence period which commenced on 1 November 2024, when the licences for 1,742 IPP offenders in the community were terminated. Further reforms were implemented on 1 February 2025, when the reduced qualifying period for consideration of licence termination was introduced, resulting in around 600 referrals being made to the Parole Board.
Ministry of Justice In progress
8 The Board is still aware of issues with property lost on transfer and remains concerned that current rules for possession of property vary amongst prisons. As a national issue, are rules covering transfer and possession of property belonging to prisoners in the LTHSE to be standardised?
Response
The handling of prisoners’ property is an area which HMPPS is currently giving further attention. Careful consideration is being given to the findings in the IMB national thematic report on how property loss impacts on prisoners, as well as those received from Independent Prisoner Complaint Investigations following a thematic review of the property complaints they have received in the last five years. It is recognised that compliance with volumetric control limits is important, since anything within those limits will transfer with them and Governors and other senior leaders have been reminded of the most important property handling points. Whilst the National Facilities List provides a framework for consistency with minimum items in part one, Governors retain discretion over the additional items in part two. However, recent efforts across the LTHSE have agreed some commonality around the management of volumetric control and discretionary one-off purchases which will be implemented later this year. Further work is also due to be undertaken to scope the impact of a common facilities list within the LTHSE which has previously been considered among prison leaders.
HMPPS In progress
9 For yet another year (and, in the case of the heating system in the kitchens, the fourth year running), essential equipment in the kitchen is not replaced or repaired. Can the Prison Service confirm that the service level agreement with the supplier/contractor is being adequately managed and reviewed? Repeated
Response
The heating boilers in the kitchen were replaced during the 2024/25 financial year and repairs to the air handling unit and heating coil have also taken place to ensure adequate heating and air circulation for both staff and prisoners in this area. Despite this work and delays in sourcing contractors for faulty kitchen equipment, there have been no impact on food preparation, service or delivery.
HMPPS Implemented
10 Can the Prison Service confirm that Gartree will receive sufficient ongoing budget and capital funding in order both that prisoners can live, and staff can work within a safe, secure and decent environment? Repeated
Response
HMP Gartree will continue to receive appropriate budgets and capital funding to maintain a safe, secure and decent environment for both staff and prisoners. Staffing budgets are allocated based on the approved staffing model of the prison and non-pay costs, such as food prisoner clothing and cleaning, are allocated using a unit cost approach to ensure essential needs are met. To assist prisons to manage key operational costs, additional investment has been made across the prison estate for the 2025/26 financial year to address non-pay cost inflationary pressures, for example the daily food allowance has risen to £3.12. Governors also continue to have discretion to adjust their individual budgets locally to meet operational needs and these measures collectively will help ensure that HMP Gartree continues to operate to expected standards of safety and decency.
HMPPS Accepted
11 Which specific buildings and maintenance projects have been allocated funding for the next three years?
Response
I understand the Board’s ongoing concerns about the prison’s infrastructure and as an update to last year, progress is being made on the fire safety project which is due to complete by the end of the 2025/26 financial year. A comprehensive review of the showers is being planned to identify defects and target capital funding bids effectively and as identified a Genox machine is now in place to purify the water supply at source to tackle legionella. The Board can be assured that funding has been actively pursued to replace outdated heating systems and reduce the reliance on temporary heating. A site-wide boiler replacement scheme is due to be delivered in this 2025/26 financial year capital programme. The infrastructure of our prisons is overseen by the HM Prison and Probation Service (HMPPS) National Services Estates who provide the capital maintenance funding, with the Ministry of Justice Property managing many of the funded projects, as well as overseeing the local facilities management maintenance provider contracts. Additional projects at HMP Gartree, including window replacements, window grilles and anti-drone wire site wide are in development. Should funding be approved it is expected delivery of the grilles and wires would be able to commence this financial year, with window replacements starting in the 2026/27 financial year. A business case has also been submitted for a replacement fire alarm system, but this is at an early stage and projects of this scale are complex and will require taking many places offline which will need to be carefully considered. All projects which have been allocated funding are set out in the Minister’s letter. However, HMPPS is committed to delivering sustained improvement in living conditions across the prison estate to promote a safe and secure environment that facilitates genuine rehabilitation. To do this HMPPS will be continually reviewing the investment required across the estate and proposals will be informed by recent condition surveys that assessed the fabric, cells, and critical assets at each prison. These will inform maintenance registers, which can be prioritised against future capital budgets to make best use of the funding available.
HMPPS In progress
12 Since the appointment of a new healthcare provider, the Board is aware that there have been numerous complaints about healthcare provision and the response time for prisoner complaints (this has increased from 20 working days to 60 working days). What measures are in place to ensure an acceptable level of patient care is provided and maintained at Gartree? Repeated
Response
