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recurance

Thomas Ruggiero (1)

24 Mar 2026 · Coroner Ian Potter · Ian Potter

The coroner's concerns

  1. 1. inexperienced prison officers

    “high levels of inexperienced staff will undoubtedly contribute to future deaths of those in custody”
  2. 2. insufficient staff communication

    “communication between prison staff was insufficient and lacked clarity”
  3. 3. high proportion of probationary prison officers

    “up to (and possibly more than) 90% of prison officers at HMP Swaleside were new in post and still in their probationary period”

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

Thomas Ruggiero (1) · Recurance