Ian Brown
26 May 2016 · Coroner Thomas Osborne · Milton Keynes
A similar concern from this report was raised again 2 times later. See the linked reports.
The coroner's concerns
1. lack of implementation of recommendations to improve ACCT case management documentation
“During the course of the evidence | was referred to the most recent report from the HM Inspector of Prisons that highlighted”
2. suicide and self harm
“Deaths at the prison from suicide and self harm continue to rise.”
3. lack of prison-wide strategy and action plan to reduce self inflicted deaths and incidents of self harm
“The recommendation from the Inspectors is that there should be a”
4. rising suicides at HMP Woodhill
“That despite my previous PFD reports the number of suicides at HMP Woodhill continue to rise.”
Linked reports
Closely relatedConfidence 0.90 · high
This report
“(1)During the course of the evidence | was referred to the most recent report from the HM Inspector of Prisons that highlighted”
Later report
“it became apparent during the course of the evidence that ACCT reviews were being conducted on many occasions without someone from Healthcare being in attendance.”
Closely relatedConfidence 0.90 · high
This report
“(1)During the course of the evidence | was referred to the most recent report from the HM Inspector of Prisons that highlighted "Recommendations made by the Prisons and Probation Ombudsman following previous deaths in custody, such as the need to improve the quality of ACCT case management documentation for prisoners at risk of suicide or self harm, had not been implemented with sufficient rigour.”
Later report
“Concern 11: Repeated systemic concerns at HMP Woodhill Material before the court from oversight and inspection bodies demonstrated that concerns about drugs, safety, violence, self-isolation, observation panel compliance, ACCT weaknesses and welfare monitoring at HMP Woodhill had been identified over time.”
Responses
2016-0200-Response-by-NOMS.pdf ↗· HMP Woodhill
Stated action
“The prison is also implementing a system to provide each offender supported through the ACCT process with a designated case manager throughout the period for which the ACCT remains open.”