Recurance · prevention of future deaths reports
Pre-inquest brief
Missing follow up of non attendance at reception healthcare screening
The earlier warning
Warren Sampson · 6 Sept 2016 · Caroline Beasley-Murray, Essex
“The lack of a process for following up non- attendance at the Reception Healthcare first night screening”
judiciary.uk/prevention-of-future-death-reports/warren-sampson
What was promised
Stated action 1 · response to Warren Sampson (6 Sept 2016) · stated timescale: within 72 hours
“The process now is that a Second Health Screen is undertaken within 72 hours of an inmate arriving at HMP Chelmsford and at that second health screen there would be a Care UK Cltrncal SeMces llm,ted - Registered ,n England No 3462881 Registered Office Connaught House.”
Stated action 2 · response to John Williams (28 Mar 2017) · stated timescale: none stated
“The nurse has been reminded of the process of giving evidence at an inquest and to listen carefully to the question that is being and to take time in considering her answer. Enquiries have been made by the Interim Head of Healthca re who is satisfied that the nurse in giving evidence at the inquest was confused and made a mistake in response to your question.”
What recurred
- 28 Mar 2017 · John Williams · ME Hassell · Identical hazard · confidence 0.90 (high)
- 16 May 2019 · Daniel Davey · Darren Salter · Closely related · confidence 0.90 (high)
The clearest link, quoted from both reports:
Earlier · Warren Sampson · 6 Sept 2016
“The lack of a process for following up non- attendance at the Reception Healthcare first night screening”
Later · John Williams · 28 Mar 2017
“There was no second reception screen conducted. If Mr [name redacted] was not brought to healthcare staff for his second reception screen then healthcare staff needed to follow this up.”
What happened next
No web check of the stated actions has been published for this chain.