In June 2014 HM Inspectorate of Prisons published the Thematic Report of the Review of the Implementation of the Zahid Mubarek Inquiry recommendations. The report found that lessons from deaths in custody had not always been effectively acted on or recommendations implemented. It stated that “the usual prison forum for discussing deaths in custody is the Safer Custody Committee but we often find no, or inconsistent, discussion at these meetings. Completion of actions too often relies on a notice or instruction to staff with no means of ensuring that all staff read it or understand their role in the implementation of recommendations. We are not always confident that recommendations are consistently reinforced where necessary”

Leave a Comment