Prevention of Future Deaths reports · 2020

Marlon Watson

Regulation 28 report to prevent future deaths, reference 2020-0010, written 14 Jan 2020. A coroner writes one of these when an inquest reveals a risk that could cause further deaths unless something changes.

Date of report14 Jan 2020
Reference2020-0010
DeceasedMarlon Watson
CoronerAndrew Haigh
Coroner areaStaffordshire (South)
CategoryState Custody related deaths · Suicide (from 2015)
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.

Her Majesty’s Coroner 2. |
Staffordshire (South) Coroner’s Jurisdiction

r Private and Confidential e|
‘Head of Healthcare Please note sad agli? oa
HMP Dovegate be included on all corresponden
Marchington Date: 14 January 2020
Uttoxeter Staffs one AAH/EAS 149963
Our ref:
ST14 8XR ea ZS
Your ref:
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AndrewAHaigh Re: Marlon Roy WATSON (deceased)
Senior Coroner
Margaret J Jones | make this report under paragraph 7 Schedule 5 of the Coroners and
pono G aga Justice Act 2009 and regulations 28 and 29 of the Coroners
oa aaaan (Investigations) Regulations 2013.
lanS Smith
pesca cee On 1st October 2018 | commenced an investigation into the death of
peg cioticetem Place Marlon Roy WATSON aged 32. The investigation concluded at the end of
Stafford the inquest on 8" January 2020. The conclusion of the inquest was
Side 2ir Suicide by hanging.
DX 712320 Stafford 5

Tel No: 01785 276127 The jury’s findings were: A. Basic circumstances: Marlon Roy Watson was

ee , 2 Serving prisoner at HMP Dovegate when he died by hanging in his cell on

wi a rordshivegovuk29th September 2018.
B. Probable causative factors : Breakdown of relationship with partner,
bullying, debt, poor mental health and use of illicit substances. Combined
effect of this being too much pressure. .
C. Possible causative factors: The mental health team's reliance on self-
referral and prison mentors rather than a pro-active approach. Admin
errors leading to missed opportunity for support and
unanswered/unacknowledged phone calls from sister. Failure for different
health care teams to have access to relevant patient information.

During the course of the inquest the evidence revealed matters giving
rise to concern. In my opinion there is a risk that future ap may
occur unless action is taken. In the circumstances it is my statutory duty
to report to you. ' :

The MATTER OF CONCERN is as follows. —

1. At the inquest there was a concern that members of healthcare
staff at HMP Dovegate do not have a full and proper a

understanding of the ACCT process. | would appreciate
reassurance that appropriate initial training and refresher
training takes place and that (if possible) this is audited.

In my opinion action should be taken to prevent future deaths and |
believe you have the power to take such action. You are under a duty
to respond to this report within 56 days of the date of this report,
namely by 9.3.2020 . | may extend the period if required to do so.

Your resporise must contain details of action taken or gh es to be
taken, setting out the timetable for action. Otherwise you must explain
why no action is proposed.

| have sent a copy of my report to the Chief Coroner and to the
following other persons
e The Chief Coroner
e Solicitors acting for Care UK, Serco and the family
e Prisons and Probation Ombudsman
e Independent Monitoring Board

| am also under a duty to send the Chief Coroner and others interested
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 at the time of your response about the release or
the publication of your response by the Chief Coroner.

Yours sincerely

hal

Andrew A Haigh
HM Senior Coroner
Staffordshire (South)

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 Care UK (PDF)
HMP Dovegate  
Healthcare Department  
Marchington  
Uttoxeter 
Staffordshire  
ST16 8XR  

HM Senior Coroner Andrew Haigh 
Staffordshire (South) 
Coroner’s Office  
No 1 Staffordshire Place 
Stafford 
ST16 2LP 

9 March 2020  

Dear Sir,  

Regulation 28: Prevention of Future Deaths report, Marlon Roy Watson (died 29 September 
2018)  

Thank  you for your  Regulation  28  Prevention  of  Future  Deaths  Report  issued  to  Care  UK  on  14 
January 2020 following the inquest into the death of Mr Marlon Watson Deceased which concluded 
on 8 January 2020.  

Care UK would like to express its condolences to Mr Watson’s family and friends.  

Care UK is the main provider of healthcare services at HMP Dovegate. 

You have directed your report to me and I am responding on behalf of Care UK. 

The matters of concern are highlighted in bold with the response set out below to your concern. I 
have set out the action taken in response to your report and the timetable for the action plan. Care 
UK are committed to ensuring that the lessons learnt following this inquest are not just implemented 
at HMP Dovegate but more widely across Care UK’s prison healthcare sites. 

Matter of concern: At the inquest there was a concern that members of healthcare staff at 
HMP Dovegate do not have a full and proper understanding of the ACCT process. I would 
appreciate reassurance that appropriate initial training and refresher training takes place and 
that (if possible) this audited.   

