PFD report

James Furlong and 2 others · Prevention of Future Deaths report

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Issued 20 May 2024•Central Criminal Court

Report record

Published report and response evidence

This page connects the concerns raised in this report with statements found in recipients’ published responses. A link shows a clear evidence connection; it does not assign responsibility.

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Concerns
6

Raised in this report

Recipients
7

Named on the report

Responses found
8

Of 7 recipients

Stated actions
108

Described in responses

Recipients and published responses

Source document

Full report text

This is the full text from the original published report.

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Concerns and recipient responses

Select any concern, action or position to view the source wording.

Concerns raised6

  1. Failure to maintain and disseminate an adequate intelligence picture
    Part of recurring concern: Failure to maintain and share security and offender risk intelligence
  2. Failure to provide an adequate and integrated response to identified risk
  3. Failure to address consequential risks created by inadequate intelligence dissemination
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 recipient says it has done, is doing, or plans to do in response to a concern raised.61

  1. Action

    Maintain named CMHT representatives’ participation in MAPPA discussions and liaison for inpatient and crisis teams.

    Stated by Berkshire Healthcare NHS Foundation TrustStated in progressThe respondent said that this action was in progress when they made their response on 23 May 2024.
  2. Action

    Roll out a named key worker for all service users open to services or awaiting treatment, with a defined coordinating role.

    Stated by Berkshire Healthcare NHS Foundation TrustStated plannedThe respondent said that this action was planned when they made their response on 23 May 2024.
  3. Action

    Continue implementing the One Team model, including One Assessment and place-based multidisciplinary post-assessment meetings.

    Stated by Berkshire Healthcare NHS Foundation TrustStated in progressThe respondent said that this action was in progress when they made their response on 23 May 2024.

Respondent positions A position is what a recipient says about a concern when it does not describe a specific action.9

  1. Position

    For longer custodial sentences requiring ongoing mental health input, responsibility transfers from community services to prison mental health services, with handover.

    Stated by Berkshire Healthcare NHS Foundation TrustRedirects responsibilityThe respondent said that another organisation was responsible for deciding or taking action.

Source evidence

How this individual concern was interpreted

PFD Monitor created a concise, searchable interpretation from the report wording shown below. Response links show a clear evidence connection; they do not assign responsibility.

PFD Monitor interpretation

Failure to maintain and disseminate an adequate intelligence picture

Wider context from the report

“The critical context of this Report is that there were notable failures on the part of multiple bodies which both probably and possibly contributed to the three deaths. These have been explained in extenso in my Factual Findings. In summary form, however, there was a failure to: a) assess the intelligence in its entirety (there was an extensive intelligence history concerning KS’s extremism and capacity for violence) and then share the intelligence appropriately; instead – certainly on occasion – limited pieces of information only were made available, which were thereby rendered potentially misleading; b) address the substantial consequential risks created by this lack of dissemination of the overarching intelligence picture (which included KS’s extremist views and associations, military training and violent impulsivity, which were potentiated by his personality disorder); c) provide an adequate and integrated response to the true risk posed by KS, based on a consideration of the entirety of the relevant material; and d) offer KS adequate mental healthcare in the community and secondary mental healthcare in prison. The failures principally involved the Home Office, Counter Terrorism Police South-East (“CTPSE”), HMPPS, BHFT and MPFT. There were concurrent deficiencies in the approach adopted within the Prevent, Pathfinder and MAPPA schemes. A common enduring error during the relevant period was the tendency to downplay or discount KS’s extremist risk on account of his EUPD and symptoms of PTSD. The failure to maintain and disseminate an adequate intelligence picture (the Secretary of State for the Home Department, the Secretary of State for Justice, the Chief Constable of Thames Valley Police) The failure to provide KS adequate mental healthcare in the community and to provide KS adequate secondary mental healthcare in prison (the Secretary of State for Justice, Berkshire Healthcare NHS Foundation Trust and Midlands Partnership University NHS Foundation Trust) ”

Is this part of a recurring concern?

Yes — Failure to maintain and share security and offender risk intelligence.

Open source report

Source evidence

How this individual concern was interpreted

PFD Monitor created a concise, searchable interpretation from the report wording shown below. Response links show a clear evidence connection; they do not assign responsibility.

PFD Monitor interpretation

Failure to provide an adequate and integrated response to identified risk

Wider context from the report

“The critical context of this Report is that there were notable failures on the part of multiple bodies which both probably and possibly contributed to the three deaths. These have been explained in extenso in my Factual Findings. In summary form, however, there was a failure to: a) assess the intelligence in its entirety (there was an extensive intelligence history concerning KS’s extremism and capacity for violence) and then share the intelligence appropriately; instead – certainly on occasion – limited pieces of information only were made available, which were thereby rendered potentially misleading; b) address the substantial consequential risks created by this lack of dissemination of the overarching intelligence picture (which included KS’s extremist views and associations, military training and violent impulsivity, which were potentiated by his personality disorder); c) provide an adequate and integrated response to the true risk posed by KS, based on a consideration of the entirety of the relevant material; and d) offer KS adequate mental healthcare in the community and secondary mental healthcare in prison. The failures principally involved the Home Office, Counter Terrorism Police South-East (“CTPSE”), HMPPS, BHFT and MPFT. There were concurrent deficiencies in the approach adopted within the Prevent, Pathfinder and MAPPA schemes. A common enduring error during the relevant period was the tendency to downplay or discount KS’s extremist risk on account of his EUPD and symptoms of PTSD. The failure to maintain and disseminate an adequate intelligence picture (the Secretary of State for the Home Department, the Secretary of State for Justice, the Chief Constable of Thames Valley Police) The failure to provide KS adequate mental healthcare in the community and to provide KS adequate secondary mental healthcare in prison (the Secretary of State for Justice, Berkshire Healthcare NHS Foundation Trust and Midlands Partnership University NHS Foundation Trust) ”

Is this part of a recurring concern?

No recurring-concern membership is currently published.

Open source report

Source evidence

How this individual concern was interpreted

PFD Monitor created a concise, searchable interpretation from the report wording shown below. Response links show a clear evidence connection; they do not assign responsibility.

PFD Monitor interpretation

Failure to address consequential risks created by inadequate intelligence dissemination

Wider context from the report

“The critical context of this Report is that there were notable failures on the part of multiple bodies which both probably and possibly contributed to the three deaths. These have been explained in extenso in my Factual Findings. In summary form, however, there was a failure to: a) assess the intelligence in its entirety (there was an extensive intelligence history concerning KS’s extremism and capacity for violence) and then share the intelligence appropriately; instead – certainly on occasion – limited pieces of information only were made available, which were thereby rendered potentially misleading; b) address the substantial consequential risks created by this lack of dissemination of the overarching intelligence picture (which included KS’s extremist views and associations, military training and violent impulsivity, which were potentiated by his personality disorder); c) provide an adequate and integrated response to the true risk posed by KS, based on a consideration of the entirety of the relevant material; and d) offer KS adequate mental healthcare in the community and secondary mental healthcare in prison. The failures principally involved the Home Office, Counter Terrorism Police South-East (“CTPSE”), HMPPS, BHFT and MPFT. There were concurrent deficiencies in the approach adopted within the Prevent, Pathfinder and MAPPA schemes. A common enduring error during the relevant period was the tendency to downplay or discount KS’s extremist risk on account of his EUPD and symptoms of PTSD. The failure to maintain and disseminate an adequate intelligence picture (the Secretary of State for the Home Department, the Secretary of State for Justice, the Chief Constable of Thames Valley Police) The failure to provide KS adequate mental healthcare in the community and to provide KS adequate secondary mental healthcare in prison (the Secretary of State for Justice, Berkshire Healthcare NHS Foundation Trust and Midlands Partnership University NHS Foundation Trust) ”

Is this part of a recurring concern?

No recurring-concern membership is currently published.

Open source report

Source evidence

How this individual concern was interpreted

PFD Monitor created a concise, searchable interpretation from the report wording shown below. Response links show a clear evidence connection; they do not assign responsibility.

PFD Monitor interpretation

Failure to provide adequate secondary mental healthcare in prison

Wider context from the report

“The critical context of this Report is that there were notable failures on the part of multiple bodies which both probably and possibly contributed to the three deaths. These have been explained in extenso in my Factual Findings. In summary form, however, there was a failure to: a) assess the intelligence in its entirety (there was an extensive intelligence history concerning KS’s extremism and capacity for violence) and then share the intelligence appropriately; instead – certainly on occasion – limited pieces of information only were made available, which were thereby rendered potentially misleading; b) address the substantial consequential risks created by this lack of dissemination of the overarching intelligence picture (which included KS’s extremist views and associations, military training and violent impulsivity, which were potentiated by his personality disorder); c) provide an adequate and integrated response to the true risk posed by KS, based on a consideration of the entirety of the relevant material; and d) offer KS adequate mental healthcare in the community and secondary mental healthcare in prison. The failures principally involved the Home Office, Counter Terrorism Police South-East (“CTPSE”), HMPPS, BHFT and MPFT. There were concurrent deficiencies in the approach adopted within the Prevent, Pathfinder and MAPPA schemes. A common enduring error during the relevant period was the tendency to downplay or discount KS’s extremist risk on account of his EUPD and symptoms of PTSD. The failure to maintain and disseminate an adequate intelligence picture (the Secretary of State for the Home Department, the Secretary of State for Justice, the Chief Constable of Thames Valley Police) The failure to provide KS adequate mental healthcare in the community and to provide KS adequate secondary mental healthcare in prison (the Secretary of State for Justice, Berkshire Healthcare NHS Foundation Trust and Midlands Partnership University NHS Foundation Trust) ”

Is this part of a recurring concern?

Yes — Inadequate prison mental healthcare for people requiring hospital-level treatment.

Open source report

Source evidence

How this individual concern was interpreted

PFD Monitor created a concise, searchable interpretation from the report wording shown below. Response links show a clear evidence connection; they do not assign responsibility.

PFD Monitor interpretation

Failure to provide adequate mental healthcare in the community

Wider context from the report

“The critical context of this Report is that there were notable failures on the part of multiple bodies which both probably and possibly contributed to the three deaths. These have been explained in extenso in my Factual Findings. In summary form, however, there was a failure to: a) assess the intelligence in its entirety (there was an extensive intelligence history concerning KS’s extremism and capacity for violence) and then share the intelligence appropriately; instead – certainly on occasion – limited pieces of information only were made available, which were thereby rendered potentially misleading; b) address the substantial consequential risks created by this lack of dissemination of the overarching intelligence picture (which included KS’s extremist views and associations, military training and violent impulsivity, which were potentiated by his personality disorder); c) provide an adequate and integrated response to the true risk posed by KS, based on a consideration of the entirety of the relevant material; and d) offer KS adequate mental healthcare in the community and secondary mental healthcare in prison. The failures principally involved the Home Office, Counter Terrorism Police South-East (“CTPSE”), HMPPS, BHFT and MPFT. There were concurrent deficiencies in the approach adopted within the Prevent, Pathfinder and MAPPA schemes. A common enduring error during the relevant period was the tendency to downplay or discount KS’s extremist risk on account of his EUPD and symptoms of PTSD. The failure to maintain and disseminate an adequate intelligence picture (the Secretary of State for the Home Department, the Secretary of State for Justice, the Chief Constable of Thames Valley Police) The failure to provide KS adequate mental healthcare in the community and to provide KS adequate secondary mental healthcare in prison (the Secretary of State for Justice, Berkshire Healthcare NHS Foundation Trust and Midlands Partnership University NHS Foundation Trust) ”

Is this part of a recurring concern?

No recurring-concern membership is currently published.

Open source report

Source evidence

How this individual concern was interpreted

PFD Monitor created a concise, searchable interpretation from the report wording shown below. Response links show a clear evidence connection; they do not assign responsibility.

PFD Monitor interpretation

Failure to avoid discounting extremist risk because of personality disorder and PTSD symptoms

Wider context from the report

“The critical context of this Report is that there were notable failures on the part of multiple bodies which both probably and possibly contributed to the three deaths. These have been explained in extenso in my Factual Findings. In summary form, however, there was a failure to: a) assess the intelligence in its entirety (there was an extensive intelligence history concerning KS’s extremism and capacity for violence) and then share the intelligence appropriately; instead – certainly on occasion – limited pieces of information only were made available, which were thereby rendered potentially misleading; b) address the substantial consequential risks created by this lack of dissemination of the overarching intelligence picture (which included KS’s extremist views and associations, military training and violent impulsivity, which were potentiated by his personality disorder); c) provide an adequate and integrated response to the true risk posed by KS, based on a consideration of the entirety of the relevant material; and d) offer KS adequate mental healthcare in the community and secondary mental healthcare in prison. The failures principally involved the Home Office, Counter Terrorism Police South-East (“CTPSE”), HMPPS, BHFT and MPFT. There were concurrent deficiencies in the approach adopted within the Prevent, Pathfinder and MAPPA schemes. A common enduring error during the relevant period was the tendency to downplay or discount KS’s extremist risk on account of his EUPD and symptoms of PTSD. The failure to maintain and disseminate an adequate intelligence picture (the Secretary of State for the Home Department, the Secretary of State for Justice, the Chief Constable of Thames Valley Police) The failure to provide KS adequate mental healthcare in the community and to provide KS adequate secondary mental healthcare in prison (the Secretary of State for Justice, Berkshire Healthcare NHS Foundation Trust and Midlands Partnership University NHS Foundation Trust) ”

Is this part of a recurring concern?

Yes — Unreliable assessment and management of extremist risk in offenders.

Open source report

Source evidence

How this respondent action was interpreted

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

PFD Monitor interpretation

Maintain named CMHT representatives’ participation in MAPPA discussions and liaison for inpatient and crisis teams.

Verbatim wording from the response

“BHFT recognises that we play a key role in sharing communications particularly around risk. While we are not responsible for the organisation of MAPPA meetings, we are committed to supporting these processes, ensuring that the right people attend the meetings and that we continue to have named representatives from each CMHT within BHFT. This attendance includes contributing to discussions/providing advice to MAPPA case discussions for those that may not be under CMHT. In addition, those named workers will act in a liaison role for inpatients and CRHTT. CRHTT and inpatient teams are less likely to be in a position to attend MAPPA, particularly at short notice, and CMHT representatives are best placed to communicate into and out of MAPPA where inpatient or CRHTT may have been involved in a case.”

Source location

Response from Berkshire Healthcare
Page 7 · response
Published 23 May 2024

Open published response

Source evidence

How this respondent action was interpreted

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

PFD Monitor interpretation

Roll out a named key worker for all service users open to services or awaiting treatment, with a defined coordinating role.

Verbatim wording from the response

“The MDT will identify a named worker when agreeing individual plans for those referred into services. The named worker will be assigned to anyone who is opened to services and receiving treatment, and a named worker will be assigned to people awaiting treatment held on waiting lists. A workstream dedicated to defining the elements of the named worker role is established and the named key worker role will be formally rolled out in September 2024. As set out in the national guidance, there will be a named key worker for all service users open to BHFT services with a multidisciplinary team approach at Place (i.e. geographical locality) taking overall responsibility for coordinating care - this will be integrated with social care and VCSE and an example is offered above.”

