Lack of mandatory ACCT training for agency staff

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. ?Every quote shown was checked by code to appear word for word in the original report.

• 2017 → 2023Jack Zarrop6 years 7 months after Dean Saunders · different coronerClosely relatedConfidence 0.85 · high

  Closely relatedConfidence 0.85 · high

  Both reports highlight deficiencies in training related to the ACCT process. The earlier report notes a general lack of ACCT training, while the later report specifies that agency staff are not receiving this training through NHS England's commissioning.

  Dean Saunders · 17 Feb 2017

  “Training regarding the ACCT process. In previous prison deaths and in response to previous PPO reports, promises have been made about training having been provided to staff yet the same mistakes are being repeated.”

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  Jack Zarrop · 2 Oct 2023

  “The training of agency staff in the ACCT process and recognising the appropriate threshold to open an ACCT. The training of agency staff in ACCT does not appear to be part of the commissioning process by NHS England”

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  Earlier report in the app · Later report in the app

• 2023 → 2026Rajwinder Singh2 years 5 months after Jack Zarrop · different coronerIdentical hazardConfidence 0.95 · high

  Identical hazardConfidence 0.95 · high

  Both reports highlight the absence of mandatory ACCT training for agency healthcare staff working in prisons. They describe the same gap in ensuring agency staff receive the same training as permanent staff.

  Jack Zarrop · 2 Oct 2023

  “The training of agency staff in ACCT does not appear to be part of the commissioning process by NHS England and individual providers do not appear to provide training to agency staff in the ACCT process.”

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  Rajwinder Singh · 19 Feb 2026

  “(2) There are no mandatory procedures to ensure that, before they are deployed in the prison setting, Oxleas agency staff have the same mandatory ACCT training as that provided to permanent healthcare staff.”

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  Stated action in the response to the earlier report

  “NHS England is the responsible organisation for the commissioning of healthcare into prisons, which is devolved to regional teams. Commissioning healthcare in prisons is done on a principle of equivalence, which has been defined by the Royal College of General Practitioners (RCGP) and has been adopted by the National Prison Partnership Board1. The definition broadly states the aim is to ensure people detained in prisons in England, are offered provision of and access to appropriate services and”

  Earlier report in the app · Later report in the app

• 2017 → 2026Rajwinder Singh8 years 11 months after John Williams · different coronerClosely relatedConfidence 0.90 · high

  Closely relatedConfidence 0.90 · high

  Both reports highlight inadequate training regarding the ACCT document, specifically a lack of familiarity with its contents and missing instruction on risk formulation principles.

  John Williams · 28 Mar 2017

  “Some prison officers did not seem familiar with the very important contents of the ACCT, not even the inside cover.”

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  Rajwinder Singh · 19 Feb 2026

  “When Prison Officers and/or Healthcare staff are given ACCT induction training at HMP Wandsworth, there is no training in the principles of risk formulation”

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  Earlier report in the app · Later report in the app

• 2017 → 2026Rajwinder Singh9 years after Dean Saunders · different coronerClosely relatedConfidence 0.90 · high

  Closely relatedConfidence 0.90 · high

  Both reports identify shortcomings in ACCT-related training within the prison healthcare system. The earlier report notes a general lack of ACCT training, while the later report specifies missing risk formulation principles in that training.

  Dean Saunders · 17 Feb 2017

  “Training regarding the ACCT process. In previous prison deaths and in response to previous PPO reports, promises have been made about training having been provided to staff”

  Check it in the source

  Rajwinder Singh · 19 Feb 2026

  “(3) When Prison Officers and/or Healthcare staff are given ACCT induction training at HMP Wandsworth, there is no training in the principles of risk formulation”

  Check it in the source

  Earlier report in the app · Later report in the app