Independent Monitoring Boards annual report

Erlestoke

Report year 2024 Published 6 Aug 2024 Type Prison, category C Responsible body HMP Erlestoke 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 Erlestoke, a Category C prison, experienced significant increases in self-harm (468) and violence (153 incidents, 111 prisoner-on-prisoner) during the reporting year, with no deaths in custody. Key concerns include inconsistent welfare checks, persistent illicit substances, and the inadequate delivery of key working. While positive developments like a neurodiversity support manager and improved staff-prisoner relations were noted, healthcare provision is strained, and time out of cell remains limited for a quarter of the population. The Board highlights an urgent need for improved mental health provision and clarity for IPP prisoners.

Positive findings

Summary written by this site (AI-generated)
The appointment of a neurodiversity support manager has been beneficial for prisoners and staff. The segregation unit provided a fair and safe regime. The employment hub has introduced new initiatives to support prisoners for release, and an improvement was noted in prisoners moving to open prisons. In-cell phones were installed and appreciated, contributing to a smoother regime. The Board commends the kitchen team for maintaining varied menus on a limited budget. Relationships between staff and prisoners are generally positive, and improvements in equality and diversity leadership were maintained. Digital messaging for healthcare communication has improved.

Recommendations

All 12 recommendations

Key concerns

All 25 key concerns

Recommendations 12 items · 6 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: Other, minister · Topic: Mental Health · Repeated from a previous year

Recommendation (the Board's words)
What long-term plan exists to establish more appropriate mental health provision within the secure estate?
Government response (as published)
I share the Board’s concern about mental health provision at HMP Erlestoke. Following meetings with NHS England to discuss service planning for 2024/25, the provider (Oxleas NHS Foundation Trust) has been asked to look at flexing the service delivery model for prisons in the south-west of England to meet the ever-changing needs of the regional prison population which is an ongoing contractual expectation. Continued developments include a progressing neurodiversity pathway and the addition of Trauma Informed Psychosocial Groups. The recruitment strategy is being reviewed to secure a long-term vacancy to the mental health team. The prison will also be introducing a local Health Improvement Board (HIB) which will address any concerns from the Local Delivery Quality Board. These improvement board meetings will be attended by NHS England and periodically by the Prison Group Director, to closely oversee improvements across key areas.

Source text verified

Recommendation 2

Response: In progress

Addressee: Other, minister · Topic: Resettlement · Repeated from a previous year

Recommendation
What assurances can be given to IPP prisoners, some 11% of Erlestoke’s population, that a clear strategy exists for progression to release, given that resentencing has been rejected and the IPP Action Plan has had limited effect?
Government response (as published)
I understand and sympathise with the Board’s ongoing concerns about prisoners subject to Imprisonment for Public Protection (IPP) sentences. The Lord Chancellor has announced that from November 2024, anyone who was released on IPP licence five or more years ago and has spent at least the last two years of that period in the community without being recalled, will have their IPP licence terminated without the need for a review by the Parole Board. The Secretary of State will also have two new ‘Risk Assessed Recall Review’ powers. The first enables her to not reset the two-year period after someone is re-released from a recall. Secondly, she will be able to re-release people who have been recalled at any point without referring the case to the Parole Board. I am confident that these measures will in due course make an overall difference to the number of IPP prisoners held across the estate and at HMP Erlestoke and mark a positive first step. The Lord Chancellor is committed to making progress towards a safe and sustainable release for those continuing to serve an IPP sentence whilst ensuring that protection of the public is not compromised. Area Executive Directors for England and Wales will continue to develop and implement operational IPP delivery plans that will improve front line support to help those serving IPP sentences achieve the objectives within their sentence plans and move towards a prospective safe and sustainable release.

Wording differs from source

Recommendation 3

Response: Accepted

Addressee: Other, minister · Topic: Estate

Recommendation (the Board's words)
What guarantees can be given that all ancillary facilities will match the needs of the increased prison population when the new small secure house blocks are occupied in 2025?
Government response (as published)
HMP Erlestoke is expected to have an increased operational capacity following the commissioning of the new small secure house blocks in 2025. The Small Secure Houseblocks Project (SSHP) has ensured that necessary ancillaries will be in place to match the uplift in prisoner numbers resulting from the programme. These additional ancillary requirements were identified via an independent assessment conducted by the Prison Capacity Management Team and Prison Governors. All functional ancillaries such as staff office, group rooms, laundry, servery, dispensary, staff toilets, and an interview room will be contained within the new houseblocks. Additional ancillaries such as, but not limited to, the gym, multi-faith facility, kitchen, and activity space are not included within the houseblock design and are being made available through either current provisions or through additional works being delivered by the programme elsewhere on the site.

