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recurance

Unsecured medication in possession

Identical hazardConfidence 0.90 · high2 reports · 2023–2025 One-page brief (print or PDF)

His Majesty's Prison and Probation Service received 2 coroners' reports about this hazard between 5 Dec 2023 and 25 Jul 2025.

They came from 1 coroner. 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.

2
reports
1
coroner
2023–2025
years
0.90
lowest link confidence

The story, report by report

Spacing grows with the time between reports.

  1. First warning

    Samuel Jones↗

    5 Dec 2023 · Rachael Griffin · Dorset

    “lack of national guidance around the operation of in possession medication in prisons either by HMPPS or NHS England”
    Original on judiciary.uk ↗

    His Majesty's Prison and Probation Service responded, stating 1 specific action.Response (PDF) ↗Response (PDF) ↗

    “we will issue a Senior Leaders Bulletin on the importance of recognising key dates and encouraging the use of local databases.”
  2. 1 year 8 months later

    Raised again · 1st time

    Sheldon Jeans↗

    25 Jul 2025 · Rachael Griffin · Dorset

    Identical hazardConfidence 0.90 · high
    “there is a lack of national policy, and local policy at HMP Guys Marsh, from a healthcare and prison perspective”
    Original on judiciary.uk ↗

    Repeated from the earlier report:lacknational

    His Majesty's Prison and Probation Service responded.Response (PDF) ↗Response (PDF) ↗

  3. All reports to His Majesty's Prison and Probation Service

Next

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.

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Source: Prevention of Future Deaths reports and responses published by the Courts and Tribunals Judiciary at judiciary.uk. Crown copyright, used under the Open Government Licence v3.0. Data updated 26 Oct 2026.

A link shows that a similar concern was raised again, not why. It is not a finding about any organisation or person. Methodology and responsible use · Report an error