Christopher Stephens
24 Jun 2026 · Coroner Rachael Griffin · Dorset
The coroner's concerns
1. obstruction of observation panels compromising prisoner visibility
“lack of local safety measures in place at HMP Guys Marsh in respect of observation panels on cell doors, the culture at HMP Guys Marsh around not challenging prisoners on obscuring observation panels or ensuring prisoners are seen in cells, and not undertaking welfare checks at unlock and roll checks could compromise prisoners' health and lead to future deaths”
2. absence of key worker support for all prisoners
“lack of delivery of key work to all prisoners at HMP Guys Marsh could lead to future deaths as key work is an opportunity to disclose issues or concerns which can include matters relating to mental health or drugs use”