If you need support right now
In shortSamaritans (116 123), NHS 111 and 999 are the first doors; the EAP, Care Team and TRiM are the in-service ones.
This page is general information, not medical advice, and it cannot replace a conversation with a person. If you are thinking about harming yourself, or you are worried about a colleague, please use one of the services below before reading further.
There is no wrong time to ask for help and you do not need to be in crisis to use them.
- Samaritans
- Answers on 116 123, free from any phone, at any time, and says the number does not show on a phone bill (checked on Samaritans' own site on 3 October 2026).
- NHS
- Get help from NHS 111 online or by calling 111 and choosing the mental health option; call 999 or go to A&E if someone's life is at risk (NHS page checked 3 October 2026). Those are England-wide; in Scotland, Wales and Northern Ireland, 111 or the local urgent route may differ, so use 999 in an emergency.
- Employee Assistance Programme (EAP)
- A confidential line run for HMPPS staff by an external provider.
- Care Team
- A group of trained colleagues who offer practical and emotional support.
- TRiM practitioners and Mental Health Allies
- Volunteers trained to check in after difficult events. Later sections explain what each one is and how to reach it.
How common is stress among prison officers, in published figures
In shortMental ill health is the largest known reason for absence in both HMPPS and PSPRB figures, so this is not a minority problem.
- Working days lost, all HMPPS12.5 days12 months to 30 June 2026; public sector prisons 12.4
- Mental ill health share of days lost, HMPPS43.5%60.3% for probation officers; musculoskeletal second at 18.0%
- Operational staff days lost (PSPRB)13.2 daysUp from 11.9; band 3 and 4 officers highest at 14.0
- Band 3 to 5 officers, mental ill health36.5%Most common known reason; musculoskeletal 20.8%
The best-sourced numbers come from HMPPS's own workforce statistics and the Prison Service Pay Review Body (PSPRB). These are absence figures, not diagnoses, and they bundle together everything classed as mental ill health.
They do not tell you why people are off or how many carry on working while unwell. What they do show clearly is that this is not a minority problem, which matters if you are wondering whether you are the only one finding the job hard. You are not.
| Measure | Figure | Period and source |
|---|---|---|
| Average working days lost, all HMPPS staff | 12.5 days | 12 months to 30 June 2026 (HMPPS workforce quarterly) |
| Average working days lost, public sector prisons | 12.4 days | 12 months to 30 June 2026 (HMPPS workforce quarterly) |
| Mental ill health share of days lost, HMPPS overall | 43.5% | 12 months to 30 June 2026 (HMPPS workforce quarterly) |
| Operational staff average working days lost | 13.2 days (11.9 previous year) | 12 months to 30 September 2025 (PSPRB 2026, paragraph 2.80) |
| Band 3 and 4 prison officers | 14.0 days | 12 months to 30 September 2025 (PSPRB 2026) |
| Mental ill health share of known absence, band 3 to 5 officers | 36.5% | 12 months to 30 September 2025 (PSPRB 2026, paragraph 2.81) |
| Mental ill health share, band 2 operational support grades | 27.9% | 12 months to 30 September 2025 (PSPRB 2026, paragraph 2.82) |
Different publications use different periods and staff groups, so do not compare rows directly. Check the latest HMPPS workforce release for updates.
What the PSPRB adds
For the year to 30 September 2025 the PSPRB recorded 13.2 average working days lost for operational staff, up from 11.9 a year earlier. For band 2 operational support grades mental ill health was 27.9%, up from 25.1%.
The Review Body noted that high levels of overtime, time off in lieu and temporary promotion might have a relationship with absence and said further analysis would be useful.
What sits behind the pressure: what the evidence says, and who said it
In shortNo single source explains why officers struggle; the PSPRB, MoJ figures, unions and the Inspectorate each describe part of it.
- Assaults on staff9,83312 months to March 2026; 113 per 1,000 prisoners, down 7% in rate
- Serious assaults on staff871MoJ Safety in Custody, March 2026
- Female establishments311 per 1,000Assaults on staff per 1,000 prisoners, a new peak
No single source explains why officers struggle, and it is worth being clear about who is saying what. The PSPRB's 2026 report records HMPPS's view that prisons are a challenging workplace and that both physical safety and the day-to-day culture and facilities affect staff.
It reports that assaults on staff reached a new peak in the year to March 2025, and lists measures HMPPS has introduced.
- Body-worn video cameras and PAVA spray
- Rigid bar handcuffs for operational band 3 to 5 staff
- A new personal safety package with a professional standard for use of force
- Protective body armour in the long-term and high security estate
Union, officer and Inspectorate views
The latest official safety figures show some improvement but remain serious. Behind each number is a person, and a larger group of colleagues who witnessed it or responded.
