First reported 28 Jul 2017•Latest report 6 Feb 2026
Definition
What this concern includes
Includes failures in the dedicated prison-to-community discharge coordination process involving the prison discharge coordinator, MAPPA, prison, probation or receiving community agencies, including unclear role responsibility, failure to define required information, inability to locate or update information, and ineffective transfer or sharing of discharge and risk information.
Not included
Excludes generic inter-agency information-sharing failures that are not tied to prison discharge, release or community-supervision coordination.
Excludes clinical treatment, accommodation, appointment or care-provision failures where prison-to-community discharge information sharing is not the unsafe condition.
Excludes prison or probation risk-management deficiencies that do not involve the transfer, availability or coordination of information during discharge or release.
Excludes failures confined to a single organisation's records where no cross-organisation prison-to-community coordination problem is identified.
Reports
7
Distinct published reports
Individual concerns
9
A report can raise multiple concerns
Date range
2017–2026
First to latest report issue date
Stated actions
36
Described in published responses
Reports over time
Reports over time
Reports about this concern issued each year.
* 2026 is projected from reports observed to 7 Sep 2026.
Most frequent recipients
Most frequent recipients
Reports about this concern sent to each recipient.
Ministry of Justice5
HM Prison and Probation Service4
West Midlands Police2
Birmingham and Solihull Mental Health NHS Foundation Trust1
Central and North West London NHS Foundation Trust1
College of Policing1
Department for Education1
G4S1
Government Legal Department1
HM Courts & Tribunals Service1
Home Office1
Lancashire Constabulary1
Learning Together CIC1
Office for Students1
Practice Plus Group1
Ministerial department5
Executive agency4
Police force3
NHS trust2
Higher education regulator1
Independent healthcare provider1
Local health board1
National policing body1
Non-ministerial department1
Other public body1
Prison operator1
Prison or young offender institution1
Sub-organisation1
University1
Type not available1
Concerns and responses across reports
Only concerns grouped under this recurring concern are included. Select any concern, action or position to view the source wording.
Suffolk
Concerns raised1
Failure to provide Probation Services with timely release information
This report raised 2 other concerns. They are not shown here because they do not form part of this recurring concern.
Responses linked to these concerns
Each statement is shown once, even when linked to more than one concern.
Actions described in response An action is something a respondent says it has done, is doing, or plans to do in response to the concern raised.1
Action
Compile a telephone list of active contact numbers for each Probation Area in England and Wales.
Stated by HM Prison and Probation ServiceStated plannedThe respondent said that this action was planned when they made their response on 10 February 2026.
Respondent positions A position is what a respondent says about the concern when they do not describe a specific action.1
Position
The release licence clearly instructed the prisoner when and where to report, and Durham Probation received timely release information at its correct email address.
Stated by HM Prison and Probation ServiceDisputes the concernThe respondent disagreed with part of the concern or the basis for it.
Liverpool and the Wirral
Concerns raised1
Failure to inform local authorities of impending prisoner homelessness before release
This report raised 4 other concerns. They are not shown here because they do not form part of this recurring concern.
Responses linked to these concerns
Each statement is shown once, even when linked to more than one concern.
Actions described in response An action is something a respondent says it has done, is doing, or plans to do in response to the concern raised.3
Action
Discuss custodial cases without release addresses at multi-agency Prison Leavers Meetings using system-generated case lists and probation-led coordination.
Stated by HM Prison & Probation Service, Probation Service, North WestStated completedThe respondent said that this action was complete when they made their response on 28 January 2025.
Action
Conduct a North West resettlement review and consider the consistency of multi-agency pre-release meeting arrangements within it.
Stated by HM Prison & Probation Service, Probation Service, North WestStated in progressThe respondent said that this action was in progress when they made their response on 28 January 2025.
Action
Provide co-located or visiting local-authority housing workers to support probation staff with prison-leaver accommodation needs and referrals.
Stated by HM Prison & Probation Service, Probation Service, North WestStated completedThe respondent said that this action was complete when they made their response on 28 January 2025.
Respondent positions A position is what a respondent says about the concern when they do not describe a specific action.1
Position
Prison and Probation Service, not healthcare, is responsible for prisoner release and statutory housing referrals; healthcare provides treatment and collaborates.
Stated by Greater Manchester Mental Health NHS Foundation TrustRedirects responsibilityThe respondent said that another organisation was responsible for deciding or taking action.
