CAT/OP/GBR/CSPRO/1 individuals arriving at IRCs are medically assessed by a nurse within two hours of their arrival and offered an appointment with a doctor within 24 hours. Individuals also have access to medical assistance whilst they are in an IRC. The Detention Service Order 08/2016 ‘Management of adults at risk in immigration detention’ was published to ensure all staff, including healthcare staff, are aware of the additional responsibilities towards individuals identified as adults at risk and includes a range of mitigation and safeguarding actions, such as personalised and supported living care plans. 219. Rule 35 of the Detention Centre (DC) Rules 2001 requires doctors working in IRCs to report to the Home Office where they have concerns that an individual (i) is likely to be injuriously affected by continued detention or any conditions of detention or (ii) suspects of having suicidal intentions or (iii) may have been a victim of torture. All reports raised under DC Rule 35, or Short-Term Holding Facility Rule 32, are now considered by a single team within the Home Office which is independent from detained casework commands. The team does not manage any individual in detention, and it makes an independent decision based on the individual circumstances of the case in line with the Adults at Risk in Immigration Detention Policy. Following due consideration, a decision will be made and relayed to the individual, their appointed representative, the relevant IRC or STHF and the casework team as to whether or not continuing detention remains appropriate. 220. We have also restricted the circumstances in which pregnant women may be detained and placed a time limit on their detention – 72 hours, extendable to up to a week with Ministerial authority. Between January 2020 and September 2020, there were a total of 7 pregnant women that had been detained in the immigration removal estate. 221. We ended the routine detention of families with children in 2010, introducing the family returns process to deal with families with no right to be here, including a greater focus on voluntary return. Where it is necessary to enforce a family’s departure and to do so via detention, this will be in specially designed accommodation and only for a normal maximum of 72 hours (extendable to up to a week with Ministerial authority). Key aspects of family returns process, including detention time limit, are enshrined in Immigration Act 2014. E. Court Custody “104. The Subcommittee calls on the State Party to implement the recommendations of the reports of the NPM member (Lay Observers) and to ensure that: a) the accurate and complete records, in particular of PERs, are maintained;” England and Wales 222. The new Prisoner Escort Custody Service (PECS) contract which commenced in August 2020 is introducing a digital solution to the PER (the DPER) which will ensure that transport for Detained Persons cannot be booked if there is insufficient information on the DPER. The DPER will automatically populate some information from existing databases and the system also includes mandatory fields which must be filled to allow completion. It is anticipated that the introduction of the new DPER will significantly improve completion rates for elements of the PER that are not completed consistently. PECS are continually working with all CJS partners to monitor and assure this process. Northern Ireland 223. Prisoner Escorting and Court Custody Service (PECCS) are responsible for those held in the 17 court custody suites in Northern Ireland. PERs are completed on all persons placed in our care. These records are subsequently utilised to provide the necessary information to our reception staff within prisons and our partners should individuals be remanded or sentenced into our establishments. This information along with police custody information (PACE 15 & 16) assist PECCS staff to complete an individualised risk assessment on those held in court custody suites. “b) an individualized risk assessment is made for each person in court custody;” 33