Lack of basic first aid training and CPR among prison officers

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. ?Every quote shown was checked by code to appear word for word in the original report.

• 2015 → 2017Mark Doyle2 years 9 months after Keith Murphy · different coronerIdentical hazardConfidence 0.90 · high

  Identical hazardConfidence 0.90 · high

  Both reports highlight the absence of required first‑aid training for prison staff who work directly with prisoners.

  Keith Murphy · 25 Mar 2015

  “Action is required to ensure that Prison Officers and Staff with direct access to prisoners have basic first aid training, CPR training and familiarisation with the use of a defibrillator.”

  Check it in the source

  Mark Doyle · 18 Dec 2017

  “(4) There is no mandatory first aid training for existing (as opposed to new) prison officers.”

  Check it in the source

  Stated action in the response to the earlier report

  “all but two of the CMs at the prison have been trained, and those two members of staff will be provided with training as soon as they return to duty. HMP Coldingley also uses a monthly closedown of the prisoner regime to provide opportunities for training for the wider staff group and this includes instruction on CPR and on the use of defibrillators.”

  Earlier report in the app · Later report in the app

• 2015 → 2018Nicola Lawrence3 years 7 months after Keith Murphy · different coronerIdentical hazardConfidence 0.90 · high

  Identical hazardConfidence 0.90 · high

  Both reports highlight a lack of cardiopulmonary resuscitation training among prison staff who have direct contact with prisoners. They concern the same specific hazard—insufficient CPR readiness—and the same mechanism of inadequate training provision.

  Keith Murphy · 25 Mar 2015

  “Action is required to ensure that Prison Officers and Staff with direct access to prisoners have basic first aid training, CPR training and familiarisation with the use of a defibrillator.”

  Check it in the source

  Nicola Lawrence · 23 Oct 2018

  “Some Prison staff had not received any cardiopulmonary resuscitation training. Either as part of initial training or any refresher training.”

  Check it in the source

  Stated action in the response to the earlier report

  “all but two of the CMs at the prison have been trained, and those two members of staff will be provided with training as soon as they return to duty. HMP Coldingley also uses a monthly closedown of the prisoner regime to provide opportunities for training for the wider staff group and this includes instruction on CPR and on the use of defibrillators.”

  Earlier report in the app · Later report in the app

• 2017 → 2018Nicola Lawrence1 year 7 months after John Williams · different coronerIdentical hazardConfidence 0.90 · high

  Identical hazardConfidence 0.90 · high

  Both reports highlight that prison staff lack cardiopulmonary resuscitation (CPR) training, either initially or as refresher training. The core concern is the absence of this life‑saving skill among officers.

  John Williams · 28 Mar 2017

  “. The prison officers did not have even the most basic first aid and cardiopulmonary resuscitation (CPR) training. | am aware from other inquests that this is not provided at a national level.”

  Check it in the source

  Nicola Lawrence · 23 Oct 2018

  “(1) Some Prison staff had not received any cardiopulmonary resuscitation training. Either as part of initial training or any refresher training.”

  Check it in the source

  Earlier report in the app · Later report in the app

• 2017 → 2019Ryan Trimmer1 year 6 months after Mark Doyle · different coronerIdentical hazardConfidence 0.95 · high

  Identical hazardConfidence 0.95 · high

  Both reports highlight that prison staff may need to respond to medical emergencies without having received first‑aid training.

  Mark Doyle · 18 Dec 2017

  “(4) There is no mandatory first aid training for existing (as opposed to new) prison officers.”

  Check it in the source

  Ryan Trimmer · 21 Jun 2019

  “Prison staff are often first responders to medical emergencies of prisoners, but not all have received first aid training.”

  Check it in the source

  Earlier report in the app · Later report in the app

• 2015 → 2019Ryan Trimmer3 years 11 months after Luke Myers · different coronerIdentical hazardConfidence 0.92 · high

  Identical hazardConfidence 0.92 · high

  Both reports highlight that prison staff lacked up-to-date first aid training, raising concerns about their ability to respond to medical emergencies.

