Recurance · prevention of future deaths reports
Pre-inquest brief
Lack of basic first aid training and CPR training and defibrillator use by Prison Officers and Staff
The earlier warning
Keith Murphy · 25 Mar 2015 · Simon Wickens, Surrey
“Action is required to ensure that Prison Officers and Staff with direct access to prisoners have basic first aid training, CPR training and familiarisation with the use of a defibrillator.”
judiciary.uk/prevention-of-future-death-reports/keith-murphy
What was promised
Stated action 1 · response to Keith Murphy (25 Mar 2015) · stated timescale: as soon as they return to duty
“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.”
What recurred
- 28 Mar 2017 · John Williams · ME Hassell · Identical hazard · confidence 0.90 (high)
- 18 May 2026 · Jake O'Brien · Michael Pemberton · Closely related · confidence 0.90 (high)
The clearest link, quoted from both reports:
Earlier · Keith Murphy · 25 Mar 2015
“Action is required to ensure that Prison Officers and Staff with direct access to prisoners have basic first aid training, CPR training and familiarisation with the use of a defibrillator.”
Later · John Williams · 28 Mar 2017
“The prison officers did not have even the most basic first aid and cardiopulmonary resuscitation (CPR) training.”
What happened next
No evidence found either way · stated action 1
“NSC First Aid, CPR & AED training builds the knowledge, skills and confidence employees need to respond effectively to workplace medical and cardiac”
First Aid, CPR and AED Courses · nsc.org/…/fa-cpr-aed
“Heartsaver First Aid CPR AED teaches participants how to give first aid, perform cardiopulmonary resuscitation, and use an automated external defibrillator”
Heartsaver First Aid CPR AED Training · cpr.heart.org/…/heartsaver-first-aid-cpr-aed-training
“This course is for recertification as well as certification for our new staff who have not yet been through a CPR or First Aid training course.”
Guilford County Sheriff's Office deputies learn CPR · facebook.com/…/1288526569983441
No evidence found does not mean the action did not happen.