Select Committee on Health Minutes of Evidence


Examination of Witnesses (Questions 208-219)

MR PHIL WHEATLEY CB, MR PAUL FOWEATHER, MR PAUL THAIN, MR IAN HULATT AND MR PAUL CORRY

17 NOVEMBER 2005

  Q208 Chairman: Good morning. Can I welcome you to this evidence session looking into the issue of smoking in public places and work places. I wonder if I could ask you to introduce yourselves.

  Mr Foweather: My name is Paul Foweather. I am Governor of Wetherby Young Offenders' Institute.

  Mr Wheatley: Phil Wheatley, Director General of the Prison Service, responsible for public sector process.

  Mr Thain: Paul Thain. I am the Executive Director of the Norfolk and Waveney Mental Health Trust.

  Mr Hulatt: I am Ian Hulatt, the mental health adviser to the Royal College of Nursing.

  Mr Corry: I am Paul Corry and I am a Director of the mental health charity, Rethink.

  Q209  Chairman: Thanks very much for coming along. Could I just ask you, Mr Wheatley, do you think that prisons should be included among the institutions exempted from the Government's proposals to ban smoking in public places and work places?

  Mr Wheatley: Obviously that is largely a question for Parliament and for the Government as to what they propose to Parliament. I think prisons are special and the circumstances are special and it is important we take account of the fact that they are places in which people not only work, but live and in many cases for years at a time, in some cases for natural life. I think that makes it special.

  Q210  Chairman: In the written submission that you gave to us, you had a range of options for creating smoke-free environments in prisons. How likely is it that these will be implemented and do you think there should be any sort of timescale on taking action like that? If you are to get exempted under the proposed legislation, should there be any timescale on it?

  Mr Wheatley: Well, I think prison will remain a place where people live for large periods of their life and that, to me, is why prisons are special. We are looking at options, we have not decided on what the best way forward is, and we will pay attention obviously to any legislation, and we are not yet certain what the legislation will say. I would expect them to work towards a situation where prisoners smoke in their cell, they do not share cells with non-smokers, no smokers and non-smokers together, so we keep prisoners segregated by whether they smoke or they do not, and they smoke outside in the open air and in other parts of the prison they do not smoke. That is, I think, replicating largely what the legislation may achieve for the rest of society and I think we can do that. I would expect staff not to smoke, except possibly in the open air and I think there is no real reason why we should stop people smoking in the open air, but that is all to be thought through carefully. We do need to make sure that we do not cause significant problems for disturbed people arriving with us with already a multitude of problems, many of them coming off drugs, many with serious alcohol problems and many of them potentially suicidal. As we try to settle people into prisons, I do not want to heap any more pressure on them than I need in the interests of keeping people alive and safe.

  Q211  Chairman: The Department of Health has suggested to us that banning smoking in certain circumstances in prison would be an infringement of human rights. Do you see it like that or is it more about control?

  Mr Wheatley: I think prisoners would see it as an infringement of their human rights. I do not think staff would see it as an infringement of their human rights and we are not arguing that. It would create control problems in some establishments, there is no doubt about that. You do not know what you are in for in prison; you are deprived of most of the things you might ordinarily enjoy, and probably what you enjoyed last night are things the prisoners do not do, so to take yet another thing away will not be wildly popular with a group who are not always charming and pleasant in their behaviour, so I am not volunteering for a complete ban in every place. We have done things in young offender institutions where we have put in complete bans successfully with a lot of work to support it, but there people are not as well entrenched in their smoking habits and are not normally doing the sentence lengths that we will meet in some of the adult male secure estates.

  Q212  Chairman: Why should we give this freedom to smoking when, as you suggest yourself, the people in prison who have alcohol problems would like to feel that they should have access to that as well, although they are not given access to that officially?

  Mr Wheatley: We do not give access to anything which we regard as a mind-altering substance. Certainly until my time, we made sure that prisoners, except for remand prisoners at one stage, were allowed to have a pint of beer a day, a rather Victorian custom, but it lasted into my experience of the Prison Service. We have not let prisoners have access to alcohol and we work very hard to make sure they do not get drugs. I do not think that tobacco has quite the same threat to people's thought processes, but it is just not good for their health and there is no doubt about that.

