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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23.33 I list below significant changes in arrangements at HMP Manchester that relate to specific problems in 1998 that have been identified in this report. In some cases Manchester’s arrangements reflect a national policy; in others a local initiative. It is outside the scope of the inquiry to evaluate how far current practice at Manchester prison achieves its aims. That is for those who are responsible for managing and monitoring the prison. Findings 23.34 From evidence given to the inquiry, I note the following significant changes in arrangements at Manchester relating to specific problems identified in this report: In accordance with Prison Service policy on segregation and adjudications, a risk assessment is now conducted before a prisoner is placed in cellular confinement There is a dedicated mental health nurse for the segregation unit at Manchester prison. This accords with good practice as recommended by the clinical adviser to the inquiry. Medical records are held electronically and accessible by authorised clinical staff from terminals, though not yet in the segregation unit. Manchester prison operates the ACCT arrangements which are a significant advance on the F2052SH system. The local policy includes, in particular, a Friends and Family Helpline, systems for responding to concerns about a prisoners, and questionnaires to prisoners after an ACCT plan is closed. The wing based disciplinary system was abolished in October 1999. Full statements of the circumstances are required and reviewed by managers whenever staff restrain a prisoner by force. Recommendation 22.35 I recommend that the Governor of Manchester and his colleagues: - examine each stage of the process of vetting Samaritan volunteers and selecting Listeners to identify and eliminate any avoidable delays - ensure that Listeners can be made available in all locations at any time of day or night - make provision for prisoners to use the Samaritans telephone in private. 175

PART FOUR FINDINGS, RECOMMENDATIONS AND OBSERVATIONS ABOUT INQUIRY PROCEDURE Findings are based on the balance of probabilities but, in weighing the evidence, I have also had regard to the principle that the more serious the allegation is, the more cogent must be the evidence to prove it. I have made some recommendations but have exercised restraint in doing so. Those who work in prisons are often best placed to draw lessons from past events and to devise operational solutions to deficiencies. I hope that the Prison Service and those who are responsible for healthcare in prisons will consider the findings and decide for themselves whether there are further lessons to be drawn. 176

23.33 I list below significant changes in arrangements at HMP Manchester that relate to<br />

specific problems in 1998 that have been identified in this report. In some cases<br />

Manchester’s arrangements reflect a national policy; in o<strong>the</strong>rs a local initiative. It is<br />

outside <strong>the</strong> scope <strong>of</strong> <strong>the</strong> inquiry to evaluate how far current practice at Manchester<br />

prison achieves its aims. That is for those who are responsible for managing and<br />

monitoring <strong>the</strong> prison.<br />

Findings<br />

23.34 From evidence given to <strong>the</strong> inquiry, I note <strong>the</strong> following significant changes in<br />

arrangements at Manchester relating to specific problems identified in this report:<br />

In accordance with Prison Service policy on segregation and adjudications, a risk<br />

assessment is now conducted before a prisoner is placed in cellular confinement<br />

There is a dedicated mental health nurse for <strong>the</strong> segregation unit at Manchester<br />

prison. This accords with good practice as recommended by <strong>the</strong> clinical adviser<br />

to <strong>the</strong> inquiry.<br />

Medical records are held electronically and accessible by authorised clinical staff<br />

from terminals, though not yet in <strong>the</strong> segregation unit.<br />

Manchester prison operates <strong>the</strong> ACCT arrangements which are a significant<br />

advance on <strong>the</strong> F2052SH system. The local policy includes, in particular, a<br />

Friends and Family Helpline, systems for responding to concerns about a<br />

prisoners, and questionnaires to prisoners after an ACCT plan is closed.<br />

The wing based disciplinary system was abolished in October 1999.<br />

Full statements <strong>of</strong> <strong>the</strong> <strong>circumstances</strong> are required and reviewed by managers<br />

whenever staff restrain a prisoner by force.<br />

Recommendation<br />

22.35 I recommend that<br />

<strong>the</strong> Governor <strong>of</strong> Manchester and his colleagues:<br />

- examine each stage <strong>of</strong> <strong>the</strong> process <strong>of</strong> vetting Samaritan volunteers and<br />

selecting Listeners to identify and eliminate any avoidable delays<br />

- ensure that Listeners can be made available in all locations at any time <strong>of</strong> day<br />

or night<br />

- make provision for prisoners to use <strong>the</strong> Samaritans telephone in private.<br />

175

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