Prevention of Future Deaths reports · 2014

Garry Gilbey

Regulation 28 report to prevent future deaths, reference 2014-0533, written 10 Dec 2014. A coroner writes one of these when an inquest reveals a risk that could cause further deaths unless something changes.

Date of report10 Dec 2014
Reference2014-0533
DeceasedGarry Gilbey
CoronerKaren Harrold
Coroner areaPortsmouth & South East Hampshire
CategoryState Custody related deaths
Sourcejudiciary.uk record · original PDF
Responses published2

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. Mr Andrew Selous MP, Parliamentary Under-Secretary of State, Minister
for Prisons, Probation and Rehabilitation, Ministry of Justice, 102 Petty
France, London SW1H 9AJ.

2. The Rt Hon Norman Lamb MP, Minister for Care and Support (Prison
Services), Department of Health, Richmond House, 79 Whitehall, London
SW1A 2NS

CORONER

| am Karen Harrold, Assistant Coroner, for the coroner area of Portsmouth & South East
Hampshire.

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 11°" July 2012 an investigation into the death of GARRY GILBEY was commenced.
The investigation concluded at the end of the inquest on 4" August 2014. The
conclusion of the inquest was recorded as a narrative conclusion as follows:

Mr Garry Victor Gilbey was admitted to hospital from HMP Kingston on 25th June 2012
with a productive cough, weight loss and breathlessness. On admission a chest X-ray
showed signs of collapse of the upper lobe of the left lung and later tests diagnosed he
was suffering from lung cancer. Despite treatment he died at 08.30 on 3rd July 2012.
There were a number of missed opportunities in Mr Gilbey’s care and treatment in the
preceding months but it cannot be said on the balance of probabilities that Mr Gilbey
would have survived or his life would have been prolonged if any or all of the
opportunities had been taken.

CIRCUMSTANCES OF THE DEATH

In 2002, Mr Garry Gilbey was imprisoned for serious offences and was first taken

to HMP Manchester. At this time, he told healthcare staff that he had a long standing
injury to a nerve in his left arm for which he took pain relief medication. He continued
to receive prescribed medication in prison and was also referred for physiotherapy.

Mr Gilbey transferred to HMP Kingston in July 2010. Healthcare staff noted his existing
health problems and also that he smoked between 20-40 cigarettes a day but he tried to
give up smoking in February 2011.

In December 2011, Mr Gilbey complained of pain in his upper left arm and was initially

prescribed additional pain relief medication. He continued to experience arm pain over

the following weeks and saw another doctor. He was prescribed a variety of medication
in an attempt to manage the pain.

By February 2012, Mr Gilbey told a prison doctor that he had a cough and pain in his left
shoulder and back. The doctor who examined him was not sure what was causing the
symptoms but indicated he would do some research to see if the symptoms were
connected and told Mr Gilbey he would be reviewed again once this was complete. By
March 2012, the same doctor spoke to a hospital neurologist and he concluded the most
likely cause of the arm pain was carpal tunnel syndrome. However, to rule out the
possibility of a rare form of lung cancer he decided Mr Gilbey should have a chest X-ray.
However this was never arranged and no one in the prison health care department

identified that the required chest X-ray had not been performed.

On 20 March, Mr Gilbey's shoulder was X-rayed, after a referral by the Modern Matron
who as a nurse practitioner wanted a further test to explore whether a bony injury could
be causing the ongoing back and shoulder pains. This referral was unrelated to the
doctor's intention that Mr Gilbey should have a chest X-ray and therefore purely
coincidental.

The hospital consultant radiologist who reviewed the shoulder X-ray concluded that it
was normal. However, he missed the fact that the plain X-ray did in fact show some
changes in the left lung apex which were indicative of upper lobe collapse.

In early June, Mr Gilbey reported chest pains and breathlessness, which he said he had
been experiencing for several months. His heart was checked and was normal. Mr
Gilbey was diagnosed with acid reflux and prescribed medication by the Modern Matron.

