Clare Dupree

18 Mar 2026 · Coroner M Vision · Avon

This report repeats 1 earlier warning. See the linked reports.

The coroner's concerns

1. lack of in-cell automatic fire detection
“The Ministry of Justice has determined that in-cell automatic fire detection (AFD) is necessary to minimise the risk of harm from fires”
2. absence of in-cell automatic fire detection in cell 59
“cell 59 on Residential 6 was not and is not currently equipped with in- cell AFD”
3. reliance on external smoke detectors
“use of DSD's only seek to mitigate the risks from an in-cell fire”

Repeats an earlier warningChristian Hinkley4 Nov 2021 · 4 years 4 months earlier

Identical hazardConfidence 0.95 · high

Earlier report

“Every prison wing is already fitted with an automatic fire detection system for spaces other than for cells.”

This report

“The Ministry of Justice has determined that in-cell automatic fire detection (AFD) is necessary to minimise the risk of harm from fires.”