Prevention of Future Deaths reports · 2022

Allan Waddup

Regulation 28 report to prevent future deaths, reference 2022-0343, written 10 Aug 2022. A coroner writes one of these when an inquest reveals a risk that could cause further deaths unless something changes.

Date of report10 Aug 2022
Reference2022-0343
DeceasedAllan Waddup
CoronerAndrew Hetherington
Coroner areaNorth Northumberland and South Northumberland
CategorySuicide (from 2015) · State Custody related deaths
Sourcejudiciary.uk record · original PDF
Responses published1

The report

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

ANDREW HETHERINGTON 
H M Senior Coroner for North Northumberland and 
Acting Senior Coronerfor South Northumberland 

County Hall,  Morpeth, Northumberland NE61 2EF 

REGULATION 28 REPORT TO PREVENT FUTURE DEATHS 

THIS REPORT IS BEING SENT TO: 

1.  Tees, Esk and  Wear Valley, c/o Ward Hadaway LLP 

1 

CORONER 

I am Andrew Hetherington,  Senior Coroner for North Northumberland and Acting 
Senior Coroner for South Northumberland. 

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://legislation.gov. u k/u kpga/2009125/schedule/5/paragraph /7 
http://www.legislation.gov .uk/uksi/2013/1629/part/7 /made 

3 

INVESTIGATION and INQUEST 

On  16  December 2019  I  commenced an  investigation  into  the  death  of  Allan 
Michael WADDUP. The  investigation  concluded  at the  end  of the  inquest  . The 
conclusion of the inquest was 
Suicide 
1a  Pressure on  the Neck 
1b  Hanging 
1c 

4  ·  CIRCUMSTANCES OF THE DEATH 

The  inquest  heard  that  in  the  North  East cluster  of prisons  Tees  Esk  &  Wear 
Valleys NHS Foundation  Trust  (TEWV) are subcontracted to provide  secondary 
mental  health  services  who  in  turn  subcontract  primary  mental  healthcare 
services to RETHINK. It was heard that once a referral is received into the mental 
health  team  those  referrals  are  triaged  within  24  hours.  Further that  based  on 
contractual obligations,  referrals must be triaged  within  24 hours of receipt.  The 
triage  is undertaken by a qualified mental health  or learning  disability  nurse.  The 
outcome  of the  triage  is  that  when  assessment  is  deemed to  be  required  the 
patient  is  referred to  primary care (Rethink) or secondary care {TEWV). I heard 

 
 
 that a routine  as~essment  should  be  offered within  4 working  days after triage.  I 
did  not  hear  any  evidence  that  would  suggest  Mr Waddup's  assessment  was 
deemed to be urgent.  I heard that an  urgent referral would take place urgently and 
within  24 hours with  the  inmate being  kept safe.  Mr"Waddup was  referred to the 
mental health  team  at HMP Durham  on 29th  October 2019  following his  recall  to 
prison.  His needs were identified as  anxiety and  depression.  He was triaged  by a 
mental health  nurse  on  Thursday  30th  October 2019 and  was sent to  RETHINK 
for assessment.  An assessment  should  have been  offered within  4 working days 
i.e.  before Wednesday  6  November 2019.  On  1st  November 2019  Mr Waddup 
was transferred to  HMP Northumberland On 4 November2019 a HMP Durham a 
psychological  well-being  practitioner  noted  the  triage  had  been  received  by 
RETHINK  but  the  patient  had  been  transferred.  On  12th  November 2019  a 
telephone  call  handover  was  provided  from  primary  care  in  HMP  Durham  to 
primary  care  in  HMP  Northumberland.  This  was  13  days/7  working  days  after 
triage.  I heard the delay in assessment was due to the absence of a staff member. 
On  14th,  19th  and  21st  November  2019  attempts  were  made  to  assess  Mr 
Waddup  in  his  cell  by telephone.  The system  in  place  in  2019 was that  the day 
before the  appointment  the wing are  notified that an  inmate has an  appointment 
with  healthcare.  It  is  unclear  as  to  whether  Mr  Waddup  would  have  been 
personally  aware of the  appointment.  He worked and  would  have left the  wing  at 
specific times. On 21st  November2019 on  opt in  letter and  discharge letter was 
issued via internal  post by RETHINK. The letter requested  he make contact by 29 
November 2019  other wise  it was  assumed  he  longer  required  input  from the 
service. After three  to  four attempts to assess  Mr Waddup via  in  cell  telephone, 
he was not contacted in  person.  MrWaddup was discharged without having been 
assessed  on  2 December 2019.  A  letter  was  provided  during  the course  of the 
inquest.  The discharge  letter  was  undated  On  5th  December 2019  Mr Waddup 
self  referred  via the  prison  kiosk  system  saying  "I  need  to  see  someone  from 
mental  health  as  my head  is  gone  and  I'm  really  down  and  in  a bad  place  right 
now pis  asap".  5th  December2019  is  a Thursday  and  the  time that  Mr Waddup 
made  that  referral  is  not  clear.  The  referral  was  received  by  the  prison 
administration  team  and  added  to  the  mental health  teams triage  waiting  list on 
9th  December 2019 at 09.54  hours.  The  referral was triaged  by a mental  health 
nurse  and  by  a  RETHINK colleague  on  12  December 2019,  7  days  after  Mr 
Waddup self-referred himself to  mental  health  services. The mental  health team 
do  not triage  cases  on a Saturday and  mental health  services are  not contracted 
to  provide  mental  health  services at weekends at  HMP Northumberland.  On 12 
December 2019  a  triage form was  completed with the  decision  that the  primary 
care (RETHINK) should  attempt to re-engage  with Mr Waddup.  Mr Waddup was 
not  assessed  by  primary  mental  healthcare  prior to  his  death  on  13  December 
2019.  Mr Waddup  had  a  telephone  call  at  19.47  hours  on  12  December 2019 
where he received upsetting  news.  The  contents of that telephone  call  and  what 
was discussed  were  not available  to  anyone working  in  the  prison  uritil  after his 
death 