Response: In order to deal with your concern, I have discussed the following matters: 

•  The action taken 
•  The timetable for action  

Your  concern  relates  to  a  prison  doctor  who  had  commenced  working  at  HMP  Dovegate  in  July 
2018. He is a GP with over 20 years’ experience in the community. 

  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
 
  
 
 
 
  
 
 
 
 Initial  ACCT  and  Suicide  and  Self  Harm  Awareness  (SASH)  training  takes  place  during  initial 
induction,  for  every  member  of  staff  and  refresher  training  is  completed  annually  thereafter. 
Mandatory refresher is every 3 years, in line with HMPPS guidance. 

Assessment,  Care  in  Custody  and  Teamwork  (ACCT)  is  the  care  planning  process  for  prisoners 
identified as being at risk of suicide or self-harm. The ACCT process requires that certain actions 
are taken to ensure that the risk of suicide and self-harm is reduced. This is a prison process and 
training is provided by the prison as part of a professional’s induction before they work within the 
prison. The GP received that training on 25th July, 2018 as part of his induction.  

Given  your  concern  the GP  and  all  staff  have  been  offered  additional  training  including  refresher 
ACCT training. We have asked the prison to provide this training which will take place over the next 
12 weeks. HMP Dovegate already have a system to monitor the uptake of ACCT and SASH training 
in line with the 3 yearly expectations and we are implementing a system to ensure that there is senior 
oversight on this across all Care UK sites.  

We trust that the above response provides the information that you require but please do not hesitate 
to contact us if Care UK can be of any further assistance.   

Yours sincerely 

Head of Healthcare 
HMP Dovegate 
On behalf of Care UK  

Care UKRegistered Office: Connaught House, 850 The Crescent, Colchester Business Park, Colchester, Essex CO4 9QB Health & Rehabilitation Services Limited - Registered in 
England No 10498997
Response from HMP Dovegate (PDF)
iUAAGS

Care £3

| HMP Dovegate
Healthcare Department
| Marchington

| Uttoxeter
Staffordshire

| ST16 8XR

HM CORONER'S OFFICE
STAFFORDSHIRE SOUTH

12, MAR 2020

T 01283 829513

HM Senior Coroner Andrew Haigh
Staffordshire (South)

Coroner's Office

No 1 Staffordshire Place

Stafford

ST16 2LP

9 March 2020

Dear Sir,

Regulation 28: Prevention of Future Deaths report, Marlon Roy Watson (died 29 September
2018) |

Thank you for your Regulation 28 Prevention of Future Deaths Report issued to Care UK on 14
January 2020 following the inquest into the death of Mr Marlon Watson Deceased which concluded
on 8 January 2020. |

Care UK would like to express its condolences to Mr Watson's family and friends.

Care UK is the main provider of healthcare services at HMP Dovegate.

You have directed your report to me and | am responding on behalf of Care UK.

The matters of concern are highlighted in bold with the response set out below to your concern. |
have set out the action taken in response to your report and the timetable for the action plan. Care
UK are committed to ensuring that the lessons learnt following this inquest are not just implemented
at HMP Dovegate but more widely across Care UK’s prison healthcare sites. —

Matter of concern: At the inquest there was a concern that members of healthcare staff at
HMP Dovegate do not have a full and proper understanding of the ACCT process. | would
appreciate reassurance that appropriate initial training and refresher training takes place and
that (if possible) this audited. |

|
Response: In order to deal with your concern, | have discussed the following matters:

e The action taken |

e The timetable for action
Your concern relates to a prison doctor who had commenced working at HMP Dovegate in July
2018. He is a GP with over 20 years’ experience in the community.

|
Initial ACCT and Suicide and Self Harm Awareness (SASH) training take | place during initial
induction, for every member of staff and refresher training is Greensloraae thereafter.
Mandatory refresher is every 3 years, in line with HMPPS guidance. |

!
Assessment, Care in Custody and Teamwork (ACCT) is the care planning pr for prisoners
identified as being at risk of suicide or self-harm. The ACCT process requires that certain actions
are taken to ensure that the risk of suicide and self-harm is reduced. This is a prison process and
training is provided by the prison as part of a professional’s induction before they work within the
prison. The GP received that training on 25" July, 2018 as part of his induction,

Given your concern the GP and all staff have been offered additional training including refresher
ACCT training. We have asked the prison to provide this training which will take place over the next
12 weeks. HMP Dovegate already have a system to monitor the uptake of ACCT and SASH training
in line with the 3 yearly expectations and we are implementing a system to ensure that there is senior
oversight on this across all Care UK sites.

We trust that the above response provides the information that you require but please do not hesitate
to contact us if Care UK can be of any further assistance.

Yours sincerely

Head of Healthcare
HMP Dovegate
On behalf of Care UK

Care UK Registered Office: Connaught House, 850 The Crescent, Colchester Business Park, Colchester, Essex CO4 9QB Health & Rehabilitation Services Limited - Registered in
England No 10498997

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