Dear Professor Marks, Inquest Touching the Death of Angela Christine Thompson I refer to your Regulation 28 Report issued following the Inquest into the death of Angela Thompson and am issuing this response on behalf of HMPPS – Probation Service (Yorkshire & the Humber). I know that you will share a copy of this response with her family, and I would like to take this opportunity to express my sincere condolences for their loss. Following the conclusion of the Inquest you raised a concern that you had heard evidence that in some instances within the prison estate of England and Wales, there may be a lack of liaison in patients who have on-going psychiatric issues at the time of release from custody between the prison medical services and the psychiatric services in the area where the released prisoner lives. This was felt to be of particular concern when a person is incarcerated at a prison geographically distant from their home address. Evidence suggested that such liaison would ensure and enhance continuity of care following release from prison. The benefits of good multi-agency working are well established and the strategic direction for health and justice is set out at a national level – Health and Justice Framework for Integration 2022 - 2025. At an operational level, within HMPPS, there are now Regional Health & Justice Teams that sit within Probation Community Integration. One of the aims of these teams is to work with NHS England, Integrated Care Boards and Heads of Service in Probation to improve integrated health services for anyone subject to Probation supervision, including prison leavers. Multidisciplinary meetings are regularly held in relation to complex prisoners and those who engage in self-harming behaviours, these are held with primary care, prison and community teams where appropriate to formulate avenues of support during the transition from prison to the community. It is acknowledged that a release from custody to a different geographical area is more complex and learning from the circumstances of this sad death will be shared across all HMPPS Regions to ensure liaison work can be reviewed and developed specifically to deal with this situation. HMPPS has also created a central Deaths Under Supervision Team which supports the delivery of learning across Prisons and Probation to develop confidence and skills to improve liaison between

9th January 2026 Professor Paul Marks, Senior Coroner for the City of Kingston Upon Hull and the County of the East Riding of Yorkshire

prison and community teams and monitors the delivery of actions plans arising from PPO Reports to ensure learning is embedded. Thank you for bringing your concern to our attention and I hope that this response provides assurance that action is being taken. This learning will be shared across HMPPS with each of the regional Health & Justice Teams.

Dear Professor Marks, Inquest Touching the Death of Angela Christine Thompson I refer to your Regulation 28 Report issued following the Inquest into the death of Angela Thompson and am issuing this response on behalf of HMPPS – Probation Service (Yorkshire & the Humber). I know that you will share a copy of this response with her family, and I would like to take this opportunity to express my sincere condolences for their loss. Following the conclusion of the Inquest you raised a concern that you had heard evidence that in some instances within the prison estate of England and Wales, there may be a lack of liaison in patients who have on-going psychiatric issues at the time of release from custody between the prison medical services and the psychiatric services in the area where the released prisoner lives. This was felt to be of particular concern when a person is incarcerated at a prison geographically distant from their home address. Evidence suggested that such liaison would ensure and enhance continuity of care following release from prison. The benefits of good multi-agency working are well established and the strategic direction for health and justice is set out at a national level – Health and Justice Framework for Integration 2022 - 2025. At an operational level, within HMPPS, there are now Regional Health & Justice Teams that sit within Probation Community Integration. One of the aims of these teams is to work with NHS England, Integrated Care Boards and Heads of Service in Probation to improve integrated health services for anyone subject to Probation supervision, including prison leavers. Multidisciplinary meetings are regularly held in relation to complex prisoners and those who engage in self-harming behaviours, these are held with primary care, prison and community teams where appropriate to formulate avenues of support during the transition from prison to the community. It is acknowledged that a release from custody to a different geographical area is more complex and learning from the circumstances of this sad death will be shared across all HMPPS Regions to ensure liaison work can be reviewed and developed specifically to deal with this situation. HMPPS has also created a central Deaths Under Supervision Team which supports the delivery of learning across Prisons and Probation to develop confidence and skills to improve liaison between

9th January 2026 Professor Paul Marks, Senior Coroner for the City of Kingston Upon Hull and the County of the East Riding of Yorkshire

prison and community teams and monitors the delivery of actions plans arising from PPO Reports to ensure learning is embedded. Thank you for bringing your concern to our attention and I hope that this response provides assurance that action is being taken. This learning will be shared across HMPPS with each of the regional Health & Justice Teams.