PFD report

Nicola Jayne Lawrence · Prevention of Future Deaths report

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Issued 23 Oct 2018•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
1

Named on the report

Responses found
1

Of 1 recipient

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 raised1

  1. Lack of cardiopulmonary resuscitation training for some prison staff
    Part of recurring concern: Failure to ensure staff competence in resuscitation
Responses linked to these concerns

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

Respondent positions A position is what a recipient says about a concern when it does not describe a specific action.1

  1. Position

    Risk-assessed staffing levels provide sufficient emergency first-aid response, and CPR training for all prison staff is not mandated.

    Stated by HM Prison and Probation ServiceExisting arrangements considered sufficientThe respondent said that existing arrangements were sufficient, so no further action was needed.

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

Lack of cardiopulmonary resuscitation training for some prison staff

Wider context from the report

“(1) Some Prison staff had not received any cardiopulmonary resuscitation training. Either as part of initial training or any refresher training. Evidence was received that good quality CPR within the first few minutes of those who stopped breathing or heart stopped was critical. ”

Is this part of a recurring concern?

Yes — Failure to ensure staff competence in resuscitation.

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Source evidence

How this respondent position was interpreted

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

PFD Monitor interpretation

Risk-assessed staffing levels provide sufficient emergency first-aid response, and CPR training for all prison staff is not mandated.

Verbatim wording from the response

“You may be aware that our approach is set out in PSI 29/2015 First Aid, which does not mandate first aid training for all staff, but requires Governors of public sector prisons to ensure that there are at all times sufficiently trained first aiders available. The appropriate number must be determined by conducting a first aid risk assessment, and first aiders must be trained to levels which are appropriate to the circumstances - to either First Aid at Work (FAW) level or Emergency First Aid at Work (EFAW) level.”

Source location

2018-0318-Response-by-HM-Prison-Probation-Service
Page 2 · response
Published 23 February 2019

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Other statements in published responses

These actions and other statements could not be clearly connected to one concern in this report.

Recipient-stated actions An action is something a recipient says it has done, is doing, or plans to do in response to a concern raised.2

  1. 1

    Issue a notice reminding trained first-aid staff to respond promptly to emergencies.

    Stated by HM Prison and Probation ServiceStated completedThe respondent said that this action was complete when they made their response on 23 February 2019.
  2. 2

    Review first-aid staffing requirements, including staff grades, numbers trained and duty coverage throughout the day.

    Stated by HM Prison and Probation ServiceStated completedThe respondent said that this action was complete when they made their response on 23 February 2019.

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

Issue a notice reminding trained first-aid staff to respond promptly to emergencies.

Verbatim wording from the response

“In April 2018, a notice was issued by the Governor to all staff trained in first aid reminding them of the importance of responding promptly to an emergency.”

Source location

2018-0318-Response-by-HM-Prison-Probation-Service
Page 2 · response
Published 23 February 2019

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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

Review first-aid staffing requirements, including staff grades, numbers trained and duty coverage throughout the day.

Verbatim wording from the response

“The Governor at HMP New Hall has reviewed the band/grade and number of staff who need to be trained in first aid, and the number of such staff required on duty at times throughout the day. The prison currently has 40 staff trained in FAW and 48 in EFAW, and these numbers are considered to be sufficient to ensure that an appropriate response can be provided in any emergency situation that may arise at any time.”

Source location

2018-0318-Response-by-HM-Prison-Probation-Service
Page 2 · response
Published 23 February 2019

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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