Select Committee on Public Accounts Minutes of Evidence


Examination of Witness (Questions 80-99)

HOME OFFICE, PRISON SERVICE AND NATIONAL OFFENDER MANAGEMENT SERVICE

19 DECEMBER 2005

  Q80  Jon Trickett: In paragraph 1.8, it is referring to Lord Carter's Report and it says that far greater use is being made of prison and yet the number of people being arrested and sentenced is more or less the same. Does that not demonstrate that prison does not work?

  Sir John Gieve: No, I do not think it does. Perhaps you would like to take that a bit further.

  Q81  Jon Trickett: If the number of arrests is broadly the same and the number of people being found guilty is broadly the same and yet the number of people going to prison is rising, it is counter-intuitive, is it, not since one of the primary arguments about imprisonment and incarceration is for it to be a deterrent to potential criminals from entering into criminality? You would expect, would you not, if that case was correct, that more use of prison would reduce the number of people being arrested and convicted?

  Sir John Gieve: Ideally in the long term but actually only a minority of all offenders are arrested and so it is perfectly possible for the level of offending to go down and the level of arrests and convictions to go up, and that is precisely what has been happening over recent years. The police are becoming more effective at bringing people to trial and yet the total number of crimes is going down. The real measures of success for prisons are protection of the public and the level of crime. If prison is working to reduce crime and protect the public it would be contributing to a reduction in the level of crime.

  Q82  Jon Trickett: Can you submit evidence in writing that the conviction rate is increasing? I do not need it now but you are resting your case on that to some extent and I am not quite sure that the facts bear you out.[2] Is there not a series of measures which might be taken in partnership with other agencies to reduce the number of people in prison? I want to go through a number of categories. The first is the mentally ill. How many mentally ill people are in prison rather than being cared for in an appropriate institution?

  Sir John Gieve: There are different categories of mental illness and Peter probably has the figures. A high proportion of prisoners have some addiction, for example, or other problems.

  Mr Wheatley: At the very acute level where prisoners are thought by appropriate psychiatrists to need admission to hospital we get them admitted. The waiting period is slightly reduced on that. The biggest issue that you are homing in on is the number of people who are still in our custody who have some mental problems and for whom we are using mental health in-reach workers to assist them. They in the main are the people who would have been cared for in the community. They would not have required to be put in hospital.

  Q83  Jon Trickett: According to the Howard League there are 5,000 profoundly mentally ill people in prison at any one time.

  Mr Wheatley: I do not recognise those figures in that form.

  Q84  Jon Trickett: What are the figures then?

  Mr Wheatley: There are acutely mentally people in prison whom we are moving into psychiatric hospitals.

  Q85  Jon Trickett: How many of them are there?

  Mr Wheatley: We will have to get you the figures separately on those, which I do not think you have available, so we will have to write with those. They are monitored as a group. We monitor their waiting times and they are being moved into psychiatric hospitals. It is the group above that who do have mental health problems and are receiving mental health treatment in prison who would, if they were in the community, have been being cared for in the community.

  Q86  Jon Trickett: I am not asking about them. Here it is the profoundly mentally ill. I do not know if that is a category defined by the Mental Health Act 1983 but this paragraph seems to imply that. There are 5,000 who should properly be dealt with in a secure hospital rather than in a prison.

  Mr Wheatley: That is not a figure we recognise at all.

  Q87  Jon Trickett: What are the figures then?

  Mr Wheatley: The figures are, as I say, that the people who are profoundly mentally ill and who require hospitalisation we gain hospitalisation for—

  Q88  Jon Trickett: That is not the question I am asking you.

  Mr Wheatley: It is much less than that and we will write with the details, is the answer. It is not 5,000.

  Q89  Jon Trickett: I asked you a simple question: how many are there? I did not ask you at what rate you are getting them out of there because, as fast as they are going out, there are other people coming in, and therefore there is a population which is transient.

  Mr Wheatley: You are quite right. The number of people who have moved into psychiatric hospitals is monitored and we can give you those figures. From memory I think it is 700 but I do not want to give the committee a figure from memory. I think we should write with the figure. It is well below 5,000.

