That this House has considered youth inmates in solitary confinement.
It is a pleasure to serve under your chairmanship, Mr Hollobone. I am pleased to lead this extremely important debate. Much of the focus in our criminal justice system is rightly on our failing probation system following privatisation and the rising violence in our prisons, but worryingly little attention is paid to what is going on in our youth estate—particularly to the children and young people detained there—and to the concerning use of solitary confinement.
It may come as a surprise to some people listening to our debate who know me well that I became interested in this issue, but it links closely to work we have been doing in the Education Committee on exclusions, children with special needs and disabilities, and the link between children who have undiagnosed special needs, disabilities and emotional problems being excluded and then ending up in our prison system.
What is happening to those children and young people is extremely worrying. Just before the debate started, I was saying to a colleague who sits on the Government Benches that the issue forms part of a wider picture. Although it is one for the Justice team, I hope the Minister talks closely to the Education team, as well as to social services and local government teams, about how money can be invested in our vulnerable children as early as possible to give them the best possible chance in life so that they do not end up in the criminal justice system.
No one wants to see a child sent to prison. That is a failure on the part of our societal infrastructure. Everyone would agree that, for any young child to go to prison, there must have been a failure somewhere in the support given to that child—at school or on the part of society or social services. We have failed a young person who ends up in our criminal justice system.
Young offenders institutions must balance punishing a child for committing a crime—there should of course be consequences for criminal behaviour—with the need for rehabilitation and the need to assist the child to go on to become a productive member of society who will not offend again. Having been a teacher for 11 years, I know that we should never give up on children, even when our patience has been tested to the absolute limit. I am sure that parents agree—we do not give up. If we have a child who has reached the point of being involved in criminal activity and is being rightly punished for it, youth offenders institutions should be the opportunity to turn that around and to start again.
Getting the correct balance between those goals should be the guiding principle of youth justice. Falling too far towards punishment and not addressing the problems that caused a child to offend in the first place—perhaps undiagnosed special needs or disabilities, or social and emotional problems—means that the child will reoffend immediately on release. All that we would have created is an older criminal. Falling too far towards rehabilitation means that the victims of the crime will feel let down by the system. The use of segregation in young offenders institutions does not create the right balance between those goals—between giving young people a consequence for their actions and an opportunity to set themselves on the right path for the future.
I congratulate the hon. Lady on securing the debate. On the important point about a precise definition, or otherwise, does she agree that we need to get it fully and fairly established in the public mind so that we can determine year on year whether the problem is getting worse or improving? It does not help things if the goalposts change slightly, depending on the administration in place and how it does isolation or segregation.
I completely agree. That seems to be a sensible way to go forward with the problem. If we are to look at whether the use of solitary confinement is increasing, it makes sense to have a clear definition that everyone understands.
Most adult prisons have a dedicated segregation wing or unit, sometimes known as a care and separation unit, which allows prisoners to be moved off the main residential wings. That is mirrored in young offenders institutions, despite the fact that they hold much younger people. The conditions and rules for secure training centres, which hold even younger children, are a little better—children there are isolated in their own rooms or cells, or in empty classrooms or spaces, for shorter spans of time. We cannot escape the fact, however, that some children and young people are being held in conditions of isolation that are comparable to those for adults.
When assessing whether our existing segregation rules are fit for purpose, it makes sense to look first at the international rules setting out standards for the use of solitary confinement. The UN standard minimum rules for the treatment of prisoners, also known as the Mandela rules, state that given the devastating effect of solitary confinement on physical and mental health, it should be used only in exceptional cases, as a last resort, for as short a time as possible, after authorisation by a competent authority and subject to independent review.
The Mandela rules prohibit entirely the use of indefinite and prolonged solitary confinement—lasting more than 15 days—alongside its use for particularly vulnerable groups. Rule 45 explicitly states:
“The imposition of solitary confinement should be prohibited in the case of prisoners with mental or physical disabilities when their conditions would be exacerbated by such measures.”
