Recipient

Usk Prison

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First report 24 Nov 2015•Latest report 5 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 Usk Prison linked to the concerns in each report. Select any concern, action or position to view the source wording.

  1. Gwent

    AI-generated summary

    Ian Anthony Charles Miller · 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

    Ian Anthony Charles Miller was serving a term at HMP Usk and died by suicide in the prison on 21 September 2019 after being told he could not live at the family home or with his father-in-law, could not have unsupervised contact with his children, and might be homeless. The report raised concerns that prisoners were trading prescribed medication at HMP Usk and that unprescribed medication was being ingested, putting other prisoners’ lives at risk.

    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 Usk Prison; that does not assign responsibility.

    PFD Monitor interpretation

    Failure to secure and control prisoners’ prescribed medication

    Wider context from the report

    “1. The management of medication prescribed to prisoners. At post mortem examination the toxicologist determined that there were a number of drugs in Ian’s blood and urine that he had not been prescribed. The court was informed that at HMP Usk, all prisoners are required to be capable of managing their own medication. The medications are not kept in a locked facility. The evidence provided clearly indicated that prisoners were trading prescribed medication which had become a form of currency within the prison. Ian’s former cellmate indicated this practice was rife and indeed Ian bought medication from other prisoners. Evidence was heard from the Governor / Head of Safety at HMP Usk who informed the court that he was not aware of this practice, and it appears this was also not known by the prison officers. The court was informed that there is a system of randomised checks in place within the prison to attempt to determine whether prisoners are appropriately managing their medication, however prisoners have clearly found ways around this. Whilst the ingestion of unprescribed medication did not contribute to Ian’s death, this practice, if left unchecked, clearly puts the lives of other prisoners at risk in the future. ”
    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 Usk Prison; that does not assign responsibility.

    PFD Monitor interpretation

    Ineffective randomised checks of prisoners’ medication management

    Wider context from the report

    “1. The management of medication prescribed to prisoners. At post mortem examination the toxicologist determined that there were a number of drugs in Ian’s blood and urine that he had not been prescribed. The court was informed that at HMP Usk, all prisoners are required to be capable of managing their own medication. The medications are not kept in a locked facility. The evidence provided clearly indicated that prisoners were trading prescribed medication which had become a form of currency within the prison. Ian’s former cellmate indicated this practice was rife and indeed Ian bought medication from other prisoners. Evidence was heard from the Governor / Head of Safety at HMP Usk who informed the court that he was not aware of this practice, and it appears this was also not known by the prison officers. The court was informed that there is a system of randomised checks in place within the prison to attempt to determine whether prisoners are appropriately managing their medication, however prisoners have clearly found ways around this. Whilst the ingestion of unprescribed medication did not contribute to Ian’s death, this practice, if left unchecked, clearly puts the lives of other prisoners at risk in the future. ”
    Open source report

  2. Gwent

    AI-generated summary

    Thomas Byron Black · 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 Byron Black collapsed and reported feeling unwell while in HMP Usk, but prison officers did not seek medical advice over the weekend. He later deteriorated after collapsing again on 23 February 2015 and was pronounced dead in hospital; the stated medical cause was pulmonary thrombo-embolus associated with deep vein thrombosis and Factor V Leiden mutation.

    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 Usk Prison; that does not assign responsibility.

    PFD Monitor interpretation

    Failure to seek medical advice when a prisoner is apparently unwell

    Wider context from the report

    “Prison staff did not seek medical advice when it was apparent that Mr. Black was unwell. ”
    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