Recipient

Doncaster Prison

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First report 23 Oct 2015•Latest report 23 Oct 2015

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

  1. South Yorkshire (Eastern)

    AI-generated summary

    Samuel William Gale · 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

    Samuel William Gale, aged 18, was received into custody at HMP Doncaster after recent self-harm and a suicide attempt, and was placed on an ACCT with half-hourly observations. The ACCT was closed on 16 May 2014, and he was found hanging the following day; the report raised concern that it was closed without reference to healthcare, chaplaincy, a unit manager, or an officer who had carried out an ACCT review.

    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 Doncaster Prison; that does not assign responsibility.

    PFD Monitor interpretation

    Lack of a formalised objective risk assessment process throughout the prison estate

    Wider context from the report

    “(2) The importance of an objective risk assessment has been recognised by the Trust which now uses a mandatory risk assessment from on System One. It is understood that NHS England is in the process of procuring a new version of System One, and is invited to consider whether this procurement exercise provided an opportunity for formalising the risk assessment process throughout the prison estate nationally. ”
    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 Doncaster Prison; that does not assign responsibility.

    PFD Monitor interpretation

    Failure to consult relevant healthcare, chaplaincy, unit management or ACCT review officers before closing an ACCT

    Wider context from the report

    “i) The ACCT was closed by a person who had previous dealings with Samuel without reference to healthcare, the chaplaincy or a unit manager or any officer who had carried out an ACCT review. ii) The Deputy Director was asked to consider whether only the person who is primarily responsible for a prisoner’s ACCT should be the one to close it. ”
    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