Nigel Saunders
3 Aug 2022 · Coroner Laurinda Bower · Nottinghamshire and Nottingham
The coroner's concerns
1. failure to retain and preserve evidence
“The Prison failed to comply with its obligations pursuant to National Prison policy to retain and preserve evidence likely to assist all agencies to learn from deaths in custody”
2. inadequate local retention system
“The local system in place for the retention and preservation of material likely to be relevant to the”
Responses
2022-0300-Response-from-HMP-Lowdham-Grange.pdf ↗· HMP Lowdham Grange
Stated action · end of October 2022
“The updated DSOP will be rolled out across the prison estate and guidance will be given to all staff responsible for collating relevant documentation following a death in custody.”
2022-0300-Response-to-HMP-Lowdham-Grange.pdf ↗· HMP Lowdham Grange
Stated action
“I understand the improvements you have made to the Prison's investigation of deaths in custody processes are now being rolled out across the SERCO English prison estate. This will assist with learning from deaths in custody, with the overarching objective of seeking to reduce the number of preventable deaths that occur in prisons every year.”