Samuel Jones

5 Dec 2023 · Coroner Rachael Griffin · Dorset

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

The coroner's concerns

1. lack of flagging of key dates
“lack of flagging of, and access to, key dates which may have an impact on prisoners' safety”
2. lack of national guidance on key date risk management
“lack of national Prison Service or NHS guidance on how to manage key dates where risks to the safety of the prisoner may be increased”
3. accessibility of NOMIS information
“accessibility of information recorded on NOMIS and the potential to miss key information which could impact on risk assessments”
4. lack of national guidance on medication possession
“lack of national guidance around the operation of in possession medication in prisons either by HMPPS or NHS England to ensure prisoners do not stockpile or retain medication when they have stopped using it”

Raised again laterSheldon Jeans25 Jul 2025 · 1 year 8 months later

Identical hazardConfidence 0.90 · high

This report

“lack of national guidance around the operation of in possession medication in prisons either by HMPPS or NHS England”

Later report

“there is a lack of national policy, and local policy at HMP Guys Marsh, from a healthcare and prison perspective”

Stated action

“we will issue a Senior Leaders Bulletin on the importance of recognising key dates and encouraging the use of local databases.”