Recipient

Portland Prison and Young Offender Institution

First report 8 Sep 2015•Latest report 24 Oct 2022

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: 3
Published responses: 33%
Concerns addressed: 0
Stated actions: 0

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.

33%published responses found

0stated actions described

Topic comparisons are not available in the current evidence snapshot.

Concerns and recipient responses

Statements from Portland Prison and Young Offender Institution linked to the concerns in each report. Select any concern, action or position to view the source wording.

24 Oct2022
Dorset
Concerns raised2
1. Lack of national guidance for healthcare staff on the use of force in prison
2. Absence of a local operating policy on the use of force between prison and healthcare services
Responses linked to these concerns
Each statement is shown once, even when linked to more than one concern.

No linked response statements
No action or position from this recipient is clearly linked to the concerns in this report.
AI-generated summary

Bradleigh Trevor Barnes · 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

Bradleigh Trevor Barnes was found suspended by a ligature in his cell at HMP YOI Portland on 28 December 2019. The inquest concluded that the death was suicide. Concerns included a lack of national NHS guidance for healthcare staff on the use of force in prison and the absence of a local operating policy between the prison and healthcare provider at HMP YOI Portland.

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 Portland Prison and Young Offender Institution; that does not assign responsibility.
PFD Monitor interpretation
Lack of national guidance for healthcare staff on the use of force in prison
Wider context from the report
“i. There is a lack of national guidance to healthcare staff on the use of force in prison and I request consideration is given by NHS England to providing such national guidance. ”
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 Portland Prison and Young Offender Institution; that does not assign responsibility.
PFD Monitor interpretation
Absence of a local operating policy on the use of force between prison and healthcare services
Wider context from the report
“ii. There is no local operating policy on the use of force at HMP YOI Portland between the healthcare and the prison and I request that the Governor of HMP YOI Portland and the Chief Executive of Oxleas consider putting a local instruction policy in place. ”
Open source report
12 Oct2016
Dorset
Concerns raised1
1. Failure to ensure all staff are aware of emergency coding in the Night Orders
Responses linked to these concerns
Each statement is shown once, even when linked to more than one concern.

No linked response statements
No action or position from this recipient is clearly linked to the concerns in this report.
AI-generated summary

Wayne Wesley Cornlouer · 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

Wayne Cornlouer was found hanging in his cell on Collingwood Wing at approximately 5.50 am on 24 October 2014. The concern was whether all staff were aware that emergency coding had been added to the Night Orders after his death, following a delay before an ambulance was called.

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 Portland Prison and Young Offender Institution; that does not assign responsibility.
PFD Monitor interpretation
Failure to ensure all staff are aware of emergency coding in the Night Orders
Wider context from the report
“I understand that the coding system for a medical emergency, code red/code blue, was not part of the Night Orders at the time of Mr Cornlouer’s death. However, the Night Orders have since been amended to include this emergency coding. My concern is as to whether or not all staff are aware of the change in the Night Orders. ”
Open source report
8 Sep2015
Exeter and Greater Devon
Concerns raised3
1. Lack of formal guidance or training for compassionate release decision-making
2. Lack of formal guidance or training for assessing the requirement for restraints
3. Resource constraints in end-of-life care provision
Responses linked to these concerns
Each statement is shown once, even when linked to more than one concern.

No linked response statements
No action or position from this recipient is clearly linked to the concerns in this report.
AI-generated summary

Ian Paul Emsley · 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

Ian Paul Emsley, who had terminal metastatic renal cancer, died on 1 February 2015 in the palliative care wing at HMP Exeter after becoming unconscious and stopping breathing. The report identified that care at HMP YOI Portland was subject to resource constraints, meaning transfer to HMP Exeter could have occurred sooner, and found a potential for delays in transfer or compassionate release because of a lack of formal guidance or training on restraints and risk assessment.

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 Portland Prison and Young Offender Institution; that does not assign responsibility.
PFD Monitor interpretation
Lack of formal guidance or training for compassionate release decision-making
Wider context from the report
“The Clinical Reviewer found that overall it might be helpful for healthcare staff to be given formal guidance or training to assist them in making decisions regarding the assessment of the requirement of restraints and the assessment and decision making of release on compassionate grounds at Multi-Disciplinary Team Meetings involving prison (security) staff and healthcare staff. With lack of formal guidance/or training on the subject healthcare staff were uncomfortable with making decisions on a prisoners risk of re-offending or escape. As a consequence there is a potential for delay in effecting transfer and/or compassionate release for prisoners who are terminally ill, which could also impact on the family. ”
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 Portland Prison and Young Offender Institution; that does not assign responsibility.
PFD Monitor interpretation
Lack of formal guidance or training for assessing the requirement for restraints
Wider context from the report
“The Clinical Reviewer found that overall it might be helpful for healthcare staff to be given formal guidance or training to assist them in making decisions regarding the assessment of the requirement of restraints and the assessment and decision making of release on compassionate grounds at Multi-Disciplinary Team Meetings involving prison (security) staff and healthcare staff. With lack of formal guidance/or training on the subject healthcare staff were uncomfortable with making decisions on a prisoners risk of re-offending or escape. As a consequence there is a potential for delay in effecting transfer and/or compassionate release for prisoners who are terminally ill, which could also impact on the family. ”
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 Portland Prison and Young Offender Institution; that does not assign responsibility.
PFD Monitor interpretation
Resource constraints in end-of-life care provision
Wider context from the report
“During the Inquest into Mr Emsley’s death from Natural Causes in the palliative care wing at HMP Exeter, the care at HMP Exeter was highly proactive in the last 9 weeks of his life. The care given, in HMP YOI Portland was less so and subject to a number of resource based constraints in end of life care provision. The result being that transfer to HMP Exeter could have been much sooner. ”
Open source report

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

Reports, concerns and published responses

Reports over time

Concerns raised2

Lack of national guidance for healthcare staff on the use of force in prison

Absence of a local operating policy on the use of force between prison and healthcare services

Concerns raised1

Failure to ensure all staff are aware of emergency coding in the Night Orders

Concerns raised3

Lack of formal guidance or training for compassionate release decision-making

Lack of formal guidance or training for assessing the requirement for restraints

Resource constraints in end-of-life care provision