The Ministry of Justice and HMPPS are not responsible for the commissioning of healthcare services in prison which is the responsibility of NHS England and the Welsh Government. Healthcare complaints also fall into that remit and use a separate healthcare complaint process which are not seen by HMPPS staff due to medical in confidence. Healthcare complaints received by the local healthcare provider are reported to NHS England commissioners and the Nursing and Quality Team for review. This reporting also includes additional narrative detailing themes, investigation outcomes and recommendations, as well as actions taken and timeframes to provide assurance of improvements made and lessons learned. The provider averages around 16 concerns raised by patients monthly which are dealt with in five days with a one-to-one discussion offered to resolve the issues patients may have with their care. Where these progress to a complaint, which average three per month, the provider has 60 days to investigate and provide a written response. The Board can be assured the provider takes all concerns and complaints seriously and there is a dedicated patient engagement lead that will review themes to ensure the right information and actions are taken.
HMPPS In progress
13 Will the Prison Service ensure that Gartree will be sufficiently funded so that prisoners’ can access employment, purposeful activity and education? Repeated
Response
Further to the budget funding mentioned above, the Board can be assured that HMP Gartree is able to offer work to all prisoners. Decisions about the curriculum that is delivered via the current and future education contract rest with the Governor and is reviewed annual based on a needs analysis of the prison population. The Governor also has the flexibility to determine the pay rates above the minimum level that prisoners receive for work and education at their prison which is also reviewed annually to ensure fairness.
HMPPS Accepted
14 What preventive measures are being taken to intercept and prevent frequent drone incursions, which deliver dangerous illicit items? Repeated
Response
HMPPS is working hard to deter, detect and disrupt the use of drones across the prison estate, including investing over £40 million this year in physical security, such as anti-drone measures. Trials of anti-drone wire solutions are also underway in the LTHSE, and further technological and legislative measures are being explored, alongside upskill prison staff and joint operations with the Police and the National Crime Agency. However, we cannot share all of the counter drone tactics as this would be playing into the hands of the sophisticated serious and organised criminals who seek to undermine the security of our prisons. Locally HMP Gartree will continue to be proactive in identifying risks, building intelligence and responding to drone threats. The LTHSE prisons are also supported by a regional team which has resulted in some positive results leading to the arrest of those involved in done incursions.
HMPPS In progress
15 In last year’s report, the Board raised some issues about fire safety: there was no assurance that everyone knew either what a ‘general’ fire alarm sounded like or what should happen if one was heard. There have been some drills carried out in the past year and this is encouraging. Will the Board be allowed access to the report of the recent fire safety inspection? And if not, why not? Repeated
Response
A Crown Premises Fire Safety Inspectorate (CPFSI) visit to the prison that took place on 14 November 2024 was the result of a complaint and did not result in a formal report. The visit concluded positively with the CPFSI determining a further visit to the prison would not be required in the near future. To provide further assurance to the Board, fire safety is included in the induction for all new staff and operational staff are trained to respond to cell fires. There is also a programme for all occupied buildings to undergo a fire evacuation simulation annually and the facilities management provider completes a weekly test of all fire alarm call points.
HMPPS Noted
16 Will the improved staffing levels remain? The Board is pleased to observe that staffing levels have improved and become more stable over the past year, but we ask if plans are in place to ensure that this does not become an issue once all residential wings are full again. Repeated Governor / Director
17 Will the Governor continue to push for improvements to the security systems, to help prevent the influx of illicit items through the gate and/or via drones, etc? What additional steps is the Governor taking to reduce the importation of illicit items, including drugs and mobile phones? Repeated
Response
Additional projects at HMP Gartree, including window replacements, window grilles and anti-drone wire site wide are in development. Should funding be approved it is expected delivery of the grilles and wires would be able to commence this financial year, with window replacements starting in the 2026/27 financial year. A business case has also been submitted for a replacement fire alarm system, but this is at an early stage and projects of this scale are complex and will require taking many places offline which will need to be carefully considered. Locally HMP Gartree will continue to be proactive in identifying risks, building intelligence and responding to drone threats. The LTHSE prisons are also supported by a regional team which has resulted in some positive results leading to the arrest of those involved in done incursions.
Governor / Director In progress
18 Will the Governor ensure that, during the coming year, repairs to the fabric of the kitchen will be a priority to ensure hygienic food production and that all unreliable and unserviceable kitchen appliances will be repaired or replaced without delay? Repeated
Response
The heating boilers in the kitchen were replaced during the 2024/25 financial year and repairs to the air handling unit and heating coil have also taken place to ensure adequate heating and air circulation for both staff and prisoners in this area. Despite this work and delays in sourcing contractors for faulty kitchen equipment, there have been no impact on food preparation, service or delivery.
Governor / Director Implemented
19 Please can the Governor give further assurance that staff will be adequately trained to ensure that they challenge any prisoner who covers their observations panels? This has been raised in a number of Prisons and Probation Ombudsman reports about deaths in custody. Repeated Governor / Director
20 What further support can be provided to ensure that key work is delivered consistently and to a high standard for all prisoners? Repeated Governor / Director
21 What additional steps can be taken to help keep the prison clear of litter and waste (which encourages vermin), often thrown out of cell windows by prisoners, and what measures are in hand to remedy the situation? Governor / Director
22 Amey does not appear to have attended any of the quarterly health and safety meetings during the reporting period. Can the Governor confirm that the actions requiring their input are progressed, minuted and actioned accordingly? Governor / Director

