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recurance

Trevor Monerville

16 Jan 2024 · Coroner Rachel Redman · East Sussex

The coroner's concerns

  1. 1. lack of treatment monitoring and management of epilepsy patients

    “Consideration should be given to the review of the treatment, monitoring and management of patients with a history of epilepsy or seizures by both the prison staff and healthcare staff”
  2. 2. inadequate communication between healthcare and prison staff

    “Communication between healthcare and prison staff especially when [the deceased] was returned to the wing, between the prison staff and family, briefing by prison managers to officers on the wing about [the deceased]'s condition were all inadequate”
  3. 3. lack of training for prison staff on epilepsy management

    “lack of training of prison staff in dealing with long term health conditions such as epilepsy on the wings”

Responses

2024-0025-Response-from-HM-Prison-and-Probation-Service.pdf ↗· His Majesty's Prison and Probation Service

2024-0025-Response-from-Practice-Plus-Group-.pdf ↗· Practice Plus Group

Stated action · 2023

“Oversight of patients with long term conditions is currently being carried out by the long term conditions nurse and primary care nurses, supported by the regional primary care lead and inclusive of prescribers where applicable. In order to ensure that patients with epilepsy are monitored and supported through a patient-centred approach, the long term conditions nurse has been completing reviews and agreeing a personal care plan with the patient that is specific to their individual needs. This”
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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