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Coping in the chaos: Pentonville’s neurodiverse unit is changing prison life

A radical and caring prison experiment has changed both prisoners and wardens. Nick Jones visited London's oldest prison.

Nick is the senior editor of Seen & Unseen.

An arched gateway to a prison sits behind a low raised wall. No windows are visible
First opened in 1842, Pentonville Prison serves a large part of central and east London.
Ben Sutherland via Wikimedia Commons

A London prison has seen a reduction in violence among prisoners and improved staff morale thanks to a new neurodiverse unit.  Pentonville prison’s new unit identifies and treats prisoners with autism, brain-injury, learning difficulties and even dementia. 

Jo Davies, Pentonville’s managing chaplain, helped set up the programme after conducting many regular prisoner reviews with colleagues. She noted that there was an apparent higher incidence of autism among prisoners than the general population. 

Prison is a challenging environment for those with autism. Routines are imposed, vulnerabilities are exploited by others. Frustrations can boil over into violent and self-destructive behaviours. Non-verbal behaviour also makes each interaction with other prisoners and staff a potential flashpoint leading to protesting behaviours or withdrawal.  All against a backdrop of a harsh white noise. Metal doors slam, Conversations and challenges are shouted, all constantly echo through the four open floors of each wing of the prison.  

Other neurodiverse conditions are present in prisons. An ageing prison population even has prisoners suffering from early onset dementia. Some forget the circumstances of their imprisonment.  

Teaming up with prison officers and support staff like psychologists, doctors and teachers, chaplain Davies notes that “now staff make it their business to work out how to work with these prisoners”. The unit has capacity for 45 prisoners in single cells. They share a common area for eating and other activities. Staff spend 10 weeks assessing the prisoners who can then benefit from up to 12 weeks of additional support. 

Ruth Hipwell, who leads the new unit, says: “it’s good to have a place in prison for those people who can’t cope.” Support ranges from little things like teaching a prisoner how to make a cup of tea or providing earplugs to reduce noise, to helping prisoners make better plans for coping and learning – both in prison and outside. 

On the wall of the unit is a timetable of events, illustrated by pictograms. Sessions include how to handle familiar tasks in the unfamiliar environment of prison: how to buy things or use the telephone, getting clean clothes and even how to handle being unwell.  Other sessions include accessing learning and getting a job.  

Robbie*, a prisoner in the unit says:

“It relaxes you. It’s wicked. The difference is the support.” 

The unit started work in October 2022 and the difference it made was spotted fast. It transformed staff, recalls Hipwell. “They have found their purpose. We have a level of multi-agency integration others can’t match.” 

Ian Blakeman, Pentonville prison’s governor, identifies additional benefits. “It frees up staff time and staff export skills to other parts of the prison.” These positive effects also help him keep good staff. A major challenge in London’s competitive labour market.  Other programmes reinforce this change in culture across the prison range from addiction treatment to rebuilding family relationships affected by gang affiliations.  

Pentonville now has the lowest self-harm rates in the country and is the least violent prison of its type in the UK. 

With prisons a low political priority, it’s even more remarkable to learn that Pentonville’s neurodiverse unit required no additional budget. Its win-win results are a flicker of hope in a bleak landscape. Times columnist Matthew Parris recently wrote: 

“Every generation looks back and spots an outrage. Today, when we think of slavery, child labour and lunatic asylums, we wonder how our ancestors could have been so cruel. What will horrify our own successors is our disgraceful prison system.” 

In response to Parris’s column, Jonathan Aitken, a former prisoner and now a chaplain at Pentonville who works with the neurodiverse unit, wrote to the Times.   

“The real disgrace lies not inside our prisons but in the failure of both public and private rehabilitation efforts to help prisoners into jobs, housing and law-abiding lives after their release. The good work done by prison officers, managers and governors is underreported… We are on a roll of improvements… But such advances are like clapping with one hand if they are not met by comparable efforts to rebuild the lives of prisoners after they walk out of the gate. Correcting the failures in this area should be a high priority for our politicians and for our society.” 

