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recurance

John Chapman

11 Jan 2018 · Coroner Nicholas Rheinberg · Lancashire

The coroner's concerns

  1. 1. lack of information sharing between prison staff and medical staff at reception

    “There does not appear to be a mechanism at reception whereby information relevant to the self-harm or well-being of a prisoner is routinely shared by prison staff with medical staff carrying out a reception medical screen including alerts on the CNomis system”

Responses

2018-0007-Response-by-HM-Prison-and-Probation-Service.pdf ↗· HMP Wymott

Stated action

“Copies of the PSI are also available in the reception area.”

2018-0007-Response.pdf ↗· HMP Wymott

Stated action

“It is, of course, recognised that it is important to share relevant information and the reception nurse would expect prison officers always to communicate any significant information regarding risk or welfare of which they were aware - whether this be contained in a PER document, on CNomis, or otherwise. As you were made aware during the inquest, it was not the practice, at the time, for the PER document to be passed by prison officers to the reception nurse and, as regards CNomis, this is not a”
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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.

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