Prevention of Future Deaths reports · 2014

Wilfred Aspinwall

Regulation 28 report to prevent future deaths, reference 2014-0283, written 25 Jun 2014. A coroner writes one of these when an inquest reveals a risk that could cause further deaths unless something changes.

Date of report25 Jun 2014
Reference2014-0283
DeceasedWilfred Aspinwall
CoronerAndre Rebello
Coroner areaLiverpool
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:  REPORT TO PREVENT FUTURE DEATHS (1) 

NOTE: This form is to be used after an inquest. 

REGULATION 28 REPORT TO PREVENT FUTURE DEATHS 

THIS REPORT IS BEING SENT TO: 

Prison and Probation Ombudsman 
2 Monck Street 
London 
SW1P 2BQ 

1 

CORONER 

I am André Rebello, Senior Coroner, for the area of Liverpool 

2 

CORONER’S LEGAL POWERS 

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

3 

INVESTIGATION and INQUEST 

On the 30th April 2013  I commenced an investigation into the death of Wilfred Roy 
ASPINWALL by opening an inquest under the Coroners Act 1988 
, Aged 82. The investigation concluded at the end of the inquest on 24th June 2014. The 
conclusion of the inquest was  

Ia Congestive Heart Failure                                                    
Ib Hypertensive Heart Disease                                                  
II Recurrent and Metastatic Lung Carcinoma                                     

Wilfred Roy Aspinwall died of Natural Causes 

4 

CIRCUMSTANCES OF THE DEATH 

Wilfred Aspinwall was a prisoner at HMP Liverpool. He was a frail gentleman with 
several co-morbidities. Whilst in Prison was residing on the health care ward. He had 
sustained previous falls at prison and sustained a further fall on 7th/8th March 2013, 
fracturing his hip and was then transferred to University Hospital Aintree. Whilst in UHA, 
he has sustained further falls on Ward 35. He suffered a gradual deterioration of health 
and on Sunday 21st April 2013, Wilfred’s breathing became laboured at 0910hours and 
he sadly died. Medical history included Lung cancer, with part of lung being removed in 
1995, renal failure and worsening dementia. There was considerable confusion 
concerning the cause of death after both a consultant histopathologist and a consultant 
neuropathologist attributed fatal events to cerebral pathology caused by falls. The Court 
instructed a consultant neurosurgeon who met with the pathologists reviewed the clinical 
presentation including scans, where after all three doctors agreed that the death was 
due to natural causes.  

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 

1 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
                                                                          
 
 
 
 
 
 
 
 
 circumstances it is my statutory duty to report to you. 

The MATTERS OF CONCERN are as follows.  –  

At the inquest hearing it was clear that the PPO report and Clinical Review had not been 
sent to nor shared with the Healthcare provider at HMP Liverpool. It might be considered 
good practice for future reports, in all prison fatalities should to be sent to either the head 
of healthcare and/or the commissioning NHS Trust to ensure that recommendations 
have an optimal effect. 

6 

ACTION SHOULD BE TAKEN 

In my opinion action should be taken to prevent future deaths and I believe you 
[AND/OR your organisation] 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 20th August 2014. I, the coroner, may extend the period. 

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. 

COPIES and PUBLICATION 

I have sent a copy of my report to the Chief Coroner and to the following Interested 
Persons  

The Family of Mr Aspinwall 
NOMS 
HMP Liverpool 
Liverpool Community NHS Trust 

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 find it useful 
or of interest. You may make representations to me, the coroner, at the time of your 
response, about the release or the publication of your response by the Chief Coroner. 

8 

9 

André Rebello 
Senior Coroner for the 
City of Liverpool 

Dated: 25th June 2014 

2

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