  Luke Myers · 20 Jul 2015

  “During the course of the inquest evidence was heard from two members of Prison discipline staff that they had last been trained in first aid respectively 10 and 6 years ago”

  Check it in the source

  Ryan Trimmer · 21 Jun 2019

  “One frontline prison staff member gave evidence that he had not received training in 16 years of working for HMPS and felt he needed refresher training.”

  Check it in the source

  Earlier report in the app · Later report in the app

• 2015 → 2019Ryan Trimmer4 years 3 months after Keith Murphy · different coronerIdentical hazardConfidence 0.90 · high

  Identical hazardConfidence 0.90 · high

  Both reports highlight that prison staff who may be first responders lack adequate first aid training, including CPR and defibrillator familiarity.

  Keith Murphy · 25 Mar 2015

  “Action is required to ensure that Prison Officers and Staff with direct access to prisoners have basic first aid training, CPR training and familiarisation with the use of a defibrillator.”

  Check it in the source

  Ryan Trimmer · 21 Jun 2019

  “Prison staff are often first responders to medical emergencies of prisoners, but not all have received first aid training.”

  Check it in the source

  Stated action in the response to the earlier report

  “all but two of the CMs at the prison have been trained, and those two members of staff will be provided with training as soon as they return to duty. HMP Coldingley also uses a monthly closedown of the prisoner regime to provide opportunities for training for the wider staff group and this includes instruction on CPR and on the use of defibrillators.”

  Earlier report in the app · Later report in the app

• 2018 → 2019Ryan Trimmer8 months after Nicola Lawrence · different coronerClosely relatedConfidence 0.90 · high

  Closely relatedConfidence 0.90 · high

  Both reports highlight insufficient training of prison staff in life‑saving skills. The earlier report focuses specifically on missing CPR training, while the later report notes a lack of recent first‑aid/refresher training.

  Nicola Lawrence · 23 Oct 2018

  “Some Prison staff had not received any cardiopulmonary resuscitation training. Either as part of initial training or any refresher training.”

  Check it in the source

  Ryan Trimmer · 21 Jun 2019

  “One frontline prison staff member gave evidence that he had not received training in 16 years of working for HMPS and felt he needed refresher training.”

  Check it in the source

  Stated action in the response to the earlier report

  “The Governor at HMP New Hall has reviewed the band/grade and number of staff who need to be trained in first aid, and the number of such staff required on duty at times throughout the day. The prison currently has 40 staff trained in FAW and 48 in EFAW, and these numbers are considered to be sufficient to ensure that an appropriate response can be provided in any emergency situation that may arise at any time.”

  Earlier report in the app · Later report in the app

• 2015 → 2024Liam Turner8 years 10 months after Keith Murphy · different coronerIdentical hazardConfidence 0.90 · high

  Identical hazardConfidence 0.90 · high

  Both reports highlight the lack of mandatory, up‑to‑date basic first aid and CPR training for prison officers. They concern the same hazard: insufficient life‑saving training for staff with prisoner contact.

  Keith Murphy · 25 Mar 2015

  “Action is required to ensure that Prison Officers and Staff with direct access to prisoners have basic first aid training, CPR training and familiarisation with the use of a defibrillator.”

  Check it in the source

  Liam Turner · 5 Feb 2024

  “It is not mandatory for prison officers to have basic first aid training (which includes the provision of CPR) which is in-date.”

  Check it in the source

  Stated action in the response to the earlier report

  “all but two of the CMs at the prison have been trained, and those two members of staff will be provided with training as soon as they return to duty. HMP Coldingley also uses a monthly closedown of the prisoner regime to provide opportunities for training for the wider staff group and this includes instruction on CPR and on the use of defibrillators.”

