Recurance · prevention of future deaths reports
Pre-inquest brief
Lack of naloxone availability and training in prisons
The earlier warning
Neville McNair · 5 Nov 2019 · Fiona King, East Sussex
“all staff including non-health care staff and operational/security staff should have training in recognising and responding to opiate overdose including using available Naloxone.”
judiciary.uk/prevention-of-future-death-reports/neville-mcnair
What was promised
A published response was found, but no specific action could be extracted with a verified quote.
What recurred
- 2 Jan 2025 · Joseph Forbes Black · Ian Potter · Closely related · confidence 0.90 (high)
The clearest link, quoted from both reports:
Earlier · Neville McNair · 5 Nov 2019
“all staff including non-health care staff and operational/security staff should have training in recognising and responding to opiate overdose including using available Naloxone.”
Later · Joseph Forbes Black · 2 Jan 2025
“I am concerned that this set of circumstances raises the risk of future deaths occurring because the provision of naloxone kits could be made more widely available to those most likely to need them.”
What happened next
No web check of the stated actions has been published for this chain.