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David Clairmonte: Prevention of future deaths report (3)

26 Jun 2026 · Coroner Edward Steele · East Riding and Hull
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The coroner's concerns

  1. 1. delayed transfer of critically ill prisoner

    “on 13 September 2024 Yorkshire Ambulance Service attended at HMP Full Sutton and, despite a concerning NEWS score indicating several ref flag sepsis markers, Mr [name redacted] was delayed in leaving for nearly an hour due to prison officer escort staff not having been identified”

Responses

2026-0356-Response-from-Ministry-of-Justice.pdf ↗

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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

David Clairmonte: Prevention of future deaths report (3) · Recurance