Given that prohibition of solitary confinement for more than 15 days and for those with mental health disabilities whose conditions would be exacerbated by solitary, among whom we could reasonably include children, the UK clearly and worryingly appears to be straying into territory that might violate the Mandela rules.
Does the hon. Lady agree not only that children of themselves are obviously vulnerable, but that the children she is talking about are particularly vulnerable? A disproportionate number of children with autistic spectrum disorder are in prison, as are many children with mental health issues and many who have been in care.
I absolutely agree with the hon. Lady. We know that from overwhelming evidence. So many children in our prison system have undiagnosed special educational needs and disabilities. As I said, what motivated my interest in this issue was all the work we are doing on children with special needs and disabilities, as well as the desperate need for early intervention and early support. When these children finally get to the point at which we as a society have failed them—when they are in prison—we should be pouring in money and resources, because how else will they ever have a chance to have some sort of effective life?
There are concerns right across the board about how segregation is used in the youth estate. Last October, after investigating those concerns, the Children’s Commissioner published her report on the use of segregation in youth custody. In it, she found excessive use of segregation in the youth estate, with children locked up and isolated in greater numbers, despite the overall numbers of those in custody falling at the same time—we are sending fewer children to prison, but those we are sending are more likely to end up in solitary confinement.
The Children’s Commissioner also found that the average length of segregation had doubled, with about 70% of episodes of segregation believed to have lasted more than a week, and many of those episodes involving the repeated segregation of the same children and young people. Again coming at that from an education point of view, I would say that any behaviour consequence that just results in the same behaviour over and over again is failing—it is not working, and it is time to try something else.
While the Children’s Commissioner notes that some children choose to self-isolate for a variety of reasons, which may be behind some rise in the figures, that does not account for all of it. If individuals self-isolate on a regular basis, surely that is an indication of serious problems with that young person. By self-isolating, they choose not to be part of the collective society of the institution, which is bad for their wellbeing, increases loneliness and isolation, and hampers their safety and mental wellness.
I would not want to say so without having the facts in front of me, but that is an interesting question, and I hope the Minister will pick it up in his remarks. There is certainly a link through the effect on children’s mental health problems. We will have to see what the evidence says, but it would suggest there is a link.
Symptoms found in children who have been segregated include anxiety, depression, unprovoked anger, lack of impulse control, cognitive disturbances, hypersensitivity, paranoia and full-blown psychosis—to name just a handful. Those are not just minor issues. Indeed, the Prison Service’s own guidance on segregation shows that it recognises the potentially damaging effect of segregation on mental health and on those who may be at risk of suicide and self-harm. Prison Service Order 1700 states:
“research into the mental health of prisoners held in solitary confinement indicates that for most prisoners, there is a negative effect on their mental well-being and that in some cases the effect can be serious.”
Not only does solitary confinement have a detrimental impact on the mental health of the children, but it increases their chances of harm to themselves and others and makes them much more vulnerable to reoffending when they are released.
Those reports and findings relate to investigations and studies in the adult estate, but considering the widespread problems in the youth estate, it is more than reasonable to assume that the same issues are present in the youth estate too. It is certainly reasonable to accept that the proven negative impact on adults applies more so to children and young people, particularly when it is a widely accepted medical opinion that mental development, during which individuals are more susceptible to mental harm, does not cease until around the age of 25. Children who are more susceptible and more likely to be influenced are at risk of greatest harm.
The debate can last until 4 pm. We have time for Back-Bench speeches until 3.37 pm, when we will go on to the Front-Bench spokespeople. The guideline limits are 10 minutes for Her Majesty’s Opposition, 10 minutes for the Minister and the three minutes at the end for Emma Hardy to sum up the debate.
It is a pleasure to serve under your chairmanship, Mr Hollobone, and to follow the hon. Member for Kingston upon Hull West and Hessle (Emma Hardy). She and I talked about this issue before the debate, so there will be a lot of overlap in our presentations. I am glad that she has interpreted the title of the debate very widely. It talks about youth inmates, which includes not only children but young adults. I will say a little bit about that in a minute.
