Source · IMB Annual Report
Bronzefield
AI-generated report summary Bronzefield faced significant challenges in the reporting year, primarily due to severe staff shortages impacting all aspects of the regime, leading to prisoners being locked up for extended periods and missing activities. Healthcare delivery was suboptimal due to lack of staff and poor coordination, resulting in medication delays and cancelled appointments. The prison also grappled with a high incidence of self-harm and challenges in managing complex, mentally unwell prisoners, compounded by external bed shortages.
Year: 2024
Published: 29 Nov 2024
Type: Prison · Cat Women's local, YOI
Population: 517
Recommendations: 17
Key concerns
Positive findings
Safety statistics
| Indicator | This year | Previous |
|---|---|---|
| Deaths in custody | 1 | — |
| Self-harm incidents | 2,495 | 2,460 |
| ACCT cases opened | 589 | 585 |
| Prisoner assaults | 301 | 240 |
| Use of force | 804 | 564 |
Positive findings
AI-generated summaryThe Board noted positive working relationships and commitment from staff, particularly in the SCU and inpatient mental health facility. Initiatives like the employment hub, a new bicycle repair training facility, and improved catering have benefited prisoners. The prison has also successfully embedded changes in the pregnancy pathway, and its perinatal and young adult mental health services are well-staffed and effective.
Key concerns
Staff shortages and increased population negatively impacted prison services, leading to curtailed regimes, missed purposeful activities, and issues with prisoner wellbeing.
Source wording under review
Problems in the delivery of healthcare services, mainly due to a lack of GPs and nurses, combined with ineffective coordination between contracted providers and the prison, causing delays in medication.
Prisoners arriving in reception experienced delays in receiving medication, including methadone, and were often unable to make their first phone calls.
The incidence of self-harm remained high throughout the reporting year, with a significant proportion accounted for by a small number of prolific self-harmers.
Single cells with bunk beds, known as ‘small doubles’, were used to accommodate two prisoners, leading to privacy, security, and wellbeing issues due to inadequate space and lack of individual lockers/curtains.
Low staffing levels have impacted the number of key worker sessions, which have averaged 213 per month. The target number of sessions per month is 456, so the prison is falling well short of its target, which has already been reduced from a target of 2,000 sessions per month last year.
No improvement in the lengthy delays dealing with prisoners’ complaints has been observed and prisoners remain sceptical about using this system.
A new property policy was implemented in April 2024 which was viewed by both prisoners and the Board as unfair and unworkable, with staff applying it inconsistently.
Poor integrated substance misuse services, both clinical and recovery, has continued.
Concerns remain about the number of women released into temporary accommodation or without suitable accommodation, impacting resettlement.
Roll count was regularly late due to inaccuracies in counting, impacting security, appointments, and the overall regime.
The lack of a physical GP presence in reception for most of the week results in sub-optimal care, especially for new arrivals with substance misuse issues.
The number of women sent to Bronzefield under a ‘Place of Safety’ warrant has nearly doubled, placing considerable stress on mental health services.
The shortage of beds in secure psychiatric hospitals, together with in-fighting among NHS health trusts over funding, continues to result in significant transfer delays.
The Board remains concerned about the number of prisoners coming into the prison, having been identified as acutely mentally unwell (including some prolific self-harmers), either requiring section under the Mental Health Act or admission to a secure hospital. How does the Prison Service plan to provide support to manage these prisoners, who cannot be easily moved to secure psychiatric hospitals due to a shortage of beds? (6.3)
Prisoners are often transferred before completing vocational training due to pressure on the prison population.
Recommendations
The number of women sent to Bronzefield under a ‘Place of Safety’ warrant has nearly doubled this year. What are the Minister’s plans to address this issue? (6.3)
Government response
I understand the Board’s concerns surrounding the use of prison as a ‘place of safety’. I am pleased to inform the Board that the Mental Health Bill was introduced to the House of Lords on 6 November 2024, which will prevent courts from using prison as a ‘place of safety’ in this way. Under the new reforms, a defendant or convicted person who meets the criteria for detention under the Mental Health Act must be transferred directly to hospital, ensuring swifter access to the care they need. The Ministry of Justice (MoJ) is developing a cross-agency workplan to safely enact these reforms. This includes working with NHS England to ensure that clear and direct pathways are in place for those who require treatment in hospital for their mental health, and the judiciary and courts to ensure sufficient guidance and training is available. Additionally, the MoJ is establishing a Women's Justice Board, with the aim of reducing the number of women going to prison more broadly. The Board will bring together senior external leaders to share their wealth of experience and provide a vision and direction on how to reform women’s justice to deliver priorities. It will initially be focused on early intervention and diversion, community solutions, and addressing issues specific to young women and mothers with young children in the criminal justice system.
