Anthony Clacher
22 Oct 2021 · Coroner Rachael Griffin · Dorset
This report repeats 1 earlier warning, and was raised again 2 times later. See the linked reports.
The coroner's concerns
1. use of psychoactive substances in prison
“At the time of [the deceased]'s death, the use of psychoactive substances was a problem at HMP Guys Marsh as it was, and continues to be, across the prison estate. Psychoactive substances were said to be the most dangerous drug in prison. They can have both physical and mental impact upon the user and in themselves can cause death as well as an increase in suicidal ideation”
Linked reports
Closely relatedConfidence 0.90 · high
Earlier report
“That the use of New Psychoactive Substances (NPS) remains rife within the prison, and presentations such as Mr [name redacted] are not diminishing, and that the Substance Misuse Team requires further staff to be effective in future.”
This report
“At the time of [the deceased]'s death, the use of psychoactive substances was a problem at HMP Guys Marsh as it was, and continues to be, across the prison estate. Psychoactive substances were said to be the most dangerous drug in prison.”
Closely relatedConfidence 0.80 · moderate
This report
“At the time of [the deceased]'s death, the use of psychoactive substances was a problem at HMP Guys Marsh as it was, and continues to be, across the prison estate.”
Later report
“A Governor notice was not issued in the time leading up to [the deceased]'s death to prisoners or staff around the concerns regarding access to, and the impact of using, psychoactive substances.”
Closely relatedConfidence 0.80 · moderate
This report
“At the time there was no policy in place regarding welfare checks to be undertaken upon somebody found under the influence of psychoactive substances and the prison staff would rely upon guidance provided by the healthcare staff.”
Later report
“Additionally the policy provides for the gathering of information and intelligence about the individual prisoner and the situation in the prison overall.”