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recurance

Marcus McGuire

23 Jun 2019 · Coroner Emma Brown · Birmingham and Solihull

The coroner's concerns

  1. 1. lack of single case management

    “The absence of an embedded system of single case management will put lives at risk as compliance with the ACCT process cannot be assured”
  2. 2. lack of awareness or communication of ACCT improvements

    “Managers at HMP Birmingham are either not aware of or not conveying the reality of the extent to which improvements in the ACCT process have been achieved”
  3. 3. lack of awareness of single case management status

    “I am concerned that I was given the impression that single case management is embedded at HMP Birmingham: if I had been aware that it was not, I would have sought additional evidence on why, what needed to be done to”
  4. 4. increase in trained case managers

    “Evidence was given at inquest that there has been an increase in the number of trained case managers to enable all ACCTs to have a designated single case manager who will remain the case manager for the life of the ACCT so far as reasonably possible and where a change is required, there is a formal hand-over process”
  5. 5. independent review of progress

    “Following completion of the evidence, the Report on an independent review of progress at HMP Birmingham by H. M. Chief Inspector of Prisons based on an inspection of the 7th to 9th May 2019 was brought to my attention. Paragraph 2.27 of the report provides:”
  6. 6. recognition of need to embed single case management

    “I am also aware that in a letter dated the 11th June 2019, , Head of Custodial Contracts responded to the Report on the review of progress on behalf H. M. Prison & Probation Service. In the response it is recognised that”

Responses

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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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Marcus McGuire · Recurance