Daniel Akam
10 Dec 2019 · Coroner Georgina Gibbs · South Yorkshire (East)
A similar concern from this report was raised again 3 times later. See the linked reports.
The coroner's concerns
1. missed ACCT observations
“Failure to carry out ACCT observations recorded in the ACCT log”
2. false documentation of observations
“Five different prison officers purportedly signed various of these entries”
3. lack of understanding of ACCT obligations
“In addition, the evidence revealed that the prison officers did not appear to know what their own obligations and responsibilities were in relation to the ACCT procedure and processes”
4. inadequate ACCT training for officers
“Unless adequate and repeated ACCT training is provided for all officers, particularly for those junior and more inexperienced officers, the lives of vulnerable prisoners will not be safeguarded in accordance with the purpose of the ACCT procedure”
Linked reports
Closely relatedConfidence 0.90 · high
This report
“Unless adequate and repeated ACCT training is provided for all officers, particularly for those junior and more inexperienced officers”
Later report
“The ACCT procedure was not properly implemented, complied with or supervised.”
Closely relatedConfidence 0.90 · high
This report
“(1) CCTV evidence in the inquest established that 18 observations on Mr [name redacted] were not carried out.”
Later report
“Prison staff were unfamiliar with the need for ACCT observations and conversations to be meaningful and have purpose.”
Closely relatedConfidence 0.80 · moderate
This report
“Failure to carry out ACCT observations recorded in the ACCT log”
Later report
“serious difficulty in the recording, communication, and use of ACCT documentation”
Responses
No published response was found on judiciary.uk.