Contents
- The Brook House Inquiry Report
- Shortcuts to each Volume
- BHI Report: Volume 1
- Foreword
- List of figures
- List of tables
- Executive Summary
- Pen Portraits
- Part A: Brook House and this Inquiry
- Part B: The context
- Part C: Incidents of mistreatment
- C.1 The approach to factual findings
- C.2 D1234 on 28 March 2017
- C.3 D2416 on 11 April 2017
- C.4 D1527 in April and May 2017
- C.5 D687 on 13 May 2017
- C.6 D1914 on 27 May 2017
- C.7 D149 on 31 May 2017
- C.8 D390 and D1851 on 5 June 2017
- C.9 D1538 in June 2017, and D1538 and D865 on 4 July 2017
- 3 June 2017: The underlying facts
- 3 June 2017: Relevant expert evidence
- 3 June 2017: Conclusions
- 6 June 2017: The underlying facts
- 6 June 2017: Relevant expert evidence
- 6 June 2017: Conclusions
- 28 June 2017: The underlying facts
- 28 June 2017: Conclusions
- D1538 and D865 on 4 July 2017: The underlying facts
- D1538 and D865 on 4 July 2017: Conclusions in relation to D865
- D1538 and D865 on 4 July 2017: Conclusions in relation to the impact on D1538
- C.10 D2953 on 10, 11 and 16 June 2017
- C.11 D1275 on 14 June 2017
- C.12 D313 on 15 June 2017
- C.13 D2054 on 28 June 2017
- C.14 D728 on 6 July 2017
- BHI Report: Volume 2
- List of figures
- List of tables
- Part D: Issues at Brook House
- D.1 Introduction
- D.2 The contract to run Brook House
- D.3 The physical design and environment
- D.4 Detained people’s safety and experiences
- D.5 Safeguards for vulnerable individuals
- D.6 Restrictions on detained people
- D.7 Use of force
- D.8 Healthcare
- Provision of healthcare
- Challenges facing delivery of healthcare services
- The culture within the Healthcare department
- Food and fluid refusal
- The role of healthcare staff in relation to use of force
- ‘Fit to fly and fit for detention’ letters and healthcare sanction of use of force
- Mental capacity
- Healthcare complaints
- D.9 Staffing and culture
- D.10 Complaints and whistleblowing
- D.11 Inspection and monitoring
- Part E: Recommendations to prevent recurrence of mistreatment
- BHI Report: Volume 3
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