Report of the Inquiry into the circumstances of the Death of Bernard ...

NOTE ON THE STRUCTURE OF THE REPORT
Part One contains a summary of the events that are examined in detail later. It explains
what led to the inquiry and why it took place so long after Sonny Lodge’s death. The
process of the inquiry is described and I make some observations about procedure in
inquiries of this kind.
Part Two examines the events in detail and sets out the principal evidence that forms the
basis of the inquiry’s findings.
Part Three contains the inquiry’s consideration of the evidence, the findings and some
recommendations. It contains some evidence that is not in the narrative in earlier
chapters. This includes advice from the clinical adviser to the inquiry, information about
Prison Service policies and procedures and changes at Manchester Prison, reference to
research findings, and some observations that witnesses made in evidence to the
inquiry.
Part Four lists the findings, recommendations and observations about procedure.
Annex 1 contains the inquiry’s Terms of Reference.
Annex 2 is a note on the procedure the inquiry followed
The terms of reference and the procedure were adopted before the investigation was
converted to a statutory inquiry. The inquiry departed from them where required to do so
to comply with the Inquiries Act 2005 and the Inquiry Rules 2006.
Annex 3 lists the legal representatives.
Annex 4 is a glossary of acronyms and references.
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