Recipient

Recipient name withheld

Pin Request correction

First report 22 Jul 2024•Latest report 22 Jul 2024

Recipient record

Reports, concerns and published responses

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 Recipient name withheld linked to the concerns in each report. Select any concern, action or position to view the source wording.

  1. County Durham and Darlington

    AI-generated summary

    Russell Ian IRVINE · 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

    Russell Ian Irvine took his own life by hanging in his prison cell at HMP Durham on 7 November 2022, three days after entering custody. He had reportedly told reception healthcare staff that he had refused food and fluids for the previous two days, but this information was not escalated and his intake was not adequately monitored. The report identified concerns about failures in reception screening, healthcare compliance with relevant policies, and the absence of a formal policy for monitoring whether prisoners collected meals.

    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 Recipient name withheld; that does not assign responsibility.

    PFD Monitor interpretation

    Failure to escalate information about food and fluid refusal

    Wider context from the report

    “Russell Ian Irvine died three days after his entry into HMP Durham on 4 November 2022 following his nicotine recall into custody, about which he protested and told reception healthcare staff that he had refused food and fluids for the previous two days. The evidence demonstrated that this information was not escalated in accordance with established policy which meant that Mr Irvine's food and fluid intake was not adequately or at all monitored by prison wing staff. ”
    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 Recipient name withheld; that does not assign responsibility.

    PFD Monitor interpretation

    Lack of a formal process to monitor prisoners’ meal collection and food and fluid intake

    Wider context from the report

    “As to food and fluid monitoring generally and notwithstanding the availability of internal policies mandating necessary action in cases of known food and fluid refusal, evidence from prison officers at inquest was to the effect that no formal policy existed to monitor and identify whether a prisoner had collected their meal and so had necessary sustenance at least available to them. The absence of such policy was identified by the Prison and Probation Ombudsman during its investigation as to the circumstances of Mr Irvine's death and this formed a recommendation within the Ombudsman's report. HMP Durham's response to this recommendation was the introduction of process and form to record instances when a prisoner failed to collect their meal as a means of monitoring their intake. Evidence from a prisoner Governor was to the effect that she was not aware that such a process or form was in use at any other establishment within the nationwide secure estate, enquiries having been made to substantiate this. The concern is that other such establishments operate without the advantage of the safeguard now employed at HMP Durham with the risk of future deaths occurring elsewhere evident. ”
    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