Recommendation 2
How does the Minister plan to improve the support of prisoners released from court or at short notice, who are discharged without suitable accommodation? (7.5)
Government response
To improve the accommodation support provided to prisoners released from court or at short notice, Commissioned Rehabilitative Services (CRS) Women’s Services been extended to all unsentenced people in custody either on remand or awaiting sentence, and to those who are sentenced and released on the same day (immediate releases). This additional service focuses on providing urgent and timely accommodation support for those entering custody (maintaining tenancies) and urgent releases to address any immediate needs (preventing homelessness). Where appropriate, the CRS Provider supports ‘duty to refer’ activities and where necessary refers eligible prisoners to 12-week transitional community accommodation services, if they are unable to meet the accommodation needs by the time of release. In addition, new ’Custodial Support Appointments’ have been introduced, allowing urgent referrals for an individual being released from court that same day to receive an appointment and associated immediate pre-release activity and/or relevant activities, including in relation to accommodation services.
Recommendation 3
How does the Minister plan to improve the integration of the healthcare services (under NHS England commissioning) within Bronzefield? (6.1)
Government response
With reference to improving the integration of the healthcare services, NHS England have supported the contracted services to develop a Memorandum of Understanding (MoU), which will allow the service to be fully integrated; services can be provided by any member of staff regardless of the employer. Working practices are currently being developed to embed the MoU to establish an integrated way of working as soon as possible.
Recommendation 4
How does the Minister plan to improve ‘through the gate services’ to ensure that discharged prisoners are properly supported in the community? (7.5)
Government response
I share the Board’s desire for effective ‘Through The Gate’ Services and ensuring that prisoners are properly supported when discharged. The Board will be aware that the CRS Women’s Services contracts deliver bespoke and specialist support to females on probation, to address their offending behaviour including assisting their physical and mental wellbeing; supporting any dependency and recovery needs; access to accommodation; employment; supporting any finance, benefit and debt needs, and; maintaining relationships with their families. As outlined above (in relation to accommodation), this has recently been extended to unsentenced and remanded women in custody. The Probation Service will assess all prisoners needs on reception and within the last 12 weeks to release. Owing to the nature of the prison, a lot of individuals are released to different regions including London, Kent, Surrey Sussex (KSS), Hampshire and elsewhere. At HMP/YOI Bronzefield, KSS Probation have six Pre-Release Team workers, four of which are subcontracted from Sodexo, which takes account of long-standing recruitment difficulties. The team is overseen by a Senior Probation Officer and this dual model has been implemented until March 2026. The Probation Service will also deliver finance, benefit and debt advice, accommodation advice as well as employment support.
Recommendation 5
The Board remains concerned about the number of prisoners coming into the prison, having been identified as acutely mentally unwell (including some prolific self-harmers), either requiring section under the Mental Health Act or admission to a secure hospital. How does the Prison Service plan to provide support to manage these prisoners, who cannot be easily moved to secure psychiatric hospitals due to a shortage of beds? (6.3)
Government response
The Ministry of Justice (MoJ) and HMPPS are committed to improving mental health outcomes for people in contact with the Criminal Justice System, to ensure that offenders and defendants with acute mental health needs receive timely support, in the most appropriate setting. It is recognised that vulnerable people in prison who meet the threshold for detention under the Mental Health Act and require a transfer to hospital continue to experience delays in accessing the specialist care and treatment they need. The MoJ are working with the Department of Health and Social Care (DHSC) to introduce the Bill in this Parliamentary session as announced in the King’s Speech. The Bill includes several flagship reforms to improve access to mental health care for patients in the criminal justice system such as the introduction of a statutory 28-day time limit for transfers from prison to hospital. This time limit, together with operational improvements, aims to reduce unnecessary delays and deliver swifter access to treatment. Locally, HMP/YOI Bronzefield continue to provide appropriate care for these individuals, while they are referred and assessed for hospital, despite HMP/YOI Bronzefield having limited physical and operational resources. HMP/YOI Bronzefield continue to work in partnership with NHS England colleagues to keep those in custody safe.
Recommendation 6
Will the Prison Service help the prison deal with complex and challenging prisoners, either by providing additional support or facilitating the managed distribution of complex prisoners within the wider women’s estate?