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 MATIERS 
OF  CONCERN  are  as  follows.  -
[BRIEF  SUMMARY  OF  MATTERS  OF 
CONCERN] (1) MrWaddup was referred to  mental health  on  29th  October2019 
on triaged  within  24 hours on  30th  October 2019.  Attempts were made to assess 
him  bv teleohone  on  14,  19  and  21  November 2019.  It  is  not clear if Mr Wadduo 

 personally  knew of the  appointments.  Appointment  letters  are  currently not sent 
to  inmates  at  HMP Northumberland  to  notify  them  of  planned  appointments. 
Prisoners  could  be  notified  on  the  day  via  the  appointment  scheduling  process 
within  the  prison  whereby  the  wing  is  notified  of who  has  appointments  with 
various  departments.  I  heard that  TEWV provide mental  health  services  across 
the North East cluster of prisons including four prisons in the North West.  In some 
custodial  facilities an  appointment letter  is  sent.  This  system  is  not  replicated  in 
HMP  Northumberland  (2)  Mr  Waddup  was  referred  to  mental  health  on  30 
October 2019.  Attempts were  made to  assess  him  in  his cell  over the  telephone 
on  14,  19 and  21  November 2019.  He was discharged  from mental  health  on  2 
December 2019  without  an  assessment  being  undertaken.  There  was  no  in 
person  contact to explore the  reasons  he did  not attend  those appointments prior 
to  discharge.  It  could  not  be  confirmed  he  was  personally  aware  of  those 
appointments.  He self-referred on  5 December 2019  and  was not triaged  within 
24  hours  or assessed  prior  to  his  death.  An  immediate  review of  the  Did  Not 
Attend (DNA) policy for the mental health services to include an  in  person contact 
is  being  undertaken  prior  to  discharge  but  has  not  been  completed.  (3)  Mr 
Waddup  self-referred via  the  kiosk system. There  is no triaging  of referrals on  a 
weekend.  A  disclaimer  or  warning  directing  inmates  to  how  to  seek  urgent 
assistance  is  not currently displayed  on the  kiosk. 

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 Tees Esk.& Wear Valleys NHS Foundation Trust. 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 
exolain whv no action is  orooosed. 

8 

COPIES and PUBLICATION 

I have sent a copy of my report to the Chief Coroner and to the following Interested 
Persons The family of Mr Waddup, Sodexo Justice Services, G4S and Rethink.  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 

1oth  August  2022 

Signed:/  (-4 1-\J/.:f", .,, "°',W

v-- II' 

, 

Andrew Hetherington  HM Senior Coroner for North  Northumberland and Acting 
Senior Coroner for South Northumberland

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 NHS Tees Esk and Wear Valleys (PDF)
Trust Headquarters
West Park Hospital,
Edward Pease Way,
Darlington
DL2 2TS 

Dear HM Coroner, 

Re: REGULATION 28 REPORT TO PREVENT FUTURE DEATHS REPORT regarding 
HMP Northumberland following the Inquest into the death of Allan Waddup 

Following a review of the Regulation 28 Report 19th August 2022, we have reviewed the 
matters of concern to HM Coroner and wish to share the following feedback and actions.  

Concern 1 

(1) Mr  Waddup  was  referred  to  mental  health  team  at  HMP  Durham  on  29th 
October 2019 and triaged within 24 hours on 30th  October 2019.Attempts were 
made  to  assess  Mr  Waddup  in  his  cell  by  telephone  on  14,  19  and  21 
November  2019.  It  is  not  clear  if  Mr  Waddup  personally  knew  of  the 
appointments.  Appointment  letters  are  not  currently  sent  to  inmates  at  HMP 
Northumberland  to  notify  them  of  planned  appointments.  Prisoners  could  be 
notified  on  the  day  via  the  scheduling  process  within  the  prison  whereby  the 
wing is notified of who has appointments with various departments. I heard that 
TEWV provide mental health services across the North East cluster of prisons 
four  prisons  in  the  North  West.  In  some  custodial  facilities  an  appointment 
letter is sent. This system is not replicated in HMP Northumberland. 