  Q213  Mike Penning: Can I just pick up on one point you made there. Can you assure the Committee that what you said is correct, that no prisoner who does not smoke ever has to share a cell with someone who does?

  Mr Wheatley: No, I did not say that. I said that is what I envisaged us doing as we went through the review. That is not true at the moment and, as we pack prisoners in, and we are packing prisoners in, 77,634 today in the whole system including the private sector prisons and with large-scale sharing of cells, I have not got the luxury of being able to differentiate and carefully select. However, we do try to make sure that we do not cause undue problems, and it is not the wisest of things to put smokers and non-smokers together, but we will be doing that in order to get the places for prisoners and make sure we use every available place at the moment.

  Q214  Mike Penning: I apologise, I misunderstood what you meant, and I was gobsmacked by that having recently visited The Mount Prison—

  Mr Wheatley: No, it is certainly not true and there will be an effect on the amount of prisoners we can put in. It will slightly reduce our ability to use every place.

  Q215  Mike Penning: You mentioned earlier on that it was a decision for Parliament as to whether there was a total ban in prisons, so if we assume possibly that Parliament has decided that there will be a total ban, how would that actually affect your capabilities of running your prisons?

  Mr Wheatley: It would pose some significant risks.

  Q216  Mike Penning: Can you explain those?

  Mr Wheatley: Yes, as we announce that smoking is to stop, presumably with some sort of run-in, so we work hard to try and get people off cigarettes and that costs quite a bit of money and we are currently spending about £158 per quitter as we go through the process of using nicotine patches and trying to offer advice and support, or that is roughly what that cost is,[1] as we go through that process, there will be some people who did not come out of that process as quitters and I would expect to find that there was an increased incidence of assaults on staff, that we ended up with prisoners who were more likely to be troublesome and there would be an increased risk of disorder. Those are the things that would be a problem, particularly in the long-term, high-security estates where taking things off prisoners who are doing very, very long sentences always carries a degree of risk.

  Q217 Mike Penning: You mentioned earlier on that the Prison Service is doing everything it can to prevent drugs and alcohol getting into prisons, but I think we are all too aware that they do get in. As I say, I recently visited The Mount Prison where there is an issue like there is in most prisons, so would it really be physically possible for the Prison Service to enforce a smoking ban? If they can get alcohol in or even produce it themselves and they can get drugs in of all different types, surely they will be able to get tobacco in and smoke.

  Mr Wheatley: Tobacco would end up being more of an illicit currency than it currently is and people would work hard to smuggle it in. It would be very difficult to keep it out of open prisons, as it is very difficult to keep drugs out of open prisons. There would be people who will attempt to bend my staff in order to get them to bring things in, people who will attempt to smuggle stuff in through visits and people who will attempt to throw things over the perimeter, the ways that illicit substances enter prisons. We would not ever, I think, achieve complete success unless I can put lids on prisons, which actually I cannot.

  Q218  Mike Penning: So what you are basically saying is that you would drive it under ground?

  Mr Wheatley: We would drive it under ground, we would reduce it. Do not get me wrong, I am not saying people would not continue to smoke at the same rate, but there would be another area in which we would be working hard and, as prisoners might see it, battling with them to make sure they did not get what they were trying to get, and we would have to put a lot of effort into that. We would do it if Parliament required us to do it, but it would carry risks, it would carry costs, and I guess it is for Parliament to decide whether that is something we should do because it will involve spending the country's money.

  Q219  Mike Penning: It is for Parliament to decide and for us to try and find out what effect it will have on the different institutions.

  Mr Wheatley: It will cost in staff time and produce another significant rubbing point in prisons and we would not have complete success.


1   The Prison Service later informed the Committee that the current cost per quitter using NHS stop smoking services is around £158 excluding Nicotine Replacement Therapy and Zyban. This compares with £206 in 2001-02. Currently they have only calculated the cost of providing NRT to our prisoners wishing to give up, and that is in the region of £100 per course per prisoner. Back


 
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