Inadequate staffing and training on new psychoactive substances
Nottinghamshire Healthcare NHS Foundation Trust received 2 coroners' reports about this hazard between 3 May 2016 and 28 Aug 2020.
They came from 2 different coroners in 2 coroner areas. A similar concern was raised again 1 time after the first warning.
No published response from Nottinghamshire Healthcare NHS Foundation Trust was found for the earlier reports.
The story, report by report
Spacing grows with the time between reports.
“That the use of New Psychoactive Substances (NPS) remains rife within the prison, and presentations such as Mr [name redacted] are not diminishing, and that the Substance Misuse Team requires further staff to be effective in future.”
Original on judiciary.uk ↗ No published response from Nottinghamshire Healthcare NHS Foundation Trust was found for this report.
- 4 years 4 months laterClosely relatedConfidence 0.80 · moderatea different coroner
“Discipline staff have no meaningful training on the categories of self-induced intoxication and in particular "new psychoactive substances" such as the synthetic cannabinoid known as "Spice"”
Original on judiciary.uk ↗ Repeated from the earlier report:staffpsychoactivesubstances
The most recent report. A response may not be due or published yet.
- All reports to Nottinghamshire Healthcare NHS Foundation Trust
Each row is one judged link between an earlier and a later report. Open a row to read both quotes, found word for word in the originals.
2016 → 2020Carlington Spencer4 years 4 months after Shalane Blackwood · different coronerClosely relatedConfidence 0.80 · moderate
Closely relatedConfidence 0.80 · moderateBoth reports highlight problems related to the prevalence and handling of new psychoactive substances (NPS) such as Spice within custodial settings. The earlier report calls for more substance‑misuse staff to address ongoing NPS use, while the later report points out that discipline staff lack meaningful training on these substances.
Shalane Blackwood · 3 May 2016
“That the use of New Psychoactive Substances (NPS) remains rife within the prison, and presentations such as Mr [name redacted] are not diminishing, and that the Substance Misuse Team requires further staff to be effective in future.”
Original on judiciary.uk ↗ Carlington Spencer · 28 Aug 2020
“Discipline staff have no meaningful training on the categories of self-induced intoxication and in particular "new psychoactive substances" such as the synthetic cannabinoid known as "Spice"”
Original on judiciary.uk ↗
No published response from Nottinghamshire Healthcare NHS Foundation Trust was found for this report.
No published response from Nottinghamshire Healthcare NHS Foundation Trust was found for this report. It is the most recent report, so a response may not be due or published yet.
- Each report's concerns were extracted by Nemotron 3 Nano on Nebius Token Factory, each with a quote copied from the report.
- Concerns from reports to Nottinghamshire Healthcare NHS Foundation Trust at least six months apart were compared by meaning (Qwen3 embeddings) and wording (TF-IDF).
- The closest pairs were judged by Nemotron 3 Super with reasoning on. Only identical or closely related, with confidence of at least 0.70, are shown.
- Every quote was checked by code as an exact substring of the original text. Names of staff and family are redacted, and the deceased are named by report title only.
| Link | Meaning | Wording | Judge | Coroner |
|---|---|---|---|---|
| 2016 → 2020 | 0.72 | 0.31 | Closely related · 0.80 | different |
Judge model: nvidia/nemotron-3-super-120b-a12b. How Nemotron did the work · Full methodology.
Next
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This shows that a similar concern was raised again after an earlier report. It does not say why, and it is not a finding about any organisation or person. To report an error, see the corrections route.