Recurance · prevention of future deaths reports
Pre-inquest brief
Window restrictors fail to prevent opening beyond 100mm
The earlier warning
Rebecca Jones · 8 Oct 2015 · Edward Thomas, Hertfordshire
“window restrictors may be inadequate in preventing a determined effort to force a window open beyond the 100mm restriction”
judiciary.uk/prevention-of-future-death-reports/rebecca-jones
What was promised
Stated action 1 · response to Rebecca Jones (8 Oct 2015) · stated timescale: 2016/17
“NHS England is spending £15m in 2016/17 to boost provision in those areas that need it most. This will include improving standards in existing places of safety to ensure that they are equipped to care for people safely and compassionately when detained under the Mental Health Act”
judiciary.uk/…/2015-0504-Response-by-Department-of-Health.pdf
What recurred
- 21 Jun 2024 · Terrence Taylor · Keith Morton · Identical hazard · confidence 0.90 (high)
The clearest link, quoted from both reports:
Earlier · Rebecca Jones · 8 Oct 2015
“window restrictors may be inadequate in preventing a determined effort to force a window open beyond the 100mm restriction”
Later · Terrence Taylor · 21 Jun 2024
“window restrictors tested to current British Standards may be inadequate in preventing a determined effort to force a window open beyond 100mm”
What happened next
No web check of the stated actions has been published for this chain.