Source location

Response from Berkshire Healthcare
Page 2 · response
Published 23 May 2024

Open published response

Source evidence

How this respondent action was interpreted

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

PFD Monitor interpretation

Continue implementing the One Team model, including One Assessment and place-based multidisciplinary post-assessment meetings.

Verbatim wording from the response

“BHFT have continued the development of the One Team model as described in February and helpfully summarised in the Regulation 28 report. This is an ongoing and gradual roll out of associated changes to service delivery. There are monthly team updates and a number of engagement events that have taken place with BHFT staff, external stakeholders (such as local authorities in Berkshire, Primary Care Networks,”

Source location

Response from Berkshire Healthcare
Page 1 · response
Published 23 May 2024

Open published response

Source evidence

How this respondent action was interpreted

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

PFD Monitor interpretation

Establish additional escalation processes with Prison, Probation and partner agencies for people released from custody with mental health vulnerabilities.

Verbatim wording from the response

“Our Reconnect service has seen increasing numbers of service users over time and are playing a valuable role in bridging the gap between leaving prison and accessing the best community support to meet the needs of vulnerable people. Reconnect offers the bridge between prison, probation and health, and we have good evidence of those workers playing a key role in engaging prisoners prior to leaving prison, or soon after, with community services that best support their needs. For example, supporting people to attend housing appointments or drug and alcohol appointments. We have noted below the additional challenges that early release may bring alongside mitigations agreed with Probation colleagues. BHFT will be closely monitoring impacts and escalating concerns locally and nationally as they arise.”

Source location

Response from Berkshire Healthcare
Page 5 · response
Published 23 May 2024

Open published response

Source evidence

How this respondent action was interpreted

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

PFD Monitor interpretation

Establish and operate a Harm to Others multidisciplinary risk panel providing specialist input to care planning.

Verbatim wording from the response

“An escalation Standard Operating Procedure was produced for the Judge Coroner at the Inquests. Since the Inquests, escalation processes have been further aligned with the new One Team model. The MDT described above will enable shared decision making and where agreement cannot be reached this will be escalated to Heads of Service. An enhanced MDT can be arranged to support this process. On the rare occasion that the Head of Service decision and enhanced MDT is challenged, this will be escalated to the Clinical Director who will make the final decision regarding the plan. In addition to the Positive Risk Panel referred to in the inquest proceedings, an additional ‘Harm to Others’ MDT risk panel is being established. This is in recognition of the increasing awareness of vulnerable individuals who may not fit neatly into a forensic pathway but carry a level of risk.”

Source location

Response from Berkshire Healthcare
Page 3 · response
Published 23 May 2024

Open published response

Source evidence

How this respondent action was interpreted

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

PFD Monitor interpretation

Strengthen community-custody transitions through proactive Prison and Probation engagement, named-worker handovers and explicit responsibility arrangements.

Verbatim wording from the response

“Where individuals move between the community and custody, there will be greater proactive engagement with Prison and Probation colleagues both principally and on a case-by-case basis. Where someone receives a short sentence, it would be important to maintain CMHT input and involvement in planning for post release. For more lengthy sentences requiring ongoing mental health input in custody, they will transition from community (e.g. CMHT) to Prison Mental Health Services. In such situations, the named worker in the community will ensure that a handover takes place with prison colleagues. The Reconnect roles, as described above, will allow for easier transition back into CMHT's on release if required.”

Source location

Response from Berkshire Healthcare
Page 7 · response
Published 23 May 2024

Open published response

Source evidence

How this respondent action was interpreted

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

PFD Monitor interpretation

Use the new streamlined risk assessment form, including enhanced consideration of risk to others.

Verbatim wording from the response

“There will be a streamlined, holistic, personalised care and support plan, co-produced between the service user and the named key worker and regularly reviewed. A new risk form went live on 15 June 2024, and this is a more streamlined record of risk assessment that is easier to navigate for all clinicians involved.”

Source location

Response from Berkshire Healthcare
Page 2 · response
Published 23 May 2024

Open published response

Source evidence

How this respondent action was interpreted

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

PFD Monitor interpretation

Launch a new care plan format aligned with multidisciplinary formulation and named-worker care coordination.

Verbatim wording from the response

“More focus within this assessment has been given to risk to others. Alongside this more contemporary risk assessment is a new care plan format which will complement the risk assessment and is due to be launched in July 2024.”

Source location

Response from Berkshire Healthcare
Page 3 · response
Published 23 May 2024

Open published response

Source evidence

How this respondent action was interpreted

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

PFD Monitor interpretation

Deliver the revised risk-training programme incorporating response learning and real clinical case studies.

Verbatim wording from the response

“The MDT described above will agree a clear formulation which will help inform the care plan, as well as identify the best person to lead on the plan of care using the named key worker approach. Where mental health services are not indicated, a clear rationale will be communicated to referrers and any other relevant parties. Risk training has been reviewed and a new programme of risk training has started which will encapsulate elements discussed within this response and case studies based on real clinical cases will help to inform this training.”

Source location

Response from Berkshire Healthcare
Page 3 · response
Published 23 May 2024

Open published response

Source evidence

How this respondent action was interpreted

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

PFD Monitor interpretation

Expand the Nurse Consultant Network’s clinical support and continue twice-yearly harm-to-others learning sessions for staff and Probation colleagues.

Verbatim wording from the response

“Our Nurse Consultant Network has expanded, and this has allowed for an enhanced focus on supporting our teams to improve clinical effectiveness across our inpatient and community services. The evidence presented at the Inquests described a pilot project between Probation and BHFT using Nurse Consultants as a conduit to offer a layer of decision-making where conflict arises. This project has now been evaluated. Recommendations have been made to Probation and BHFT are building upon the learning that has come from the Pilot. The Nurse Consultants will continue to offer this additional support to Probation colleagues, and the learning sessions delivered by the Nurse Consultants to Probation will continue twice yearly. Internally, BHFT sessions have been reviewed to reflect the findings of the project alongside the learning from these Inquests.”

Source location

Response from Berkshire Healthcare
Page 4 · response
Published 23 May 2024

Open published response

Source evidence

How this respondent action was interpreted

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

PFD Monitor interpretation

Issue prison intelligence-assessment guidance and a template for comprehensive MAPPA Level 2/3 information-sharing reports.

Verbatim wording from the response

“50. In your factual findings you identified that there was an incomplete intelligence picture for KS. This included prison intelligence which did not reach KS’s COM. The National Intelligence Unit (NIU) within HMPPS has reviewed the way prisons share security information and intelligence within MAPPA, specifically when contributing to MAPPA level 2 and 3 meetings.”

Source location

Response from Ministry of Justice
Page 13 · response
Published 23 May 2024

Open published response

Source evidence

How this respondent action was interpreted

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

PFD Monitor interpretation

Improve Pathfinder delivery by redefining partner responsibilities and linking Pathfinder forums with the Counter Terrorism Clinical Consultancy Service.

Verbatim wording from the response

“38. As part of ongoing continuous improvement activities, HMPPS is taking steps to improve how Pathfinder is delivered including re-defining the roles and responsibilities of Pathfinder partners. These include links that have been established between Pathfinder forums and the Counter Terrorism Clinical Consultancy Service (CTCCS) which replaced Vulnerability Support Hubs in April 2024. CTCCS are embedded multi-disciplinary mental health teams that work with individuals who are deemed susceptible to radicalisation and who also present as having mental health issues.”

Source location

Response from Ministry of Justice
Page 11 · response
Published 23 May 2024

Open published response

Source evidence

How this respondent action was interpreted

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

PFD Monitor interpretation

Plan further Pathfinder reforms to review referral thresholds, align terrorist-risk understanding and establish a National Pathfinder process with senior oversight.

Verbatim wording from the response

“41. As part of ongoing continuous improvement activities, HMPPS and partners are planning to make further improvements to Pathfinder. These reforms will build on the established foundations of multi-agency, CT-specialist case management processes already operating in the prison and probation sector, developing these further to improve our ability to make agile, informed decisions around CT case management, by creating timely, secure access to the right information and intelligence, at the right time, by the right people.”

Source location

Response from Ministry of Justice
Page 11 · response
Published 23 May 2024

Open published response

Source evidence

How this respondent action was interpreted

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

PFD Monitor interpretation

Implement MAPPA quality assurance through audits of referrals and Level 2/3 meeting minutes, with resulting learning and actions disseminated.

Verbatim wording from the response

“47. Local Strategic Management Boards (SMBs) are responsible for delivering MAPPA within their respective Criminal Justice areas. These boards provide governance and are required to have quality assurance processes in place. Thames Valley MAPPA SMB has implemented quality assurance of the MAPPA process. This has included audits on 18 March 2024 and 15 April 2024 for referrals rejected by the thresholding panel and audit of MAPPA Minutes on 19 February 2024 for the management of MAPPA Level 2/3 meetings. These aspects were specifically chosen as they had been identified as not working well by the author of the MAPPA SCR.”

Source location

Response from Ministry of Justice
Page 13 · response
Published 23 May 2024

Open published response

Source evidence

How this respondent action was interpreted

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

PFD Monitor interpretation

Issue and require use of the Pathfinder Guidance Framework and Controls and Interventions Matrix for active terrorist-risk cases, supported by trained assessors.

Verbatim wording from the response

“33. In October 2022, the Pathfinder Guidance Framework (PGF) Operational Delivery Guidance was issued. The PGF assesses susceptibility to extremism and what is required by way of interventions to address this. It has been designed to help document, structure and support decision making and the case management of terrorist risk offenders. It should be completed alongside the Controls and Interventions Matrix (CIM). It should be used by CT Specialists to guide consideration of the extremism concerns and to help direct further actions and interventions. It was issued to trained assessors, supervisors and staff involved in the management of terrorist risk cases across HMPPS. The PGF is an assessment tool which must be completed for all terrorist risk offenders who have been made an active case of concern at Pathfinder. It must be completed within 8 weeks of the offender being made ‘active’.”

Source location

Response from Ministry of Justice
Page 9 · response
Published 23 May 2024

Open published response

Source evidence

How this respondent action was interpreted

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

PFD Monitor interpretation

Test and evaluate an enhanced mental-health support model in Approved Premises for high-risk probation leavers with complex needs.

Verbatim wording from the response

“i) Testing and evaluating a new model within Approved Premises (APs), enabled by £2.4 million funding over three years up to 2025. This provides targeted, enhanced mental health support to high-risk probation leavers with the most complex needs, building a clear bridge into services in the community, as recommended in the Rapid Review. The initial formal evaluation review will be available in Autumn 2024.”

Source location

Response from Ministry of Justice
Page 2 · response
Published 23 May 2024

Open published response

Source evidence

How this respondent action was interpreted

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

PFD Monitor interpretation

Create MAPPA Category 4 and amend information-sharing powers to cover terrorism-risk offenders and relevant agencies.

Verbatim wording from the response

“55. There has also been an independent review of MAPPA by Jonathan Hall,⁹ as a result of which a discrete new MAPPA category, Category 4 was created. This was to ensure that all offenders convicted of terrorism offences are automatically referred to and managed under MAPPA and to enable offenders who are assessed as presenting a terrorism risk to be managed under MAPPA, even where they have not been convicted of terrorism offences. We also introduced amendments to part 13 of the Criminal and Justice Act 2003¹⁰ to put beyond doubt Duty to Co-operate (DTC) agencies’ powers to share information under MAPPA and extended these powers to cover any agency the Responsible Authority considers may contribute to the assessment and management of the risks presented by MAPPA offenders, for example GPs.”

Source location

Response from Ministry of Justice
Page 14 · response
Published 23 May 2024

Open published response

Source evidence

How this respondent action was interpreted

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

PFD Monitor interpretation

Introduce and operate the Pathfinder Dormant Review procedure, including pre-release review, standing-agenda consideration and multi-agency risk decisions.

Verbatim wording from the response

“23. In March 2021, the Dormant Review Standard Operating Procedure (DR SOP) was introduced. This provided detailed guidance as to when and how to complete a review of a dormant Pathfinder case, and who should do it. Previously, staff were reliant on the very limited detail about the Dormant Review requirement that was included in the Managing Extremism Policy Framework (Annex C of Managing Extremism Amongst Offenders in Custody and Annex L of Managing Extremism Amongst Offenders in the Community). The Dormant Review process ensures that those who have previously”

Source location

Response from Ministry of Justice
Page 7 · response
Published 23 May 2024

Open published response

Source evidence

How this respondent action was interpreted

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

PFD Monitor interpretation

Issue guidance and training to improve healthcare engagement and practitioner understanding of mental-health needs in Pathfinder risk management.

Verbatim wording from the response

“36. In June 2022, HMPPS and NHS England jointly issued guidance for healthcare staff entitled “Increasing the Engagement of Prison Integrated Healthcare Teams in Pathfinder”. This followed a JEXU Review of mental health provision after the attacks in Forbury Gardens. The review identified the need to improve the engagement of healthcare teams in Pathfinder. The aim of this guidance has been to encourage healthcare attendance at case management meetings in custody, and in turn to help ensure mental health information is being used to inform the assessment and management of terrorist risk. Follow-up surveys on the implementation of this guidance show an increase of 21 percentage points in healthcare’s attendance at Pathfinder meetings from 59% in the first half of 2022 to 80% in the second half of 2022. The surveys were not mandatory but provide an indicative representation.”

Source location

Response from Ministry of Justice
Page 10 · response
Published 23 May 2024

Open published response

Source evidence

How this respondent action was interpreted

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

PFD Monitor interpretation

Replace Mercury with the Intelligence Management Service and roll out probation access to prison intelligence.

Verbatim wording from the response

“15. Other new services are being developed to share information across systems to make sure that HMPPS staff have the information that they need. Whilst some of these services are still in development, several have been launched since 2020, including in particular the Pathfinder IT service which supports the management of terrorism-related nominals across the prison and probation services. Pathfinder IT is addressed in more detail at paragraphs 30 to 32 below.”

Source location

Response from Ministry of Justice
Page 6 · response
Published 23 May 2024

Open published response

Source evidence

How this respondent action was interpreted

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

PFD Monitor interpretation

Publish guidance requiring prison staff to link Mercury intelligence records to nominal records, including after release.

Verbatim wording from the response

“19. Whilst the Mercury system is still operational, there is also a plan to publish specific guidance to ensure that all prison staff are aware that Mercury Intelligence Records need to be linked to a nominal’s record, even if the subject is no longer in custody. This will be published by Autumn 2024. The working assumption is that intelligence on former prisoners is linked to their records, and it is the case that the vast majority of information is correctly linked. However, this requirement is not formally stated anywhere within HMPPS training or processes. This new guidance will address this lacuna.”

Source location

Response from Ministry of Justice
Page 7 · response
Published 23 May 2024

Open published response

Source evidence

How this respondent action was interpreted

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

PFD Monitor interpretation

Refresh the psychology pathway and update referral criteria.

Verbatim wording from the response

“Following the tragic deaths in Forbury Gardens MPFT undertook an internal review; the report summarising the outcome of this internal review was disclosed to the inquest and formed part of the evidence bundle. The internal review identified the need to address psychological care pathways and the management of psychology waiting lists.”

