Jan Neate has spoken out regarding the harsh conditions and systemic failures at Rampton high-security hospital, where her son Jake Neate has been held for eight years. Jake killed his partner Suzanne Brown in 2017 during a psychotic episode caused by an unmonitored withdrawal from clozapine. Official reviews found multiple failures in police and medical responses. Meanwhile, Care Quality Commission reports highlight ongoing staffing shortages and dignity concerns at Rampton hospital.
Jake Neate's detention and care at Rampton
- ▪Jan Neate stated that her son Jake Neate experiences periods of seclusion, self-harm, and seizures while incarcerated at Rampton hospital, during which family members receive minimal information from staff.
- ▪Jake Neate, a 45-year-old diagnosed with paranoid schizophrenia, has been held at Rampton high-security hospital for eight years under an indefinite section 37 order requiring Home Office permission for release.
- ▪A July 2026 letter from Jake Neate's doctor at Rampton hospital described his mental health disorder as very resistant to treatment despite overall progress and recent episodes of decline.
Care Quality Commission inspections of Rampton hospital
- ▪Care Quality Commission inspections of Rampton hospital between 2019 and 2023 identified staff shortages, reduced therapeutic programs, extended overnight lock-ups, and safeguarding concerns.
- ▪A March 2024 Care Quality Commission review found Rampton hospital still relied on therapy staff to cover nursing gaps and expressed concern that long-term segregation patients lacked dignified treatment.
- ▪In May 2025, the Care Quality Commission upgraded Rampton hospital's overall rating from inadequate to requires improvement while noting ongoing staff shortages.
Failures surrounding the killing of Suzanne Brown
- ▪A NHS report into mental health services following Suzanne Brown's killing identified eight failures, including a lack of risk assessments or professional monitoring after Jake Neate's clozapine was stopped.
- ▪In December 2017, Jake Neate stabbed his partner Suzanne Brown 173 times after experiencing severe psychosis following the abrupt cessation of his schizophrenia medication clozapine.
- ▪An Independent Office for Police Conduct investigation found a three-hour delay in police responding to Suzanne Brown's emergency call due to control room miscategorization.
Transfer of Axel Rudakubana to Broadmoor
- ▪Prison Officers' Association chair Mark Fairhurst criticized Axel Rudakubana's transfer to Broadmoor, stating it would afford him freedoms unavailable in a high-security prison.
- ▪In 2026, Axel Rudakubana, convicted of murdering three children in Southport in 2024, was transferred from Belmarsh prison to Broadmoor hospital due to deteriorating mental health.
Debatable claims
- ▪Treatment-resistant mental illness is sufficient justification for indefinite high-security hospital detention
- ▪High-security psychiatric hospitals should prohibit the routine use of extended patient seclusion
- ▪Transferring violent prisoners to high-security psychiatric hospitals grants them inappropriate privileges
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