Absence of breathing guard during mouth to mouth resuscitation
His Majesty's Prison and Probation Service received 2 coroners' reports about this hazard between 29 Nov 2017 and 7 Jun 2023.
They came from 1 coroner in 2 coroner areas. A similar concern was raised again 1 time after the first warning.
No published response from His Majesty's Prison and Probation Service was found for the earlier reports.
The story, report by report
Spacing grows with the time between reports.
“(2) A Senior Officer gave mouth to mouth resuscitation to Mr [name redacted] without the use of a guard.”
Original on judiciary.uk ↗ No published response from His Majesty's Prison and Probation Service was found for this report.
- 5 years 6 months later
Raised again · 1st time
Anthony Smith↗
7 Jun 2023 · Nicholas Rheinberg · Lancashire and Blackburn with Darwen
Closely relatedConfidence 0.90 · high“An officer attempting resuscitation carried out mouth to mouth resuscitation without the safeguard of mouth protection which was not available in the prison at the time.”
Original on judiciary.uk ↗ Repeated from the earlier report:officerresuscitationmouthwithout
His Majesty's Prison and Probation Service responded.Response (PDF) ↗
- All reports to His Majesty's Prison and Probation Service
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.
2017 → 2023Anthony Smith5 years 6 months after Christopher Talbot · same coronerClosely relatedConfidence 0.90 · high
Closely relatedConfidence 0.90 · highBoth reports highlight the risk of performing mouth‑to‑mouth resuscitation without a protective barrier, exposing staff to infection.
Christopher Talbot · 29 Nov 2017
“(2) A Senior Officer gave mouth to mouth resuscitation to Mr [name redacted] without the use of a guard.”
Original on judiciary.uk ↗ Anthony Smith · 7 Jun 2023
“An officer attempting resuscitation carried out mouth to mouth resuscitation without the safeguard of mouth protection which was not available in the prison at the time.”
Original on judiciary.uk ↗
No published response from His Majesty's Prison and Probation Service was found for this report.
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 His Majesty's Prison and Probation Service 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 |
|---|---|---|---|---|
| 2017 → 2023 | 0.74 | 0.29 | Closely related · 0.90 | same |
Judge model: nvidia/nemotron-3-super-120b-a12b. How Nemotron did the work · Full methodology.
Next
Other chains for His Majesty's Prison and Probation Service
- Obscured observation panels hinder monitoring3 reports · 2024–2026
- Lack of basic first aid training and CPR among prison officers12 reports · 2015–2026
- Inadequate ACCT training leading to incomplete documentation16 reports · 2014–2026
- Lack of certified safer cells outside segregation unit4 reports · 2023–2025
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.