Prevention of Future Deaths reports · 2015

Samuel Gale

Regulation 28 report to prevent future deaths, reference 2015-0454, written 23 Oct 2015. A coroner writes one of these when an inquest reveals a risk that could cause further deaths unless something changes.

Date of report23 Oct 2015
Reference2015-0454
DeceasedSamuel Gale
CoronerJohn Sleightholme
Coroner areaSouth Yorkshire (East)
CategoryState Custody related deaths
Sourcejudiciary.uk record · original PDF
Responses published2

The report

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

John Sleightholme 
Assistant Coroner for South Yorkshire (East District) 

REGULATION 28 REPORT TO PREVENT FUTURE DEATHS 

THIS REPORT IS BEING SENT TO:  Ms Kate Davies OBE                                      
Head Of Public Health, Armed Forces Health & Offender Health, NHS  
England, Birch House, Southwell Road West Rainworth Nottinghamshire 
NG21 0HJ 

1 

CORONER 

I am John Sleightholme, Assistant Coroner for South Yorkshire (East District)                    

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. 
http://www.legislation.gov.uk/ukpga/2009/25/schedule/5/paragraph/7 
http://www.legislation.gov.uk/uksi/2013/1629/part/7/made 

3 

INVESTIGATION and INQUEST 

On 27/05/2014 I commenced an investigation into the death of Samuel William Gale, 18 . The 
investigation concluded at the end of the inquest on 15 October 2015. The conclusion of the 
inquest was Open conclusion.  The cause of death 1a Hanging      

4 

CIRCUMSTANCES OF THE DEATH 

Samuel  Gale  was  received  into  custody  at  HMP  Doncaster  on  3rd  May 
2014.    He  was  18  years  of  age,  a  first  time  inmate  who  faced  serious 
charges of rape.  Furthermore, it was recognised by prior custody officers 
and  healthcare  nurses  that  he  was  very  distressed  at  being  barred  from 
attending his father’s funeral by his mother and siblings who blamed him 
for his father’s suicide in February 2014.  He had self-harmed and made 
an  attempt  at  suicide  recently  and  at  times  felt  suicidal.    He  was 
immediately  placed  on  an  ACCT  and  half  hourly  observations  were 
directed.  On 16th May the ACCT was closed and he was found hanging 
the following day.    

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.  – 

triage  by  a  mental  health  nurse. 

 (1) Samuel was seen by a nurse on admission for a health screening followed by 
a 
the 
Nottinghamshire NHS Trust, who were responsible for healthcare at the prison, 
reviewed their note assessment procedures. 

  Following  Samuel’s  death 

(2) The importance of an objective risk assessment has been recognised by the 
Trust which now uses a mandatory risk assessment from on System One.  It is 

Coroner's Court and Office, Doncaster Crown Court, College Road, Doncaster, DN1 3HS 
Tel 01302 320844    |    Fax 01302 364833 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 understood that NHS England is in the process of procuring a new version of 
System One, and is invited to consider whether this procurement exercise 
provided an opportunity for formalising the risk assessment process throughout 
the prison estate nationally.     

Coroner's Court and Office, Doncaster Crown Court, College Road, Doncaster, DN1 3HS 
Tel 01302 320844    |    Fax 01302 364833 

 
 6 

ACTION SHOULD BE TAKEN 

In my opinion action should be taken to prevent future deaths and I believe you Ms Kate Davies 
OBE 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 
14 December 2015. 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. 

8 

COPIES and PUBLICATION 

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

 HMP & YOI Doncaster, Mills and Reeve Solicitors, Lupton Fawcett Solicitors and Irwin 

Mitchell Solicitors.  

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. 

9 

Dated 23 October 2015 

Signature_________________________ 
Assistant Coroner for South Yorkshire (East District) 

Coroner's Court and Office, Doncaster Crown Court, College Road, Doncaster, DN1 3HS 
Tel 01302 320844    |    Fax 01302 364833
Also filed under 2015-0454: Gale-2015-0454.pdf
John Sleightholme 
Assistant Coroner for South Yorkshire (East District) 

REGULATION 28 REPORT TO PREVENT FUTURE DEATHS 

THIS REPORT IS BEING SENT TO:  

Deputy Director Hmp & YOI Doncaster Power Station Walk Marshgate 
Doncaster  DN5 8UX 

1 

CORONER 

I am John Sleightholme, Assistant Coroner for South Yorkshire (East District)                    

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. 
http://www.legislation.gov.uk/ukpga/2009/25/schedule/5/paragraph/7 
http://www.legislation.gov.uk/uksi/2013/1629/part/7/made 

3 

INVESTIGATION and INQUEST 

On 27/05/2014 I commenced an investigation into the death of Samuel William  Gale, 18 . The 
investigation concluded at the end of the inquest on 15 October 2015. The conclusion of the 
inquest was Open conclusion.   The cause of death 1a Hanging      

4 

CIRCUMSTANCES OF THE DEATH 

Samuel  Gale  was  received  into  custody  at  HMP  Doncaster  on  3rd  May 
2014.    He  was  18  years  of  age,  a  first  time  inmate  who  faced  serious 
charges of rape.  Furthermore, it was recognised by prior custody officers 
and  healthcare  nurses  that  he  was  very  distressed  at  being  barred  from 
attending his father’s funeral by his mother and siblings who blamed him 
for his father’s suicide in February 2014.  He had self-harmed and made 
an  attempt  at  suicide  recently  and  at  times  felt  suicidal.    He  was 
immediately  placed  on  an  ACCT  and  half  hourly  observations  were 
directed.  On 16th May the ACCT was closed and he was found hanging 
the following day.    