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Stephen Timms: still on mission

The MP on five decades trying to prove a Christian Tory wrong.

Robert is a journalist at the Financial Times.

 

A man in a suit turns to look at the camera and behind him is a gallery of large painting
Stephen TImms MP.

The day before the February 1974 election, the first in which he was old enough to vote, Stephen Timms says an elder at the Brethren assembly that he then attended – near his home in Fleet, in Hampshire – took him aside. The Brethren are a non-denominational, non-conformist evangelical Christian movement. 

“You will be voting Conservative, won’t you?” Timms recalls the man asking. 

The assumption surprised Timms, who had thought there was an “obvious connection” between the social justice elements of Christ’s teaching and parties that sought greater equality. He told the elder – Mr Gilmour – that he would be voting Labour. 

The incident was an early sign of how Timms, now 68, would spend a life that has brought together an evangelical Christian faith with attachment to the Labour party. 

His career has taken him as high as the Cabinet – where he was Chief Secretary to the Treasury for a year in 2006 and 2007. He became Sir Stephen in 2022. He also has a reputation as one of the MPs most dogged in pursuing case work for constituents. That commitment nearly cost him his life in 2010 when a constituent, angry at his support for the Iraq War, stabbed him twice at a constituency surgery. Timms is standing again at the coming general election for East Ham, the constituency which, with some boundary changes, he has represented in various forms since 1994. 

“I suppose I’ve spent 50 years trying to prove Mr Gilmour wrong,” Timms says. “[He was] a delightful man but I never agreed with him about that.” 

There is a “very clear trend” of economic justice in the biblical message, which the Labour party represents and seeks to realise, Timms goes on, over coffee at an arts centre in his constituency. 

“The Christian roots of Labour are absolutely clear,” he says, pointing out that Keir Hardie, the party’s first leader, was an evangelical Christian and many of its other founders were Methodists. “I’ve always seen Labour values and Labour aims as wanting to realise that commitment to economic justice which is such a clear thrust of the Bible.” 

He sees no attempt in the Conservative party to realise that vision, he says. 

“It’s just not a subject of interest, I don’t think,” Timms says of Conservative supporters. “For people in the Conservative party, there are concerns about maintaining order and respectability and all those things and I can understand how you might find those in the Bible. But I don’t think that’s what the Bible is about.” 

“His argument to me was, ‘You believe in God; we believe in God; we think you should go for this’.”

Timms’ attachment to his small area of East London is almost as strong a thread in his story as his Christian and Labour party commitments. He first came to the area while a maths student at Cambridge, in the summer of 1976, as part of a two-week mission by the Christian Union of Emmanuel College to Forest Gate. It was a formative experience. 

“It was the first time I could see how what I believed could shape my life,” Timms recalls. 

He returned to the area in 1978 when, after leaving university, he was recruited by Logica, then an information technology and management consultancy, working in the west end of London. He joined the church that the 1976 mission had planted – now called Plaistow Christian Fellowship. He continues to attend the church with his wife, Hui-Leng, originally from Singapore, who was also part of the 1976 mission. 

His joined the local Labour party. 

“Very quickly, I was asked to be the secretary of my local branch Labour party, which was Little Ilford branch, and then very quickly after that I was asked to be the secretary of the constituency Labour party,” Timms recalls. 

Timms was chosen as an office bearer, he believes, because of his neutrality in a bitter feud. Left-wing activists had tried to oust Reg Prentice, Labour MP for the constituency, then called Newham North-East. They claimed he was fundamentally a Conservative. Long-standing local activists had successfully defended him. Both sides had been left dismayed when Prentice subsequently defected to the Conservative party. 

“It was a terrible mess,” Timms recalls. 

