National Preventive Mechanism Eleventh Annual Report 2019–20 less than a quarter of prisoners said they received 10 hours a day out of cell.128 Of the adult male establishments inspected by HMI Prisons during the year, fewer than half had rehabilitation and release planning which was judged to be good or reasonably good. In 2019–20, local and category C training prisons performed more poorly than other types of establishment inspected by HMI Prisons. Most open prisons performed well, but homelessness or unstable accommodation on release continued to be a serious problem across the estate, with some local resettlement prisons releasing nearly half of all prisoners to homelessness or temporary accommodation.129 HMP Liverpool, however, had worked hard to develop a meaningful relationship with the local authority and 85% of its prisoners were released into settled accommodation. HMI Prisons was concerned that systemic problems with the offender assessment system (OASys) continued to hinder the prompt completion of assessments by HMPPS which manage a prisoner’s risk, impeding all subsequent aspects of prisoner progression and risk management. Inspections identified large numbers of prisoners without an upto-date OASys, affecting as many as 50% of eligible prisoners at HMP Pentonville and 60% at HMP Bullingdon.130 In March 2019, the opening of a new separate unit designated for transgender women assessed as high risk was announced at HMP & YOI Downview. The unit had been earmarked for development as a community health and well-being centre, but these plans were paused. The local IMB was highly critical of the short notice re-designation of the wing, leading to continued issues with health care. There were high levels of self-harm in the first three months of the unit opening.131 In July 2019, the guidance for the care and management of individuals who are transgender was updated.132 HMI Prisons reported that, overall, the outcomes in the five women’s prisons inspected during the year were good or reasonably good in the areas of safety, respect and purposeful activity. Levels of self-harm remained high in the closed prisons inspected, which was often attributed to a small number of women with very complex needs. Significantly more prisoners in women’s than men’s prisons (39% compared to 19%) reported being subject to ACCT case management. ACCT case management was found to be good overall, but the quality of some entries in the records was inadequate. Staff-prisoner relationships remained a strength in women’s prisons.133 128 HMI Prisons, October 2020, Her Majesty’s Chief Inspector of Prisons 2019-20 Annual Report, https://www. justiceinspectorates.gov.uk/hmiprisons/wp-content/uploads/sites/4/2020/10/HMI-Prisons_Annual-Report-and-Accounts2019-20-WEB.pdf [accessed 30/10/2020] 129 HMI Prisons, October 2020, Her Majesty’s Chief Inspector of Prisons 2019-20 Annual Report, https://www. justiceinspectorates.gov.uk/hmiprisons/wp-content/uploads/sites/4/2020/10/HMI-Prisons_Annual-Report-and-Accounts2019-20-WEB.pdf [accessed 30/10/2020] 130 HMI Prisons, October 2020, Her Majesty’s Chief Inspector of Prisons 2019-20 Annual Report, https://www. justiceinspectorates.gov.uk/hmiprisons/wp-content/uploads/sites/4/2020/10/HMI-Prisons_Annual-Report-and-Accounts2019-20-WEB.pdf [accessed 30/10/2020] 131 IMB, December 2019, Annual report of the IMB at HMP/YOI Downview, https://www.imb.org.uk/downview-2018-19annual-report-published/ [accessed 24/08/2020] 132 Gov.uk (webpage last updated 27 January 2020), Guidance: The care and management of individuals who are transgender https://www.gov.uk/government/publications/the-care-and-management-of-individuals-who-are-transgender [accessed 30/10/2020] 133 HMI Prisons, October 2020, Her Majesty’s Chief Inspector of Prisons 2019-20 Annual Report, https://www. justiceinspectorates.gov.uk/hmiprisons/wp-content/uploads/sites/4/2020/10/HMI-Prisons_Annual-Report-and-Accounts2019-20-WEB.pdf [accessed 30/10/2020] 42