Andrew Jones
20 Apr 2020 · Coroner Dr James Adeley · Lancashire and Blackburn with Darwin
The coroner's concerns
1. risk routinely ignored
“the risk averse nature of the prison service has been substantially reduced over the last 5-6 years to one in which risk is routinely ignored”
2. self-harm risk not addressed
“Assessment of risk [the deceased] self-harmed on 26 October 2018 and remained on an ACCT document until 12 November 2018”
3. lack of written protocol for deselection
“No written protocol or common understanding undertaken regarding deselection from the RSU relating to risk on transfer to a normal prison wing”
4. unlawful segregation
“Unlawful use of Segregation”
Responses
No published response was found on judiciary.uk.