  Earlier report in the app · Later report in the app

• 2017 → 2024Liam Turner6 years 10 months after John Williams · different coronerIdentical hazardConfidence 0.90 · high

  Identical hazardConfidence 0.90 · high

  Both reports highlight that prison officers lack mandatory, up‑to‑date basic first aid and CPR training. The core issue is the absence of a requirement for officers to maintain current life‑saving skills.

  John Williams · 28 Mar 2017

  “The prison officers did not have even the most basic first aid and cardiopulmonary resuscitation (CPR) training. | am aware from other inquests that this is not provided at a national level.”

  Check it in the source

  Liam Turner · 5 Feb 2024

  “It is not mandatory for prison officers to have basic first aid training (which includes the provision of CPR) which is in-date. Once a prison officer's three-year period has expired, whilst they may be reminded by the prison establishment that their certification is no longer live, it is not mandatory for them to renew this.”

  Check it in the source

  Earlier report in the app · Later report in the app

• 2018 → 2024Liam Turner5 years 3 months after Nicola Lawrence · different coronerClosely relatedConfidence 0.90 · high

  Closely relatedConfidence 0.90 · high

  Both reports highlight insufficient or outdated cardiopulmonary resuscitation/first‑aid training among prison staff. The earlier report notes staff lacking any CPR training, while the later report points out that existing training is not kept current.

  Nicola Lawrence · 23 Oct 2018

  “Some Prison staff had not received any cardiopulmonary resuscitation training. Either as part of initial training or any refresher training.”

  Check it in the source

  Liam Turner · 5 Feb 2024

  “It is not mandatory for prison officers to have basic first aid training (which includes the provision of CPR) which is in-date.”

  Check it in the source

  Stated action in the response to the earlier report

  “The Governor at HMP New Hall has reviewed the band/grade and number of staff who need to be trained in first aid, and the number of such staff required on duty at times throughout the day. The prison currently has 40 staff trained in FAW and 48 in EFAW, and these numbers are considered to be sufficient to ensure that an appropriate response can be provided in any emergency situation that may arise at any time.”

  Earlier report in the app · Later report in the app

• 2019 → 2024Liam Turner4 years 8 months after Ryan Trimmer · different coronerClosely relatedConfidence 0.90 · high

  Closely relatedConfidence 0.90 · high

  Both reports highlight that prison staff do not reliably maintain up‑to‑date first aid training, leaving gaps in emergency response capability.

  Ryan Trimmer · 21 Jun 2019

  “One frontline prison staff member gave evidence that he had not received training in 16 years of working for HMPS and felt he needed refresher training.”

  Check it in the source

  Liam Turner · 5 Feb 2024

  “It is not mandatory for prison officers to have basic first aid training (which includes the provision of CPR) which is in-date.”

  Check it in the source

  Stated action in the response to the earlier report

  “The Governors of each prison are required to ensure that there are sufficient numbers of staff trained in first aid on duty, and at HMP Lewes at least two trained nurses and one trained member of prison staff are available at all times. Two on-site first aid trainers will be delivering first aid training to staff as part of the prison's monthly training provision, and a one-day refresher course will be introduced to ensure that training levels are maintained. Custodial Managers (the most senior”

  Earlier report in the app · Later report in the app

• 2017 → 2024Stephen Sleaford7 years 7 months after John Williams · different coronerIdentical hazardConfidence 0.90 · high

  Identical hazardConfidence 0.90 · high

  Both reports highlight that prison officers lack basic first aid and CPR training. The later report specifies the timing of the gap but describes the same deficiency.

  John Williams · 28 Mar 2017

  “The prison officers did not have even the most basic first aid and cardiopulmonary resuscitation (CPR) training.”

  Check it in the source

  Stephen Sleaford · 14 Oct 2024

  “Evidence was heard that the majority of those prison officers who had commenced in their roles prior to 2018 had no first aid/basic life-saving skills and no ability/training in undertaking cardiopulmonary resuscitation ('CPR').”

