SaulAlexanderALTALv053FCompleteBundle (1) (6)
This is the evidence provided by Richard Travers HM Senior Coroner for Surrey for the PUBLIC inquest on the death of my son Mr Saul Altal/Turner in prison custody. Upcoming PIR hearing December 18th 2020 at 10.30 @ Surrey Coroners Court.
This is the evidence provided by Richard Travers HM Senior Coroner for Surrey for the PUBLIC inquest on the death of my son Mr Saul Altal/Turner in prison custody. Upcoming PIR hearing December 18th 2020 at 10.30 @ Surrey Coroners Court.
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Bundle prepared at uk.caselines.com
Index
A: Coroner's Documents
Page Document Date
A1 - A7 Dr R Chapman - PM Report 07
September
2020
A8 - A11 S Turner - Toxicology Report 07
September
2020
A12 - A21 SECAmb - Electronic Patient Records 07
September
2020
B: HMP Downview
C: CNWL
Page Document Date
C1 - C216 SystmOne Records 08
September
2020
D: PPO
Page Document Date
D1 - D21 PPO Report - Clincial Review 07
September
2020
D22 - D38 PPO Report - Report 07
September
2020
D39 - D46 Transcript of Interview - Gary Stevens 07
September
2020
D47 - D54 Transcript of Interview - Jason Willis 07
September
2020
D55 - D56 Note of Interview - Francois Victoire 07
September
2020
D57 - D58 Note of Interview - Kerry Martin 07
September
2020
D59 Note of Interview - Jack Ripley 08
September
2020
D60 - D61 Note of Interview - Tommy Gurney 07
September
2020
E: Surrey Police
Page Document Date
E1 - E2 Statement - Anna Bakht 07
September
2020
E3 - E5 Statement - Helen Bedford 07
September
2020
E6 - E8 Statement - Sarah Henderson 07
September
2020
E9 Statement - Christopher Sailes 07
September
2020
E10 - E11 Statement - Claire Franklin 07
September
2020
E12 - E13 Statement - Dorian Rodger 07
September
2020
E14 - E17 Statement - Gary Stevens 07
September
2020
E18 - E20 Statement - Jason Willis 07
September
2020
E21 - E23 Statement - Jessica Gardener 07
September
2020
E24 - E27 Statement - Ross Rigby 07
September
2020
E28 - E29 Statement - Simon Triptree 07
September
2020
E30 - E31 Statement - Sophie Marshall 07
September
2020
E32 - E39 SPR PHOTO 01 – photos of cell and deceased 07
September
2020
E40 - E64 Surrey Police - ICAD 07
September
2020
E65 Turner medical notes 1 07
September
2020
E66 Turner medical notes 2 07
September
2020
E67 Turner medical notes 3 07
September
2020
E68 - E92 Turner medical Patient Summary 07
September
2020
5ef82dece5334fb699030dea72a857d45ef82dece5334fb699030dea72a857d4-1
A1
Dr. R.C. Chapman MB ChB FRCPath DMJ(Path) FFFLM
Statement of
STATEMENT OF WITNESS
(Section 9 Criminal Justice Act 1967 and Rule 16.2 Criminal Procedure Rules)
Age of Witness Over 18
Occupation of Witness
Address
Robert Charles Chapman
MB ChB ,FRCPath, DMJPath, FFFLM
Consultant Forensic Pathologist
Forensic Pathology Services
Aspect House, Grove Business Park,
Wantage, Oxfordshire OX12 9FA
FPS
Forensic Pathology Services
Aspect House
Grove Business Park
Wantage
Oxfordshire
OX12 9FA
Tel: 01235 773332
Fax: 01235 773330
O Biedrzycki
N R B Cary
R C Chapman
A W Fegan-Earl
A J Kolar
S M Poole
B Swift
Consultant: M P Cieka
Consultant: V Fitzpatrick-Swallow
Consultant: B Lockyer
Consultant: M S Lyall
Consultant: C Randall
This statement, consisting of 7 pages signed by me, is true to the best of my knowledge
and belief and I make it knowing that, if it is tendered in evidence, I shall be liable to
prosecution if I have wilfully stated in it anything which I know to be false or do not believe
to be true.
Qualifications and Experience
Dated: 4 th June 2020
Signed …………………………..
Signature witnessed by ………………………………
I hold the degrees of Bachelor of Medicine and Bachelor of Surgery. I am a Fellow of the
Royal College of Pathologists and I hold the qualification of Diploma in Medical
Jurisprudence in Pathology. I am a Fellow of the Faculty of Legal and Forensic Medicine.
I have been a Forensic Pathologist since 1988, previously holding Senior Lecturer and
Consultant posts in teaching hospitals within London. I currently practise as a full-time
Consultant Forensic Pathologist within a practice of 7 partners. My ongoing experience
includes the full range of general forensic pathology and the investigation of sudden and
suspicious deaths on behalf of the Coroners and Police Services of the London and Home
Counties regions. I teach both senior and junior police officers and forensic scientists
regarding scene examination and about forensic pathology in broad terms. I participate
in seminars associated with my specialty. I maintain membership of various learned
societies including the British Association in Forensic Medicine, the Forensic Science
Society and the Royal Society of Medicine.
A1
5ef82dece5334fb699030dea72a857d4-2
A2
20-S-0082 Saul Alexander Altal (Prev TURNER Saul)
Page 2 of 7
Declaration
I understand that I owe an overriding duty to the Court to provide independent assistance,
to the Court, by way of unbiased opinion in relation to the matters within my expertise and
that such advice must be uninfluenced by the exigencies of the case. I have complied
with, and will continue to comply with, my duty to the Court.
I confirm that I have read guidance contained in a booklet known as Disclosure: Expert's
evidence and unused material which details my role and documents my responsibilities,
in relation to revelation as an expert witness. I have followed the guidance and recognise
the continuing nature of my responsibilities of revelation. In accordance with my duties of
revelation, as documented in the guidance booklet, I:-
a. confirm that I have complied with my duties to record, retain and reveal material
in accordance with the Criminal Procedure and Investigations Act 1996, as
amended;
b. have compiled an Index of all material. I will ensure that the Index is updated
in the event I am provided with or generate additional material;
c. that in the event my opinion changes on any material issue, I will inform the
investigating officer, as soon as reasonably practicable and give reasons.
