PPO Fatal Incident
Haynes, Terry
Natural causes
Report published
HMP Rye Hill (Prison)
Recommendations
No specific recommendations were made in this investigation report.
Full Report Text
Independent investigation into A report by the Prisons and Probation Ombudsman the death of Mr Terry Haynes, a prisoner at HMP Rye Hill, on 30 July 2022 A report by the Prisons and Probation Ombudsman Third Floor, 10 South Colonnade Email: mail@ppo.gov.uk T l 020 7633 4100 Canary Wharf, London E14 4PU Web: www.ppo.gov.uk © Crown copyright, 2024 This report is licensed under the terms of the Open Government Licence v3.0. To view this licence, visit nationalarchives.gov.uk/doc/open-government-licence/version/3 Where we have identified any third-party copyright information you will need to obtain permission from the copyright holders concerned. Summary 1. The Prisons and Probation Ombudsman aims to make a significant contribution to safer, fairer custody and community supervision. One of the most important ways in which we work towards that aim is by carrying out independent investigations into deaths, due to any cause, of prisoners, young people in detention, residents of approved premises and detainees in immigration centres. 2. We carry out investigations to understand what happened and identify how the organisations whose actions we oversee can improve their work in the future. 3. Mr Terry Haynes died in hospital of bladder cancer on 30 July 2022, while a prisoner at HMP Rye Hill. He was 79 years old. We offer our condolences to Mr Haynes’ family and friends. 4. The clinical reviewer concluded that the clinical care Mr Haynes received at Rye Hill was equivalent to that which he could have expected to receive in the community. 5. We found no non-clinical issues of concern. We make no recommendations. Prisons and Probation Ombudsman 1 The Investigation Process 6. NHS England commissioned an independent clinical reviewer to review Mr Terry Haynes’ clinical care at Rye Hill. 7. The PPO investigator investigated the non-clinical issues relating to Mr Haynes’ care, including Mr Haynes’ location, the security arrangements for his hospital escorts, liaison with his family and whether compassionate release was considered. 8. The PPO family liaison officer wrote to Mr Haynes’ next of kin, his wife, to explain the investigation and to ask if she had any matters she wanted us to consider. She asked what happened between 14 and 30 May after the family contacted the prison to say that Mr Haynes was unwell, which we have addressed in our report. She raised some other queries which we have answered in a separate letter. 9. We shared our initial report with HM Prison and Probation Service (HMPPS). They found no factual inaccuracies. 10. We sent a copy of our initial report to Mr Haynes’ wife. She did not notify us of any factual inaccuracies. Previous deaths at HMP Rye Hill 11. Mr Haynes was the twelfth prisoner to die at Rye Hill since July 2020. All the previous deaths were from natural causes. 2 Prisons and Probation Ombudsman Key Events 12. On 4 December 2017, Mr Terry Haynes was sentenced to six years in prison for sexual offences. On 26 April 2018, Mr Haynes was moved to HMP Rye Hill. 13. On 24 May 2022, a member of Mr Haynes’ family contacted Rye Hill to tell them that Mr Haynes had been passing blood in his urine. A nurse visited Mr Haynes and gave him a bottle to provide a sample of urine for testing. The next day, Mr Haynes refused to provide a sample and said he no longer needed to do one. The nurse told Mr Haynes to let healthcare staff know if he changed his mind. 14. On 28 May, a nurse visited Mr Haynes in his cell and noticed blood splatters around the toilet bowl. She arranged for him to have an urgent blood and urine culture (a test that checks for foreign invaders like bacteria, yeast, and other micro- organisms). 15. Over the next few days, Mr Haynes tried to provide urine samples, but was unable to do so. As a result, on 30 May, a prison doctor sent Mr Haynes to hospital. Mr Haynes was admitted to a hospital ward for further tests and monitoring. 16. Mr Haynes remained in hospital until 20 June, when he was assessed as being well enough to return to prison. A hospital doctor gave Mr Haynes a diagnosis of transitional cell carcinoma (bladder cancer) but gave no prognosis. The doctor gave Mr Haynes a urinary catheter (a flexible tube used to empty the bladder and collect urine in a drainage bag) to ease his symptoms. He returned to Rye Hill where he was regularly monitored by the prison healthcare team. 17. On 23 June, Mr Haynes was admitted to hospital for routine catheter care. He was discharged back to Rye Hill on 27 June. 18. On 9 July, a nurse found Mr Haynes unresponsive in his cell. He was taken to hospital in an ambulance where he was diagnosed with sepsis (a life-threatening reaction to an infection where the immune system starts to damage the body’s own tissue and organs). Mr Haynes was admitted to a ward and given antibiotics. 19. Mr Haynes did not recover and died in hospital on 30 July at approximately 11.00pm. Post-mortem report 20. The coroner accepted the cause of death provided by a hospital doctor and no post- mortem examination was carried out. The doctor gave Mr Haynes’ cause of death as bladder tumour. Louise Richards February 2023 Assistant Ombudsman Prisons and Probation Ombudsman 3 Inquest The inquest, held on 23 April 2024, concluded that Mr Haynes’ death was due to natural causes. 4 Prisons and Probation Ombudsman Third Floor, 10 South Colonnade Email: mail@ppo.gov.uk T l 020 7633 4100 Canary Wharf, London E14 4PU Web: www.ppo.gov.uk
Case Details
Recommendations
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