Recurance · prevention of future deaths reports
Pre-inquest brief
Inappropriate prison environment for mental health treatment
The earlier warning
Emily Hartley · 2 Mar 2018 · David Hinchliff, West Yorkshire (East)
“Prison was not the appropriate environment for someone with [the deceased]'s mental health problems.”
judiciary.uk/prevention-of-future-death-reports/emily-hartley
What was promised
A published response was found, but no specific action could be extracted with a verified quote.
What recurred
- 24 Nov 2025 · Diana Grant · Richard Travers · Closely related · confidence 0.85 (high)
The clearest link, quoted from both reports:
Earlier · Emily Hartley · 2 Mar 2018
“Prison was not the appropriate environment for someone with [the deceased]'s mental health problems.”
Later · Diana Grant · 24 Nov 2025
“detention in prison prior to transfer to a secure mental health unit continues to be unavoidable.”
What happened next
No web check of the stated actions has been published for this chain.