Recurance · prevention of future deaths reports
Pre-inquest brief
Lack of mandatory first aid and CPR training for prison officers
The earlier warning
John Williams · 28 Mar 2017 · ME Hassell, London Inner (North)
“The prison officers did not have even the most basic first aid and cardiopulmonary resuscitation (CPR) training.”
judiciary.uk/prevention-of-future-death-reports/john-williams
What was promised
A published response was found, but no specific action could be extracted with a verified quote.
What recurred
- 18 Dec 2017 · Mark Doyle · Heather Williams · Identical hazard · confidence 0.90 (high)
- 9 Feb 2026 · Gareth Chumber-Kelly · Jonathan Stevens · Identical hazard · confidence 0.95 (high)
The clearest link, quoted from both reports:
Earlier · John Williams · 28 Mar 2017
“The prison officers did not have even the most basic first aid and cardiopulmonary resuscitation (CPR) training.”
Later · Gareth Chumber-Kelly · 9 Feb 2026
“The Governor of the prison told the court that no refresher CPR training had been provided to prison staff since 2023 notwithstanding the 5 deaths of prisoners by ligature suspension that have occurred since.”
What happened next
No web check of the stated actions has been published for this chain.