  Check it in the source

  Earlier report in the app · Later report in the app

• 2015 → 2024Stephen Sleaford9 years 7 months after Keith Murphy · different coronerClosely relatedConfidence 0.90 · high

  Closely relatedConfidence 0.90 · high

  Both reports highlight a lack of basic first aid and CPR training for prison officers. The earlier report calls for training existing staff, while the later report notes the omission of such training from new‑officer foundation programmes.

  Keith Murphy · 25 Mar 2015

  “Action is required to ensure that Prison Officers and Staff with direct access to prisoners have basic first aid training, CPR training and familiarisation with the use of a defibrillator.”

  Check it in the source

  Stephen Sleaford · 14 Oct 2024

  “Evidence was heard that after April 2024, basic first aid training (including CPR training) has been omitted from the foundation training programme for those training to be prison officers,”

  Check it in the source

  Stated action in the response to the earlier report

  “all but two of the CMs at the prison have been trained, and those two members of staff will be provided with training as soon as they return to duty. HMP Coldingley also uses a monthly closedown of the prisoner regime to provide opportunities for training for the wider staff group and this includes instruction on CPR and on the use of defibrillators.”

  Earlier report in the app · Later report in the app

• 2017 → 2024Stephen Sleaford6 years 10 months after Mark Doyle · different coronerClosely relatedConfidence 0.90 · high

  Closely relatedConfidence 0.90 · high

  Both reports highlight a gap in first‑aid training for prison officers that could leave emergencies unattended. The earlier report notes missing training for existing officers, while the later report notes its removal from new‑officer foundation training.

  Mark Doyle · 18 Dec 2017

  “(4) There is no mandatory first aid training for existing (as opposed to new) prison officers.”

  Check it in the source

  Stephen Sleaford · 14 Oct 2024

  “after April 2024, basic first aid training (including CPR training) has been omitted from the foundation training programme for those training to be prison officers”

  Check it in the source

  Earlier report in the app · Later report in the app

• 2018 → 2024Stephen Sleaford6 years after Nicola Lawrence · different coronerClosely relatedConfidence 0.90 · high

  Closely relatedConfidence 0.90 · high

  Both reports highlight a lack of cardiopulmonary resuscitation (CPR) training among prison staff. The earlier report notes some staff had received none, while the later report finds a majority of pre‑2018 officers untrained and ongoing gaps in training.

  Nicola Lawrence · 23 Oct 2018

  “- (1) Some Prison staff had not received any cardiopulmonary resuscitation training. Either as part of initial training or any refresher training.”

  Check it in the source

  Stephen Sleaford · 14 Oct 2024

  “Evidence was heard that the majority of those prison officers who had commenced in their roles prior to 2018 had no first aid/basic life-saving skills and no ability/training in undertaking cardiopulmonary resuscitation ('CPR').”

  Check it in the source

  Stated action in the response to the earlier report

  “The Governor at HMP New Hall has reviewed the band/grade and number of staff who need to be trained in first aid, and the number of such staff required on duty at times throughout the day. The prison currently has 40 staff trained in FAW and 48 in EFAW, and these numbers are considered to be sufficient to ensure that an appropriate response can be provided in any emergency situation that may arise at any time.”

  Earlier report in the app · Later report in the app

• 2024 → 2024Stephen Sleaford8 months after Liam Turner · different coronerClosely relatedConfidence 0.90 · high

  Closely relatedConfidence 0.90 · high

  Both reports highlight that prison officers are not required to have up‑to‑date basic first aid/CPR training. The earlier report focuses on lapsed certification, while the later report notes the removal of such training from initial officer training.

  Liam Turner · 5 Feb 2024

  “It is not mandatory for prison officers to have basic first aid training (which includes the provision of CPR) which is in-date.”

  Check it in the source

  Stephen Sleaford · 14 Oct 2024

  “Evidence was heard that after April 2024, basic first aid training (including CPR training) has been omitted from the foundation training programme for those training to be prison officers”

  Check it in the source

  Stated action in the response to the earlier report

  “Following evidence heard at the inquest, you have raised some concerns regarding the first aid training for staff, particularly in relation to the use of CPR. Thank you for bringing your concern to my attention. As you are aware, the HMPPS First Aid Policy Framework was re-issued nationally in August 2023. The revised policy highlights the training requirements for Emergency First Aid and First Aid in prisons, including the importance of Governors ensuring that there is an appropriate number of”

  Earlier report in the app · Later report in the app

• 2019 → 2024Stephen Sleaford5 years 4 months after Ryan Trimmer · different coronerIdentical hazardConfidence 0.90 · high

  Identical hazardConfidence 0.90 · high

  Both reports highlight that prison staff lack adequate first aid training, leaving them unprepared to respond to medical emergencies.

  Ryan Trimmer · 21 Jun 2019

  “Prison staff are often first responders to medical emergencies of prisoners, but not all have received first aid training.”

  Check it in the source

  Stephen Sleaford · 14 Oct 2024

  “Evidence was heard that after April 2024, basic first aid training (including CPR training) has been omitted from the foundation training programme for those training to be prison officers”

  Check it in the source

  Earlier report in the app · Later report in the app

• 2015 → 2025Azroy Dawes-Clarke (3)10 years 4 months after Keith Murphy · different coronerIdentical hazardConfidence 0.95 · high

  Identical hazardConfidence 0.95 · high

  Both reports highlight insufficient first aid and CPR training among prison officers who have direct contact with prisoners. They describe the same hazard of inadequate life‑support training leading to uncertainty during medical emergencies.

  Keith Murphy · 25 Mar 2015

  “Action is required to ensure that Prison Officers and Staff with direct access to prisoners have basic first aid training, CPR training and familiarisation with the use of a defibrillator.”

  Check it in the source

  Azroy Dawes-Clarke (3) · 29 Jul 2025

  “Officers who were present during Mr [name redacted] cardio-respiratory arrest had different training with regard to first aid and basic life support.”

  Check it in the source

  Stated action in the response to the earlier report

  “all but two of the CMs at the prison have been trained, and those two members of staff will be provided with training as soon as they return to duty. HMP Coldingley also uses a monthly closedown of the prisoner regime to provide opportunities for training for the wider staff group and this includes instruction on CPR and on the use of defibrillators.”

  Earlier report in the app · Later report in the app

• 2024 → 2025Azroy Dawes-Clarke (3)9 months after Stephen Sleaford · different coronerIdentical hazardConfidence 0.90 · high

  Identical hazardConfidence 0.90 · high

  Both reports highlight that prison officers lack adequate first aid and CPR training, which compromises emergency response.

  Stephen Sleaford · 14 Oct 2024

  “Evidence was heard that the majority of those prison officers who had commenced in their roles prior to 2018 had no first aid/basic life-saving skills and no ability/training in undertaking cardiopulmonary resuscitation ('CPR').”

  Check it in the source

  Azroy Dawes-Clarke (3) · 29 Jul 2025

  “Officers who were present during Mr [name redacted] cardio-respiratory arrest had different training with regard to first aid and basic life support. During the course of the inquest, evidence was heard that whilst all uniformed prison officers would have regular training in respect of control and restraint, not all had recent (if any) training in first aid or basic life support.”

  Check it in the source

  Stated action in the response to the earlier report

  “attention. The HMPPS First Aid Policy Framework was re-issued nationally in August 2023. The revised policy highlights the training requirements for Emergency First Aid and First Aid in prisons, including the importance of Governors ensuring that there is an appropriate number of trained staff on duty at all times. To achieve this, a detailed local first aid risk assessment must be produced to determine the number of First Aiders at Work (FAW) and Emergency First Aiders at work (EFAW) required at an”

  Earlier report in the app · Later report in the app

• 2024 → 2025Azroy Dawes-Clarke (3)1 year 2 months after Daniel Beckford · different coronerClosely relatedConfidence 0.90 · high

  Closely relatedConfidence 0.90 · high

  Both reports highlight inadequate or inconsistent first aid and basic life support training for prison officers, leading to uncertainty in responding to resuscitation situations.

