CAT/OP/GBR/CSPRO/1 123. The police are required to notify the Mental Welfare Commission for Scotland of any person held under this power. The Commission has a statutory responsibility to monitor the use of powers in the 2003 Act and it publishes the results of its monitoring in an annual report. The number of orders in which the identified place of safety was a police station was at its highest in 2011/12 at 106 (18%) with the most recent figures showing that this percentage has dropped to 3% (35) for 2018/19. 124. The Commission continues to monitor this activity and its relevance to the content of local psychiatric emergency plans. Northern Ireland 125. Strategic direction within this healthcare remit is set out in the joint publication from the Department of Justice (DoJ) and the Department of Health (DoH) “Improving Health within Criminal Justice Strategy” and the accompanying Action Plan which were published in June 2019. Healthcare services (physical and mental) and addiction services are provided through healthcare teams based in each prison establishment. 126. The Juvenile Justice Centre in Northern Ireland has a range of processes and protocols in place for all young people following admission to the custodial centre. All young people are subject to a health assessment within 24 hours of admission to the facility and to a GP review within 7 days; this incorporates a physical and a mental health screen to identify issues at the earliest opportunity. This identifies any support required immediately. 127. Going forward, the Department of Justice is working with the Department of Health to develop an integrated Regional Care and Justice Campus for children in Northern Ireland. The new joint facility will provide a therapeutic model for meeting the health and mental health care needs of juvenile offenders. Satellite community wrap-around provision, including accommodation, will be developed as part of this wider Campus, with the aim of keeping all but a small number of children out of secure accommodation. “74. The Subcommittee echoes the CPT recommendation that prisoners with severe mental-health conditions should not be placed in segregation units as an alternative to normal accommodation; “instead, such prisoner patients should be treated in a closed hospital environment, suitably equipped and with sufficient qualified staff to provide them with the necessary assistance.” England and Wales 128. Prisoners who need to be transferred to a psychiatric unit for treatment should be moved out of prison as quickly as possible. Prison transfer and remissions guidance in relation to COVID-19 was published by HMPPS and NHS England and NHS Improvement (NHSE/I) in April 2020. 129. The NHS has worked with the Prison Service to collect new evidence to increase the understanding of secure hospital transfers under the Mental Health Act 1983. This evidence, published in December 2018, has increased understanding of where transfers work well and how delays arise. NHSE/I is updating the transfer and remission guidance for prisons, and this is expected to be published later this year. 130. The Mental Health Act White Paper accepts in principle the introduction of a statutory time limit of 28 days from initial assessment to hospital admission for prisoners and detainees identified as requiring inpatient admission for treatment of mental health needs; and the introduction of an independent role to manage the transfer process, coordinating between the different agencies on behalf of the patient. This will be reflected in updated NHSE/I transfers and remissions guidance to be published later this year. The White Paper recognises the importance of embedding this guidance before making the time limit statutory. 131. Prisoners should only be held in the segregation unit under the proper authority. This is provided by the Prison (YOI) Rules: • Under Prison Rule 45 (YOI Rule 49) – Good Order Or Discipline/Own Protection; 20