Swinfen Hall Prison

Justice · Prison or young offender institution

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First report 16 May 2024•Latest report 16 May 2024

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 Swinfen Hall Prison linked to the concerns in each report. Select any concern, action or position to view the source wording.

  1. Staffordshire and Stoke-on-Trent

    AI-generated summary

    Luke Mikael PEARCE · 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

    Luke Pearce was found hanging in his cell at HMP/YOI Swinfen Hall on 6 April 2023 and was pronounced dead after staff and paramedics performed CPR. The report identified delays in entering the cell, removing the ligature and starting CPR, and raised concerns that relevant emergency training and guidance, including the use of Code Blue and Code Red communications, was not being delivered to appropriate staff in a timely manner.

    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 Swinfen Hall Prison; that does not assign responsibility.

    PFD Monitor interpretation

    Failure to provide timely training and guidance on the appropriate use of Code Blue and Code Red communications during a medical emergency

    Wider context from the report

    “That relevant training and guidance to equip staff to understand when and how to enter a cell in a medical emergency, and the appropriate use of Code Blue and Code Red communications in a medical emergency, is not being delivered in a timely manner to appropriate 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 Swinfen Hall Prison; that does not assign responsibility.

    PFD Monitor interpretation

    Failure to provide timely training and guidance on entering a cell during a medical emergency

    Wider context from the report

    “That relevant training and guidance to equip staff to understand when and how to enter a cell in a medical emergency, and the appropriate use of Code Blue and Code Red communications in a medical emergency, is not being delivered in a timely manner to appropriate staff. ”
    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