On 18 June, a prison doctor who examined him considered that his symptoms were
highly suggestive of lung cancer. Mr Gilbey was referred to the hospital for further tests
and an X-ray appointment was booked for 25 June. Until then, Mr Gilbey was seen most
days by health care staff because of his cough and breathlessness. On 22 June he was
seen by a nurse consultant during the day short of breath and struggling to get out of
bed. Nebuliser treatment was prescribed which eased the symptoms and staff were told
to have a low threshold for a medical review if the symptoms should reoccur or worsen.
He was seen on 23 June during the day by a nurse due to shortness of breath and an
out of hours doctor was called who diagnosed a chest infection and prescribed
antibiotics. He attended the clinic on 24 June and requested nebuliser treatment but this
was refused. Later the same morning a different nurse attended Mr Gilbey’s cell due to
coughing and breathlessness and he was nebulised.

Details of the nebulising treatment given over the days immediately before admission to
hospital were not recorded in the wing log book to alert prison officers to prisoner
medical issues. Overnight 24/25" June, two officers attended Mr Gilbey’s cell as he was
requesting an ambulance because of breathing difficulties. One officer was first aid
trained. They did not enter his cell and because he could talk they decided it was not a
medical emergency.

Finally on the morning of admission to hospital on 25 June Mr Gilbey was given more
nebuliser treatment by prison staff. Mr Gilbey had a chest X-ray at hospital later the
same day and was admitted as an inpatient that day due to suspected lung cancer. On
27 June, he was told that he had inoperable lung cancer and that he might live for up to
12 months if he received chemotherapy and radiotherapy and two months if he did not.
However, Mr Gilbey's health deteriorated much more quickly than anticipated and he
died the following week at 8.30am on 3 July.

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. The Prison did not have a set policy about when an ambulance should be called.
This was left to the judgment of the prison officer(s) making an assessment of the
prisoner from outside the cell and whether what they observed amounted to a
medical emergency. In addition, it was not clear what amounted to a medical
emergency and that the threshold was high. This raises genuine concern in relation
to those prisons who do not have 24/7 medically trained staff available to make
emergency assessments of prisoners during the night.

2. Inturn this raises concern about the adequacy of training and clarity of what
amounts to a medical emergency for those night time prison staff involved in having
to make dynamic risk assessment especially for those prisoners who are at higher
tisk of a chronic condition developing into an acute episode e.g. during the referral
period to a hospital especially when a very serious underlying condition is suspected
such as lung cancer that has the capacity to affect breathing suddenly even though
a prisoner may initially appear to be able to speak.

3. There was no clear or consistent system to flag key healthcare events during the
day and there seemed to be a variable practice/policy in place that not all healthcare
staff seemed to be familiar with or followed so that less relevant information was
recorded such as an additional pillow being supplied yet important information such
as nebuliser treatment or having a low threshold for medical review if symptoms
reoccur or worsen was not consistently recorded in a way that would enable daytime
medical staff to flag prisoner healthcare concerns to night-time prison staff.

4. There were also worrying aspects to prison health care systems including checking
that all necessary specialist investigations are fully recorded and carried out as well
as results properly checked when they return.

ACTION SHOULD BE TAKEN

In my opinion action should be taken to prevent future deaths and | believe you as
Ministers responsible for prisons and healthcare provision in prison have the power to
take such action.

Although, HMP Kingston closed on 28 March 2013, | heard evidence to suggest that
there are other prisons across the country where healthcare staff are not present on
prison premises on a 24/7 basis resulting in prison officers having to carry out dynamic
risk assessments at night and similar issues could well arise as in this case.

YOUR RESPONSE

You are under a duty to respond to this report within 56 days of the date of this report,
namely by 4" February 2015. |, 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:

1. Fe Garry Gilbey's son;
2, EEE Hodge Jones & Allen LLP, solicitor fo
3. for the Treasury Solicitor's Department on behalf of HM

Prison Service;
Beachcroft LLP on behalf of Solent NHS Trust;

Goodrich on behalf of the Practice FY
Le

| have also sent it to Ursula Ward, Chief Executive of Portsmouth Hospitals NHS Trust
who may find it useful or of interest.

| 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.