The unions told the Review Body that the statistics do not capture routine threats and verbal abuse and that these can damage mental health and wellbeing (that is a union view, set out in the PSPRB report).
- Officers who spoke to the Review Body on visits described a lack of recognition for what prison officers do and the effect of long hours on families.
- They also described a changing population with high levels of remand prisoners and people with significant mental health needs.
- HM Inspectorate of Prisons, quoted in the same report, has pointed to overcrowding, staff shortages and an inexperienced frontline as a difficult combination.
The support HMPPS says it provides: what each service is
In shortHMPPS describes a layered system of EAP, occupational health, peer support and charity help, but most evidence is its own and some is from 2022.
Most of what is published about staff support comes from HMPPS's own descriptions rather than independent evaluation, and some of the detailed sources are from 2022.
The picture below is the structure as described in those sources; names of providers and exact services change when contracts are renewed, so check your intranet for the current offer.
The annual employee package, "Looking After Our People", is published on GOV.UK (first published 9 August 2022, last updated 1 December 2023 on the page we checked) and is the best single overview of the wider offer.
| Service | What it is | How you reach it | Things to know |
|---|---|---|---|
| Employee Assistance Programme (EAP) | Confidential helpline and counselling from an external provider; also critical incident support | Call or use the provider's app or website; details are on your intranet | HMPPS's head of OH and EAP said in 2022 that HMPPS staff used the EAP at around 23% of total use against about 13% for other large employers. Confidential. |
| Occupational health (OH) | Clinical assessments of fitness for work and adjustments | Usually a line manager referral; some self-referral tools were launched in 2022 | OH advises the employer on work, so ask the clinician what will be shared and with whom. |
| Care Team | Trained colleagues offering practical and emotional support, including after assaults | Via your prison's Care Team lead, a manager, or direct contact | Local volunteers; coverage depends on the prison. |
| TRiM practitioners | Trained to identify staff who may be struggling after a potentially traumatic event and offer one-to-one follow-up | Offered after incidents; HMPPS says TRiM is now available in all establishments (January 2025) | You can agree to a TRiM assessment; practitioners signpost to further services. |
| Mental Health Allies | Volunteers trained to support colleagues and challenge stigma | Ask your prison for names | HMPPS reported recruiting over 1,000 in the year to mid 2022. |
| The Charity for Civil Servants | Independent charity offering financial, emotional and practical support to civil servants | Through the charity's own site; named on HMPPS's recruitment pages | Open to current and former civil servants and dependants. |
Sources: PSJ 268 (2022), SOM webinar slides (2022), HMPPS response to an independent investigation (January 2025), Prison and Probation Jobs benefits page. Older material: confirm current providers and numbers on your intranet.
The layers described in 2022
In 2022 the MoJ's Head of Occupational Health and EAP described a layered system, listed below. She also described the Reach Out, Save Lives suicide prevention campaign launched in September 2020 with Samaritans and the Zero Suicide Alliance.
- The EAP, run by an external provider
- Occupational health (OH), run by a contracted provider
- A trauma and critical incident support service that she said could be deployed within days after a critical incident
- Peer support through Care Teams, TRiM practitioners (Trauma Risk Management) and Mental Health Allies
- A national network of regional prison staff support leads set up during the pandemic
How to use the support: a step-by-step route
In shortThere is no wrong order, but this sequence keeps you in control of how much your employer is told.
Many officers say they are unsure which door to knock on first. The sequence below reflects how the services are described in HMPPS sources and is not a policy document.
If you are comfortable doing so, tell your line manager what you can.
The head of OH and EAP noted in 2022 that some staff avoid the EAP for fear of being found out or labelled, even though it is confidential, so it is worth knowing that choosing to use a confidential line is a normal and legitimate step.
- Decide your first contact. If it is urgent, use Samaritans, NHS 111 or 999. If it is not urgent but affecting you, call the EAP or your GP.
- Find the EAP details on your intranet or on the keyfob, poster or app HMPPS distributed; ask a Care Team or Mental Health Ally if you cannot find them.
- If a specific incident is behind it, ask for a TRiM assessment or a Care Team check-in. HMPPS says staff who witnessed a potentially traumatic event can be offered TRiM and that managers should keep in touch.
- Consider a GP appointment. If you suspect something more than stress, the NHS says you can refer yourself to NHS talking therapies for many problems, including PTSD, without seeing a GP first, if you are registered with a GP and over 18 (16 in some areas).
- Ask your line manager about an occupational health referral if work adjustments would help. Ask what the OH report will contain and who will see it.
- Write down dates, what you asked for and what you were told. If work is the cause, this helps with a grievance or health and safety concern later.
- Contact your POA or other trade union representative if you are unsure about your rights, time off, or a process that is affecting you.
Confidentiality, your job and what you can ask
In shortThe EAP is described as confidential; occupational health advises the employer, so ask what will be written before you disclose.
