National Preventive Mechanism Eleventh Annual Report 2019–20 Introduction by John Wadham, NPM Chair In the National Preventive Mechanism’s (NPM) 11th Annual Report, covering the reporting year 2019 to 2020, we present an overview of the political, policy and legislative developments regarding places of detention and deprivation of liberty. We bring together NPM members’ findings from the year on the different areas of detention that they monitor. We also document key developments for NPM members and the NPM Secretariat, and highlight important international events that have taken place, such as the first ever visit from the UN’s Subcommittee for Prevention of Torture and Committee Against Torture’s periodic review of the UK. Members’ findings on places of detention from the year show a mixed picture. With regard to prisons, NPM members in Scotland identified a number of human rights issues, including levels of overcrowding and understaffing, that caused significant concern. Criminal Justice Inspection Northern Ireland (CJINI) and the Regulation and Quality Improvement Authority (RQIA) this year published a thematic review on the safety of prisoners, which identified some important improvements in how vulnerable prisoners are treated. Drugs remained a problem across the Northern Ireland prison estate. In England and Wales, NPM members found poor levels 1 4 of safety in many prisons. I am especially concerned about the rate of self-harm among prisoners: incidents reached yet another record high in England and Wales of 64,552 in the 12 months to March 2020, up 11% (57,968 incidents) from the 12 months to March 2019.1 NPM members also raised concerns about the detention of people with a mental health problem, a learning disability and/ or autism. The Care Quality Commission’s (CQC) interim report on the subject found that many services were unable to meet the needs of patients as staff lacked the necessary training and skills. Worryingly, a high proportion of the patients CQC visited were held in segregation. Healthcare Inspectorate Wales (HIW) also found that some secure mental health facilities in Wales had serious maintenance issues which had not been addressed, resulting in patients living in unsafe and undignified conditions. Our Annual Report also notes positive developments that have occurred across the detention estate. In particular, the NPM welcomes the announcement of an independent public inquiry into the allegations of abuse at Brook House Immigration Removal Centre. Similarly, the NPM supports the Scottish Government’s commitment to conduct an inquiry into the Ministry of Justice (MoJ), July 2020, Safety in Custody Statistics, England and Wales: Deaths in Prison Custody to June 2020 Assaults and Self-harm to March 2020, https://assets.publishing.service.gov.uk/government/uploads/system/uploads/ attachment_data/file/905064/safety-in-custody-q1-2020.pdf [accessed 10/11/2020]; MoJ, July 2019, Safety in Custody Statistics, England and Wales: Deaths in Prison Custody to June 2019 Assaults and Self-harm to March 2019, https://assets. publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/820627/safety-in-custody-q1-2019. pdf [accessed 10/11/2020]

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