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recurance

Yuri Hatton

11 Jun 2024 · Coroner Priya Malhotra · Inner West London

The coroner's concerns

  1. 1. insufficient OSG training

    “Following the Inquest, I sought further evidence regarding several matters, including OSG training. A statement provided by HMP Wandsworth confirms that of 83 OGSs, only 5 had received HMPPS official training. This is against the background of OSG's only being present on the wings at night, and therefore often the first to respond to any emergency.”
  2. 2. incomplete first aid training records

    “First Aid training is said to be refreshed locally annually. Training logs of some staff members involved in the Inquest did not show centrally all the training received, instead a local training log is said to be kept, but which were absent at the Inquest or post-Inquest.”
  3. 3. non‑prison‑specific first aid training

    “The First Aid training offered, whilst addressing unconsciousness, is not prison specific. A new induction package was said to be rolled out imminently which will include instructions about what a member of prison staff should do if they believe that a prisoner could be unconscious and will reiterate the instruction to call a code blue in such circumstances. This training has not yet been implemented.”

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.

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