On 24th September 2019 Senior Coroner Geoffrey Sullivan commenced an investigation into the death of KRISTOPHER COREY JAMIE LEE TILBURY [age 29]. The investigation concluded at the end of a jury inquest on 31"'August 2023. The conclusion of the jury at the inquest was that death was a consequence of smoking and consuming alcoholwhilst detained in prison, to which the availability of alcohol and illicit drugs within the Wellbeing Wing contributed.

The circumstances of death recorded by the jury at the inquest were that Kristopher Corey Jamie Lee Tilbury died of respiratory depression as a consequence of smoking and consuming alcoholwhilst detained in his prison cell at HMP The Mount between the evening of 23'o September/early mornin g of 24th September. He was found with a mobile phone in his hand and drug paraphernalia nearby in his cell with the smell of in the air. The jury also recorded that despite Mr Tilbury's known drug and alcohol issues and residing on the prison's additionally supported Wellbeing Wing, drug paraphernalia was found in his cell including and evidence of 'shamboiling'.