Investigation and inquest
Inquest into the death of Blaise Francis Farry
Circumstances of the death
Mr Farry died as a result of hanging himself from a ligature made from a bed sheet suspended from the window at 1637 on the 19th January 2013. The Jury recorded a Conclusion of “Suicide – inadequate exchange of information between healthcare and prison staff in the weeks leading up to Mr Farry’s death”
Coroner’s concerns
Evidence heard that indicated that staffing levels were insufficient to allow for a nominated Officer scheme to be instituted. The Prisons Ombudsman had made previous reports identifying the need for such a scheme but HMP Wormwood Scrubs had not instituted it.