Ministry of Justice
Coroner Mary Hassell · Inner North London · in 1 recurrence link
No published response from this organisation found.
Coroner I M Cartwright · Leicester City and South Leicestershire · in 14 recurrence links
Response · 1 stated action
2024-0550-Response-from-HMPPS-received-by-CCO-24102025.pdf ↗“attention. The HMPPS First Aid Policy Framework was re-issued nationally in August 2023. The revised policy highlights the training requirements for Emergency First Aid and First Aid in prisons, including the importance of Governors ensuring that there is an appropriate number of trained staff on duty at all times. To achieve this, a detailed local first aid risk assessment must be produced to determine the number of First Aiders at Work (FAW) and Emergency First Aiders at work (EFAW) required at an”
Coroner Bronia Hartley · Greater Manchester West
Response · 1 stated action
2024-0485-Response-from-HMPPS.pdf ↗“HMP Forest Bank has advised that the induction is now split across two wings, which allows VPs and non-VPs to be housed separately, which means that the risks to VPs associated with co-location, including the cancelling of cell call bells by non-VPs, are no longer present.”
Coroner Patricia Harding · Mid Kent and Medway · in 2 recurrence links
No published response from this organisation found.
Coroner Anton van Dellen · West London · in 4 recurrence links
No published response from this organisation found.
Coroner Nadia Persaud · East London · in 2 recurrence links
Response · 1 stated action
2024-0409-Response-from-London-Borough-of-Redbridge.pdf ↗“The training for CCTV operators encompasses modules that cover behavioural body language training and are specifically designed to detect behaviours that would fall under the remit of 'suspicious'. The training is based on established principles and techniques outlined in Tavcom training programs - suspicious behaviours can include gestures, mannerisms, alone or in a group, time, location, how someone is acting (i.e. drunk/disorientated), approaching people, being aggressive etc. The training given”
Response · 1 stated action
2024-0409-Response-from-HMPPS-and-MoJ.pdf ↗“We accept that the Probation Delivery Unit (PDU) responsible for [name redacted] was understaffed at the time. Whilst at a national level, the staffing position of the Probation Service is improving, I acknowledge that raising staffing in this PDU to its full complement remains a significant challenge. Therefore, until such time as the situation improves, in this PDU and others with acute pressure remaining, staff will follow a Prioritisation Framework which we first implemented in January 2022”
Coroner Peter Nieto · Derby and Derbyshire · in 2 recurrence links
Response · 1 stated action
2024-0330-Response-from-HMPPS.pdf ↗“In April 2021, as part of a wider organisational change, HMP Foston Hall implemented ACCT version 6. The new version of the ACCT document was developed following a review of the previous version, and is designed to encourage a person-centred and multidisciplinary case management approach. In addition to the introduction of the new document, guidance documents that focus on various aspects including the ongoing record were produced to assist staff in conducting their duties. The ongoing record”
Coroner Alison Mutch · Manchester South · in 2 recurrence links
Response · 1 stated action
2024-0288-Response-from-DHSC.pdf ↗“The Trust recognises that, at the time of the incident the College did not have a clear written protocol in place to manage risk. As an educational establishment the College did not have plans or processes in place to communicate effectively with other teams within the Trust such as the clinical teams or externally to organisations such as the Probation Service about the risk of harm occurring to others. The College is bound by Trust policies in relation to safeguarding and the College team did”
Response · 1 stated action
2024-0288-Response-from-GMP.pdf ↗“the Head of Public Protection at Greater Manchester Police and the Head of Public Protection at Greater Manchester Probation service commenced monthly meetings in 2023.”
Response · 1 stated action
2024-0288-Response-from-HMPPS.pdf ↗“Steps have been taken to recruit and train further probation officers which provides some assistance but means that overall, a significant number of probation officers are young in service and experience”
Coroner Joanne Kearsley · Manchester North
No published response from this organisation found.
Coroner Karen Dilks · Newcastle and North Tyneside
No published response from this organisation found.
Coroner Charlotte Keighley · Cheshire
No published response from this organisation found.
Coroner Kelly Dixon · Staffordshire and Stoke on Trent · in 2 recurrence links
No published response from this organisation found.
- Paul Day: Prevention of future deaths report10 May 2024
Coroner Peter Nieto · Derby and Derbyshire
No published response from this organisation found.
Coroner John Hobson · West Yorkshire (Eastern)
No published response from this organisation found.
Coroner Clement Goldstone · Derby and Derbyshire
Coroner Peter Nieto · Derby and Derbyshire
No published response from this organisation found.
- Terri Harris, John-Paul Bennett, Lacey Bennett and Connie Gent: Prevention of future deaths report7 Nov 2023
Coroner Peter Nieto · Derby and Derbyshire
Response · 6 stated actions
2023-0467-Response-from-HM-Prison-and-Probation-Service.pdf ↗“We will issue new guidance for practitioners on NDelius recording of closed cases.”
“We will update existing guidance in relation to recording, handling sensitive information and OASys help-text to address risk information received on closed cases.”
“We will finalise and promote a new Senior Probation Officer (SPO) learning and development package, currently in development, to include support for SPOs on advising practitioners on handling sensitive information.”
“We will conduct a review of Information Security Policy Framework to address closed cases.”
“The new assessment service will continue to be designed as an open document, whilst facilitating a separate section for recording non-disclosable information. Current timelines aim for the 'Needs analysis' and 'Offence analysis' and sentence plan sections of the new service being available to pilot groups of staff by Summer/Autumn 2024.”
“we will add to existing guidance for practitioners and court report writers on 'where to find risk related information on case records,' covering both OASys and NDELIUS.”
Coroner Hassan Shah · Northampton · in 1 recurrence link
No published response from this organisation found.
Coroner Jenny Goldring · Inner South London · in 1 recurrence link
No published response from this organisation found.
Coroner Jonathan Stevens · Hertfordshire · in 3 recurrence links
No published response from this organisation found.
Coroner Jenny Goldring · Inner South London
Response · 1 stated action
2023-0269-Response-from-Serco-1-1.pdf ↗“We provide the following response on behalf of r the Prison, and we would like to take the opportunity to address you on each of your i f concerns in turn, for ease of reference”
Coroner Anna Loxton · Surrey
No published response from this organisation found.
Coroner Kevin McLoughlin · West Yorkshire (Eastern) · in 1 recurrence link
No published response from this organisation found.
Coroner Zak Golombeck · Manchester City
No published response from this organisation found.
Coroner Kate Ainge · Liverpool and Wirral · in 1 recurrence link
Response · 1 stated action
2023-0161-Response-from-HM-Prison-Probation-Service.pdf ↗“The policy requires that healthcare staff are always invited to attend, or otherwise contribute, to the first case review, allowing the case review team to consider the need for any additional mental health support for the individual, including referral to the mental health team, and their attendance at subsequent case reviews.”