CAT/OP/GBR/CSPRO/1 Delivery of health services 44. Health and justice partners have committed publicly to providing a standard of health care in prisons equivalent to that available in the community. This is discussed further in response to the SPT’s recommendations referring to ‘Healthcare in places of deprivation of liberty’. Prisoners’ access to purposeful activities 45. Prisons are resourced to deliver healthy regimes for prisoners, based on their core day (daily regime schedule), the agreed safe staffing levels and the maximum level of activity that can be achieved. Legislation and a framework of operational policies help structure the core day and ensure national minimum standards are met. Governors have autonomy over activity types and the way in which their staff are deployed, and central services are available to help prisons operate effectively. 46. Work is underway to articulate a future vision for prison regimes which applies the learning gained from Covid-19, which has shown that facilitating a quality regime and ensuring time is productive, including through offering in-cell activity, is more important than simply seeking to maximise time out-of-cell. Material conditions of detention 47. As announced at the spending review in November 2020, we have committed over £4 billion to make significant progress in delivering 18,000 additional prison places across the prison estate by the mid-2020s. These 18,000 prison places include the 10,000 places being made available through the construction of four new prisons, the expansion of a further four prisons, refurbishment of the existing prison estate and the completion of our ongoing prison builds at Glen Parva and HMP Five Wells. 48. We are also investing a total of £315m in capital funding in 2020/21 to improve the condition of the existing estate. This will be supported by temporary units which will provide 1,000 temporary prison places to accommodate offenders during maintenance and refurbishment work, as well as support shorter-term population pressures. Construction is well underway on HMP Five Wells, the new prison at Wellingborough in Northamptonshire, and works have started at Glen Parva, Leicestershire. These prisons will provide safe, decent, and secure environments to support effective rehabilitation. 49. We have committed an additional £156 million in 2020/21 to address some of the most immediate maintenance and renewal issues across the prison estate. The recent spending review settlement will provide a total of £315m in capital funding in 2021/22 to invest in further improving the condition of the existing prison estate. We have recently announced that over £140m will be spent installing temporary prison cells, repairing and refurbishing prisons, approved premises and young offender institutions, and improving IT in prison. Scotland 50. The Scottish Prison Service (SPS) seeks to comply with international standards of treatment for prisoners and HM Inspectorate for Prisons undertakes monitoring of prisons using Standards that focus on the upholding of human rights of those detained in prison. In publishing her most recent Annual Report (2019), HM Chief Inspector of Prisons for Scotland stated: “One of the key factors affecting the atmosphere in a prison is the quality of relationships between prisoners and those who work in prison and CCUs. I continue to be hugely impressed that despite COVID-19, the commitment of staff and their ability to care for and protect prisoners, a substantial proportion of whom are vulnerable, continued throughout.” 51. The Scottish Government has committed a total of £460.2 million to the SPS for 20212022, an increase of £18 million compared to 2020-2021 to help manage multiple pressures including a rising and increasingly complex prison population. 52. The SPS resource budget will increase by £12.4 million to £354.6 million - this is a 4% increase on last year. This increase will enable SPS to respond to operational challenges. 10