Prison staff first aid, CPR
Insufficient official training for Operational Support Grades (OSGs), poor monitoring of first aid training logs, and lack of prison-specific unconsciousness recognition training.
Strongest theme matches
Mixed across source types and ranked by classifier confidence plus text match strength.
PFD report
99match
Yuri Hatton
Concerns included insufficient official training for most Operational Support Grades (OSGs) who are first responders, and inadequate monitoring of first aid training records. The coroner also noted that first aid training on recognising unconsciousness was not prison-specific and new induction instructions had not yet been implemented.
Matched on
terms: aid, first, prison
PFD report
93match
Keith Murphy
The coroner noted a lack of basic first aid, CPR, and defibrillator training for prison officers and staff, alongside insufficient healthcare staff availability outside of core hours.
Matched on
terms: aid, cpr, first, prison
PFD report
93match
Derrick Rose-Fowler
The coroner noted insufficient first aid training for all prison officers, questioned the effectiveness of the prison's anti-bullying policy, and identified a lack of referral of the deceased's mental health and self-harm history to a Multi-Agency Safeguarding Hub (MASH) meeting.
Matched on
terms: aid, first, prison
PFD report
93match
Ondrej Suha
The coroner noted a lack of specific training for a prison officer beginning night shifts, particularly concerning the night patrol regime. Additionally, initial responding staff did not have first aid training, prompting a review of basic resuscitation training for officers and staffing quotas.
Matched on
terms: aid, first, prison, staff
PFD report
93match
Brett Marrs
The coroner noted insufficient first-aid and resuscitation training for some long-serving prison officers, with no fixed completion date for refresher training. There were also concerns about inconsistent welfare checks by officers during morning cell unlocks, despite management reminders.
Matched on
terms: aid, first, prison
PFD report
93match
Lewis Johnson
The coroner raised concerns about HMP Wealstun's lack of night-time healthcare staff and insufficient CPR and defibrillator training for night patrol officers. There is also no express direction for officers to perform CPR on unresponsive prisoners pending medical arrival.
Matched on
terms: cpr, prison, staff
PFD report
93match
Stephen Sleaford
The coroner raises concerns about a lack of first aid and CPR training for prison officers, including its omission from new officer foundation training programmes. Additionally, officers routinely permit cell observation panels to be obscured, and there is insufficient guidance on entering cells during emergencies.
Matched on
terms: aid, cpr, first, prison
PFD report
89match
Ryan Clark
The coroner noted that the Personal Officer Scheme was not effectively implemented, ACCT checks were not conducted as prescribed, and prison officers lacked full conversancy and regular refresher training in first aid and CPR.
Matched on
terms: aid, cpr, first, prison
PFD report
89match
Darren Wright
The staff nurse did not know the location for a Code Blue emergency, and prison officers who responded lacked recent CPR training due to resource limitations which created gaps in trained personnel.
Matched on
terms: cpr, prison, staff
PFD report
89match
Mark Doyle
Significant failings in ACCT case reviews, inadequate healthcare information sharing, and a lack of clear criteria for prisoner transfer decisions were identified. There is also no mandatory first aid training for existing prison officers.
Matched on
terms: aid, first, prison
PFD report
89match
Ryan Trimmer
The coroner noted inadequate ACCT reviews at HMP Lewes and identified that not all prison staff, who act as first responders, had received first aid training, with one staff member lacking training for 16 years.
Matched on
terms: aid, first, prison, staff
PFD report
89match
John Tucker
The coroner raised concerns regarding the nature and extent of basic life support and first aid training provided to Gwent police staff, particularly for those in regular contact with individuals who are unwell or injured and may develop respiratory problems.
Matched on
terms: aid, first, staff
PFD report
89match
Daniel Beckford
The first aid training for prison officers lacked clarity on the use of rescue breaths during resuscitation attempts, not aligning with current Resuscitation Council UK advice.
Matched on
terms: aid, first, prison
PFD report
89match
Nathan Shepherd
The coroner identified gaps in policies and staff training for barricading incidents and agency staff CPR competency. Concerns included environmental risks from mobile furniture and ligature points, and insufficient information sharing between probation services and prisons.
Matched on
terms: cpr, prison, staff
PFD report
85match
Luke Myers
HMP Liverpool miscalculated a prisoner's extended sentence, which was a likely factor in their death, and the coroner questions if other prisoners sentenced during that period might also have incorrect sentences. Additionally, two prison discipline staff members had significantly outdated first aid training.
Matched on
terms: aid, first, prison, staff
PFD report
85match
Antony Abbott
The coroner noted that while Custody Officers in Spain are trained in first aid, their training does not include instruction in Cardio Pulmonary Resuscitation (CPR).