POST MORTEM REPORT
20-S-0082/RC.jf 4 th June 2020
On 11 th February 2020 I attended the Mortuary of the Royal Surrey County Hospital,
Guildford, where I was briefed concerning the death of:
Saul Alexander ALTAL (Prev. TURNER Saul) – Age 36 years
Date of Birth: 08/12/1983
CIRCUMSTANCES
Prior to my examination I received a Coroner’s Officer’s history and a briefing from
Officers present. This was preliminary information and may therefore be incomplete or
contain errors.
It is understood this man died on 6 th February 2020 at 09.35 hours. He was a prisoner at
High Down Prison. It is understood that he had been found in the top bunk of a shared
cell. The covers were up around his body and head and his head had been turned to the
Signature………………………………………Signature of Witness………………………….
A2
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20-S-0082 Saul Alexander Altal (Prev TURNER Saul)
Page 3 of 7
right. He had been in the cell for approximately 16 hours with a new cell mate. According
to the cell mate he had been retching. There was no disturbance of the cell to suggest a
fight. A PC observed apparent discoloration around the neck a burst blood vessel in the
eye. SOCO attended and his neck, face and finger nails were swabbed at the scene and
his clothing obtained.
It is believed he had been at the prison since 8 th January. He had been in healthcare for
the previous two weeks for assessment and poor mood. He had been transferred out of
healthcare on 5 th February 2020 and moved to the current cell house block. He had been
in the cell overnight until being found unresponsive by prisoners and staff. He had been
discharged from the healthcare with no issues raised.
POST MORTEM EXAMINATION
Those present at the examination included:
Darren Kirby
DS Holly Say
Rachel Graham
Gemma Rance
Keeley Harvey
Coroner’s Officer
Senior SOCO
SOCO
SOCO
My examination commenced at 11.20 hours.
Receipt of body:
EXTERNAL EXAMINATION
The body was received within a body bag, sealed with a tag RA/13 and label reading,
‘BELIEVED SAUL TURNER 8/12/83’.
There were the following further external observations:
The body was that of an adult male, 170cm (approximately 5ft 7in) in height and 71kg
(approximately 11st 3lb) in weight. He was clad only in boxer shorts. The body surface
appeared clean with no signs of contamination.
There were defibrillator pads on the trunk, in the right upper chest and left lateral chest
positions. There were ECG pads on his shins x 2.
The head hair was brown with areas of greying, approximately 4cm in length. The eyes
were unremarkable and no petechiae or other haemorrhages were seen within the
conjunctivae of the eye lids or sclerae. There were no petechiae in the face or neck.
Signature………………………………………Signature of Witness………………………….
A3
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20-S-0082 Saul Alexander Altal (Prev TURNER Saul)
Page 4 of 7
There was a tattoo reading ‘MOTHER’ on the left upper chest and of ‘ELLA’ on the right
forearm.
The finger nails had been recently trimmed and were approximately 1mm in length at their
free margins. They appeared clean.
The anus appeared slightly dilated but there was no evidence of injury and no drugs or
packages were concealed.
There were the following post mortem changes:
There was hypostasis on the back of the body. The body was in full rigor mortis. There
was early decomposition with greening discoloration of the abdominal wall.
There were the following marks of injury:
There were no external marks of injury.
There were the following older features:
There was an old linear scar to the back of the left calf.
Head & Neck
INTERNAL EXAMINATION
Reflection of the scalp revealed no evidence of bruising or other injury. The skull was
intact. The brain coverings were healthy. The brain was of normal external appearances.
No evidence of intracranial bleeding was seen. Serial coronal sections of the brain
showed no evidence of focal natural disease or injury. Cerebral blood vessels were of
normal distribution and appeared healthy.
The facial soft tissues were dissected. There was no deep bruising or bony injury.
The lips were healthy. The dentition was natural and undamaged. There was no bruising
to the tongue.
The neck structures were dissected in layers following removal of cranial and thoracic
contents. The soft tissues showed no evidence of bruising or other injury. The hyoid
bone and laryngeal cartilages were intact. The vessels of the neck were healthy.
Trunk
There was no bruising to the anterior or lateral chest walls. The ribs and sternum were
intact. The pleural linings of the chest were unremarkable. The lungs appeared
Signature………………………………………Signature of Witness………………………….
A4
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20-S-0082 Saul Alexander Altal (Prev TURNER Saul)
Page 5 of 7
congested and oedematous. Some froth material was present in the trachea and bronchi.
The coronary vessels were clear.
The pericardium was healthy. The heart was of normal overall size and weight. Left
ventricular wall thickness measured 1.1cm; the right ventricular wall thickness 0.4cm.
The atria and ventricles were of normal configuration. The heart valves were of normal
size and appearance. The coronary arteries were of normal anatomical course. The
proximal part of the left anterior descending branch of the left coronary artery showed pinpoint
occlusion by firm atheroma. There was a possible thrombus (histology) within the
remaining lumen of this vessel. The circumflex branch of the left coronary artery and the
right coronary artery were fully patent throughout. The myocardium of the left and right
ventricles appeared healthy. The aorta was healthy and free of atheroma.
Abdomen
The oesophageal lining was normal. The stomach contained a quantity of rice and fluid
material. The small and large bowels were unremarkable. The peritoneal cavity was
moist.
The liver was of normal size and appearance. The gall bladder was healthy. The
pancreas was unremarkable.
The spleen was large and firm. There was no lymphadenopathy.
The kidneys were of normal size. Capsules stripped readily. Good cortical width present.
Ureters healthy. The bladder contained approximately 30ml of clear urine.
The prostate gland appeared normal. The testes showed no evidence of injury or natural
disease.
The adrenal glands appeared healthy.
The following organ weights were obtained:
Brain: 1325g Liver: 1831g
Heart : 323g Spleen: 329g
Right Lung: 897g Right Kidney: 185g
Left Lung: 789g Left Kidney: 162g
Exhibits:
My examination was completed at 12.20 hours when the following exhibits were handed
to the exhibits officer:
Signature………………………………………Signature of Witness………………………….
