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Cherylin Norrell-Goldsmith

27 Oct 2014 · Coroner Richard Travers · Surrey
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The coroner's concerns

  1. 1. exposed pipe work in cell

    “Open pipe work with the cell”

  2. 2. lack of multidisciplinary input at ACCT reviews

    “Multi‐Disciplinary Attendance / Input at ACCT Reviews”

  3. 3. loss of primary source data from prisoners

    “Retention of Primary Source Data within the Phoenix Programme”

  4. 4. significant medical events not recorded in accessible non‑medical records

    “Recording Significant Medical Events on a prisoner's Non‐medical Records”

Responses

2014-0470-Response-by-NOMS.pdf ↗

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Source: Prevention of Future Deaths reports and responses published by the Courts and Tribunals Judiciary at judiciary.uk. Crown copyright, used under the Open Government Licence v3.0. Data updated 26 Oct 2026.

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Cherylin Norrell-Goldsmith · Recurance