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recurance

Redmond Johnson

20 Jun 2014 · Coroner Peter Dean · Suffolk

A similar concern from this report was raised again 1 time later. See the linked reports.

The coroner's concerns

  1. 1. failure to obtain medical history from GP and hospital doctors

    “If a detainee has a history of significant medical problems, healthcare professionals undertaking the initial reception assessment should request further information from the General Practitioner and, where necessary, hospital doctors normally involved in the detainee's care to enable appropriate care planning while that detainee is in the custody of the prison service.”
  2. 2. delayed or inadequate transfer assessment

    “Information about which detainees are going to be transferred to court or other locations needs to be delivered to the individual prisons in enough time for a thorough assessment of the detainee's fitness to be transferred (including a face to face assessment if required) to be conducted.”
  3. 3. absence of documented fitness-to-transfer process and medication arrangements

    “There must be a robust and clearly documented process in place when assessing a detainee's fitness to transfer, together with clear arrangements made in respect of any medication that the detainee needs to take while out of the prison's care.”
  4. 4. inadequate medication review for complex regimens

    “Medication reviews should be conducted, with appropriate pharmacy input if required, if there are complex medication issues that need resolving or clarifying.”
  5. 5. failure to coordinate ongoing healthcare appointments

    “Reception healthcare should ask about any outstanding hospital or other healthcare appointments and rebook these if necessary.”
  6. 6. inadequate documentation of medical investigations

    “If medical tests or investigations are requested, there must be clear and adequate documentation to confirm that those investigations have actually been conducted and the results seen by a healthcare professional.”

Linked reports

Raised again laterJonathan McCarthy24 Oct 2023 · 9 years 4 months later
Identical hazardConfidence 0.90 · high

This report

“There must be a robust and clearly documented process in place when assessing a detainee's fitness to transfer, together with clear arrangements made in respect of any medication that the detainee needs to take while out of the prison's care.”

Later report

“There was also no evidence that Mr [name redacted] had a fitness to transfer assessment at either HMP Altcourse or HMP Thameside.”
Original on judiciary.uk ↗
Full chain: Absence of fitness to transfer assessment

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

Redmond Johnson · Recurance