Garth Prison

Justice · Prison or young offender institution

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First report 5 Oct 2020•Latest report 6 Nov 2025

Reports, concerns and published responses

Reports over time

Reports naming this recipient by issue year.

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

Reports
3

Naming this recipient

Published responses
0%

Found for named reports

Concerns addressed
0

Across all linked responses

Stated actions
0

Described in responses

Concerns and recipient responses

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

  1. Lancashire and Blackburn with Darwen

    AI-generated summary

    Aaron Lee Taylor · 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

    Aaron Lee Taylor was discovered in his prison cell on 28 August 2023, having died between the evening of 27 August and the morning of 28 August 2023. The inquest heard that he had taken steps intending to take his own life and identified multiple failures in measures to prevent self-harm and suicide, including inadequate assessments, documentation, policy compliance and mental health interventions.

    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 Garth Prison; that does not assign responsibility.

    PFD Monitor interpretation

    Failure to carry out keyworker sessions as required

    Wider context from the report

    “(2) Evidence was also heard that keyworker sessions were not being carried out as they should have been with a prisoner who had been identified as in need of support through the keyworker scheme. A prison officer with keyworker responsibilities gave evidence that they did not know how frequently keyworker sessions should take place ”
    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 Garth Prison; that does not assign responsibility.

    PFD Monitor interpretation

    Lack of knowledge of the required frequency of keyworker sessions

    Wider context from the report

    “(2) Evidence was also heard that keyworker sessions were not being carried out as they should have been with a prisoner who had been identified as in need of support through the keyworker scheme. A prison officer with keyworker responsibilities gave evidence that they did not know how frequently keyworker sessions should take place ”
    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 Garth Prison; that does not assign responsibility.

    PFD Monitor interpretation

    Lack of ACCT training and awareness of ACCT responsibilities among prison officers

    Wider context from the report

    “(1) Evidence was heard that despite several prison officers being aware of a serious incident of self-harm involving a prisoner with a history of self-harm, an Assessment, Care in Custody Teamwork process (ACCT) was not opened. No evidence was provided confirming all prison officers were ACCT trained and/or were all aware of their responsibilities in relation to ACCT ”
    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 Garth Prison; that does not assign responsibility.

    PFD Monitor interpretation

    Failure to open an Assessment, Care in Custody Teamwork process after a serious incident of self-harm

    Wider context from the report

    “(1) Evidence was heard that despite several prison officers being aware of a serious incident of self-harm involving a prisoner with a history of self-harm, an Assessment, Care in Custody Teamwork process (ACCT) was not opened. No evidence was provided confirming all prison officers were ACCT trained and/or were all aware of their responsibilities in relation to ACCT ”
    Open source report

  2. Liverpool and the Wirral

    AI-generated summary

    Marlin Burrows · 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

    Marlin Burrows was found collapsed in his cell at HMP Garth on 15 August 2022 and died in the early hours of 16 August 2022 after being semi-conscious for nearly 15 hours. The inquest concluded that he died from multi-organ failure due to serotonin syndrome and drug toxicity, including amitriptyline toxicity. Concerns included unclear welfare-sheet purposes and guidance, poor communication of entries to medical staff, and insufficient joint consideration of the sheet by prison and healthcare services.

    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 Garth Prison; that does not assign responsibility.

    PFD Monitor interpretation

    Lack of clarity about the welfare sheet’s purpose for monitoring prisoners whose health is of concern

    Wider context from the report

    “(1) The existing welfare sheet lacks clarity as to its exact purpose in terms of monitoring a prisoner whose health is of concern. ”
    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 Garth Prison; that does not assign responsibility.

    PFD Monitor interpretation

    Insufficient guidance for completing the welfare sheet

    Wider context from the report

    “(2) The sheet contains little guidance in relation to its completion. ”
    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 Garth Prison; that does not assign responsibility.

    PFD Monitor interpretation

    Failure of prison and healthcare services to jointly consider the welfare sheet’s nature and operation

    Wider context from the report

    “(4) The nature and operation of the sheet appears not to have been the subject of joint consideration on behalf of both prison and healthcare ”
    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 Garth Prison; that does not assign responsibility.

    PFD Monitor interpretation

    Failure to communicate prison staff entries on the welfare sheet to attending medical staff

    Wider context from the report

    “(3) Entries on the sheet made by prison staff appear not to be made known to attending medical staff ”
    Open source report

  3. Lancashire and Blackburn with Darwen

    AI-generated summary

    Wesley Dennis Rowlands · 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

    Wesley Dennis Rowlands died by suicide through ligature hanging in his cell at HMP Garth, using a fixed television bracket. The principal concern was that redundant television brackets remained installed in cells, including his, creating gross and obvious ligature points until removed.

    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 Garth Prison; that does not assign responsibility.

    PFD Monitor interpretation

    Failure to remove redundant television brackets constituting ligature points

    Wider context from the report

    “A number of cells at HMP Garth, including the deceased’s cell, have television brackets built into the structure of the cell walls. Although the brackets are now redundant, they remain in place and constitute a gross and obvious ligature point and will continue to do so until removed. ”
    Open source report
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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