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recurance

Widespread new psychoactive substances in prison

Closely relatedConfidence 0.80 · moderate5 reports · 2016–2025No published response to an earlier report One-page brief (print or PDF)

His Majesty's Prison and Probation Service received 5 coroners' reports about this hazard between 3 May 2016 and 8 Dec 2025.

They came from 4 different coroners in 4 coroner areas. A similar concern was raised again 4 times after the first warning.

A published response was found for 3 of the 4 earlier reports, stating 0 specific actions.

5
reports
4
different coroners
2016–2025
years
0.80
lowest link confidence

The story, report by report

Spacing grows with the time between reports.

  1. First warning

    Shalane Blackwood↗

    3 May 2016 · Stephanie Haskey · Nottinghamshire

    “That the use of New Psychoactive Substances (NPS) remains rife within the prison, and presentations such as Mr [name redacted] are not diminishing, and that the Substance Misuse Team requires further staff to be effective in future.”
    Original on judiciary.uk ↗

    No published response from His Majesty's Prison and Probation Service was found for this report.

  2. 5 years 6 months later

    Raised again · 1st time

    Anthony Clacher↗

    22 Oct 2021 · Rachael Griffin · Dorset

    Closely relatedConfidence 0.90 · higha different coroner
    “At the time of [the deceased]'s death, the use of psychoactive substances was a problem at HMP Guys Marsh as it was, and continues to be, across the prison estate. Psychoactive substances were said to be the most dangerous drug in prison.”
    Original on judiciary.uk ↗

    Repeated from the earlier report:psychoactivesubstancesprison

    His Majesty's Prison and Probation Service responded.Response (PDF) ↗Response (PDF) ↗Response (PDF) ↗Response (PDF) ↗

  3. 1 year 3 months later

    Raised again · 2nd time

    Jason Williams↗

    2 Feb 2023 · Rachael Griffin · Dorset

    Closely relatedConfidence 0.80 · moderate
    “A Governor notice was not issued in the time leading up to [the deceased]'s death to prisoners or staff around the concerns regarding access to, and the impact of using, psychoactive substances.”
    Original on judiciary.uk ↗

    Repeated from the earlier report:timedeceased'sdeathpsychoactivesubstances

    His Majesty's Prison and Probation Service responded.Response (PDF) ↗Response (PDF) ↗Response (PDF) ↗

  4. 2 years 10 months later

    Raised again · 3rd time

    Derrion Adams↗

    18 Nov 2025 · Emma Brown · Birmingham and Solihull

    Closely relatedConfidence 0.80 · moderatea different coroner
    “Additionally the policy provides for the gathering of information and intelligence about the individual prisoner and the situation in the prison overall.”
    Original on judiciary.uk ↗

    Repeated from the earlier report:policyprison

    His Majesty's Prison and Probation Service responded.Response (PDF) ↗

  5. 1 month later

    Raised again · 4th time

    Oliver Mulangala↗

    8 Dec 2025 · Jonathan Stevens · Surrey

    Identical hazardConfidence 0.92 · higha different coroner
    “Prison Officer B ([REDACTED]) told the court: "[REDACTED] is a daily occurrence, it's too much to handle...some batches are bad and they can then be violent"”
    Original on judiciary.uk ↗

    His Majesty's Prison and Probation Service responded.Response (PDF) ↗

  6. All reports to His Majesty's Prison and Probation Service

Next

This shows that a similar concern was raised again after an earlier report. It does not say why, and it is not a finding about any organisation or person. To report an error, see the corrections route.

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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