Source location

Response from Midlands Partnership NHS
Page 1 · response
Published 23 May 2024

Open published response

Source evidence

How this respondent action was interpreted

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

PFD Monitor interpretation

Provide staff with ongoing training in psychological care, including CBT, DBT, trauma-informed care and co-occurring conditions.

Verbatim wording from the response

“Staff have access to an ongoing programme of training which supports our overall Psychological care of people in prisons. This includes learning about Cognitive Behavioural Therapy (CBT), Dialectic Behaviour Therapy (DBT), Trauma Informed care and working with co-occurring conditions.”

Source location

Response from Midlands Partnership NHS
Page 2 · response
Published 23 May 2024

Open published response

Source evidence

How this respondent action was interpreted

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

PFD Monitor interpretation

Develop a pilot introducing Mental Health and Wellbeing Practitioner roles in Health in Justice services.

Verbatim wording from the response

“MPFT have worked with NHS England to develop a pilot of the Mental Health & Wellbeing Practitioner (MHWP) role which is a new role within some Health in Justice services. This role is one of the newer psychological professions. MHWPs are trained to provide low intensity psychological interventions to people with severe and enduring mental health difficulties.”

Source location

Response from Midlands Partnership NHS
Page 2 · response
Published 23 May 2024

Open published response

Source evidence

How this respondent action was interpreted

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

PFD Monitor interpretation

Standardise psychological care pathway practice across prisons.

Verbatim wording from the response

“Action was taken to refresh the psychology pathway, including updating referral criteria. There has been a further piece of work across the Prisons we work in to standardise practice in regard to psychological care pathways which is due to be completed by the end of August 2024.”

Source location

Response from Midlands Partnership NHS
Page 1 · response
Published 23 May 2024

Open published response

Source evidence

How this respondent action was interpreted

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

PFD Monitor interpretation

Review current mental health service provision for adults in contact with the criminal justice system.

Verbatim wording from the response

“The NHS England Mental Health Programme has recently embarked on new work to review the current service provision for adult individuals in contact with the criminal justice system. This has focused on the changes required to provide sustainable and”

Source location

Response from NHS England
Page 1 · response
Published 23 May 2024

Open published response

Source evidence

How this respondent action was interpreted

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

PFD Monitor interpretation

Develop a Mental Health Criminal Justice Pathway through the Health and Justice Mental Health Pathway Expert Working Group.

Verbatim wording from the response

“To enable these changes, a Mental Health Criminal Justice Pathway is in development. This Pathway is overseen by a ‘Health and Justice Mental Health Pathway Expert Working Group’ and this work aims to:”

Source location

Response from NHS England
Page 2 · response
Published 23 May 2024

Open published response

Source evidence

How this respondent action was interpreted

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

PFD Monitor interpretation

Require Integrated Care Boards to review community services for people with serious mental illness who need intensive treatment and follow-up despite engagement challenges.

Verbatim wording from the response

“However, NHS England recognises that further national work is needed to ensure that people with severe mental illness, who pose a risk of harm to others when unwell, are properly supported and can access appropriate care to avoid relapses in their mental health. NHS England has therefore asked all Integrated Care Boards to review their community services by September 2024, to ensure that they have clear policies and practices in place for patients with serious mental illness, who require intensive community treatment and follow-up, but where engagement is a challenge. To support system reviews, NHS England has convened an expert advisory group to advise on the development of national guidance, setting out the key principles in this area that should be reflected in local policies and practices.”

Source location

Response from NHS England
Page 4 · response
Published 23 May 2024

Open published response

Source evidence

How this respondent action was interpreted

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

PFD Monitor interpretation

Develop national guidance on community treatment and follow-up principles through a convened expert advisory group.

Verbatim wording from the response

“However, NHS England recognises that further national work is needed to ensure that people with severe mental illness, who pose a risk of harm to others when unwell, are properly supported and can access appropriate care to avoid relapses in their mental health. NHS England has therefore asked all Integrated Care Boards to review their community services by September 2024, to ensure that they have clear policies and practices in place for patients with serious mental illness, who require intensive community treatment and follow-up, but where engagement is a challenge. To support system reviews, NHS England has convened an expert advisory group to advise on the development of national guidance, setting out the key principles in this area that should be reflected in local policies and practices.”

Source location

Response from NHS England
Page 4 · response
Published 23 May 2024

Open published response

Source evidence

How this respondent action was interpreted

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

PFD Monitor interpretation

Operate the enhanced RECONNECT trauma-informed pathway pilot for high-risk people with complex health needs.

Verbatim wording from the response

“Enhanced RECONNECT (ER), which is a trauma informed service working with people from 6 months prior to release until 12 months post release, builds on the RECONNECT service as an enhanced pathway of care, and is NHS England’s response to the management of individuals identified as a high risk of harm to the public and who have complex health needs. The enhanced service is a pilot scheme currently operating in the North East, North West and South West of England. The service works collaboratively with partners (including from other services and organisations) to support any high-risk individual with complex health needs, which may impact on their risk of reoffending.”

Source location

Response from NHS England
Page 3 · response
Published 23 May 2024

Open published response

Source evidence

How this respondent action was interpreted

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

PFD Monitor interpretation

Operate an integrated primary and secondary prison mental healthcare model with access to health and community mental health records.

Verbatim wording from the response

“Further to the above, there is an integrated model of mental health care across both primary and secondary care mental health services, with access to the Health and Justice Information Services (HJIS) records, along with community mental health records, to better support continuity of care and information sharing.”

Source location

Response from NHS England
Page 3 · response
Published 23 May 2024

Open published response

Source evidence

How this respondent action was interpreted

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

PFD Monitor interpretation

Re-procure and provide secondary mental health services at HMP Bullingdon and HMP Huntercombe through Oxford Health NHS Foundation Trust.

Verbatim wording from the response

“Additionally, since the tragic events of 20 June 2020, NHS England’s South East region has re-procured mental health services at HMP Bullingdon and HMP Huntercombe. These services are now provided by Oxford Health NHS Foundation Trust (OHFT) at both sites.”

Source location

Response from NHS England
Page 3 · response
Published 23 May 2024

Open published response

Source evidence

How this respondent action was interpreted

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

PFD Monitor interpretation

Prioritise increased access to evidence-based talking therapies while developing a more sustainable workforce to deliver them in prisons.

Verbatim wording from the response

“The provision of psychological therapies is still commissioned, although recruitment challenges mean there is a longer wait for initial assessment for psychological therapy than is ideal at present. Prison mental health teams do maintain a 5 day wait for routine mental health referrals, however, increasing the availability and accessibility of talking therapies is a priority.”

Source location

Response from NHS England
Page 3 · response
Published 23 May 2024

Open published response

Source evidence

How this respondent action was interpreted

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

PFD Monitor interpretation

Increase investment in adult and older adult community mental health services by £1 billion annually to support transformed models of care.

Verbatim wording from the response

“Additionally, as part of its NHS Long Term Plan commitments to improve mental health care, NHS England has increased the investment in adult and older adult community mental health services by £1 billion per year since 2019/20. This additional funding has meant that over 370,000 people were able to access transformed models of care in 2023/24. These new models, as described in the Community Mental Health Framework (September 2019), are aimed at ensuring that adults and older adults with severe mental health problems are better able to access a high quality of care that meets their clinical and social needs, and that care is easily 'stepped up' or 'stepped down' depending on their needs.”

Source location

Response from NHS England
Page 4 · response
Published 23 May 2024

Open published response

Source evidence

How this respondent action was interpreted

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

PFD Monitor interpretation

Submit a business case to commissioners proposing staffing alternatives to increase and expand psychological provision at HMP Huntercombe.

Verbatim wording from the response

“At HMP Huntercombe the current staffing model is one WTE band 4 assistant psychologist and 0.3 WTE band 8a psychologist. The service has not been able to fill these posts and a business case was submitted by the service to commissioners that proposed three alternatives to the staffing model. The purpose of the business case is to give us the best chance to recruit into posts, to increase the provision for psychology and to expand the service which can be offered. The business case has been submitted and we hope to receive a decision in July 2024. There are high levels of trauma within the establishment and the focus will be to treat the trauma and any associated symptoms.”

Source location

Response from Oxford Health
Page 2 · response
Published 23 May 2024

Open published response

Source evidence

How this respondent action was interpreted

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

PFD Monitor interpretation

Consider introducing guidance on recording declined psychological treatment offers and reviewing them in caseload management supervision.

Verbatim wording from the response

“In terms of actions that it will be helpful for the Trust to consider, the service will consider if they should introduce guidance for psychological therapy staff about what to record when an individual declines treatment in the prison pathway, to include guidance that declined offers of treatment are always considered in caseload management supervision.”

Source location

Response from Oxford Health
Page 3 · response
Published 23 May 2024

Open published response

Source evidence

How this respondent action was interpreted

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

PFD Monitor interpretation

Introduce two band 5 psychological wellbeing practitioner posts at HMP Bullingdon.

Verbatim wording from the response

“At HMP Bullingdon the current staffing model is a 0.8 whole time equivalent (WTE) band 7 psychotherapist, a 0.3 WTE band 8a forensic psychologist, and two band 5 psychological wellbeing practitioners who are currently due to start in the service in July 2024. In the past 12 months there have been 116 referrals for psychology, 17 patients are engaged in therapy currently, and 34 patients waiting. The average waiting time is around 14 weeks. We also have a Consultant Forensic Psychologist who oversees the governance of the psychological therapies pathways within the mental health teams, including managing caseloads of the psychologists and psychological therapists.”

Source location

Response from Oxford Health
Page 2 · response
Published 23 May 2024

Open published response

Source evidence

How this respondent action was interpreted

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

PFD Monitor interpretation

Reinforce to Channel Chairs that mental-health needs do not replace Prevent support and that the Clinical Consultancy Service is available.

Verbatim wording from the response

“To further this point, we have written to all Channel Chairs to raise awareness of the concern in the report that KS’s risk assessment was incorrectly focused on his mental health difficulties, and to reinforce that the purpose of Channel is both to safeguard individuals and to manage the potential terrorist risk they may pose. Therefore, the existence of or need for wraparound mental health support for an individual does not negate the need for the person to receive Prevent support. We also reminded Channel Chairs that the CCS is available to provide Prevent officers with advice, guidance and options to help manage the individuals in their casework with mental health needs.”

Source location

Response from the Home Office
Page 5 · response
Published 23 May 2024

Open published response

Source evidence

How this respondent action was interpreted

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

PFD Monitor interpretation

Use referral and training data to target Prevent outreach and training where referral quality or local risk alignment is weaker.

Verbatim wording from the response

“We are using Prevent referral data (from the new case management system) and training data to identify where the quality of referrals is lower, or not in line with the risk in that area or sector. This has enabled us to better target Prevent outreach and training to improve the quality of referrals. Alongside this, a refreshed list of ideology categories has also been created for use in the new case management system, which will be accompanied by updated training and guidance for case officers to ensure accurate recording of data and evidence about ideology. We will review the ideology categories on an annual basis to ensure they are reflective of the wider ideological picture and routinely monitor Prevent data, carrying out dip sampling to provide assurance that there are no disparities in decision-making throughout the Prevent pathway.”

Source location

Response from the Home Office
Page 4 · response
Published 23 May 2024

Open published response

Source evidence

How this respondent action was interpreted

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

PFD Monitor interpretation

Continue reviewing Prevent policy to identify improvements in managing mental-health and neurodiversity issues.

Verbatim wording from the response

“We keep our operational policy approach to Prevent under constant review, and we will continue to look at mental health issues and neurodiversity as part of this, to identify areas we can strengthen.”

Source location

Response from the Home Office
Page 5 · response
Published 23 May 2024

Open published response

Source evidence

How this respondent action was interpreted

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

PFD Monitor interpretation

Update Prevent and Channel guidance to strengthen risk understanding, training, assessment and progression of referrals meeting the Prevent threshold.

Verbatim wording from the response

“In 2023 the Home Office updated the Prevent duty guidance (England and Wales)⁵ and the Channel duty guidance⁶. My understanding is that this is to better enable those sectors subject to the Prevent duty (such as local authorities, police, health, education, and prisons and probation) as well as those working on Channel panels, to be effective at understanding and mitigating terrorism risk, and to have structures in place that identify and support people vulnerable to radicalisation. The new guidance provides clearer advice on how to understand and manage risk, including by ensuring comprehensive training and risk assessments take place. It also introduces new tools for frontline practitioners to ensure that those meeting the Prevent threshold are progressed for Prevent specific support, with a focus on ideology as a determinant of Prevent thresholds.”

Source location

Response from the Home Office
Page 4 · response
Published 23 May 2024

Open published response

Source evidence

How this respondent action was interpreted

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

PFD Monitor interpretation

Monitor and quality-assure Prevent assessment framework use through CT-ARC, CTPHQ and Home Office systems, including longer-term evaluation.

Verbatim wording from the response

“I understand that the PAF has been piloted since November 2023 in the South-West and Eastern regions. During this pilot stage, as well as receiving feedback on the PAF, I am told that CT-ARC have been quality assuring the PAF process monthly to assess the quality of use and completion by looking at how integrity to the guidance is upheld. We will continue to monitor the PAF with CT-ARC and CTPHQ to ensure it is robust, efficient, evidence-informed, operationally viable and well-integrated into the current system. Details of how longer-term quality assurance will be conducted will be finalised in August ahead of national PAF rollout later in autumn. However, this will include continuous and regular review of PAF use, as well as a longer-term evaluation.”

Source location

Response from the Home Office
Page 3 · response
Published 23 May 2024

Open published response

Source evidence

How this respondent action was interpreted

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

PFD Monitor interpretation

Train CTCOs to complete the Prevent assessment framework, using assessed readiness checks and further training where needed.

Verbatim wording from the response

“The PAF is being rolled out in Autumn of 2024 to all regions. Prior to using it, CTCOs must attend an assessed training day to become familiar with the PAF, how to complete it, how it fits into current processes, and to practise completing it. During the training day there are three assessment points where attendees will be assessed as either ‘Ready’ or ‘Not Yet Ready’ to complete a PAF for live cases. If awarded ‘Not Ready’, attendees will be provided a further opportunity to complete the task training.”

Source location

Response from the Home Office
Page 3 · response
Published 23 May 2024

Open published response

Source evidence

How this respondent action was interpreted

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

PFD Monitor interpretation

Introduce strengthened Channel quality assurance, including routine panel and case-management assessment and data-led improvement activity.

Verbatim wording from the response

“Following the introduction of the Channel Quality Assurance Framework in 2021, we are introducing an improved and strengthened quality assurance process. This includes routine assessment of Channel panel performance and case management. We will also utilise the data trends drawn from the new case management system to identify areas (regional or thematic) to provide additional case assurance and direct improvements where needed. We will use this quality assurance process and performance monitoring to further drive-up standards of delivery. I have been informed that this process started in April 2024 and initial results are expected to be shared with Channel panels in April 2025.”

Source location

Response from the Home Office
Page 8 · response
Published 23 May 2024

Open published response

Source evidence

How this respondent action was interpreted

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

PFD Monitor interpretation

Use the joint Prevent case management system to flag previous referrals and expose data trends for risk-assessment oversight.