DATE: 10"December 2014 SIGNED:

Responses

2 responses 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 Department of Health (PDF)
2 nN
MR From Norman Lamb MP

Minister of State for Care and Support

Department
of Health
Richmond House
79 Whitehall
London
SWIA 2NS
Karen Harrold Tel: 020 7210 4850
HM Assistant Coroner
Coroner’s Office :
ECEIVED
The Guildhall ae
Guildhall Square FEB 2015
Portsmouth BY H.M CORONER
PO! 2AB

2.5 FEB 2015

Thank you for your letter about the death of Garry Gilbey. Please extend my
condolences to Mr Gilbey’s family.

Your report details events prior to Mr Gilbey’s death, focussing on the conduct of
the prison staff and the care provided. You also noted a number of concerns about
operational practice in the prison at that time.

You were concemed that prisons do not always have 24 hour a day, medically
trained staff available to make emergency assessments of prisoners and that the
prison in question did not have a set policy about when an ambulance should be
called, instead leaving it to the judgment of the prison staff.

You were also concerned about the adequacy of training for night time prison staff
and the handover of medical information between day/night staff. 1 am aware that
you have also sent a copy of your report to the Ministry of Justice, which oversees
the National Offender Management Service (NOMS), which will be able to address
prison-related issues such as training for non-medical prison staff.

Healthcare contracts for prisons are performance managed by NHS England’s Area
Teams at a local level, who have not alerted DH Offender Health or the NHS
England Health and Justice central team to any particular problems.

Guidance was issued by DH and NOMS in 2011 (’Emergency access to
establishments for ambulance services”) to all prisons in England, NHS
commissioners and NHS ambulance trusts. This sets out when an ambulance should
be called to take a prisoner to hospital in life-threatening circumstances. The
guidance covers day and night emergencies and makes the following main points:

e The most important aspect of emergency care is that an ambulance is
called in all cases where there are grave concerns about the immediate
health of a prisoner. Examples of where an ambulance would always need
to be called to a prison include suicide attempts or cardiac arrest.

e Prisons need to minimise the delays that can be encountered in getting an
emergency response to prisoners. There are set standards for the time it
should take for an ambulance to respond to emergency calls.

e Itis the responsibility of the Governing Governor/Director to ensure that a
protocol exists at each prison (regardless of security status) to facilitate
immediate access for the ambulance service to both the prison and the
individual prisoner when required.

As not all prisons in England have 24 hour provision as part of their healthcare
contract, the absence of medical cover (e.g. a duty nurse on-call outside normal
healthcare centre hours) does not necessarily indicate a service provision problem:
the 2011 guidance above applies in emergencies outside normal health centre
opening hours.

The bodies regulating medical professionals have published comprehensive guidance
for clinicians within the prison service, including communicating with non-clinical
prison staff.

The Nursing and Midwifery Council (NMC) has published “The code: Standards of
conduct, performance and ethics for nurses and midwives”. This includes a
requirement that nurses must keep clear and accurate records. Records should be
made as soon as possible after an event has occurred — for example recording the
results of an observation as soon as it has occurred, rather than at the end of a shift.

The GMC code of practice, “Good Medical Practice” contains a section covering the
continuity and coordination of patient care which makes clear that all relevant
information should be shared with colleagues involved in a patient’s care.

I hope that this information is helpful and I thank you for bringing the circumstances
of Mr Gilbey’s death to our attention.

-

—_ tree, ,

NORMAN IANLAMB ~
Response from Noms (PDF)
RECEIVED
09 FEB 2015

BY HM CORONER
we Equality, Rights and Decency
National Offender Group offender «seni

7 ational lenaer Management service
Management Service 4th Floor, Clive House,
70 Petty France,

London, SW1H 9HD

Assistant Coroner Karen Harrold
Portsmouth & South East Hampshire
Coroner's Office, The Guildhall
Guildhall Square

Portsmouth

PO1 2AB

Dear Coroner,
RE: the death of Garry Gilbey on 3 July 2012 whilst in HMP Kingston.

