Recurring concern

Failure to reliably transfer safety-critical prisoner information to immigration detention staff

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First reported 5 Aug 2015•Latest report 2 Apr 2019

Definition

What this concern includes

Includes failures in the dedicated transfer and availability of safety-critical prisoner information between HMPPS, DEPMU and immigration removal-centre staff, including information from NOMIS, OASYS and comparable custody or risk systems, and failures to ensure IRC staff are aware of significant changes in detainees’ circumstances, removal directions or other relevant risk information.

Not included

  • Excludes generic prison information-sharing failures that do not concern transfer to DEPMU or immigration removal-centre staff.
  • Excludes healthcare-only information sharing between prison healthcare and prison staff unless it is specifically part of the prison-to-immigration-detention transfer process.
  • Excludes failures in the subsequent clinical care, observation or risk management of detainees after relevant information has been reliably transferred.
  • Excludes unrelated police, probation, court or inter-Trust information-transfer processes.
Reports
2

Distinct published reports

Individual concerns
2

A report can raise multiple concerns

Date range
2015–2019

First to latest report issue date

Stated actions
0

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.

Home Office2
Ministry of Justice2
HM Prison and Probation Service1
NHS England1
The Phoenix Partnership (Leeds) Ltd1

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.

  1. West London

    AI-generated summary

    Tarek Mahmood CHOWDHURY · Prevention of Future Deaths report

    This summary was generated using AI from the published report. Please read the original report for the complete account.

    Report summary

    Tarek Mahmood CHOWDHURY was beaten to death by another detainee while detained at Heathrow Immigration Removal Centre on 1 December 2016. The report identified concerns about information sharing between prisons, the Home Office and immigration removal centres, including the availability of intelligence and other records. It also identified concerns about access to and operation of SystmOne healthcare records during the initial screening of detainees transferred from prison.

    Read the report on judiciary.uk

    Source evidence

    How this individual concern was interpreted

    PFD Monitor created a concise, searchable interpretation from the report wording shown below.

    PFD Monitor interpretation

    Failure to share prisoner information between HMPPS, DEPMU and IRC staff

    Wider context from the report

    “(1) That there is a failure to share information about prisoners who are to become detainees, between HMPPS and the Home Office’s DEPMU, and between HMPPS and staff in IRCs. The rolling out of Mercury intelligence to DEPMU/IRCs will not solve this problem if other information (in particular NOMIS and OASYS) is still not available to DEPMU/IRCs. This concern is addressed both to the Ministry of Justice (HMPPS) and to the Home Office (DEPMU/IRCs). ”

    Source location

    Tarek Mahmood CHOWDHURY · Prevention of Future Deaths report
    Page 2 · concerns

    Open source report

  2. Central Lincolnshire

    AI-generated summary

    Rubel Ahmed · Prevention of Future Deaths report

    This summary was generated using AI from the published report. Please read the original report for the complete account.

    Report summary

    Rubel Ahmed, who was detained at Morton Hall Immigration Removal Centre, was found hanging in his room on the evening of 5 September 2014 and was pronounced deceased shortly after midnight on 6 September 2014. The concerns included overnight locking of detainees in rooms, the adequacy of detention-awareness training, staff awareness of changes in detainees’ circumstances, insufficient protected time for personal officers, and the use of electrical leads that could be used as ligatures.

    Read the report on judiciary.uk

    Source evidence

    How this individual concern was interpreted

    PFD Monitor created a concise, searchable interpretation from the report wording shown below.

    PFD Monitor interpretation

    Failure to ensure detention staff awareness of significant changes in detainees' circumstances

    Wider context from the report

    “iii. STAFF AWARENESS OF CHANGES IN DETAINEES CIRCUMSTANCES INCLUDING REMOVAL DIRECTIONS: It was disclosed at the Inquest that staff members, who dealt with Mr Ahmed on the evening of 5th September, 2014 were not aware that he had been served with removal directions. Had staff been aware of this information it may have resulted in Mr Ahmed being monitored more comprehensively than was the case. My concerns relate to there being a need to implement a robust system to ensure that all relevant detention staff at Morton Hall IRC are aware of significant changes in detainees circumstances, including the service of removal directions upon them. ”

    Source location

    Rubel Ahmed · Prevention of Future Deaths report
    Page 1 · concerns

    Open source report
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Data last updated 7 September 2026