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Lee Thrumble

10 Sept 2021 · Coroner Scott Matthewson · Mid Kent and Medway

A similar concern from this report was raised again 1 time later. See the linked reports.

The coroner's concerns

  1. 1. lack of access to NOMIS by clinical staff

    “Critical information relating to prisoners contained on his Prison National Offender Management Information System ("NOMIS”
  2. 2. voluntary access to NOMIS for clinicians

    “If NOMIS training was a compulsory part of training for all clinicians working with prisoners”
  3. 3. lack of training on NOMIS for clinical staff

    “[the deceased] died partly because of a lack of training which prevented staff from accessing and reviewing information”
  4. 4. inadequate NOMIS access for nurses

    “Not all nurses can access NOMIS because it is not a compulsory part of their training”
  5. 5. risk of future deaths due to lack of NOMIS access

    “If the current situation continues there is a risk that prisoners may die as a result”
  6. 6. lack of compulsory NOMIS training for clinicians

    “consideration given to whether NOMIS training should be made compulsory for clinicians working within prisons in England and Wales”

Linked reports

Raised again laterPatryk Gladysz18 Jul 2025 · 3 years 10 months later
Closely relatedConfidence 0.80 · moderate

This report

“(4) Whilst all prison staff were trained in the use of this system and were able to access it, only some clinical staff are able to access NOMIS.”

Later report

“(b) inconsistent understanding of healthcare access to the NOMIS by both prison and healthcare staff; and”
Original on judiciary.uk ↗
Full chain: Lack of access to NOMIS by clinical staff

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

Lee Thrumble · Recurance