As well as the hon. Lady’s Select Committee, the Justice Committee published a report, “The treatment of young adults in the criminal justice system”, some time ago in 2016-17, because we were concerned about the effectiveness of the treatment of young adults in the justice system. We looked at the needs of young offenders, their characteristics and the effective ways of working with them. We also went on a visit—this was in the days when Select Committees could go on international visits—to New York and Boston. Hon. Members may view the American system of governance as much stricter and tougher than ours. I could not disagree more. We found a much more liberal approach to the situation, with children treated kindly and efficiently, which had an enormous impact on their rehabilitation.
Before the hon. Gentleman moves on, although I fully accept his experience on his visit to that part of the United States, does he agree that, given the complexity of its judicial system, there may well be rapid and significant variations from state to state in the United States of America?
The hon. Gentleman makes a good point. However, we chose New York because it has some of the toughest criminals. It was interesting to see how the situation was dealt with in that sort of tough environment. As I said, we found a very liberal approach.
Back here, we interviewed the parents of people who had been to youth offender institutes or prison, and I have to say that the feedback was utterly tragic. The personal circumstances of the individuals there had to be heard to be believed. We have to do all that we can to stop those sorts of occurrences. We looked at a wide range of ages—from 10 to 24—encompassing everything that the hon. Member for Kingston upon Hull West and Hessle talked about, and one thing we found was that men and boys account for a disproportionate number of people going through the criminal justice system. There is something about men and boys that needs to be tackled, and seriously.
One thing we looked at was the neuroscience involved—neuroscience has become a very trendy subject these days. A lot of work has been done on how the brain develops and matures. The evidence we heard showed that the brain develops over a much longer period, and that what we would generally describe as maturity is the last thing to develop. The hon. Lady may have experienced that with some of the children she used to teach. I hope that rings a bell with her.
It was also interesting that, as people got nearer to 18, their risk of reoffending actually increased, not decreased; there was something about reaching that age that created much more turbulence for the individuals. We all ought to look very carefully at how solitary confinement or segregation is imposed on people in that situation, because it is not something that immediately jumps out. In fact, there is strong evidence that involvement with the criminal justice system actually hinders the development of boys and men.
We need to do a risk assessment of people who are segregated or put into solitary confinement, and I will give a few examples of the stunning evidence as to why. Learning disability among young people in the general population is between 2% and 4%, but among those in custody it is 23% to 32%—an enormous increase. Communications impairment in young people in the country is between 5% and 7%, but for those in custody it is 60% to 90%—almost all the people there have a communication difficulty. Those with attention deficit hyperactivity disorder are 1.7% to 9% of the general population, going up to 12% of those in custody, while those with autistic spectrum disorder run at a maximum of 1.2% of the general population, going up to 15% of people in custody.
It is a pleasure to serve under your chairmanship, Mr Hollobone. I thank my hon. Friend the Member for Kingston upon Hull West and Hessle (Emma Hardy) for securing this important debate. She was absolutely right to do so, as the issue is covered much less than other wide-ranging problems in our criminal justice system. Even within the youth custodial estate as a whole, it sometimes does not get the airtime that it perhaps should. None the less, it is very important. I also congratulate her on making such powerful and substantial points. I will come on to some of the issues she raised, but she comprehensively covered a very difficult area and made particular reference to some of the international rules and laws that we are subject to and that we probably fall short of in terms of our compliance. She mentioned the Mandela rules, which I will come on to later in my speech.
The hon. Member for Henley (John Howell) spoke eloquently and drew on his previous work in this important area. He also spoke well on some of the broader issues and challenges in our criminal justice system. He highlighted some of the disparities around mental health issues—another area that perhaps does not get so much airtime in this place, but that should be of concern not least to the Minister and the Justice team, as well as more broadly across other Departments.
Hon. Members have already mentioned the report published by the Children’s Commissioner’s late last year, which should be a final wake-up call for the Government, as its verdict was so damning. It highlighted excessive use of segregation, solitary confinement or isolation—whatever we want to call it—by institutions holding children and young people, with a rise in the number of episodes of segregation taking place at the same time as we have seen an overall fall in the number of children and young people held in custody and a rise in the length of those episodes of segregation, with many instances going on for many weeks and sometimes months. Although that should be the final wake-up call for the Government, it is far from the first alarm that has gone off, with serious concerns repeatedly raised in recent years by a range of organisations involved in inmate and child health.
