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
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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

Date of Death 30 July 2022
Report Published 2 May 2024
Age 61+
Gender
Responsible Body HMP Rye Hill
Recommendations
0
Inquest Date 23 April 2024

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