Source · Prevention of Future Deaths

Alvin Black

Ref: 2021-0130 Date: 30 Apr 2021 Coroner: Sean Horstead Area: Cambridgeshire and Peterborough Responses identified: 0 / 1 View PDF

The report identifies concerns about the poor state of cleanliness at the prison's Health Care Centre, potentially increasing the risk of infection for prisoners; it also notes a missed opportunity to consider anti-coagulation therapy, with the system not picking up on this error.

Date 30 Apr 2021
56-day deadline 25 Jun 2021
Responses identified 0 of 1
Hospital Death (Clinical Procedures and medical management) related deaths State Custody related deaths

Coroner's concerns

AI summary
The report identifies concerns about the poor state of cleanliness at the prison's Health Care Centre, potentially increasing the risk of infection for prisoners; it also notes a missed opportunity to consider anti-coagulation therapy, with the system not picking up on this error.

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Report details

Reference
2021-0130
Date of report
30 April 2021
Coroner
Sean Horstead
Coroner area
Cambridgeshire and Peterborough

Responses identified

Responses identified 0 of 1
1 response not yet linked

Organisations named in PFD reports are normally expected to respond within 56 days. Deadline: 25 Jun 2021.

Sent to

Minister of State for Prisons and Probation and Cambridge University Hospitals NHS Foundation Trust

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