Recipient

Dartmoor Prison

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First report 7 May 2021•Latest report 7 May 2021

Recipient record

Reports, concerns and published responses

Justice · Prison or young offender institution. This page brings together reports naming this recipient and response statements clearly connected to concerns raised in those reports.

Reports
1

Naming this recipient

Published responses
0%

Found for named reports

Concerns addressed
0

Across all linked responses

Stated actions
0

Described in responses

Reports over time

Reports over time

Reports naming this recipient by issue year.

Evidence profile

Report topics

Share of this recipient’s reports compared with all other recipients.

0%published responses found
0stated actions described

Topic comparisons are not available in the current evidence snapshot.

Concerns and recipient responses

Statements from Dartmoor Prison linked to the concerns in each report. Select any concern, action or position to view the source wording.

  1. Exeter and Greater Devon

    AI-generated summary

    Corin Bonaparte · 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

    Corin Bonaparte, a young man aged 23, was found hanging in his cell at HMP Dartmoor on 28 February 2017 after his former partner ended contact with him during a telephone call. Resuscitation efforts were unsuccessful. Concerns included the failure to open an ACCT after he disclosed deliberate self-harm, suggesting inadequate training, and an eight-minute delay in an ambulance leaving the prison because an escort was being sought.

    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. The report was sent to Dartmoor Prison; that does not assign responsibility.

    PFD Monitor interpretation

    Inadequate arrangements for the swift departure of ambulances from the prison in blue-light emergencies

    Wider context from the report

    “(2) Addressed to the Governor, HMP Dartmoor A witness gave convincing evidence to the effect that the ambulance with Corin Bonaparte on board was kept waiting 8 minutes at the main gate while a prisoner escort was found. Although there was no evidence to suggest that this delay in transporting the deceased to hospital contributed to Corin Bonaparte’s death, the fact of such a delay was disturbing and suggested that there were inadequate arrangements in place to ensure the swift departure of an ambulance from the prison in a blue light emergency. ”
    Open source report

    Source evidence

    How this individual concern was interpreted

    PFD Monitor created a concise, searchable interpretation from the report wording shown below. The report was sent to Dartmoor Prison; that does not assign responsibility.

    PFD Monitor interpretation

    Failure to open an ACCT following disclosure of recent deliberate self-harm

    Wider context from the report

    “(1) Addressed to the Head of Healthcare and the Governor, HMP Dartmoor Corin sought help from the mental health department at HMP Dartmoor. He revealed to a nurse in the mental health department the fact that he had recently deliberately harmed himself and made this fact known to other mental health workers. An ACCT was not opened despite the provisions in Chapter 2 of PSI 64 / 2011 which made the opening of an ACCT in these circumstances mandatory. In the light of the evidence from relevant witnesses at the inquest hearing it could not be confidently assumed that their actions would be any different if similar circumstances were to arise in the future. This suggested a lack of adequate training. ”
    Open source report

    Source evidence

    How this individual concern was interpreted

    PFD Monitor created a concise, searchable interpretation from the report wording shown below. The report was sent to Dartmoor Prison; that does not assign responsibility.

    PFD Monitor interpretation

    Lack of adequate training for mental health workers responding to deliberate self-harm

    Wider context from the report

    “(1) Addressed to the Head of Healthcare and the Governor, HMP Dartmoor Corin sought help from the mental health department at HMP Dartmoor. He revealed to a nurse in the mental health department the fact that he had recently deliberately harmed himself and made this fact known to other mental health workers. An ACCT was not opened despite the provisions in Chapter 2 of PSI 64 / 2011 which made the opening of an ACCT in these circumstances mandatory. In the light of the evidence from relevant witnesses at the inquest hearing it could not be confidently assumed that their actions would be any different if similar circumstances were to arise in the future. This suggested a lack of adequate training. ”
    Open source report
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Published response patterns

Compared with other recipients in reports included in PFD Monitor

Describes published response evidence, not performance.

Published responses found

0%
0%All other recipients 58%
0%100%

How actions were described at the time

This respondent
All other recipients
47%25%27%<1%<1%
  • Completed
  • In progress
  • Planned
  • Unclear
  • Partially completed

Statuses reflect what recipients said at the time. PFD Monitor does not verify whether actions happened.

Types of action described in responses

Percentages use all actions described by each group. An action may have more than one type, so percentages do not total 100%.

Information checked against published PFD reports and official responses · Data reviewed 7 Sep 2026 · About data quality and limitations

Data last updated 7 September 2026