A5
5ef82dece5334fb699030dea72a857d4-6
A6
20-S-0082 Saul Alexander Altal (Prev TURNER Saul)
Page 6 of 7
RCC/1
RCC/2
RCC/3
RCC/4
RCC/5
RCC/6
RCC/7
RCC/8
RCC/9
Blue boxer shorts
Head hair toxicology
Vitreous humour
Blood for toxicology
Blood for toxicology
Urine
Stomach contents
Histology
Deep muscle tissue
Further investigations:
Toxicology:
I have seen a streamlined forensic toxicology report by Andrew Christopher Love. Post
mortem blood was analysed, and the substances 5F-MDMB-PICA and 5F-MDMB-PICArelated
substance were detected. Mirtazapine was also detected. There were no other
significant findings. In the urine, alcohol was detected at a concentration of 13mg per
100ml.
The toxicologist indicated that:
“The results showed that Mr ALTAL had used the synthetic cannabinoid 5F-MDMB-PICA
which belongs to a group of substances more commonly referred to as ‘Spice’ or ‘Mamba’.
It was not possible to say how much of the drug had been used or precisely when, but
the results could reflect relatively recent use and he may have been experiencing the
effects associated with this drug at the time of his death.” There is limited published
scientific information on the effects of this drug. Synthetic cannabinoids may be more
potent than herbal cannabis and effects include increased heart rate, vomiting,
breathlessness, agitation, convulsions, hallucinations and, in some instances, death. The
substance has become one of the more frequently reported synthetic cannabinoids and
has featured in clinical hospital admissions and in fatalities. The substance related to it
was probably a metabolite also detected in the blood. The drug Mirtazapine is an antidepressant
drug. Its concentration was not accurately measured but it appeared broadly
consistent with therapeutic use. Mr ALTAL was not under the influence of alcohol at the
time of his death. The alcohol in the urine may be residue of alcohol consumed at an
earlier time or it may have been produced post mortem.
Histology:
Eleven blocks of the major organs were retained for histological study. A section from
the proximal segment of the left anterior descending branch of the left coronary artery
shows an eccentric atheromatous plaque with virtual complete obliteration of the
remaining lumen by a recent thrombus. Sections of the myocardium showed no evidence
of established myocardial infarction or other pathology. Sections of lung showed marked
pigmented macrophages and patchy oedema. Sections of kidney and liver appeared
normal.
Signature………………………………………Signature of Witness………………………….
A6
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20-S-0082 Saul Alexander Altal (Prev TURNER Saul)
Page 7 of 7
CONCLUSIONS
1. Saul ALTAL was a 36-year-old man who was suffering with significant natural
disease. He had suffered a recent coronary artery thrombosis in one of the three
major epicardial vessels of his heart and this appeared to be the probable
mechanism of his death.
2. Toxicology analysis revealed the presence of the drug 5F-MDMB-PICA (“Spice”),
a synthetic cannabinoid, which has been associated with hospital admissions and
fatalities. Whilst there is limited information on the toxic effects of this drug, related
synthetic cannabinoids are associated with cardiac toxicity, hypertension,
arrhythmias and myocardial infarction. It appears likely that in this case, the
presence of the Spice had played a part in death by increasing heart rate and
myocardial ischaemia in a man with underlying coronary heart disease, and
increasing the risk of the development of a fatal arrhythmia in the presence of a
coronary artery thrombus.
3. I give as the cause of death:
1a
1b
Coronary Artery Thrombosis
Coronary Atheroma
2 5F-MDMB-PICA (Spice) Toxicity
Dr R C Chapman MB ChB, FRCPath, DMJ(Path), FFFLM
Home Office Registered Consultant Forensic Pathologist
Signature………………………………………Signature of Witness………………………….
A7
OFFICIAL (when complete)
fb1440975a9c4c76abd6525fbca67cb9fb1440975a9c4c76abd6525fbca67cb9-1
Streamlined Forensic Toxicology Report
SFR Stage 1 Forensic Result
Barcode
Relates to Saul TURNER Ref No:
Location / Venue
Date of Offence Found dead on 06/02/2020
Crime No: 45200014974
Custody / URN
Forensic Case
Ref:
Forensic Lab
Ref:
Scientist Andrew Christopher Love Report No: 01 Other Ref:
Case management - To the court and to the defence:
MG22 (b) SFR1
Page 1 of 4
20/01361/1
EFS-20043321-
CTOX-01
The prosecution propose to rely on the forensic evidence contained in this SFR and if there is a trial, to adduce it by way of a s10
CJA 1967 admission to the general effect that the exhibit(s) listed were forensically examined and the examination produced the
result(s) described. Therefore should there be a real issue in relation to the forensic evidence below, such that the admission cannot
be made, the prosecution ask that the defence identify the issue (Crim.PR.3.3 and Crim.PR 19.3(2)).
If this report contains expert evidence, then, in accordance with CPR 19.3(2), the defence is required to serve a response to this
report as soon as practicable, and in any event not more than 14 days after service of the report setting out which, if any of the
conclusions in this report are admitted as fact, and where a conclusion is not admitted what are the disputed issues concerning that
conclusion.
This SFR is not a witness statement to which the provisions of s9 CJA 1967 and Crim.PR 16 apply, nor is it an expert's report to
which the provisions of Crim. PR 19.4 apply, its purpose being to introduce any expert evidence contained therein as admitted fact. If
this SFR contains expert opinion, it is a summary of that opinion served pursuant to Crim. PR 19.3(1)
SFRs assist courts to fulfil their duty to actively manage the case (Crim.PR 3.1) by ensuring that evidence is presented in the shortest
and clearest way and by facilitating the early identification of the real issues. (Crim.PR 3.2). Each party must actively assist the court
in fulfilling its duty (Crim.PR 3.3).
Summary of Forensic Evidence: This report relates to the analysis of the submitted items for the presence of alcohol,
certain medication and a range of commonly abused drugs, including New Psychoactive Substances (NPS) and
synthetic cannabinoids, in order to determine whether or not any such substance played a role in the death of
Mr TURNER.
