Recurance · prevention of future deaths reports
Pre-inquest brief
Absence of in-cell automatic fire detection
The earlier warning
Christian Hinkley · 4 Nov 2021 · Scott Matthewson, Mid Kent and Medway
“Every prison wing is already fitted with an automatic fire detection system for spaces other than for cells.”
judiciary.uk/…/christian-hinkley-prevention-of-future-deaths-re…
What was promised
Stated action 1 · response to Christian Hinkley (4 Nov 2021) · stated timescale: 5-7 years
“The rollout of the automatic fire safety systems nationally relies on a sustained level of investment and on the availability of resources to ensure that there is minimal disruption to the prison regimes. Fire safety systems are costly and complex to install and there can be delays in these works due to important measures to maintain the safety of staff and prison residents and also to maintain the overall security of the prison. It can therefore take a number of years to install the full system”
What recurred
- 18 Mar 2026 · Clare Dupree · M Vision · Identical hazard · confidence 0.95 (high)
The clearest link, quoted from both reports:
Earlier · Christian Hinkley · 4 Nov 2021
“Every prison wing is already fitted with an automatic fire detection system for spaces other than for cells.”
Later · Clare Dupree · 18 Mar 2026
“The Ministry of Justice has determined that in-cell automatic fire detection (AFD) is necessary to minimise the risk of harm from fires.”
What happened next
No web check of the stated actions has been published for this chain.