Recurring concern
Unsafe operation of prison segregation procedures
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Request correctionFirst reported 20 Dec 2013•Latest report 27 Jan 2023
What this concern includes
Includes failures of the named prison segregation process, including decisions to impose or continue segregation, required healthcare fitness assessments, authorisation, documentary decision tools, medical checks, observation, review and safeguards for prisoners held in segregation.
Not included
- Excludes generic prison staffing, training, communication or documentation deficiencies unless they directly impair the prison segregation process.
- Excludes custody observation, healthcare assessment or prisoner welfare concerns outside segregation unless the report explicitly connects them to a segregation decision or safeguard.
- Excludes general cell conditions, security arrangements or self-harm hazards where no failure of the segregation process is identified.
- Excludes unlawful or unsafe segregation outcomes where the report does not identify a deficient segregation procedure or control.
- Reports
- 7
- Individual concerns
- 9
- Date range
- 2013–2023
- Stated actions
- 5
Distinct published reports
A report can raise multiple concerns
First to latest report issue date
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.
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.
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Concerns raised1
Lack of training for Duty Governors in completing the Initial Segregation Health Screen algorithm document
This report raised 1 other concern. They are not shown here because they do not form part of this recurring concern.
Responses linked to these concernsEach 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.2
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Action
Deliver training to all Duty Governors on segregation risk, policy requirements and the Initial Segregation Health Screen process.
Stated by HM Prison and Probation Service -
Action
Deliver comprehensive training on completing Initial Segregation Health Screens, including clinical assessment, accountability, testing and scenario-based learning.
Stated by Practice Plus Group Health And Rehabilitation Services Limited
Respondent positions A position is what a respondent says about the concern when they do not describe a specific action.1
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Position
PPG is responsible for segregation health screening and provides the related algorithm training to MPFT staff.
Stated by Midlands Partnership University NHS Foundation Trust
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Concerns raised2
Failure to detect unlawful segregation and deprivation of basic amenities
Routine continuation of cell-door segregation without required safeguards
This report raised 18 other concerns. They are not shown here because they do not form part of this recurring concern.
Responses linked to these concernsEach statement is shown once, even when linked to more than one concern.
No linked response statementsNo respondent-stated action or position is linked to these concerns in the published data.
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Concerns raised1
Failure to carry out required medical checks in segregation
This report raised 1 other concern. They are not shown here because they do not form part of this recurring concern.
Responses linked to these concernsEach statement is shown once, even when linked to more than one concern.
No linked response statementsNo respondent-stated action or position is linked to these concerns in the published data.
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Concerns raised1
Inadequate nurse assessment of fitness for segregation
This report raised 5 other concerns. They are not shown here because they do not form part of this recurring concern.
Responses linked to these concernsEach 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.2
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Action
Provide scenario-based induction training on completing Fitness for Segregation forms, with trainee declaration and manager competency confirmation.
Stated by HCRG Care Services Ltd -
Action
Conduct four annual audits of Fitness for Segregation documentation and related clinical, history-sheet and ACCT records, addressing material errors through supervision or training.
Stated by HCRG Care Services Ltd
Respondent positions A position is what a respondent says about the concern when they do not describe a specific action.1
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Position
The Fitness for Segregation form was completed correctly, and the available information supported the assessment that the patient was fit for segregation.
Stated by HCRG Care Services Ltd
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Concerns raised1
Unclear or unavailable documentary tool for decisions about prisoners remaining in Segregation
This report raised 5 other concerns. They are not shown here because they do not form part of this recurring concern.
Responses linked to these concernsEach statement is shown once, even when linked to more than one concern.
No linked response statementsNo respondent-stated action or position is linked to these concerns in the published data.
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Concerns raised2
Failure to ensure accurate documentation for review and authorisation of further segregation detention
Delays in commencing risk assessments for proposed relocation from segregation
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 concernsEach statement is shown once, even when linked to more than one concern.
No linked response statementsNo respondent-stated action or position is linked to these concerns in the published data.
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Concerns raised1
Failure to ensure fully informed decisions on reducing observations for vulnerable prisoners in the Segregation Unit
This report raised 9 other concerns. They are not shown here because they do not form part of this recurring concern.
Responses linked to these concernsEach 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
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Action
Deliver ACCT case-manager refresher training reinforcing multidisciplinary reviews, relocation handovers, risk-information sharing, and exceptional use of segregation.
Stated by HM Prison and Probation Service
Data last updated 7 September 2026