The Harris Review


Independent Review into Self-Inflicted Deaths in NOMS Custody of 18-24 year olds

This is the official webpage for the Harris Review. The purpose of the review is to make recommendations to reduce the risk of future self-inflicted deaths in custody. All self-inflicted deaths are a tragedy and we want to ensure those that occur whilst individuals are under the protection of the state are subject to the most thorough scrutiny. Lord Toby Harris, Chair of the Independent Advisory Panel on Deaths in Custody, will lead this review and will be supported by members of the Independent Advisory Panel. Your reflections on the review and on this most important topic are very welcome.

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Submissions, Research and Evidence

Submissions

 

Harrison Bundy Solicitors

Carly Speed

Serious Case Review

Women in Prison

Scottish Prison Service

Frances Done CBE

Northumbria University

Michael Sieff Foundation

Rob Allen

Samaritans

Youth Justice Board

Youth Justice Board Annex A (Practical guidance for YOTs)

Equalities and Human Rights Commission

Equalities and Human Rights Commission Annex A (terms of reference)

Equalities and Human Rights Commission Annex B (Human rights framework for adult death inquiry)

Prison and Probation Ombudsman

Transition to Adulthood Alliance

Office of the Children’s Commissioner

Arts Alliance

Who Cares? Trust

Prison Reform Trust

NHS England

Royal College of Nursing

Criminal Justice Alliance

Her Majesty’s Inspectorate of Prisons

Howard League for Penal Reform

Kathy West

Bindmans

Bindmans Annex A (categories of issues)

Bindmans Annex B (Chronology)

Action for Prisoners’ Families

Prison Officer’s Association

Users Voice

Marija Krlic

The Young Review

Catch22

Safe Ground

2nd Chanceproject

INQUEST

Professor Sim and Professor Tombs

Dr David Scott

SAFE Offender Health Care

Marny Zimmer

Jane MacKenzie

Jane Mackenzie Annex A (response to questions)

Jane Mackenzie Annex B (suicide risk factors and warning signs)

NOMS

NOMS Annex A (response to November Supplemental questions)

NOMS Annex B (response to January Supplemental questions)

BMHUK

 

 

Research

Self-Inflicted Deaths in NOMS’ Custody amongst 18–24 Year Olds Staff Experience, Knowledge and Views

Understanding and Addressing Self-Inflicted Deaths in Prison amongst Those Aged 18 – 24 A literature Review

Quantitative analysis of self-inflicted deaths in prison custody  – Ministry of Justice (2015). Self-inflicted Deaths in Prison Custody in England and Wales between January 1978 and March 2014 – MoJ Analytical Service and NOMS analysts were commissioned by the Harris Review to conduct an analysis of nearly forty years of data.  This is the first time such a pioneering attempt has been made to analyse this rich data set.  A summary of the analysis has been published by MoJ, and the link can be accessed here.

 

Other Evidence

Report of the Family Listening Events organised for the Harris Review into Self-Inflicted Deaths in Custody of 18-24 year olds

 The Harris Review Strategy for Direct Engagement with Young Adults

Measuring the Quality of Prison Life (MQPL) and the Harris Review – February 2015 - This version of the report [Measuring the Quality of Prison Life (MQPL) and the Harris Review – February 2015] was submitted to the Review in February 2015 in order that the panel could avail of amendments made after its initial presentation to the panel in January. While the report contains some omissions, it was the version used as evidence during the write-up of the report. A subsequent, complete version of the report was produced by NOMS, but was not submitted in time for it to be considered before the final report of the Harris Review was submitted. The differences between the reports are minor and do not impact on the conclusions of the Review.

 Harris Review – Analysis of Clinical Review files FINAL

 

Out of Committee Documents

NOMS (2011). Prison Service Instruction 64/2011 (Safer Custody).

NOMS (2015). Prison Service Instruction 30/2013 - (Incentives and earned privileges).

NOMS (2011). Prison Service Instruction 75/2011 (Residential Services).

NOMS (2011). Prison Service Instruction 74/2011 (Early days in custody – reception in, first night in custody, and induction to custody).

NOMS (2011). Prison Service Instruction 11/2011 (Incentives and earned privileges).

NOMS (2011). Prison Service Instruction 09/2011 (The cell sharing risk assessment).

NOMS (2012). Prison Service Instruction 08/2012 Care Management of Young People.

NOMS (2013). Prison Service Instruction 72/2011 (Discharge).

