This article analyses the use of criminal justice measures aimed at the prevention of sexual offending across England and Wales. Specifically, it focuses on measures such as the ‘sex offenders register’ and sexual offences prevention orders (SOPOs) and the use of sanctions for their breach. Following a discussion of the apparent tensions between individual rights and public protection measures we present an original analysis of data collated from Multi-Agency Public Protection Arrangements (MAPPA) area reports over a nine-year period. Our analysis reveals considerable variation between areas in both the risk-level allocation of cases, the imposition of SOPOs and sanctions for non-compliance with MAPPA. We argue that these disparities raise issues concerning both the rights and autonomy of those subjected to public protection measures and highlight the need for further detailed research into MAPPA practices.