Source · IMB Annual Report

Elmley

AI-generated report summary HMP Elmley faces significant challenges, notably an "intolerable" fire safety risk in House Block 5 and generally deteriorating accommodation. While healthcare and equality initiatives show improvement, safety remains a concern with increased self-harm and use of force incidents, exacerbated by poor key working and inconsistent reception processes. Education attendance is low, and there's a need for more purposeful activity.

Year: 2024 Published: 21 Jan 2025 Type: Prison · Cat local, YOI Population: 1,043 Recommendations: 10 Key concerns Positive findings

Safety statistics

Incidents during reporting year
IndicatorThis yearPrevious
Deaths in custody5
Self-harm incidents580532
ACCT cases opened574398
Prisoner assaults245246
Assaults on staff13770
Use of force903744
Drug finds271267

Positive findings

AI-generated summary
HMP Elmley has made improvements in reception and induction processes, equality and diversity initiatives, and healthcare provision, with staffing levels for healthcare enhanced. The chaplaincy team has improved its support, and the weekly Use of Force meetings are effective in reviewing and improving practice. Education quality is good, and prisoners generally value work opportunities, including the Shannon Trust's literacy and numeracy support.

Key concerns

15 items
Safety The prison is taking steps to improve the process of reception and induction for new prisoners. However, from the Board’s observations, good practice is not consistently embedded.
Safety Repeated Whilst many prisoners report feeling safe within Elmley, a significant number do not, judging by the applications (prisoners’ written representations) to the Board. Concerns are, typically, worries about violence and factors related to mental health. Prison data shows that incidents of violence have increased compared to the previous year despite a fall in the prison OpCap.
Safety The Prison Service has been too slow to replace razor blades with safer electric shavers, despite them being the main instrument of self-harm.
Estate/Conditions The fire risk assessment for house block 5, undertaken in December 2023 and carried out under Article 9 of the Regulatory Reform (Fire Safety) Order 2005, states that the likelihood of fire is high and that the consequences for life safety in the event of fire would be extreme harm. The Board is of the view that it is wholly unacceptable and negligent of the prison for house block 5 to be operational until risk is sufficiently mitigated.
Safety The documentation of assessment, care in custody and teamwork (ACCT) plans (used to support prisoners at risk of self-harm and suicide) is not effectively quality assured by the prison, potentially putting vulnerable prisoners at risk.
Regime/Time Out of Cell The low rate of key work is an issue of concern for the Board. The expectation is that prisoners should have 45 minutes per week with a key worker. The reality is that, on average, only 20% of expected key working sessions occur on a weekly basis, usually because of low staff availability. Many prisoners with whom Board members spoke had little knowledge of who their key worker was or the purpose of key work.
Mental Health During the reporting period, the Listener scheme (whereby prisoners are trained by the Samaritans to provide confidential emotional support to fellow prisoners) ceased. Whilst the prison hopes to be able to recommence this in 2025, its absence detracts from a culture of safer custody.
Safety Instances where the prison has resorted to using force to restrain prisoners has increased significantly over the reporting period, compared with the previous two years, with black prisoners more than twice as likely to be restrained than white prisoners.
Safety The prison does not comply with the expectation for independent scrutiny of Use of Force incidents and Discrimination Incident Reporting Forms (DIRFs).
Estate/Conditions Repeated Substantial investment is required to bring existing accommodation up to an acceptable standard. Aspects, including access to clean, working showers and reliable heating are insufficient and provision continues to deteriorate.
Food/Catering Prisoners regularly complain about the quality and nutritional value of prison food. Based on the Board’s own assessment, we consider there to be shortcomings in what is provided and we believe it could be improved within the scope of the current financial limits.
Education/Purposeful Activity Education provision, despite improved teaching quality, is hampered by unacceptably low attendance levels (e.g., 73% in September 2024), often due to staff failing to collect prisoners. Source wording under review
Regime/Time Out of Cell Vocational provision observed during the reporting period to support prisoners to learn useful work-based skills to gain employment on release is of variable quality. Opportunities for prisoners to develop skills by improving the prison environment are limited, in the Board’s view.
Mental Health On occasion, prisoners exhibiting very complex mental health needs are placed in the CSU, despite awareness that a more suitable setting is required. In one instance, a prisoner remained in the CSU in isolation for two lengthy periods of 42 and 79 days whilst awaiting a place to become available in a suitable mental health facility. The Board considered this to be inappropriate. Whilst the prison did all it practically could to support the prisoner, greater capacity needs to be made available nationally to reduce such incidents of transfer delay.
Regime/Time Out of Cell Time out of cell for prisoners not engaged in purposeful activity remains low, with individuals spending 21-22 hours per day locked in their cells, especially in evenings and weekends.