Matched on
terms: aid, cpr, first
PFD report
85match
Robert Ellery
The coroner noted a 19-minute delay in the prison control room providing specific information to the ambulance service, impacting dispatch. There was also no direct communication method between ambulance call centre staff and prison staff providing CPR, which impeded guidance and information exchange.
Matched on
terms: cpr, prison, staff
PFD report
85match
Amarjit Singh
The coroner noted concerns about the careless completion of a cell sharing risk assessment and the surprisingly low level of first aid understanding among some HMP Pentonville officers. There was also a lack of confirmed guidance for prisoners on how to assist cellmates experiencing a fit.
Matched on
terms: aid, first, prison
PFD report
85match
Liam Turner
It is not mandatory for prison officers to maintain in-date basic first aid training, including CPR. This results in a significant proportion of staff having expired certifications.
Matched on
terms: aid, cpr, first, prison
PPO recommendation
85match
The Governor
The Governor should ensure that operational staff have up-to-date training to administer basic first aid.
Matched on
terms: aid, first, staff
PFD report
81match
Darren McGuin
The coroner noted a delay in CPR commencement and identified that many prison officers lack basic life support training, particularly those employed when it was not mandatory, with no retrospective training provided.
Matched on
terms: cpr, prison
PFD report
81match
Nathan Forrester
The coroner identified a lack of specific training for prison officers on managing CPR for individuals on top bunks. Concerns were also raised regarding the level of CPR and airway management training for nurses working in detention settings.
Matched on
terms: cpr, prison
PFD report
81match
Samuel Curless
The coroner noted a lack of institutional learning regarding ambulance calls for reported deaths and found officer training on responding to hanging casualties, especially for those receiving online-only training, to be inadequate. Concerns were also raised about officers not receiving timely First Aid refresher training, including specific resuscitation techniques.
Matched on
terms: aid, first
PPO recommendation
81match
The Governor and Head of Healthcare of HMP Sudbury
The Governor and Head of Healthcare should review the provision of first aid training, the deployment of first aid trained officers and, in particular, ensure staff know how and when to deliver cardiopulmonary resuscitation and are confident in using a defibrillator.
Matched on
terms: aid, first, staff
PPO recommendation
81match
The Approved Premises Manager
ensure that newly appointed staff receive first aid and CPR training before they start work in the AP;
Matched on
terms: aid, cpr, first, staff
IOPC learning recommendation
80match
Recommendation - College of Policing and National Police Chiefs' Council, August 2019
Officers attended an incident where a young male was found hanging. They did not detect signs of life and did not administer CPR. Responding officers receive ‘Emergency First Aider at Work’ (EFAW) (Module 2) training, in line with the College of Policing’s (CoP) First Aid Learning Programme (FALP). While Module 2 covers cardiac arrests in simple terms, it...
Matched on
terms: aid, cpr, first, staff
HSSIB recommendation
78match
Healthcare provision in prisons: emergency care response — HSSIB
HSSIB recommends that HM Prison and Probation Service, in collaboration with the Association of Ambulance Chief Executives, reviews and amends the design of the medical emergency response card, to better support staff in identifying emergency situations and providing the situational information required by ambulance service call handlers. In scenarios where direct communication between staff at the scene and...
Matched on
terms: prison, staff
PFD report
77match
Kevin Lovatt
The coroner identified a lack of clear guidance and training for prison staff on the safe use of force when dealing with resistant prisoners who have items in their mouths, which could compromise their breathing.
Matched on
terms: prison, staff
PFD report
77match
Martin Brown
The coroner identified a need for improved training of prison staff in responding to medical emergencies and using the ERIC system. Concerns were also raised regarding liaison between healthcare and ambulance services, and communication between healthcare personnel at emergency scenes and control rooms.
Matched on
terms: prison, staff
PFD report
77match
Kane Boyce
The coroner identified a practice of staff deliberately ignoring cell bells and a lack of policy regarding isolating power to cells. There was also a failure to follow the 'Under the Influence Policy' and insufficient staff understanding of Prison Service Instruction 64/2011 concerning trigger dates.
Matched on
terms: prison, staff
PFD report
73match
Christopher Talbot
The coroner identified inadequate formal training and written guidance for supervising officers, a lack of personal breathing guards for senior officers during resuscitation, and insufficient staff awareness of the specific manner of unnatural deaths.
Matched on
terms: staff
PFD report
73match
Nicola Lawrence
Some prison staff had not received cardiopulmonary resuscitation training, either initially or as refresher training, despite evidence highlighting its critical importance in early response.
Matched on
terms: prison, staff
PFD report
73match
Daniel Stokes
The coroner noted the jury's view that proper systems were lacking for prison healthcare staff to be trained and authorised to administer diazepam when a prisoner is suffering from controlled drug abuse.