A8
Exhibit(s) Examined
RCC/4
PRESERVED BLOOD (taken at the postmortem
examination on 11/02/2020)
Results / Findings
The following substances were detected in the blood:
5F-MDMB-PICA
Detected
5F-MDMB-PICA-related substance Detected
Mirtazapine
Detected
No alcohol and none of the other substances listed under ‘Evidence Type /
Supporting Technical Information’ were detected in the blood.
RCC/6
URINE (taken at the post-mortem
examination on 11/02/2020)
Alcohol was detected in the urine at a concentration of 13 milligrams per
100 millilitres (mg%)
CONCLUSIONS:
1. The results show Mr TURNER had used the synthetic cannabinoid, 5F-MDMB-PICA which belongs to a group
of substances more commonly referred to as ‘Spice’ or ‘MAMBA’. I am unable to say how much of this drug
had been used, or precisely when it was used, but the results could reflect relatively recent use and if this were
the case he may have been experiencing effects associated with 5F-MDMB-PICA at the time of his death.
There is limited published scientific information on the effects of 5F-MDMB-PICA but it has generally been
reported that synthetic cannabinoids may be more potent than herbal cannabis and effects include increased
heart rate, vomiting, breathlessness, agitation, convulsions, hallucinations and in some instances death.
5F-MDMB-PICA is one of the more frequently reported synthetic cannabinoids to have more recently emerged
12/2015 OFFICIAL (when complete)
A8
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OFFICIAL (when complete)
12/2015 OFFICIAL (when complete)
MG22 (b) SFR1
Page 2 of 4
and has featured in fatalities and clinical admissions. A substance related to 5F-MDMB-PICA, most likely a
metabolite, was also detected in the blood.
2. Mirtazapine is an antidepressant drug prescribed in the treatment of major depression. Reported side effects
include dry mouth, drowsiness and dizziness. Although the concentration of mirtazapine was not accurately
measured it appeared broadly consistent with therapeutic use and I am informed that Mr TURNER was
prescribed this medicine.
3. No alcohol was detected in the blood and therefore Mr TURNER was not under the influence of alcohol at the
time of his death. A very low concentration of alcohol was detected in the urine and may be the residue of
alcohol consumed at an earlier time. Alternatively alcohol may also be produced post-mortem by
microbiological action and this could be the source for the alcohol detected.
4. None of the other substances listed under ‘Evidence Type / Supporting Technical Information’ were detected
and their involvement in the death of Mr TURNER can be ruled out.
The above conclusions are a summary of the findings and a brief interpretation. Further details and/or
interpretation can be provided upon request.
Evidence Type / Supporting Technical Information:
These results are assumed to reflect the situation at the time Mr TURNER died, notwithstanding any post-mortem
changes.
The preserved blood and the urine were both analysed for the presence of alcohol (this test may also detect other
volatile substances).
The preserved blood was analysed for the presence of the following range of drugs of abuse and medicines:
Amphetamine and methylamphetamine related substances (amphetamine, ephedrine/pseudoephedrine,
methylamphetamine, methylenedioxyamphetamine (MDA), methylenedioxymethamphetamine (MDMA, "Ecstasy"),
para-methoxyamphetamine (PMA), para-methoxymethamphetamine (PMMA)); piperazines (benzylpiperazine (BZP),
chlorophenylpiperazine (CPP), trifluoromethylphenylpiperazine (TFMPP)); cathinone and related substances (butylone,
mephedrone, methylenedioxypyrovalerone (MDPV), methylethcathinone, methylone, naphyrone, pentylone); cocaine;
cannabis (herbal/resin); ketamine; opiate/opioid analgesics (buprenorphine, codeine, dextropropoxyphene,
dihydrocodeine, fentanyl, heroin, methadone, morphine, oxycodone, oxymorphone, pethidine, pholcodine, tramadol);
benzodiazepine drugs (alprazolam, chlordiazepoxide, clonazepam, diazepam, flunitrazepam, lorazepam, midazolam,
nitrazepam, oxazepam, phenazepam, temazepam); sedative hypnotics (zaleplon, zolpidem, zopiclone);
antidepressants (amitriptyline, citalopram, desipramine, dosulepin, duloxetine, fluoxetine, fluvoxamine, imipramine,
mirtazapine, nortriptyline, paroxetine, sertraline, trazodone, venlafaxine); antipsychotics (chlorpromazine, clozapine,
olanzapine, quetiapine); antihistamines (chlorphenamine, cyclizine, diphenhydramine, hydroxyzine, promethazine);
antihypertensives (atenolol, propranolol); anticonvulsant (lamotrigine); procyclidine. The preserved blood was also
screened for the following chemically ‘acidic’ drugs (diclofenac, furosemide, ibuprofen, naproxen, paracetamol, salicylic
acid (the major metabolite of aspirin), and warfarin).
An aliquot of the preserved blood sample was sent to LGC Limited and analysed using liquid chromatography-high
resolution accurate mass spectrometry (LC-HRAM) which can detect several hundred substances and many new
psychoactive substances (NPS), including fentanyl derivatives and synthetic cannabinoids.
The analysis includes those substances listed in the relevant panels within the Police Contracts. This is not exhaustive
and tests for other substances can be undertaken if required.
General toxicology technical information is available from the Forensic Service Provider
Report provided
by
Role/Registration
No:
Andrew Christopher Love Provider/Force/Unit Eurofins Forensic Services
Toxicologist
Important CPS:
Where real issue(s) are identified and if additional forensic
work is necessary, please notify the agreed Force contact
in writing, listing the issue(s) to be further addressed.
Date of
Report
Forensic
Contact
Details
02/04/2020
The Police Criminal Justice Unit
A9
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fb1440975a9c4c76abd6525fbca67cb9-3
OFFICIAL (when complete)
Police / Courts
Further work will normally take 28 working days to produce from receipt of request.