Thank you for your letter to Andrew Selous, Minister for Prisons dated 10 December, concerning
the inquest into the death of Garry Gilbey, who died at HMP Kingston on 3 July 2012. | am
replying as Equality, Rights and Decency Group (ERD) part of National Offender Management
Service (NOMS) has ownership of suicide prevention and self-harm management policy in
prisons and for sharing learning from deaths in custody.

As you know HMP Kingston is now closed. This response includes the contribution provided
from NHS England. | have dealt with the points in the order that you raise them:

Calling ambulances

Since Mr Gilbey’s death Prison Service Instruction 2013/03 Emergency Response Codes has
been issued. The PSI reminds staff who can call a medical emergency, and provides guidance
on the use of the correct medical emergency codes, and what information should be
communicated to the control room from the scene of the incident. It also states that all
Governors must have a Medical Emergency Response Code protocol in place that is based on
the PSI and that all prison staff must be made aware of and understand the instruction and their
responsibilities during medical emergencies. | have attached a copy of the PSI for your
information.

Training and clarity on medical emergencies for night time prison staff

PSI 24/2011 National Security Framework Nights Function Management and Security of Night
State requires that all prisoners must be locked up during the night state and that Local Security
Strategies (LSS) must state clearly the procedures staff should follow if faced with a potentially
life-threatening situation. Staff must have access to the LSS and be aware of the implications of
this for their role in maintaining security during the night state. There are many incidents that
may occur at night and it is difficult to be prescriptive about what actions to take in each
particular case.

Under normal circumstances, authority to unlock a cell at night must be given by the Night
Orderly Officer (NOO). No cell will be opened unless a minimum of two/three (subject to local
risk assessment procedures) members of staff are present one of whom should be the NOO. All
staff have a duty of care to prisoners, to themselves and to other staff and the preservation of
life must take precedence over other directions. Where there is, or appears to be, an immediate
danger to life, then cells may be unlocked without the authority of the NOO and an individual
member of staff may enter the cell on their own. However, night staff should not take action that
they feel would put themselves or others in unnecessary danger.

Before entering a cell:

a) Every effort should be made to gain a verbal response from the prisoner.

b) This, together with what the member of staff can observe through the panel and
any knowledge of the occupant(s), should inform a rapid dynamic risk assessment
of the situation and a decision on whether to enter immediately or wait for
assistance.

c) The Communications Room/Control Room must be informed before entering the
cell stating the location of the cell and describing the circumstances that require
intervention.

Cells should only be entered using the sealed pouches. There must also be clear instructions
about the unhindered admission of the emergency services during the night state.

Flagging healthcare events to night staff and healthcare systems for checking that all
necessary specialist investigations are fully recorded and carried out as well as results
properly checked when they return.

Under the Health and Social Care Act, NHS England has responsibility for commissioning and
quality assuring an equivalent health service for prisoners to those who are in the community
and as such NHS England believe they have commissioned an equivalent service. Service
specifications are reviewed on a regular basis and changed in line with new national guidance
from NICE or as a result of lessons learnt from previous deaths in custody or serious untoward
events.

All establishments have access to the same level of service that they would receive in the
community which is an in-house healthcare service and access to Out of Hours urgent care to
an equivalence of the community. As such 24/7 healthcare would not always be provided in-
house as this would not be an efficient use of limited resources. Some establishments where
there is an in-patient unit will have 24/7 in house healthcare although for the majority of
establishments this is not a requirement.

Within the new specifications for prison healthcare services there is a contractual requirement
for the management of appointments and referrals including those that Did Not Attend (DNA)
having an automatic referral to secondary care services.

There is a requirement that systems must be in place to ensure that patients can attend medical
appointments outside the establishment. Appropriateness of referrals must be subject to regular
peer review. They must keep and maintain a detailed database which includes the planning of
appointments and follow up requirements.

NHS England are happy to work with NOMS to review pathways and protocols both at a national

and local level to see if there are further lessons that we can learn as a result of this tragic
incident

| hope that you find this response helpful and reassuring.

Yours sincerely,

Pe
NOMS Equality, Rights and Decency Group

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