Two worries come up repeatedly in staff discussions: will asking for help count against me, and who finds out?
- Disability (Equality Act 2010, section 6)
- A physical or mental impairment with a substantial and long-term adverse effect on the ability to carry out normal day-to-day activities. Some mental health conditions will meet that test and some will not, depending on your circumstances.
- Reasonable adjustments
- If you meet the test, you are entitled to them. That might include changes to hours, duties or location. Whether something counts as a disability is a legal question, and your union representative or ACAS can help you work out where you stand.
EAP and occupational health are different
EAP
- The published HMPPS description is that it is confidential
- You can use it without telling your manager
Occupational health
- Its purpose is to advise the employer about fitness for work and adjustments, so a report may reach your manager
- Ask the OH clinician what will be written and whether you can see it first
When work itself is the problem: your employer's duties
In shortEmployers must assess and control the risk of work-related violence and support affected workers, so you can legitimately ask for a risk to be assessed.
The Health and Safety Executive defines work-related violence as any incident in which a person is abused, threatened or assaulted in circumstances relating to their work. HSE also separates bullying and harassment, which it directs people to ACAS for. In a prison, those duties sit alongside the safety frameworks HMPPS publishes for staff and prisoners.
- Carry out risk assessments and put in place control measures
- Record and report incidents
- Support affected workers, including both those directly involved and witnesses
What that means in practice
You can legitimately raise a concern that a regime, staffing level, unit or process is putting you at risk, and ask for it to be assessed. Raise it in writing where you can, and name your union health and safety representative.
After an assault or serious incident you can expect to be asked how you are, and to be offered support rather than expected to carry on without comment.
The HMPPS protocol for staff assaults says the affected person's manager should meet them as soon as it is practical, and that support includes the EAP and the prison's Care Team. If you are not offered this, ask.
If the cause is how you are treated
The Rademaker review of professional standards in HMPPS, published on 6 May 2025, found distrust in how complaints about bullying, harassment and discrimination were handled, and the government said it would set up an independent complaints unit.
Progress is a matter for HMPPS, but it is a reminder that there is a separate route from the wellbeing services.
Hours, shifts, flexibility and money: the less obvious pressures
In shortStress is usually a combination of long shifts, short rest, overtime and what that does at home, so check the numbers and protect your rest.
Officers rarely describe stress as a single event. It is the combination of long shifts, short rest, overtime and what that does at home.
- The PSPRB reported in 2026 that operational managers said their hours were well in excess of their 37-hour contract and that this affected their families' wellbeing.
- Staff told the Review Body on visits that flexible working requests are often refused, with adverse effects on wellbeing and home lives.
- HMPPS told the Review Body that staff can submit up to two statutory flexible working requests in any 12-month period, subject to operational needs.
- Money worry is also a stressor: HMPPS's own recruitment pages say staff can use a financial wellbeing portal and the Charity for Civil Servants.
Check the numbers and protect your rest
- If overtime is propping up your household budget, overtime and Payment Plus can look different when you are tired; our Payment Plus calculator shows what extra shifts add and what they cost you after tax.
- If you are weighing leaving, check the take-home pay by band first so you are making the decision from numbers, not from a bad week.
- Where you can choose, protect days off, and use annual leave deliberately.
- Officers can carry over, buy and sell leave under the HMPPS leave package (Prison and Probation Jobs benefits page), which gives some flexibility.
If you need time off: sick pay, ill-health and injury benefits
In shortWe could not verify the HMPPS sick pay entitlements, so confirm yours with HR in writing; ill-health retirement and injury benefit exist for serious cases.
We could not verify the HMPPS sick pay entitlements (the periods of full and half pay) from a primary source on 3 October 2026, so we do not state them.
Your contract, the HMPPS attendance management policy and your HR or payroll team will confirm what applies to you and how a sickness absence affects pay, so ask for a written explanation before you plan around it.
Our sick pay guide and the sickness absence management guide explain the process as far as the published sources allow.
- Ill-health retirement
- If you cannot continue the job because of ill health, the ill-health retirement guide explains the lower and upper tiers in the Civil Service Pension Scheme.
- Civil Service Injury Benefit Scheme
- If an injury or condition is wholly or mainly attributable to the nature of your duty, you may be able to claim; see our guides on injury benefits and assault compensation. Neither route is automatic and both depend on medical evidence.
Supporting a colleague who is struggling
In shortYou do not need to be a counsellor: check in days later, ask directly, listen, and point to the EAP, Care Team, Samaritans or 999.
You do not need to be a counsellor to help. HMPPS describes TRiM as a way of identifying who may be struggling after a traumatic event and offering one-to-one follow-up, and says managers should keep in contact with staff exposed to an incident, because the impact may not be immediately apparent.
Informally, the same ideas work
- Check in a few days later, not just on the day
- Ask directly how they are
- Listen without trying to solve it
- Tell them how to reach the EAP or Care Team if they ask
If you are worried about someone's safety
Ask them plainly how they are and whether they are thinking of harming themselves; HMPPS's Reach Out, Save Lives campaign, run with Samaritans and the Zero Suicide Alliance, exists to encourage exactly that kind of conversation.
If they are at immediate risk, call 999. Otherwise, encourage them to call Samaritans on 116 123 or NHS 111, and offer to stay with them while they do.
If you supervise people
You have a part in making support normal. Do not wait for a formal referral.
- Make sure people on your unit know who the Care Team and Mental Health Allies are
- Give people time to attend TRiM or counselling sessions
- Take their own concerns about staffing or safety seriously
Frequently asked questions
Is stress common among prison officers?
Yes, according to published figures. In the year to 30 September 2025, mental ill health was the most common known reason for sickness absence among band 3 to 5 officers at 36.5% (PSPRB 2026). Across HMPPS in the year to 30 June 2026, mental ill health was 43.5% of working days lost.
These are absence figures, so the real number of officers affected may be higher.
Is the HMPPS Employee Assistance Programme confidential?
HMPPS's head of occupational health and EAP said in 2022 that the EAP is confidential, while noting some staff avoid it for fear of being labelled. Details such as the provider can change, so check your intranet.
If you want to know exactly what is shared with your employer, ask the EAP when you call, before you disclose anything.
What is a Care Team in a prison?
A Care Team is a group of trained staff volunteers in a prison who offer practical and emotional support to colleagues, including after assaults and serious incidents. HMPPS says all establishments have peer support teams such as Care Teams and TRiM teams.
How active and visible they are varies by establishment, so ask your manager or union rep who leads yours.
What is TRiM?
TRiM (Trauma Risk Management) is a peer-based approach in which trained practitioners identify staff who may be struggling after a potentially traumatic event and offer follow-up and signposting.
HMPPS said in January 2025 that TRiM is available in all establishments and is offered to staff who have witnessed a potentially traumatic experience. You can choose whether to take part.
Will asking for help affect my career or vetting?
We found no published HMPPS rule that treats seeking support as a conduct or vetting issue, but we cannot predict individual managers or every circumstance. Occupational health reports can reach your manager, so ask what will be shared.
If you think you were treated unfairly after seeking help, speak to your union representative and keep a dated note.
Can I self-refer for therapy outside work?
In England the NHS says you can refer yourself to NHS talking therapies for many problems, including anxiety, depression and PTSD, without a GP referral, if you are registered with a GP and aged 18 or over (16 in some areas). Other conditions may need a GP referral.
Wait times and availability vary, and Scotland, Wales and Northern Ireland have their own routes.
Do I get paid if I am off sick with stress?
That depends on your terms, your length of service and the HMPPS sickness policy. We could not verify the sick pay entitlements on a primary source, so we do not state them.
Ask HR for a written statement of what applies to you, and use the sick pay calculator to see the effect on your take-home pay before relying on any figure.
Where can I find urgent help outside working hours?
Samaritans on 116 123 (free, any time), NHS 111 with the mental health option in England, and 999 or A&E if someone's life is at risk. The EAP is also available through the provider named on your intranet; check the hours that apply to you, as they may differ from the Samaritans' round-the-clock service.
Sources
- assets.publishing.service.gov.ukPrison Service Pay Review Body: Twenty-Fifth Report on England and Wales 2026
- gov.ukHMPPS workforce quarterly: June 2026 (bulletin, sickness absence section)
- gov.ukMoJ: Safety in custody quarterly update to March 2026
- crimeandjustice.org.ukPrison Service Journal 268: interview with the MoJ Head of Occupational Health and EAP (July 2022, older source)
- som.org.ukSociety of Occupational Medicine webinar slides: OH and EAP in HMPPS public sector prisons (28 March 2022, older source)
- gov.ukGOV.UK: Looking after our people - the Prison Service employee package (published 9 August 2022, last updated 1 December 2023)
- prisonandprobationjobs.gov.ukPrison and Probation Jobs: benefits for prison staff
- gov.ukGOV.UK: Handling crimes in prison protocol, annex E (staff assaults)
- cdn.websitebuilder.service.justice.gov.ukHMPPS response to an independent investigation (January 2025), recommendation 6 on TRiM, Care Teams and hot debriefs
- hse.gov.ukHSE: managing violence and aggression at work (employers)
- nhs.ukNHS: where to get urgent help for mental health
- nhs.ukNHS: NHS talking therapies (self-referral)
- samaritans.orgSamaritans: how we can help (116 123, free, any time)
- legislation.gov.ukEquality Act 2010, section 6 (definition of disability)