Recurring concern

Insufficient out-of-hours healthcare availability

First to latest report 25 Mar 2015 — 16 Mar 2016

Reports that mention this concern
2
Times this concern has been raised
2
Stated actions linked to this concern
0

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.

What is 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 and published responses 2 reports

See individual reports that have raised this concern, and the actions taken in response

  1. Nottinghamshire

    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

  2. Surrey

    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

Actions and positions describe what organisations say in published responses. Implementation is not independently verified.

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Data last updated 7 September 2026