Source · Scotland · Fatal Accident Inquiry
Gary Ross
Scotland — FAI
Custody
1 recommendation
Reference [2023] FAI 35
Published 1 January 2023
Determination
| Reference | [2023] FAI 35 |
| Published | 1 January 2023 |
| Sheriff | Sheriff John A MacRitchie SSC |
| Sheriffdom | Tayside Central and Fife |
| Cause of death | Etizolam and buprenorphine consumption |
Recommendations 1
PDF
SPS
It is recommended that the SPS improve their system of working by making further provision for ongoing refresher training courses for residential officers at regular intervals, to continually ensure that all such officers remain fully cognisant of and appreciative of the necessity of strictly adhering to the said Lock-up Procedures, doing so across the entire prison estate and not just as local reactions to individual deaths, which improvement might realistically prevent other deaths in similar circumstances.
No mandatory response mechanism — unlike PFD reports (England & Wales), recipients are not required to respond.
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About FAIs
Fatal Accident Inquiries are held under the
2016 Act
before a sheriff. They are mandatory for deaths in custody and at work.
The sheriff may make recommendations under s.26(1)(b) but there is no enforcement mechanism.