Delayed CPR response due to inadequate training or faulty equipment
Practice Plus Group received 2 coroners' reports about this hazard between 18 Sept 2023 and 13 Oct 2025.
They came from 2 different coroners in 2 coroner areas. A similar concern was raised again 1 time after the first warning.
A published response was found for 1 of the 1 earlier reports, stating 1 specific action.
The story, report by report
Spacing grows with the time between reports.
“One officer told me that it did not cross his mind to start CPR in the three minutes it took nurses to arrive after Mr [name redacted] was found not breathing.”
Original on judiciary.uk ↗ Practice Plus Group responded, stating 1 specific action.Response (PDF) ↗Response (PDF) ↗
“Training for prison staff in how to deal with fits is scheduled to be given at HMP Pentonville in October”
Stated timescale: October
- 2 years 1 month laterClosely relatedConfidence 0.70 · moderatea different coroner
“I heard evidence describing the care given to [the deceased] after his collapse as chaotic, with faulty equipment and incorrect CPR technique.”
Original on judiciary.uk ↗ Practice Plus Group responded.Response (PDF) ↗
- All reports to Practice Plus Group
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.
2023 → 2025Jamie Funnell2 years 1 month after Amarjit Singh · different coronerClosely relatedConfidence 0.70 · moderate
Closely relatedConfidence 0.70 · moderateBoth reports highlight problems with cardiopulmonary resuscitation performance due to inadequate training or guidance.
Amarjit Singh · 18 Sept 2023
“One officer told me that it did not cross his mind to start CPR in the three minutes it took nurses to arrive after Mr [name redacted] was found not breathing.”
Original on judiciary.uk ↗ Jamie Funnell · 13 Oct 2025
“I heard evidence describing the care given to [the deceased] after his collapse as chaotic, with faulty equipment and incorrect CPR technique.”
Original on judiciary.uk ↗
No specific action could be extracted with a verified quote.
Stated action · timescale: October
“Training for prison staff in how to deal with fits is scheduled to be given at HMP Pentonville in October”
No specific action could be extracted with a verified quote.
- 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 Practice Plus Group 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 |
|---|---|---|---|---|
| 2023 → 2025 | 0.65 | 0.07 | Closely related · 0.70 | different |
Judge model: nvidia/nemotron-3-super-120b-a12b. How Nemotron did the work · Full methodology.
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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.