News
HMP Wymott failed to act on prisoner’s rising self-harm risk, Ombudsman finds
Karl Saunders told staff he was thinking of self-harming, but no ACCT was opened and wing officers were not told of his increased risk.
ACCT
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Haverigg staff missed suicide risk signs before release-day death, ombudsman finds
The Prisons and Probation Ombudsman said there was enough evidence for staff to consider suicide and self-harm monitoring for Nigel Keenan in the weeks before he died.
News
HMP Garth strengthens suicide prevention training after death of Brendan Teague
The Prisons and Probation Ombudsman found staff could not reasonably have identified Brendan Teague as at imminent risk, as HMP Garth reported improvements to its suicide and self-harm training.
News
Ombudsman finds failings in care of two men who died at Garth and Wandsworth
Two reports from the Prisons and Probation Ombudsman found missed chances to support men at risk of suicide, including suicide and self-harm monitoring at HMP Wandsworth that ended after 16 hours.
News
HMP Exeter told the wrong mother her son was dying, ombudsman finds
A Prisons and Probation Ombudsman report into the death of Michael Marsh found the Governor first broke the news to the mother of another prisoner with the same name, and raised concerns about his suicide monitoring.
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Inquest jury finds failings contributed to Spice death at HMP Lowdham Grange
Mark Bates died at the Nottinghamshire prison in March 2025 with three Spice-type drugs in his system. A jury found that a missed psychiatric review and failures in suicide and self-harm checks significantly contributed.