was felt to be more custodial than therapeutic, describing the regime as a "brutalising, stagnant, closed institution." The inquiry uncovered evidence of physical and psychological abuse of patients. Nurses had used a pig's head to intimidate patients, had placed pictures of brains in the locker of a patient who had undergone brain surgery, and had submerged one patient under water to test his breaking point. Extreme right-wing propaganda had been on prominent display. The inquiry report suggested, only half-jokingly, that international torture monitors should visit the hospital. Seven staff and two managers were relieved of their duties. Prof. Robert Bluglass who was the medical member of the inquiry concluded that all the Special Hospitals should be closed. In 1993 a patient's advocacy service was set up in the hospital. This was the first mental health advocacy service to be introduced in a high security hospital in the United Kingdom. Fallon Inquiry In 1997 a patient absconded from a day rehabilitation trip in protest against his treatment and the management of the Personality Disorder Unit. He made multiple allegations including that pornography, drugs and alcohol were freely available, that patients were running businesses and that a child had been put at risk of abuse at the hands of a number of paedophiles, that security had been compromised and that a number of staff were corrupt. The Fallon Inquiry was set up and reported in 1999. The inquiry found that Child A had visited the hospital on hundreds of occasions and had spent periods dressed only in her underwear with a patient with a history of violent sexual assaults against young girls. The patient had also visited the child at her home whilst escorted by a nurse. The nurse had taken pictures of the child for the patient. One of her on her bed and another of her on the lavatory. Child A's father also took the young son of a friend to visit a second patient found guilty of kidnapping, sexual torture, mutilation, and murder of a 13-year-old boy. The inquiry team reported that Dr John Reed, chairman of the Reed Committee on Mentally Disordered Offenders, described a conversation with Prof Pamela Taylor, then head of medical services of the special hospitals, in which the doctors at Ashworth were described as follows. "Doctor 1: moderately capable but with a serious alcohol problem. Doctor 2: moderately capable but feeble. Doctor 3: appalling.