Recurance · prevention of future deaths reports
Pre-inquest brief
Inadequate staffing and training on new psychoactive substances
The earlier warning
Shalane Blackwood · 3 May 2016 · Stephanie Haskey, Nottinghamshire
“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.”
What was promised
No published response from Nottinghamshire Healthcare NHS Foundation Trust was found for the earlier reports.
What recurred
- 28 Aug 2020 · Carlington Spencer · Timothy Brennand · Closely related · confidence 0.80 (moderate)
The clearest link, quoted from both reports:
Earlier · 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.”
Later · Carlington Spencer · 28 Aug 2020
“Discipline staff have no meaningful training on the categories of self-induced intoxication and in particular "new psychoactive substances" such as the synthetic cannabinoid known as "Spice"”
What happened next
No web check of the stated actions has been published for this chain.