Prevention of Future Deaths reports · 2014

Adam Williams

Regulation 28 report to prevent future deaths, reference 2014-0324, written 14 Jul 2014. A coroner writes one of these when an inquest reveals a risk that could cause further deaths unless something changes.

Date of report14 Jul 2014
Reference2014-0324
DeceasedAdam Williams
CoronerAndrew Haigh
Coroner areaStaffordshire (South)
CategoryState Custody related deaths
Sourcejudiciary.uk record · original PDF
Responses published1

The report

Text recovered by OCR from a scanned PDF. OCR is imperfect: check anything you rely on against the source PDF. Reproduced verbatim, including the scan's own layout.

REGULATION 28 REPORT TO PREVENT FUTURE DEATHS
THIS REPORT IS BEING SENT TO:

1. The Governor, HMP Featherstone, Wolverhampton, West Midlands

CORONER

| am Mr Andrew Haigh senior coroner for the coroner area of Staffordshire South

CORONER’S LEGAL POWERS

| 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.

INVESTIGATION and INQUEST

On the 2™ day of April 2013 | commenced an investigation into the death of Adam
Amos Williams aged 29 years. The investigation concluded at the end of the
inquest on the 4"" day of July 2014. The conclusion of the inquest was natural
causes. The cause of death being sub-arachnoid haemorrhage.

CIRCUMSTANCES OF THE DEATH

Adam Williams was certified dead at New Cross Hospital, Wolverhampton at 17:44
on 6 March 2013. He died from a bleed by the brain. He was a serving prisoner
who had sustained recent blows to his head but these are unlikely to have been
causative. He collapsed at HMP Featherstone at about 18:45 on 5 March 2013 and
was soon attended by staff. An ambulance was called at 18:59 and he was then
taken to the hospital in an escort chain.

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. —

(1) Picking up on recommendation 2 from the Prisons and Probation
Ombudsman’s report | wonder if there is a training need for nursing staff at
the prison regarding communication between healthcare staff in the event of
an emergency. Can it be improved be it face to face, over the radio or
otherwise?

(2) Picking up on recommendation 3 in the Prisons and Probation Ombudsman’s
report | wonder if the “dynamic assessment’ referred to does specifically take
into account the need for a prisoner to be restrained at all.

Please note that in respect of these first two matters | have since the
conclusion of the Inquest received an updated copy of the action plan and
these issues may already have been covered.

(3) Although | accept that resource factors must be taken into account in this, |

wonder if it may be beneficial for there to be more CCTV in common areas of
the prison such as the gym or CV rooms.

ACTION SHOULD BE TAKEN

In my opinion action should be taken to prevent future deaths and | believe you
[and/or your organisation] have the power to take such action.

YOUR RESPONSE

You are under a duty to respond to this report within 56 days of the date of this
report, namely by Monday 8 September 2014. |, 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

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

The Treasury Solicitor

The Prisons and Probation Ombudsman
Irwin Mitchell, Solicitors

Thompsons, Solicitors

Corporate Governance Manager

IMB at HMP Featherstone

HM Inspectorate of Prisons

National Offender Management Service

| 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.

14” July 2014

A Hy
Andrew A Haigh
HM Senior Coroner
Staffordshire (South)
No. 1 Staffordshire Place
Stafford
Staffordshire ST16 2LP

Responses

1 response published against this report on judiciary.uk. A response is a body's written reply to the coroner's concerns; publication is at the discretion of the Chief Coroner's office, so an absent response does not mean nobody replied.

Response from Noms (PDF)
RR Sarah Anderson
Equality, Rights and Decency

National Offender | Group
j National Offender Management Service
Management Service | 4th Floor, Clive House,
70 Petty France,

London, SW1H 9HD

|

|

|

|

| me
|

Coroner Andrew A Haigh

Senior Coroner Staffordshire (South)
No.1 Staffordshire Place

Stafford |

Staffordshire ST16 2LP 30 September
2014

Dear Mr Haigh,
RE: the death of Adam Amos Williams on 2 June 2012 in HMP Featherstone.
|

Thank you for your Regulation 28 Report of 14 July 2014, addressed to the
Governor of HMP Featherstone, concerning the recent inquest into the death of
Adam Amos Williams on 2 June 2012 at HMP Featherstone. Your letter has
been passed to Equality, Rights and Decency (ERD) Group, in the National
Offender Management Service (NOMS), as we have!the policy responsibility for
suicide prevention and self-harm management, and for sharing learning from
deaths in custody.

| have noted the conclusion of the jury and am responding to your concerns in the
order in which they were raised.

(1) Training need for nursing staff at the prison regarding communication
between healthcare staff in the event of an emergency.

The sharing of medical information over the radio has been considered by the
prison and healthcare provider who are conscious that a secure bandwidth would
need to be available for the prison to be able to share confidential information over
the airways. However, at present two members of healthcare staff are expected to
attend emergency calls throughout the day, and at weekends when staffing is
reduced a single staff member attends emergency calls. In the future, Healthcare
staff will ensure two members of staff attend all health emergencies called over the
radio. Where nurses are completing tasks alone and are called to attend a Code
Red or Code Blue emergency, they should request another colleague to attend by
making the request over the radio.

(2) If the ‘dynamic assessment’ referred to in the PPO Report takes into account the
need for a prisoner to be restrained.

At HMP Featherstone a standard risk assessment proforma is in place for all external
escorts, which is audit compliant. This is completed on an individual basis for each
prisoner which considers various risk factors, such as criminal history, behaviour in
prison, risk to the public, risk to the victim and escape potential. Where it is confirmed

that a prisoner is in a life threatening condition then cuffs will not routinely be applied.
Where medical professionals or our staff are in doubt about the physical condition of
the prisoner, a risk assessment will be completed to ascertain whether cuffs will be
applied. This can be reviewed at any point following advice from medical
professionals. Since the inquest, all Duty Managers have received advice and
guidance on emergency escorts, and this issue is regularly reviewed at morning
operational meetings by the Senior Management Team (SMT) to discuss whether the
level of restraint applied at recent hospital visits was appropriate.

For your interest, | am attaching the National Concordat between NOMS and the
NHS which explains the nationally agreed arrangements for prison escorts to
hospitals and the bed watch function.

(3) The benefits of having more CCTV in common areas of the prison such as the
gym or Cardio-Vascular (CV) rooms

The requirement for CCTV in common areas of the prison is risk assessed, and
dependant on the need in that area. It is not possible to install CCTV in every area of
the prison due to the resource |implication; however the location of unsupervised CV
rooms enables staff to promptly attend when required. The effectiveness of CCTV is
dependant on staff bring available to simultaneously watch the CCTV camera, which
cannot be resourced. An analysis of reported incidents for the year to date shows
that incidents in CV rooms are extremely rare and therefore there are no plans at
present to extend the use of CCTV cameras at Featherstone.

| hope this provides assurance that the specific issues identified in this case, both at
the inquest and by the PPO, have now been addressed adequately at a local level.

ecency Group

Related reports

Other reports by Andrew Haigh

See all →

More reports categorised “State Custody related deaths”

See all →

Track State Custody related deaths

See every Prevention of Future Deaths report matching State Custody related deaths, and how often a new one appears.

What would an alert for this have sent me? Search the full text

Free to try — the preview shows the real matches and how many arrived in the last 12 months. Your first email alert is free.

These reports are published by the Chief Coroner's office at judiciary.uk and are © Crown copyright. The text here is reproduced from the published PDF so it can be searched. If something on this page is wrong, or you are a person named in it and want it reviewed, email drcjar@gmail.com and we will act promptly.