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Brett Marrs

23 Sept 2020 · Coroner Nicholas Rheinberg · Lancashire and Blackburn with Darwen

The coroner's concerns

  1. 1. lack of first aid training for prison officers

    “Two long-serving prison officers who gave evidence at the inquest deposed to the fact that they had never been given first-aid training, including training in resuscitation techniques, during their service as prison officers despite the fact that prior to 2016 such training was meant to form part of core training for prison officers. Evidence was further given that first aid refresher training is to be rolled out but that no date has yet been fixed for completion of such training programmes.”
  2. 2. non-compliance with welfare checks during cell unlock

    “CCTV footage viewed at the inquest showed a prison officer conducting a first morning cell unlock on C wing without conducting even the most basic of welfare checks and this despite clear notices from management drawing to the attention of staff the necessity of carrying out welfare checks, particularly at the time of the first morning 1 unlock. Evidence was heard to the effect that this was not an isolated instance. Given that notices and reminders appear not to have achieved uniform obedience”

Responses

No published response was found on judiciary.uk.

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Source: Prevention of Future Deaths reports and responses published by the Courts and Tribunals Judiciary at judiciary.uk. Crown copyright, used under the Open Government Licence v3.0. Data updated 26 Oct 2026.

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Brett Marrs · Recurance