Recurring concern

Insufficient out-of-hours healthcare availability

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First reported 25 Mar 2015•Latest report 16 Mar 2016

Definition

What this concern includes

Includes failures in the availability, coverage or operating hours of healthcare services outside standard daytime hours, including the anchor's limited Healthcare coverage beyond 7am–6.30pm and limited health or mental-health care access for inmates at weekends and on bank holidays.

Not included

Excludes generic staffing, funding or workload deficiencies unless they directly cause insufficient out-of-hours healthcare availability.
Excludes delays in ambulance attendance, hospital handover or treatment after an appropriate healthcare service is available.
Excludes routine appointment, referral or care-quality failures unrelated to the availability of healthcare outside standard daytime hours.
Excludes service-specific access concerns, such as psychiatric appointments or prison healthcare, when the assertion is confined to a narrower named process and does not support the wider out-of-hours healthcare condition.

Reports: 2
Individual concerns: 2
Date range: 2015–2016
Stated actions: 0

Reports over time

Reports about this concern issued each year.

* 2026 is projected from reports observed to 7 Sep 2026.

Most frequent recipients

Reports about this concern sent to each recipient.

HM Prison and Probation Service2

NHS England2

Care Quality Commission1

Department of Health and Social Care1

Ministry of Justice1

Nottinghamshire Healthcare NHS Foundation Trust1

Prisons and Probation Ombudsman1

Ranby Prison1

Concerns and responses across reports

Only concerns grouped under this recurring concern are included. Select any concern, action or position to view the source wording.

16 Mar2016
Nottinghamshire
Concerns raised1
1. Limited accessibility of health and/or mental health care during weekends and Bank Holidays
This report raised 9 other concerns. They are not shown here because they do not form part of this recurring concern.
Responses linked to these concerns
Each statement is shown once, even when linked to more than one concern.
Respondent positions 1
1. Position
  Weekend mental-health cover was limited because the service was not commissioned and Trust resources were constrained by its NHS England contract.
  Stated by Nottinghamshire Healthcare NHS Foundation TrustUnable to act
AI-generated summary

Steven James May · Prevention of Future Deaths report

This summary was generated using AI from the published report. Please read the original report for the complete account.

Report summary

Steven James May died by hanging at HMP Ranby on 25 May 2015 at 01:45, after previously expressing suicidal intent and being placed on the ACCT programme. The report identified concerns about failures in reception health screening, ACCT documentation and reviews, information handovers, staff training and involvement, emergency first aid, cell-entry procedures, and access to health and mental health care.

Read the report on judiciary.uk
Source evidence
How this individual concern was interpreted
PFD Monitor created a concise, searchable interpretation from the report wording shown below.
PFD Monitor interpretation
Limited accessibility of health and/or mental health care during weekends and Bank Holidays
Wider context from the report
“(10) The accessibility of health and/or mental health care to inmates at weekends and during Bank Holidays. ”
Source location
Steven James May · Prevention of Future Deaths report
Page 2 · concerns
Open source report
Source evidence

How this respondent position was interpreted

PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

PFD Monitor interpretation
Weekend mental-health cover was limited because the service was not commissioned and Trust resources were constrained by its NHS England contract.

Verbatim wording from the response
“The Trust’s resources are of course limited in accordance with its contract with NHS England. In May 2015, the Trust was not commissioned to provide mental health services at HMP Ranby at a weekend. Despite this service not being commissioned, the Trust had identified a need for weekend mental health cover and was providing limited cover by transferring resources from elsewhere (which is why ████████ was available on Sunday 24 May 2015).”

Source location
2016-0109-Response-by-Nottingham-Healthcare-NHS-Trust
Page 3 · response
Published 16 March 2016
Open published response
25 Mar2015
Surrey
Concerns raised1
1. Limited availability of healthcare staff beyond 7am–6.30pm
This report raised 3 other concerns. They are not shown here because they do not form part of this recurring concern.
Responses linked to these concerns
Each statement is shown once, even when linked to more than one concern.
Respondent positions 2
1. Position
  The prison population is not considered to require on-site healthcare staffing outside normal hours.
  Stated by HM Prison and Probation Service and NHS EnglandDisputes the concern
1. Position
  Existing out-of-hours healthcare arrangements are considered sufficient to meet the needs of the prison population.
  Stated by HM Prison and Probation Service and NHS EnglandExisting arrangements considered sufficient
AI-generated summary

Keith John MURPHY · Prevention of Future Deaths report

This summary was generated using AI from the published report. Please read the original report for the complete account.

Report summary

Keith John Murphy became physically ill in prison after using SPICE and was later found on his cell floor, where he was pronounced dead on 18 July 2013. The report raises concerns about basic first aid, CPR and defibrillator training for prison staff, and the availability of Healthcare staff outside the hours of 7am to 6.30pm.

Read the report on judiciary.uk
Source evidence
How this individual concern was interpreted
PFD Monitor created a concise, searchable interpretation from the report wording shown below.
PFD Monitor interpretation
Limited availability of healthcare staff beyond 7am–6.30pm
Wider context from the report
“2. Action is required to ensure someone from Healthcare is available beyond the current arrangement of 7am – 6.30pm to provide an ”
Source location
Keith John MURPHY · Prevention of Future Deaths report
Page 2 · concerns
Open source report
Source evidence

How this respondent position was interpreted

PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

PFD Monitor interpretation
The prison population is not considered to require on-site healthcare staffing outside normal hours.

Verbatim wording from the response
“The size (531) and nature of the population at the prison, which is composed of prisoners who have been assessed by staff in other prisons as suitable to be accommodated at HMP Coldingley, is not believed to require the provision of on-site healthcare staffing out of hours. A recent Health Needs Assessment, commissioned through the NHS England South East Health and Justice commissioning team, confirms that the existing healthcare arrangements meet the needs of the prisoner population at the establishment.”

Source location
2015-0120-Response-by-NOMS
Page 2 · response
Published 25 March 2015
Open published response
Source evidence

How this respondent position was interpreted

PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

PFD Monitor interpretation
Existing out-of-hours healthcare arrangements are considered sufficient to meet the needs of the prison population.

Verbatim wording from the response
“needs of the prisoner as appropriate. This arrangement is considered to be equivalent to what is available in the community. Where prisoners are perceived to require access to emergency and lifesaving care the local Ambulance Trust (South East Coast Ambulance NHS) is called for an emergency response.”

Source location
2015-0120-Response-by-NOMS
Page 2 · response
Published 25 March 2015
Open published response

Data last updated 7 September 2026

What this concern includes

Not included

Reports over time

Concerns raised1

Limited accessibility of health and/or mental health care during weekends and Bank Holidays

Respondent positions A position is what a respondent says about the concern when they do not describe a specific action.1

Concerns raised1

Limited availability of healthcare staff beyond 7am–6.30pm

Respondent positions A position is what a respondent says about the concern when they do not describe a specific action.2

Respondent positions 1

Respondent positions 2