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 Jones

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.”

Can Bazball teach us something about freedom?

In the wake of England's remarkable victory over India in Hyderabad, Cameron Wiltshire-Plant explores the unlikely links between Bazball and the spiritual life.

Cameron Wiltshire-Plant

Cameron is training to be a vicar in the city of Leicester.

A gaggle of cricket players, dressed in whites, stand on the field. One raises there arm

The England team.

Back in May 2022, the way England played cricket got a new nickname - bazball. Coined by a journalist, it reflected the name and attitude of the pair who lead the team - .Brendon 'Baz' McCullum and captain Ben Stokes. Both had reputations as attacking players. That nickname has proven to be extremely prescient.

The name has accompanied England in the eighteen months since, describing their transformation from a side languishing with a record of one win in seventeen, to perhaps the most feared side in the world because of their aggressive style of play, winning twelve of their first thirteen tests with Stokes in full-time charge. This England team are currently testing their newfound confidence on an away trip to India where no side has won for eleven years, travelling with more optimism than at any point in the last decade, having whitewashed Pakistan last winter 3-0.

Bazball, at its core, is about freedom to fail. Stokes and McCullum realised that fear of failure was suppressing performances, so they took the burden from the players.

What is ‘Bazball’? It’s even made it into the dictionary, with its definition being ‘a style of test cricket in which the batting side attempts to gain the initiative by playing in a highly aggressive manner.’ This doesn’t go far enough.

The approach is not merely about batting but aggression in bowling, fielding, and team selection, encompassing almost a way of life. Recently retired fast bowler Stuart Broad summarising it as choosing ‘running towards the danger.’ Perhaps cricket journalist Ali Martin sums it up best; ‘to soak up pressure when required but also be brave enough to put it back on opponents at the earliest opportunity; to make taking wickets the sole aim in the field; and to strive chiefly for victory across the five days without considering the draw.’

All of this seems a little bit corporate-speak. Bazball has been accused of this fragility often; that it consists merely of good vibes and brash talk, and that the steam will soon run out of this new approach once some better teams are faced. But dig a little deeper and one principle stands out above the rest: freedom. Cricket can be a suffocating sport to play, even on a village green on a Saturday- a team sport, but one in which the bowler and batsman compete alone in a gladiatorial contest repeatedly. Scale this up to test level, with bowlers throwing them down at 90mph, thousands of spectators, the pressure of performing for your country, and the fight to keep your place in the team, and you can soon see how the pressure can become a burden.

Bazball, at its core, is about freedom to fail. Stokes and McCullum realised that fear of failure was suppressing performances, so they took the burden from the players- the talk of aggression, of running to danger, of attacking, is the permission to fail. By being prepared to lose, if the loss is a result of a determination to win, the fear of defeat is removed. Of course, without the intense pressure of defeat looming over them, players revel in this freedom and performances and results have dramatically improved. Almost all the batsmen have improved their average runs per innings and the bowlers have taken every wicket available except in one instance. Stokes has explained the freedom given in this way to the media:

‘[Bazball] has taken away all the external pressures of playing international sport. There's enough on individuals and as a team as it is but taking all the other stuff away is why everything is so relaxed, calm and enjoyable at the moment.’

Despite Bazball’s wider impact, with England football, rugby, and hockey all admitting to being inspired, does Bazball have anything to say to us outside of elite sport? It could be perceived as simply a method of getting performances out of cossetted professionals weighed down by expectation through a bit of team building and positive messaging. Instead of practicing cricket Stokes’ team practice golf. Players can now set their own bedtimes. How does this relate? However, it’s the stories of McCullum and Stokes that give bedrock to the ethereality of the Bazball concept.

Perhaps this is all Bazball is: cricket-with-context. It’s easy to give freedom from fear of failure when you’ve come close to losing everything.

In November 2014, promising Australian cricketer Phillip Hughes was killed by a bouncer in an Australian domestic game, shocking the cricketing world. Brendon McCullum at the time captained New Zealand’s test team, and Hughes’ death awoke something in him; a realisation that cricket didn’t matter all that much, and was best enjoyed as entertainment, both for the players and spectators. Already an aggressive player and captain, McCullum went into overdrive, playing aggressive but joyful cricket all over the world, freed from consequences and simply enjoying playing. His New Zealand team reached the World Cup final the following year and McCullum signed off with the fastest Test hundred of all time- 54 balls(!)- in his final test.

Stokes himself has walked in his own darkness; arrested in 2017 just as his performances were rocketing for England for violently defending a gay couple on a night out after a win in Bristol, he lost the vice-captaincy and a place on an away Ashes tour despite eventually being acquitted. In 2021, after sustaining an injury to his finger that would not heal, and amidst the death of his father, he wrestled with panic attacks and anxiety, ultimately taking a six-month break from the sport completely. It’s easy to see because of these stories why losing a game of cricket has come to matter less than enjoyment of the sport and playing in an entertaining and relaxed style. Perhaps this is all Bazball is: cricket-with-context. It’s easy to give freedom from fear of failure when you’ve come close to losing everything.

This is something Christians have known for centuries. The knowledge that your darkest sins and most crass mistakes aren’t fatal, but can be forgiven and wiped clean can give a freedom that transforms life. Rather than the anxious striving for perfection that can come in both religious and in secular forms, there is freedom to fail. After all, performance anxiety is a problem for social media influencers, hedge fund traders and teachers as well as cricketers.

Of course forgiveness can be abused as a kind of license to do what you want, knowing you'll get pardoned in the end anyway. But that only reveals a heart that acts out of self-interest, not love. Just as Bazball arises out of a sheer love for the game, as even more important than winning, so Christian behaviour arises, not from a desire to get away with as much as you can can, but out of love for God and your neighbour. And paradoxically - both approaches end up 'winning' more often than not - either successful cricket, or a healthy spiritual and moral life.

This is the graced existence: knowing that we are all free to fail because of the love of God who forgives. In an infinitely truer way than that Bazball is context-making for cricket, so this grace is context-making for life; held by this God in friendship, despite our petty sins and moral confusion. Just as Bazball allows cricketers to play with freedom, ignoring the pressure of expectation and simply enjoying the game, so humans can live with freedom, winning the battle against the limitations and pressure we put on ourselves, and simply enjoy being alive.

After all, if we offend, make awkward, or receive rejection, grace holds us. And if these things go well, our lives will be much richer.

The freedom to fail has released these cricketers to play the most exciting, aggressive, entertaining cricket they can. They have used their self-made context for good. How can we use our God-given context for good? In the same way: remembering that we are held by grace and able to live without fear, able to conquer our own pressures and expectations, the narratives of self-criticism that restrain us in our same old ways. If our actions had no consequences, what risks might we take? Perhaps we would tend towards the destructive like the scenes played out in The Purge. Or perhaps, held by grace, we could tend towards the constructive. Breaking the habits we know have held us back. Conversing with people outside of our comfort zone, seeking out their stories. Phoning the friend or family member with whom our relationship has broken down. After all, if we offend, make awkward, or receive rejection, grace holds us. And if these things go well, our lives will be much richer.

Sometimes Bazball is revered as a novel method to relieve pressure and extract performances from tense athletes, but the Christian faith demonstrates this is nothing new. Bazball might have revolutionised Test cricket, but Stokes and McCullum have simply rediscovered the freedom that comes from God’s gift of grace.