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recurance

Christopher Smith

7 Jul 2023 · Coroner Laurinda Bower · Nottingham City and Nottinghamshire

The coroner's concerns

  1. 1. unsafe practice of staff conducting important healthcare and wellbeing observations via the cell door observation hatch

    “An inability to provide prisoners at HMP Lowdham Grange with safe clinical care”
  2. 2. late disclosure of material relevant to the inquest

    “An inability to record, retain and supply HM Coroner with material relevant to the inquest”
  3. 3. unwillingness to act in an open and honest manner

    “A complete lack of candour, openness and honesty when engaging in post death investigations”

Responses

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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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