Nigel Keenan
13 May 2026 · Coroner Robert Cohen · Cumbria
This report repeats 2 earlier warnings. See the linked reports.
The coroner's concerns
1. lack of weekend mental health provision
“Mental health provision is only commissioned within HMP Haverigg during the week and is not available at the weekends”
Linked reports
Closely relatedConfidence 0.90 · high
Earlier report
“At HMP Haverigg there was inadequate mental health cover with at times only one mental 1 health nurse and no provision for psychiatric referral”
This report
“Mental health provision is only commissioned within HMP Haverigg during the week and is not available at the weekends.”
Identical hazardConfidence 0.90 · high
Earlier report
“Late transfer of Prisoners between Prisons - on Fridays/at a weekend puts Prisoners at increased risk of death as adequate mental health/risk assessments cannot be conducted.”
This report
“Mental health provision is only commissioned within HMP Haverigg during the week and is not available at the weekends.”