Lack of communication between prison healthcare and operational staff
Ministry of Justice received 2 coroners' reports about this hazard between 25 Oct 2016 and 8 Apr 2026.
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 2 specific actions.
The story, report by report
Spacing grows with the time between reports.
“There appeared to be not only serious failures of communication, but failures from inadequate processes of communication between custodial and health professionals, between police, court, health care and prison services”
Original on judiciary.uk ↗ Ministry of Justice responded, stating 2 specific actions.Response (PDF) ↗Response (PDF) ↗
“We attach as Appendix A a copy of the”
Stated timescale: 19/12/2016
“We will ensure that the new regulator is aware of this report and our correspondence.”
Stated timescale: 2018
- 9 years 5 months later
Raised again · 1st time
Jonathan Thornton↗
8 Apr 2026 · Alexandra Pountney · Nottingham and Nottinghamshire
Closely relatedConfidence 0.80 · moderatea different coroner“I am concerned that the lack of formal information sharing between the two departments gives rise to a risk of future death. Information sharing between Prison Healthcare and Operational Prison Staff.”
Original on judiciary.uk ↗ Repeated from the earlier report:betweenPrison
Ministry of Justice responded.Response (PDF) ↗Response (PDF) ↗Response (PDF) ↗
- All reports to Ministry of Justice
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 → 2026Jonathan Thornton9 years 5 months after Richard Walsh · different coronerClosely relatedConfidence 0.80 · moderate
Closely relatedConfidence 0.80 · moderateBoth reports highlight a lack of effective communication and information sharing between prison healthcare staff and other prison personnel. The earlier report cites broader inter‑agency communication failures, while the later report focuses specifically on the gap between Prison Healthcare and Operational Prison Staff.
Richard Walsh · 25 Oct 2016
“There appeared to be not only serious failures of communication, but failures from inadequate processes of communication between custodial and health professionals, between police, court, health care and prison services”
Original on judiciary.uk ↗ Jonathan Thornton · 8 Apr 2026
“I am concerned that the lack of formal information sharing between the two departments gives rise to a risk of future death. Information sharing between Prison Healthcare and Operational Prison Staff.”
Original on judiciary.uk ↗
Stated action · timescale: 19/12/2016
“We attach as Appendix A a copy of the”
Stated action · timescale: 2018
“We will ensure that the new regulator is aware of this report and our correspondence.”
No specific action could be extracted with a verified quote.
No specific action could be extracted with a verified quote.
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 Ministry of Justice 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 → 2026 | 0.78 | 0.10 | Closely related · 0.80 | 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.