Applications to the IMB

CategoryCurrentPrevious
Accommodation (including transfers) 30 25
Adjudications 15 21
Canteen/Money/Property/Pay 83 112
Disability/Equality/Diversity 9 13
Drugs 2 1
Healthcare 153 61
Offending Behaviour Work/Sentence Progression 21 27
Other/Various 35 29
Purposeful Activity/Regime 33 25
Religious/Faith/Pastoral Care 4 6
Safety (including self-harm) 3 4
Social Visits/Family Contact 17 23
Staff/Prisoner Concerns (including bullying) 41 13

Related inspections & investigations

16 Jan 2023 HMIP · Unannounced Safety 3 · Respect 3 · Activity 2 · Release 3
PPO fatal incident Martin McDermott
PPO fatal incident Nicholas Halling · Natural causes
PPO fatal incident Jordan Nuttall
PPO fatal incident Ian Kerr
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

2025 Published 3 Jun 2026 Population 664 · Self-harm 457 · 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

Report details

Establishment
Gartree
Type
Prison · Cat B
Report year
2024
Published
28 May 2025
Responsible body
HMP Gartree
Recommendations
22
MoJ rating (2024/25)
3 — Good

Population

Population558
Operational capacity608
CNA (designed for)708 79%

Service providers

Education
Milton Keynes College
Healthcare
Nottinghamshire Healthcare NHS Foundation Trust
Maintenance
Amey

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