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recurance

Mujahid Adam

3 Mar 2026 · Coroner Edwin Buckett · Inner North London

The coroner's concerns

  1. 1. inaccurate observation records

    “If a prisoner was on 15-minute observations, a record of the observation checks on that prisoner would be made by a prisoner officer tasked with the responsibility for carrying out those checks”
  2. 2. undefined observation standards

    “There is no clear definition of what constitutes an "observation" and how this should be done by staff at the prison when someone is on 15-minute observations”
  3. 3. unrepaired cell enabling ligature

    “The cell occupied by Mr [name redacted] is one of a handful of special cells in the prison which are used for vulnerable prisoners on constant watch or on 15-minute observation. It was in a state of disrepair and gave access to the hidden material from which a ligature could be made. Despite daily AFCs, that disrepair was not noted although this was a special cell”

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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Mujahid Adam · Recurance