Jonathan Thornton
8 Apr 2026 · Coroner Alexandra Pountney · Nottingham and Nottinghamshire
This report repeats 2 earlier warnings. See the linked reports.
The coroner's concerns
1. lack of formal information sharing between community forensic team and prison healthcare
“of information between CFT and Prison Healthcare is vital for the risk assessment and management of prisoners who are known to the CFT (often some of the most complex and high-risk prisoners). I am concerned”
2. lack of communication and information sharing between Prison Healthcare and Operational Prison Staff
“lack of communication and information sharing between Prison Healthcare and the Operational Prison Staff”
3. lack of formal information sharing between the two departments
“lack of formal information sharing between the two departments gives rise to a risk of future death”
4. lack of formal information sharing between the two departments
“lack of formal information sharing between the two departments gives rise to a risk of future death”
5. lack of formal information sharing between the two departments
“lack of formal information sharing between the two departments gives rise to a risk of future death”
6. lack of formal information sharing between the two departments
“lack of formal information sharing between the two departments gives rise to a risk of future death”
Linked reports
Closely relatedConfidence 0.80 · moderate
Earlier report
“Information‐sharing between the two trusts - by way of shared IT and / or the use of shared care folders kept in the family home - with clear training to staff on what information should be recorded there.”
This report
“I am concerned that the lack of formal information sharing between the two departments gives rise to a risk of future death.”
Closely relatedConfidence 0.80 · moderate
Earlier report
“There appeared to be not only serious failures of communication, but failures from inadequate processes of communication between custodial and health professionals, between police, court, health care and prison services”
This report
“I am concerned that the lack of formal information sharing between the two departments gives rise to a risk of future death. Information sharing between Prison Healthcare and Operational Prison Staff.”