Verbatim wording from the response

“I understand that the Home Office and CTPHQ launched a new joint Prevent case management system in May 2024. In developing this system, I am told we have ensured that when a new Prevent referral is registered, any previous referrals are automatically flagged to ensure this information is fully considered during the initial assessment stage and throughout the individual’s Prevent pathway. I am concerned about the specific issue of repeat Prevent referrals falling below the threshold and am committed to look closely at this. This new case management system also provides CTPHQ and the Home Office access to data trends, which allows for consideration of any outliers in decision making. These outliers can be flagged for potential further action.”

Source location

Response from the Home Office
Page 2 · response
Published 23 May 2024

Open published response

Source evidence

How this respondent action was interpreted

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

PFD Monitor interpretation

Introduce refreshed ideology categories with supporting case-officer training and guidance, and review categories annually while monitoring pathway decision-making.

Verbatim wording from the response

“We are using Prevent referral data (from the new case management system) and training data to identify where the quality of referrals is lower, or not in line with the risk in that area or sector. This has enabled us to better target Prevent outreach and training to improve the quality of referrals. Alongside this, a refreshed list of ideology categories has also been created for use in the new case management system, which will be accompanied by updated training and guidance for case officers to ensure accurate recording of data and evidence about ideology. We will review the ideology categories on an annual basis to ensure they are reflective of the wider ideological picture and routinely monitor Prevent data, carrying out dip sampling to provide assurance that there are no disparities in decision-making throughout the Prevent pathway.”

Source location

Response from the Home Office
Page 4 · response
Published 23 May 2024

Open published response

Source evidence

How this respondent action was interpreted

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

PFD Monitor interpretation

Roll out the independently endorsed Prevent assessment framework nationally to improve referral triage and cumulative-risk assessment.

Verbatim wording from the response

“As I understand Chief Constable ████████ will also be addressing in Thames Valley Police’s response to you from the operational perspective, the Home Office and CTPHQ have also worked with the national CT Assessment and Rehabilitation Centre (CT-ARC)⁴ to develop a new Prevent assessment framework (PAF). I understand that this replaces the Vulnerability assessment framework and is designed to ensure that the triaging of referrals into Prevent is consistent, rigorous, and proportionate. I am told the PAF, which has been independently endorsed, will ensure that thresholds and decision-making are implemented consistently across all ideological threats by creating a framework that is easily understood, easily completed, and supports CTCOs in their decision making.”

Source location

Response from the Home Office
Page 3 · response
Published 23 May 2024

Open published response

Source evidence

How this respondent action was interpreted

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

PFD Monitor interpretation

Complete delivery of the CTPHQ Interventions Welfare Training to CTPSE Prevent and Nominal Management staff during 2024.

Verbatim wording from the response

“The requirement to embed professional curiosity more consistently when dealing with potential terrorists is a theme within both Intelligence and Prevent. This is particularly relevant to the phenomenon that is often called ‘Disguised Compliance’ but is increasingly being referred to by CTP as ‘Sincerity of Change’. Training in this area forms part of the initial Prevent ‘Conversations’ module, which is delivered for Prevent staff by CTPHQ (see above). Additionally, CTPHQ ODU (Operational Development Unit) have recently released a new face-to-face training package entitled ‘Interventions Welfare Training’, which specifically focuses on Sincerity of Change.”

Source location

Response from Thames Valley Police
Page 9 · response
Published 23 May 2024

Open published response

Source evidence

How this respondent action was interpreted

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

PFD Monitor interpretation

Operate the Self-Initiated Terrorist oversight group to review below-threshold cases, support risk decisions and escalate cases when necessary.

Verbatim wording from the response

“CTPSE have also piloted the Self-Initiated Terrorist oversight group, which is now led by a Detective Inspector. The point of it is to consider cases such as KS that fall below the threshold for coverage or intervention by MI5, to make sure they are being addressed correctly, to ensure that they sit in the right space for intervention, the cases are escalated quickly where necessary, and to provide staff with a further support in their risk assessment decision making. This approach is being rolled out in other parts of the country but it is most developed in the South East as a direct result of the Forbury Gardens attack.”

Source location

Response from Thames Valley Police
Page 5 · response
Published 23 May 2024

Open published response

Source evidence

How this respondent action was interpreted

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

PFD Monitor interpretation

Incorporate supervisory learning into quarterly reporting and disseminate applicable lessons through the Counter Terrorism Policing Intelligence Capability Board.

Verbatim wording from the response

“The key points learnt from the supervisory framework will be incorporated into regular quarterly reporting cycles. This will complement the current CTP Intelligence Capability Assurance Report reporting process that looks at metrics measurable from the NCIA database and is examined at the ICB. The local review process will add qualitative learning that helps to improve decision making as well as ensuring that supervisors are compliant. This qualitative learning will then be disseminated to the ICB to ensure that any applicable lessons are learnt across the whole CTP network.”

Source location

Response from Thames Valley Police
Page 6 · response
Published 23 May 2024

Open published response

Source evidence

How this respondent action was interpreted

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

PFD Monitor interpretation

Implement NCIA access and associated Developed Vetting for relevant CTPSE Prevent staff.

Verbatim wording from the response

“I acknowledge the concerns you set out regarding Prevent at §§19-21 of your regulation 28 report. The changes made or planned to the FIMU described above clearly interlock with these concerns: for example, ensuring that there is an assessment of the totality of the available evidence of sufficient quality, made available by the FIMU to Prevent staff to ensure that they can make a properly considered assessment of risk. This should ensure that Prevent staff, in future, would be aware of an individual’s links to proscribed organisations or other terrorist offenders, where this information is known by CTPSE. To support this, CTPSE has begun to implement access to NCIA (and the associated requirement for Developed Vetting) for some Prevent staff. The Prevent Gateway Team within CTPSE has also, since 2019, been co-located with the FIMU.”

Source location

Response from Thames Valley Police
Page 7 · response
Published 23 May 2024

Open published response

Source evidence

How this respondent action was interpreted

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

PFD Monitor interpretation

Require senior-officer authorisation before closing repeat Prevent referrals.

Verbatim wording from the response

“You have raised a concern about how CTPSE handles repeat Prevent referrals in light of the fact that KS was referred to Prevent on four separate occasions between 2017 and 2019. CTP Prevent policy has now been amended to provide additional scrutiny to the cumulative impact of repeat referrals related to the same subject, even if the subject had been closed from Prevent previously at an early juncture without management or interventions. In such cases, Counter Terrorism Case Officers (CTCOs) and their supervisors are now required to obtain the authorisation from a senior officer (Inspector or above) before closing a ‘repeat referral’ from the case management system. This change is intended to bring added assurance that, in cases where CTP has been notified of a radicalisation risk more than once, greater scrutiny is afforded to the case circumstances and decision making within it.”

Source location

Response from Thames Valley Police
Page 9 · response
Published 23 May 2024

Open published response

Source evidence

How this respondent action was interpreted

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

PFD Monitor interpretation

Use Management Logs, searchable open actions and weekly supervisory checks to track, reallocate and evidence FIMU intelligence actions.

Verbatim wording from the response

“The CTPSE FIMU review will also examine how actions are monitored and tracked within the FIMU, and how supervisory reviews take place. I am aware that the evidence heard at the Inquests indicated that actions set by or for the CTPSE FIMU were not consistently tracked or followed through. At the end of 2021, ‘Management Logs’ (MLs) were introduced to CTP FIMUs nationally to provide an easier way for FIMU assessors and supervisors to manage the intelligence development space. ‘Open actions’ on NCIA can now easily be searched for and managed accordingly. Supervisors carry out weekly checks to review and, if necessary, reallocate actions. FIMU assessors can add auditable entries to the MLs to demonstrate efforts made to complete enquiries.”

Source location

Response from Thames Valley Police
Page 5 · response
Published 23 May 2024

Open published response

Source evidence

How this respondent action was interpreted

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

PFD Monitor interpretation

Develop new training for local-force call handlers and FIMU staff on CTPSE capabilities, limitations and effective information-sharing questions.

Verbatim wording from the response

“Second, your findings highlighted the importance of clear and timely communications between local police forces and CTPSE. I acknowledge that, as far as possible, information sharing needs to be based more consistently on an approach of ‘dare to share’, rather than ‘need to know’. This can be challenging, particularly where intelligence is sensitive, requiring ‘action on’ permissions or agreed forms of words. Nevertheless, the culture must be one that pushes the boundaries where necessary to facilitate the management of risk. CTPSE and the joint Contact Management Department of TVP and Hampshire & Isle of Wight Constabulary have met to discuss how the passage of information between CTPSE and local forces can be enhanced.”

Source location

Response from Thames Valley Police
Page 3 · response
Published 23 May 2024

Open published response

Source evidence

How this respondent action was interpreted

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

PFD Monitor interpretation

Open discussions with CTPHQ about providing a dedicated database for rapid access to information on proscribed organisations.

Verbatim wording from the response

“The CTPSE FIMU review will also consider the level of knowledge of staff in relation to proscribed groups, and how this can be enhanced. Currently, when a group is proscribed, communications are issued centrally from CTPHQ. Those staff in post at that time therefore receive an update, but this does not help individuals who join after the point of proscription. Present thinking is that having more concise guides available could help understanding in this”

Source location

Response from Thames Valley Police
Page 4 · response
Published 23 May 2024

Open published response

Source evidence

How this respondent action was interpreted

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

PFD Monitor interpretation

Complete the CTPSE Fixed Intelligence Management Unit review and identify necessary changes to resourcing, training, assessment, dissemination, supervision and monitoring.

Verbatim wording from the response

“The headline point as regards CTPSE’s management of intelligence is that a comprehensive review of CTPSE’s Fixed Intelligence Management Unit (FIMU) began in March 2024, and will be completed by the end of the year. CTPSE initiated this review (the CTPSE FIMU review) in response to the issues canvassed in these Inquests. It is being carried out by CTPSE’s Head of Intelligence, an officer of Detective Superintendent rank.”

Source location

Response from Thames Valley Police
Page 2 · response
Published 23 May 2024

Open published response

Source evidence

How this respondent action was interpreted

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

PFD Monitor interpretation

Request a CTPHQ peer review of CTPSE FIMU after the current review concludes.

Verbatim wording from the response

“After the CTPSE FIMU review has concluded, CTPSE will ask CTPHQ for a peer review of CTPSE FIMU to provide external scrutiny and reassurance of effective working. As I hope is clear from the above, this CTPSE FIMU review is intended to be a wide-ranging and thorough review that covers not only the matters you have raised in the PFD report, but also builds on previous and ongoing work within both CTPSE and nationally. I can assure you that the entire chain of command within CTPSE, from myself down, is committed to implementing any necessary or desirable changes that the CTPSE FIMU review identifies.”

Source location

Response from Thames Valley Police
Page 7 · response
Published 23 May 2024

Open published response

Source evidence

How this respondent action was interpreted

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

PFD Monitor interpretation

Maintain the process linking FIMU intelligence with CT Nominal Management, including immediate alerts, coordinated decision-making and appropriate case-management flags.

Verbatim wording from the response

“I would also like to draw to your attention the increased sharing of information between CTPSE’s Intelligence function and its Nominal Management Team (NMT), which forms part of its Interventions function. Both the CT Nominal Management (CTNM) Manual of Guidance and the national Prevent process require compliance with the National Standards of Intelligence Management (NSIM) which requires submission of intelligence back into FIMUs as part of the intelligence cycle. This ensures visibility of individuals subject to Prevent or CTNM within the intelligence space.”

Source location

Response from Thames Valley Police
Page 6 · response
Published 23 May 2024

Open published response

Source evidence

How this respondent action was interpreted

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

PFD Monitor interpretation

Operate the dedicated TVP MOSOVO department with additional MAPPA officers and digitally trained constables for Category 2 and 3 offender management.

Verbatim wording from the response

“In 2022, TVP created a dedicated Management of Sexual or Violent Offenders (MOSOVO) department to ensure there was structured and consistent management of Registered Sex Offenders (RSOs), as well as those being managed under Category 2 or 3 (violent offenders) of MAPPA. MOSOVO received an uplift of staff which created an additional Detective Inspector, one Detective Sergeant and four Constable posts. The sole role for these constable posts is to focus on Category 2 and 3 offenders. These staff are referred to as MAPPA officers. In addition to this uplift to TVP’s MAPPA capacity, a further four constable posts have been created for officers are specially trained in digital capability who can, for example, assist with searching for individuals who may be ‘wanted’. Most of TVP’s MAPPA work relates to the management of RSOs, of whom there are more than 1,000 in the TVP area.”

Source location

Response from Thames Valley Police
Page 11 · response
Published 23 May 2024

Open published response

Source evidence

How this respondent action was interpreted

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

PFD Monitor interpretation

Strengthen CTPSE FIMU supervisory checking by adding qualitative assessment of intelligence completeness and decision quality, with learning fed back to staff and the national capability board.

Verbatim wording from the response

“Across CTP, supervisory reviews are now carried out on a set percentage of FIMU assessments. It is not possible to review all assessments due to the volume, so a ‘dip checking’”

Source location

Response from Thames Valley Police
Page 5 · response
Published 23 May 2024

Open published response

Source evidence

How this respondent action was interpreted

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

PFD Monitor interpretation

Require all CTP Prevent staff to complete the CTPHQ-accredited Prevent training pathway, including its specified online and face-to-face modules.

Verbatim wording from the response

“To address the weaknesses in training in Prevent, it is now a requirement that all CTP Prevent staff undergo a CTPHQ-accredited training pathway. This training aims to build on existing policing expertise, whilst providing additional knowledge, skills, and awareness for the CTP context. The National Interventions Foundation Programme (NIFP) has four online modules, one day face-to-face on the assessment framework and one day face-to-face on welfare/disguised compliance. An interactive exercise will be included in the NIFP but is still under development at the time of writing. While the NIFP and its training courses are signed off/accredited by CTPHQ, there is no official external accreditation for the content of those courses.”

Source location

Response from Thames Valley Police
Page 7 · response
Published 23 May 2024

Open published response

Source evidence

How this respondent position was interpreted

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

PFD Monitor interpretation

For longer custodial sentences requiring ongoing mental health input, responsibility transfers from community services to prison mental health services, with handover.

Verbatim wording from the response

“Where individuals move between the community and custody, there will be greater proactive engagement with Prison and Probation colleagues both principally and on a case-by-case basis. Where someone receives a short sentence, it would be important to maintain CMHT input and involvement in planning for post release. For more lengthy sentences requiring ongoing mental health input in custody, they will transition from community (e.g. CMHT) to Prison Mental Health Services. In such situations, the named worker in the community will ensure that a handover takes place with prison colleagues. The Reconnect roles, as described above, will allow for easier transition back into CMHT's on release if required.”

Source location

Response from Berkshire Healthcare
Page 7 · response
Published 23 May 2024

Open published response

Source evidence

How this respondent position was interpreted

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

PFD Monitor interpretation

The organisation is not responsible for organising MAPPA meetings, but will support the process and ensure appropriate attendance and advice.

