Keith Murphy
25 Mar 2015 · Coroner Simon Wickens · Surrey
A similar concern from this report was raised again 10 times later. See the linked reports.
The coroner's concerns
1. lack of basic first aid training and CPR training and defibrillator use by Prison Officers and Staff
“Action is required to ensure that Prison Officers and Staff with direct access to prisoners have basic first aid training, CPR training and familiarisation with the use of a defibrillator.”
Linked reports
Identical hazardConfidence 0.90 · high
This report
“Action is required to ensure that Prison Officers and Staff with direct access to prisoners have basic first aid training, CPR training and familiarisation with the use of a defibrillator.”
Later report
“The prison officers did not have even the most basic first aid and cardiopulmonary resuscitation (CPR) training.”
Identical hazardConfidence 0.90 · high
This report
“Action is required to ensure that Prison Officers and Staff with direct access to prisoners have basic first aid training, CPR training and familiarisation with the use of a defibrillator.”
Later report
“(4) There is no mandatory first aid training for existing (as opposed to new) prison officers.”
Identical hazardConfidence 0.90 · high
This report
“Action is required to ensure that Prison Officers and Staff with direct access to prisoners have basic first aid training, CPR training and familiarisation with the use of a defibrillator.”
Later report
“Some Prison staff had not received any cardiopulmonary resuscitation training. Either as part of initial training or any refresher training.”
Identical hazardConfidence 0.90 · high
This report
“Action is required to ensure that Prison Officers and Staff with direct access to prisoners have basic first aid training, CPR training and familiarisation with the use of a defibrillator.”
Later report
“Prison staff are often first responders to medical emergencies of prisoners, but not all have received first aid training.”
Identical hazardConfidence 0.90 · high
This report
“Action is required to ensure that Prison Officers and Staff with direct access to prisoners have basic first aid training, CPR training and familiarisation with the use of a defibrillator.”
Later report
“It is not mandatory for prison officers to have basic first aid training (which includes the provision of CPR) which is in-date.”
Closely relatedConfidence 0.90 · high
This report
“Action is required to ensure that Prison Officers and Staff with direct access to prisoners have basic first aid training, CPR training and familiarisation with the use of a defibrillator.”
Later report
“Evidence was heard that after April 2024, basic first aid training (including CPR training) has been omitted from the foundation training programme for those training to be prison officers,”
Identical hazardConfidence 0.95 · high
This report
“Action is required to ensure that Prison Officers and Staff with direct access to prisoners have basic first aid training, CPR training and familiarisation with the use of a defibrillator.”
Later report
“Officers who were present during Mr [name redacted] cardio-respiratory arrest had different training with regard to first aid and basic life support.”
Identical hazardConfidence 0.95 · high
This report
“Action is required to ensure that Prison Officers and Staff with direct access to prisoners have basic first aid training, CPR training and familiarisation with the use of a defibrillator.”
Later report
“The Governor of the prison told the court that no refresher CPR training had been provided to prison staff since 2023 notwithstanding the 5 deaths of prisoners by ligature suspension that have occurred since.”
Closely relatedConfidence 0.90 · high
This report
“Action is required to ensure that Prison Officers and Staff with direct access to prisoners have basic first aid training, CPR training and familiarisation with the use of a defibrillator.”
Later report
“No ongoing training had been provided to prison officers since initial training on basic life support or first aid, meaning that officers confronted with discovery of a ligature situation were unable to provide immediate and basic life support”
Closely relatedConfidence 0.90 · high
This report
“Action is required to ensure that Prison Officers and Staff with direct access to prisoners have basic first aid training, CPR training and familiarisation with the use of a defibrillator.”
Later report
“After prison officers and prison staff carry out their induction training which covers basic first aid training including the delivery of cardio pulmonary resuscitation (CPR), there is no further mandatory refresher training on first aid or CPR.”
Responses
2015-0120-Response-by-NOMS.pdf ↗· His Majesty's Prison and Probation Service
Stated action · as soon as they return to duty
“all but two of the CMs at the prison have been trained, and those two members of staff will be provided with training as soon as they return to duty. HMP Coldingley also uses a monthly closedown of the prisoner regime to provide opportunities for training for the wider staff group and this includes instruction on CPR and on the use of defibrillators.”