Source · Prevention of Future Deaths
Sidonio Teixeira
Ref: 2017-0366
Date: 12 Dec 2017
Coroner: Geraint Williams
Area: Worcestershire
Responses identified: 0 / 1
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The adequacy of prison intelligence processes, including reporting and analysis, was questioned. A critical internal report on these issues was not shared with relevant staff, indicating a failure to learn lessons.
Date
12 Dec 2017
56-day deadline
8 Apr 2018 est.
Responses identified
0 of 1
Coroner's concerns
The adequacy of prison intelligence processes, including reporting and analysis, was questioned. A critical internal report on these issues was not shared with relevant staff, indicating a failure to learn lessons.
View full coroner's concerns
Curing tne course af the Inquest the evidence revealod malters giving rise tc ccncern, In my cpin cn Inere [5 a ris< that fujure deaths will occur Unless action I5 taken In tha cicumstances IL Is My statutzry duty to reparto you; Tne 83 follcwg (1) iawua3 arobe In Courga of the inquest regarding tha adequacy cf intelligence, Ine effcacy cf reporting the app oprialaness ot analysis the train ng of analysls and tha naet Ior pngoing audit These issues ard the adequacy &l them ware reflected in the narralve ccnclusion reached by the jury. In the course of the Inquesta witness produced a previcus% unseen internal (and cnf zal) report regardlnig thesa issues %hich none ef the witresses had scen previdusly (iricluding heac Df sater custocy) notwinstarding tnat the report had Leen produced over 12 mcnlns Freviously concerns Inat lessons mightroihave baer shared with aporcpriate staff, being tha the raising
ACTION ShOULD BETAKEN In my cpinion action should be taker t3 prevent fujure Ceatts and Eelieve Ycu hava the power to teke such action DY conductinja ganeral review cf tne intelligenca processes within tha nrison
ACTION ShOULD BETAKEN In my cpinion action should be taker t3 prevent fujure Ceatts and Eelieve Ycu hava the power to teke such action DY conductinja ganeral review cf tne intelligenca processes within tha nrison
Report sections
Investigation and inquest
On 20" June 2018 commenced an invcstigatin inla the dealn Df 5 donio Eugen 0 TEIXEIRA then ag00 53 The nvastgaton concluded at the end cfthe Inques: Cn 7"" Decemjer 2017 The concluzion cfithe Inquesi was nairalve {allacnec) thaTedcalcause 0l ceath mulfple irjuries
Circumstances of the death
Mr Teixeira %J8 murdered In Ine prison hy another Frisoner
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Report details
- Reference
- 2017-0366
- Date of report
- 12 December 2017
- Coroner
- Geraint Williams
- Coroner area
- Worcestershire
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: 8 Apr 2018 (estimated).
Sent to
- HMP Long Lartin