Source · Prevention of Future Deaths

Dean Barrell

Date: 11 Oct 2018 Coroner: James Healy-Pratt Area: East Sussex Responses identified: 1 / 1 View PDF

A seven-day delay in communicating a vulnerable prisoner's actual release date to HMP Lewes contributed to his suicide, highlighting unacceptable communication delays for vulnerable individuals.

Date 11 Oct 2018
56-day deadline 6 Dec 2018
Responses identified 1 of 1
State Custody related deaths

Coroner's concerns

AI summary
A seven-day delay in communicating a vulnerable prisoner's actual release date to HMP Lewes contributed to his suicide, highlighting unacceptable communication delays for vulnerable individuals.
View full coroner's concerns
Dean Barrell clearly thought he was in HMP Lewes for the remainder of his sentence (some 3 months). This was incorrect, as he was due for release on 17 February 2017. Had Mr Barrell been informed sooner and in a timely fashion, he may well have not taken his own life. It took the Prison and Probation Service 7 days to communicate the actual release date to HMP Lewes. HMP Lewes attempted then to communicate that within 3 hours of receipt, but Mr Barrell had by then taken his own life. Fixed term recalls for breach of licence conditions are not complex. By their very nature, they can result in short sentences to be served. Vulnerable prisoners deserve to know what their actual release date is, as soon as possible. A seven day delay as in this case, is simply unacceptable. The communication of the actual release date to a prisoner should, in this technological age, take less than 7 days.

Responses

1 respondent
Dean BARRELL
20 Nov 2018 PDF
Action Planned

• A new policy framework covering recall actions will be published by the end of 2018. • The new framework will revise the timeframe for informing recalled offenders of their recall type and release date to one working day. • An investigation identified that the delay in Mr Barrell's case was due to an administrative oversight by a staff member. (AI summary)

View full response
Dear Mr Healy-Pratt, Thank you for your Regulation 28 report of 16 October following the conclusion of the inquest into the death of Dean Louis Barrell at HMP Lewes on 13 February 2017. I know that you will share a copy of this response with Mr Barrell’s family and I would first like to express my sincere condolences for their loss. Every death in custody is a tragedy and the safety of those in our care is my absolute priority. The concern you raise in relation to Mr Barrell’s death is that, had he been informed in a timely fashion that he was to be re-released after 14 days, he may not have taken his own life. At the time of Mr Barrell’s death the relevant policy concerning the recall of offenders was Probation Instruction 27/2014 (Recall Review & Re-Release of Recall

[Page 2] Offenders). The policy states that “On return to custody, all recalled offenders, irrespective of whether they were a Fixed Term Recall or Standard Recall must be informed of the reasons for their recall within 24 hours of Public Protection Casework Section (PPCS) being notified of their return to custody”. Offenders must also be informed of the type of recall, and therefore the length of time they are liable to remain in custody, at the same time. This Probation Instruction remains in force; however a new policy framework covering recall actions will be published by the end of 2018. This framework retains the above requirement but, for the sake of clarity, revises the timeframe to one working day. In Mr Barrell’s case HMP Lewes informed PPCS on 8 February 2017 that he had returned to custody on 6 February. PPCS did not issue the documents confirming his recall type to HMP Lewes until 13 February, five days after being notified of his return to custody, and therefore until that time, his release date could not be calculated by the prison. An investigation has identified that this was as a result of an oversight by a member of PPCS administrative staff, failing to complete a field on the case management system; the oversight was exacerbated by the period of time falling over a weekend which led to a delay in senior staff identifying and remedying the oversight. I apologise for the error in this case which I agree was unacceptable. However, I am satisfied that the process for advising offenders of the reasons for their return to custody and the type of recall they are serving is clear. I have reinforced instructions to staff in PPCS responsible for the recall of offenders, of the need to ensure that they complete the work they carry out in target and to a high standard. I have also made them aware of the serious repercussions of not doing so. I hope this provides assurance that HM Prison & Probation Service has clear procedures in place to deal with the recall of offenders to custody and to provide promptly, information to them relating to their recall.

Report sections

Investigation and inquest
On 16 February 2017 I commenced an investigation into the death of Dean Louis BARRELL, aged 34. The investigation concluded at the end of the inquest on 19 September 2018. The conclusion of the jury at the inquest was: Hanging for the medical cause of death, and an Inquest conclusion of Suicide, accompanied by various failings.
Circumstances of the death
Dean Barrell was remanded to HMP Highdown on 28 October 2016 and released on licence on 26 January 2017. Upon release he was homeless and living on the streets. His licence was subsequently revoked on 3 February 2017, he was arrested on 6 February 2017 and held in HMP Lewes, East Sussex, where he was undergoing alcohol detoxification. He was due to be released again on 17 February 2017 but this was not communicated to him and he believed he would be serving the remainder of his sentence, to be released on 29 April 2017. Dean was found hanging in his cell on 13 February 2017. The jury reached a conclusion of suicide. The jury found a number of failings, but the relevant failing in relation to this report is that “Dean’s lack of awareness of his release on 17 February 2017 did have a direct and causal connection” to his death. Put another way, had Dean been properly and correctly informed that he was to be released in a matter of days, he may well have not taken his own life.
Action should be taken
7 YOUR RESPONSE You are under a duty to respond to this report within 56 days of the date of this report, namely by 06 December 2018. 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 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 Family of Dean Barrell HMP Lewes The Forward Trust Sussex Partnership NHS Foundation Trust 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. James HEALY-PRATT Assistant Coroner for East Sussex Dated: 11 October 2018

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Report details

Date of report
11 October 2018
Coroner
James Healy-Pratt
Coroner area
East Sussex

Responses identified

Responses identified 1 of 1
All listed responses identified

Organisations named in PFD reports are normally expected to respond within 56 days. Deadline: 6 Dec 2018.

Sent to

Prison and Probation Service

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