MG22 (b) SFR1
A10
Page 3 of 4
12/2015 OFFICIAL (when complete)
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fb1440975a9c4c76abd6525fbca67cb9-4
OFFICIAL (when complete)
MG22 (b) SFR1
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Page 4 of 4
Streamlined Forensic Toxicology Report
SFR Stage 1 Forensic Result
Barcode
STATUS OF TOXICOLOGY RELATED EXHIBITS
Relates to Saul TURNER Ref No:
Location / Venue
Date of Offence Found dead on 06/02/2020
Crime No: 45200014974
Scientist
Andrew Christopher Love
Report
No:
Custody / URN
Forensic Case
Ref:
Forensic Lab
Ref:
01 Other Ref:
20/01361/1
EFS-20043321-
CTOX-01
Additional information / Evidence Type Technical Information:
NB: No further examinations will be carried out unless specifically required.
Please note that items received as part of this submission will be destroyed, retained or returned as stipulated by the
submitting force protocol.
Please note these exhibits relate only to other Toxicology exhibits submitted for analysis at the same time as those
shown in the SFR results and findings set out on Page 1
The prosecution will not ordinarily undertake further forensic analysis unless and until the exact issue that such
analysis needs to address has been identified; and only if, in light of that issue, it is appropriate that the next stage of
analysis should be undertaken by a prosecution rather than a defence expert. If appropriate a direction under CrimPR
3.5(2)(h) as to the order in which the expert issues should be determined may be sought.
Exhibits
RCC/3 VITREOUS HUMOUR
Status
Not analysed
NB: - The scientist does not accept responsibility for the sensitivity or otherwise of this material.
12/2015 OFFICIAL (when complete)
A11
2/10/2020 ePCR Full Case Summary
479a5dbb2c39468eacd7a67103f4d0bf479a5dbb2c39468eacd7a67103f4d0bf-1
ePCR Full Case Summary
Included In Case Data
Consent and
Capacity Primary Survey Observations
Incidentd
one Patient Event History
come
Clinical
Outcome
Secondary
Drugs
Impressions
Survey
Interventions Administered
Indicators Disposition/Out
Incident
Crew
Clinician 1 Clinician 2 Clinician 3 Clinician 4
Name H. Bedford
S. Henderson
ID 24112536 27268565 - -
- -
Emergency Care Support
Worker
Role Paramedic
Incident Details
Hmp Highdown
Prison
Vehicle ID 255 Location
K6AK34NR1097
(1097)
Male/36 YEARS
Case Label
Case Reference K6AK34NR1097 CAD Call Sign 255 Road Highdown Lane
CAD Daily ID 1097 Alerts - District -
- Town Sutton
Post-Dispatch
Instructions
CAD ID 34341771
Handover PIN 2691 Priority C1 Postcode SM2 5PJ
A12
02086427702
Scene Contact
Number
Type - Reported Condition Cardiac Arrest
A12
https://epcronline.secamb.nhs.uk/frmCaseSummaryFull.aspx?id=191225&guid=CF52DB32-26FA-4268-82E2-9B6E5681D99C&ro=-1&vehicletimings=0 1/10
2/10/2020 ePCR Full Case Summary
479a5dbb2c39468eacd7a67103f4d0bf-2
Incident Timings
-
Verbal
Handover
Leave Scene -
At Scene
09:10:00 06-
FEBRUARY-
Call Time
-
Hospital
Handover
At Destination -
2020
09:27:00 06-
FEBRUARY-
2020
At Patient
09:22:56 6-
FEBRUARY-
2020
09:10:23 6-
FEBRUARY-
2020
09:10:32 6-
FEBRUARY-
2020
Assigned
13:20:08 6-
FEBRUARY-
2020
- End Treatment - Clear
Start
Treatment
Mobile
Incident Notes
Onsite paramedic
Patient Details
ALLERGIES
NO KNOWN DRUG ALLERGIES
(NKDA)
Patient Details
Hmp Highdown
Prison
Title - Gender Identity Male Location
Forename Saul Telephone Number - Road Highdown Lane
Surname Turner Date of Birth 08-DECEMBER-1983 Town Sutton
NHS Number - Age 36 YEARS Postcode SM2 5PJ
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Medical History
Risk Factors
ALCOHOL, DRUGS,
SMOKING
Family History
-
Medical Conditions/PMHx
Alcohol dependence
Chronic depression
Suicidal thoughts
Deliberate self harm
Recreational drug use
Medication
MIRTAZAPINE
PARACETAMOL
Allergies
NO KNOWN DRUG
ALLERGIES
(NKDA)
Social History
Home Circumstances - Mobility - Religious A iation -
Needs - Employment - Ethnicity WHITE BRITISH
Support - Marital Status - Interpreter Required -
Package of Care/Level
of Support
- Sexual Orientation - Language -
Disability -
Persons With Patient
Building Road District Town Postcode Phone Language Interpreter
Relationshi
p
Title Forename Surname
020 8642
7702
Staff At
Location
MOJ
Anna Bakht
Next of Kin
Building Road District Town Postcode Phone Language Interpreter
Relationshi
p
Title Forename Surname
Cheryl PARTNER
Patient Details Notes
A14
Pt under GP's covering HMP highdown, no other NOK details known or given. Pt did have an 'act' in situ, providing mental health support, was
discharged from act 1/52 ago, by psychiatric doctor.
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Event History
Symptom Onset
Approximate
Time - Onset Time -
Cardiac arrest
Presenting
Complaint
Last Oral Intake -
pt found in bed on top bunk Under blanket, holding
blanket with both hands arms over torso, hands by
neck,lying supine. Cell mate left cell between 8.00 and
09.00, 08.55 2 x other prisoners, went in to cell and
found pt, noti ed o cers, code blue put out on prison
site at 09.09, prison guards moved pt on mattress from
top bunk to oor beside bunk beds in cell, nurse arrived
09.12, CPR started, and de b attached, on site
paramedic arrived at 09.15, decision to stop CPR made,
due to presence of hypostasis and rigor mortis, decision
con rmed with Highdown GP on site @ 09.18.
