Liam Turner
PFD Report
All Responded
Ref: 2024-0055
All 1 response received
· Deadline: 1 Apr 2024
Coroner's Concerns (AI summary)
It is not mandatory for prison officers to maintain up-to-date basic first aid and CPR training, leaving a significant proportion of staff without current life-saving skills.
View full coroner's concerns
The MATTER OF CONCERN is as follows: It is not mandatory for prison officers to have basic first aid training (which includes the provision of CPR) which is in-date. Once a prison officer's three-year period has expired, whilst they may be reminded by the prison establishment that their certification is no longer live, it is not mandatory for them to renew this. For example, at HMP Manchester, at present 52% of prison staff received Emergency First Aid at Work (EFAW) training within the past three years as part of their initial officer training. Therefore, 48% of prison staff will have training certification (which includes CPR) which has expired. The evidence admitted was that the main reason for this is due to it not being mandatory for prison staff to have up-to-date training.
Responses
Action Taken
HMPPS re-issued the First Aid Policy Framework in August 2023, highlighting training requirements and the need for risk assessments to determine adequate numbers of trained staff. HMP Manchester issued guidance and a presentation in December 2023 to all staff on when CPR is appropriate. (AI summary)
HMPPS re-issued the First Aid Policy Framework in August 2023, highlighting training requirements and the need for risk assessments to determine adequate numbers of trained staff. HMP Manchester issued guidance and a presentation in December 2023 to all staff on when CPR is appropriate. (AI summary)
View full response
Dear Mr Golombeck
Thank you for your Regulation 28 report of 5 February 2023 addressed to His Majesty’s Prison and Probation Service (HMPPS). I am responding as Director General of Operations.
I know that you will share a copy of this response with Mr Turner’s family, 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.
Following evidence heard at the inquest, you have raised some concerns regarding the first aid training for staff, particularly in relation to the use of CPR. Thank you for bringing your concern to my attention.
As you are aware, the HMPPS First Aid Policy Framework was re-issued nationally in August
2023. The revised policy highlights the training requirements for Emergency First Aid and First Aid in prisons, including the importance of Governors ensuring that there is an appropriate number of trained staff on duty at all times. To achieve this, a detailed local first aid risk assessment must be produced to determine the number of First Aiders at Work (FAW) and Emergency First Aiders at work (EFAW) required at an establishment at any given period, ensuring that they are deployed appropriately.
At HMP Manchester, the requirement is for the provision of 21 trained first aiders and there are currently 39 officers with in-date training. Further to this, 52% of prison staff have received EFAW training within the last three years as part of their initial officer training. This is in addition to the provision of healthcare, which at HMP Manchester is 24 hours a day, 7 days a week, in line with the Category A status of the prison. As such, healthcare staff are able to provide emergency assistance should the need arise. Regular reviews will continue to be conducted to ensure that the needs of the prison are met.
In respect of the EFAW training that all prison officers receive during their entry level training, all first aid training certificates are valid for three years before they can be renewed and, although not mandatory, staff are always encouraged to undertake refresher training to maintain their basic skills and keep up to date with any changes to first-aid procedures.
In December 2023, HMP Manchester issued guidance as well as a presentation to all staff on circumstances that CPR (Cardio-Pulmonary Resuscitation) is appropriate. The guidance is clear in reiterating that all staff must be aware of their responsibilities and of the local procedures that are in place to enable an effective response to medical emergencies.
Thank you again for bringing your concerns to my attention. I trust that this response provides assurance that action is being taken to address.
Thank you for your Regulation 28 report of 5 February 2023 addressed to His Majesty’s Prison and Probation Service (HMPPS). I am responding as Director General of Operations.
I know that you will share a copy of this response with Mr Turner’s family, 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.
Following evidence heard at the inquest, you have raised some concerns regarding the first aid training for staff, particularly in relation to the use of CPR. Thank you for bringing your concern to my attention.
As you are aware, the HMPPS First Aid Policy Framework was re-issued nationally in August
2023. The revised policy highlights the training requirements for Emergency First Aid and First Aid in prisons, including the importance of Governors ensuring that there is an appropriate number of trained staff on duty at all times. To achieve this, a detailed local first aid risk assessment must be produced to determine the number of First Aiders at Work (FAW) and Emergency First Aiders at work (EFAW) required at an establishment at any given period, ensuring that they are deployed appropriately.
At HMP Manchester, the requirement is for the provision of 21 trained first aiders and there are currently 39 officers with in-date training. Further to this, 52% of prison staff have received EFAW training within the last three years as part of their initial officer training. This is in addition to the provision of healthcare, which at HMP Manchester is 24 hours a day, 7 days a week, in line with the Category A status of the prison. As such, healthcare staff are able to provide emergency assistance should the need arise. Regular reviews will continue to be conducted to ensure that the needs of the prison are met.
In respect of the EFAW training that all prison officers receive during their entry level training, all first aid training certificates are valid for three years before they can be renewed and, although not mandatory, staff are always encouraged to undertake refresher training to maintain their basic skills and keep up to date with any changes to first-aid procedures.
In December 2023, HMP Manchester issued guidance as well as a presentation to all staff on circumstances that CPR (Cardio-Pulmonary Resuscitation) is appropriate. The guidance is clear in reiterating that all staff must be aware of their responsibilities and of the local procedures that are in place to enable an effective response to medical emergencies.
Thank you again for bringing your concerns to my attention. I trust that this response provides assurance that action is being taken to address.
Sent To
- HM Prison and Probation Service
Response Status
Linked responses
1 of 1
56-Day Deadline
1 Apr 2024
All responses received
About PFD responses
Organisations named in PFD reports must respond within 56 days explaining what actions they are taking.
Source: Courts and Tribunals Judiciary
Report Sections
Investigation and Inquest
A jury concluded the inquest into the death of Liam Turner on 31 st January 2024 and recorded that he died from : 1a Toxicity of ADB-BUTINACA (" "/ novel psychoactive substance) in combination with
The jury returned a conclusion of Drug related death.
The jury returned a conclusion of Drug related death.
Circumstances of the Death
The Deceased died at HMP Manchester on 6th December 2021. His death was caused by a mixed toxicity of a psychoactive substance and prescription medication. There were admitted failings made by the Ministry of Justice (on behalf of HMP Manchester) relating to the fact that a prison officer should have raised concerns that the Deceased was under the influence of an illicit substance with healthcare earlier than he did; however, these failings did not contribute to the Deceased's death. When three officers found the Deceased unresponsive in his cell, they moved him from his bed to the floor in preparation to commence cardiopulmonary resuscitation (CPR); however, CPR was not commenced until the healthcare nurses (and subsequently paramedic) arrived. I sought evidence about training for CPR, and I was informed by one witness that he received training in 2006 as part of his Emergency First Aid at Work (EFAW) training; however, he had never had any refresher training. The training certification expires after 3 years, and it is not mandatory for prison officers to receive refresher or additional training.
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Data sourced from Courts and Tribunals Judiciary under the Open Government Licence.