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recurance

Daniel Beckford

11 Jun 2024 · Coroner Priya Malhotra · Inner West London

This report repeats 1 earlier warning, and was raised again 1 time later. See the linked reports.

The coroner's concerns

  1. 1. lack of clarity in first aid training on rescue breaths

    “The provision and content of first aid training. The evidence of witnesses revealed an absence of clarity in the first aid training to prison officers on the use of rescue breaths during resuscitation attempts, as per current advice from the Resuscitation Council UK”

Linked reports

Repeats an earlier warningRobert Richards20 Nov 2017 · 6 years 7 months earlier
Closely relatedConfidence 0.80 · moderate

Earlier report

“That training of medical staff in relation to Resuscitation is inadequate.”
Original on judiciary.uk ↗

This report

“(1) The provision and content of first aid training. The evidence of witnesses revealed an absence of clarity in the first aid training to prison officers on the use of rescue breaths during resuscitation attempts, as per current advice from the Resuscitation Council UK.”
Full chain: Inadequate resuscitation training clarity
Raised again laterAzroy Dawes-Clarke (3)29 Jul 2025 · 1 year 2 months later
Closely relatedConfidence 0.90 · high

This report

“absence of clarity in the first aid training to prison officers on the use of rescue breaths during resuscitation attempts”

Later report

“Officers who were present during Mr [name redacted] cardio-respiratory arrest had different training with regard to first aid and basic life support.”
Original on judiciary.uk ↗
Full chain: Lack of basic first aid training and CPR among prison officers

Responses

No published response was found on judiciary.uk.

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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.

A link shows that a similar concern was raised again, not why. It is not a finding about any organisation or person. Methodology and responsible use · Report an error