History of
Presenting
Complaint
Consent and Capacity
Consent
Yes
Share
Functional
Information - Impairment
Given No Treatment -
Mental Capacity
Patient given su cient appropriate information No Reasoning Patient deceased
Patient able to understand given information No Reasoning -
Patient able to have rational conversation including
No the pros and cons
Reasoning -
Patient able to retain information long enough to
No make a decision
Reasoning -
Patient is able to explain their decision using their
No own words
Reasoning -
Advanced statement present No
Advanced decision present No
Legal power of attorney in health/deputy present No
Safe to wait for capacity to return No Reasoning -
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Primary Survey
Catastrophic Haemorrhage Not Present -
-
Cervical Spine Normal -
Airway Normal -
Breathing Abnormal APNOEA
Circulation Abnormal ABSENT
Disability Abnormal UNRESPONSIVE
-
Exposure/Environment Normal -
Observations
NEWS
2
Pain
GCS
(E/V/
M)
AcVP
U
Pupils (mm)
BM
(mmol
/L)
Temp
o
( C)
BP
(mmH
g)
Pulse
Rhyth
m
HR
(/min)
PEFR
(l/min)
EtCO2
(kPA)
SpO2
(%)
Date/Time RR
(/min)
3
(1/1/
1)
0 0 L5 R5 U
10:03:00 06-FEBRUARY-
2020
Observation Notes
Full set of obs not recorded as pt deceased
Secondary Survey
Secondary survey notes
On crew arrival pt found on mattress (on cell oor), lying supine, clothed, under sheet. On site nurse and paramedic in cell with pt. On arrival
paramedic (Anna) explained they had made a decision to cease resuscitation attempt due to conditions unequivically associated with death.
Crew uncovered pt, completed 3 lead rhythm striP con rming asystole. rigor mortis Felt and witnessed by crew. no drug paraphernalia found in
cell, no apparent injuries or obvious wounds seen.
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Cardiac
Respiratory
11:02:00 06-FEBRUARY-2020
Details
SRNI True Clubbing - Oedema -
Lymph
nodes -
Jaundice - Cyanosis -
Anaemia -
Details
SRNI - ECG Rhythm ASYSTOLE
Oedema - Pulses RUL -
Bruits - RLL -
LUL -
LLL -
ECG Photo
Gastrointestinal
For Cardiac Assessment Recorded At: 11:02:00 06-FEBRUARY-2020
Details
SRNI True
Bowel
Sounds -
Pregnant -
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Urinary
Micturition Pain SRNI
Blood / Visual
haematuria
Frequency Colour Smell
- - - - - True
Obstetric and gynaecology
SRNI
True
Musculoskeletal/Injury assessment
Neurological
Details
Details
SRNI True Type - Burns % -
SRNI True
Tone -
Power -
Sensation -
Cranial
-
Nerve
Assessment
Impressions
Name Ordinal
Cardiac arrest
Interventions
Resuscitation
De brillation
A18
Date/Time Rhythm Shock (J) By
09:35:00 06-
ASYSTOLE 24112536 - H. Bedford
FEBRUARY-2020
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Clinical Outcome Indicators
Cardiac arrest details
COI EXCEPTIONS - Time of arrest unknown
Aetiology Arrest location
Precordial thump
administered
Time of arrest Time of arrest exceptions
TIME UNKNOWN UNKNOWN 97 OTHER
Bystander Crew Other HCP Other 999 None Details
Witnessed by None
09:12:00 06-
FEBRUARY-2020
CPR by Yes
Shock by None
Pre-arrival de b by Yes
ROSC by None
Disposition/Outcome
Conveyed
Handover
Verbal Handover Hospital handover Late reason Receiving name Handover PIN
2691
Non-conveyed
Reason
Recognition of life extinct (ROLE)
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ROLE
Date/Time By
09:35:00 06-FEBRUARY-
2020
24112536 - Helen Bedford
Resuscitation inappropriate
DNACPR/ReSPECT Advanced directive Terminal illness Condition incompatible with life
HYPOSTASIS, RIGOR MORTIS
Cessation of resuscitation
Other reason
20mins asystole despite
ALS
Asystolic Remained asystolic 30secs asystole
True True True False
Codes
Outcome disposition code Crew condition code Crew condition code 2
Z02 – Deceased - Handover to Police
(expected or unexpected death)
A00 - CARDIAC ARREST
Clinician sign off
Clinician Signature
Clinician Signature
27268565 - S.
Henderson
24112536 - H.
Bedford
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Disposition/outcome notes
Police o cer based at highdown concerned there may be suspicious circumstances, police requested, crew requested to stay on scene to
complete statements. Crew liased with CID on scene, case ref card and rythm stip given to o cers, statement taken from crew.