As always, it is a pleasure to serve under your chairmanship, Mr Hollobone, but I suspect I will not detain the House for 42 minutes.
I congratulate the hon. Member for Kingston upon Hull West and Hessle (Emma Hardy) on securing what is—she is absolutely right—an important debate. I am grateful for the opportunity to respond. The issue has attracted much scrutiny in recent months, and rightly so. As the hon. Lady will be aware, I gave evidence on the subject to the Joint Committee on Human Rights last year. I will of course carefully consider the recommendations from the inquiry.
I am responsible, through my ministerial portfolio, only for under-18s institutions in the youth custodial estate, and of course Aylesbury is not in that group. However, in response to a point made by my hon. Friend the Member for Henley (John Howell), I want to point out that in the adult estate segregation should be used only as a last resort, when prisoners pose such a risk to themselves or others that no other suitable location is appropriate, and where all other options have been tried or are considered inappropriate. However, there is a specific approach for the under-18 estate.
I want to reassure hon. Members from the outset that children are never, and should never be, subject to solitary confinement in the UK. There is no universally agreed definition of solitary confinement, but rule 44 of the UN standard minimum rules for the treatment of prisoners—the Mandela rules that the hon. Member for Kingston upon Hull West and Hessle referred to—state that
“solitary confinement shall refer to the confinement of prisoners for 22 hours or more a day without meaningful human contact.”
Removal from association, or segregation, is different. I appreciate that the shadow Minister referred to it as segregation, while others refer to it as removal from association, but I think we are talking about the same thing. It is a last resort for the protection of the child or others. It should never be used as a punishment and our rules are explicitly clear on that. To reiterate, it can be used, and is used, only when a child in custody is putting themselves or others at risk, when no other form of intervention is suitable to protect both the individual or their peers, or staff. I just want to mention in that context that segregation can be removal to one’s own cell rather than to a segregation wing. I shall talk later about the statistics and the impact that that matter has on them.
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Let me be clear about what I mean by segregation. I do not mean time out as an immediate response to violent or disruptive behaviour, or situations in which children must be physically isolated for their own protection or the protection of others. Solitary confinement—segregation, isolation or whatever else we might call it—is the deliberate removal of an individual from association with others. It was defined by the prison and probation ombudsman in a 2015 “Learning lessons bulletin” as
“an extreme and isolating form of custody”.
Whatever the Minister might say in his remarks about solitary confinement and segregation—that children are not subject to solitary confinement—the Children’s Commissioner has been clear, as have the current and the previous chief inspector of prisons, that the conditions to which children are exposed fit the definition of solitary confinement.
The Children’s Commissioner is not the only one who has raised concerns; many others have done so for a considerable time. The Howard League for Penal Reform, the Prison Reform Trust, the British Medical Association, the Royal College of Psychiatrists and the Royal College of Paediatricians and Child Health all condemn the use of segregation and its impact on young people. They criticise the Ministry of Justice’s continued use of the practice. The Royal College of Psychiatrists recently argued that punishment for punishment’s sake brings out the worst in some young people, and does nothing to help them become positive members of society.
Rather than improving behaviour, solitary confinement fails to address the underlying causes, and creates problems with reintegration. I return to my previous point: what is the purpose of putting people in prison? Surely, it is twofold: it is punishment and consequence for their behaviour, and it is a chance for them to rehabilitate to become productive members of society. If we make that behaviour even worse by putting them in solitary, we are failing, because all they will do is leave prison, return to society, reoffend and cause grief and hassle for the people living in their areas.
