On 23rd December 2015 Senior Coroner Richard Hulett commenced an investigation into the death of Arthur Albert MORLEY, aged 72 years_ The investigation concluded at the end of the inquest before me Crispin Giles Butler on 27 March 2017. The conclusion of the jury at the inquest was set out in the Jury's narrative conclusion contained in their answers to a questionnaire The medical cause of death was Ia Suspension: copy of the questionnaire is attached.

Mr Morley was a prisoner serving an indeterminate sentence_ He had transferred to HMP Grendon for a second time in August 2015 to undertake therapy and at the time of his death was on the assessment wing: He had not been allocated to a more permanent therapy wing: Following assessment; the decision was made that he was not suitable for therapy at this time and he was to be returned to his previous prison (Returned to Unit or RTU): The decision was communicated to Mr Morley in a face to face meeting at the end of the morning on 7/h December 2015. Mr Morley was found hanging from a pipe in the sanitation area on his landing at approximately 00.49 on 18/h December, having accessed the interlocked night sanitation system approximately 80 minutes earlier: