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Report of the Inquiry into the circumstances of the Death of Bernard ...

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prompted special protection. Consequently, judgments were made not to open an<br />

F2052SH in ignorance <strong>of</strong> material facts that ought to have been known.<br />

22.19 I recommend that:<br />

166<br />

<strong>the</strong> Prison Service considers whe<strong>the</strong>r specific guidance might usefully be<br />

issued on <strong>the</strong> appropriate use <strong>of</strong> prisoners’ history sheets, in particular so<br />

that:<br />

- information affecting a prisoner’s custody and care is reliably<br />

recorded in his or her personal record; and<br />

- it is referred to when prisoners change locations or o<strong>the</strong>r<br />

significant events occur;<br />

<strong>the</strong> Prison Service considers issuing specific advice about recording<br />

information received from family, friends or outside agencies that a<br />

prisoner may be at risk <strong>of</strong> suicide or self-harm.

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