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Lee MacPherson

3 Mar 2014 · Coroner Elizabeth Pygott · London (West)
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The coroner's concerns

  1. 1. police risk assessment not completed before escort

    “The police risk assessment was not completed until the deceased had already been collected by SERCO and it was a police risk assessment completed in the early hours of the morning that found its way to the prison”

  2. 2. miscommunication about police documentation accompanying custody escort

    “There was a lack of common understanding between SERCO staff and prison staff about what police documentation, including the police risk assessment, accompanied a person in custody, in addition to the PER”

  3. 3. incomplete escort handover details on PER

    “The escort handover details on the PER were not completed by the prison staff (or SERCO staff which is a matter SERCO have already addressed)”

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.

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