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recurance

Inadequate ACCT documentation and healthcare absence during reviews

Closely relatedConfidence 0.90 · high2 reports · 2016–2019 One-page brief (print or PDF)

HMP Woodhill received 2 coroners' reports about this hazard between 26 May 2016 and 6 Nov 2019.

They came from 2 different coroners. A similar concern was raised again 1 time after the first warning.

A published response was found for 1 of the 1 earlier reports, stating 1 specific action.

2
reports
2
different coroners
2016–2019
years
0.90
lowest link confidence

The story, report by report

Spacing grows with the time between reports.

  1. First warning

    Ian Brown↗

    26 May 2016 · Thomas Osborne · Milton Keynes

    “(1)During the course of the evidence | was referred to the most recent report from the HM Inspector of Prisons that highlighted”
    Original on judiciary.uk ↗

    HMP Woodhill responded, stating 1 specific action.Response (PDF) ↗

    “The prison is also implementing a system to provide each offender supported through the ACCT process with a designated case manager throughout the period for which the ACCT remains open.”
  2. 3 years 5 months later

    Raised again · 1st time

    Darren Williams↗

    6 Nov 2019 · Tom Osborne · Milton Keynes

    Closely relatedConfidence 0.90 · higha different coroner
    “it became apparent during the course of the evidence that ACCT reviews were being conducted on many occasions without someone from Healthcare being in attendance.”
    Original on judiciary.uk ↗

    Repeated from the earlier report:courseevidence

    The most recent report. A response may not be due or published yet.

  3. All reports to HMP Woodhill

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