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Joint review of police custody recommendations

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  • Joint review of police custody recommendations.pdf
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Inspection reports

26th August 2026

Since 2023 HM Inspectorate of Constabulary in Scotland and Healthcare Improvement Scotland have jointly undertaken a programme of inspections aimed at assessing the treatment of individuals detained at police custody centres across Scotland. Our reviews have looked at the physical conditions in which detainees are held, as well as analysing the quality of the custody centres operations at each location, and the healthcare services provided. Having published 10 such joint custody inspection reports to date, in which we made a total of 45 recommendations to Police Scotland and 104 recommendations to NHS boards, we took the decision to carry out a review of the progress made against these recommendations. The findings set out in this report are primarily drawn from our published joint inspection reports and our examination of progress made on recommendations during this review. As part of this joint review, HMICS inspectors also examined custody records on the National Custody System (NCS) to assess operational practice, interviewed custody staff, supervisors and senior officers, and carried out onsite visits to observe custody operations and assess implementation of inspection recommendation in practice. Inspection work carried out by HIS included the analysis improvement plans, evidence submissions and internal risk assessments, as well as undertaking focus groups with key partners to gather system-wide insight and triangulate findings. The resultant report identifies where progress has been made against recommendations and also highlights ongoing challenges. It also makes two new recommendations for Police Scotland concerning its custody operations, and one for NHS boards in relation to healthcare provision within police custody.

Additional

  • Joint review of police custody recommendations
  • HM Inspectorate of Constabulary in Scotland
  • Our review
  • Key findings
  • Recommendations
  • Methodology
  • Context
  • Leadership
  • Delivery
  • Outcomes
  • Healthcare

  • Joint review of police custody recommendations
  • HM Inspectorate of Constabulary in Scotland
  • Our review
  • Key findings
  • Recommendations
  • Methodology
  • Context
  • Leadership
  • Delivery
  • Outcomes
  • Healthcare

■           Strategic direction and leadership
Inspectors found clear strategic intent at senior leadership level, with the Police Scotland Custody 2030 programme providing a defined framework for future transformation. However, gaps in communication and staff awareness limited the extent to which the strategy was understood across the custody estate.

■           Oversight and delivery of recommendations
Police Scotland has strengthened governance structures to oversee inspection recommendations, including the introduction of an audit and assurance governance group and audit and assurance framework. While these arrangements are positive, inspectors found that progress has been uneven, with several recommendations and recurring thematic issues persisting.

■           Leadership visibility and stability
A lack of visibility of supervisory and senior leadership within custody centres continued to impact communication, consistency, and staff confidence. Frequent changes in senior roles and reliance on temporary leadership arrangements reduced continuity and momentum for improvement.

■           Custody estate and operating model
The current custody operating model was found to be outdated and not fully aligned to present demand, estate configuration, or staffing levels. The estate remains challenging to manage, with an ageing infrastructure and variability in capacity across locations.

■           Staffing and workforce resilience
Workforce pressures remain a significant concern, with staffing levels at times viewed as insufficient to meet demand. Inspectors found evidence of high reliance on staff movement, limited breaks, and reduced morale, indicating a lack of resilience in workforce planning.

■           Training and professional development
While initial custody training was considered adequate, inspectors found limited opportunities for ongoing development. Training provision for supervisory roles was described as insufficient, contributing to variability in practice and decision-making across custody centres.

■           Use of ICT systems and digital capability
Existing ICT systems were described as inefficient and outdated, with poor integration leading to duplication of effort and increased risk of error. Although recognised by senior leaders, progress towards implementing improved digital solutions remains at an early stage.

■           Detainee care, risk assessment and custody practice
Inspectors identified ongoing inconsistencies in the management of detainee risk, including a disconnect between risk assessments and care plans. Issues relating to observation levels, delayed cell visits and poor recording practices reflect findings from previous custody inspections.

■           Children and vulnerable detainees
While some improvement in oversight of children in custody was evident, inspectors found continued variability in practice, including instances of extended detention without clear rationale. This remains an area of risk requiring sustained focus.

■           Recording, audit and assurance
The introduction of internal audit processes is a positive development, however, findings were not consistently understood or embedded at local level. Recording practices on the National Custody System remain variable, limiting assurance on compliance and service delivery.

■           Healthcare provision
Inspectors identified meaningful progress in several areas of healthcare provision, including clinical governance, training, and infection prevention and control. However, improvement was inconsistent across health board areas, with variation in implementation and outcomes. There was a lack of clear oversight and quality assurance of healthcare in several police custody centres, which resulted in provision that was reactive rather than proactively monitored and managed.

■           Healthcare access and clinical risk
Persistent challenges were identified in access to healthcare, particularly in relation to mental health services, digital systems, and consistency in care pathways. Until access to specialist mental health assessment is more timely, equitable and consistently embedded across Scotland, mental health will remain one of the highest
‑risk areas for healthcare in police custody.

■           Partnership working and national improvement
Effective partnership working was evident across a range of areas, supporting progress in healthcare delivery and wider criminal justice outcomes. The joint inspection programme has contributed to strengthened national learning, increased assurance, and improved understanding of systemic risks relevant to healthcare provision.

■        Pace of change and system-wide challenges
While progress has been made, inspectors found that the pace of meaningful and sustained improvement remains constrained by structural, financial, and resource-related challenges. Continued focus and coordinated action are required to address longstanding and recurring issues.

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