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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Discharge report This is to be completed by a doctor when a prisoner is discharged from healthcare and returned to a residential unit. Daily supervision and support record This says that the purpose is to report on the prisoner’s mood and behaviour and all ongoing action taken to help the prisoner. It includes reporting on the implementation of the support plan decided at a case review and involvement by outside agencies and family. 14.9 When an F2052SH form was closed, the residential unit manager was to sign the form off and the file was placed in the prisoner’s personal record. The personal record is held in the prison’s central administration unit not on the residential wing. The system now: Assessment, Care in Custody and Teamwork (ACCT) 14.10 The F2052SH system has been replaced since the events detailed in this report. Implementation of the new policy was phased over 2005-2008. The new system drew on the experience of operating the F2052SH procedure and research on suicidal and selfharming behaviours, including a four-year project (the Safer Locals Programme) about the particular problems in Local Prisons (like Manchester), where large numbers of remand and sentenced prisoners spend short periods of time. PSO 2700 Suicide Prevention and Self-Harm Management, as revised and reissued in October 2007, set out the national policy. References below are to the current edition of PSO 2700. 14.11 Certain features of the new policies are of particular relevance to the case of Sonny Lodge. Statement of purpose The policy gives instructions on identifying prisoners at risk of suicide and selfharm and caring for them but it also places “considerable emphasis on reducing risk by ensuring all prisoners (whether identified at risk or not) receive individual support in managing any problems” (PSO 2700 Statement of Purpose, page 8). Among the goals of the policy is “reduction in distress and improved quality of life for all who live and work in prisons” (PSO 2700 Desired Outcome, page 8). 113

114 Prison culture The policy states that research evaluating the Safer Locals Programme found that suicide prevention was most effective when prison culture had the following characteristics: “staff felt valued, communication was good, prisoners felt safe and there were good staff relationships with senior managers, who were approachable and supportive. In contrast, some prisoners had a ‘traditional’ or negative culture, where staff relied on overuse of authority, distanced themselves from prisoners, and expressed distrust between uniformed and specialist staff groups. The quality of care for prisoners in these prisons was reduced.” (PSO 2700, paragraph 2.1.1) Staff-prisoner relationships Staff are advised that prisoners emphasised the value of having a member of staff listen to them and take their problems seriously. Interviews with suicidal prisoners confirmed that staff who took time to help them were appreciated. Several prisoners who had attempted suicide talked about how they wanted staff to “talk to them and engage with them, not just to observe them” (PSO 2700, paragraph 2.2.1). Change of status prisoners Reception staff are required to ensure that they talk with prisoners who have had a change of status. Local procedures must make provision for prisoners who have had a change of status without leaving the prison to undergo the equivalent of a ‘reception screen’ to assess risk of suicide or self-harm (PSO 2700, paragraph 4.8). Positive regimes and purposeful activity Positive regimes are defined as: “…those which enable prisoners to engage in activities which reduce distress and potentially reduce rates of suicide and self-harm, for example through improving mood and increasing coping skills and self-esteem. Potentially helpful activities include work, education, structured programmes, art and exercise.” (PSO 2700, paragraph 5.1.1)

Discharge report<br />

This is to be completed by a doctor when a prisoner is discharged from<br />

healthcare and returned to a residential unit.<br />

Daily supervision and support record<br />

This says that <strong>the</strong> purpose is to report on <strong>the</strong> prisoner’s mood and behaviour and<br />

all ongoing action taken to help <strong>the</strong> prisoner. It includes reporting on <strong>the</strong><br />

implementation <strong>of</strong> <strong>the</strong> support plan decided at a case review and involvement by<br />

outside agencies and family.<br />

14.9 When an F2052SH form was closed, <strong>the</strong> residential unit manager was to sign <strong>the</strong><br />

form <strong>of</strong>f and <strong>the</strong> file was placed in <strong>the</strong> prisoner’s personal record. The personal record is<br />

held in <strong>the</strong> prison’s central administration unit not on <strong>the</strong> residential wing.<br />

The system now: Assessment, Care in Custody and Teamwork (ACCT)<br />

14.10 The F2052SH system has been replaced since <strong>the</strong> events detailed in this report.<br />

Implementation <strong>of</strong> <strong>the</strong> new policy was phased over 2005-2008. The new system drew on<br />

<strong>the</strong> experience <strong>of</strong> operating <strong>the</strong> F2052SH procedure and research on suicidal and selfharming<br />

behaviours, including a four-year project (<strong>the</strong> Safer Locals Programme) about<br />

<strong>the</strong> particular problems in Local Prisons (like Manchester), where large numbers <strong>of</strong><br />

remand and sentenced prisoners spend short periods <strong>of</strong> time. PSO 2700 Suicide<br />

Prevention and Self-Harm Management, as revised and reissued in October 2007, set<br />

out <strong>the</strong> national policy. References below are to <strong>the</strong> current edition <strong>of</strong> PSO 2700.<br />

14.11 Certain features <strong>of</strong> <strong>the</strong> new policies are <strong>of</strong> particular relevance to <strong>the</strong> case <strong>of</strong><br />

Sonny Lodge.<br />

Statement <strong>of</strong> purpose<br />

The policy gives instructions on identifying prisoners at risk <strong>of</strong> suicide and selfharm<br />

and caring for <strong>the</strong>m but it also places “considerable emphasis on reducing<br />

risk by ensuring all prisoners (whe<strong>the</strong>r identified at risk or not) receive individual<br />

support in managing any problems” (PSO 2700 Statement <strong>of</strong> Purpose, page 8).<br />

Among <strong>the</strong> goals <strong>of</strong> <strong>the</strong> policy is<br />

“reduction in distress and improved quality <strong>of</strong> life for all who live and work in<br />

prisons” (PSO 2700 Desired Outcome, page 8).<br />

113

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