HMP Lowdham Grange

Updated 19 January 2024

HMP Lowdham Grange is a Category B private prison situated in the village of Lowdham in Nottinghamshire. The prison accommodates approximately 1000 male prisoners and is operated by Sodexo Ltd.

NHS England commission Nottinghamshire Healthcare NHS Foundation Trust (NHFT) to deliver healthcare services at HMP Lowdham Grange. NHFT are registered with CQC to provide the regulated activities of diagnostic and screening procedures, personal care, and treatment of disease, disorder or injury.

Our previous comprehensive inspection was conducted jointly with His Majesty’s Inspectorate of Prisons (HMIP) in May 2023 and was published on HMIP’s website on 16 August 2023 and can be found at:

Report on an unannounced inspection of HMP Lowdham Grange by HM Chief Inspector of Prisons 15-26 May 2023 (justiceinspectorates.gov.uk)

Updated 19 January 2024

We carried out an announced focused inspection of healthcare services provided by Nottinghamshire Healthcare NHS Foundation Trust at HMP Lowdham Grange on 25 & 26 October 2023.

Following our last joint inspection with His Majesty’s Inspectorate of Prisons (HMIP) in April 2023, we found that the quality of healthcare provided by Nottinghamshire Healthcare NHS Foundation Trust at this location required improvement. We issued a S29A Warning notice as a result of breaches under the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.

The purpose of this focused inspection was to determine if the healthcare services provided were meeting the legal requirements of the S29A Warning notice that we issued in June 2023 and to find out if patients were receiving safe care and treatment.

At this inspection we found that despite some improvements, there had not been sufficient progress and we found new concerns. As a result, we issued a Notice of Proposal to impose conditions for the provider at this location.

We do not currently rate services provided in prisons.

At this inspection we found:

• Systems to manage patient applications were unsafe.
• The management of medicines had improved since our last inspection.
• Incidents were not always investigated in a timely manner and learning from incidents was not identified and shared with staff.
• There was no oversight of patient complaints and staff followed different processes.
• Patients did not receive timely responses to complaints.
• Staff supervision and training rates had improved, and staff felt more supported than at our last inspection.
• Patients with identified need for psychological interventions did not have their needs met.