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

CONTENTS
PART ONE: WHAT LED TO THE INQUIRY 1
Chapter 1 Sonny Lodge and an outline of the events when he was in
prison
Chapter 2 The inquiry and how it worked 9
PART TWO: THE EVENTS IN DETAIL 19
Chapter 3 Risley: 15 to 26 June 1998 20
Chapter 4 The incident at Whiston Hospital : 27 June 1998 24
Chapter 5 27 June to 9 July 1998: assessment at Warrington hospital;
Garth Prison
34
Chapter 6 F2052SH at Manchester Prison 39
Chapter 7 Life at Manchester Prison: transfers between wings and
Sonny Lodge’s claims of victimisation
43
Chapter 8 Sunday 23 August to the morning of Thursday 27 August 56
Chapter 9 Thursday 27 August: the incident after visits; the decision to
search Sonny Lodge’s cell
63
Chapter 10 After the search: the incident in the cell 72
Chapter 11 Friday 28 August: the day of Sonny Lodge’s death 83
PART THREE: THE ISSUES THE INQUIRY EXAMINED:
CONSIDERATION, FINDINGS AND
RECOMMENDATIONS
Chapter 12 Issues raised in the clinical review (1): clinical care;
identifying risk of suicide; the effect of a sense of
victimisation
Chapter 13 Issues raised in the clinical review (2): assessing prisoners’
fitness for adjudication and cellular confinement
Chapter 14 Safeguards against suicide and self-harm (1): Prison
Service policies and procedures
Chapter 15 Safeguards against suicide and self-harm (2): Consideration
and findings
Chapter 16 The inquiry’s consideration and findings about the incident
at Whiston Hospital and the Prison Service’s response to it.
Chapter 17 Transfers, wing and cell moves, and the wing-based
disciplinary system
Chapter 18 Was Sonny Lodge victimised? 142
Chapter 19 The search and the incident in the cell (1): consideration of
the decision to search the cell and the conduct of the search
147
vi
2
95
96
104
110
122
130
136