Daniel Byrne
14 Dec 2015 · Coroner Thomas Osborne · Milton Keynes
A similar concern from this report was raised again 1 time later. See the linked reports.
The coroner's concerns
1. risk of suicide and self-harm in newly arrived prisoners
“Mr [name redacted] was the seventh self inflicted death at Woodhill since 2013 and there have been two since. We are concerned that many of the same issues have been repeated in a number of their investigations including this one. In six cases investigated in 2013 and 2014 we found that staff had failed to identify or properly assess the risk of suicide and self harm in newly arrived prisoners.”
Linked reports
Closely relatedConfidence 0.90 · high
This report
“staff had failed to identify or properly assess the risk of suicide and self harm in newly arrived prisoners.”
Later report
“Admission staff must raise an ACCT Plan when a prisoner is identified at risk of suicide or self harm”
Responses
Daniel-Byrne-Response2.pdf ↗· His Majesty's Prison and Probation Service
Stated action · January 2016
“The reviews will evaluate existing procedures which relate to all aspects of safer custody including suicide prevention and self-harm management and violence reduction. The reviews will look to explore the following issues; = Early days in custody - Transfer from court/ reception timings, reception interview and assessment, first night interview and induction package, healthcare screening and mental health referrals; = Assessment, Care in Custody and Teamwork - compliance and delivery, quality”
Daniel-Byrne-Response.pdf ↗· His Majesty's Prison and Probation Service
Stated action · January 2016
“From January 2016, CNWL has increased the number of experienced Mental Health trained nursing staff into the First Night Centre.”