His Majesty's Prison and Probation Service

“psychiatric reports. Work to review the procedures for obtaining and providing psychiatric reports is already underway, recognising the particular gap in relation to provision of reports for the purposes of fitness to plead. Following your letter to , Chief Executive HMCTS, I can confirm that in July 2017 HMCTS and the Judicial Office re- issued existing guidance from 2010 on this process, with the caveat that it is recognised that some information may be out of date. The Senior Presiding Judge has”

“The ACCT document is currently being redesigned with a view to its nationwide re- introduction in early 2018. As part of this redesign, we will consider your suggestion that a summary sheet of ACCT observations and conversations be included”

“learning bulletin (ACCT - Case Reviews, CAREMAPs and Levels of Conversations and Observations) was issued to all prisons in July this year. The bulletin reminded staff that ACCT review meetings must be multidisciplinary and must take place within the specified timescales. It further stated that that where any individual involved in the prisoner's management cannot attend the review, they must submit written contributions”

“The PSI also states that unconvicted prisoners, such as [the deceased], must be allowed more frequent visits, and that establishments with a large number of unconvicted prisoners will require a more flexible system to enable rebooking of cancelled visits.”

“Our service specification 'Manage the Custodial and Post Release Periods' is clear that all individuals in custody must have a resettlement plan and that the offender manager must ensure that external agencies are notified of a prisoner's release. All prisons are expected to adhere to this specification, but I know that it is not fully in place across the estate, and we are currently implementing a new model of offender management in custody.”

“The Senior Officer in reception now provides a copy of the Person Escort Record (PER) to the healthcare member of staff based there, ensuring that they have access to all the relevant information.”

“The SystmOne record is also available to the receiving establishment on a terminal in the reception area. We are therefore confident that the system that has been introduced at Liverpool ensures that the relevant information is routinely available, shared with healthcare staff and recorded.”

“the Head of Healthcare at Liverpool and a member of the prison's senior management team are meeting shortly to re-evaluate current practices and implement revised procedures to ensure that second health screenings take place within 24-48 hours.”

“At Liverpool the training is being delivered at the 'Academy Training Days' which take place twice monthly.”

“NOMS acknowledges the potential for confusion regarding the opening of an ACCT, and this will be resolved in the revision of PSI 64/2011 due for completion by the endjof April 2017.”

“Consideration should be given to formally confirming that all necessary documentation has been considered prior fo the ACCT review, and fo ensure the officers and Healthcare staff are aware of their responsibilities.”

“Anew scheduling system was also introduced in October 2016, and this will ensure that sufficien# time is allocated to all future case review meetings.”

“The Safer Custody toolkit that was introduced in August 2016 provides clear instructions to staff regarding ACCT procedures, including the importance of ensuring that ail relevant risks and triggers are considered before the ACCT document is closed.”

“In September 2016 ACCT case managers were reminded of the importance of a multi- discipiinary approach to ACCT reviews, particularly when making decisions to close the document”

“A notice has been issued to remind staff of their responsibilities when attending ACCT case reviews, and a local template for reviews was introduced In October 2016.”

“Staffing levels in public sector prisons have been set through a benchmarking process, designed to provide sufficient staff for the prison to operate safely, decently and securely. .The Governor has raised concerns about the staffing level at [name redacted], and recently submitted a business case to increase by 12 prison officers the benchmark operating level set for the prison”