The Howard League for Penal Reform, which does some excellent work in this area and provides legal advice and support to children in custody, reported more requests for assistance in respect of isolation than use of force. More people go to it upset about their child being isolated than about force, despite the fact that the media tend to cover the use of force more than they do isolation. In the written evidence submitted to the Joint Committee on Human Rights during its inquiry, a number of cases were highlighted, all of which make worrying reading and show that the numbers highlighted by the Children’s Commissioner are not just statistics but represent real children being harmed by segregation, who will go on to commit crimes again in their local area.
The evidence included a 16-year-old white British boy who was placed in isolation, locked in his cell for 23 hours a day for days on end and allowed out only for 30 minutes of solitary exercise. A 16-year-old black British boy was placed in a segregation unit, locked in his cell all day for 37 days and allowed out only with three members of staff. A 15-year-old Asian boy with attention deficit hyperactivity disorder was segregated while his mental health deteriorated. A 17-year-old black British girl with a history of trauma was forced on to a behavioural management plan that was reportedly not compliant with the Secure Training Centre Rules 1998, and was threatened with segregation if she did not comply. The mother of a 17-year-old black British boy said he spent over a month in segregation, and reported significant mental confusion in her son afterwards. Just as worryingly, the Howard League has reported that young people who experience solitary confinement often have their access to legal advice and support denied or restricted. Will the Minister look into this issue urgently?
Some might say, “It may be slightly excessive, but these children committed crimes and deserve to be punished.” They may say, “If the prison needs to segregate them to keep order, it should be allowed to.” But we have to look back to our guiding principle of balancing punishment and rehabilitation. It is undoubtable from the evidence I mentioned that the balance is wrong; if we had struck the right balance, incidents of segregation would be going down, not up. It is vital that we design our system to address the underlying issues that led to the young person being sent to prison in the first place if we want to prevent future crime.
The biggest effect that segregation has on young people is on their mental health, contributing to what is already a severe and dangerous mental health epidemic right across our prison system. According to a survey by Her Majesty’s inspectorate of prisons, more than 30,000 people in the whole prison system are reported to have a mental health or wellbeing issue at any one time. That is around one in three of the average monthly prison population, which is a higher rate than in the general population, where one in four people are believed to have a mental health issue. However, given the poor screening and under-resourcing in relation to prisoner mental health, the widely held belief is that the rate is much higher.
The Howard League’s work on segregation—particularly its legal work to represent offenders who are subject to segregation—found that many prisoners who are removed from association are disturbed or damaged individuals who have behaved in a particular way as a result of their vulnerabilities, and who present no risk to security. Research published by the Prison Reform Trust into segregation units found that segregation was harmful to health and wellbeing, as over half of segregated prisoners said they had problems with three or more of the following: anger, anxiety, insomnia, depression, concentration and self-harm.
I keep making the same point: the problems will not go away by isolating children and young people—they will only get worse, which means these people will go out and reoffend. The Prison Reform Trust’s “Deep Custody” report found that more than two thirds of the 49 officers interviewed in segregation units said that most or the vast majority of segregated prisoners had mental health needs. Many offenders said they believed their mental health was a factor in the decision to segregate them.
Not only is the Ministry of Justice segregating people excessively, but it is doing it to those who are already dangerously at risk. The reason why that is so unhealthy and why we should be so appalled at the segregation of vulnerable young people is that a wealth of evidence shows that segregation has an adverse effect on anyone, let alone someone already with a mental health condition. The keys aspects of segregation noted by the Prison Reform Trust—social isolation, limited sensory stimulation, enforced idleness and increased, continuous control—are known factors in damaging an individual’s health and wellbeing.
The impact of segregation on children and young people goes beyond just the medical, because of its widespread use to restrict the ability of a child or young person to be part of purposeful activity in the institution holding them. That restricts their ability to take part in classes, studies, workshops or training that helps them increase their chances of not reoffending and of achieving a better life on the outside after their release, compared with when they went in. The Minister will know how desperately low literacy and numeracy levels are among children in prison, and how that limits their ability and chances when they are released. Surely, taking them away from study would have a further negative effect when they are released.
In theory, removal from free association, through segregation, should not prohibit access to education, but in many cases children are in their cells all day and allowed out for only 30 minutes. They do not always have access to education packs while in their cells. That has a negative mental impact. If they had something to do, and something to keep them occupied and busy in a constructive way, it would help to stave off the damaging effects of isolation on their mental health.
