His Majesty's Prison and Probation Service
- Obscured observation panels hinder monitoring
His Majesty's Prison and Probation Service · National body
3 reports · 3 coroners · 2024–2026Identical hazardConfidence 0.90 · high - Lack of basic first aid training and CPR among prison officers
His Majesty's Prison and Probation Service · National body
12 reports · 12 coroners · 2015–2026Closely relatedConfidence 0.90 · highNo published response to an earlier reportReviewed dossier - Inadequate ACCT training leading to incomplete documentation
His Majesty's Prison and Probation Service · National body
16 reports · 15 coroners · 2014–2026Closely relatedConfidence 0.80 · moderateNo published response to an earlier report - Lack of certified safer cells outside segregation unit
His Majesty's Prison and Probation Service · National body
4 reports · 4 coroners · 2023–2025Closely relatedConfidence 0.80 · moderate - Widespread new psychoactive substances in prison
His Majesty's Prison and Probation Service · National body
5 reports · 4 coroners · 2016–2025Closely relatedConfidence 0.80 · moderateNo published response to an earlier report - Indefinite imprisonment without clear release pathway
His Majesty's Prison and Probation Service · National body
2 reports · 2 coroners · 2024–2025Closely relatedConfidence 0.92 · high - 2 reports · 1 coroner · 2023–2025Identical hazardConfidence 0.90 · high
- 2 reports · 2 coroners · 2015–2025Identical hazardConfidence 0.90 · highNo published response to an earlier report
- Recurring hazard (see the quoted concerns)
His Majesty's Prison and Probation Service · National body
2 reports · 2 coroners · 2019–2025Identical hazardConfidence 0.90 · high - Delayed community offender manager engagement before release
His Majesty's Prison and Probation Service · National body
2 reports · 2 coroners · 2023–2025Closely relatedConfidence 0.80 · moderate - Incomplete or meaningless ACCT observations in prison
His Majesty's Prison and Probation Service · National body
2 reports · 2 coroners · 2019–2024Closely relatedConfidence 0.90 · highNo published response to an earlier report - Lack of knowledge about emergency response codes and delayed staff training on
His Majesty's Prison and Probation Service · National body
2 reports · 2 coroners · 2017–2024Closely relatedConfidence 0.90 · highNo published response to an earlier report - 2 reports · 2 coroners · 2022–2023Identical hazardConfidence 0.90 · highNo published response to an earlier report
- Inadequate ACCT training and supervision leading to observation failures
His Majesty's Prison and Probation Service · National body
2 reports · 2 coroners · 2019–2023Closely relatedConfidence 0.90 · highNo published response to an earlier report - Absence of breathing guard during mouth to mouth resuscitation
His Majesty's Prison and Probation Service · National body
2 reports · 1 coroner · 2017–2023Closely relatedConfidence 0.90 · highNo published response to an earlier report - Lack of mental health service connection by probation officers
His Majesty's Prison and Probation Service · National body
2 reports · 2 coroners · 2019–2021Closely relatedConfidence 0.80 · moderateNo published response to an earlier report - High‑risk offenders placed in unsuitable supported living accommodation
His Majesty's Prison and Probation Service · National body
2 reports · 2 coroners · 2017–2019Identical hazardConfidence 0.90 · highNo published response to an earlier report - Risk of suicide and self-harm in newly arrived prisoners
His Majesty's Prison and Probation Service · National body
3 reports · 2 coroners · 2015–2017Closely relatedConfidence 0.90 · high - Missing escort records during reception screening
His Majesty's Prison and Probation Service · National body
3 reports · 3 coroners · 2014–2017Closely relatedConfidence 0.90 · highNo published response to an earlier report