His first elected office was as a councillor on Newham Council, fighting in an unusually high-profile council byelection in 1984. The party had, surprisingly, lost the three Little Ilford wards to representatives of the then Liberal-SDP Alliance. But it emerged that two of the Alliance councillors had given false addresses and there was a byelection. 

“Ken Livingstone came down; Neil Kinnock came down,” Timms recalls, referring, respectively, to the then Labour leader of the Greater London council and the Labour party nationally. “We threw everything at it.” 

Timms was leader of Newham council when, in 1994, the previous MP, Ron Leighton, died of a heart attack. After being chosen as the Labour candidate, Timms won the subsequent byelection, in June 1994. 

His connection with his church has remained critical, he says. A group in the church offered to pray with him every month when he became a councillor. They increased the frequency to weekly once he became leader of the council. 

“We still do that and that has been a very important source of support for me through all the ups and downs of the intervening 34 years,” Timms says. 

Yet it was not a foregone conclusion that an evangelical Christian would form such a strong bond with, first, Newham North-East and then East Ham, as the constituency has been known since 1997. The seat has, according to the 2021 census, the eighth-highest proportion of people – 41.2 per cent – identifying as Muslim. 

Timms insists the tension is less than it might appear. The first person to urge him to stand as an MP following Ron Leighton’s death was the chair of the Alliance of Newham Muslim Associations, he says. 

“His argument to me was, ‘You believe in God; we believe in God; we think you should go for this’,” Timms recalls. 

There are points of connection between different faith groups in the area, he adds. He has a particularly strong connection with Bonny Downs Baptists Church, in Beckton, which has an active food bank and many other social ministries. 

“If you look at the people who around this community are really doing things to help here, it’s the faith groups,” Timms says. “It’s Bonny Downs Baptist Church; it’s some of the Muslim groups.” 

“I certainly see what I’ve been doing in politics as a calling, as part of what I came here first of all to do, which is to take part in a mission,”

Timms’s sense of affinity with his Muslim constituents, however, did not prevent the most distressing incident of his career – when Roshonara Choudhry tried to kill him at a constituency surgery in Beckton in May 2010. 

Medical staff described the two stab wounds, to his stomach, as “life-threatening” and Choudhry is serving a life term for attempted murder. She had been radicalised by online Islamist extremist sermons and acted because of Timms’ vote in favour of the 2003 Iraq war. 

“It was a very, very unpleasant episode,” Timms says, with characteristic understatement. 

In March this year, he says, he received a reply from Choudhry, part of a correspondence that began after she wrote to him expressing remorse for her actions. 

Even the stabbing, however, underlined the community’s goodwill, Timms insists. 

“I was absolutely inundated after that episode with people sending cards and good wishes – including Christians saying, ‘We’re praying for you’, and quite a lot of similar things from Muslims saying, ‘We’re praying for you for a speedy recovery’,” he says. “I hadn’t had that experience before of Muslims telling me, ‘We’re praying for you’. So it left me with a stronger sense, I think, of being supported by my Christian and Muslim constituents, which I appreciated very much.” 

Timms nevertheless remains an unapologetically partisan politician. He wants a Labour government under Keir Starmer, he says, to resolve problems he says have built up over 14 years of coalition and then Conservative government since 2010. 

“I think the country is in a sorry mess,” he says. “I think we very urgently need a change of direction. I think that the prescription that Keir Starmer has set out offers a hopeful way forward.” 

Timms, who is currently chair of the Commons work and pensions committee, says he would be “delighted” to return to a ministerial role in a Starmer government. He is standing as an MP again in the hope of being able to support a new Labour government. 

“It would seem a shame to leave just when we might be on the brink of a Labour government again,” he says. 

Nevertheless, the way he links his work as an MP with his Christian faith sets him apart. 

“I experienced a calling to be in this area,” Timms says. 

As far back as when he came to East London, his thinking about faith, what to do with his life and politics were all “intertwined”, he adds. 

“I certainly see what I’ve been doing in politics as a calling, as part of what I came here first of all to do, which is to take part in a mission,” Timms says.