Widespread new psychoactive substances in prison
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.
The story, report by report
Spacing grows with the time between reports.
“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.
- 5 years 6 months laterClosely 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) ↗
- 1 year 3 months laterClosely 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) ↗
- 2 years 10 months laterClosely 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) ↗
- 1 month laterIdentical 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) ↗
- All reports to His Majesty's Prison and Probation Service
Each row is one judged link between an earlier and a later report. Open a row to read both quotes, found word for word in the originals.
2016 → 2021Anthony Clacher5 years 6 months after Shalane Blackwood · different coronerClosely relatedConfidence 0.90 · high
Closely relatedConfidence 0.90 · highBoth reports highlight the ongoing prevalence of psychoactive/New Psychoactive Substances within the prison system as a serious safety concern. The later report adds details about welfare‑check policies but the core hazard—widespread psychoactive substance use—remains the same.
Shalane Blackwood · 3 May 2016
“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 ↗ Anthony Clacher · 22 Oct 2021
“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 ↗ 2021 → 2023Jason Williams1 year 3 months after Anthony Clacher · same coronerClosely relatedConfidence 0.80 · moderate
Closely relatedConfidence 0.80 · moderateBoth reports highlight problems related to the use of psychoactive substances in prison and the lack of adequate safeguards.
Anthony Clacher · 22 Oct 2021
“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.”
Original on judiciary.uk ↗ Jason Williams · 2 Feb 2023
“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 ↗ 2021 → 2025Derrion Adams4 years 1 month after Anthony Clacher · different coronerClosely relatedConfidence 0.80 · moderate
Closely relatedConfidence 0.80 · moderateBoth reports highlight the danger posed by prisoners being under the influence of psychoactive substances and the need for proper staff response.
Anthony Clacher · 22 Oct 2021
“At the time there was no policy in place regarding welfare checks to be undertaken upon somebody found under the influence of psychoactive substances and the prison staff would rely upon guidance provided by the healthcare staff.”
Original on judiciary.uk ↗ Derrion Adams · 18 Nov 2025
“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 ↗ 2016 → 2025Oliver Mulangala9 years 7 months after Shalane Blackwood · different coronerIdentical hazardConfidence 0.92 · high
Identical hazardConfidence 0.92 · highBoth reports highlight the ongoing widespread presence of New Psychoactive Substances (NPS) in the prison and note that the situation has not improved over time.
Shalane Blackwood · 3 May 2016
“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 ↗ Oliver Mulangala · 8 Dec 2025
“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 ↗
No published response from His Majesty's Prison and Probation Service was found for this report.
No specific action could be extracted with a verified quote.
No specific action could be extracted with a verified quote.
No specific action could be extracted with a verified quote.
No specific action could be extracted with a verified quote.
No specific action could be extracted with a verified quote.
No specific action could be extracted with a verified quote.
No specific action could be extracted with a verified quote.
No specific action could be extracted with a verified quote.
No specific action could be extracted with a verified quote.
- Each report's concerns were extracted by Nemotron 3 Nano on Nebius Token Factory, each with a quote copied from the report.
- Concerns from reports to His Majesty's Prison and Probation Service at least six months apart were compared by meaning (Qwen3 embeddings) and wording (TF-IDF).
- The closest pairs were judged by Nemotron 3 Super with reasoning on. Only identical or closely related, with confidence of at least 0.70, are shown.
- Every quote was checked by code as an exact substring of the original text. Names of staff and family are redacted, and the deceased are named by report title only.
| Link | Meaning | Wording | Judge | Coroner |
|---|---|---|---|---|
| 2016 → 2021 | 0.65 | 0.23 | Closely related · 0.90 | different |
| 2021 → 2023 | 0.66 | 0.20 | Closely related · 0.80 | same |
| 2021 → 2025 | 0.72 | 0.28 | Closely related · 0.80 | different |
| 2016 → 2025 | 0.69 | 0.41 | Identical · 0.92 | different |
Judge model: nvidia/nemotron-3-super-120b-a12b. How Nemotron did the work · Full methodology.
Next
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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.