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recurance

Steven Davidson

21 Oct 2025 · Coroner Stephen Simblet · Essex

The coroner's concerns

  1. 1. inability to locate previous self-harm incidents

    “Health Care Staff at HMP Chelmsford say that they are: (i) not able to navigate the System One records sufficiently well to find information about previous incidents of self- harm in prison”

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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