When the child comes out, they are further behind their peers, have even lower prospects and become vulnerable to reoffending. These children will not leave prison to go on to become productive members of society; they will leave and reoffend. That is failing children, it is failing victims of crime and it is failing society. The only thing that is changing is that young offenders are becoming adult offenders, so it is time for the Ministry of Justice to think again.
We are dealing with a group of people who are, by any stretch of the imagination, vulnerable and who tend to need a risk assessment in order to assess how they are doing. I know that it has already been mentioned, but the number of people in youth custody who have already been in statutory care is running at two thirds—an enormous number. Again, that suggests that we are dealing with a very vulnerable population.
To produce the report, we went to the young offenders institution at Aylesbury, where we found that segregation was used to reduce movements among young people. However, staff said that it was used when there was a risk of gang violence. Dealing with gangs in that young offenders institution was one of the biggest tasks for staff. We asked the young people there whether they would like to be in a young offenders institution or a prison—many there at the time had been in both—and they said that the change in the justice system when going from a youth institution to an adult institution was like dropping off a cliff face. It is very important to bear that in mind, because it goes back to how they are treated in relation to solitary confinement.
The Justice Committee interviewed, and I have subsequently spoken to, Lord Harris of Haringey, who produced a very good review that looked at young people detained in cells for a long period. He found there might be occasions when it was to the benefit of the individual young person to be confined to their cell. If they were being threatened, it was better to put them in their cell. However, it needs a risk assessment of their mental health and their ability to function there. Whatever the Minister says, in my experience and that of the Committee, that does not happen routinely enough, and that is a big lack in the system.
I will quote one of the witnesses we interviewed, Dr Gooch from Birmingham Law School:
“It is the decisions that are made about how you use segregation and how you use adjudications, which are the disciplinary hearings within the prison. It is the values that you instil about where the boundaries are and what is appropriate behaviour. When you talk about grip, it is not about punitiveness. It is understanding when to lock down and when to use your security measures to their full potential”.
That sort of understanding of the situation suggests there needs to be much greater flexibility in the youth justice system.
I want to pick up on one last point: the question of purposeful activity, which the hon. Member for Kingston upon Hull West and Hessle also mentioned. I have a strong view that we need to instil as much purposeful activity as possible, whether it is in the adult or the youth section of the criminal justice system. On a former Justice Committee, I went to a prison in Denmark where the prisoners, who had a wide range of ages, cooked their own food. For safety’s sake, the knives were chained to the wall. Nevertheless, the very fact that they were able to cook their own food had a big impact on their ability to be rehabilitated. It made a great impression on me and when I came back I mentioned it to the then Secretary of State, and there are prisons where that happens now in the UK. Instilling purposeful activity into young people through education and skills training or whatever is absolutely essential. We need to keep that going if we are to tackle the problem.
I know the Minister will say that this situation never happens—he is laughing at me now—but that when it does happen a risk assessment is done. All I am saying is that in the Justice Committee’s experience, that did not happen. It is not commonplace for it to happen all the time in every case. Given the history that I have given of the differences between the mental illnesses that the general population of young people have and that those in prison have, it needs to happen.
The picture painted by the Children’s Commissioner and others might not be the full one; tragically, the situation could be far worse. Hampering the ability of organisations to report effectively on the issue is the lack of data being collected by the Government. The Children’s Commissioner herself stated that the lack of transparency in the recording of segregation is an issue that needs to be corrected. Her report states:
“the number and average length of periods of segregations are not published at all for YOIs...Figures for all segregations of young people should be collected centrally and included in the Youth Justice Statistics.”
On such an important issue as the wellbeing of children and young people, we need better reporting and better data from the MOJ. Frankly, I am alarmed that the data is not sufficiently recorded at present.
