Prisoners with mental health problems 'not cared for properly once released'published at 13:31 British Summer Time 14 June 2017
There is still not enough done to ensure prisoners with mental health problems are cared for after they are released, the review found.
Nick Moor, from Niche Health and Social Care Consulting, which carried out the report, said: "The largest concern shared by all on the investigation panel and many of the people we interviewed was that despite these efforts, the challenges to ensure appropriate after care on release for prisoners with mental health problems remain.
"If we were able to make just one recommendation to improve services and reduce the likelihood of such a tragic case happening again, it would be that the national services concerned (Department of Health, NHS England and Ministry of Justice) strenuously work together to improve the care and aftercare of prisoners with mental health problems."
Among the report's recommendations are:
*To improve the discharge planning of vulnerable prisoners with mental health problems who are released earlier than planned, including the development of clear guidelines for staff to refer to other mental health services
*To improve information sharing between health and criminal justice services
*To ensure the current pathway for released prisoners ensures those in need have access to mental health services upon release