PFD report

Carl Shaun Langdell · Prevention of Future Deaths report

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Issued 21 Oct 2022•West Yorkshire Eastern

Report record

Published report and response evidence

This page connects the concerns raised in this report with statements found in recipients’ published responses. A link shows a clear evidence connection; it does not assign responsibility.

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Concerns
1

Raised in this report

Recipients
2

Named on the report

Responses found
1

Of 2 recipients

Stated actions
4

Described in responses

Source document

Full report text

This is the full text from the original published report.

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Concerns and recipient responses

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Report evidence summary

Concerns raised1

  1. Failure to prevent prisoners at known chronic risk of suicide or self-harm from possessing items when alone in locked cells overnight
    Part of recurring concern: Inadequate control of access to means of self-harmPart of recurring concern: Ineffective prison suicide and self-harm prevention systems
Responses linked to these concerns

Each statement is shown once, even when linked to more than one concern.

Actions described in response An action is something a recipient says it has done, is doing, or plans to do in response to a concern raised.4

  1. Action

    Evaluate the pilots, including concerns, issues, and effects on violence and self-harm.

    Stated by HM Prison and Probation ServiceStated plannedThe respondent said that this action was planned when they made their response on 25 October 2022.
  2. Action

    Conduct estate-wide pilots testing alternatives to current wet-shave provision and associated control measures to identify improvements.

    Stated by HM Prison and Probation ServiceStated in progressThe respondent said that this action was in progress when they made their response on 25 October 2022.
  3. Action

    Make informed recommendations on future shaving provision in prison establishments based on the pilot evaluation.

    Stated by HM Prison and Probation ServiceStated plannedThe respondent said that this action was planned when they made their response on 25 October 2022.

Source evidence

How this individual concern was interpreted

PFD Monitor created a concise, searchable interpretation from the report wording shown below. Response links show a clear evidence connection; they do not assign responsibility.

PFD Monitor interpretation

Failure to prevent prisoners at known chronic risk of suicide or self-harm from possessing items when alone in locked cells overnight

Wider context from the report

“(2) He had been identified by a consultant psychiatrist as at “chronic risk of suicide attempts/self-harm attempts which is likely to remain due to the nature of his personality disorder”. (3) In January 2021 he was observed to be acting in a bizarre and agitated manner after refusing his prescribed medication for the previous month. (4) Despite this history and the known risk he was permitted under the prevailing ████████ rules at HMP Wakefield to be in possession of ████████ when alone in his locked cell overnight. ”

Is this part of a recurring concern?

Yes — Inadequate control of access to means of self-harm; Ineffective prison suicide and self-harm prevention systems.

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Source evidence

How this respondent action was interpreted

PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

PFD Monitor interpretation

Evaluate the pilots, including concerns, issues, and effects on violence and self-harm.

Verbatim wording from the response

“At a national level, we recognise the risks associated with the current ████████ provision and are actively seeking to identify improvements to the current provision. Throughout this year we have conducted several pilots across the prison estate, testing alternatives to the current wet shave provision and control measures in establishments. These pilots are due to conclude in the spring of 2023, at which time they will be evaluated”

Source location

Response from HM Prison and Probation Services
Page 1 · response
Published 25 October 2022

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Source evidence

How this respondent action was interpreted

PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

PFD Monitor interpretation

Conduct estate-wide pilots testing alternatives to current wet-shave provision and associated control measures to identify improvements.

Verbatim wording from the response

“At a national level, we recognise the risks associated with the current ████████ provision and are actively seeking to identify improvements to the current provision. Throughout this year we have conducted several pilots across the prison estate, testing alternatives to the current wet shave provision and control measures in establishments. These pilots are due to conclude in the spring of 2023, at which time they will be evaluated”

Source location

Response from HM Prison and Probation Services
Page 1 · response
Published 25 October 2022

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Source evidence

How this respondent action was interpreted

PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

PFD Monitor interpretation

Make informed recommendations on future shaving provision in prison establishments based on the pilot evaluation.

Verbatim wording from the response

“to consider any concerns or issues which may have arisen and measured against the impact they have had on violence and self-harm. This evaluation will enable us to make informed recommendations on future shaving provision in prison establishments.”

Source location

Response from HM Prison and Probation Services
Page 2 · response
Published 25 October 2022

Open published response

Source evidence

How this respondent action was interpreted

PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

PFD Monitor interpretation

Review the prison’s local policy governing the issue and return of the relevant hygiene items, including risk assessment and blade checks.

Verbatim wording from the response

“During the inquest, you heard evidence that following Mr Langdell’s death, the Governor ordered a review of the prison’s local ████████ policy and confirmed that it sets out the action that must be taken when staff issue ████████, which includes a risk assessment and staff ensuring they check that the blades are present when the razor is returned.”

Source location

Response from HM Prison and Probation Services
Page 1 · response
Published 25 October 2022

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Information checked against the published report and official responses · Data reviewed 7 Sep 2026 · About data quality and limitations

Official responses located
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Data last updated 7 September 2026