Report of the Inquiry into the circumstances of the Death of Bernard ...
Report of the Inquiry into the circumstances of the Death of Bernard ... Report of the Inquiry into the circumstances of the Death of Bernard ...
Healthcare officer 8.5 An entry in Mr Lodge’s Inmate Medical Record by Healthcare Officer Stell says he interviewed Mr Lodge at 6.30 pm following a message that his girlfriend had telephoned to say “she was worried about the possibility of him self-harming on return to prison”. The entry says that Mr Lodge said he was a little upset when refused bail but now felt OK about returning to prison. He had been asked to inform wing staff if he felt he needed to talk to someone and no follow-up was required. 8.6 HCO Stell was working in reception seeing prisoners newly admitted to the prison. One of the auxiliary staff gave him the message. He went to the holding room and asked Mr Lodge to come into the corridor. (In a letter of 8 August 2009, Mr Stell told the inquiry he would have done his utmost to ensure the conversation was as far away from others as possible, though it was difficult to have complete privacy, given the physical as well as operational constraints of the prison, including security.) Mr Stell asked Sonny Lodge if he was all right or if he had any problems and explained that his girlfriend had telephoned, concerned about his health, and asked staff to keep an eye on him. Mr Stell said he asked Mr Lodge whether he had given Ms A any indication something was wrong and that Mr Lodge replied that he had been upset and annoyed when he did not get bail and “flew off the handle a bit”. Mr Stell said Mr Lodge’s manner was quite jovial; he said he was quite OK and everyone had “got the wrong end of the stick”. He gave HCO Stell no indication at all that he might self-harm. HCO Stell said he assured Mr Lodge that he or other health care staff would be available if he needed to speak to someone and Mr Lodge assured HCO Stell that if he needed to see somebody he would ask. HCO Stell said he did not know that Sonny Lodge had a history of selfharm. 8.7 HCO Stell explained to the Prison Service investigation that Mr Lodge’s medical record would not have been available in reception. In his recent letter, Mr Stell told the inquiry that he would probably have made notes during the conversation then completed the entry in the Continuous Medical Record when he returned to the healthcare centre before going off duty that evening. He said that a prisoner returning from court would not usually see a healthcare officer. He saw Sonny only because of the telephone call. He did not see the escort record or Sonny Lodge’s prison file and did not know his history of self-harm. 57
Wing officer 8.8 Officer Sanderson in the G wing office also received word of Ms A’s telephone call, from a Principal Officer. At 6.45 pm he made a note in the wing observation book to alert staff that a message from a relative said that Mr Lodge was not going to be released on Friday as he expected and might commit self-harm “as he has a history of self-harm”. 8.9 Officer Sanderson spoke to Mr Lodge when he came to the wing office to book in and collect his canteen. Officer Sanderson told the Prison Service investigators that Mr Lodge knew he would not be released on the Friday and seemed “happy with the situation”. He said he was OK and seemed not to want to prolong the conversation. Officer Sanderson told Mr Lodge that a relative had been in touch with the prison and would like him to get in touch. The conversation was “on a light note”. In a letter of 8 August 2009, Mr Sanderson told the inquiry there were no other staff in the wing office at the time. From Mr Lodge’s demeanour, Officer Sanderson gained no sense that there was any reason to take him elsewhere to talk more privately. Officer Sanderson said he had no prior knowledge of Mr Lodge’s history of self-harm. According to the Coroner’s note of oral evidence at the inquest, Officer Sanderson said he had asked Mr Lodge about scars on his arms, which Mr Lodge said were caused by a motorbike accident. 8.10 After the conversation at the wing office, Officer Sanderson made a note in the wing observation book that he had spoken to Mr Lodge who stated that he knew he would not be released on Friday, everything was all right, he felt OK and said he was happy with the situation. Officer Sanderson did not refer to Mr Lodge’s history sheets or make any note in them. Mr Lodge’s letter on Tuesday evening 8.11 Sonny Lodge’s letter that evening after lock-up shows that he was taken aback to have been charged with grievous bodily harm rather than a less serious offence. The letter starts positively: it only means another six to eight weeks and his “head is right” as long as his girlfriend is still there for him. But he then says that it might be six to eight months, and that he cannot ask his girlfriend to wait unless she wants to. His mood darkens, saying that without her, “the … shadowlands will be calling and I will be at peace with my maker”, like his mum and dad, who went “to the shadowlands before I even knew what a mum and dad was”. He is very upset about what Officer Brownley has 58
