Angus McAskill

(i) That the Scottish Prison Service should review and revise standing orders for prison officers so as to secure that, where a prisoner complains of feeling unwell, with chest pains, sweating, and a sore throat, at a time when no medical or nursing staff able to carry out an electrocardiogram are on duty within the prison, the prison officer in charge should - whether or not he also seeks advice from a police custody Nurse - direct that a call be made for an emergency ambulance to attend. (ii) That the Scottish Prison Service should review and revise prison officers’ first aid training in the light of the evidence led at this inquiry, and this determination, so as to ensure that prison officers are made aware that where a prisoner is complaining of symptoms such as those reported by the deceased at 03.40am on 12 February 2017 (i) there is a real possibility that he might be suffering from a heart attack; (ii) that whether or not he is so suffering can be conclusively determined by an electrocardiogram test; and (iii) that medical attention should be sought urgently in such form as to enable such a test to be carried out. (iii) That inquiry should be made by the Scottish Prison Service and the Scottish Ambulance Service in relation to the connectivity of the mobile phones used by ambulance staff when in and around the precincts of HM Prison Glenochil, to determine (i) whether there is problem of impaired connectivity, and if so (ii) the extent of this impairment; (iii) the cause of it; and (iv) the measures required to ensure that connectivity is improved, or alternatively (v) to put in place back up measures which can ensure effective communication between ambulance staff and receiving hospitals in the event that mobile phone communication is unavailable.