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Christopher MacGillivray

29 May 2024 · Coroner Karen Dilks · Newcastle and North Tyneside
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The coroner's concerns

  1. 1. unplanned release of prisoners at risk of self-harm

    “The prison service instruction (PSI) 64/2011 sets out the procedures that must be followed to manage prisoner safety. The Annex sets out a mandatory process for the planned release of a prisoner who has been on an ACCT”

  2. 2. lack of mandatory communication of known risk of self-harm for unplanned release

    “There is no apparent direction/mandatory procedure for communication of the known risk of self-harm for unplanned release”

  3. 3. future deaths of prisoners at risk of self-harm

    “There is a risk of future deaths of prisoners in the category as at para 2 above. Urgent amendment to PSI/Annex and OMiC is required to set out procedures that must be followed in the management of the unplanned release of prisoners at risk of self-harm/suicide”

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.

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