Care UK

PFD Addressee
Reports: 26 Earliest: Dec 2013 Latest: 14 Oct 2025
PFD Reports
26 results
Kirk Duboise
Partially Responded
2013-0329 6 Dec 2013 County Durham and Darlington
State Custody related deaths
Concerns summary (AI summary) There was a delay in summoning an ambulance and an inadequate self-harm risk assessment for a new prisoner, as essential forms were not reviewed during the reception process.
Action Taken (AI summary) Care UK has implemented protocols for summoning ambulances, disseminated to staff via a Governor's notice and staff briefings. NOMS has implemented ACCT training, with further training for healthcare staff commencing in January 2014, and refresher training on Self Harm Warning Forms is regularly undertaken.