John Eyre
7 Oct 2024 · Coroner Ian Brownhill · Mid Kent and Medway
The coroner's concerns
1. lack of escalation route for prison healthcare staff
“There was no concrete escalation route when prison healthcare staff challenged the appropriateness and sustainability of discharge from the acute setting.”
2. absence of national guidance on prisoner return to custodial setting
“There was no national guidance document, or national policy in place, which outlined whether a prisoner should be returned to a custodial setting in the absence of the prison healthcare provider's concerns being considered by the patient's consultant.”