Government response
All Closed women’s prisons have complex populations, with Reception prisons specifically having to deal with any women committed by the courts they serve. Transfers are undertaken wherever possible in order to support women to progress through their sentences. The Women’s Estate Case Advice and Support Panel (WECASP) supports prisons in the management of women with complex needs. It exists to provide centralised multidisciplinary support to prisons in the management of a small number of individuals within the Women’s Estate who are not progressing in their sentence plan; with the aim of stabilising their behaviour, improving their wellbeing and supporting the surrounding staff groups; to help reduce their risk and enable them to progress. NHS England commission health services that take account of the needs of the population. At HMP/YOI Bronzefield, an Offender Personality Disorder (OPD) service supports those who screen into the OPD pathway. In addition to the OPD, the prison is also piloting bespoke support for young women at HMP/YOI Bronzefield through spending review funding. As the Board will be aware, HMP/YOI Bronzefield hold a small number of prisoners within the women’s estate who are categorised as restricted status and / or are convicted of offences under the Terrorism Act. HMP/YOI Bronzefield is specifically commissioned and funded to manage these prisoners
Recommendation 7
Due to the pressure on the prison population, prisoners are often transferred before they have completed their vocational training. How does the Prison Service plan to prevent this happening in future? (7)
Government response
Every effort is made to keep prisoners until they have finished any time bound intervention, be it vocational training, or other programmes. However, population pressures means that HMP/YOI Bronzefield cannot guarantee that it can keep all prisoners that it would like to, resulting in some prisoners transferring in less-than-ideal circumstances mid-way through a course, qualification, or other intervention. Courses started at HMP/YOI Bronzefield can be continued in training prisons where the curriculum allows.
Recommendation 8
The number of complaints not answered within the timelines contained in the Prisoner Complaints Policy Framework continues to be of concern to the Board and has resulted in prisoners losing confidence in the system. What will the prison do to address this issue? (5.7)
Recommendation 9
What plans does the prison have to prioritise prisoner/key worker meetings for those prisoners who have been identified as most likely to benefit from them? (5.3)
Recommendation 10
Roll count has frequently been late, which has had a negative impact on the regime and security. How will the prison ensure that roll count returns to being accurate and timely? (4.6)
Recommendation 11
A number of concerns have been raised about the early days in custody process. How does the prison plan to address these issues? (4.1)
Recommendation 12
How will the prison improve the property process? (5.8)
Recommendation 13
What plans does the prison have to work more effectively with CNWL and Forward Trust to improve the timely dispensation of medication? (6.1)
Recommendation 14
How does NHS England plan to improve the integration of the healthcare services in Bronzefield? (6.1)
Government response
With reference to improving the integration of the healthcare services, NHS England have supported the contracted services to develop a Memorandum of Understanding (MoU), which will allow the service to be fully integrated; services can be provided by any member of staff regardless of the employer. Working practices are currently being developed to embed the MoU to establish an integrated way of working as soon as possible.
Recommendation 15
How does NHS England plan to address the shortage of GPs, nurses, and substance misuse practitioners in Bronzefield? (6.1, 6.5)
Recommendation 16
NHS England specifies the provision of face-to-face GP services, seven days a week. However, to date, this has not been achieved. How and when does NHS England intend to remedy this lack of provision? (6.1)
Recommendation 17
What plans does Sodexo have to address the significant impact of staff shortages on the provision of services in the prison? (3.1, 5.3)
Applications to the IMB
| Category | Current | Previous |
|---|---|---|
| Accommodation (including transfers) | 45 | 38 |
| Allegation of bullying/harassment | 19 | 15 |
| Communication | 14 | 13 |
| Finance/wages | 14 | 10 |
| Food | 12 | 16 |
| General complaint | 13 | 15 |
| Healthcare | 27 | 29 |
| Incentives and earned privileges (IEP) | 18 | 14 |
| Legal | 16 | 12 |
| Other | 10 | 12 |
| Property | 32 | 26 |
| Segregation | 15 | 9 |
| Staff conduct | 15 | 16 |
| Total | 270 | 255 |
| Visits | 12 | 12 |
| Work, education, vocational training (WEVT) | 16 | 18 |
Related inspections & investigations
Other reports for Bronzefield
Population 506
· Self-harm 1,944
· Concerns
Population 471
· Self-harm 2,460
· Concerns
Population 480
· Self-harm 2,856
· Concerns
Population 495
· Self-harm 2,640
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· Self-harm 2,100
· Concerns