Verbatim wording from the response

“BHFT recognises that we play a key role in sharing communications particularly around risk. While we are not responsible for the organisation of MAPPA meetings, we are committed to supporting these processes, ensuring that the right people attend the meetings and that we continue to have named representatives from each CMHT within BHFT. This attendance includes contributing to discussions/providing advice to MAPPA case discussions for those that may not be under CMHT. In addition, those named workers will act in a liaison role for inpatients and CRHTT. CRHTT and inpatient teams are less likely to be in a position to attend MAPPA, particularly at short notice, and CMHT representatives are best placed to communicate into and out of MAPPA where inpatient or CRHTT may have been involved in a case.”

Source location

Response from Berkshire Healthcare
Page 7 · response
Published 23 May 2024

Open published response

Source evidence

How this respondent position was interpreted

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

PFD Monitor interpretation

Operational delivery of mental healthcare is the responsibility of relevant NHS trusts.

Verbatim wording from the response

“1. Whilst the operational delivery of mental healthcare is for the relevant NHS trusts, this case raises wider concerns about the continuity of healthcare provision between custody and the community, the treatment and management of offenders with personality disorders and the support afforded to probation practitioners in working with offenders with complex mental health and substance or personality issues.”

Source location

Response from Ministry of Justice
Page 2 · response
Published 23 May 2024

Open published response

Source evidence

How this respondent position was interpreted

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

PFD Monitor interpretation

HMPPS has limited levers to secure healthcare attendance at Pathfinder meetings or escalate gaps in mental health services.

Verbatim wording from the response

“35. Terrorist and terrorist-risk offenders commonly have multiple, complex needs and face difficulties in accessing services. As healthcare does not allocate treatment based on national security risk but rather on clinical need, terrorist and terrorist-risk offenders cannot be auto-prioritised. To date, HMPPS has limited levers to use to secure healthcare attendance at Pathfinder and escalate issues where mental health services are lacking.”

Source location

Response from Ministry of Justice
Page 10 · response
Published 23 May 2024

Open published response

Source evidence

How this respondent position was interpreted

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

PFD Monitor interpretation

Employing more psychological practitioners in prisons is not possible because of current budget constraints.

Verbatim wording from the response

“MPFT would welcome the opportunity to employ more psychological practitioners in prisons, however given the constraints of our current budgets this is not possible. Close partner relationships with individual establishments enable us to take an active part in Health Needs Assessments and, where indicated, to work with NHS England to develop business case submissions to request additional funding for psychological provision in addition to the actions already taken above.”

Source location

Response from Midlands Partnership NHS
Page 2 · response
Published 23 May 2024

Open published response

Source evidence

How this respondent position was interpreted

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

PFD Monitor interpretation

Oxford Health NHS Foundation Trust is required to provide assurance about current practices and psychological services at Bullingdon and Huntercombe prisons.

Verbatim wording from the response

“My regional colleagues in the South East have also been asked to engage with BHFT on the concerns raised, and with OHFT who, as set out above, are now providing the secondary mental health services to HMPs’ Bullingdon and Huntercombe. We note that OHFT are required to provide assurance of current practices at these two prisons, including the current position on the level of available psychological services against the background of the previous failure by MPFT to provide these to the perpetrator of the attack whilst he was in prison. We will carefully consider the Trusts’ responses, once sighted on these.”

Source location

Response from NHS England
Page 4 · response
Published 23 May 2024

Open published response

Source evidence

How this respondent position was interpreted

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

PFD Monitor interpretation

Psychological provision at HMP Huntercombe cannot currently be increased because staffing posts remain unfilled pending a commissioners’ decision on the proposed staffing model.

Verbatim wording from the response

“At HMP Huntercombe the current staffing model is one WTE band 4 assistant psychologist and 0.3 WTE band 8a psychologist. The service has not been able to fill these posts and a business case was submitted by the service to commissioners that proposed three alternatives to the staffing model. The purpose of the business case is to give us the best chance to recruit into posts, to increase the provision for psychology and to expand the service which can be offered. The business case has been submitted and we hope to receive a decision in July 2024. There are high levels of trauma within the establishment and the focus will be to treat the trauma and any associated symptoms.”

Source location

Response from Oxford Health
Page 2 · response
Published 23 May 2024

Open published response

Source evidence

How this respondent position was interpreted

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

PFD Monitor interpretation

CTPHQ is responsible for operational Prevent risk management and monitoring, including the operational issues identified in the Report.

Verbatim wording from the response

“The Home Office's Prevent directorate provides the strategic direction for Prevent, including Prevent relevant training to non-police Prevent statutory partners within local authorities. The police are responsible for managing the terrorism risk of individuals throughout all stages of the Prevent pathway, as well as the policy, assessment tools, and training of police officers and staff conducting these assessments. As all of KS’s referrals were closed at the initial assessment stage by Counter Terrorism Policing Prevent officers, the Home Office Channel programme did not manage the case. Therefore, effective monitoring of the operational Prevent issues raised in the Report is best addressed by CTPHQ.”

Source location

Response from the Home Office
Page 2 · response
Published 23 May 2024

Open published response

Source evidence

How this respondent position was interpreted

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

PFD Monitor interpretation

All FIMU assessments cannot be reviewed because of assessment volumes, so a percentage-based dip-checking regime is used.

Verbatim wording from the response

“Across CTP, supervisory reviews are now carried out on a set percentage of FIMU assessments. It is not possible to review all assessments due to the volume, so a ‘dip checking’”

Source location

Response from Thames Valley Police
Page 5 · response
Published 23 May 2024

Open published response

Other statements in published responses

These actions and other statements could not be clearly connected to one concern in this report.

Recipient-stated actions An action is something a recipient says it has done, is doing, or plans to do in response to a concern raised.47

  1. 1

    Establish regular meetings and a supplementary forum to extend collaboration with VCSE partners and support shared strategy and priorities.

    Stated by Berkshire Healthcare NHS Foundation TrustStated plannedThe respondent said that this action was planned when they made their response on 23 May 2024.
  2. 2

    Operate the internal Harm to Others Steering Group to prioritise work, identify data gaps, oversee workstreams and communicate with stakeholders.

    Stated by Berkshire Healthcare NHS Foundation TrustStated completedThe respondent said that this action was complete when they made their response on 23 May 2024.
  3. 3

    Develop early-intervention planning for the identified high-inequality cohort, informed by the CJLD case study and partner discussions.

    Stated by Berkshire Healthcare NHS Foundation TrustStated in progressThe respondent said that this action was in progress when they made their response on 23 May 2024.
  4. 4

    Operate the established Peer Support Network led by Lived Experience Practitioners, with ongoing training and supervision.

    Stated by Berkshire Healthcare NHS Foundation TrustStated completedThe respondent said that this action was complete when they made their response on 23 May 2024.
  5. 5

    Provide direct navigator access to non-clinical online CBT modules and develop a trust-wide service directory and social-prescribing software.

    Stated by Berkshire Healthcare NHS Foundation TrustStated in progressThe respondent said that this action was in progress when they made their response on 23 May 2024.
  6. 6

    Engage staff, partner organisations, service users and carers through updates and events to disseminate and refine One Team changes.

    Stated by Berkshire Healthcare NHS Foundation TrustStated in progressThe respondent said that this action was in progress when they made their response on 23 May 2024.
  7. 7

    Provide four expanded mental health Care Navigator roles in Common Point of Entry to connect people with community and partner support.

    Stated by Berkshire Healthcare NHS Foundation TrustStated completedThe respondent said that this action was complete when they made their response on 23 May 2024.
  8. 8

    Implement a Mental Health Service Dashboard and scheduled reviews to monitor One Team impacts, waiting lists and emerging risks.

    Stated by Berkshire Healthcare NHS Foundation TrustStated plannedThe respondent said that this action was planned when they made their response on 23 May 2024.
  9. 9

    Operate the established Let’s Connect social network to connect adults with peers, organisations, services and community opportunities.

    Stated by Berkshire Healthcare NHS Foundation TrustStated completedThe respondent said that this action was complete when they made their response on 23 May 2024.
  10. 10

    Use the MAPPA Quality Improvement Tool to assess meeting management and address identified deficiencies.

    Stated by Ministry of JusticeStated in progressThe respondent said that this action was in progress when they made their response on 23 May 2024.
  11. 11

    Review local Intensive Intervention and Risk Management Service provision against national guidance to improve consistency through 2028.

    Stated by Ministry of JusticeStated in progressThe respondent said that this action was in progress when they made their response on 23 May 2024.
  12. 12

    Operate Pathfinder IT with live case data and automatic notifications of key release-date changes.

    Stated by Ministry of JusticeStated completedThe respondent said that this action was complete when they made their response on 23 May 2024.
  13. 13

    Renew grant funding supporting the Samaritans Listener Scheme for prisoners in emotional distress.

    Stated by Ministry of JusticeStated completedThe respondent said that this action was complete when they made their response on 23 May 2024.
  14. 14

    Operate the joint NHS/HMPPS Information Sharing Advisory Group and develop guidance products for operational staff.

    Stated by Ministry of JusticeStated in progressThe respondent said that this action was in progress when they made their response on 23 May 2024.
  15. 15

    Operate an escalation process to monitor and address agency non-attendance and participation at MAPPA meetings.

    Stated by Ministry of JusticeStated in progressThe respondent said that this action was in progress when they made their response on 23 May 2024.
  16. 16

    Implement automated information-sharing between prison and probation systems, including visibility of handover dates, MAPPA levels, risk levels and specified prison case notes.

    Stated by Ministry of JusticeStated completedThe respondent said that this action was complete when they made their response on 23 May 2024.
  17. 17

    Develop and publish an Adult Health, Care and Wellbeing Core Capabilities Framework for staff supporting vulnerable people.

    Stated by Ministry of JusticeStated in progressThe respondent said that this action was in progress when they made their response on 23 May 2024.
  18. 18

    Provide MAPPA process training, amend chair learning materials and remind practitioners about referrals and stakeholder invitations.

    Stated by Ministry of JusticeStated completedThe respondent said that this action was complete when they made their response on 23 May 2024.
  19. 19

    Recruit Health and Justice Partnership Coordinator and Manager roles to strengthen links, referrals, information-sharing and practitioner support across prison and community services.

    Stated by Ministry of JusticeStatus at responseThe respondent said that this action was partly complete when they made their response on 23 May 2024.
  20. 20

    Embed assurance of pre-release Dormant Review case management in Pathfinder chair responsibilities and updated Pathfinder procedures.

    Stated by Ministry of JusticeStated plannedThe respondent said that this action was planned when they made their response on 23 May 2024.
  21. 21

    Use Counter Terrorism Quality Development Tools for operational feedback, first-line assurance and escalation of systemic issues.

    Stated by Ministry of JusticeStated completedThe respondent said that this action was complete when they made their response on 23 May 2024.
  22. 22

    Require and monitor prison attendance at all pre-release MAPPA Level 2/3 meetings, commissioning local improvement work when attendance declines.

    Stated by Ministry of JusticeStated completedThe respondent said that this action was complete when they made their response on 23 May 2024.
  23. 23

    Share transferred clinical information routinely through digital Prisoner Escort Records and Health and Justice Information Services, with annual local auditing.

    Stated by NHS EnglandStated completedThe respondent said that this action was complete when they made their response on 23 May 2024.
  24. 24

    Discuss Reports to Prevent Future Deaths through the Regulation 28 Working Group and share learning across national and regional NHS services.

    Stated by NHS EnglandStated completedThe respondent said that this action was complete when they made their response on 23 May 2024.
  25. 25

    Provide RECONNECT liaison, advocacy, signposting and release-planning support to people leaving prison and transitioning to community services.

    Stated by NHS EnglandStated completedThe respondent said that this action was complete when they made their response on 23 May 2024.
  26. 26

    Ensure regions with Midlands Partnership prison provision are aware of the concerns raised in the Report.

    Stated by NHS EnglandStated completedThe respondent said that this action was complete when they made their response on 23 May 2024.
  27. 27

    Pilot and roll out a tailored face-to-face Prevent awareness training package for frontline sectors.

    Stated by Home OfficeStated in progressThe respondent said that this action was in progress when they made their response on 23 May 2024.
  28. 28

    Implement improvements arising from the independent evaluation of the Home Office Channel programme.

    Stated by Home OfficeStated plannedThe respondent said that this action was planned when they made their response on 23 May 2024.
  29. 29

    Maintain the updated Prevent duty e-learning package, monitor uptake monthly and publish regional performance data.

    Stated by Home OfficeStated completedThe respondent said that this action was complete when they made their response on 23 May 2024.
  30. 30

    Expand FNORC learning and development support to the Electronic Monitoring Hub, Intake and Triage team, and Criminality Assessment and Returns Unit.

    Stated by Home OfficeStated in progressThe respondent said that this action was in progress when they made their response on 23 May 2024.
  31. 31

    Implement the Prevent Professionalisation Plan, including compulsory training, induction and recurring refresher requirements for Home Office Prevent staff.

    Stated by Home OfficeStated in progressThe respondent said that this action was in progress when they made their response on 23 May 2024.
  32. 32

    Require Grade 7 authorisation and recording for all requests to discontinue impending prosecutions, supported by revised documentation and Atlas recording.

    Stated by Home OfficeStated completedThe respondent said that this action was complete when they made their response on 23 May 2024.
  33. 33

    Implement and monitor recommendations arising from the FNORC assurance review after approval and registration.

    Stated by Home OfficeStated plannedThe respondent said that this action was planned when they made their response on 23 May 2024.
  34. 34

    Deliver specialist ideology training to Home Office Prevent directorate staff and keep future training requirements under review.

    Stated by Home OfficeStated completedThe respondent said that this action was complete when they made their response on 23 May 2024.
  35. 35

    Raise partner awareness of the process for notifying the Home Office about serious reviews and forwarding findings for shared Prevent learning.

    Stated by Home OfficeStated in progressThe respondent said that this action was in progress when they made their response on 23 May 2024.
  36. 36

    Make the FNORC mobile mentoring unit permanent and extend it to existing staff through coaching on live cases.

    Stated by Home OfficeStated completedThe respondent said that this action was complete when they made their response on 23 May 2024.
  37. 37

    Provide a national Prevent referral form and update GOV.UK information to promote consistent, ideology-informed referrals.

    Stated by Home OfficeStated completedThe respondent said that this action was complete when they made their response on 23 May 2024.
  38. 38

    Commission additional training for Channel Chairs, deputy chairs and panel members on ideology, online threats and neurodivergence.

    Stated by Home OfficeStated completedThe respondent said that this action was complete when they made their response on 23 May 2024.
  39. 39

    Implement improved FNORC supervision across all sites through Senior Caseworker coaching, quality review, benchmarking and development planning.

    Stated by Home OfficeStated in progressThe respondent said that this action was in progress when they made their response on 23 May 2024.
  40. 40

    Develop, pilot and roll out ideology training for frontline Prevent-duty staff across education, health, police and local-authority sectors.

    Stated by Home OfficeStated in progressThe respondent said that this action was in progress when they made their response on 23 May 2024.
  41. 41

    Conduct an independent IE AIRR assurance review of FNORC reforms, systems, processes and staff training.

    Stated by Home OfficeStated in progressThe respondent said that this action was in progress when they made their response on 23 May 2024.
  42. 42

    Make the MAPPA awareness video mandatory for all CTPSE staff.

