Rajwinder Singh
19 Feb 2026 · Coroner Bernard Richmond · Inner West London
This report repeats 3 earlier warnings. See the linked reports.
The coroner's concerns
1. lack of mandatory ACCT refresher training for prison officers
“There is no mandatory ACCT refresher training for prison officer at HMP Wandsworth”
2. lack of mandatory procedures for Oxleas staff ACCT training parity
“There are no mandatory procedures to ensure that, before they are deployed in the prison setting, Oxleas agency staff have the same mandatory ACCT training as that provided to permanent healthcare staff”
3. lack of risk formulation training in ACCT induction
“When Prison Officers and/or Healthcare staff are given ACCT induction training at HMP Wandsworth, there is no training in the principles of risk formulation”
Linked reports
Closely relatedConfidence 0.90 · high
Earlier report
“Training regarding the ACCT process. In previous prison deaths and in response to previous PPO reports, promises have been made about training having been provided to staff”
This report
“(3) When Prison Officers and/or Healthcare staff are given ACCT induction training at HMP Wandsworth, there is no training in the principles of risk formulation”
Closely relatedConfidence 0.90 · high
Earlier report
“Some prison officers did not seem familiar with the very important contents of the ACCT, not even the inside cover.”
This report
“When Prison Officers and/or Healthcare staff are given ACCT induction training at HMP Wandsworth, there is no training in the principles of risk formulation”
Identical hazardConfidence 0.95 · high
Earlier report
“The training of agency staff in ACCT does not appear to be part of the commissioning process by NHS England and individual providers do not appear to provide training to agency staff in the ACCT process.”
This report
“(2) There are no mandatory procedures to ensure that, before they are deployed in the prison setting, Oxleas agency staff have the same mandatory ACCT training as that provided to permanent healthcare staff.”