Prevention of Future Deaths reports · 2020

Robert Brown

Regulation 28 report to prevent future deaths, reference 2020-0065, written 9 Mar 2020. A coroner writes one of these when an inquest reveals a risk that could cause further deaths unless something changes.

Date of report9 Mar 2020
Reference2020-0065
DeceasedRobert Brown
CoronerAndrew Haigh
Coroner areaStaffordshire (South)
CategoryAlcohol, drug and medication related deaths · State 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.

Her Majesty's Coroner
Staffordshire (South) Coroner's
Jurisdiction

Date: 9 March 2020
Case: 150458
REGULATION 28 REPORT TO PREVENT FUTURE DEATHS

1. THIS REPORT IS BEING SENT TO:
Michael Spurr

National Offender Management Service,
Clive House , 70 Petty France,

London, SW1H 9AJ

2. CORONER

| am Andrew A Haigh HM Senior Coroner for 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.

3. INVESTIGATION and INQUEST

On 28 December 2018 | commenced an investigation into the death of Robert

Anthony BROWN. The investigation concluded at the end of the inquest on 6 March 2020.
The conclusion of the inquest was ‘Accidental death’ with the cause of death given as:

1a Aspiration of Gastric Contents

1b Synthetic cannabinoid receptor antagonists (5F-ADB)

4.CIRCUMSTANCES OF THE DEATH

3a Basic Circumstances: Robert Brown a prisoner at Dovegate was pronounced dead at
9:33 within his cell from drug use on 25th December 2018.

3b Probable Causes: Despite contact with drug misuse staff Robert could not stop taking
illicit drugs.

3c: Possible Causes: The evidence did not disclose any possible causative factors.

5. CORONER’S CONCERNS

During the course of the inquest the evidence revealed a matter 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 MATTER OF CONCERN is as follows. —

Although there was no finding by the Jury that this was causative in respect of the death at
times during the inquest it appeared that information in the central NOMIS records,
information in the medical System 1 records and information available to the security
department at the prison was not available to all staff at the prison who may have benefitted
from having it. | did hear helpful evidence from the Head of Safer Custody

a ct nationally efforts are being made to develop a system whereby significant

1 Staffordshire Place, Stafford, ST16 2LP
Telephone: 01785 276126 or 276127 Email: sscor@staffordshire.gov.uk

relevant information about a prisoner is available to all staff. There is however no timescale
for this. It strikes me that this would be very helpful and might prevent deaths in the future.
i wonder if you can give me a progress report about this planned development and an
indication as to when it might be implemented.

6. ACTION SHOULD BE TAKEN
In my opinion action should be taken to prevent future deaths and | believe you have the power to tak«
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
27.04.2020 |, 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:
e Mills Reeve — Solicitors for Care UK and MPFT
e¢ DWF Solicitors - for Serco
e Southerns Solicitors — for the family

| have also sent it to the Prisons and Probation Ombudsman and the Independent Monitoring Board
at HMP Dovegate 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.

9 March 2020

AoA be

Andrew A Haigh
Senior Coroner for Staffordshire South

1 Staffordshire Place, Stafford, ST16 2LP
Telephone: 01785 276126 or 276127 Email: sscor@staffordshire.gov.uk

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 The Director General of Prisons (PDF)
Phil Copple

Director General Prisons

HM Prison and Probation Service
8" Floor Ministry of Justice

102 Petty France |

London SW1H 9AJ | |

H M Pri son & Email:DirectorGenetalPrisons@justice.gov.uk
Probation Service

Mr Andrew A Haigh
Senior Coroner for Staffordshire South |
Coroner’s Office :
1 Staffordshire Place

Stafford

ST16 2LP

15 May 2020

Dear Mr Haigh,

Thank you for your Regulation 28 Report of 13 March 2020 addressed to Mr Michael Spurr
following the inquest into the death of Robert Anthony Brown at HMP Dovegate on 25
December 2018. Mr Spurr is no longer in post, and | am responding as Director General of
Prisons. | am grateful to you for granting an extension to the statutory deadline for my
response. :

| know that you will share a copy of this response with Mr Brown's family, and | would first
like to express my condolences for their loss. The safety of those in our cate i is my absolute
priority, and every death in custody is a tragedy.

Your report expressed concern about information sharing between prison dnd healthcare
staff, and you asked for a progress report on the plans to develop a new system that was
described in evidence that you heard at the inquest.

As you know, the commissioning of healthcare in English prisons is the responsibility of
NHS England and NHS Improvement, and they are leading on work with HMPPS to
implement inter-operability between SystmOne and NOMIS, in order to enable better
sharing of information between prison and healthcare staff. This is a big project and there
are three phases of implementation. Approximately fifty percent of the planned development
work on phase one, which is automating patient administration data sent from NOMIS to
SystmOne, has been completed.

Unfortunately, further work on this initiative has been temporarily halted by Total Phoenix
Partnership (TPP), the supplier responsible for SystmOne, who have been directed to focus
on COVID-19 related work. This will cause a delay, currently estimated at 8 weeks,
meaning delivery of the completed phase one work is now forecast for August 2020. The
sharing of risk information between NOMIS and SystmOne will form part of phase three of
the project implementation, and it is forecast to be completed in 2021. if you would like any
further information or updates on the project, then | would suggest contacting NHS England
and NHS Improvement, as they are the lead organisation for the implementation process.

While this IT project is underway, and forms an important part of the solution to the
challenges presented by the information sharing in the prison environment; work is also
being done at a local level to ensure that prison staff and NHS staff work tagether more
effectively. At Dovegate, the Safer Custody Zone was formed in 2019 to provide an area in
which prison staff, the Mental Health Team and the Integrated Substance Misuse Team are
able to work together each day to ensure that key information is routinely shared. The
introduction of the new system will further enhance this collaborative work and will enable
information to be readily accessible to all staff.

Thank you again for bringing your concerns to my attention. | trust that this, response
provides assurance that local action is being taken to address the matter and that, whilst

currently temporarily on hold because of immediate work related to the pandemic, progress
is being made on the project to improve the sharing of risk information. |

Yours sincerely,

Po Cape.

PHIL COPPLE

Director General of Prisons

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