Matched on
terms: prison, staff
PFD report
73match
Khadija Ahmed
The teaching assistant was not trained in cardiopulmonary resuscitation (CPR), and no staff member attempted CPR when Khadija became unresponsive. The coroner noted the school would benefit from frequent CPR training for staff.
Matched on
terms: cpr, staff
PFD report
73match
Jason Williams
The coroner noted a lack of national guidance for identifying and caring for vulnerable prisoners, alongside concerns about the implementation and resourcing of the keyworker programme. Irregular record-keeping by prison staff on Prison NOMIS was also highlighted.
Matched on
terms: prison, staff
PFD report
73match
Nicholas Gedge
A delay of over 8 minutes occurred before CPR was commenced, indicating a lack of shared understanding among staff regarding the urgency of CPR. There were also unclear protocols defining the respective roles of detention and medical staff during a cell medical emergency.
Matched on
terms: cpr, staff
Article 2 learning point
72match
WA — HMP Ranby - LP 6
I recommend that NOMS checks whether provision and deployment of first aid staff and equipment at Ranby are now at an acceptable level.
Matched on
terms: aid, first, staff
Article 2 learning point
72match
TA — HMP Chelmsford - LP 2
We ask the Governor of Chelmsford and HMPPS what arrangements are in place to ensure that all prison staff who may be first on scene in a medical emergency are adequately trained to provide immediate care.
Matched on
terms: first, prison, staff
PFD report
69match
William Anderson
The coroner noted insufficient staff vigilance regarding inmate social gatherings and a lack of training for staff in breathalyser use and emergency codes. Concerns were also raised about unrecorded inmate behaviour in observation books and delays in summoning paramedic assistance.
Matched on
terms: staff
PFD report
69match
Peggy Copeman
The coroner noted staff transporting the patient did not recognise deterioration or call emergency services immediately, and that only one of three staff was CPR trained, contrary to policy. An internal investigation did not identify these issues.
Matched on
terms: cpr, staff
PFD report
69match
Paul Day
The coroner noted concerns that prison officers in facilities without 24-hour healthcare are not trained to assess rigor mortis, a condition included in CPR guidance, which risks missed opportunities for resuscitation.
Matched on
terms: cpr, prison
PFD report
69match
Kevin McDonnell
Prison staff misunderstood the need for meaningful ACCT observations, treating them as superficial checks, and did not share risk-pertinent information. The coroner also noted failures in securing and retaining accurate documentary evidence after the death.
Matched on
terms: prison, staff
PPO recommendation
68match
The Manager of Elm Bank Approved Premises
The Manager of Elm Bank Approved Premises should ensure that all staff understand their responsibilities during medical emergencies, including that: Staff act promptly in a life-threatening situation. First aid is commenced immediately on discovery of a resident who is unconscious and not breathing, unless there are obvious reasons why this would be inappropriate, for example clear signs of...
Matched on
terms: aid, first, staff
IOPC learning recommendation
68match
Recommendations - Metropolitan Police Service, November 2018
The IOPC recommends that the MPS may want to consider reviewing and updating the concern for safety Standard Operating Procedure (SOP) to include under the 'first contact' heading 'request London Ambulance Service’ and also 'request if anyone present is medically trained to initiate first aid / CPR’. No first aid or CPR was given to the injured party...
Matched on
terms: aid, cpr, first
HSSIB recommendation
66match
Healthcare provision in prisons
HSSIB recommends that HM Prison and Probation Service enhances the existing training delivered to prison officers, to increase their ability to identify medical emergencies that require 999 calls to be made by prisons, thereby reducing the number of calls and diverted ambulances and easing the burden on the emergency care system. The training should be delivered on a...
Matched on
terms: prison
PFD report
65match
Reggie John
Concerns included insufficient communication between prisons regarding the prisoner's constant watch status, a lack of robust multi-disciplinary ACCT review processes, and instances where the Prison Service Order 2700 policy was not followed, impacting healthcare documentation.
Matched on
terms: prison
PFD report
65match
Eitvydas Zdanys
The coroner noted that attending police officers were unable to assess a seriously injured person or commence basic life support. A review of basic life support training for all police officers acting as first responders was suggested.
Matched on
terms: first
PFD report
65match
Daniel Akam
Concerns were raised that ACCT observations were not conducted but recorded as completed. The coroner also noted officers' insufficient understanding of ACCT procedures and inadequate training, requiring refresher courses to safeguard vulnerable prisoners.
Matched on
terms: prison
PFD report
65match
Kesia Waller
The coroner identified a lack of sufficient training and appropriate tools for staff to respond to a resident found suspended. Additionally, concerns were raised regarding ineffective policy communication, which meant staff did not consistently read or understand crucial updates.
Matched on
terms: staff
PPO recommendation
65match
The Director of HMP Parc
The Director will wish to remind staff about the need to commence CPR with as little delay as possible.
Matched on
terms: cpr, staff