  Daniel Beckford · 11 Jun 2024

  “absence of clarity in the first aid training to prison officers on the use of rescue breaths during resuscitation attempts”

  Check it in the source

  Azroy Dawes-Clarke (3) · 29 Jul 2025

  “Officers who were present during Mr [name redacted] cardio-respiratory arrest had different training with regard to first aid and basic life support.”

  Check it in the source

  Earlier report in the app · Later report in the app

• 2015 → 2026Gareth Chumber-Kelly10 years 11 months after Keith Murphy · different coronerIdentical hazardConfidence 0.95 · high

  Identical hazardConfidence 0.95 · high

  Both reports highlight the lack of adequate CPR/refresher training for prison officers who are first responders in emergencies. The later report notes that no refresher training has been given since 2023, continuing the same concern.

  Keith Murphy · 25 Mar 2015

  “Action is required to ensure that Prison Officers and Staff with direct access to prisoners have basic first aid training, CPR training and familiarisation with the use of a defibrillator.”

  Check it in the source

  Gareth Chumber-Kelly · 9 Feb 2026

  “The Governor of the prison told the court that no refresher CPR training had been provided to prison staff since 2023 notwithstanding the 5 deaths of prisoners by ligature suspension that have occurred since.”

  Check it in the source

  Stated action in the response to the earlier report

  “all but two of the CMs at the prison have been trained, and those two members of staff will be provided with training as soon as they return to duty. HMP Coldingley also uses a monthly closedown of the prisoner regime to provide opportunities for training for the wider staff group and this includes instruction on CPR and on the use of defibrillators.”

  Earlier report in the app · Later report in the app

• 2024 → 2026Gareth Chumber-Kelly1 year 4 months after Stephen Sleaford · different coronerIdentical hazardConfidence 0.90 · high

  Identical hazardConfidence 0.90 · high

  Both reports highlight the absence of CPR/refresher training for prison officers as a critical gap in emergency response. They describe the same mechanism—lack of training leading to inability to provide life‑saving aid.

  Stephen Sleaford · 14 Oct 2024

  “Evidence was heard that the majority of those prison officers who had commenced in their roles prior to 2018 had no first aid/basic life-saving skills and no ability/training in undertaking cardiopulmonary resuscitation ('CPR').”

  Check it in the source

  Gareth Chumber-Kelly · 9 Feb 2026

  “The Governor of the prison told the court that no refresher CPR training had been provided to prison staff since 2023 notwithstanding the 5 deaths of prisoners by ligature suspension that have occurred since.”

  Check it in the source

  Stated action in the response to the earlier report

  “attention. The HMPPS First Aid Policy Framework was re-issued nationally in August 2023. The revised policy highlights the training requirements for Emergency First Aid and First Aid in prisons, including the importance of Governors ensuring that there is an appropriate number of trained staff on duty at all times. To achieve this, a detailed local first aid risk assessment must be produced to determine the number of First Aiders at Work (FAW) and Emergency First Aiders at work (EFAW) required at an”

  Earlier report in the app · Later report in the app

• 2018 → 2026Gareth Chumber-Kelly7 years 4 months after Nicola Lawrence · different coronerIdentical hazardConfidence 0.90 · high

  Identical hazardConfidence 0.90 · high

  Both reports highlight that prison staff lack refresher cardiopulmonary resuscitation training, which impairs their ability to respond to emergencies.

  Nicola Lawrence · 23 Oct 2018

  “(1) Some Prison staff had not received any cardiopulmonary resuscitation training. Either as part of initial training or any refresher training.”

