Marcin Mazurek

On 7th September 2015 an investigation was commenced into the death of Marcin Miroslaw Mazurek aged 32. The investigation concluded at the end of the inquest on 4th October 2017. The conclusion of the inquest was that the deceased had died by hanging. The jury further found that the deceased had spent an inappropriately long time in segregation, that there had been a failure in the proper implementation of ACCT procedures, with no multidisciplinary working and no involvement of mental health and inadequate reporting by discipline and medical teams.

The deceased had become mentally unwell which condition was exacerbated by a very long period in segregation. He began to self-harm and ultimately hanged himself.

The medical notes of prisoners are often of a poor quality, particularly in the realms of mental health. Although it is the professional responsibility of doctors and nurses to make adequate entries in the medical records of prisoners, nevertheless you might wish to consider a universal system of training and audit across the prison estate in relation to medical note recording.