Birmingham and Solihull
Concerns raised3
Failure to establish effective information sharing for prison discharge coordination
Unclear responsibilities and case remit for the prison discharge coordinator role
Failure to coordinate interagency release management and share critical information
This report raised 2 other concerns. They are not shown here because they do not form part of this recurring concern.
Responses linked to these concerns
Each statement is shown once, even when linked to more than one concern.
Actions described in response An action is something a respondent says it has done, is doing, or plans to do in response to the concern raised.24
Action
Record travel-warrant destinations and email them to the OMU group for communication to relevant offender managers and agencies.
Stated by G4SStated completedThe respondent said that this action was complete when they made their response on 19 March 2024.
Action
Require offender managers to notify Community Offender Managers about sentence-end releases involving no fixed abode and provide release-destination information.
Stated by G4SStated completedThe respondent said that this action was complete when they made their response on 19 March 2024.
Action
Continue streamlining internal data recording so information is shared through the national prisons IT system, DPS.
Stated by G4SStated in progressThe respondent said that this action was in progress when they made their response on 19 March 2024.
Action
Include the BSMHFT MAPPA Clinical Lead in developing a sustainable MAPPA engagement strategy and identifying alternative arrangements for gaps.
Stated by Birmingham and Solihull Mental Health NHS Foundation TrustStated plannedThe respondent said that this action was planned when they made their response on 19 March 2024.
Action
Establish dedicated cross-organisational, multidisciplinary Task and Finish workstreams to review processes and policies and identify further action.
Stated by Birmingham and Solihull Mental Health NHS Foundation TrustStated plannedThe respondent said that this action was planned when they made their response on 19 March 2024.
Action
Implement an improved referral and discharge procedure through the updated standard operating protocol.
Stated by Birmingham and Solihull Mental Health NHS Foundation TrustStated completedThe respondent said that this action was complete when they made their response on 19 March 2024.
Action
Hold formal admission handovers and pre-release meetings with transferring mental-health teams or prisons and relevant agencies.
Stated by Swansea Bay University Local Health BoardStated completedThe respondent said that this action was complete when they made their response on 19 March 2024.
Action
Provide documented discharge summaries and comprehensive handovers to primary care, general practitioners, patients and, with consent, probation officers.
Stated by Swansea Bay University Local Health BoardStated completedThe respondent said that this action was complete when they made their response on 19 March 2024.
Action
Use weekly discharge information, prison NOMIS access and a Governor Grade officer at Single Point of Access meetings to verify release dates.
Stated by Swansea Bay University Local Health BoardStated in progressThe respondent said that this action was in progress when they made their response on 19 March 2024.
Action
Continue reviewing and refining MAPPA practices to improve interagency working and risk-information sharing.
Stated by HM Prison and Probation ServiceStated in progressThe respondent said that this action was in progress when they made their response on 19 March 2024.
Action
Reinforce the statutory information-sharing requirement for MAPPA duty-to-cooperate agencies.
Stated by HM Prison and Probation ServiceStated completedThe respondent said that this action was complete when they made their response on 19 March 2024.
Action
Work with the Health Trust on guidance revisions for the prison discharge coordinator role to clarify responsibilities, information sharing and probation-service implementation.
Stated by HM Prison and Probation ServiceStated plannedThe respondent said that this action was planned when they made their response on 19 March 2024.
Action
Review the Prison Discharge Coordinator job description, role scope and potential additional resource requirements.
Stated by Birmingham and Solihull Mental Health NHS Foundation TrustStated plannedThe respondent said that this action was planned when they made their response on 19 March 2024.
Action
Work with MAPPA partners to ensure the prison discharge coordinator role and policy are understood and cascaded to police MAPPA teams.
Stated by West Midlands PoliceStated plannedThe respondent said that this action was planned when they made their response on 19 March 2024.
Action
Hold monthly strategy meetings monitoring first-night accommodation and whether released prisoners’ whereabouts are known to community services.
Stated by G4SStated completedThe respondent said that this action was complete when they made their response on 19 March 2024.
Action
Review the Prison In-reach and CMHT interaction process, complete a gap analysis and develop a plan to strengthen continuity of care.
Stated by Birmingham and Solihull Mental Health NHS Foundation TrustStated plannedThe respondent said that this action was planned when they made their response on 19 March 2024.
Action
Approach SystemOne to discuss the feasibility of adding a local field for community mental health team information.
Stated by Birmingham and Solihull Mental Health NHS Foundation TrustStated completedThe respondent said that this action was complete when they made their response on 19 March 2024.
Action
Conduct multidisciplinary pre-discharge reviews and formal pre-release planning meetings four to six weeks before known release dates.
