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Ishmail Kubilay

3 Oct 2013 · Coroner Edward Thomas · Hertfordshire
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The coroner's concerns

  1. 1. lack of specialist pain management links for prisoners

    “Re: [the deceased] KUBILAY, deceased”

  2. 2. inadequate end of life care pathways for prisoners

    “A review of end of life care in prisons should be undertaken to produce guidance for healthcare commissioning organizations to ensure that there are appropriate pathways and resources for end of life care for prisoners in category C prisons”

  3. 3. lack of national social care assessment guidance for prisoners

    “National guidance should be agreed and developed to facilitate the assessment of the social care and needs of prisoners and provide care to meet the needs”

Responses

No published response was found on judiciary.uk.

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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.

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Ishmail Kubilay · Recurance