Recurance · prevention of future deaths reports
Pre-inquest brief
Lack of access to NOMIS by clinical staff
The earlier warning
Lee Thrumble · 10 Sept 2021 · Scott Matthewson, Mid Kent and Medway
“(4) Whilst all prison staff were trained in the use of this system and were able to access it, only some clinical staff are able to access NOMIS.”
judiciary.uk/…/lee-thrumble-prevention-of-future-deaths-report
What was promised
No published response from Department of Health and Social Care was found for the earlier reports.
What recurred
- 18 Jul 2025 · Patryk Gladysz · Priya Malhotra · Closely related · confidence 0.80 (moderate)
The clearest link, quoted from both reports:
Earlier · Lee Thrumble · 10 Sept 2021
“(4) Whilst all prison staff were trained in the use of this system and were able to access it, only some clinical staff are able to access NOMIS.”
Later · Patryk Gladysz · 18 Jul 2025
“(b) inconsistent understanding of healthcare access to the NOMIS by both prison and healthcare staff; and”
What happened next
No web check of the stated actions has been published for this chain.