Recipient

Preston Prison

Pin Request correction

First report 29 Nov 2017•Latest report 22 Jan 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
2

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 Preston 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

    Thomas Mark Anthony Moffett · 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

    Thomas Mark Anthony Moffett had probably suffered from diarrhoea and vomiting for up to three weeks before dying from natural causes following a cardiac arrest due to metabolic acidosis. Failures included an unlabelled blood sample, omission of an ECG, and inadequate communication of the patient’s condition and emergency level to ambulance control. The report raised concerns about communication arrangements between healthcare staff, prison control rooms and ambulance control, including the possibility of a wider national problem.

    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 Preston Prison; that does not assign responsibility.

    PFD Monitor interpretation

    Lack of effective communication between healthcare personnel at medical emergencies and prison or ambulance control

    Wider context from the report

    “(1) The evidence disclosed the need for healthcare and the prison to devise a better means of communication between healthcare personnel at the scene of a medical emergency and the prison control room / ambulance control (2) Similar communication difficulties have already been reported in relation to the inquest into the death of Martin Brown who died at HMIP Lancaster Farms and the Prison and Probation Ombudsman has highlighted a delay in the provision of essential information to Ambulance Control in the case of ████████ who died on 9th December 2020 at HMP Garth (3) The fact that communication difficulties have arisen between healthcare and the ambulance service in three recent cases involving prisons in Lancashire may indicate a potentially national problem ”
    Open source report

  2. Preston and West Lancashire

    AI-generated summary

    Christopher Talbot · 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

    Christopher Talbot, a prisoner at Preston Prison, was found with a plastic bag over his head after being identified as vulnerable and at risk of suicide. Resuscitation initially restored breathing and cardiac output, but he later died in hospital. Concerns included inadequate reception training, the absence of a breathing guard during resuscitation, insufficient sharing of information about similar deaths, and failures to request immediate assistance and maintain constant observation.

    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 Preston Prison; that does not assign responsibility.

    PFD Monitor interpretation

    Lack of formal training in reception duties

    Wider context from the report

    “(1) The Supervising Officer on duty at Reception when Mr Talbot arrived had never received training in her duties but merely gained experience by shadowing another officer. It did not appear that any written material was provided so as to inform her of her duties, including the PSI “Early Days In Custody, Reception In, First Night In Custody And Induction To Custody” or a guidance document summarising the main provisions of the PSI. Lack of such written material and reliance solely on shadowing as a means of training might bring about a position where bad habits are proliferated or important considerations missed. ”
    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 Preston Prison; that does not assign responsibility.

    PFD Monitor interpretation

    Failure to inform staff of the manner of unnatural prisoner deaths

    Wider context from the report

    “(3) It is understood that following the death of a prisoner a notice to this effect is issued to the prisoners and staff but that staff are not informed of the manner of an unnatural death. Thus, it appeared that staff attending to give evidence at the inquest were unaware of another recent previous death involving a plastic bag, knowledge of which might have led to extra vigilance in the case of Mr Talbot, when as a vulnerable prisoner, he was observed holding a plastic bag. ”
    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 Preston Prison; that does not assign responsibility.

    PFD Monitor interpretation

    Lack of written material informing reception officers of their duties

    Wider context from the report

    “(1) The Supervising Officer on duty at Reception when Mr Talbot arrived had never received training in her duties but merely gained experience by shadowing another officer. It did not appear that any written material was provided so as to inform her of her duties, including the PSI “Early Days In Custody, Reception In, First Night In Custody And Induction To Custody” or a guidance document summarising the main provisions of the PSI. Lack of such written material and reliance solely on shadowing as a means of training might bring about a position where bad habits are proliferated or important considerations missed. ”
    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 Preston Prison; that does not assign responsibility.

    PFD Monitor interpretation

    Unavailability of breathing guards for senior officers during resuscitation

    Wider context from the report

    “(2) A Senior Officer gave mouth to mouth resuscitation to Mr Talbot without the use of a guard. It is understood that although mandatory for more junior officers at HMP Preston, carrying a breathing guard at all times is discretionary for certain senior grades. Lack of such a guard might put an officer in personal danger when attempting to revive a prisoner or dissuade that officer from intervening, with potential adverse consequences for the prisoner. ”
    Open source report
Back to top

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