Mark Lilliott

When the two Prison Officers discovered Mr Lilliott they immediately tried to identify an Officer with a radio to request immediate assistance from HOTEL1 (the urgent nursing response within the prison) and subsequently determining that this was a CODE Blue and therefore an emergency ambulance was also required. The two Prison Officers therefore left the cell to seek the Senior Officer with the radio. It was reportedly noisy on the wing at the time. The Prison Officers tried to shout down from level 5 to attract the Senior Officer who they believed was on level 2 but this action was unsuccessful. One of the Prison Officers therefore left the 5’s landing to go down to the lower levels and find the Senior Officer, as he passed through level 4 he saw another Prison Officer who he thought might have a radio but he didn’t and therefore he proceeded to lean over the landing and shout again to try to attract the attention of the Senior Officer with a radio and again it was reported that the Prison Officers shouts were not heard because of the noise, it was a busy period with prisoners making their way to their daily activity. When the Prison Officer shouted again to get the attention of the Senior Officer he was on this occasion heard and the appropriate radio dispatches were immediately made in respect of HOTEL1 and Code Blue. The delay, albeit relatively short, in accessing a Senior Officer in possession of a radio on this occasion did not affect the outcome, Mr Lilliott was already dead when he was discovered and had been for some time. However, it might not have been the case that the prisoner was already deceased and it might have been the case and it might be the case in the future that the fastest possible response and action to radio for emergency help could make a difference to the outcome.