    Stated by Counter Terrorism Policing South-East and Thames Valley PoliceStated plannedThe respondent said that this action was planned when they made their response on 23 May 2024.
  43. 43

    Use the Managed Offender Review Framework, governance meetings and notification flags to monitor MAPPA performance, reassess risk and escalate cases requiring intervention.

    Stated by Counter Terrorism Policing South-East and Thames Valley PoliceStated completedThe respondent said that this action was complete when they made their response on 23 May 2024.
  44. 44

    Implement amendments to the TVP Operation Plato plan, including clarified declaration authority, revised control-room arrangements, additional command roles, FIM assistance and an emergency-services talkgroup.

    Stated by Counter Terrorism Policing South-East and Thames Valley PoliceStated completedThe respondent said that this action was complete when they made their response on 23 May 2024.
  45. 45

    Appoint a CTPSE lead for CT Nominal Management and increase trained CTPSE capacity to chair or co-chair CT MAPPA meetings.

    Stated by Counter Terrorism Policing South-East and Thames Valley PoliceStated completedThe respondent said that this action was complete when they made their response on 23 May 2024.
  46. 46

    Conduct multi-agency Exercise Pinnacle to stress-test the Operation Plato plan, control-room communications and initial response to a marauding terrorist attack.

    Stated by Counter Terrorism Policing South-East and Thames Valley PoliceStated completedThe respondent said that this action was complete when they made their response on 23 May 2024.
  47. 47

    Incorporate Exercise Pinnacle learning into further Operation Plato policy revisions and test the revised policy again.

    Stated by Counter Terrorism Policing South-East and Thames Valley PoliceStated plannedThe respondent said that this action was planned when they made their response on 23 May 2024.

Recipient positions A position is what a recipient says about a concern when they do not describe a specific action.10

  1. 1

    Responsibility for Pathfinder deficiencies rests with the Secretary of State for Justice and Thames Valley Police, not NHS England.

    Stated by NHS EnglandRedirects responsibilityThe respondent said that another organisation was responsible for deciding or taking action.
  2. 2

    Midlands Partnership University NHS Foundation Trust is required to respond regarding changes to services provided at other prisons.

    Stated by NHS EnglandRedirects responsibilityThe respondent said that another organisation was responsible for deciding or taking action.
  3. 3

    Berkshire Healthcare NHS Foundation Trust is the appropriate organisation to respond to concerns about previously delivered clinical care.

    Stated by NHS EnglandRedirects responsibilityThe respondent said that another organisation was responsible for deciding or taking action.
  4. 4

    Channel case officers are responsible for arranging Intervention Provider services when a panel identifies that support is needed.

    Stated by Home OfficeRedirects responsibilityThe respondent said that another organisation was responsible for deciding or taking action.
  5. 5

    Channel panel chairs are responsible for selecting appropriate panel representatives and establishing partner relationships for support delivery.

    Stated by Home OfficeRedirects responsibilityThe respondent said that another organisation was responsible for deciding or taking action.
  6. 6

    Operation Plato declaration and Force Incident Manager arrangements fall primarily to Thames Valley Police as the local force.

    Stated by Counter Terrorism Policing South-East and Thames Valley PoliceRedirects responsibilityThe respondent said that another organisation was responsible for deciding or taking action.
  7. 7

    National Counter Terrorism Policing policy and guidance are set by Counter Terrorism Policing Headquarters.

    Stated by Counter Terrorism Policing South-East and Thames Valley PoliceRedirects responsibilityThe respondent said that another organisation was responsible for deciding or taking action.
  8. 8

    Non-counter-terrorism MAPPA within the Thames Valley force area falls to Thames Valley Police rather than Counter Terrorism Policing South-East.

    Stated by Counter Terrorism Policing South-East and Thames Valley PoliceRedirects responsibilityThe respondent said that another organisation was responsible for deciding or taking action.
  9. 9

    National Prevent policy is the responsibility of the Secretary of State for the Home Department, rather than the responding police bodies.

    Stated by Counter Terrorism Policing South-East and Thames Valley PoliceRedirects responsibilityThe respondent said that another organisation was responsible for deciding or taking action.
  10. 10

    Pathfinder is the responsibility of HM Prison and Probation Service, rather than the responding police bodies.

    Stated by Counter Terrorism Policing South-East and Thames Valley PoliceRedirects responsibilityThe respondent said that another organisation was responsible for deciding or taking action.

Source evidence

How this respondent action was interpreted

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

PFD Monitor interpretation

Establish regular meetings and a supplementary forum to extend collaboration with VCSE partners and support shared strategy and priorities.

Verbatim wording from the response

“We are active participants in a range of mental health collaboratives where other partners, including VCSE, people with lived experience, and carers, can escalate concerns, working together to inform strategy and direction, and agree priorities across Berkshire.”

Source location

Response from Berkshire Healthcare
Page 7 · response
Published 23 May 2024

Open published response

Source evidence

How this respondent action was interpreted

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

PFD Monitor interpretation

Operate the internal Harm to Others Steering Group to prioritise work, identify data gaps, oversee workstreams and communicate with stakeholders.

Verbatim wording from the response

“A 'Harm to Others' Steering Group has been set up internally within BHFT to focus specifically on this agenda and will supplement the work that was shared in PFD evidence presented at the inquest. Objectives of the steering group in include –”

Source location

Response from Berkshire Healthcare
Page 5 · response
Published 23 May 2024

Open published response

Source evidence

How this respondent action was interpreted

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

PFD Monitor interpretation

Develop early-intervention planning for the identified high-inequality cohort, informed by the CJLD case study and partner discussions.

Verbatim wording from the response

“A broader piece of work, led by our Director of Specialist Mental Health Services, has reviewed data from a range of sources more recently to help inform strategic planning. This review has identified that there is a”

Source location

Response from Berkshire Healthcare
Page 5 · response
Published 23 May 2024

Open published response

Source evidence

How this respondent action was interpreted

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

PFD Monitor interpretation

Operate the established Peer Support Network led by Lived Experience Practitioners, with ongoing training and supervision.

Verbatim wording from the response

“Since February the Peer Support Network (LExPs) has been established and this would be an additional support that could help to engage the individual with short term stabilisation working towards a longer-term plan around more formal treatment interventions (e.g. trauma therapy).”

Source location

Response from Berkshire Healthcare
Page 2 · response
Published 23 May 2024

Open published response

Source evidence

How this respondent action was interpreted

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

PFD Monitor interpretation

Provide direct navigator access to non-clinical online CBT modules and develop a trust-wide service directory and social-prescribing software.

Verbatim wording from the response

“The support offer is also increasing with the Trust introducing direct access to non-clinical CBT programmes such as sleep, money worries and stress modules. This means the navigators can provide direct access to individuals using silver cloud which is a platform providing online CBT modules. Work is also underway to develop a trust wide service directory and social prescribing software that will mean clinicians across Berkshire will more easily be able to refer individuals to VSCE and partner agencies to support their psychosocial or low level psychological and engagement needs. The care navigators have supported over 500 people to access support since they started. That is primarily with just 2 of them as another 2 have just recently joined us.”

Source location

Response from Berkshire Healthcare
Page 6 · response
Published 23 May 2024

Open published response

Source evidence

How this respondent action was interpreted

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

PFD Monitor interpretation

Engage staff, partner organisations, service users and carers through updates and events to disseminate and refine One Team changes.

Verbatim wording from the response

“BHFT have continued the development of the One Team model as described in February and helpfully summarised in the Regulation 28 report. This is an ongoing and gradual roll out of associated changes to service delivery. There are monthly team updates and a number of engagement events that have taken place with BHFT staff, external stakeholders (such as local authorities in Berkshire, Primary Care Networks,”

Source location

Response from Berkshire Healthcare
Page 1 · response
Published 23 May 2024

Open published response

Source evidence

How this respondent action was interpreted

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

PFD Monitor interpretation

Provide four expanded mental health Care Navigator roles in Common Point of Entry to connect people with community and partner support.

Verbatim wording from the response

“In addition to the community connector roles described in the Regulation 28 evidence, we now have an additional resource in our Common Point of Entry (CPE) by way of mental health Care Navigator roles. These workers help people to navigate the complex variety of support on offer within the community for people with mental health vulnerability.”

Source location

Response from Berkshire Healthcare
Page 6 · response
Published 23 May 2024

Open published response

Source evidence

How this respondent action was interpreted

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

PFD Monitor interpretation

Implement a Mental Health Service Dashboard and scheduled reviews to monitor One Team impacts, waiting lists and emerging risks.

Verbatim wording from the response

“A Mental Health Service Dashboard will monitor impacts of the changes described through One Team in addition to existing national and internal processes, such as waiting list monitoring. A method of flagging cases that are referred into BHFT on more than three occasions over a year on the RIO system is being explored. These processes will allow Place level managers and performance managers to see what is working and what isn't to allow increased focus on any gaps.”

Source location

Response from Berkshire Healthcare
Page 4 · response
Published 23 May 2024

Open published response

Source evidence

How this respondent action was interpreted

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

PFD Monitor interpretation

Operate the established Let’s Connect social network to connect adults with peers, organisations, services and community opportunities.

Verbatim wording from the response

“In addition, the Let’s Connect service has also been established in Berkshire and is hosted by BHFT. Let’s Connect is a social network to support the wellbeing of citizens over the age of 18 by connecting with each other, with organisations and services and with the many opportunities in our community. Those who join the network will bring their own strengths as well as gaining from the support of others, based on their own personal choices.”

Source location

Response from Berkshire Healthcare
Page 6 · response
Published 23 May 2024

Open published response

Source evidence

How this respondent action was interpreted

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

PFD Monitor interpretation

Use the MAPPA Quality Improvement Tool to assess meeting management and address identified deficiencies.

Verbatim wording from the response

“53. The quality of how MAPPA meetings are managed is monitored using the Quality Improvement Tool which was launched in April 2023. The National MAPPA team is now assessing the data collected in the last year. Initial findings from the Quality Improvement toolkit show that overall, the management of cases is meeting the set criteria including the quality of chairing and the quality of minutes. There are some areas for improvement and the National MAPPA Team will address these in the coming months. The National MAPPA team will continue to use the findings from the Quality Improvement Tool to address deficiencies and highlight where areas are doing well.”

Source location

Response from Ministry of Justice
Page 14 · response
Published 23 May 2024

Open published response

Source evidence

How this respondent action was interpreted

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

PFD Monitor interpretation

Review local Intensive Intervention and Risk Management Service provision against national guidance to improve consistency through 2028.

Verbatim wording from the response

“9. The Intensive Intervention and Risk Management Service (IIRMS) provision is part of the OPD pathway. IIRMS expanded rapidly following an increase in funding from 2019. This was to ensure that it is available in every region which had not been the case previously. This expansion has strengthened the way we support prison leavers with personality disorders. Local provision will be reviewed against the national IIRMS guidance to ensure that the service offer is consistent. This process will provide assurance that people subject to probation supervision receive a consistent service irrespective of where they live. This work will take place throughout the duration of the current strategy up to 2028.”

Source location

Response from Ministry of Justice
Page 5 · response
Published 23 May 2024

Open published response

Source evidence

How this respondent action was interpreted

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

PFD Monitor interpretation

Operate Pathfinder IT with live case data and automatic notifications of key release-date changes.

Verbatim wording from the response

“30. The Dormant Review process is supported by Pathfinder IT (PFIT), which was created in 2020. PFIT is a centralised case management system which enables professionals across HMPPS staff to manage the CT Cohort, which encompasses Terrorist and Terrorist-Risk nominals across both the Custody and Community arena. It is accessible by Joint Extremism Unit (JEXU) Prison and Probation networks, JEXU HQ and various external partners (e.g. Joint Counter Terrorism Prisons and Probation Hub (JCTPPH) & CT Policing).”

Source location

Response from Ministry of Justice
Page 9 · response
Published 23 May 2024

Open published response

Source evidence

How this respondent action was interpreted

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

PFD Monitor interpretation

Renew grant funding supporting the Samaritans Listener Scheme for prisoners in emotional distress.

Verbatim wording from the response

“i) We have renewed grant funding to the Samaritans, providing total funding of just under £2 million between 2022 and 2025. This is primarily for the delivery of the Listener Scheme through which selected prisoners are trained to provide support to fellow prisoners in emotional distress.”

Source location

Response from Ministry of Justice
Page 3 · response
Published 23 May 2024

Open published response

Source evidence

How this respondent action was interpreted

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

PFD Monitor interpretation

Operate the joint NHS/HMPPS Information Sharing Advisory Group and develop guidance products for operational staff.

Verbatim wording from the response

“iii) Building confidence in information-sharing through the establishment of a joint NHS/HMPPS Information Sharing Advisory Group (ISAG) in 2021. The ISAG provides guidance and advice on information-sharing and looks ahead to new initiatives and projects to ensure that implications for information-sharing are considered and issues are addressed. The ISAG has overseen the development of two guidance products for operational staff, with further products in development, including a Prison Managers Guide, Probation Guide and a series of themed learning bulletins.”

Source location

Response from Ministry of Justice
Page 3 · response
Published 23 May 2024

Open published response

Source evidence

How this respondent action was interpreted

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

PFD Monitor interpretation

Operate an escalation process to monitor and address agency non-attendance and participation at MAPPA meetings.

Verbatim wording from the response

“46. As described at paragraph 56(ii) of ████████ PFD witness statement there is now an escalation process to monitor and address non-attendance at MAPPA meetings. The MAPPA Coordinator and the Strategic Management Board continue to maintain a list of escalation points so that the attendance and meaningful participation of agencies at MAPPA is pursued.”

Source location

Response from Ministry of Justice
Page 13 · response
Published 23 May 2024

Open published response

Source evidence

How this respondent action was interpreted

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

PFD Monitor interpretation

Implement automated information-sharing between prison and probation systems, including visibility of handover dates, MAPPA levels, risk levels and specified prison case notes.

Verbatim wording from the response

“11. Since June 2020 there have been significant developments in the digital offering in both prisons and probation. There is greater automated information-sharing between the core systems used in prisons (NOMIS and DPS)⁶ and NDElius. All Offender Manager Unit staff, including Prison Offender Managers (POMs), now have access to the Probation Services’ electronic record system, NDElius, on a read-only basis.”

Source location

Response from Ministry of Justice
Page 5 · response
Published 23 May 2024

Open published response

Source evidence

How this respondent action was interpreted

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

PFD Monitor interpretation

Develop and publish an Adult Health, Care and Wellbeing Core Capabilities Framework for staff supporting vulnerable people.

Verbatim wording from the response

“iv) Developing an Adult Health, Care and Wellbeing Core Capabilities Framework to strengthen learning and development for MoJ staff, working with Skills for Justice.⁴ The framework will describe the skills, knowledge and behaviours required for those working with vulnerable individuals in custody, detention environments or on probation to enable them to recognise individuals who have health, care and wellbeing needs, identify the support that is available to them and help them access it. The framework is on track to be published by the end of 2024.”

Source location

Response from Ministry of Justice
Page 3 · response
Published 23 May 2024

Open published response

Source evidence

How this respondent action was interpreted

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

PFD Monitor interpretation

Provide MAPPA process training, amend chair learning materials and remind practitioners about referrals and stakeholder invitations.

