Recurance · prevention of future deaths reports
Pre-inquest brief
Delayed CPR response due to inadequate training or faulty equipment
The earlier warning
Amarjit Singh · 18 Sept 2023 · Mary Hassell, Inner North London
“One officer told me that it did not cross his mind to start CPR in the three minutes it took nurses to arrive after Mr [name redacted] was found not breathing.”
judiciary.uk/…/amarjit-singh-prevention-of-future-deaths-report
What was promised
Stated action 1 · response to Amarjit Singh (18 Sept 2023) · stated timescale: October
“Training for prison staff in how to deal with fits is scheduled to be given at HMP Pentonville in October”
judiciary.uk/…/2023-0342-Response-from-HM-Prison-and-Probation-…
What recurred
- 13 Oct 2025 · Jamie Funnell · Rachel Redman · Closely related · confidence 0.70 (moderate)
The clearest link, quoted from both reports:
Earlier · Amarjit Singh · 18 Sept 2023
“One officer told me that it did not cross his mind to start CPR in the three minutes it took nurses to arrive after Mr [name redacted] was found not breathing.”
Later · Jamie Funnell · 13 Oct 2025
“I heard evidence describing the care given to [the deceased] after his collapse as chaotic, with faulty equipment and incorrect CPR technique.”
What happened next
No web check of the stated actions has been published for this chain.