Source · Prevention of Future Deaths
David Hallett
Ref: 2015-0250
Date: 2 Jul 2015
Coroner: Andrew Barkley
Area: Powys, Bridgend and Glamorgan Valleys
0 responses identified · 4 indexed addressees
View PDF
AI-generated concerns summaryThe coroner raised concerns regarding inadequate resourcing and lack of preparation within HMP Rye Hill's healthcare department following its re-roll, leading to substandard care. Similar issues could arise in future national re-rolls of prisons.
Date
2 Jul 2015
56-day deadline
27 Aug 2015 est.
estimated from the report date
Responses identified
0 of 4
Coroner's concerns
The coroner raised concerns regarding inadequate resourcing and lack of preparation within HMP Rye Hill's healthcare department following its re-roll, leading to substandard care. Similar issues could arise in future national re-rolls of prisons.
View full coroner's concerns
The evidence revealed that in the early part of 2014, there was a nationally designated re-roll for HMP Rye Hill which meant that it would be a designated prison to receive convicted sex offenders Initial assessments undertaken during this process indicated that their Healthcare department would be adequately resourced to be able to cope with a influx of additional prisoners_ That was clearly not the case and the standard of care received by this prisoner was found to be inadequate and certainly far below the standard that he might have expected in the community The
The evidence indicated that one of the primary reasons for this was lack of preparation by the Prison Authorities staff and an inability to cope with the types of prisoners who were transferred to HMP Rye Hilll The clinical review undertaken by Healthcare Inspectorate Wales was critical of the care that he received at HMP Rye Hill and the evidence clearly indicated that a lack of preparation for the re-roll and the lack of adequate resources were the primary reason for this substandard care_ Whilst it is appreciated that HMP Rye Hill may not be subject to a further re-roll it is of concern that other re-rolls nationally may be being considered and which may conceivably give rise to issues similar to those presented in this case
The evidence indicated that one of the primary reasons for this was lack of preparation by the Prison Authorities staff and an inability to cope with the types of prisoners who were transferred to HMP Rye Hilll The clinical review undertaken by Healthcare Inspectorate Wales was critical of the care that he received at HMP Rye Hill and the evidence clearly indicated that a lack of preparation for the re-roll and the lack of adequate resources were the primary reason for this substandard care_ Whilst it is appreciated that HMP Rye Hill may not be subject to a further re-roll it is of concern that other re-rolls nationally may be being considered and which may conceivably give rise to issues similar to those presented in this case
Report sections
Investigation and inquest
On the 12th December 2014 | commenced an investigation into the death of David James Hallet The investigation concluded at the end of an inquest on 23"4 June 2015_ The conclusion of the inquest was that he died of "natural causes"
Circumstances of the death
The deceased was serving a sentence of imprisonment and during a period when he was transferred to HMP Rye Hill was admitted to hospital and was later diagnosed as suffering from metastatic pancreatic cancer: He passed away on 4 December 2014 at HMP Parc having been transferred to their palliative care suite:
Action should be taken
In my opinion action should be taken to prevent future deaths and believe you and your organisation have the power to take such action
Similar PFD reports
Report details
- Reference
- 2015-0250
- Date of report
- 2 July 2015
- Coroner
- Andrew Barkley
- Coroner area
- Powys, Bridgend and Glamorgan Valleys
Responses identified
Responses identified
0 of 4
4 responses not yet linked
Organisations named in PFD reports are normally expected to respond within 56 days. Deadline: 27 Aug 2015 (estimated from the report date).
Sent to
- HMP Parc
- HMP Rye Hill
- National Offender Management Service
- The Chief Coroner