Inadequate ACCT training and supervision leading to observation failures
His Majesty's Prison and Probation Service received 2 coroners' reports about this hazard between 10 Dec 2019 and 19 Dec 2023.
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 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.
“Unless adequate and repeated ACCT training is provided for all officers, particularly for those junior and more inexperienced officers”
Original on judiciary.uk ↗ No published response from His Majesty's Prison and Probation Service was found for this report.
- 4 years laterClosely relatedConfidence 0.90 · higha different coroner
“The ACCT procedure was not properly implemented, complied with or supervised.”
Original on judiciary.uk ↗ His Majesty's Prison and Probation Service responded, stating 1 specific action.Response (PDF) ↗
“I will be presenting an Operational Briefing on 21st December to all staff, taking into consideration the Governors Order GO 01/2023 which reads as follows: The purpose of this Governors Orders is to make you aware that it is the responsibility of the Cleaning Officer to ensure that ACCT observations and conversations are conducted and recorded in the ACCT document between the hours of 0745 - 1715. Between the hours of 1745 - 1915 an Officer will be detailed on the Night Orderly Officers detail”
Stated timescale: 21st December
- 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.
2019 → 2023Martin Willis4 years after Daniel Akam · different coronerClosely relatedConfidence 0.90 · high
Closely relatedConfidence 0.90 · highBoth reports highlight failures in carrying out required ACCT observations due to inadequate training or supervision.
Daniel Akam · 10 Dec 2019
“Unless adequate and repeated ACCT training is provided for all officers, particularly for those junior and more inexperienced officers”
Original on judiciary.uk ↗ Martin Willis · 19 Dec 2023
“The ACCT procedure was not properly implemented, complied with or supervised.”
Original on judiciary.uk ↗
No published response from His Majesty's Prison and Probation Service was found for this report.
Stated action · timescale: 21st December
“I will be presenting an Operational Briefing on 21st December to all staff, taking into consideration the Governors Order GO 01/2023 which reads as follows: The purpose of this Governors Orders is to make you aware that it is the responsibility of the Cleaning Officer to ensure that ACCT observations and conversations are conducted and recorded in the ACCT document between the hours of 0745 - 1715. Between the hours of 1745 - 1915 an Officer will be detailed on the Night Orderly Officers detail”
- 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 |
|---|---|---|---|---|
| 2019 → 2023 | 0.70 | 0.18 | Closely related · 0.90 | different |
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.