NOMS (2010). Prison Service Instruction 58/2010 (The Prisons & Probation Ombudsman).

NOMS (2014). Prison Service Instruction 15/2014 (Investigations and Learning following Incidents of Serious Self-Harm or Serious Assaults).

Saunders, A. (2014). Young adults (18-24) in transition, mental health and criminal justice. The Bradley Commission, Briefing 2.

Criminal Justice Joint Inspection (2012). Transitions: An inspection of the transitions arrangements from youth to adult services in the criminal justice system.

Offender Health Research Network (2013). Comprehensive Health Assessment Tool (CHAT): Young People in the Secure Estate.

Offender Health Research Network (2013). Manual for the Comprehensive Health Assessment Tool (CHAT): Young People in the Secure Estate.

Royal College of Paediatrics and Child Health (2013). Healthcare Standards for Children and Young People in Secure Settings.

Durcan, G., Saunders, A., Gadsby, B. & Hazard, A. (2014). The Bradley report – 5 years on.

Bradley, K. (2009). The Bradley Report: Lord Bradleys review of people with mental health problems or learning disability in the criminal justice system.

NOMS (2010). Quick Time Learning Bulletin: Safer custody.

NOMS (2012). Quick Time Learning Bulletin number 12 Responding to Medical Emergencies.

NOMS (2012, issue 10). Quick Time Learning Bulletin, Increased Risks in Young Offenders and Young People.

NOMS (2013). Quick Time Learning Bulletin, Clarification on appropriate use of Cell Sharing Risk Assessment.

NOMS (2013) Quick Time Learning Bulletin – Improving Self-Harm outcomes by working effectively with Approved Premises.

NOMS (2011). Quick Time Learning Bulletin – Retention of Documents for Investigations following a Death in Custody and Inquests.

NOMS (2011). Quick Time Learning Bulletin – Managing Violent Behaviours.

NOMS (2011). Quick Time Learning Bulletin – Assessment, Care in Custody & Teamwork (ACCT).

NOMS (2013). Quick Time Learning Bulletin – Risks Associated with Offence & Status.

NOMS (no date, issue 3). Quick Time Bulletin 3: Constant Supervision.

NOMS (2012). Quick time learning bulletin: Family liaison.

NOMS (2012). Quick Time Learning Bulletin Issue 12.

NOMS (2011). Quick time learning bulletin Concerted Indiscipline.

NOMS (2011). Quick-Time Learning Bulletin – Early Release on Compassionate Grounds.

NOMS (no date). Quick Time Learning Bulletin Disruptive Behaviour.

NOMS (2013). Quick Time Learning Bulletin Enhanced Case Review.

NOMS (2013). Shouting Out - Young People and Young Adults.

NOMS (2010). Quick Time Learning Bulletin Safer cells bulletin.

Grubin, D., Carson, D. & Parsons, S. (2002). Report on new prison reception health screening arrangements: the results of a pilot study in 10 prisons.

NOMS (no date, issue 2). Quick Time Learning Bulletin -  Cell fires and self-harm.

IMB (2013). Behind Closed Doors: The Sixth Annual Report of the National Council for IMBs.

Department of Health (17 November 2009). Improving Health, Supporting Justice: The National Delivery Plan of the Health and Criminal Justice Programme Board.

HMG/Department of Health (10 September 2012). Preventing suicide in England: A cross-government outcomes strategy to save lives.

MBDC (2013). A review of unclassified deaths in custody- 2010-12.

Analysis of PPO Rule 43 Regulation 28 Prevention of Future Death reports on cohort cases spreadsheet

Report on the findings arising from the analysis of PPO Rule 43 Regulation 28 Prevention of Future Death reports on cohort cases

CPS (2010). Diverting offenders with mental health problems and/or learning disabilities within the National Conditional Cautioning Framework (online publication).

CPS (no date). Mentally Disordered Offenders: A Guidance.

DCLG (2013). The Cost of Troubled Families.

DCLG (2014). Health bulletin on troubled families.

DCLG (2014). Interim Guidance for Troubled Families Programme Early Starter Areas.

DCLG (2014). Understanding Troubled Families.

Department of Health (2009). Improving Health, Supporting Justice: The National Delivery Plan of the Health and Criminal Justice Programme Board.

Department of Health (2011). No Health Without Mental Health: A Cross-Government Mental Health Outcomes Strategy for People of All Ages.