Stated by Swansea Bay University Local Health BoardStated completedThe respondent said that this action was complete when they made their response on 19 March 2024.
Action
Continue updating ViSOR records for each individual so information can be shared across agencies.
Stated by West Midlands PoliceStated completedThe respondent said that this action was complete when they made their response on 19 March 2024.
Action
Work with agencies to clarify key roles and systems, improve information sharing and management, and protect the public.
Stated by West Midlands PoliceStated plannedThe respondent said that this action was planned when they made their response on 19 March 2024.
Action
Visit managed offenders after prison release regardless of their MAPPA process status.
Stated by West Midlands PoliceStated completedThe respondent said that this action was complete when they made their response on 19 March 2024.
Action
Provide policing support to partners concerning high-risk prisoners with mental health difficulties released at sentence end.
Stated by West Midlands PoliceStated plannedThe respondent said that this action was planned when they made their response on 19 March 2024.
Action
Revise and reissue the sentence-end-date release practice document, and embed its expectations in staff development sessions.
Stated by HM Prison and Probation ServiceStated completedThe respondent said that this action was complete when they made their response on 19 March 2024.
Action
Promote the NHS Reconnect Service to probation practitioners to support referrals for through-the-gate transition support.
Stated by HM Prison and Probation ServiceStated completedThe respondent said that this action was complete when they made their response on 19 March 2024.
Respondent positions A position is what a respondent says about the concern when they do not describe a specific action.12
Position
Concerns about SystmOne, cross-agency release guidance and the MAPPA discharge coordinator fall outside G4S’s power to address.
Stated by G4SOutside remitThe respondent said that this matter was outside its role or authority.
Position
G4S cannot influence release management or interagency working at private prisons operated by other providers or HMPPS.
Stated by G4SOutside remitThe respondent said that this matter was outside its role or authority.
Position
Other interested persons addressed by the report are better placed to consider concerns 2, 3 and 4 and determine any response.
Stated by G4SRedirects responsibilityThe respondent said that another organisation was responsible for deciding or taking action.
Position
Issues concerning information sharing on NDelius should be addressed to HMPPS.
Stated by G4SRedirects responsibilityThe respondent said that another organisation was responsible for deciding or taking action.
Position
Liaison with MAPPA is the Offender Management Unit’s responsibility, while the Responsible Authority must notify Health and arrange relevant meetings.
Stated by Swansea Bay University Local Health BoardRedirects responsibilityThe respondent said that another organisation was responsible for deciding or taking action.
Position
The Health Trust is responsible for revising guidance for the prison discharge coordinator role; Probation will support that work.
Stated by HM Prison and Probation ServiceRedirects responsibilityThe respondent said that another organisation was responsible for deciding or taking action.
Position
The Health Board lacks power to take action regarding the West Midlands MAPPA prison discharge coordinator concern.
Stated by Swansea Bay University Local Health BoardOutside remitThe respondent said that this matter was outside its role or authority.
Position
Partners managing the prison discharge coordinator role will address the role and amend the related policy.
Stated by West Midlands PoliceRedirects responsibilityThe respondent said that another organisation was responsible for deciding or taking action.
Position
HMPPS is responsible for providing and operating resettlement services, which are delivered by HMPPS-commissioned external providers.
Stated by G4SRedirects responsibilityThe respondent said that another organisation was responsible for deciding or taking action.
Position
G4S cannot implement changes to streamline IT systems used by HMPPS, the NHS and third-party providers.
Stated by G4SUnable to actThe respondent said that a constraint prevented them from taking the relevant action.
Position
National Systemone interface issues must be addressed by other Interested Parties, although the Trust is exploring a local amendment.
Stated by Birmingham and Solihull Mental Health NHS Foundation TrustRedirects responsibilityThe respondent said that another organisation was responsible for deciding or taking action.
Position
A unified prison interagency IT system cannot be implemented because the Health Board lacks the necessary power.
Stated by Swansea Bay University Local Health BoardUnable to actThe respondent said that a constraint prevented them from taking the relevant action.
South Yorkshire (Western)
Concerns raised1
Gaps in communication of crucial substance-misuse and Naloxone information to Approved Premises
This report raised 3 other concerns. They are not shown here because they do not form part of this recurring concern.
Responses linked to these concerns
Each statement is shown once, even when linked to more than one concern.
Actions described in response An action is something a respondent says it has done, is doing, or plans to do in response to the concern raised.3
Action
Draft a detailed patient-release information template covering substance misuse, Naloxone, mental health and other relevant support needs.
