Recipient

Northumberland Prison

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First report 9 Oct 2014•Latest report 9 Oct 2014

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

  1. North Northumberland

    AI-generated summary

    Vincent Oliver · 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

    Vincent Oliver was serving a prison sentence at HMP Northumberland when his lifeless body was discovered in his cell on 4 July 2013, shortly after the cells were unlocked. The principal concern was that the prison officer unlocking his cell did not obtain a response or check his physical well-being before moving on, and that cell-unlocking procedures had not been followed on other occasions. The inquest concluded that he died from natural causes, namely ischaemic heart disease and coronary artery atheroma.

    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 Northumberland Prison; that does not assign responsibility.

    PFD Monitor interpretation

    Failure to obtain a response from each prisoner during cell unlocking and roll checks

    Wider context from the report

    “The prison officer unlocking Mr Oliver’s cell on 4th July 2013 at approximately 5.40 p.m. for the evening meal did not check on his physical well-being by getting a response from him, before moving on to the next cell. This led to Mr Oliver, who had died some time earlier and was affected by rigor mortis, being found by another prisoner when he entered Mr Oliver’s cell. There has been a number of other occasions at the prison when appropriate cell unlocking procedures have not been followed and the Prisons and Probation Ombudsman has made recommendations about this previously. I understand that a Prison Director’s Order has been issued requiring that on roll check Prison Officers must obtain a response from each prisoner to ensure their physical presence and well-being. My understanding of the procedures is that there is no current requirement for the Officer completing the roll check to record on the roll check report that he or she has complied with the requirements of the above Order. ”
    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 Northumberland Prison; that does not assign responsibility.

    PFD Monitor interpretation

    Lack of requirement to record compliance with roll check procedures

    Wider context from the report

    “The prison officer unlocking Mr Oliver’s cell on 4th July 2013 at approximately 5.40 p.m. for the evening meal did not check on his physical well-being by getting a response from him, before moving on to the next cell. This led to Mr Oliver, who had died some time earlier and was affected by rigor mortis, being found by another prisoner when he entered Mr Oliver’s cell. There has been a number of other occasions at the prison when appropriate cell unlocking procedures have not been followed and the Prisons and Probation Ombudsman has made recommendations about this previously. I understand that a Prison Director’s Order has been issued requiring that on roll check Prison Officers must obtain a response from each prisoner to ensure their physical presence and well-being. My understanding of the procedures is that there is no current requirement for the Officer completing the roll check to record on the roll check report that he or she has complied with the requirements of the above Order. ”
    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