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recurance
5
reports received
1
with a published response found
0
recurrence chains
0
reports in those chains
  • Coroner Jonathan Stevens · North London · in 6 recurrence links

    No published response from this organisation found.

  • Coroner Laurinda Bower · Nottingham City and Nottinghamshire · in 1 recurrence link

    Response · 6 stated actions
    2025-0079-Response-from-Nottingham-NHS.pdf ↗
    “The Trust has established enhanced Executive led oversight and assurance reviews for Offender Health. This comprises a weekly meeting where progress against the Transformation Plan is reviewed with individuals held to account.”
    “A new national template for prison reception screening for the male prison estate was launched on the 1 April 2025. Staff are in the process of receiving the Nationally delivered Highbury Hospital, Highbury Road, Nottingham, NG6 9DR training for this and the benefits include a standardised and simplified model of screening which enable the understanding and recording of previously documented clinical risk which needs to be further considered as part of the reception and induction process.”
    “The Head of Safer Custody has introduced a new Early Days in Custody (EDIC) booklet along with colleagues from Reception and the Induction wing.”
    “We have worked with Prison colleagues to ensure that SIMs are attended on a weekly basis by a member of the Mental Health Team. This meeting is to discuss any patients of concern and highlight any specific issues relating to that individual.”
    “CSIP: Patients can also be referred to CSIP (Challenge, Support and Intervention Plan). This is a prison risk management system and process that will enable information sharing on risk in the prison estate and also support the development of cross professional relationships. Healthcare staff are currently accessing the training for this, and full compliance is aimed to have been achieved by June 2025.”
    “Training - Healthcare staff have arranged to attend the Prison staff induction programme so that they can deliver health training to the Prison Officers. Initially this will be focused on emergency response but will later include Mental Health awareness training. This was agreed at the Local Delivery Board and the first session was provided on 23 January 2025. Feedback from staff was very positive. Healthcare staff will continue to receive clinical risk, self-harm and suicide training, which is”
    Response · 1 stated action
    2025-0079-Response-from-Serco.pdf ↗
    “Failure to identify and share risk pertinent information between prison and healthcare staff.”
  • Coroner Dr Fiona Wilcox · London Inner (West) · in 1 recurrence link

    No published response from this organisation found.

  • Brian Dalrymple18 Sept 2014

    Coroner Jeremy Chipperfield · West London · in 2 recurrence links

    No published response from this organisation found.

  • Lee MacPherson3 Mar 2014

    Coroner Elizabeth Pygott · London (West)

    No published response from this organisation found.

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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.

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