Prevention of Future Deaths reports · 2018

John Mayhew

Regulation 28 report to prevent future deaths, reference 2018-0381, written 11 Dec 2018. A coroner writes one of these when an inquest reveals a risk that could cause further deaths unless something changes.

Date of report11 Dec 2018
Reference2018-0381
DeceasedJohn Mayhew
CoronerCrispin Oliver
Coroner areaCounty Durham and Darlington
CategoryState Custody related deaths
Sourcejudiciary.uk record · original PDF
Responses publishednone published

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. Director of National Operational Services, National Offender Management
Service

2. HM Inspector of Prisons

3. Independent Advisory Panel on Deaths in Custody

CORONER

lam Crispin A Oliver, Assistant Coroner, for the coroner area of County Durham and
Dartington.

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.
(see attached sheet)

INVESTIGATION and INQUEST

On 26! July 2017 | commenced an investigation into the death of John Mayhew, 56
years old. The investigation concluded at the end of the inquest on 28th November
2018. The conclusion of the inquest was that John Mayhew died from 1a) Hanging at
HMP Durham on 15> January 2017 and the conclusion was Suicide plus a narrative that
included that inadequate efforts were made to obtain information relevant to risk to Mr.
Mayhew including from probation officers.

CIRCUMSTANCES OF THE DEATH

John Mayhew was a license revokee. He returned to custody at HMP Durham on 17
December 2016 and died there on 15"* January 2017 as a result of self inflicted hanging.
He had a recent history of suicide attempts and had attended an acute mental health
unit in Hull in December 2016. The details of the recent suicide attempts (most recently
in November 2016) and admission between 6" and 13" December in an acute mental
health unit in Hull were contained in the OASIS system reports. After reception and
induction into HMP Durham on 17% December 2016 John Mayhew was interviewed on
19!" December by a probation officer who is a member of the “through the gate team”
whose job it is to assess the needs of new prisoners. During the course of the interview,
which the probation officer said lasted an unusually long time (45-60 minutes), Mr
Mayhew made comments concerning potential self harm/suicide which the probation
officer found very concerning and which led her to open an ACCT. At the initial case
review several hours later, the attendees did not include this probation officer. She was
not invited to attend, nor was any attempt made to communicate with her (before, during
or afterwards) by those who conducted the pre-review assessments and attended the
review, namely a prison officer assessor, a mental health nurse and a Band 4 prison
officer as ACCT case manager. The pre review assessments by ACCT assessor and
the mental health nurse, repeated and confirmed in the review itself with the Case
Manager, formed an impression as to the level of risk that was clearly divergent from
that of the probation officer, even on the basis of the details she had recorded on the
ACCT form. The ACCT was closed immediately and there was no Care Map.

In the course of the evidence during the Inquest hearing, it was explored as to why the
probation officer who had initiated the ACCT, and who had access to the OASIS system
which contained evidence of previous suicide attempts and very recent mental health
inpatient treatment, not otherwise available, was not in attendance at the initial case
review, not being invited. Further, as to why no attempts were made to communicate
with her about the ACCT. Reference was made to PSI64/2011 “ Management of

7

prisoners at risk of harm to self, to others and from others. (safer custody)”. In particular
at page 27 of the said PSI there is the following:

“First Case review

The first case review must: be held within 24 hours of the ACCT plan being opened,
ideally immediately after the assessment interview. Be attended and chaired by the
Residential Manager, or equivalent and/or the case manager (if different), the assessor,
whenever possible, a member of staff who knows the prisoner e.g wing officer, the
person who raised the initial concern, healthcare, and any other member of staff who
has or will have contact with the at risk prisoner and who can contribute to their support
and care eq staff from probation, education, carats, psychology etc. The review should
be timely and not unduly delayed to ensure full attendance. If invited participants cannot
attend in person, exceptionally, they can provide a written account of their input’.

Evidence was forthcoming from prison discipline staff and mental health staff that
attendance of an ACCT initiator in an initial case review is simply not done at HMP
Durham, alternatively that it might be done if the initiator of the ACCT was a prison
officer on the wing. Evidence was given that this was a function of the requirement to
have the ACCT case review completed within the mandatory 24 hours, sometimes in
circumstances where there is a great deal of pressure on staff. However, it was clear
from the evidence that it is exceptional for an ACCT initiator to attend or even to be
invited to an initial review. Ultimately, towards the end of the inquest, a prison governor
gave evidence on this point saying that it was not “routine to contact the initiator of an
ACCT” with a view to inviting that person to an initial case review at HMP Durham.
Furthermore, the prison governor stated that this applied also to other prisons that she
had worked in, and whom she had contacted in relation to giving evidence on this point
over the course of the inquest hearing. These included HMP Northumberland, HMP Low
Newton, HMP Frankland. Obviously, these prisons are different to HMP Durham, and
have differing pressures operating on the staff. So the explanation that is given in
relation to HMP Durham (large influxes of new to custody prisoners going through
reception at the same time, lowér staff to prisoner ratio, frequent turn-over, or “churn” of
prisoners) will not apply to, say HMP Frankland.

It further became evident over the course of the inquest, and was the subject of
submissions that the wording of PS! 64/2011 as quoted in the above extract is not
entirely clear. It commences with “the first case review must’, which effectively makes
that which follows thereafter mandatory. It then later goes on to say “...be attended and
chaired by the residential manager, or equivalent and/or the case manager (if different),
the assessor, whenever possible, a member of staff who knows the prisoner eg wing
officer, the person who raised the initial concern, ..”

Do the words “whenever possible”, which create a proviso, refer to the assessor or the
member of staff who knows the prisoner? Alternatively the member of staff who knows
the prisoner and also the person who raised the initial concern?

| 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. —

[BRIEF SUMMARY OF MATTERS OF CONCERN]

(1) Clarification is needed as to how to construe the part of PSI64/2011 dealing with
first case review of an ACCT assessment, in particular the proviso in the words
“whenever possible” as to which type of potential attendee it might apply.

(2) Consideration should be given to re-drafting this part of the PSI.

(3) Consideration might thereafter, be given, as to providing guidance on how this
part of the PSI, if modified, should be applied in practice by all staff in all
prisons,

ACTION SHOULD BE TAKEN

In my opinion, action should be taken to prevent future deaths and | believe you and
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 5"" February 2019. 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

| have sent.a co)

of my report to the Chief Coroner and to the following Interested

Li Ward | Farleys, ||
WI Keog ET rowers, “Humber
NHS Founaati : Gove"
Legal. | have also sent it to Susan Hamilton who may find it usetul 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.

a [DATE DIY [SIGNED BY COR NER Ov.

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