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Recurance · prevention of future deaths reports

Pre-inquest brief

Ligature points in unprotected cells

Organisation: His Majesty's Prison and Probation Service · Generated: 26 Oct 2026

Recurance · recurance.com/chains/4fb3a727be78cb64

The earlier warning

Ezra Tamiem · 19 Jul 2022 · Sean Cummings, Bedfordshire and Luton

“Mr [name redacted] was housed in a cell on the healthcare wing. Head of Safety at HMP Bedford told the court that was for both security”

judiciary.uk/…/ezra-tamiem-prevention-of-future-deaths-report

What was promised

No published response from His Majesty's Prison and Probation Service was found for the earlier reports.

What recurred

  • 21 Dec 2023 · Wyndham Thomas · Laurinda Bower · Identical hazard · confidence 0.90 (high)

The clearest link, quoted from both reports:

Earlier · Ezra Tamiem · 19 Jul 2022

“Mr [name redacted] was housed in a cell on the healthcare wing. Head of Safety at HMP Bedford told the court that was for both security”

Later · Wyndham Thomas · 21 Dec 2023

“There is a lack of local and national system of in-cell ligature point risk assessments, and no ligature point maps available to staff.”

What happened next

No evidence found either way · a stated action in a response

“Working to make government more effective”

Performance Tracker 2026: Prisons and probation | Institute for Government · instituteforgovernment.org.uk/…/prisons

“Prisons Strategy White Paper December 2021 CP 581 Prisons Strategy White Paper Presented to Parliament by the Deputy Prime Minister, Lord Chancellor and Secretary of State for Justice by Command of Her Majesty December 2021 CP 581 © Crown copyright 2021”

[PDF] Prisons Strategy White Paper - GOV.UK · assets.publishing.service.gov.uk/…/prisons-strategy-white-paper…

“Work to expand the prison estate by installing the first of 500 temporary, single occupancy cells will begin from today, as part of the Government's unprecedented action to protect the public and NHS during the Coronavirus pandemic.”

Prison estate expanded to protect NHS from coronavirus risk · gov.uk/…/prison-estate-expanded-to-protect-nhs-from-coronavirus…

No evidence found does not mean the action did not happen.

Every quote is verified word for word against the original report on judiciary.uk. A link shows that a similar concern was raised again, not why. It is not a finding about any organisation or person.

Source: Courts and Tribunals Judiciary, Open Government Licence v3.0.