  Check it in the source

  Gareth Chumber-Kelly · 9 Feb 2026

  “no refresher CPR training had been provided to prison staff since 2023”

  Check it in the source

  Stated action in the response to the earlier report

  “The Governor at HMP New Hall has reviewed the band/grade and number of staff who need to be trained in first aid, and the number of such staff required on duty at times throughout the day. The prison currently has 40 staff trained in FAW and 48 in EFAW, and these numbers are considered to be sufficient to ensure that an appropriate response can be provided in any emergency situation that may arise at any time.”

  Earlier report in the app · Later report in the app

• 2025 → 2026Gareth Chumber-Kelly6 months after Azroy Dawes-Clarke (3) · different coronerIdentical hazardConfidence 0.90 · high

  Identical hazardConfidence 0.90 · high

  Both reports highlight insufficient basic life support training among prison officers, leading to inadequate response during medical emergencies.

  Azroy Dawes-Clarke (3) · 29 Jul 2025

  “Officers who were present during Mr [name redacted] cardio-respiratory arrest had different training with regard to first aid and basic life support.”

  Check it in the source

  Gareth Chumber-Kelly · 9 Feb 2026

  “The court heard evidence that the first two officers on the scene failed to provide any form of basic life support despite having received training on how to do so.”

  Check it in the source

  Earlier report in the app · Later report in the app

• 2017 → 2026George Haldenby8 years 5 months after Mark Doyle · different coronerClosely relatedConfidence 0.92 · high

  Closely relatedConfidence 0.92 · high

  Both reports highlight a gap in ongoing first aid/CPR training for prison staff, leaving them unprepared for medical emergencies. The earlier report notes no mandatory training for existing officers, while the later report notes no refresher training after initial induction.

  Mark Doyle · 18 Dec 2017

  “There is no mandatory first aid training for existing (as opposed to new) prison officers.”

  Check it in the source

  George Haldenby · 21 May 2026

  “After prison officers and prison staff carry out their induction training which covers basic first aid training including the delivery of cardio pulmonary resuscitation (CPR), there is no further mandatory refresher training on first aid or CPR.”

  Check it in the source

  Stated action in the response to the earlier report

  “Following the inquest I have reflected and reviewed healthcare processes and there have been discussions within the healthcare team. Going forward we will ensure that the Local Operating Procedures (LOPs) are embedded, with senior management undertaking audits, to ensure that where any relevant risks and triggers are identified, we will share information with the prison in the following ways:- - Update on C nomis - entry to be made by allocated healthcare staff - Update the ACCT document and”

  Earlier report in the app · Later report in the app

• 2024 → 2026George Haldenby1 year 7 months after Stephen Sleaford · different coronerClosely relatedConfidence 0.90 · high

  Closely relatedConfidence 0.90 · high

  Both reports highlight the absence of ongoing or refresher first aid and CPR training for prison officers after initial instruction. They differ in the timing and scope of the training gap described.

  Stephen Sleaford · 14 Oct 2024

  “Evidence was heard that the majority of those prison officers who had commenced in their roles prior to 2018 had no first aid/basic life-saving skills and no ability/training in undertaking cardiopulmonary resuscitation ('CPR').”

  Check it in the source

  George Haldenby · 21 May 2026

  “After prison officers and prison staff carry out their induction training which covers basic first aid training including the delivery of cardio pulmonary resuscitation (CPR), there is no further mandatory refresher training on first aid or CPR.”

  Check it in the source

  Stated action in the response to the earlier report

  “attention. The HMPPS First Aid Policy Framework was re-issued nationally in August 2023. The revised policy highlights the training requirements for Emergency First Aid and First Aid in prisons, including the importance of Governors ensuring that there is an appropriate number of trained staff on duty at all times. To achieve this, a detailed local first aid risk assessment must be produced to determine the number of First Aiders at Work (FAW) and Emergency First Aiders at work (EFAW) required at an”

  Earlier report in the app · Later report in the app

• 2015 → 2026George Haldenby11 years 2 months after Keith Murphy · different coronerClosely relatedConfidence 0.90 · high

  Closely relatedConfidence 0.90 · high

  Both reports highlight insufficient first aid and CPR training among prison staff as a safety risk. The earlier report calls for initial training and defibrillator familiarity, while the later report notes the lack of mandatory refresher training after induction.