Stated by Practice Plus GroupStated completedThe respondent said that this action was complete when they made their response on 12 May 2022.
Action
Implement a tracked, consent-based process for quality-assured Approved Premises information reports, recording requests and completed reports on SystmOne.
Stated by Practice Plus GroupStated completedThe respondent said that this action was complete when they made their response on 12 May 2022.
Action
Update the Naloxone refusal disclaimer and require refusals to be signed, scanned onto SystmOne and recorded in third-party medical reports.
Stated by Practice Plus GroupStated completedThe respondent said that this action was complete when they made their response on 12 May 2022.
London City
Concerns raised1
Failure to provide MAPPA panels direct input from the preparing forensic psychologist
This report raised 23 other concerns. They are not shown here because they do not form part of this recurring concern.
Responses linked to these concerns
Each statement is shown once, even when linked to more than one concern.
Actions described in response An action is something a respondent says it has done, is doing, or plans to do in response to the concern raised.1
Action
Update MAPPA statutory guidance to require forensic psychologists to attend meetings and present ERG assessments, including Level 3 and core group meetings.
Stated by Ministry of JusticeStated plannedThe respondent said that this action was planned when they made their response on 3 November 2021.
Respondent positions A position is what a respondent says about the concern when they do not describe a specific action.2
Position
Other bodies are taking forward substantive work on the concerns, so further College guidance or training would risk duplicating their work.
Stated by College of PolicingRedirects responsibilityThe respondent said that another organisation was responsible for deciding or taking action.
Position
ERG findings need not have a dedicated minutes section because the CTPO presents them to the panel and documents them in the relevant section.
Stated by West Midlands PoliceExisting arrangements considered sufficientThe respondent said that existing arrangements were sufficient, so no further action was needed.
Lancashire and Blackburn with Darwen
Concerns raised1
Lack of mandated joined-up inter-agency communication at offender release or when new personal relationships develop
This report raised 10 other concerns. They are not shown here because they do not form part of this recurring concern.
Responses linked to these concerns
Each statement is shown once, even when linked to more than one concern.
Actions described in response An action is something a respondent says it has done, is doing, or plans to do in response to the concern raised.1
Action
Refresh MASH staff messaging periodically on identifying life-licensed perpetrators as high risk and sharing referral information to prompt safeguarding action.
Stated by Lancashire ConstabularyStated completedThe respondent said that this action was complete when they made their response on 9 September 2019.
Respondent positions A position is what a respondent says about the concern when they do not describe a specific action.3
Position
The Pan-Lancashire MARAC operating protocol already addresses urgent referrals and high-risk prioritisation for relevant offenders.
Stated by Lancashire ConstabularyExisting arrangements considered sufficientThe respondent said that existing arrangements were sufficient, so no further action was needed.
Position
Responsibility for referring relevant life-licensed offenders to MARAC lies with the offender manager.
Stated by Lancashire ConstabularyRedirects responsibilityThe respondent said that another organisation was responsible for deciding or taking action.
Position
Existing MASH arrangements provide research, information sharing and referral of life-licensed perpetrators to relevant agencies, including Probation and Social Care.
Stated by Lancashire ConstabularyExisting arrangements considered sufficientThe respondent said that existing arrangements were sufficient, so no further action was needed.
London (City)
Concerns raised1
Failure to notify community care coordinators of prisoner release
This report raised 16 other concerns. They are not shown here because they do not form part of this recurring concern.
Responses linked to these concerns
Each statement is shown once, even when linked to more than one concern.
Actions described in response An action is something a respondent says it has done, is doing, or plans to do in response to the concern raised.3
Action
Ratify the new continuity-of-care discharge policy by 1 October 2017.
Stated by Central and North West London NHS Foundation TrustStated plannedThe respondent said that this action was planned when they made their response on 1 August 2017.
Action
Implement pre-release assessments, comprehensive care summaries, post-release plans and liaison with receiving services under the discharge policy.
Stated by Central and North West London NHS Foundation TrustStated plannedThe respondent said that this action was planned when they made their response on 1 August 2017.
Action
Implement the new custody offender-management model, including dedicated staff and additional resources to support prisoners’ engagement with services before release.
Stated by HM Prison and Probation ServiceStated in progressThe respondent said that this action was in progress when they made their response on 1 August 2017.
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Includes failures in the dedicated prison-to-community discharge coordination process involving the prison discharge coordinator, MAPPA, prison, probation or receiving community agencies, including unclear role responsibility, failure to define required information, inability to locate or update information, and ineffective transfer or sharing of discharge and risk information.