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Printed
409af26bccb2448dabacd1cf3d115e4f409af26bccb2448dabacd1cf3d115e4f-1
by TURNER, Steven (Mr) (Clerical Access Role)HMP Highdown 1 of 216
TURNER, Saul (Mr)
Client ID: A2425AM
Patient Record
TURNER, Saul (Mr) NHS Number: 719 122 2247
Date of Birth 08 Dec 1982 00:00 (37 y) Gender Male
Place of Birth UNKNOWN
Marital Status Single person Ethnic Origin White British
Language Main spoken language English English Speaker Unknown
(XaG5t)
Deceased 06 Feb 2020 09:35
Contact Details
Current Home Address HMP Highdown Highdown Highdown Lane Sutton
C1
16 Jan 2020 -
SM2 5PJ
Previous Home Address Hmp Yoi Grove Road Portland Dorset DT5 1DL 17 Sep 2018 - 12 Feb 2020
Current Temporary Address HMP Highdown Highdown Highdown Lane Sutton 16 Jan 2020 -
SM2 5PJ
Registration Details
Registration Date 08 Jan 2020 Date of Removal 06 Feb 2020
PDS Registered
Usual Branch HMP Highdown (02071476300)
Practice
Dispensing N Pharmacy None
Attendance Record
Last 12 Months (Total)
Appointments 34 (51) Attendance 33 (50) 97% (98%)
Visits 0 (0) 0% (0%) DNAs 1 (1) 2% (1%)
Journal
08 Dec 1982 Surgery: MIKOLAJCZUK, Beata (Healthcare Assistant) Entered at:
HMP Swaleside
Entered: 08 Oct 2015 05:34
Prescription or Medication details to Unknown
1996 Surgery: SKINNER, Margaret (Assistant Practitioner) Entered at:
HMYOI Portland
Entered: 25 Apr 2018 11:18
Tuberculosis (BCG) vaccination (653..) - While at school had BCG vaccine
2010 Surgery: FORSHAW, Karen (Administrator) Entered at: HMP
Elmley
Entered: 19 May 2011 09:16
Prescription or Medication details to unknown recipient
02 Feb 2010 Surgery: FORSHAW, Karen (Administrator) Entered at: HMP
Swaleside
Entered: 25 Jan 2017 11:29
Prescription or Medication details to Unknown
25 Feb 2010 Surgery: FORSHAW, Karen (Administrator) Entered at: HMP
Swaleside
Entered: 25 Jan 2017 11:31
Prescription or Medication details to Unknown
23 Mar 2010 Surgery: FORSHAW, Karen (Administrator) Entered at: HMP
Swaleside
Entered: 25 Jan 2017 11:18
Prescription or Medication details to Unknown
05 May 2010 17:14 Surgery: OLADIMEJI, Bola (Systems Support Access Role) Entered at: HMP Swaleside
Current Home Address: ZZ99 3VZ
Sentence: No sentence date set - 25 Apr 2011
Stay: 05 Jun 2012 17:14 - 01 Jun 2010
12 May 2010 15:50 Surgery: PAIN, John (Manager) Entered at: HMP Swaleside
Referral In to HMP Highdown for Healthcare: Ended on 16 Jun 2010 00:00
Status Update for Healthcare Referral In: Receiving Care
13 May 2010 15:51 Health Centre: OLADIMEJI, Bola (Systems Support Access Role) Entered at: HMP Swaleside
PNG Image: Photo.PNG
14 May 2010 10:52
30 May 2010 13:55
Health Centre: OLADIMEJI, Bola (Systems Support Access Role) Entered at: HMP Swaleside
Health Centre: MEAKINS, Phillipa (Pharmacy Technician) Entered at: HMP Swaleside
Other note (XaIgC) - seen in seg by Nurse Derek Wallis. Algorithm completed.
Thu 23 Apr 2020 15:02
Mr Saul Turner "Saul Altel" (A2425AM)
Confidential: Personal Data 719 122 2247, 08 Dec 1982
C1
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Printed
409af26bccb2448dabacd1cf3d115e4f-2
by TURNER, Steven (Mr) (Clerical Access Role)HMP Highdown 2 of 216
31 May 2010 10:33 Health Centre: COOPER, Sharon (Officer) Entered at: HMP Swaleside
Other note (XaIgC) - Seen on seg rounds, no problems.
01 Jun 2010 10:49 Health Centre: PETERS, Jo (Practice Nurse) Entered at: HMP Swaleside
Other note (XaIgC) - Seen in seg, no complaints.
01 Jun 2010 16:36 Health Centre: GROVE, Kerrie (Administrator) Entered at: HMP Swaleside
Stay: 01 Jun 2010 16:36 - 16 Jun 2010
02 Jun 2010 10:55 Health Centre: WILSON, Linda (Practice Nurse) Entered at: HMP Swaleside
Other note (XaIgC) - seen in seg,no concerns raised.
03 Jun 2010 13:01 Health Centre: GHAFFAR, Ali (Dr) (General Medical Practitioner) Entered at: HMP Swaleside
Other note (XaIgC) - seen in seg.no complaints
05 Jun 2010 10:22 Surgery: OTA, Mercy (Practice Nurse) Entered at: HMP Swaleside
Other note (XaIgC) - Seg round, no complaints.
05 Jun 2010 10:23 Surgery: OTA, Mercy (Practice Nurse) Entered at: HMP Swaleside
Other note (XaIgC) - Seg round, no complaints.
06 Jun 2010 11:14 Surgery: OTA, Mercy (Practice Nurse) Entered at: HMP Swaleside
Other note (XaIgC) - Seg round, no complaints.
07 Jun 2010 10:56 Surgery: OTA, Mercy (Practice Nurse) Entered at: HMP Swaleside
Other note (XaIgC) - Seg round, no complaints.
08 Jun 2010 14:34 Health Centre: GHAFFAR, Ali (Dr) (General Medical Practitioner) Entered at: HMP Swaleside
Other note (XaIgC) - seen iin seg. no complaints
08 Jun 2010 19:52 Surgery: PIRIE, Stephen (Other Medical Officer) Entered at: HMP Swaleside
Other note (XaIgC) - Seen in Seg following DSH. 2 x lacerations to torso and 1 to right shoulder all claeaned,
sprayed with Betadine and dressed with Melolin. Razor blade removed from cell. States no further SH thoughts. For
review tomorrow. F213SH to follow.
09 Jun 2010 09:56 Surgery: MATHEW, Seena (Mrs) (Practice Nurse) Entered at: HMP Swaleside
Other note (XaIgC) - Seen in seg . Algorithm completed . No concerns raised.
10 Jun 2010 12:49 Health Centre: GHAFFAR, Ali (Dr) (General Medical Practitioner) Entered at: HMP Swaleside
Other note (XaIgC) - seen in seg no complaint
11 Jun 2010 10:59 Health Centre: WALLIS, Derek (Nurse Manager) Entered at: HMP Swaleside
Other note (XaIgC) - SEG ROUND - No problems.
12 Jun 2010 10:46 Health Centre: JORDAN, Dave (Practice Nurse) Entered at: HMP Swaleside
Other note (XaIgC) - Seen in seg no issues.
