Luke Jones

PFD Report Partially Responded Ref: 2019-0409
Date of Report 3 December 2019
Coroner John Gittins
Response Deadline est. 23 February 2020
1 of 2 responded · Over 2 years old
Sent To
Response Status
Responses 1 of 2
56-Day Deadline 23 Feb 2020
Over 2 years old — no identified published response
About PFD responses

Organisations named in PFD reports must respond within 56 days explaining what actions they are taking.

Source: Courts and Tribunals Judiciary

Coroner's Concerns
The report of the Prisons and Probation Ombudsman highlighted that there were concerns regarding the accessibility of drugs within HMP Berwyn and notwithstanding that certain measures had been taken at HMP Berwyn (namely in relation to the installation of a Rapiscan to test some of the incoming mail) , evidence at the inquest confirmed that the continuing availability and use of novel psychoactive substances Coroncr'$ Olficc, County Hall, Wynnstay Road, Ruthin, LLIS YN Tcl 01824 708447 "drug taking day:

By way of example, the evidence of the prison GP indicated that at least one instance of a prisoner being intoxicated was reported to him each which he worked and as a result consider it highly probable that the combination of the accessibility of NPS and the significant risks which they pose to health will be the cause of future deaths at the prison:
Responses
HM Prison and Probation Service
21 Jan 2020
Response received
View full response
Dear / Annwyl Mr Gittins,

Thank you for your Regulation 28 Report of 3 December 2019 addressed to HMP Berwyn and Ministry of Justice, following the inquest into the death of Luke Jones at the prison on 31 March 2018. I am responding on behalf of Her Majesty’s Prison and Probation Service (HMPPS).

I know that you will send a copy of this response to the family of Mr Jones and I would first like to express my condolences for their loss. Every death in custody is a tragedy and the safety of those in our care is my absolute priority.

You have expressed concern about the continuing availability and use of psychoactive substances at Berwyn. I share your concern, and would like to assure you that we continue to work at both national and local levels to tackle the availability and use of psychoactive substances within our prisons.

The national Prison Drug Strategy, published in April 2019, sets out the measures that we are taking. The core aim of this strategy and our surrounding activity is to reduce the impact of drugs and alcohol in prisons by restricting supply, reducing demand and building recovery. Each prison is required to use this and an accompanying guidance document, to develop a local strategy that, applies the national approach to their particular circumstances, setting out how they will minimise the supply of drugs to the establishment, and work to identify residents with drug and alcohol issues and provide them with a range of services to help them to overcome their substance misuse problems and lead healthier, crime-free lives both in prison and in the community.

At a local level, in recognition of the dangers posed by the use of psychoactive substances, the Governor of Berwyn and the Regional Substance Misuse lead for HMPPS Wales have revised the prison’s Drug Strategy. This primarily focuses on restricting the availability of illicit items, ensuring that there are appropriate consequences for those found in possession, and offering appropriate support for dependent users.

Sophisticated intelligence systems that are designed to reduce the supply of illicit substances into the prison involve collaboration with a range of HMPPS and Police colleagues. As you know, a Rapiscan machine is now in place which has vastly improved the detection of contraband items. The introduction of improved gate searching, changes in the supervision of domestic visits and support for

safe detoxification of men on reception are all part of the prison’s efforts to limit the availability of drugs. The mandatory drug testing procedures have also been extended to cover two more psychoactive substance tests in line with national policy. The extended tests will help indicate if some of the emerging psychoactive substances presently not in the testing range of HMPPS are being used at Berwyn.

Intelligence and information sharing is crucial to restricting availability, and the Governor can draw on the Regional Dedicated Search Team when there is intelligence to suggest that prisoners are involved in the drug culture. The consequences for those found in possession of illicit items should be a deterrent, and can include additional days being added to sentences. Any person suspected of substance misuse use is referred to the substance misuse service for support and prescribed clinical management using an agreed care pathway. The prison is also focusing on educating prisoners of the risks associated with the use of psychoactive substances, as part of its broader work to promote health and wellbeing.

Thank you again for bringing your concerns to my attention, and I hope that this response provides assurance that action is being taken.
Action Should Be Taken
opinion action should be taken to prevent future deaths and believe you have the power to take such action;
Report Sections
Investigation and Inquest
On the 3rd of April 2018 commenced an investigation into the death of Luke Morris Jones (DOB 4.10.95 DOD 31.3.18) The investigation concluded at the end of the inquest held with a jury on 29th November 2019_ The conclusion of the inquest was that it was a related death in circumstances where a systemic failure in HMP Berwyn's systems for preventing drugs entering the prison contributed"_ The cause of death was recorded as being 1(a) Ventricular Cardiac Arrhythmia (b) Due to synthetic cannabinoid
Circumstances of the Death
Luke Morris Jones was a prisoner at HMP Berwyn: On the 31st of March at around 18.08 he was found unresponsive in his room after smoking a novel psychoactive substance and despite medical intervention this resulted in his death which was confirmed at the Maelor Hospital Wrexham the same
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Data sourced from Courts and Tribunals Judiciary under the Open Government Licence.