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Inquest touching upon the death of RH Concludes

05/07/2024

The Inquest touching upon the death of RH concluded at Pontypridd Coroner’s Court on 2 July 2024. The jury, having heard evidence from 32 witnesses, concluded that RH died by “ligaturing himself in circumstances where his intention could not be ascertained”.

On 15 September 2021, RH was recalled to prison for breach of license. Whilst in police custody, RH stated that he would kill himself if he was returned to prison. The comments were documented and a suicide and self-harm marker was placed on RH’s records that accompanied him to prison.

On return to prison, following assessments made by both prison and healthcare staff, RH was not placed on an ACCT (Assessment, Care in Custody and Teamwork plan) as he was not deemed to be at risk of suicide and/or self-harm. RH was referred to the in-reach mental health team who carried out regular reviews during his incarceration.

In the early hours of 1 October 2021, RH was discovered ligatured in his cell by prison staff and following failed resuscitation attempts was pronounced dead.

The Inquest, lasting seven days, considered evidence on issues such as: the nature of the prison and healthcare regime; whether an ACCT should have been opened by prison and/or healthcare staff; and the nature and quality of the healthcare provided to RH.

No adverse findings were made against the prison or the health board.

Myles Grandison, instructed by Judith Sabel, represented the Ministry of Justice.

Daniel Walker, instructed by Kamila Kubryn, represented the Cardiff & Vale University Health Board.

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