Care UK
PFD Addressee
Reports: 26
Earliest: Dec 2013
Latest: 14 Oct 2025
PFD Reports
26 resultsKirk 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.