Stonham BASS

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First report 20 Mar 2017•Latest report 20 Mar 2017

Reports, concerns and published responses

Reports over time

Reports naming this recipient by issue year.

* 2026 is projected from reports observed to 7 Sep 2026.

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

Concerns and recipient responses

Statements from Stonham BASS linked to the concerns in each report. Select any concern, action or position to view the source wording.

  1. Exeter and Greater Devon

    AI-generated summary

    James Aran Spencer · 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

    James Aran Spencer died from multiple drug toxicity after self-injecting illegal street drugs following a prolonged period of abstinence. He was found in a drug-related collapse, but a support officer did not seek emergency medical assistance, and the report raised concerns about inadequate first-aid, drug-awareness and mandatory training for staff.

    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 Stonham BASS; that does not assign responsibility.

    PFD Monitor interpretation

    Failure to provide mandatory induction training for support officers responding to drug-related collapse

    Wider context from the report

    “The deceased was found in a classic posture of drug-related collapse, but no action was taken due to inadequate training – “mandatory training” had not been given at the time of induction. Support officers working in this role will be likely to encounter this type of situation in a vulnerable population of recently released prisoners, and it is well recognised that the user's tolerance will have decreased after a period of withdrawal and therefore the risk of death significantly increases. The induction policy, the quality of induction of staff and ongoing training updates should all be considered to ensure better awareness of officers, and better safety for residents. ”
    Open source report
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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