  Keith Murphy · 25 Mar 2015

  “Action is required to ensure that Prison Officers and Staff with direct access to prisoners have basic first aid training, CPR training and familiarisation with the use of a defibrillator.”

  Check it in the source

  George Haldenby · 21 May 2026

  “After prison officers and prison staff carry out their induction training which covers basic first aid training including the delivery of cardio pulmonary resuscitation (CPR), there is no further mandatory refresher training on first aid or CPR.”

  Check it in the source

  Earlier report in the app · Later report in the app

• 2024 → 2026George Haldenby2 years 3 months after Liam Turner · different coronerClosely relatedConfidence 0.90 · high

  Closely relatedConfidence 0.90 · high

  Both reports highlight that prison staff are not required to undertake ongoing or refresher first aid/CPR training after initial certification. They describe the same gap in mandatory training leading to potentially outdated life‑saving skills.

  Liam Turner · 5 Feb 2024

  “It is not mandatory for prison officers to have basic first aid training (which includes the provision of CPR) which is in-date. Once a prison officer's three-year period has expired, whilst they may be reminded by the prison establishment that their certification is no longer live, it is not mandatory for them to renew this.”

  Check it in the source

  George Haldenby · 21 May 2026

  “After prison officers and prison staff carry out their induction training which covers basic first aid training including the delivery of cardio pulmonary resuscitation (CPR), there is no further mandatory refresher training on first aid or CPR.”

  Check it in the source

  Stated action in the response to the earlier report

  “Following evidence heard at the inquest, you have raised some concerns regarding the first aid training for staff, particularly in relation to the use of CPR. Thank you for bringing your concern to my attention. As you are aware, the HMPPS First Aid Policy Framework was re-issued nationally in August 2023. The revised policy highlights the training requirements for Emergency First Aid and First Aid in prisons, including the importance of Governors ensuring that there is an appropriate number of”

  Earlier report in the app · Later report in the app

• 2019 → 2026George Haldenby6 years 11 months after Ryan Trimmer · different coronerClosely relatedConfidence 0.90 · high

  Closely relatedConfidence 0.90 · high

  Both reports highlight that prison staff lack adequate ongoing first aid or CPR training after initial induction. The earlier report notes many staff have never received training, while the later report points out there is no mandatory refresher training after induction.

  Ryan Trimmer · 21 Jun 2019

  “Prison staff are often first responders to medical emergencies of prisoners, but not all have received first aid training.”

  Check it in the source

  George Haldenby · 21 May 2026

  “After prison officers and prison staff carry out their induction training which covers basic first aid training including the delivery of cardio pulmonary resuscitation (CPR), there is no further mandatory refresher training on first aid or CPR.”

  Check it in the source

  Earlier report in the app · Later report in the app

• 2018 → 2026George Haldenby7 years 7 months after Nicola Lawrence · different coronerIdentical hazardConfidence 0.90 · high

  Identical hazardConfidence 0.90 · high

  Both reports highlight that prison staff lack ongoing refresher training in cardiopulmonary resuscitation, leaving them unprepared to deliver timely CPR in emergencies.

  Nicola Lawrence · 23 Oct 2018

  “Some Prison staff had not received any cardiopulmonary resuscitation training. Either as part of initial training or any refresher training.”

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  George Haldenby · 21 May 2026

  “After prison officers and prison staff carry out their induction training which covers basic first aid training including the delivery of cardio pulmonary resuscitation (CPR), there is no further mandatory refresher training on first aid or CPR.”

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  Earlier report in the app · Later report in the app