Source text verified

Recommendation 4

Response: In progress

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

Recommendation (the Board's words)
How will GFSL’s performance be addressed, given the impact this had had on decent living conditions for prisoners?
Government response (as published)
Gov Facility Services Limited’s (GFSL) new Site Manager is prioritising the workflow and reducing the reactive backlog in line with other sites in the region. However, HMP Erlestoke remains one of the highest sites within the region for vandalism and this adds additional pressures onto the site team. The Area Property Operations Manager (APOM) works closely with the GFSL site-manager to monitor performance and delivery and the backlog has been steadily reducing since the new site manager took up post at the end of 2023. The establishment Tri-Partite meeting report has been revised to provide improved oversight of issues which impact living conditions and decency. Property Services have been working with the establishment to reduce the disposal of items such as clothing and reusable cleaning cloths into the sewage system which were causing problems with pumps and blocked pipes.

Source text verified

Recommendation 5

Response: In progress

Addressee: HMPPS · Topic: Other

Recommendation (the Board's words)
What additional measures are in place to address the continual loss of property between establishments, as the re-issued Prisoners’ Property Policy Framework has not offered a solution to this matter?
Government response (as published)
HMPPS notes the Board’s concerns about prisoners’ property following a transfer between establishments. The introduction of the digitally recorded Prisoner Escort Record (dPER) included a property section that accurately records the number and type of sealed property ‘owned’ by and transferred with the prisoner and an accurate record of property handover between different stakeholders. This is now embedded as business as usual. The digital process has assisted with investigations for property that is lost in transit with the transport suppliers, and complaints are reviewed monthly during formal meetings with transport suppliers. For property delay, in-line with the HMPPS Prisoner Property Framework, if the limit of items allowed in possession has been reached, and if there is no space on the Escort Vehicle to transport items safely and securely, then responsibility for transfer of any remaining items remains with the sending prison. The emphasis must remain on prisoners complying with volumetric control limits, since any property within these limits will be transferred with them. This includes items which are exempt from volumetric control, such as legal papers. It is not possible to transfer all excess property with a prisoner which they might have accrued above these limits. There has been a requirement since the introduction of the Prisoners’ Property Policy Framework for prisons to transfer any excess items within four weeks. Previously, there was no time limit in place. The establishment has revised its cell clearance policy, and this has been published to all staff to improve local processes and reduce the loss of property when prisoners move cells within the establishment. HMPPS is aware of the problems around property and continues to look at what further can be done.

Source text verified

Recommendation 6

Response: In progress

Addressee: HMPPS · Topic: Education

Recommendation (the Board's words)
Eligibility for programmes is not assessed until prisoners are transferred to Erlestoke; this causes problems for those not accepted on to a programme after relocation. What is the solution to this issue?
Government response (as published)
Attendance on a programme depends on both eligibility and suitability. For some programmes, eligibility can be clarified prior to transfer if there is an up-to-date Offender Assessment System (OASys) Report. For others, the specialist resource based at the high intensity site is needed to complete the eligibility assessment. For many of the current Accredited Programmes managed by HMPPS’ Interventions Services, an individual’s suitability can be determined at the site at which they are currently detained without the need for a transfer. In some cases, such as with Kaizen and Becoming New Me Plus (BNM+) programmes, there has historically been an operational challenge in that a Programme Needs Assessment (PNA) needs to be completed. At sites where there is minimal or no programme team support, including staff not trained to carry out this process, then decisions would need to be made regarding transfers of these individuals within the prison estate to relevant sites to have a PNA completed. HMPPS has recently rolled down the PNA and introduced the new Programme Needs Identifier (PNI) in its place. It is envisaged this will reduce the need for transfers to delivery sites and instead support the capability for individuals to be assessed for suitability at the establishments in which they are detained. It is important to note that the PNI is a new process, and we are continuing to receive feedback from sites and providing more bespoke support where needed during the implementation. The Healthy Sex Programme (HSP), also requires a suitability and readiness assessment to be carried out by specifically trained staff who may not be present at every site. HMPPS is currently exploring plans to introduce a triage process that we hope will help support this process better moving forward, again with the intended benefit of reducing transfers across the prison estate.