Department of Health (2014). Care and Support Statutory Guidance – Chapter 17 (online publication).

Department of Health (2014, version 2). Closing the Gap: Priorities for essential change in mental health.

Hawton, K., Linsell, L., Adeniji, T., Sariaslan, A. and Fazel, S. (2013). Self-harm in prisons in England and Wales: an epidemiological study of prevalence, risk factors, clustering, and subsequent suicide, Lancet 2014; 383: 1147–54 (online edition).

Health & Safety Executive (no date, version 3). Work Related Deaths: A protocol for liaison (online publication).

Health & Social Care Information Centre (2014). Offender Health IT (OHIT) programme (online publication).

HMIP (2014). Report of a review of the implementation of the Zahid Mubarek Inquiry recommendations. HMIP.

HMIP (2014). Transforming Rehabilitation Early Implementation – An independent inspection setting out the operational impacts, challenges and necessary actions.

House of Commons Justice Committee (2015). Prisons: planning and policies – Ninth Report of Session 2014-15).

Institute of Race Relations (no date, briefing paper no. 9). Hidden Despair: the deaths of Foreign National Prisoners.

Kinman, G. & Clements, A. (2014). POA Members work related stress and wellbeing survey.

NHS (2012). The National Health Service, Commissioning Board and Clinical Commissioning Groups (Responsibilities and Standing Rules) Regulations 2012.

NHS England (2013). Securing Excellence in Commissioning for Offender Health (distributed to Health & Mental Health Sub-Group).

NHS England Area Team (2014, version 2). HM Prisons Medicines Standards Health and Justice Commissioning.

NOMS (2013). Enabling features of Psychologically Informed Planned Environments.

NOMS (2013). Practice Guidance: Working with Care Leavers (18-25), in custody and the community, to reduce reoffending and promote effective transition to adulthood.

NOMS (2014). HMPS: Our new way of working.

NOMS (January 2011). Working with personality disordered offenders – A practitioner’s guide.

NOMS (no date). Five Minute Intervention – Portland (supporting slides).

NOMS (no date). Five Minute Intervention - Portland.

NOMS (no date). Improvements to the Person Escort Record.

Paper prepared by Professor Louis Appleby for presentation to the Ministerial Board on Deaths in Custody

Annex A to Paper prepared by Professor Louis Appleby

Prior, D., Farrow, K., Hughes, N., Manders, G. & Wilkinson, B. (2011). Maturity, Young Adults and Criminal Justice: A Literature Review.

Prison Reform Trust (2001). Troubled Inside: Responding to the Mental Health needs of Children and Young People in Prison.

Prison Reform Trust (2014). Prison: the facts, Bromley Briefings.

Royal College of Paediatrics and Child Health (2013a). Healthcare Standards for Children and Young People in Secure Settings (distributed to Health & Mental Health Sub-Group).

Royal College of Paediatrics and Child Health (2013b). Children and Young People (under 18s) in Secure Settings Standard 6 Substance Misuse Care and Intervention Alcohol, Smoking, Drugs (distributed to Health & Mental Health Sub-Group).

Royal College of Paediatrics and Child Health (2014a). Healthcare Specification for services for Children and Young People (under 18s) in Secure Settings: Physical Health Care, CYPSS Standard 4: Physical Health Care and Intervention (distributed to Health & Mental Health Sub-Group).

Royal College of Paediatrics and Child Health (2014b). Healthcare Specification for services for Children and Young People (under 18s) in Secure Settings: Emotional health and mental health needs CYPSS Standard 5: Mental health and Neurodisabilities Care and Intervention (distributed to Health & Mental Health Sub-Group).

Setty E., Sturrock, R. & Simes,E. (2014). Gangs in Prison: The nature and impact of gang involvement among prisoners.

University of Birmingham/Barrow Cadbury/T2A Alliance (2013). Taking Account of Maturity

Welsh Government (2013). Criminal Justice Liaison Services in Wales – Policy Implementation Guidance.

Welsh Government (2014). Prison Mental Health – Policy Implementation Guidance.

Welsh Government (2014b). Policy Implementation Guidance – Addressing Mental Health Problems of Children and Young People in the Youth Justice System.

Wylie, M. (2014). Inside Time - Consideration of Prisoners letters.

Young Minds (2013). Same old… the experiences of young offenders with mental health needs.

Young, L. (2014). The Young Review: Improving outcomes for young black and/or Muslim men in the Criminal Justice System.

 

 

 

 

 

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