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recurance

Liam Turner

5 Feb 2024 · Coroner Zak Golombeck · Manchester City

This report repeats 4 earlier warnings, and was raised again 2 times later. See the linked reports.

The coroner's concerns

  1. 1. expired first aid certification among prison staff

    “It is not mandatory for prison officers to have basic first aid training (which includes the provision of CPR) which is in-date. Once a prison officer's three-year period has expired, whilst they may be reminded by the prison establishment that their certification is no longer live, it is not mandatory for them to renew this. For example, at HMP Manchester, at present 52% of prison staff received Emergency First Aid at Work (EFAW) training within the past three years as part of their initial”

Linked reports

Repeats an earlier warningKeith Murphy25 Mar 2015 · 8 years 10 months earlier
Identical hazardConfidence 0.90 · high

Earlier report

“Action is required to ensure that Prison Officers and Staff with direct access to prisoners have basic first aid training, CPR training and familiarisation with the use of a defibrillator.”
Original on judiciary.uk ↗

This report

“It is not mandatory for prison officers to have basic first aid training (which includes the provision of CPR) which is in-date.”
Full chain: Lack of basic first aid training and CPR among prison officers
Repeats an earlier warningJohn Williams28 Mar 2017 · 6 years 10 months earlier
Identical hazardConfidence 0.90 · high

Earlier report

“The prison officers did not have even the most basic first aid and cardiopulmonary resuscitation (CPR) training. | am aware from other inquests that this is not provided at a national level.”
Original on judiciary.uk ↗

This report

“It is not mandatory for prison officers to have basic first aid training (which includes the provision of CPR) which is in-date. Once a prison officer's three-year period has expired, whilst they may be reminded by the prison establishment that their certification is no longer live, it is not mandatory for them to renew this.”
Full chain: Lack of basic first aid training and CPR among prison officers
Repeats an earlier warningNicola Lawrence23 Oct 2018 · 5 years 3 months earlier
Closely relatedConfidence 0.90 · high

Earlier report

“Some Prison staff had not received any cardiopulmonary resuscitation training. Either as part of initial training or any refresher training.”
Original on judiciary.uk ↗

This report

“It is not mandatory for prison officers to have basic first aid training (which includes the provision of CPR) which is in-date.”
Full chain: Lack of basic first aid training and CPR among prison officers
Repeats an earlier warningRyan Trimmer21 Jun 2019 · 4 years 8 months earlier
Closely relatedConfidence 0.90 · high

Earlier report

“One frontline prison staff member gave evidence that he had not received training in 16 years of working for HMPS and felt he needed refresher training.”
Original on judiciary.uk ↗

This report

“It is not mandatory for prison officers to have basic first aid training (which includes the provision of CPR) which is in-date.”
Full chain: Lack of basic first aid training and CPR among prison officers
Raised again laterStephen Sleaford14 Oct 2024 · 8 months later
Closely relatedConfidence 0.90 · high

This report

“It is not mandatory for prison officers to have basic first aid training (which includes the provision of CPR) which is in-date.”

Later report

“Evidence was heard that after April 2024, basic first aid training (including CPR training) has been omitted from the foundation training programme for those training to be prison officers”
Original on judiciary.uk ↗
Full chain: Lack of basic first aid training and CPR among prison officers
Raised again laterGeorge Haldenby21 May 2026 · 2 years 3 months later
Closely relatedConfidence 0.90 · high

This report

“It is not mandatory for prison officers to have basic first aid training (which includes the provision of CPR) which is in-date. Once a prison officer's three-year period has expired, whilst they may be reminded by the prison establishment that their certification is no longer live, it is not mandatory for them to renew this.”

Later report

“After prison officers and prison staff carry out their induction training which covers basic first aid training including the delivery of cardio pulmonary resuscitation (CPR), there is no further mandatory refresher training on first aid or CPR.”
Original on judiciary.uk ↗
Full chain: Lack of basic first aid training and CPR among prison officers

Responses

2024-0055-Response-from-HM-Prison-and-Probation-Service.pdf ↗· His Majesty's Prison and Probation Service

Stated action · August 2023

“Following evidence heard at the inquest, you have raised some concerns regarding the first aid training for staff, particularly in relation to the use of CPR. Thank you for bringing your concern to my attention. As you are aware, the HMPPS First Aid Policy Framework was re-issued nationally in August 2023. The revised policy highlights the training requirements for Emergency First Aid and First Aid in prisons, including the importance of Governors ensuring that there is an appropriate number of”
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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