Source · Prevention of Future Deaths

Mesut Olgun

Ref: 2025-0618 Date: 10 Dec 2025 Coroner: David Reid Area: Worcestershire Responses identified: 1 / 2

HMP Hewell lacks "Safer Cells" in the main prison body, with existing ones only in the Segregation Unit, limiting an important measure for vulnerable prisoners at risk of self-harm.

Date 10 Dec 2025
56-day deadline 4 Feb 2026 est.
Responses identified 1 of 2
Suicide (from 2015)

Coroner's concerns

AI summary
HMP Hewell lacks "Safer Cells" in the main prison body, with existing ones only in the Segregation Unit, limiting an important measure for vulnerable prisoners at risk of self-harm.
View full coroner's concerns
In his evidence to the inquest, the current Head of Safety at HMP Hewell confirmed that the prison had two “Safer Cells” ( intended to reduce the risk i ), but that these were both located within the prison’s Segregation Unit. He agreed that it would not be appropriate for a new prisoner like Mr. Olgun, who had been identified as a high risk of self-harm and for whom an ACCT document had been opened, to be located on the Segregation Unit on his first night in prison. There are therefore no “Safer Cells” located within the main body of the prison. The cost of converting a cell into a “Safer Cell” is said to be in the region of £70,000, for which funding would have to be sought from H.M. Prison and Probation Service, but HMP Hewell has not made any bid for such funding since Mr. Olgun’s death 72 years ago.

The Head of Safety at the prison also confirmed in evidence that the two available “Safer Cells” have been used to house prisoners within the Segregation Unit who are thought to be at an increased risk of suicide or self-harm. This would suggest that the prison accepts in principle that such cells have a meaningful role to play in reducing such risk.

I am concerned that as long as “Safer Cells” are not made available away from the Segregation Unit at HMP Hewell, an important measure for reducing the risk of suicide or self-harm is being withheld from vulnerable prisoners at that prison.

Responses

1 respondent
HM Prison Probation Service Central Government
26 Jan 2026 PDF
Action Planned

HMPPS is nearing completion of a project to convert fifty cells across thirteen establishments to ligature resistant cells, and are hopeful that further installations will be possible in 2026/27. They use the Assessment, Care in Custody, and Teamwork (ACCT) case management approach to support individuals at risk of self-harm or suicide. (AI summary)

View full response
Dear Mr Reid REGULATION 28 REPORT TO PREVENT FUTURE DEATHS: MR MESUT OLGUN Thank you for your Regulation 28 report of 10 December 2025 following the inquest into the death of Mesut Olgun at HMP Hewell on 14 June 2018. I am providing the response on behalf of His Majesty’s Prison and Probation Service (HMPPS). I know that you will share a copy of this response with Mr Olgun’s family, and I would firstly like to express my condolences for their loss. Every death in custody is a tragedy and the safety of those in our care is my absolute priority. You have raised concerns regarding the availability of ligature resistant (LR) cells, formerly known as safer cells, at HMP Hewell. HMPPS is committed to reducing the risks of self-harm and self-inflicted deaths as far as possible, both through the design of the built environment and the processes by which staff support prisoners. LR cells are an important measure in reducing these risks, and we aim to build new prisons and wings to this standard. However, much of the existing prison estate predates the introduction of the LR standard which means that some prisons currently have very few such cells, or none at all. At present, HMPPS is nearing completion of a project to convert fifty cells across thirteen establishments, which were selected on the assessed levels of risk at the time. We are hopeful that further installations will be possible in 2026/27, again prioritising locations with the highest assessed level of risk.

It is important to emphasise that an LR cell on its own cannot eliminate risk. The term “ligature-resistant” replaced “safer cell” to reflect the reality that prisoners may still find other means to self-harm. Staff guidance makes clear that LR cells are a valuable measure, but they must be used alongside other forms of support. Where LR cells are unavailable, or where moving a prisoner could increase risk, these alternative measures remain essential. Nonetheless, HMPPS’ ongoing ambition is to strengthen this approach further by expanding LR cell provision wherever resources permit. To support individuals at risk of self-harm or suicide, HMPPS uses the Assessment, Care in Custody, and Teamwork (ACCT) case management approach, with the purpose of an ACCT being to identify an individual’s risks, triggers and protective factors, and to put in place a care plan to provide individual, person-centred support to address issues and reduce risk. As part of any ACCT case review, those involved will consider a range of measures to mitigate risk, including the prisoner’s location and, where appropriate, considering a move to a cell better suited to managing their level of risk. As noted in your report, HMP Hewell has two LR cells within the segregation unit which will be suitable to use for many prisoners. In addition, as described above the prison will use other important measures to help keep people safe, including constant supervision for those at the highest level of risk. At present, HMP Hewell has three constant supervision cells available across the main residential areas, ensuring that at-risk individuals can receive close and continuous support when needed. Thank you again for bringing your concerns to my attention. I trust that this response provides assurance that action is being taken to address this matter.

Report sections

Investigation and inquest
On 20 June 2018 I commenced an investigation and opened an inquest into the death of Mesut OLGUN aged 30. The investigation concluded at the end of the inquest on 08 December 2025. The conclusion of the inquest was in two parts:

1) Narrative Conclusion - Mesut Olgun died as the result of suicide.

2) Questionnaire:

1. On the night of 7th-8th June 2018, between 2115hrs and 0610hrs, did the Operational Support Grade fail to carry out the majority of the 36 ACCT observations on Mr. Olgun which he was required to carry out at the rate of four per hour?
Circumstances of the death
On 6 June 2018, whilst being arrested, Mr. Olgun caused himself significant injuries Tl Eee While in police custody, he was assessed as being at a high risk of harming himself again, and voiced an intention to kill himself several times. On 8 June 2018, Mr. Olgun was seriously injured [ii in his prison cell at HMP Hewell. On 14 June 2018, Mr. Olgun died from these injuries at Alexandra Hospital, Redditch.
Copies sent to
13 Elm Street, London WC1X OBL(b) HI Government Legal Department, Ministry of Justice Private Law and Inquests Team 2, 102 Petty France, London SW1H 9GLrepresenting Practice Plus Groupi & Co. LLP, 2 New Bailey Square, Stanley Street, Manchesterrepresenting GEOAmey(c) HM Legal Services, West Mercia Police

Similar PFD reports

Shared signals

Report details

Reference
2025-0618
Date of report
10 December 2025
Coroner
David Reid
Coroner area
Worcestershire

Responses identified

Responses identified 1 of 2
All listed responses identified

Organisations named in PFD reports are normally expected to respond within 56 days. Deadline: 4 Feb 2026 (estimated).

Sent to

HM Prison and Probation Service
Probation and Reducing Offending, Ministry of

Source links