Recommendations

10 items · 1 repeated

Recommendation 1

Addressee: Ministry of Justice

Substantial investment is required to bring existing accommodation up to an acceptable standard. Aspects, including access to clean, working showers and reliable heating are insufficient and provision continues to deteriorate.

Repeated Source text verified

Government response
I fully understand the Board’s concerns about the investment required at HMP Elmley to improve the standard of accommodation. This is a challenge we face in many of our prisons, but the Board can be assured that we recognise that improvements are needed at the prison and there are bids for projects to replace the boilers site-wide to improve the heating, as well as a further shower refurbishment project to build on existing plans. There are also bids to improve safety and security, with improved CCTV, replacement security lighting posts, and the installation of a smoke extraction system in Healthcare. However, as the demands for maintenance across the prison estate are much greater than the available funding, HM Prison and Probation Service (HMPPS) will continue to prioritise works carefully to make best use of that funding, focusing on risk to life and risk to capacity and decency. Improvements have been taking place during the reporting period, with the refurbishment of some of the cells in the prisons Inpatients Department receiving new safety hatches and whitewood furniture. Work is planned to replace shower doors in House Block 5 and to improve the ventilation of the showers in House Block 6. There is also an ongoing flooring replacement programme and funding has been secured for two replacement lifts. Additionally, there are plans being considered to replace the boiler plant in House Block 5, along with plans to upgrade the fire compartmentation and undertake a shower refurbishment. Delivery of a new House Block 7 also remains on schedule to complete in March 2026 and will provide new accommodation for up to 247 prisoners. The local Facilities Management Team will also continue to carry out repair works as necessary to ensure heating and shower facilities remain available.

Recorded status: In progress

Topic: Estate

Recommendation 2

Addressee: Ministry of Justice

Prisoners - and staff - are at substantial risk of serious harm due to the fire safety issues on house block 5. The Minister must take urgent action to address this very worrying problem and preclude its use as a residential house block until the risk is effectively mitigated.

Source text verified

Government response
Turning to the Board’s concerns about fire safety on House Block 5, risk assessments undertaken by Ministry of Justice Property and National Health, Safety and Fire, have resulted in mitigations being put in place to protect staff and prisoners from fire. Whilst there is not sufficient capacity in the prison estate to decommission the House Block, its operational capacity has been reduced by half. Other mitigations include the fitting of domestic smoke detectors, which are in addition to the existing automatic fire alarm system which remains functional, additional staff patrols and a separate electrical supply for mobile misting units in the event of a fire. The Crown Premises Fire Safety Inspectorate have also completed an inspection in January 2025 which found the risk reduction plan suitable and sufficient to mitigate the risks. However, work will not stop there and as noted earlier, further passive fire protection compartmentation works within the Houseblock 5 are in planning.

Recorded status: Implemented

Topic: Safety

Recommendation 3

Addressee: HMPPS

Improve funding for vocational work-based opportunities for prisoners to support effective transition back into legitimate paid employment on release and promote greater opportunities for prisoners to directly improve their living environment.

Source text verified

Government response
HMPPS continues to work to give prisoners the support they need to break through barriers to get into work on release and fill skills gaps. An Employment on Release Policy Framework was published in April 2024, providing guidance on best practice to resource and operate employment initiatives, to support prisoners on this part of their resettlement journey. A series of investments have also been made so that 93 prisons across England and Wales, including HMP Elmley now have an Employment Advisory Board, Employment Hub, a Prison Employment Lead and an Identification and Banking Administrator. The Employment Advisory Board is chaired by a business leader to provide support and challenge on the prisons employment strategy. Each Employment Hub provides prisoners with access to employment support similar to a job centre. This is run by a dedicated Prison Employment Lead who works with employers to match prisoners with available job opportunities and the Identification and Banking Administrator ensures that prisoners have the identification and bank account arrangements required to take up work.
The Board’s concerns about vocational training are recognised, but due to the average length of stay of a prisoner at HMP Elmley being 16 weeks, prisoners are not at the prison long enough to complete some vocational qualifications, such as plastering, bricklaying, plumbing, which can take up to 12 months. Nevertheless, qualification delivery within the workshops is being developed further, with Band 4 Instructors due to complete the Level 3 Award in Education & Training during 2025 and HMP Elmley continues to focus on development of employability and soft skills within its industry workshops. A Clean, Rehabilitative, Enabling & Decent Team is being launched allowing two members of staff to supervise a work party of right prisoners who will work on a cell refurbishment program. The Construction Skills Certification Scheme and job ready work, as well as ID provision, help with accommodation and CV writing and assist prisoners to increase their employability on release. The prison will also continue to work on its connections with both local and national companies who do offer appropriate prison leavers employment and training opportunities on release.

