Prevention of Future Deaths reports · 2014

David O’Garro

Regulation 28 report to prevent future deaths, reference 2014-0270, written 16 Jun 2014. A coroner writes one of these when an inquest reveals a risk that could cause further deaths unless something changes.

Date of report16 Jun 2014
Reference2014-0270
DeceasedDavid O’Garro
CoronerMary Hassell
Coroner areaInner North London
CategoryState Custody related deaths
Sourcejudiciary.uk record · original PDF
Responses publishednone published

The report

Text extracted from the PDF text layer. Reproduced verbatim, including the scan's own layout.

Regulation 28:  Prevention of Future Deaths report 

David Andrew Llewellyn O’GARRO (died 02.06.14) 

THIS REPORT IS BEING SENT TO: 

1. 

Governor 
HMP Pentonville 
Caledonian Road 
London  N7 8TT 

1 

CORONER 

I am:   Coroner ME Hassell 
           Senior Coroner  
           Inner North London 
           St Pancras Coroner’s Court 
           Camley Street 
           London  N1C 4PP 

2 

CORONER’S LEGAL POWERS 

I make this report under the Coroners and Justice Act 2009,  
paragraph 7, Schedule 5, and  
The Coroners (Investigations) Regulations 2013, 
regulations 28 and 29. 

3 

INVESTIGATION and INQUEST 

On 6 June 2012, my predecessor, Shirley Anne Radcliffe, commenced an 
investigation into the death of David Andrew Llewellyn O’Garro, aged 34 
years.  

The investigation concluded at the end of the inquest on 13 June 2014. I 
made a narrative determination, attached. 

4 

CIRCUMSTANCES OF THE DEATH 

Mr O’Garro suffered a sudden death in epilepsy.  At the time of his death, 
he  occupied  a  single  cell  at  HMP  Pentonville,  and  so  nobody  was  with 
him to raise the alarm when he suffered what is likely to have been a final 
seizure. 

1 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 5 

CORONER’S CONCERNS 

During  the  course  of  the  inquest,  the  evidence  revealed  matters  giving 
rise to concern. In my opinion, there is a risk that future deaths will occur 
unless  action  is  taken.  In  the  circumstances,  it  is  my  statutory  duty  to 
report to you. 

The MATTERS OF CONCERN are as follows.  

The nurse who carried out the first reception screen of Mr O’Garro did not 
complete a cell sharing risk assessment (CSRA) indicating that he should 
share  a  cell,  though  she  told  me  she  knew  that  a  person  with  epilepsy 
should  not  occupy  a  cell  alone.    She  completed  the  computer  record 
indicating that he was fit for any cell occupancy. 

No HMP Pentonville CSRA was ever found for Mr O’Garro. 

During the inquest: 

-  one prison nurse appeared at times completely unfamiliar with the 
CSRA,  and  wholly  unclear  as  to  how  to  ensure  (in  2012  or  now) 
that prisoners with epilepsy would have a cellmate; 

-  a  prison  doctor  said  that  a  locum  doctor  working  at  the  prison 
might  not  even  complete  a  CSRA  because  s/he  would  not  know 
how the prison works; 

-  one  of  the  prison  officers  was  unsure  how  a  message  from 
healthcare regarding cell sharing would reach any particular officer 
if  s/he  was  away  on  the  day  it  was  entered  into  the  observation 
book. 

Whilst  I  appreciate  that  you  are  making  significant  changes  to  the 
reception  process  for  new  prisoners,  there  appeared  at  inquest  to  be  a 
lack  of  clarity  and  shared  understanding  among  those  working  at  HMP 
Pentonville. 

6 

ACTION SHOULD BE TAKEN 

In  my  opinion,  action  should  be  taken  to  prevent  future  deaths  and  I 
believe  that  you  and  the  healthcare  providers  for  HMP  Pentonville  have 
the power to take such action.  

7 

YOUR RESPONSE 

You are under a duty to respond to this report within 56 days of the date 
of this report, namely by 13 August 2014.  I, the coroner, may extend the 
period. 

2 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 Your  response  must  contain  details  of  action  taken  or  proposed  to  be 
taken,  setting  out  the  timetable  for  action.  Otherwise  you  must  explain 
why no action is proposed. 

8 

COPIES and PUBLICATION 

I have sent a copy of my report to the following. 

  HHJ Peter Thornton QC, the Chief Coroner of England & Wales 
 
  HM Inspectorate of Prisons 
  National Offender Management Service 

 David O’Garro’s auntie 

I  am  also  under  a  duty  to  send  the  Chief  Coroner  a  copy  of  your 
response.  

The Chief Coroner may publish either or both in a complete or redacted 
or summary form. He may send a copy of this report to any person who 
he  believes  may 
interest.  You  may  make 
representations to me, the Senior Coroner, at the time of your response, 
about  the  release  or  the  publication  of  your  response  by  the  Chief 
Coroner. 

it  useful  or  of 

find 

9 

DATE                                                   SIGNED BY SENIOR CORONER 

16.06.14 

3

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