- Page 1 and 2: Report of the Inquiry into the circ
- Page 3 and 4: Crown Copyright 2009 The text in th
- Page 5 and 6: Reports from HM Prisons Inspectorat
- Page 7 and 8: The report makes 48 findings but on
- Page 9 and 10: CONTENTS PART ONE: WHAT LED TO THE
- Page 11 and 12: viii
- Page 13 and 14: Chapter 1 SONNY LODGE AND AN OUTLIN
- Page 15 and 16: denied the charge. He admitted push
- Page 17 and 18: and to Sonny’s wing. A health car
- Page 19 and 20: was not aware of Sonny’s history
- Page 21 and 22: The Court said that any failure to
- Page 23 and 24: structure the inquiry’s considera
- Page 25 and 26: 2.25 At the hearings, the solicitor
- Page 27 and 28: or recognition. Their actions may b
- Page 29 and 30: 18 In inquiries of this kind it ma
- Page 31 and 32: Chapter 3: RISLEY: 15 TO 26 JUNE 19
- Page 33 and 34: 0820 Appeared to be OK when unlocke
- Page 35 and 36: Chapter 4: THE INCIDENT AT WHISTON
- Page 37 and 38: admitted pushing the officer and ga
- Page 39 and 40: Officer Brownley’s injury 4.20 Dr
- Page 41 and 42: was required to resume wing duties
- Page 43 and 44: would not be a problem. He said he
- Page 45 and 46: Chapter 5: 27 JUNE TO 9 JULY 1998:
- Page 47 and 48: continued assessment and recording
- Page 49 and 50: 4 July 0630 1650 1930 5 July 0630 1
- Page 51: Table 3 40 9 July 1335 1400 1609 17
- Page 55 and 56: working prison occupied mainly by c
- Page 57 and 58: privileges over and above the facil
- Page 59 and 60: the actual memory of many of its st
- Page 61 and 62: with officers in the kitchen for go
- Page 63 and 64: H wing: 25 July to 1 August 7.37 In
- Page 65 and 66: 7.48 On Sunday 16 August, an entry
- Page 67 and 68: Chapter 8: SUNDAY 23 AUGUST TO THE
- Page 69 and 70: Wing officer 8.8 Officer Sanderson
- Page 71 and 72: chaplains to see him. Ms Lorimer to
- Page 73 and 74: Thursday morning 8.21 Captain Palme
- Page 75 and 76: 9.5 Officer Downs told the inquiry
- Page 77 and 78: visit before time and that there wa
- Page 79 and 80: ecollection of the incident and mus
- Page 81 and 82: 9.34 Mr Bowcock was asked about the
- Page 83 and 84: Chapter 10: AFTER THE SEARCH: THE I
- Page 85 and 86: and now they’re doing three years
- Page 87 and 88: Mr Lodge’s account of the inciden
- Page 89 and 90: HCOs advised staff to loosen their
- Page 91 and 92: punishment for the altercation in t
- Page 93 and 94: 82 The diagnosis of dissocial pers
- Page 95 and 96: 11.6 Back in the chaplains’ offic
- Page 97 and 98: take his clothes off for a search a
- Page 99 and 100: Subsequent statements to the Prison
- Page 101 and 102: Evidence to the inquiry SO Knight 1
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going to happen to him. She was als
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11.53 In his final letter to his gi
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Chapter 12: ISSUES RAISED IN THE CL
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should not routinely be used. But i
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impulsivity; difficulty forming rel
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any underlying paranoid illness as
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Chapter 13: ISSUES RAISED IN THE CL
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Changes to assessing fitness 13.10
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13.20 One of the mental health nurs
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Chapter 14: SAFEGUARDS AGAINST SUIC
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Meeting the prisoner’s needs. Thi
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114 Prison culture The policy stat
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14.16 “Prisoners who are at risk
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Closing a Plan 14.25 The form says
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14.36 In oral evidence to the inqui
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CHAPTER 15: PREVENTING SUICIDE AND
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mind in the last week of his life i
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colleague to see Sonny Lodge on Thu
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15.21 ACCT also requires a risk ass
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Chapter 16: THE INQUIRY’S CONSIDE
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Despite these findings, there is in
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16.17 The inquiry was told that pri
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Chapter 17: TRANSFERS, WING AND CEL
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punishment, there is no evidence th
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held safely; Respect - prisoners ar
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Chapter 18: WAS SONNY LODGE VICTIMI
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surgeon at Whiston Hospital found S
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fact that, as he sees it, injustice
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that it was made at all. However, i
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forcefully, but for prison staff, i
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Chapter 20: THE SEARCH AND THE INCI
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However, like the various reports o
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Chapter 21: THE ADJUDICATION AND PU
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21.4 PSO 2000, which came into effe
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21.13 In order to find the charge a
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Chapter 22: COMMUNICATIONS AND RECO
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opportunity when the senior officer
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prompted special protection. Conseq
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Manchester prison now 23.4 In evide
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Safety 23.13 I have described in pa
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ehaviour, achievements, interaction
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prison. Many prisoners carry a host
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PART FOUR FINDINGS, RECOMMENDATIONS
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Information was not always recorded
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opportunities for social interactio
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41 Governor McColm did not explore
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LIST OF RECOMMENDATIONS I have exer
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LIST OF OBSERVATIONS ABOUT INQUIRY
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ANNEX 1 TERMS OF REFERENCE 1 1. To
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9. Communications and record-keepin
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helpful. The chronology will not fo
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Notice of matters requiring explana
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ANNEX 3 LIST OF LEGAL REPRESENTATIV
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PSI Prison Service Instruction PSI