What the data and reports do agree on, however, is that segregation has an extremely damaging effect on the mental health of all those subjected to it, and particularly children in the crucial stages of development. The World Health Organisation has identified a range of typical mental health symptoms that are presented among those who have been segregated in custody. Medical associations here in the UK, including the British Medical Association, the Royal College of Psychiatrists and the Royal College of Paediatrics and Child Health corroborate those findings. That contributes to what is now an unequivocal body of evidence on the hugely damaging effect that segregation has on health and wellbeing.
Segregation poses huge risks of psychiatric and developmental harm, and various studies show that there is also an increased risk of suicide and self-harm among those in segregation. The hon. Member for Banbury (Victoria Prentis), who is no longer in her place, asked about that, and I think there is certainly a link between suicide and segregation. Our prisons are already in a severe mental health crisis, with more than one in three offenders across the whole custody estate reporting mental health issues, and many more likely to be experiencing them. We should not be adding to those worrying figures by segregating children and young people.
We cannot look at the issue in isolation, and there are other issues within the broader custodial estate that will have an impact on it. The Children’s Commissioner noted that poor child-to-staff ratios are making it harder for children to be moved around the prison. That difficulty is compounded by the overall shortage of experienced prison officers, as those who have gained vital skills and understanding, having worked with children for years, have left the prison service, and by the specific shortage of mental health-trained officers, who were forced out by Government cuts that left staff undervalued when they were being put through increasingly difficult and trying conditions.
The shortage of mental health beds across the country following underfunding and under-resourcing is also forcing many institutions to keep children and young people in segregation for long periods while they wait for mental health beds to become available. That abhorrent practice is damning of the crisis in our NHS. A report by NHS England last year that looked at the characteristics, needs and pathways in terms of the care of young people in secure settings found that 41% of young people placed in the youth justice estate had mental health or neurodevelopmental difficulties, as the hon. Member for Henley pointed out. We must ask whether we should be sending young people with such difficult challenges to custody in the first place, and whether they would be better placed in secure medical institutions that are better equipped. It is clear to me that, with the cuts to NHS services, many mental health services are being reduced in comparison with the need for them. The justice system is being used as a dumping ground for individuals when there is no capacity elsewhere.
We cannot ignore, either, the lack of procedural safeguards that allows institutions to place young people in extended segregation. The Howard League has stated that, when it requests paperwork on isolation—even when it is the subject of a legal challenge—it faces difficulties in obtaining it. It also states that children are denied clear targets to help them move out of segregation. Particularly critical, however, are cases where institutions were unaware that external professionals such as youth offending teams and social workers should be invited to segregation reviews. Coupled with the length and nature of segregation, that all amounts to a wilful violation of the internationally recognised Mandela rules.
It must also be noted that segregation is just one aspect of the many problems with our youth custodial estate that show how unfit for purpose it is—another point highlighted by other hon. Members. One of the biggest issues is violence. The chief inspector of prisons declared in his 2017 annual report that there is not a single establishment in the youth secure estate where it is safe to hold children and young people. That was followed up by his annual report last year, in which he declared that children continue to feel unsafe in young offender institutions, and that rates of violence against both staff and young people are higher than in previous years.
The youth custodial estate also shows how great the disparity between BME and non-BME offenders has become. According to the prisons inspectorate more than half of young people in YOIs are from a black and minority ethnic backgrounds. That is a massive disparity when compared with the general population, and we should be asking deep and serious questions about why our youth justice system and custodial institutions are locking up so many young people from black and minority ethnic backgrounds.
Staff in the youth custodial estate must be able to maintain order in their institutions, but it must not be through painful restraint techniques or extreme segregation measures. That view is shared by the UN Committee on the Rights of the Child, the European Committee for the Prevention of Torture and the UN special rapporteur on torture, who all agree that segregation should never be used on children and young people. The Children’s Commissioner, among others, warns about segregation practices in the youth estate, and the Minister must commit today to an immediate, independent review that has the power to make recommendations not only on the use of segregation in the youth estate, but on every facet of youth custody, with a view to rebuilding the broken system that is failing to keep children safe.