Source text verified

Recommendation 7

Addressee: Governor / Director · Topic: Safety

Recommendation (the Board's words)
What actions will be taken to ensure welfare checks are delivered consistently?

Source text verified

Recommendation 8

Addressee: Governor / Director · Topic: Substance Misuse · Repeated from a previous year

Recommendation (the Board's words)
What steps will be taken to reduce the ingress and availability of illicit substances?
Government response (as published)
Action noted.

Source text verified

Recommendation 9

Addressee: Governor / Director · Topic: Staffing

Recommendation (the Board's words)
How will effective key working be implemented to provide prisoners with the vital one to one support needed?

Source text verified

Recommendation 10

Addressee: Governor / Director · Topic: Purposeful Activity · Repeated from a previous year

Recommendation (the Board's words)
What assurances can be given that meaningful activities and job opportunities will improve and be readily accessible?
Government response (as published)
Action noted.

Source text verified

Recommendation 11

Response: In progress

Addressee: Governor / Director · Topic: Healthcare · Repeated from a previous year

Recommendation (the Board's words)
Just over 60% of first Assessment Care in Custody and Teamwork (ACCT) reviews do not have the benefit of healthcare input. This negates the multidisciplinary ethos behind the intended strategy of the ACCT process and which impacts on the safety of prisoners – how will this important issue be addressed?
Government response (as published)
The timings of the ACCT first case reviews are now agreed at the daily prison operational briefings, which are attended by a Primary Care Senior Nurse, Mental Health Practitioner and Psychosocial Substance Misuse Team Leader. Any ACCT reviews during operating hours are attended by healthcare. Invitations to ACCT reviews will be discussed at monthly Local Delivery Board meetings and any barriers to attendance reviewed and resolved. Attendance will be monitored by the Head of Safety and Head of Healthcare.

Source text verified

Recommendation 12

Addressee: Governor / Director · Topic: Education

Recommendation (the Board's words)
The Board recommends that a review of the allocations process is undertaken.

Source text verified

Key concerns 25 items

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

Key concern 1

Safety

The increase in self-harm incidents, together with the inconsistency of carrying out proper welfare checks, is of significant concern to the Board.

Key concern 2

Safety

The use of challenge, support and intervention plans (CSIPs) to support victims and help perpetrators manage anger requires review.

Key concern 3

Substance Misuse · Repeated from a previous year

Ongoing issues with illicit substances persist in the prison, despite enhanced security measures.

Key concern 4

Segregation

The Board is concerned about the use of segregation for prisoners with complex and severe mental health needs.

Key concern 5

Staffing

The key working system has not been delivered as planned.

Key concern 6

Other

Loss of property between prisons and within the prison continues to cause stress and anxiety for prisoners.

Key concern 7

Estate/Conditions · Repeated from a previous year

Performance delivery [GFSL] has had an impact on decent living conditions being maintained effectively.

Key concern 8

Equality/Diversity

The Board is concerned that disabled prisoners have faced discrimination in gaining work.

Key concern 9

Healthcare · Repeated from a previous year

There has been a serious decline in healthcare attendance at first assessment, care in custody and teamwork (ACCT) reviews.

Key concern 10

Regime/Time Out of Cell · Repeated from a previous year

Time out of cell for prisoners not in education or employment has not improved.

Key concern 11

Education/Purposeful Activity · Repeated from a previous year

The number of prisoners in vocational jobs has reduced to an unacceptably low level.

Key concern 12

Staffing

Delivery of vocational training has been impacted by the difficulty in recruiting instructors for some courses.

Key concern 13

Resettlement/Release · Repeated from a previous year

The lack of hope of release continues to have a severe and detrimental impact on prisoners’ health and wellbeing.

