In its structure, planning, delivery and financing, probation across England and Wales continues to face major problems. We are developing ideas for a project looking at what has gone wrong, and how it can be put right. If you have some experience or thoughts to share, or you would like to support this initiative, please get in touch.
Richard Garside, Director
In the news
In an article for the OpenDemocracy website, our Senior Policy Associate, Rebecca Roberts, argues that the £1.3bn for new prisons would be more wisely invested in community and welfare provision. Our Deputy Director, Will McMahon, was a co-signatory on a letter inThe Guardian calling for a moratorium on new prison builds. We helped Building magazine with a piece on the dodgy economics of the prison-building programme.
Ex-services veterans under probation supervision
We partnered with the Probation Institute and the Forces in Mind Trust on a profile of the landscape of services for former service personnel with a criminal conviction. Our Research Director Roger Grimshaw summarises our findings.
Colonialism and criminal justice
In May we will be holding an event on the relationship between Britain's colonial empire and the development of criminal justice in the United Kingdom. Book your place here.
Pieces on our site this month include:
David Scott on the sickness haunting our prison system
Roger Grimshaw on why monitoring places of detention matters
Mike Guilfoyle on the perils of partnership working
Dr Mark Sanford-Wood, lead for the General Practitioners Council on prison medical services, questions whether prisoners with mental health problems are in the right system.
'We are seeing increasing numbers coming through reception direct from court where the crime they are accused of appears to be the result of mental illness, rather than anything else', he told GP magazine.
I think it's worth re-publishing the article from GP magazine, especially in view of the recent policy statement from the Sentencing Council regarding the need to avoid court adjournments for Pre Sentence Reports at all costs. Well here we have the evidence for what the cost is:-
In the last year, the GP said, ‘the courts appear to be sending us increasing numbers of people who are already quite significantly mentally ill.
We we are seeing increasing numbers coming through reception direct from court where the crime they are accused of appears to be the result of mental illness, rather than anything else. There does seem to be an increasing number of people who clinically, you would question whether they are in the right system.’Of course this should also serve to highlight the fact that in addition to the PSR being virtually abandoned as a vital professional assessment process, it's now virtually impossible to obtain a Psychiatric or Psychology report prior to sentence.
Rise in seriously mentally ill prisoners linked to record suicide rate, fears GP
Increased numbers of seriously ill people being jailed rather than sent to hospital could be contributing to soaring suicide rates, a senior GP working in the prison medical service has warned. GPC lead on prison medical services Dr Mark Sanford-Wood said he believed the numbers of people who are already significantly mentally ill being sent to prison was on the rise and was putting additional pressure on the system.
The HMP Exeter GP told GPonline that prison doctors were having to care for more patients with serious mental health problems because it had become more difficult to access specialist psychiatric support services. Dr Sanford-Wood’s comments came as the Ministry of Justice last week revealed there had been a 32% increase in suicides in prisons in England and Wales, with a record 119 people taking their own lives last year. Rates of self harm and violence against prisoners and staff also increased.
The government has agreed to fund an extra 2,500 prison officers to ease staff shortages in England and Wales after the Prison Officers Association warned of ‘bloodbaths’ because of declining staff levels and rising prisoner numbers.
The Prison Ombudsman last week criticised the criminal justice system after a man with serious mental health problems killed himself in HMP Chelmsford despite having been recommended by a psychiatrist for transfer to a secure hospital. The ombudsman said Dean Saunders should have been in a hospital and had been ‘let down’ by prison and health services. The prison had ‘insufficient’ psychiatric cover to meet the population’s needs, it said.
Dr Sanford-Wood, speaking before the latest suicide figures were published, said the increase in self-inflicted deaths was caused partly by resource pressures in prisons. ‘When you have a system under so much resource strain, strain on finances, strain on staffing, then inevitably it is going to make things more difficult, and you may get more suicides,' he said.
In the last year, the GP said, ‘the courts appear to be sending us increasing numbers of people who are already quite significantly mentally ill’.
‘We we are seeing increasing numbers coming through reception direct from court where the crime they are accused of appears to be the result of mental illness, rather than anything else. There does seem to be an increasing number of people who clinically, you would question whether they are in the right system.’
If more patients who should be treated in secure psychiatric settings are being sent to jail, Dr Sanford-Wood said, ‘inevitably, the prison system is going to be more challenged in providing them the care they need’. The Devon GP leader said that increasing difficulty in accessing specialist psychiatric support services in hospitals also meant prison GPs were having to care for more patients with more serious mental health conditions.
‘Most GPs would recognise the amount of availability and support of specialist psychiatric services in hospitals can be quite patchy. That may be a funding issue, or it may be shortages in the psychiatric workforce,' he said.
‘There has been an increase in the number of psychiatric cases we are having to deal with ourselves. More challenging access to specialist psychiatric input for cases. GPs, in my experience, are now picking up more complex cases that previously probably would have seen a consultant psychiatrist.’
He added: ‘I'm not not saying those cases are being unsafely dealt with, but there is certainly a more challenging environment. Because the people we are dealing with are inevitably more unwell.’
The doctors’ leader was speaking on the eve of last Friday’s BMA conference for prison GPs to exchange ideas and experience of the fragmented service.