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recurance

Ezra Tamiem

19 Jul 2022 · Coroner Sean Cummings · Bedfordshire and Luton

A similar concern from this report was raised again 1 time later. See the linked reports.

The coroner's concerns

  1. 1. housing of detainees in cells without ligature protection

    “Mr [name redacted] was housed in a cell on the healthcare wing”

Linked reports

Raised again laterWyndham Thomas21 Dec 2023 · 1 year 5 months later
Identical hazardConfidence 0.90 · high

This report

“Mr [name redacted] was housed in a cell on the healthcare wing. Head of Safety at HMP Bedford told the court that was for both security”

Later report

“There is a lack of local and national system of in-cell ligature point risk assessments, and no ligature point maps available to staff.”
Original on judiciary.uk ↗
Full chain: Ligature points in unprotected cells

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