Recurance · prevention of future deaths reports
Pre-inquest brief
Unsecured medication in possession
The earlier warning
Samuel Jones · 5 Dec 2023 · Rachael Griffin, Dorset
“lack of national guidance around the operation of in possession medication in prisons either by HMPPS or NHS England”
judiciary.uk/…/samuel-jones-prevention-of-future-deaths-report
What was promised
Stated action 1 · response to Samuel Jones (5 Dec 2023) · stated timescale: none stated
“we will issue a Senior Leaders Bulletin on the importance of recognising key dates and encouraging the use of local databases.”
judiciary.uk/…/2023-0499-Response-from-HM-Prison-and-Probation-…
What recurred
- 25 Jul 2025 · Sheldon Jeans · Rachael Griffin · Identical hazard · confidence 0.90 (high)
The clearest link, quoted from both reports:
Earlier · Samuel Jones · 5 Dec 2023
“lack of national guidance around the operation of in possession medication in prisons either by HMPPS or NHS England”
Later · Sheldon Jeans · 25 Jul 2025
“there is a lack of national policy, and local policy at HMP Guys Marsh, from a healthcare and prison perspective”
What happened next
No web check of the stated actions has been published for this chain.