Section one Context that the PPO undertake a ‘dedicated, bespoke, independent, Article 3-compliant investigation’.86 At the end of the reporting year, lawyers had challenged the fact that the PPO inquiry would not have the power to compel witnesses and a verdict from the High Court was awaited. G4S, which ran Brook House IRC, had commissioned an investigation; this identified weaknesses in management processes and arrangements around staff training, appraisal and development, as well as the governance of the use of force.87 Health and social care detentions A general trend in increased detentions under mental health powers was evident across the UK. The latest available data for Wales showed that the number of formal admissions under the Mental Health Act and other legislation during the year 2016–17 increased by 3% to 1,779.88 In Northern Ireland, the number of compulsory admissions to mental health hospitals under the Mental Health (NI) Order 1986 increased by 119 (12.1%), from 987 in 2014–15 to 1,106 in 2018–19.89 There was an estimated 2% increase in mental health detentions in England during 2018–19, although there are shortcomings with the quality of available data.90 In Scotland, in 2018–19 there were 6,038 new episodes of compulsory treatment during the year – the highest figure since the current legislation came into force in 2005.91 In December 2018, after public pressure about poor treatment of people with mental health problems, learning disabilities and/ or autism, including children, the CQC was commissioned by the Secretary of State for Health and Social Care to undertake a review in England of restraint, prolonged seclusion and segregation for people with a mental health problem, a learning disability and or autism.92 Interim findings, published in May 2019, identified that services found it challenging to meet the needs of those held in segregation, many staff lacked the necessary skills to deal with people in segregation, some wards were unsuitable environments, and there were delays in 86 The Guardian, October 2018, Home Office agrees to inquiry into immigrant abuse allegations, https://www.theguardian. com/uk-news/2018/oct/11/home-office-agrees-inquiry-immigrant-abuse-claims-detainees-removal-centres [accessed 14/01/20] 87 K. Lampard VERITA, February 2018, Managers need to model the right behaviours for a successful organisational culture, https://www.verita.net/blogs/managers-need-to-model-the-right-behaviours-for-a-successful-organisational-culture/ [accessed 05/12/19] 88 Welsh Government, January 2018, Admission of patients to mental health facilities: April 2016 to March 2017, https://gov.wales/admission-patients-mental-health-facilities-april-2016-march-2017 [accessed 05/12/19] 89 Department of Health, August 2019, Mental Health and Learning Disability Inpatients 2018-19, https://www.health-ni.gov. uk/news/mental-health-and-learning-disability-inpatients-2018-19 [accessed 04/02/20] 90 NHS Digital Mental Health Act Statistics, October 2019, Annual Figures 2018–19, https://digital.nhs.uk/data-andinformation/publications/statistical/mental-health-act-statistics-annual-figures/2018-19-annual-figures [accessed 05/12/19] 91 Mental Welfare Commission, October 2019, Annual statistical monitoring, https://www.mwcscot.org.uk/sites/default/ files/2019-11/MHA-MonitoringReport2019.pdf [accessed 05/12/19] 92 Care Quality Commission, November 2018, Terms of reference of the use of restraint, prolonged seclusion and segregation for people with mental health problems, learning disabilities and/or autism, https://www.cqc.org.uk/sites/default/ files/20181203_restraint-thematic_tor.pdf [accessed 05/12/19] 33