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recurance

Carl Langdell

21 Oct 2022 · Coroner Kevin McLoughlin · West Yorkshire Western

A similar concern from this report was raised again 1 time later. See the linked reports.

The coroner's concerns

  1. 1. chronic risk of suicide attempts

    “He had been identified by a consultant psychiatrist as at”
  2. 2. bizarre and agitated manner

    “In January 2021 he was observed to be acting in a bizarre and agitated manner”
  3. 3. possession of prohibited items in locked cell overnight

    “Despite this history and the known risk he was permitted under the prevailing rules at HMP Wakefield to be in possession”
  4. 4. national proposal to remove obvious risk

    “Evidence was taken at the inquest from a Governor who indicated a national proposal had been made”

Linked reports

Raised again laterStephen Beadman23 Jun 2023 · 8 months later
Closely relatedConfidence 0.90 · high

This report

“Despite this history and the known risk he was permitted under the prevailing rules at HMP Wakefield to be in possession when alone in his locked cell overnight.”

Later report

“Mr [name redacted] had a history of self-harming [REDACTED]. Nonetheless, he was permitted [REDACTED] in his possession when alone in his cell.”
Original on judiciary.uk ↗
Full chain: Unattended blade in cell overnight

Responses

2022-0331-Response-from-HM-Prison-and-Probation-Services.pdf ↗· Ministry of Justice

Stated action · spring of 2023

“During the inquest, you heard evidence that following Mr [name redacted] death, the Governor ordered a review of the prison's local policy and confirmed that it sets out the action that must be taken when staff issue prison , which includes a risk assessment and staff ensuring they check that the blades are present when the razor is returned.”
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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.

A link shows that a similar concern was raised again, not why. It is not a finding about any organisation or person. Methodology and responsible use · Report an error