Recorded status: In progress

Topic: Progression and resettlement

Recommendation 4

Addressee: HMPPS

Remove prisoners’ access to razor blades as an instrument of self-harm and replace these with safer electric shavers.

Source text verified

Government response
HMPPS has conducted comprehensive pilots and studies on the impact of wet shave razor availability. It concluded that the main risk associated with razor blades was that of violence and potential weapon making. As such in May 2024, it was announced that wet shave razors would be removed from adult male closed prisons and replaced with a bespoke electric razor designed for HMPPS. The implementation has commenced in 31 sites in the adult male closed estate, with a longer-term plan for the remainder of the adult closed male estate subject to funding being available. HMP Elmley is not included in the initial sites and the effect of this on self-harm will continue to be monitored as it is recognised locally that cutting with a razor blade is the most frequent form of self-harm. All prisoners at risk of self-harm will continue to be supported through Assessment, Care in Custody and Teamwork case management, taking an individualised approach via ‘Just Ask Why’ and Key Work.

Recorded status: In progress

Topic: Safety

Recommendation 5

Addressee: Governor / Director

Work with external partners to reinstate the prisoner Listener scheme, as a matter of urgency, to support a culture of safer custody.

Source text verified

Recorded status:

Topic: Mental Health

Recommendation 6

Addressee: Governor / Director

Identify the reasons why black prisoners are twice as likely to be subject to the use of force when compared with white prisoners and put in place effective strategies to reduce the disproportionality.

Source text verified

Recorded status:

Topic: Equality

Recommendation 7

Addressee: Governor / Director

Ensure that UoF reviews and discrimination incident reporting forms are independently scrutinised to ensure procedures are fair and transparent.

Source text verified

Recorded status:

Topic: Safety

Recommendation 8

Addressee: Governor / Director

Deliver 45 minutes of effective key working to all prisoners on a weekly basis, in line with national expectations.

Source text verified

Recorded status:

Topic: Regime

Recommendation 9

Addressee: Governor / Director

Address the inconsistency in the quality of ACCT documents through effective quality assurance.

Source text verified

Recorded status:

Topic: Safety

Recommendation 10

Addressee: Governor / Director

Improve arrangements for ensuring that prisoners attend education classes and healthcare appointments routinely on time.

Source text verified

Recorded status:

Topic: Regime

Applications to the IMB

CategoryCurrentPrevious
Accommodation, including laundry, clothing, ablutions 8 10
Canteen, facility list, catalogue(s) 5 13
Discipline, including adjudications, incentives scheme, sanctions 9 10
Equality 1 7
Finance, including pay, private monies, spends 5 7
Food and kitchens 14 6
Health, including physical, mental, social care 70 59
Letters, visits, telephones, public protection restrictions 6 14
Miscellaneous, including complaints system 0 42
Property during transfer or in another establishment or location 6 29
Property within this establishment 13 38
Purposeful activity, including education, work, training, library, regime, time out of cell 10 7
Sentence management, including HDC (home detention curfew), ROTL (release on temporary licence), parole, release dates, recategorisation 6 70
Staff/prisoner concerns, including bullying 22 58
Transfers 2 3

Related inspections & investigations

16 Feb 2026 HMIP · IRP
26 Feb 2025 HMIP · Unannounced Safety 2 · Respect 2 · Activity 2 · Release 3
13 Feb 2023 HMIP · IRP
7 Mar 2022 HMIP · Unannounced
PPO fatal incident Brian James · Natural causes
16 Oct 2024 PPO fatal incident Nickolas Fretwell · Self-inflicted
1 Nov 2023 PPO fatal incident Josh Tarrant · Other non-natural
PPO fatal incident Geoffrey Bradley
PPO fatal incident Patrick Driver
9 Feb 2026 PFD Josh Tarrant (3) · Alcohol drugs and medication related deaths | State Custody related deaths
29 Jul 2025 PFD Azroy Dawes-Clarke · State Custody related deaths
27 Apr 2018 PFD Paul James · State Custody related deaths

Other reports for Elmley

2025 Published 10 Apr 2026 · Concerns
2023 Published 17 Jul 2025
2022 Published 16 Mar 2023 · Self-harm 660 · Concerns
2021 Published 3 Mar 2022 · Concerns
2020 Published 5 Mar 2021 · Self-harm 254 · Concerns