Simon John Turvey · Prevention of Future Deaths report

On 29/12/2015 I commenced an investigation into the death of Simon John Turvey, 27. The investigation concluded at the end of the inquest on 24 November 2016. The narrative conclusion of the inquest Jury was Suicide Simon Turvey was detained in HMP Woodhill. He was found hanging in his locked cell at 05.45am on 29/12/2015. He was declared dead by paramedics at 06.12am.He deliberately suspended himself by the neck in his cell using a towel which caused his death. The relevant processes in place at the time leading to Simon's death, were followed by the staff and this did not highlight any requirement for enhanced monitoring due to suicide risk. On the 28th December 2015 there were no indicators that Simon was at risk of suicide. The prison and healthcare authorities did not appear to be aware of a suicide risk for Simon. But due to a failure of the Personal Officer scheme, and the family not pro-actively made aware of how to share concerns, risk factors may have been missed.

The deceased was last seen alive when checked at 2046 28/12/15. Found hanging in cell at 0544 29/12/15 by a towel ligature secured to top rail of bunk. 3 notes left in cell. Not on an ACCT, no previous indications of suicidal ideation.

Concerns

1. That the details of the cause for concern line should be given to all visitor and family members so that they can easily report their concerns to the prison.