Report of the Inquiry into the circumstances of the Death of Bernard ...

Report of the Inquiry into the circumstances of the Death of Bernard ... Report of the Inquiry into the circumstances of the Death of Bernard ...

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knowledge of Sonny Lodge. That was not contrary to Prison Service policies in 1998 but it was unsatisfactory. Current Prison Service policy requires a risk assessment, including reference to medical records, before a punishment of cellular confinement is imposed. 13.25 Drawing on Dr Wright’s advice, I recommend that The Prison Service urges all prisons, in conjunction with their local primary care trust, to provide dedicated mental health care for segregation units. Electronic Medical Information Systems (EMIS) in prisons incorporate provision for clinical staff to have confidential access to medical information at a terminal in the segregation unit. 109

Chapter 14: SAFEGUARDS AGAINST SUICIDE AND SELF-HARM (1): PRISON SERVICE POLICIES AND PROCEDURES Introduction 14.1 The inquiry undertook to examine: whether the F2052SH procedure was operated in accordance with Prison Service guidance and whether there are lessons to be drawn about caring for prisoners at risk of self-harm and/or suicide; in particular, to examine the response to information from a day centre manager and Sonny Lodge’s girlfriend, the knowledge that he had been refused bail, and observations that he was distressed during the adjudication. 14.2 The inquiry’s consideration and findings are set out in the next chapter. Chapter 14 contains an account of the relevant Prison Service policies in 1998 and how they have changed since then. It also includes information about the operation of the current policies at Manchester prison and about the Listeners scheme there. Policies and procedures Prison Service policies to protect prisoners against suicide and self harm 14.3 The Prison Service has developed systems and guidance to help staff support prisoners against the risk of suicide or self-harm. Approaches have changed over time as more has been learned about how to reduce distress and give help and support to prisoners at risk of suicide and self-harm. The overall policy framework 14.4 In 1998, the system was explained in Instruction to Governors (IG) 1/1994 and IG 79/1994 Caring for the Suicidal in Custody and an accompanying Guide to Policy and Procedures. The Guide drew on a review conducted by the then Chief Inspector of Prisons 1 and a research report 2 . According to the Guide, the Chief Inspector’s report emphasised the importance of relationships (both between prisoners 1 HM Chief inspector of Prisons, Review of Suicide and Self-Harm, 1990 2 Research by Liebling A and Krarup H, Institute of Criminology, University of Cambridge, published in1993 110

knowledge <strong>of</strong> Sonny Lodge. That was not contrary to Prison Service policies in<br />

1998 but it was unsatisfactory. Current Prison Service policy requires a risk<br />

assessment, including reference to medical records, before a punishment <strong>of</strong><br />

cellular confinement is imposed.<br />

13.25 Drawing on Dr Wright’s advice,<br />

I recommend that<br />

The Prison Service urges all prisons, in conjunction with <strong>the</strong>ir local primary care<br />

trust, to provide dedicated mental health care for segregation units.<br />

Electronic Medical Information Systems (EMIS) in prisons incorporate provision<br />

for clinical staff to have confidential access to medical information at a terminal in<br />

<strong>the</strong> segregation unit.<br />

109

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