Timothy Shaw
15 Feb 2018 · Coroner Caroline Beasley-Murray · Essex
A similar concern from this report was raised again 2 times later. See the linked reports.
The coroner's concerns
1. incomplete intelligence report process
“Healthcare staff seemed unclear as to how to fill in an Intelligence Report. There needs to be better communication between Healthcare staff and disciplinary staff as to the purpose of an Intelligence Report. Some criteria need to be developed and a system in place. An appropriate audit system needs to be in place.”
2. unrestricted access to illegal substances
“The processes and systems for reducing access to illegal substances need to be improved and tightened up”
3. missed referrals to psychosocial services
“The processes for referrals by both prisoners and staff to psychosocial services needs to be tightened up and improved”
4. inaccurate record keeping
“The standard and accuracy of record keeping by both disciplinary and Healthcare staff needs to be improved”
Linked reports
Closely relatedConfidence 0.90 · high
This report
“The standard and accuracy of record keeping by both disciplinary and Healthcare staff needs to be improved.”
Later report
“in a number of acknowledged respects the electronic records were inadequate - and inconsistent with EPUT policy - with evidence of the 'cutting and pasting' of entries”
Identical hazardConfidence 0.90 · high
This report
“- The standard and accuracy of record keeping by both disciplinary and Healthcare staff needs to be improved.”
Later report
“There was a lack of professional curiosity and poor record keeping and rationale for decision-making.”
Responses
2018-0047-Response-from-Care-UK.pdf ↗· Care UK Clinical Services