Verbatim wording from the response

“45. The actions identified in the TVP Local Action Plan which are new and are therefore not described in either of the witness statements of ████████ or ████████ are summarised below. Training and reminders about the correct MAPPA processes have been provided to probation practitioners as follows:”

Source location

Response from Ministry of Justice
Page 12 · response
Published 23 May 2024

Open published response

Source evidence

How this respondent action was interpreted

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

PFD Monitor interpretation

Recruit Health and Justice Partnership Coordinator and Manager roles to strengthen links, referrals, information-sharing and practitioner support across prison and community services.

Verbatim wording from the response

“ii) Recruiting 47 Health and Justice Partnership Coordinators (HJPC) and 12 Health and Justice Partnership Managers (HJPM) roles. 46 HJPCs and 12 HJPMs have been recruited to date and are in post across England and Wales. The management of these roles sits with the Heads of Community Integration within probation. Their purpose is to strengthen the links between substance misuse and health services in prisons and the community to support access to treatment. This includes working through the Local Combatting Drugs Partnerships, to ensure referrals to treatment, consistent information-sharing and the shaping of local commissioning to meet the needs of offenders. They also work across probation regions within Probation Delivery units to support and upskill probation practitioners.”

Source location

Response from Ministry of Justice
Page 3 · response
Published 23 May 2024

Open published response

Source evidence

How this respondent action was interpreted

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

PFD Monitor interpretation

Embed assurance of pre-release Dormant Review case management in Pathfinder chair responsibilities and updated Pathfinder procedures.

Verbatim wording from the response

“29. In order to provide assurances that the expectations of Pathfinder in the pre-release period are maintained to a high standard, it is now the responsibility of the Regional Pathfinder Chairs to assure themselves that the appropriate identification and management of Dormant Review cases is undertaken in the pre-release window. Assurance processes to ensure that standards are maintained in the Dormant Review process will also be included as part of the updated community and local custody Pathfinder SOPs.”

Source location

Response from Ministry of Justice
Page 9 · response
Published 23 May 2024

Open published response

Source evidence

How this respondent action was interpreted

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

PFD Monitor interpretation

Use Counter Terrorism Quality Development Tools for operational feedback, first-line assurance and escalation of systemic issues.

Verbatim wording from the response

“34. The Counter Terrorism Quality Development Tools (CTQDTs), first launched in 2021, have been developed in collaboration with the Improvement Support Group (ISG), OMiC Team, Probation Service NSD and JEXU’s Prison and Probation CT Operational Network of specialist staff. The Tools, deployed by regional CT Leads, have two main aims:”

Source location

Response from Ministry of Justice
Page 10 · response
Published 23 May 2024

Open published response

Source evidence

How this respondent action was interpreted

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

PFD Monitor interpretation

Require and monitor prison attendance at all pre-release MAPPA Level 2/3 meetings, commissioning local improvement work when attendance declines.

Verbatim wording from the response

“52. In addition to providing relevant intelligence, it is now required that prisons will attend all pre-release MAPPA Level 2/3 meetings. At a national level, their attendance is monitored by the Responsible Authority National Steering Group (RANSG), which a senior representative from the Prison Service attends. The data shows that, nationally, prison attendance at MAPPA Level 2/3 meetings is consistently high. Where there is a dip in a particular area the RANSG will commission localised work to improve attendance. At present prison attendance at Level 2/3 meetings stands at over 93% against a target of 90%.”

Source location

Response from Ministry of Justice
Page 14 · response
Published 23 May 2024

Open published response

Source evidence

How this respondent action was interpreted

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

PFD Monitor interpretation

Share transferred clinical information routinely through digital Prisoner Escort Records and Health and Justice Information Services, with annual local auditing.

Verbatim wording from the response

“It is also positive that clinical information sharing between prisons when a prisoner is transferred is much more robust in 2024 than it was in 2020. Patient information is now routinely shared on a digital Prisoner Escort Record (PER) and via HJIS notes, and the transfer of clinical information between prisons and community providers is locally audited on an annual basis alongside other performance indicators.”

Source location

Response from NHS England
Page 3 · response
Published 23 May 2024

Open published response

Source evidence

How this respondent action was interpreted

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

PFD Monitor interpretation

Discuss Reports to Prevent Future Deaths through the Regulation 28 Working Group and share learning across national and regional NHS services.

Verbatim wording from the response

“I would also like to provide further assurances on the national NHS England work taking place around the Reports to Prevent Future Deaths. All reports received are discussed by the Regulation 28 Working Group, comprising Regional Medical Directors and other clinical and quality colleagues from across the regions. This ensures that key learnings and insights are shared across the NHS at both a national and regional level and helps us to pay close attention to any emerging trends that may require further review and action.”

Source location

Response from NHS England
Page 4 · response
Published 23 May 2024

Open published response

Source evidence

How this respondent action was interpreted

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

PFD Monitor interpretation

Provide RECONNECT liaison, advocacy, signposting and release-planning support to people leaving prison and transitioning to community services.

Verbatim wording from the response

“I would also like to highlight the work of NHS England’s RECONNECT and the enhanced RECONNECT ‘care after custody’ services. RECONNECT seeks to improve the continuity of care of people leaving prison by working with them before they leave and supporting their transition to community-based services, thereby safeguarding any health gains made whilst detained.”

Source location

Response from NHS England
Page 3 · response
Published 23 May 2024

Open published response

Source evidence

How this respondent action was interpreted

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

PFD Monitor interpretation

Ensure regions with Midlands Partnership prison provision are aware of the concerns raised in the Report.

Verbatim wording from the response

“We note that you have also addressed your Report to Berkshire Healthcare NHS Foundation Trust (BHFT), who are the appropriate organisation to respond to many of the concerns raised about the quality of care previously delivered to the perpetrator of the terrorist attack. We also note that Midlands Partnership University NHS Foundation Trust (MPFT) are required to respond to you, demonstrating that they are continuing to make appropriate changes to the services they provide to other prison establishments. We have ensured that all regions where MPFT has a prison provision footprint (as this extends outside of the Midlands region) are aware of the concerns raised in your Report.”

Source location

Response from NHS England
Page 4 · response
Published 23 May 2024

Open published response

Source evidence

How this respondent action was interpreted

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

PFD Monitor interpretation

Pilot and roll out a tailored face-to-face Prevent awareness training package for frontline sectors.

Verbatim wording from the response

“A new face-to-face training package to raise awareness of Prevent has also been developed and is being implemented. This is designed to help attendees understand what may make people vulnerable to radicalisation and understand more about the local context. This will enable specialist trainers to have more detailed discussions, including on how to make high quality referrals that are relevant to Prevent. It also enables training to be tailored to the”

Source location

Response from the Home Office
Page 6 · response
Published 23 May 2024

Open published response

Source evidence

How this respondent action was interpreted

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

PFD Monitor interpretation

Implement improvements arising from the independent evaluation of the Home Office Channel programme.

Verbatim wording from the response

“The Home Office, along with our partners, continuously drives improvements to our capabilities to strengthen our approach to supporting those vulnerable to being drawn into terrorism. We do this through regularly reviewing elements of the Prevent system, both at an operational and strategic level. As I will detail further in my response, this includes conducting process reviews, case assurance and producing annual statistics to inform and improve policy and strategy. We also commit to implementing improvements from the independent evaluation of the Home Office Channel programme, which is currently underway and expected to report in 2025/2026¹. As Michael Stewart, Director of Prevent,”

Source location

Response from the Home Office
Page 1 · response
Published 23 May 2024

Open published response

Source evidence

How this respondent action was interpreted

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

PFD Monitor interpretation

Maintain the updated Prevent duty e-learning package, monitor uptake monthly and publish regional performance data.

Verbatim wording from the response

“I have been told that the Prevent duty e-learning training package was updated in August 2023. Each of the four courses has specific learning outcomes to support awareness of Prevent and radicalisation; making a referral; and the Channel programme. Following this refresh, we monitor training uptake monthly and publish monthly performance data. Over 1.4 million people have completed the training since it went live in August 2022. The current process provides learners with a certificate at the end of the training which they keep for their own records and to use as evidence for completion of training. I have been told that some sectors have created a Prevent learning goal/objective on their internal performance or training systems, which requires completion of the Home Office e-learning, particularly for front line staff.”

Source location

Response from the Home Office
Page 6 · response
Published 23 May 2024

Open published response

Source evidence

How this respondent action was interpreted

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

PFD Monitor interpretation

Expand FNORC learning and development support to the Electronic Monitoring Hub, Intake and Triage team, and Criminality Assessment and Returns Unit.

Verbatim wording from the response

“The current focus of the wider training team is the expansion of its learning and development support to non-traditional or non-casework functions within FNORC. This started with the design, in July 2024, of a casework overview package for staff working in the Electronic Monitoring (EM) Hub, to complement their existing functional training and ensure their understanding of the wider FNORC processes within which their work sits. The training package will be trialled in August and September 2024 before being made available to all relevant EM Hub staff. The training team will focus next on analysing and responding to the training needs of the Intake & Triage team (scheduled for Autumn 2024) and then those of the Criminality Assessment and Returns Unit (late 2024/early 2025).”

Source location

Response from the Home Office
Page 11 · response
Published 23 May 2024

Open published response

Source evidence

How this respondent action was interpreted

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

PFD Monitor interpretation

Implement the Prevent Professionalisation Plan, including compulsory training, induction and recurring refresher requirements for Home Office Prevent staff.

Verbatim wording from the response

“In July 2023, I am told, we created and started implementing a Prevent Professionalisation Plan to upskill Home Office officials working on Prevent through compulsory training and a new induction programme. All directorate staff were mandated to complete the Prevent duty training (both the awareness course and the referral course, which are part of the e-learning package referred to below) by end of September 2023. All directorate staff must retake the awareness and referral courses every two years and complete the refresher course in the year between. All new starters must complete the awareness and referrals courses within three months of starting in role, as part of their wider Prevent induction.”

Source location

Response from the Home Office
Page 6 · response
Published 23 May 2024

Open published response

Source evidence

How this respondent action was interpreted

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

PFD Monitor interpretation

Require Grade 7 authorisation and recording for all requests to discontinue impending prosecutions, supported by revised documentation and Atlas recording.

Verbatim wording from the response

“I understand that ████████’s witness statement of 15 November 2023 (paragraphs 13-22) also outlined the significant changes made to the processes by which the discontinuance of an impending prosecution can be requested. Most notably, junior FNORC casework staff can only request updates from the police and Crown Prosecution Service, as opposed to requesting discontinuance. Precautions have been designed into the process so that Grade 7 authority to request discontinuance of the prosecution must be sought and recorded in all cases, through amended documentation. These changes minimise risks of an inappropriate discontinuance request being made, or of the omission of the required authorisation.”

Source location

Response from the Home Office
Page 13 · response
Published 23 May 2024

Open published response

Source evidence

How this respondent action was interpreted

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

PFD Monitor interpretation

Implement and monitor recommendations arising from the FNORC assurance review after approval and registration.

Verbatim wording from the response

“Prior to final sign off, the assurance report will go through several levels of quality assurance and governance to ensure accuracy before the findings and recommendations are presented to ████████. Once agreed, the recommendations will be logged on both the local FNORC recommendation register and the central IE recommendation register. Progress against the recommendations will be monitored on a regular basis by IE AIRR to ensure timely implementation. I am also personally committed to ensuring the proper implementation of any recommendations that will be made following completion of the review.”

Source location

Response from the Home Office
Page 12 · response
Published 23 May 2024

Open published response

Source evidence

How this respondent action was interpreted

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

PFD Monitor interpretation

Deliver specialist ideology training to Home Office Prevent directorate staff and keep future training requirements under review.

Verbatim wording from the response

“In addition, a specialist ideology training package was developed by the Commission for Countering Extremism (CCE), which provides the government with impartial and expert advice on terrorism and extremism matters. I understand that this was rolled out as face-to-face training for Prevent directorate staff by the CCE in March and April 2024, training approximately 88% of the directorate in post at the time. Future training requirements will be kept under review.”

Source location

Response from the Home Office
Page 6 · response
Published 23 May 2024

Open published response

Source evidence

How this respondent action was interpreted

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

PFD Monitor interpretation

Raise partner awareness of the process for notifying the Home Office about serious reviews and forwarding findings for shared Prevent learning.

Verbatim wording from the response

“Where serious case reviews, safeguarding adult reviews or domestic homicide reviews are triggered due to a serious incident or a death involving a person supported through Channel, input from local Prevent practitioners (including the Channel chair and CTPHQ) should be sought to support the identification of practice improvements and shared learning. The Home Office is currently working with relevant partners to raise awareness of this new process to ensure that the Home Office is notified in these instances. Report findings detailing recommendations and any identified learning should also be forwarded. Where terrorism offences or incidents of serious violence are committed by people with a Prevent history and a statutory review process is not triggered, a Prevent learning review may be undertaken to identify national learning and drive system improvement.”

Source location

Response from the Home Office
Page 8 · response
Published 23 May 2024

Open published response

Source evidence

How this respondent action was interpreted

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

PFD Monitor interpretation

Make the FNORC mobile mentoring unit permanent and extend it to existing staff through coaching on live cases.

Verbatim wording from the response

“Since June 2023, I am told that the training team has included an innovative ‘mobile mentoring’ unit of geographically mobile staff with significant casework experience, deployed to provide consistent, face-to-face support to new caseworkers. I understand that the approach was initially piloted between June 2023 and March 2024 to meet the needs of a large intake of new staff. During this period, 237 staff received mentoring support, and the pilot was subject to an internal evaluation in March 2024.”

Source location

Response from the Home Office
Page 10 · response
Published 23 May 2024

Open published response

Source evidence

How this respondent action was interpreted

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

PFD Monitor interpretation

Provide a national Prevent referral form and update GOV.UK information to promote consistent, ideology-informed referrals.

Verbatim wording from the response

“Our updated guidance advises front-line staff to use the national Prevent referral form to submit their initial concerns. This single Prevent national referral form, while not mandatory, has been provided to all partners to promote consistency. I have been told that it has been designed to be completed by front-line staff who may not have specialist knowledge of radicalisation. It requests information around ideologies, behaviours and relevant factors, encouraging the person submitting the referral to provide as much relevant information as possible. This is to ensure specialist officers can make an effective assessment of risk, including in the PAF, and improve data recording. We have also updated the GOV.UK Prevent page⁷ to make clear that referrals should be made where there is a genuine concern of radicalisation, and that ideology should be a critical consideration.”

Source location

Response from the Home Office
Page 4 · response
Published 23 May 2024

Open published response

Source evidence

How this respondent action was interpreted

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

PFD Monitor interpretation

Commission additional training for Channel Chairs, deputy chairs and panel members on ideology, online threats and neurodivergence.

Verbatim wording from the response

“Alongside sector specific training, Channel panel members and partners should complete the previously mentioned Prevent duty training courses. The Channel course of the Prevent e-learning package has tailored content for Channel chairs and for those who are new to attending Channel panels. Channel chairs and deputy chairs are also required to complete mandatory ‘delivering Channel locally’ training within six months of starting these roles, which is centred on building understanding of the Channel duty guidance requirements and standards. The Home Office has also commissioned a range of additional training (including training on different ideologies, the online threat picture and neurodivergence) to meet the needs of Channel chairs, deputy chairs and panel members in fulfilling the requirements set out within this guidance and to understand the national risk and threat picture.”

