In his last annual report, and in various other publications, the Prisons and Probation Ombudsman (PPO) called for a review of Assessment of Care in Custody and Teamwork (ACCT) arrangements. While the review is not as comprehensive as we might have liked, we welcome the opportunity to contribute to NOMS’ review of the compliance and delivery of the ACCT process. Our investigations have frequently identified weaknesses in the implementation of ACCT and this has been emphasised by contact with prison staff. These staff have highlighted the need for ACCT to be updated and streamlined to ensure it can be effectively delivered in a Prison Service with many more prisoners and fewer staff than when ACCT arrangements were introduced.