  Q90  Jon Trickett: What I would like from you is the number of people who the Prison Service or the medical profession regard as being inappropriately housed in a prison because they ought to be in a place of care provided, presumably, not by the Prison Service, whether that would alleviate overcrowding or not. Can I just ask you the simple question: if all those people were appropriately housed presumably would that alleviate overcrowding?

  Mr Wheatley: If I am right from memory in thinking that is 700, and I would like to check that but it is about that, then 700 people in the course of a year, that is, spread throughout the year, would have made a slight difference to overcrowding but a very small one.

  Q91  Jon Trickett: Hang on. Is it 700 people or 700 places because, as fast as somebody is put in who needs care, there are other people being identified in the community for whom there has been a crisis of some kind which has led to some kind of criminality and they have been incarcerated? Seven hundred people doing a couple of months each in a prison is not a huge number of places but if it is 700 places annually occupied by a rotating number of people that is a different matter, is it not?

  Mr Wheatley: No, it is 700 for two months' waiting.

  Q92  Jon Trickett: I think we will wait and see what the figures actually are.[3] Sir John, would it be the Home Office which would provide alternative secure accommodation for these people or is it the NHS?

  Sir John Gieve: The NHS would provide the secure hospitals.

  Q93  Jon Trickett: Do you pay for it or do they pay for it?

  Sir John Gieve: They pay for it. They pay for mental health treatment in prisons now as well.

  Q94  Jon Trickett: What discussions take place between yourself and the NHS to secure an adequate number of places, whatever that number of places is? It is obviously inappropriate to have somebody who is acutely mentally ill in a prison, is it not?

  Sir John Gieve: We work very closely with the Department of Health, much more closely in the last couple of years than ever before, which is one reason why the waiting times are much reduced. It is partly because the Department of Health has the responsibility for the quality of health care, mental and physical, inside prison and they are committed to achieving the same standard of care in prisons as outside. There are a large number of disturbed people in prisons, going well beyond hundreds into thousands. In fact, prisons are in many ways a sieve for collecting some of the most disturbed people in our society, so I can well understand why the Howard League and other people may say, "It is many more than the people you actually shift into hospital care". There are many more people who are in need, I do not think we are disputing that, but we do have a system of getting clinical judgments made as to who needs to go and that is what Phil is referring to.

  Q95  Jon Trickett: That is the question which I want answering. How many children are held by the Prison Service?

  Sir John Gieve: The figure I have got is 2,500.

  Q96  Jon Trickett: And that has doubled, has it not, over the last few years?

  Sir John Gieve: I have not got that figure.

  Q97  Jon Trickett: Perhaps you could provide the committee with a figure for, say, over the last 10 years, the number of children held in prison or in accommodation provided by the Prison Service.[4] Is that the most appropriate way of incarcerating children?

  Sir John Gieve: The YJB, as you know, who do the commissioning here, have a variety of types of custody in local authority secure homes, in their own STCs and in prison. I think prison can offer an appropriate form of care and often does, and I have visited special units in East Anglia, for example, which I thought were doing an excellent job.

  Q98  Jon Trickett: My time is out and I would just like you to provide us with information in writing because it is something I would like to pursue further but cannot. I think that the Lord Chancellor's report indicates that there is huge variation in the courts' operation in terms of remanding people into custody and about half the people who are held in prisons on custody are not then given custodial sentences but the practice of different courts varies very widely. If we were able somehow or other to encourage the criminal justice system to operate at the mean, if all courts operated at what is now the statistical mean, how many people—and I do not expect you to answer this now—would that mean would not be incarcerated? Do you understand the question? There is a huge variation in practice between the courts in remanding people into custody.

  Sir John Gieve: I think if it was at the mean it would be the same.

  Q99  Jon Trickett: If the maximum was the current mean, is what I am trying to say. I understand that it is thousands of prisoners at any one time.[5]

  Sir John Gieve: There is certainly a very wide variation.


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