Skip to content
recurance

Stephen Cope

30 Sept 2021 · Coroner Dr Julian Morris · Inner London South

This report repeats 1 earlier warning. See the linked reports.

The coroner's concerns

  1. 1. removal of ACCT without adequate review

    “The transfer and review of prisoners on an ACCT”

Linked reports

Repeats an earlier warningLee Rushton19 Jan 2016 · 5 years 8 months earlier
Closely relatedConfidence 0.85 · high

Earlier report

“When a prisoner is on an ACCT (Assessment, Care in Custody and Teamwork) and a CSRA (Cell Sharing Risk Assessment) indicates an inmate should be in a cell alone for the protection of others.”
Original on judiciary.uk ↗

This report

“I am concerned in relation to the ability of any Prison to close an ACCT, with the attendance of 2 individuals (a prison and health care staff), after a short period of time on a newly transferred inmate (i.e. to a new prison) before anyone has had the time to review and assess him or her.”
Full chain: Inadequate ACCT review for high-risk prisoners

Responses

2021-0332-Response-from-HMPPS_Published.pdf ↗· Department of Health and Social Care

Stated action · July 2021

“implemented across the prison estate in July 2021”
  • Built with
  • NVIDIA Nemotron Nano, Super and Ultra
  • Nebius Token Factory inference
  • Qwen3 Embedding 8B on Token Factory
  • Tavily follow-up web search
  • Postgres and pgvector search
  • Next.js site

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