Independent Advisory Panel on Deaths in Custody

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First report 10 Dec 2019•Latest report 10 Dec 2019

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
1

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 Independent Advisory Panel on Deaths in Custody 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

    Daniel AKAM · 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

    Daniel Akam, a vulnerable prisoner with a history of depression, self-harm, low mood and anxiety, was found unresponsive in his cell with a rope ligature around his neck and was declared deceased. The report identified concerns about an inadequate final ACCT review, missed and inaccurately recorded observations, and inadequate ACCT training for prison officers.

    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 Independent Advisory Panel on Deaths in Custody; that does not assign responsibility.

    PFD Monitor interpretation

    Failure to accurately record ACCT observations in the ACCT document

    Wider context from the report

    “Failure to carry out ACCT observations recorded in the ACCT log (1) CCTV evidence in the inquest established that 18 observations on Mr Akam were not carried out. (2) The same 18 missed observations were recorded in the ACCT document as having been carried out, when they had not been. (3) Five different prison officers purportedly signed various of these entries. (4) Whilst the above missed observations occurred 24 hours prior to Daniel Akam’s death and were not contributory, the purpose of ACCT observations is to reduce the risk of suicide and self-harm in a vulnerable prisoner. If necessary observations are missed, the risk of suicide and self-harm amongst vulnerable prisoners will likely increase. (5) The fact that the five separate officers did not carry out observations, when they recorded that they did, indicates that the problem is systemic. ”
    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 Independent Advisory Panel on Deaths in Custody; that does not assign responsibility.

    PFD Monitor interpretation

    Failure to carry out required ACCT observations for vulnerable prisoners

    Wider context from the report

    “Failure to carry out ACCT observations recorded in the ACCT log (1) CCTV evidence in the inquest established that 18 observations on Mr Akam were not carried out. (2) The same 18 missed observations were recorded in the ACCT document as having been carried out, when they had not been. (3) Five different prison officers purportedly signed various of these entries. (4) Whilst the above missed observations occurred 24 hours prior to Daniel Akam’s death and were not contributory, the purpose of ACCT observations is to reduce the risk of suicide and self-harm in a vulnerable prisoner. If necessary observations are missed, the risk of suicide and self-harm amongst vulnerable prisoners will likely increase. (5) The fact that the five separate officers did not carry out observations, when they recorded that they did, indicates that the problem is systemic. ”
    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 Independent Advisory Panel on Deaths in Custody; that does not assign responsibility.

    PFD Monitor interpretation

    Inadequate and insufficiently repeated ACCT training for prison officers

    Wider context from the report

    “ACCT training for prison officers (6) In addition, the evidence revealed that the prison officers did not appear to know what their own obligations and responsibilities were in relation to the ACCT procedure and processes. The general evidential picture was that of inadequate ACCT training for officers, who universally indicated that it would be helpful to have refresher training. (7) Unless adequate and repeated ACCT training is provided for all officers, particularly for those junior and more inexperienced officers, the lives of vulnerable prisoners will not be safeguarded in accordance with the purpose of the ACCT procedure. ”
    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