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recurance

Matthew Purser

30 May 2014 · Coroner Philip Rogers · Swansea & Neath Port Talbot

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

The coroner's concerns

  1. 1. lack of ACCT training for doctor

    “The Doctor who saw Mr. [name redacted] for the second health screen on the day after admission had not received ACCT training as required by PS1 64/2011 and HMP Swansea Suicide Prevention Policy 2010 and was not aware of the requirement for him to be trained in the procedures although he was aware of the procedures.”

Linked reports

Raised again laterJohn Betteridge30 Jun 2016 · 2 years 1 month later
Identical hazardConfidence 0.90 · high

This report

“The Doctor who saw Mr. [name redacted] for the second health screen on the day after admission had not received ACCT training as required by PS1 64/2011 and HMP Swansea Suicide Prevention Policy 2010 and was not aware of the requirement for him to be trained in the procedures although he was aware of the procedures.”

Later report

“A member of the Healthcare staff indicated that at the time of the death, though she was working in the prison, she had not received any ACCT training.”
Original on judiciary.uk ↗
Full chain: Inadequate ACCT training leading to incomplete documentation

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

Matthew Purser · Recurance