Appointment  letter  templates  have  been  reviewed  and  updated  and  have  now  been 
introduced  across  all  prison  establishments,  including  HMP  Northumberland  where 
TEWV  provide  Mental  Health  care  delivery.  As  part  of  this  process  of  review,  the  letter 
content  has  been  reviewed  to  ensure  its  content  is  succinct  and  clear,  dated  and 
provides the relevant information. 

The  Transfer  of  care  telephone  handover  call  has  been  audited  between  HMP  Durham 
and HMP Northumberland to ensure patients are handed over in a timely manner. Audit 
results  show  this  process  is  effective  and  patients  are  handed  over  within  the  required 
contractual timeframe of 24 hours or, the next working day if the transfer takes place at 
the weekend. Any urgent transfer information is handed over on the day of the expected 
transfer. 

The  standard  process  has  been  reviewed  and  updated  to  ensure  all  staff  are  clear 
regarding  responsibilities  of  transferring  patient  care.  The  templates  the  sending  and 
receiving  clinicians  fill  out,  to  complete  the  handover,  have  been  updated  to  improve 

                                                                                                     
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 consistency  and  robust  information  sharing  processes.  Staff  have  received  support  in 
completing the documents to ensure full awareness. 

In  order  to  ensure  compliance  with  the  required  contractual  timeframe  for  carrying  out 
assessments (4 working days if a non-urgent appointment), we have carried out an audit 
of  this  process  in  HMP  Northumberland  and  can  confirm  that  the  audit  result 
demonstrated 100% of offered assessments are undertaken within the 4 working days. 

Concern 2 

(2) Mr Waddup was referred to mental health on 30 October 2019. Attempts were 
made to assess him in his cell over the telephone on 14, 19 and 21 November 
2019.  He  was  discharged  from  mental  health  on  2  December  without  an 
assessment being undertaken. There was no in person contact to explore the 
reasons  he  did  not  attend  those  appointments  prior  to  discharge.  It  could  not 
be confirmed he was personally aware of those appointments. He self-referred 
on 5 December 2019 and was not triaged within 24 hours or assessed prior to 
his  death.  An  immediate  review  of  the  Did  Not  Attend  (DNA)  policy  for  the 
mental  health  services  to  include  an  in  person  contact  is  being  undertaken 
prior to discharge but has not been completed. 

Following  the  inquest,  an  immediate  lessons  learned  bulletin  was  shared  with  all  staff 
working  across  the  service  within  the  Trust,  advising  at  the  point  of  discharge, 
appointments must take place face to face. A service level meeting was also convened to 
share the information and requirements with Team Managers, to ensure information was 
filtered  down  to  all  staff.  The  Operational  Policy  for  the  service  has  been  updated  to 
reflect  the  updated  discharge  process  and  a  request  has  been  made  to  ensure  upon 
review (in January 2023) this is also reflected in the trust wide discharge policy. 

Concern 3 

(3) Mr Waddup self-referred via the kiosk system. There is no triaging of referrals 
on  a  weekend.  A  disclaimer  warning  directing  inmates  how  to  seek  urgent 
assistance is not currently displayed on the kiosk. 

The prison service provider at HMP Northumberland has granted the request to remove 
the ability to refer to mental health services via kiosk. Due to the restrictions on the prison 
kiosk system, men are unable to give any detailed rationale for the appointment request 
making triage processes difficult for the team upon receipt of the request. A request has 
been  made  to  the  prison  provider  at  HMP  Northumberland  as  to  whether  an  electronic 
referral can be uploaded to the kiosk system, as well as a notification advising patients  
of  timeframes  for  referrals  to  be  processed  and  who  to  contact,  and  how,  in  an  urgent 
situation. 

In the interim, posters have been produced and displayed on the wings  providing clear 
information  to  all  prisoners  about  how  to  refer  to  the  mental  health  team  using  a  self-
referral, or by speaking to any member of staff. Posters include what to do in urgent or 
crisis situations, specifically in relation to risk to self. 

wh37130972v1 

2 

 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 Self-referrals,  including  easy  read  versions,  are  available  to  all  men  on  wing  locations. 
The  referral  asks  specific  questions  which  allow  the  team  to  triage  the  referral 
appropriately in relation to service required, as well as urgency. 

This is consistent with all other services within the NE cluster of prisons. 

Yours sincerely 

Executive Director of Nursing and Governance 

wh37130972v1 

3

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