- 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
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- Page 27 and 28: or recognition. Their actions may b
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- 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
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- Page 51 and 52: Table 3 40 9 July 1335 1400 1609 17
- Page 53 and 54: point on the history sheets kept on
- Page 55 and 56: working prison occupied mainly by c
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- 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
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- Page 81 and 82: 9.34 Mr Bowcock was asked about the
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- Page 109 and 110: should not routinely be used. But i
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Healthcare <strong>of</strong>ficer<br />
8.5 An entry in Mr Lodge’s Inmate Medical Record by Healthcare Officer Stell says<br />
he interviewed Mr Lodge at 6.30 pm following a message that his girlfriend had<br />
telephoned to say “she was worried about <strong>the</strong> possibility <strong>of</strong> him self-harming on return to<br />
prison”. The entry says that Mr Lodge said he was a little upset when refused bail but<br />
now felt OK about returning to prison. He had been asked to inform wing staff if he felt<br />
he needed to talk to someone and no follow-up was required.<br />
8.6 HCO Stell was working in reception seeing prisoners newly admitted to <strong>the</strong><br />
prison. One <strong>of</strong> <strong>the</strong> auxiliary staff gave him <strong>the</strong> message. He went to <strong>the</strong> holding room<br />
and asked Mr Lodge to come <strong>into</strong> <strong>the</strong> corridor. (In a letter <strong>of</strong> 8 August 2009, Mr Stell told<br />
<strong>the</strong> inquiry he would have done his utmost to ensure <strong>the</strong> conversation was as far away<br />
from o<strong>the</strong>rs as possible, though it was difficult to have complete privacy, given <strong>the</strong><br />
physical as well as operational constraints <strong>of</strong> <strong>the</strong> prison, including security.) Mr Stell<br />
asked Sonny Lodge if he was all right or if he had any problems and explained that his<br />
girlfriend had telephoned, concerned about his health, and asked staff to keep an eye on<br />
him. Mr Stell said he asked Mr Lodge whe<strong>the</strong>r he had given Ms A any indication<br />
something was wrong and that Mr Lodge replied that he had been upset and annoyed<br />
when he did not get bail and “flew <strong>of</strong>f <strong>the</strong> handle a bit”. Mr Stell said Mr Lodge’s manner<br />
was quite jovial; he said he was quite OK and everyone had “got <strong>the</strong> wrong end <strong>of</strong> <strong>the</strong><br />
stick”. He gave HCO Stell no indication at all that he might self-harm. HCO Stell said he<br />
assured Mr Lodge that he or o<strong>the</strong>r health care staff would be available if he needed to<br />
speak to someone and Mr Lodge assured HCO Stell that if he needed to see somebody<br />
he would ask. HCO Stell said he did not know that Sonny Lodge had a history <strong>of</strong> selfharm.<br />
8.7 HCO Stell explained to <strong>the</strong> Prison Service investigation that Mr Lodge’s medical<br />
record would not have been available in reception. In his recent letter, Mr Stell told <strong>the</strong><br />
inquiry that he would probably have made notes during <strong>the</strong> conversation <strong>the</strong>n completed<br />
<strong>the</strong> entry in <strong>the</strong> Continuous Medical Record when he returned to <strong>the</strong> healthcare centre<br />
before going <strong>of</strong>f duty that evening. He said that a prisoner returning from court would not<br />
usually see a healthcare <strong>of</strong>ficer. He saw Sonny only because <strong>of</strong> <strong>the</strong> telephone call. He<br />
did not see <strong>the</strong> escort record or Sonny Lodge’s prison file and did not know his history <strong>of</strong><br />
self-harm.<br />
57