Key concern 14

Mental Health · Repeated from a previous year

What long-term plan exists to establish more appropriate mental health provision within the secure estate?

Key concern 15

Resettlement/Release · Repeated from a previous year

What assurances can be given to IPP prisoners, some 11% of Erlestoke’s population, that a clear strategy exists for progression to release, given that resentencing has been rejected and the IPP Action Plan has had limited effect?

Key concern 16

Estate/Conditions

What guarantees can be given that all ancillary facilities will match the needs of the increased prison population when the new small secure house blocks are occupied in 2025?

Key concern 17

Estate/Conditions · Repeated from a previous year

How will GFSL’s performance be addressed, given the impact this had had on decent living conditions for prisoners?

Key concern 18

Other

What additional measures are in place to address the continual loss of property between establishments, as the re-issued Prisoners’ Property Policy Framework has not offered a solution to this matter?

Key concern 19

Education/Purposeful Activity

Eligibility for programmes is not assessed until prisoners are transferred to Erlestoke; this causes problems for those not accepted on to a programme after relocation. What is the solution to this issue?

Key concern 20

Safety

What actions will be taken to ensure welfare checks are delivered consistently?

Key concern 21

Substance Misuse · Repeated from a previous year

What steps will be taken to reduce the ingress and availability of illicit substances?

Key concern 22

Staffing

How will effective key working be implemented to provide prisoners with the vital one to one support needed?

Key concern 23

Education/Purposeful Activity · Repeated from a previous year

What assurances can be given that meaningful activities and job opportunities will improve and be readily accessible?

Key concern 24

Healthcare · Repeated from a previous year

Just over 60% of first Assessment Care in Custody and Teamwork (ACCT) reviews do not have the benefit of healthcare input. This negates the multidisciplinary ethos behind the intended strategy of the ACCT process and which impacts on the safety of prisoners – how will this important issue be addressed?

Key concern 25

Education/Purposeful Activity

The Board recommends that a review of the allocations process is undertaken.

Safety statistics

Incidents during the reporting year.

IndicatorThis yearPrevious
Deaths in custody0not recorded
Self-harm incidents468215
ACCT cases opened182128
Prisoner assaults11170
Assaults on staff4232
Use of force371240

Population

Operational capacity496

Applications to the IMB

CategoryCurrentPrevious
Accommodation (including transfers) 49 31
Discrimination 10 4
Food 10 7
Legal 16 12
Medical 103 111
Other 59 62
Property 77 38
Security 11 13
Staff Conduct 14 7
Work/Education 29 36

Report details

Establishment
Erlestoke
Type
Prison, category C
Report year
2024
Published
6 August 2024
Responsible body
HMP Erlestoke
Recommendations
12
MoJ rating (2025/26)
3, Good

Service providers

ServiceProvider
CateringAramark
ChaplaincyHMPPS
EducationNovus
HealthcareOxleas NHS Foundation Trust
IMB SecretariatMoJ
LibraryWiltshire Council
MaintenanceGov Facility Services Limited (GFSL)
Prisoner EscortsSerco
Substance MisuseChange, Grow, Live

Related inspections and investigations

HMIP inspection, 22 Apr 2025

IRP

HMIP inspection, 10 Jun 2024

Unannounced · Safety 2 · Respect 2 · Activity 1 · Release 3

HMIP inspection, 24 May 2022

IRP

HMIP inspection, 16 Aug 2021

Unannounced

HMIP inspection, 18 Aug 2020

Inspection

Liam Darby

PPO fatal incident · 21 Jul 2023 · Other non-natural

Davide Parra

PPO fatal incident · 5 Aug 2019 · Self-inflicted

Other reports for Erlestoke

2026

Published 21 Aug 2026 · Self-harm 275 · Key concerns recorded

2025

Published 14 Aug 2025 · Population 515 · Self-harm 318 · Key concerns recorded

2023

Published 16 Aug 2023 · Population 467 · Self-harm 215 · Key concerns recorded

2022

Published 8 Aug 2022 · Population 443 · Self-harm 358 · Key concerns recorded

2021

Published 15 Oct 2021 · Population 428 · Self-harm 392 · Key concerns recorded

2020

Published 4 Aug 2020 · Population 484 · Self-harm 211 · Key concerns recorded