Source location

Response from the Home Office
Page 7 · response
Published 23 May 2024

Open published response

Source evidence

How this respondent action was interpreted

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

PFD Monitor interpretation

Implement improved FNORC supervision across all sites through Senior Caseworker coaching, quality review, benchmarking and development planning.

Verbatim wording from the response

“In addition, since May 2024, I am told that an improved supervision offer has been introduced within FNORC and will be fully implemented across all sites by the end of 2024. The role of the Senior Caseworker (a Higher Executive Officer grade post) has been refocused on coaching and support, with the aim of maximising staff productivity, consistency and quality. There is a particular emphasis on reviewing staff work, both through the formal quality assurance framework and through informal responses to queries, providing constructive feedback and building teams’ technical expertise. Senior caseworkers also participate in a benchmarking cycle to review and grade the work of each casework decision maker on a quarterly basis and work with the individual’s line manager to address their development needs.”

Source location

Response from the Home Office
Page 11 · response
Published 23 May 2024

Open published response

Source evidence

How this respondent action was interpreted

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

PFD Monitor interpretation

Develop, pilot and roll out ideology training for frontline Prevent-duty staff across education, health, police and local-authority sectors.

Verbatim wording from the response

“We are also developing a new ideology training course to include as part of our face-to-face and e-learning training packages. The course has been developed with experts from the CCE and other subject matter experts within the Home Office. The ideology course includes modules on Islamist ideology, Extreme Right-Wing ideology, antisemitism and other types of concern. It is being developed to support frontline staff under the Prevent duty to understand the ideological nature of terrorism and to enable them to make an informed referral where the ideology present is identified and known. This will provide learners with a basic understanding of extremist ideology and radicalisation. The training will outline factors to consider when making a referral, such as the importance of ideology, common narratives, and a reflection of the current threat picture.”

Source location

Response from the Home Office
Page 7 · response
Published 23 May 2024

Open published response

Source evidence

How this respondent action was interpreted

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

PFD Monitor interpretation

Conduct an independent IE AIRR assurance review of FNORC reforms, systems, processes and staff training.

Verbatim wording from the response

“In response to the Regulation 28 Report to Prevent Future Deaths, FNORC has commissioned an assurance review of the reforms introduced since KS' case was handled by the department and which were outlined by ████████ at the inquest.”

Source location

Response from the Home Office
Page 11 · response
Published 23 May 2024

Open published response

Source evidence

How this respondent action was interpreted

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

PFD Monitor interpretation

Make the MAPPA awareness video mandatory for all CTPSE staff.

Verbatim wording from the response

“MAPPA training is covered in the CTNM foundation course, with additional specific training for MAPPA chairs. Additionally all staff within the CTP network now have access to a MAPPA awareness video, accessible to all training managers to share across their portfolios and as well as regional Training and Development Coordinators to share across their regions. This will be made mandatory for all CTPSE staff.”

Source location

Response from Thames Valley Police
Page 10 · response
Published 23 May 2024

Open published response

Source evidence

How this respondent action was interpreted

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

PFD Monitor interpretation

Use the Managed Offender Review Framework, governance meetings and notification flags to monitor MAPPA performance, reassess risk and escalate cases requiring intervention.

Verbatim wording from the response

“In terms of oversight, supervising Sergeants direct the work of the MAPPA officers through review meetings, and there are weekly meetings between Detective Inspectors and supervisors, and a monthly review by the Detective Chief Inspector for offender management. There is then a reporting and governance chain through the Head of Public Protection and Safeguarding (a Detective Chief Superintendent) to the ACC for Crime. This governance and supervision structure is supported by a data dashboard, the Managed Offender Review Framework (MORF) that enables a current and accurate assessment of performance, the identification and escalation of individuals where additional intervention is required, and focus on areas of challenge that need to be prioritised. This has facilitated a much stronger organisational grip on TVP’s management of sexual or violent offenders.”

Source location

Response from Thames Valley Police
Page 11 · response
Published 23 May 2024

Open published response

Source evidence

How this respondent action was interpreted

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

PFD Monitor interpretation

Implement amendments to the TVP Operation Plato plan, including clarified declaration authority, revised control-room arrangements, additional command roles, FIM assistance and an emergency-services talkgroup.

Verbatim wording from the response

“Following the internal reviews of the response to the deaths that were the subject of these inquests, and the national learning from the Manchester Arena Inquiry, a number of amendments have been made to the TVP Operation Plato plan. You have referred to some of these in your report, but they include setting out clearly that only the FIM (as an ITFC) or another TFC could call Operation Plato, revisions to where the Plato control room would be situated (so that it corresponded to where the FIM was based, rather than being a pre-set location), the implementation of a ‘hot line’ to the Strategic Firearms Commander, the creation of Bronze Supervisor and FIM staff officer roles once Plato is declared, the allocation of an additional assistant to the FIM, and the implementation of the Emergency Services Inter Control Talkgroup.”

Source location

Response from Thames Valley Police
Page 13 · response
Published 23 May 2024

Open published response

Source evidence

How this respondent action was interpreted

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

PFD Monitor interpretation

Appoint a CTPSE lead for CT Nominal Management and increase trained CTPSE capacity to chair or co-chair CT MAPPA meetings.

Verbatim wording from the response

“I know that these changes were covered extensively in ████████’s and ████████ ████████’s evidence to you. By way of an update, in 2024 CTPSE appointed a Detective Chief Inspector into a newly created role to lead its NMT and fulfil the role of Lead Responsible Officer for CT Nominal Management. This involves co-chairing MAPPA Category 4 Level 3 meetings. Category 4 Level 2 meetings are chaired by a CTPSE Detective Inspector, and the number of individuals carrying out this role has been increased to provide additional resilience. All MAPPA chairs or co-chairs have undergone the national training required for the role, which includes training on when MAPPA referrals can be closed.”

Source location

Response from Thames Valley Police
Page 10 · response
Published 23 May 2024

Open published response

Source evidence

How this respondent action was interpreted

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

PFD Monitor interpretation

Conduct multi-agency Exercise Pinnacle to stress-test the Operation Plato plan, control-room communications and initial response to a marauding terrorist attack.

Verbatim wording from the response

“I agree with your view that these arrangements need to be stress-tested, and am pleased to say that this is well in hand. On 24 April 2024 TVP, in conjunction with other agencies, undertook Exercise Pinnacle at Legoland Windsor in conjunction with a variety of other agencies. This tested the initial operational response to an MTA with a specific focus on the Operation Plato plan and control room communications in the immediate stages of such an”

Source location

Response from Thames Valley Police
Page 13 · response
Published 23 May 2024

Open published response

Source evidence

How this respondent action was interpreted

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

PFD Monitor interpretation

Incorporate Exercise Pinnacle learning into further Operation Plato policy revisions and test the revised policy again.

Verbatim wording from the response

“A formal multi-agency debrief from this exercise took place on 18th June 2024, and the learning from it will be incorporated into further revisions to the Plato policy, which will be tested again in future in the same manner.”

Source location

Response from Thames Valley Police
Page 14 · response
Published 23 May 2024

Open published response

Source evidence

How this respondent position was interpreted

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

PFD Monitor interpretation

Responsibility for Pathfinder deficiencies rests with the Secretary of State for Justice and Thames Valley Police, not NHS England.

Verbatim wording from the response

“I have not specifically addressed your concerns relating to the deficiencies of Pathfinder (set out at paragraphs 18 and 25-30 of your Report), as these are best addressed by the Secretary of State for Justice, who has responsibility for the service, along with Thames Valley Police. It is, however, acknowledged that NHS England and HMPPS jointly issued Guidance entitled “Increasing the Engagement of Prison Integrated Healthcare Teams in Pathfinder” in June 2022, following the Forbury Gardens attack and the review conducted by the Joint Extremism Unit (JEXU) on the mental health provision.”

Source location

Response from NHS England
Page 1 · response
Published 23 May 2024

Open published response

Source evidence

How this respondent position was interpreted

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

PFD Monitor interpretation

Midlands Partnership University NHS Foundation Trust is required to respond regarding changes to services provided at other prisons.

Verbatim wording from the response

“We note that you have also addressed your Report to Berkshire Healthcare NHS Foundation Trust (BHFT), who are the appropriate organisation to respond to many of the concerns raised about the quality of care previously delivered to the perpetrator of the terrorist attack. We also note that Midlands Partnership University NHS Foundation Trust (MPFT) are required to respond to you, demonstrating that they are continuing to make appropriate changes to the services they provide to other prison establishments. We have ensured that all regions where MPFT has a prison provision footprint (as this extends outside of the Midlands region) are aware of the concerns raised in your Report.”

Source location

Response from NHS England
Page 4 · response
Published 23 May 2024

Open published response

Source evidence

How this respondent position was interpreted

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

PFD Monitor interpretation

Berkshire Healthcare NHS Foundation Trust is the appropriate organisation to respond to concerns about previously delivered clinical care.

Verbatim wording from the response

“We note that you have also addressed your Report to Berkshire Healthcare NHS Foundation Trust (BHFT), who are the appropriate organisation to respond to many of the concerns raised about the quality of care previously delivered to the perpetrator of the terrorist attack. We also note that Midlands Partnership University NHS Foundation Trust (MPFT) are required to respond to you, demonstrating that they are continuing to make appropriate changes to the services they provide to other prison establishments. We have ensured that all regions where MPFT has a prison provision footprint (as this extends outside of the Midlands region) are aware of the concerns raised in your Report.”

Source location

Response from NHS England
Page 4 · response
Published 23 May 2024

Open published response

Source evidence

How this respondent position was interpreted

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

PFD Monitor interpretation

Channel case officers are responsible for arranging Intervention Provider services when a panel identifies that support is needed.

Verbatim wording from the response

“Where a Channel panel identifies that an individual would benefit from an Intervention Provider (IP), the case officer²⁰ is responsible for arranging the provision of that service. IPs are vital to Prevent and work directly with Channel and Desistance and Disengagement Programme participants to help reduce their risk, often challenging and supporting individuals with a wide range of complex needs. IPs are experienced in assessing ideological drivers, possess an expert understanding of radicalisation extremist narratives, can counter these narratives, and receive comprehensive Home Office training to support their work. When commissioning an IP the priority will always be to match the specific IP skillsets to the requirements of the person receiving support, and so Channel case officers will present three potential IPs to the panel wherever possible.”

Source location

Response from the Home Office
Page 9 · response
Published 23 May 2024

Open published response

Source evidence

How this respondent position was interpreted

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

PFD Monitor interpretation

Channel panel chairs are responsible for selecting appropriate panel representatives and establishing partner relationships for support delivery.

Verbatim wording from the response

“Multi-agency involvement in the Channel process is essential to ensure that people at risk of radicalisation have access to a wide range of support, from specialist services to diversionary activities. As mentioned above, Channel panels can pull on the professional expertise of mental health practitioners when progressing cases. It also ensures the full range of information is accessible to the panel, so that ideological drivers, risk, vulnerabilities and support needs can be fully assessed. Therefore, the Channel panel chair is responsible for inviting the appropriate representatives to each meeting as panel members and for establishing effective relationships across partners of the panel to ensure effective co-operation, information sharing, attendance at panel meetings and delivery of support.”

Source location

Response from the Home Office
Page 9 · response
Published 23 May 2024

Open published response

Source evidence

How this respondent position was interpreted

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

PFD Monitor interpretation

Operation Plato declaration and Force Incident Manager arrangements fall primarily to Thames Valley Police as the local force.

Verbatim wording from the response

“You have also raised concerns over the declaration of Operation Plato, and the demands on Force Incident Managers (FIMs). Both of these matters fall primarily to TVP, as the local force.”

Source location

Response from Thames Valley Police
Page 12 · response
Published 23 May 2024

Open published response

Source evidence

How this respondent position was interpreted

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

PFD Monitor interpretation

National Counter Terrorism Policing policy and guidance are set by Counter Terrorism Policing Headquarters.

Verbatim wording from the response

“While I address these topics separately below, I recognise the substantial overlap between them, and between those areas for which I, as Chief Constable, am responsible, and other linked areas such as Pathfinder which are the responsibility of HM Prison & Probation Service (HMPPS), or national policy on Prevent which falls under the Secretary of State for the Home Department. I ought also to note that CTPSE forms part of a wider network, with national policy and guidance set by Counter Terrorism Policing Headquarters (CTPHQ), which is led by the Commissioner of Police of the Metropolis. As well as taking action as regards CTPSE’s activity, CTPSE both implements CTPHQ’s policy and guidance and contributes to action being taken as part of national-level projects under CTPHQ’s auspices.”

Source location

Response from Thames Valley Police
Page 2 · response
Published 23 May 2024

Open published response

Source evidence

How this respondent position was interpreted

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

PFD Monitor interpretation

Non-counter-terrorism MAPPA within the Thames Valley force area falls to Thames Valley Police rather than Counter Terrorism Policing South-East.

Verbatim wording from the response

“As regards non-CT MAPPA, within the TVP force area this falls to TVP as the local force,”

Source location

Response from Thames Valley Police
Page 10 · response
Published 23 May 2024

Open published response

Source evidence

How this respondent position was interpreted

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

PFD Monitor interpretation

National Prevent policy is the responsibility of the Secretary of State for the Home Department, rather than the responding police bodies.

Verbatim wording from the response

“While I address these topics separately below, I recognise the substantial overlap between them, and between those areas for which I, as Chief Constable, am responsible, and other linked areas such as Pathfinder which are the responsibility of HM Prison & Probation Service (HMPPS), or national policy on Prevent which falls under the Secretary of State for the Home Department. I ought also to note that CTPSE forms part of a wider network, with national policy and guidance set by Counter Terrorism Policing Headquarters (CTPHQ), which is led by the Commissioner of Police of the Metropolis. As well as taking action as regards CTPSE’s activity, CTPSE both implements CTPHQ’s policy and guidance and contributes to action being taken as part of national-level projects under CTPHQ’s auspices.”

Source location

Response from Thames Valley Police
Page 2 · response
Published 23 May 2024

Open published response

Source evidence

How this respondent position was interpreted

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

PFD Monitor interpretation

Pathfinder is the responsibility of HM Prison and Probation Service, rather than the responding police bodies.

Verbatim wording from the response

“While I address these topics separately below, I recognise the substantial overlap between them, and between those areas for which I, as Chief Constable, am responsible, and other linked areas such as Pathfinder which are the responsibility of HM Prison & Probation Service (HMPPS), or national policy on Prevent which falls under the Secretary of State for the Home Department. I ought also to note that CTPSE forms part of a wider network, with national policy and guidance set by Counter Terrorism Policing Headquarters (CTPHQ), which is led by the Commissioner of Police of the Metropolis. As well as taking action as regards CTPSE’s activity, CTPSE both implements CTPHQ’s policy and guidance and contributes to action being taken as part of national-level projects under CTPHQ’s auspices.”

Source location

Response from Thames Valley Police
Page 2 · response
Published 23 May 2024

Open published response
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Information checked against the published report and official responses · Data reviewed 7 Sep 2026 · About data quality and limitations

Data last updated 7 September 2026