Coroner requires action to prevent future deaths at HMP Woodhill and the Whiteleaf Centre


The Senior Coroner for Buckinghamshire, Crispin Butler, has issued two comprehensive Prevention of Future Death reports requiring action from the Governor of HMP Woodhill, Central & North West London NHS Foundation Trust and Oxford Health NHS Trust following the inquest into the death of Jack Portland, which found multi-agency failures in his care.


The coroner identified many concerns arising from the care Jack, 29, received and he believes future lives are at risk.  The three public bodies have 56 days to respond to the reports to set out the action they propose to take, or have taken, to reduce the risks to other lives.


Both reports cover not just failings in Jack’s care but also serious failures which occurred after his death: the inadequate responses of the public bodies to the concerns raised by Jack’s family and shortcomings in disclosure of documents for the purposes of the inquest.


Caoilfhionn Gallagher QC acts for Jack’s family, instructed by Merry Varney and Benjamin Burrows, Leigh Day, all members of the INQUEST Lawyers’ Group.


More information is available from Leigh Day.

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