As to safety, the shadow Minister referred to the 2017 report, and I am sure that he would acknowledge that the chief inspector of prisons subsequently acknowledged that there had been improvement, and that the 2017 verdict on the youth estate was not the current one. However, the hon. Gentleman is right to highlight what was said in 2017, because it was a shocking and important report, and we rightly considered it carefully.
Under rule 49 of the Young Offender Institution Rules 2000, children may be removed from association for the maintenance of good order or discipline, or in their own interests, for up to 72 hours. The presumption is that children should be separated—placed in their room —rather than segregated to a segregation unit, wherever it is possible to do so. Children in YOIs cannot be segregated for more than 72 hours without the authority of senior managers in conjunction with the independent monitoring board and healthcare assessments. Segregation can be authorised by the young person segregation review board for up to 14 days at a time to a maximum of 21 days; a prison group director’s authority is required for anything beyond that. The prison group director must review any segregation of a young person that continues for 21 days, and for each subsequent period.
The youth custody service closely monitors the number of children removed from association under rule 49 of the Young Offender Institution rules, to ensure that all relevant management checks are in place—in a moment I will come on to points about mental health and educational assessments, which I know are of particular interest to the hon. Member for Kingston upon Hull West and Hessle. Those checks include the number of instances of children being removed for more than 21 days, which require a prison group director review and approval. The PGD will review the situation again after each subsequent 21-day period.
The reasons why children may be removed from association for longer periods of time vary. As the Children’s Commissioner and my hon. Friend the Member for Henley said, some may choose to “self-isolate”, and refuse to engage with the regime or mix with other children. That can happen for a variety of reasons, some of which I may come to. Other children have been involved in multiple violent incidents, and display violent behaviour towards other children or staff. Each individual case is carefully considered and reviewed to ensure that when children are removed for long periods of time, the reasons for that are appropriate, especially if they are putting themselves, or others, at risk. I labour the point about rules because it is important to be clear that safeguards are in place, and such measures are regarded very much as a last resort, often driven by safety considerations.
As I said to the Joint Committee on Human Rights—the hon. Member for Bradford East rightly highlighted this issue—accurate data is vital for the operational running of any organisation, and to understand what is happening. I asked the chief executive of the youth custody service to look into how data can be better collected and collated in a consistent format. Such data is often reported by different institutions in different ways, which limits our ability to draw the clear conclusions that we need to make evidence-based policy.
It is not true that during removal a young person will have no meaningful human contact. The child will continue to have regular contact with staff, and individual regime and reintegration plans are agreed, with the primary aim of reintegrating children back into regular association and a normal regime as swiftly as possible. Staff are expected to focus on helping children to manage their behaviour, so that they are able to return to regular association. Such reintegration plans can include visits back to residential units for activities such as association, and they could even include sleepovers in the child’s normal room as part of that process.
A member of the healthcare team must be informed within 30 minutes of a child being removed from association in a YOI, and they must complete an initial removal health screen for the young person within two hours. The hon. Member for Kingston upon Hull West and Hessle is right to highlight mental health needs, which we seek to pick up through those screenings. Along with my hon. Friend the Member for Banbury (Victoria Prentis), the hon. Lady mentioned safety in custody and the risk of suicide or self-harm. She is right to suggest that in other contexts some evidence has established a link between isolation in any context and increased mental health challenges, but in England and Wales there have been no deaths among under-18s in prison custody since 2012. As she said, we must do everything possible to ensure that mental health is protected and there is no harm, but thus far we have been partly lucky, and—more importantly—thanks to the diligence of staff in our YOIs and STCs, there have been no deaths in prison custody of under-18s.
While removed, the child must be monitored at a frequency determined by an individual and tailored assessment of their needs. It is desirable to have greater interaction between staff and the child in segregation, to help that child manage their behaviour and return to regular association more swiftly. Such interaction will also alert staff to any concerns about mental health issues, and any risk of self-harm or worse. Every child who has been subject to rule 49 of the YOI rules for a continuous period of seven days must have a detailed short-term assessment of needs initiated. Children removed for a continuous period of more than 30 days must have a detailed care plan drawn up that states how their mental well-being is supported.