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recurance

Kristopher Tilbury

8 Sept 2023 · Coroner Jonathan Stevens · Hertfordshire

This report repeats 2 earlier warnings, and was raised again 1 time later. See the linked reports.

The coroner's concerns

  1. 1. illicit drug supply

    “drugs are broughts into HMP The Mount by a number of ways”
  2. 2. illicit substance availability

    “illicit substances, including Psychoactive Substances, with apparent ease at The Mount”
  3. 3. ongoing drug availability risk

    “alcohol are still widely available in HMP The Mount, and continue to create a significant risk of future deaths.”

Linked reports

Repeats an earlier warningRicardo Holgate11 Jan 2019 · 4 years 8 months earlier
Closely relatedConfidence 0.90 · high

Earlier report

“The new Governing Governor confirmed that further steps are necessary to improve the management of illicit substance misuse. He confirmed the prison requires CCTV on all wings and airport style scanners - one in reception for prisoners and one in the visitor area.”
Original on judiciary.uk ↗

This report

“The report concluded that it was extremely troubling that Mr [name redacted] was able to access and use illicit substances, including Psychoactive Substances, with apparent ease at The Mount, particularly as he lived on a wing for prisoners with substance misuse issues.”
Full chain: Unrestricted access to novel psychoactive substances in prison
Repeats an earlier warningLuke Jones3 Dec 2019 · 3 years 9 months earlier
Closely relatedConfidence 0.90 · high

Earlier report

“there were concerns regarding the accessibility of drugs within HMP Berwyn and notwithstanding that certain measures had been taken at HMP Berwyn (namely in relation to the installation of a Rapiscan to test some of the incoming mail)”
Original on judiciary.uk ↗

This report

“it was extremely troubling that Mr [name redacted] was able to access and use illicit substances, including Psychoactive Substances, with apparent ease at The Mount”
Full chain: Unrestricted access to novel psychoactive substances in prison
Raised again laterOliver Mulangala8 Dec 2025 · 2 years 3 months later
Closely relatedConfidence 0.85 · high

This report

“The Head of Safety advised that drugs are broughts into HMP The Mount by a number of ways:”

Later report

“The availability and use of illicit drugs posed a threat to the stability of the prison, contributing to debt, bullying and fear. The positive drug testing rate at HMP High Down was among the highest in adult male prisons”
Original on judiciary.uk ↗
Full chain: Illicit drug availability in prisons

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