Question to the Ministry of Justice:

To ask the Secretary of State for Justice, what assessment he has made of the potential impact of delays in securing appropriate placements for women in custody in Surrey.

To ensure people with severe mental health needs access the right treatment in the right setting, the landmark Mental Health Bill, which is due to receive Royal Assent imminently, will introduce a new statutory time limit of 28 days for transfers from prison and other places of detention to hospital.

This time limit, together with operational improvements, aims to reduce unnecessary delays and deliver swifter access to treatment. The Bill will also stop courts temporarily detaining people with severe mental illness in prison as a ‘place of safety’ whilst awaiting a hospital bed for treatment or assessment under the Mental Health Act and will end the use of remand for own protection under the Bail Act where the court’s sole concern is the defendant’s mental health. We recognise that delays in accessing hospital treatment can affect mental health stability and increase distress for individuals requiring acute care. Regional oversight arrangements and escalation processes are designed to minimise such delays and protect the safety and wellbeing of affected individuals. During any period of delay, prison mental health teams provide enhanced monitoring, therapeutic interventions and regular reassessment.

For individuals who do not meet the threshold for detention under the Mental Health Act, mental health care continues to be delivered within the prison environment in line with national clinical standards. This includes psychological therapies, medication management, risk assessment, crisis planning and ongoing reviews to ensure needs are met and that escalation is reconsidered where clinically indicated.

In addition to this, HMP Bronzefield, Downview and Send (in Surrey) have Offender Personality Disorder (OPD) Pathway services and Send has a Democratic Therapeutic Community. Women from across the estate can access these services if they meet the criteria for the pathway and offender managers can also refer women in.

The delivery of healthcare in prison is the responsibility of the NHS in England and Wales. Surrey Heartlands Integrated Care System and Surrey & Borders Partnership NHS Foundation Trust have delegated responsibility for the commissioning and management of pathways.