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recurance

His Majesty's Prison and Probation Service

164
reports received
44
with a published response found
19
recurrence chains
70
reports in those chains
  • Peter Lawrence30 Aug 2016

    Coroner Simon Milburn · Cambridgeshire and Peterborough

    No published response from this organisation found.

  • Stephen St Clair12 Aug 2016

    Coroner Caroline Sumeray · Isle of Wight

    No published response from this organisation found.

  • John Betteridge30 Jun 2016

    Coroner Andrew Tweddle · County Durham and Darlington · in 6 recurrence links

    No published response from this organisation found.

  • Samuel Blair19 May 2016

    Coroner ME Hassell · London Inner (North) · in 1 recurrence link

    Response
    Response · 1 stated action
    2016-0196-Response-by-NOMS.pdf ↗
    “prison will continue to work with the healthcare provider f ensure that all staff are aware of the steps that they are required to take when responding to an emergency call.”
  • Coroner Stephanie Haskey · Nottinghamshire · in 4 recurrence links

    No published response from this organisation found.

  • Steven May16 Mar 2016

    Coroner Andrew McNamara · Nottinghamshire

    No published response from this organisation found.

  • Imran Douglas29 Dec 2015

    Coroner Andrew Harris · London Inner (South)

    No published response from this organisation found.

  • Derek Thomas15 Dec 2015

    Coroner Crispin Oliver · County Durham and Darlington

    No published response from this organisation found.

  • Daniel Byrne14 Dec 2015

    Coroner Thomas Osborne · Milton Keynes · in 1 recurrence link

    Response · 1 stated action
    Daniel-Byrne-Response.pdf ↗
    “From January 2016, CNWL has increased the number of experienced Mental Health trained nursing staff into the First Night Centre.”
    Response · 1 stated action
    Daniel-Byrne-Response2.pdf ↗
    “The reviews will evaluate existing procedures which relate to all aspects of safer custody including suicide prevention and self-harm management and violence reduction. The reviews will look to explore the following issues; = Early days in custody - Transfer from court/ reception timings, reception interview and assessment, first night interview and induction package, healthcare screening and mental health referrals; = Assessment, Care in Custody and Teamwork - compliance and delivery, quality”
  • Dean Boland25 Nov 2015

    Coroner Louise Hunt · Birmingham and Solihull

    Response · 1 stated action
    2015-0468-Response-by-NOMS.pdf ↗
    “Following the inquest, training on supervising the administration of opiate substitution medication has been completed. with detox unit staff and drug awareness training is scheduled for completion by 31 January. 2016.”
  • Richard Green2 Nov 2015

    Coroner David Roberts · Cumbria

    No published response from this organisation found.

  • Kevin Forster28 Oct 2015

    Coroner Andrew Tweddle · County Durham and Darlington

    Response · 1 stated action
    2015-0453-Response.pdf ↗
    “G4S Forensic & Medical Services (UK) Ltd took over responsibility for provision of healthcare services at HMP Durham on 1 April 2015. The contract does not include provision of GP and Pharmacy Services and as from 1 April 2015, Spectrum Community Health CIC was appointed to provide GPs, specialist substance misuse GPs and Pharmacy Services at HMP Durham.”
    Response · 1 stated action
    2015-0453-Response2.pdf ↗
    “All current staff either directly employed, those employed by HM Prison Service or non-directly employed, those employed by partner agencies for example G4S and Manchester College have signed to say they have full understanding of the protocol and how to implement it.”
  • Lee Boden29 Sept 2015

    Coroner Thomas Osborne · Milton Keynes

    No published response from this organisation found.

  • Adil Habib16 Sept 2015

    Coroner ME Hassell · London Inner (North)

    No published response from this organisation found.

  • Luke Myers20 Jul 2015

    Coroner Andre Rebello · Liverpool · in 1 recurrence link

    Response · 2 stated actions
    2015-0292-Response-by-Ministry-of-Justice.pdf ↗
    “staff in the Offender Management Unit at HMP Liverpool have reviewed the sentence calculations for the current population and found no other prisoners to have a miscalculated sentence.”
    “first aid training is being provided to all Custodial Managers who carry out orderly officer duties, ensuring that there will be an additional trained member of staff on duty at all times, and Operational Support Grade staff will also be trained.”
  • David Hallett2 Jul 2015

    Coroner Andrew Barkley · Powys, Bridgend and Glamorgan Valleys

    No published response from this organisation found.

  • Paul McGuigan12 May 2015

    Coroner Joanne Kearsley · Manchester (South)

    No published response from this organisation found.

  • Mark Groombridge17 Apr 2015

    Coroner Andrew Haigh · Staffordshire (South)

    No published response from this organisation found.

  • Sharon Butcher31 Mar 2015

    Coroner Andrew Tweddle · County Durham & Darlington · in 1 recurrence link

    No published response from this organisation found.

  • Keith Murphy25 Mar 2015

    Coroner Simon Wickens · Surrey · in 10 recurrence links

    Response · 1 stated action
    2015-0120-Response-by-NOMS.pdf ↗
    “all but two of the CMs at the prison have been trained, and those two members of staff will be provided with training as soon as they return to duty. HMP Coldingley also uses a monthly closedown of the prisoner regime to provide opportunities for training for the wider staff group and this includes instruction on CPR and on the use of defibrillators.”
  • Stuart Baumber24 Mar 2015

    Coroner David Heming · Peterborough

    No published response from this organisation found.

  • Jason Lawson9 Jan 2015

    Coroner Robert Chapman · Rutland & North Leicestershire · in 1 recurrence link

    No published response from this organisation found.

  • John Stabler18 Dec 2014

    Coroner Stuart Fisher · Central Lincolnshire · in 1 recurrence link

    No published response from this organisation found.

  • Connor Smith17 Dec 2014

    Coroner Andre Rebello · Liverpool

    No published response from this organisation found.

  • Coroner Andrew Tweddle · County Durham & Darlington · in 4 recurrence links

    Response · 1 stated action
    2014-0532-Response-by-NOMS.pdf ↗
    “an amended arrangement has been put in place to facilitate the presence of a member of the mental health team at ACCT reviews that take place at the weekend”
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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