Recipient

Spring Hill Prison

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First report 5 Dec 2014•Latest report 5 Dec 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 Spring Hill Prison linked to the concerns in each report. Select any concern, action or position to view the source wording.

  1. Buckinghamshire

    AI-generated summary

    Peter Harry Mackie · 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

    Peter Harry Mackie, a prisoner at HMP Springhill, was found hanging in the prison chapel on 28 December 2013 and was declared deceased. The inquest concluded that he took his own life while the balance of his mind was disturbed. Concerns included the availability and deployment of first aiders and healthcare staff across the prison sites, and a lack of clarity about when CPR should be commenced and what action untrained staff should take.

    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 Spring Hill Prison; that does not assign responsibility.

    PFD Monitor interpretation

    Lack of clarity for untrained staff about what action to undertake during a suspected cardiac arrest

    Wider context from the report

    “(3)It appears that there is not currently any guidance to staff as to when CPR should be commenced. This applies to CPR trained staff. For those without such training there is a lack of clarity as to what if any action they should undertake. ”
    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 Spring Hill Prison; that does not assign responsibility.

    PFD Monitor interpretation

    Healthcare staff cover unavailable across both prisons because staff are co-located and delayed when moving between sites

    Wider context from the report

    “(2)There are usually two contracted healthcare staff available during daytimes but they work together and are therefore either on one site or the other. Staff are inevitably security delays in moving between the two prisons and the possibility of splitting this cover was raised in the evidence. ”
    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 Spring Hill Prison; that does not assign responsibility.

    PFD Monitor interpretation

    Lack of guidance for CPR-trained staff on when to commence CPR

    Wider context from the report

    “(3)It appears that there is not currently any guidance to staff as to when CPR should be commenced. This applies to CPR trained staff. For those without such training there is a lack of clarity as to what if any action they should undertake. ”
    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 Spring Hill Prison; that does not assign responsibility.

    PFD Monitor interpretation

    Insufficient availability of trained first aiders across the site, including at night

    Wider context from the report

    “(1) Despite improvements during 2014 concerns remain as to the overall numbers of first aiders available on the Springhill site at any time including at night. A first aider on the Grendon site is unlikely to be able to respond in time due necessary security moving from a closed estate to an open prison. This applies in respect of those trained to “First aid at work (FAW) and Emergency First aid at work (EFAW). Operational needs may deplete numbers with FAW and/or EFAW by transferring them to the closed part of the overall site. ”
    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