PFD report

Idris HABIB · Prevention of Future Deaths report

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Issued 24 Jan 2022•Mid Kent and Medway

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.

View original report
Concerns
4

Raised in this report

Recipients
2

Named on the report

Responses found
1

Of 2 recipients

Stated actions
2

Described in responses

Recipients and published responses

Source document

Full report text

This is the full text from the original published report.

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Concerns and recipient responses

Select any concern, action or position to view the source wording.

Concerns raised4

  1. Failure to align local roll-check policy with entry-level officer training
    Part of recurring concern: Unreliable prison roll-check procedures
  2. Failure to document welfare checks as having taken place
  3. Failure to ensure welfare checks are conducted without being overlooked
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.2

  1. Action

    Reinforce cell-clearance procedures, including medication security, intelligence reporting, and documented pre-occupancy checks.

    Stated by HM Prison and Probation ServiceStated completedThe respondent said that this action was complete when they made their response on 26 January 2022.
  2. Action

    Introduce an approximately 8am welfare check requiring staff to open cells, obtain verbal responses, record completion, and reinforce the process through notices and briefings.

    Stated by HM Prison and Probation ServiceStated completedThe respondent said that this action was complete when they made their response on 26 January 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 align local roll-check policy with entry-level officer training

Wider context from the report

“(2) There was a disconnect between HMP Swaleside's local policy and the Prison Officer Entry Level Training in respect of roll checks ”

Is this part of a recurring concern?

Yes — Unreliable prison roll-check procedures.

Open source report

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 document welfare checks as having taken place

Wider context from the report

“(3) That measures put in place following Mr. Habib's death to ensure welfare checks are conducted are not overlooked and are documented as having taken place ”

Is this part of a recurring concern?

No recurring-concern membership is currently published.

Open source report

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 ensure welfare checks are conducted without being overlooked

Wider context from the report

“(3) That measures put in place following Mr. Habib's death to ensure welfare checks are conducted are not overlooked and are documented as having taken place ”

Is this part of a recurring concern?

No recurring-concern membership is currently published.

Open source report

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 remove previous occupants' medication from cells

Wider context from the report

“(1) Medication from the previous occupant of cell B1-18 was found in the cell following the death of Mr Habib ”

Is this part of a recurring concern?

Yes — Failure to secure and control medication.

Open source report

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

Reinforce cell-clearance procedures, including medication security, intelligence reporting, and documented pre-occupancy checks.

Verbatim wording from the response

“In November 2021, HMP Swaleside issued a notice reminding staff of the process to be followed when undertaking cell clearance checks to ensure that any items belonging to previous occupants are removed before the next prisoner is moved to that cell. Any medication found should be placed into a security bag and an intelligence report must be submitted. The notice also reminded staff that a pre-occupancy check should be undertaken and documented before the cell is allocated to another prisoner. This process was also reinforced during staff briefings.”

Source location

2022-0020-Response-from-HMPPS_Published
Page 1 · response
Published 26 January 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

Introduce an approximately 8am welfare check requiring staff to open cells, obtain verbal responses, record completion, and reinforce the process through notices and briefings.

Verbatim wording from the response

“Since Mr Habib’s inquest, HMP Swaleside has introduced a welfare check that staff conduct at approximately 8am. Staff must open the cell door and ensure they gain a verbal response from the occupant so they can assure themselves of the prisoner’s wellbeing. The completion of the check must be recorded in the wing assurance book. Additionally, the prison has re-issued a notice to remind staff that they must satisfy themselves that the prisoner is alive and gain a verbal response when they complete welfare checks. This has also been highlighted during full staff briefings that take place three times a week.”

Source location

2022-0020-Response-from-HMPPS_Published
Page 2 · response
Published 26 January 2022

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

Data last updated 7 September 2026