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.  – 

i)  The  ACCT  was  closed  by  a  person  who  had  previous  dealings  with 
Samuel  without  reference  to  healthcare,  the  chaplaincy  or  a  unit 
manager or any officer who had carried out an ACCT review.  

ii) The  Deputy  Director  was  asked  to  consider  whether  only  the  person 
who is primarily responsible for a prisoner’s ACCT should be the one to 
close it. 

Coroner's Court and Office, Doncaster Crown Court, College Road, Doncaster, DN1 3HS 
Tel 01302 320844    |    Fax 01302 364833 

 
 
 
 
 
 
 
 
 
                                         
 
 
 
 
 
 
 
 
 
 
 
 
 6 

ACTION SHOULD BE TAKEN 

In my opinion action should be taken to prevent future deaths and I believe you 
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 
14 December 2015. 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. 

8 

COPIES and PUBLICATION 

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

 Notthinghamshire Healthcare Trust, Mills & Reeve Solicitors, Lupton Fawcett Solicitors 

and Irwin Mitchell Solicitors.  

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. 

9 

Dated 23 October 2015 

Signature_________________________ 
Assistant Coroner for South Yorkshire (East District) 

Coroner's Court and Office, Doncaster Crown Court, College Road, Doncaster, DN1 3HS 
Tel 01302 320844    |    Fax 01302 364833

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 NHS England (PDF)
NHS
England

Our Ref:KD/KSM/Coroner Gale

Your Ref: NJM/JS/rd/jp/457 15-2014

Birch House

10 November 2015 Ransom Wood Business Park
Southwell Road West

Mr JS Sleighthoime a Mansfield

South Yorkshire (East District) 7

Coroners Court and Office
Crown Court

College Road

Doncaster

DN1 3HS

Dear Ms Sleightholme
RE: Samuel William Gale (Deceased)

Further to your letter dated 27 October 2015 regarding the above named | have read the report and
your concerns relate to the embedding of mandatory risk assessments in the national procurement
of a new SystmOne.

The new Health & Justice Information System will be a national system for the residential estate and
as part of the deployment we are working with the Health and Social Care Information Centre and
NHS England Clinical Reference Group to review a number of templates and first night screening
and risk assessment is one of these templates.

The timeline for the work is that from July 2016 NHS England will be undertaking the deployment
and roll out to all sites of the new system, with an expectation that the full functionality will be in
place by July 2017. This will include the roll out of any new national templates.

| hope this clarifies your outstanding issues and please do not hesitate to contact me should you
require any further clarification.

Yours sincerely

Kate Davies OBE
Head of Public Health, Armed Forces and their Families and Health & Justice

High quality care for all, now and for future generations
Response from Serco (PDF)
Bringing service to life

OFFIC IAL Serco Home Affairs

HMP & YOI Doncaster
Marshgate
Doncaster

South Yorkshire

ONS 8UX

United Kingdom

T +44 (0) 1302 760870
F +44 (0) 1902 760851
Our Ref: MB/REO www.gerco.com
Your Ref: NJIM/JS/rs/jp/45715-2014

30 October 2015

Coroner’s Court and Office
Crown Court

College Road

Doncaster

DN1 3HS

Dear Mr Sleightholme

Re: Samuel William Gale Deceased
DOB: 13.08.1995 — DOD: 17.05.2014

Further to your correspondence of 27 October 2015 and your report under Regulation 28.

The concern raised relates to closure of the ACCT without reference to healthcare, chaplaincy or
a unit manager or any officer who had carried out the review, and | have been asked to consider
whether only the person who is primarily responsible for a prisoner’s ACCT should be the one to
close it.

| have considered the matter further and made reference to Prison Service Instructions on the
management of the ACCT and conclude our actions are as follows:

a) Policy changes have been made since this incident so that only a manager grade can
close an ACCT.

b) Case Managers will comprise of manager grades only.

c) ACCT cannot be closed unless the case review comprises of at least two people and all
the actions on the CAREMAP have been completed.

d) It would be impractical to implement a process whereby only the person who is
primarily responsible for a prisoner's ACCT should be the one to close it. Such action
may leave a prisoner under a level of scrutiny and support that is not conducive to a
prisoner's ongoing wellbeing.

OFFICIAL

Serco Home Affairs, a division of Serco Limited. A company registered In England and Wales No. 242246
Registered Office: Serco House 16 Bartisy Wood Business Park, Bartley Way, Hook, Hampshire, AG27 SUY United Kingdom

OFFICIAL

-2-

Staff sickness, annual leave and lost days also render this impractical. Notwithstanding this,
HMP & YOI Doncaster will seek to move to a case management model during 2016 whereby a
nominated case manager manages a case load so that continuity of care is improved resulting in
case reviews being completed by the same manager on a more frequent basis. The timing for
completion of this objective is by June 2016.

Yours sincerely

Deputy Director
HMP & YOI Doncaster

OFFICIAL

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