13 Jun 2010 10:52 Health Centre: WALLIS, Derek (Nurse Manager) Entered at: HMP Swaleside
Other note (XaIgC) - seg round no problrms
15 Jun 2010 11:05 Health Centre: GHAFFAR, Ali (Dr) (General Medical Practitioner) Entered at: HMP Swaleside
Other note (XaIgC) - seen in seg no complaints
17 Jun 2010 08:24 Health Centre: STANLEY, Dermot (Mr) (Practice Manager) Entered at: HMP Swaleside
26 Jun 2010 21:58 Health Centre: STANLEY, Dermot (Mr) (Practice Manager) Entered: 26 Jun 2010 22:01
Entered at: HMP Swaleside
F213 to unknown recipient
02 Jul 2010 13:29 Surgery: WOODS, Steve (Manager) Entered at: HMP Elmley
Current Home Address: ZZ99 3VZ
Sentence: No sentence date set - 25 Apr 2011
Stay: 02 Jul 2010 13:29 - 02 Aug 2010
05 Jul 2010 09:31 Health Centre: CRIPPS, Janet (Administrator) Entered at: HMP Elmley
Referral In to HMP Highdown for Healthcare: Ended on 25 Apr 2011 00:00
Status Update for Healthcare Referral In: Receiving Care
05 Jul 2010 09:56 Surgery: WOODS, Steve (Manager) Entered at: HMP Elmley
Self Harm Care Plan Created
Low in Mood Care Plan Created
Self Harm Instruction: Ensure that all staff are aware of the potential for self harm.
Self Harm Instruction: Initiate a therapeutic relationship with key worker.
Self Harm Instruction: Demonstrate acceptance and non judgmental responses.
Self Harm Instruction: Ensure all potentially harmful substances and implements are removed whilst encouraging to
retain and use personal belongings.
Self Harm Instruction: Provide clear and understandable instructions about care and treatment.
Self Harm Instruction: Identify factors which appear to trigger self harm thoughts.
Thu 23 Apr 2020 15:02
Mr Saul Turner "Saul Altel" (A2425AM)
Confidential: Personal Data 719 122 2247, 08 Dec 1982
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409af26bccb2448dabacd1cf3d115e4f-3
by TURNER, Steven (Mr) (Clerical Access Role)HMP Highdown 3 of 216
Self Harm Instruction: Identify potential factors which appear to reduce suicidal preoccupation.
Self Harm Instruction: Encourage diversional or recreational activities.
Self Harm Instruction: Record all notes and observations in this template
Low in Mood Instruction: Encourage awareness of positive responses from others (Deleted 18 Aug 2010 18:12)
Low in Mood Instruction: Encourage to keep an emotional log throughout the day (Deleted 18 Aug 2010 18:12)
Low in Mood Instruction: Ensure basic physical needs are met (Deleted 18 Aug 2010 18:12)
Low in Mood Instruction: Initiate a therapeutic relationship (Deleted 18 Aug 2010 18:12)
Low in Mood Instruction: Demonstrate acceptance ensuring non-judgemental responses (Deleted 18 Aug 2010
18:12)
Low in Mood Instruction: Enhance feelings of safety (Deleted 18 Aug 2010 18:12)
Low in Mood Instruction: Identify activities, thoughts and times of day that raise the mood (Deleted 18 Aug 2010
18:12)
Low in Mood Instruction: Record all notes and observations in this template (Deleted 18 Aug 2010 18:12)
Low in Mood Instruction: If applicable, maintain Prison Service documentation (Deleted 18 Aug 2010 18:12)
Low in Mood Instruction: Give medications as prescribed and observe for side effects (Deleted 18 Aug 2010 18:12)
Self Harm Visiting Frequency: Visit every day, Ended 28 Jul 2010 17:05
Low in Mood Visiting Frequency: Visit every day, Ended 01 Sep 2010 18:22
Self Harm Review next due on 12 Jul 2010 09:57
Low in Mood Review next due on 12 Jul 2010 09:58
05 Jul 2010 10:17 Surgery: OSUAGWU, Ferdinand (Dr) (General Medical Practitioner) Entered at: HMP Elmley
History: Hx -----rt inner asopect of his forearm...Noticed 3d ago
Exam----Typical ring like lesion with central clearance
Impression===Ringworm---Tinea
Rx----Terbinafine cream 1% apply bd for 4w
05 Jul 2010 14:28 Surgery: ADIGUN, Omolara (Practice Nurse) Entered at: HMP Elmley
Activity: Self Harm (Care Plan) (30 minutes) with Patient
Activity: Low in Mood (Care Plan) (30 minutes) with Patient
Self Harm Notes: Staff aware, no issues reported
Self Harm Notes: 1-1 time spent with Mr Altel, stated he felt better in himself, no self harm toughts expressed.
Engaged with activities.
Self Harm Notes: No triggers to self harm reported or noted.
Self Harm Notes: Unlock to attend to personal hygiene and tidied up his cell.
Low in Mood Notes: Managed according to ACCT protocol, no self harm thoughts expressed.
Low in Mood Notes: Seen by GP, clo ringworms, anti-fungi cream prescribed.
Low in Mood Notes: Appeared settled and bright in mood. Interacted well with staff and peers.
Low in Mood Notes: Attended to personal hygiene, no issues raised
Low in Mood Notes: Compliant with medication as prescribed.
Self Harm performed (8 out of 9)
Low in Mood performed (10 out of 13)
Patient Contact: 60 minutes
Total Contact: 60 minutes
05 Jul 2010 14:46 Surgery: ADIGUN, Omolara (Mental Health Nurse) Entered at: HMP Elmley
06 Jul 2010 13:23 Health Centre: DENSHAM, Ronald (Mr) (Officer) Entered at: HMP Elmley
History: Mr Altel has been positive in mood, he is interacting well with other inmates and staff. He will be moved
next week to the house block next week after seeing the Doctor.
07 Jul 2010 16:27 Surgery: RYLES, Alison (Mrs) ('Other' Community Health Service) Entered at: HMP Elmley
Activity: Self Harm (Care Plan) (30 minutes) with Patient
Self Harm Notes: Saul engaged in a short conversation during rounds for requests this morning.
Self Harm Notes: During conversations with staff Saul responded appropriatley.
Self Harm Notes: Saul today has been out of his cell for meals and also for association in the compound. There are
no concerns with Saul.
Self Harm performed (3 out of 9)
Patient Contact: 30 minutes
Total Contact: 30 minutes
08 Jul 2010 17:42 Surgery: BUWU, Godfrey (Practice Nurse) Entered at: HMP Elmley
History: CP 1 - Saul remains in a quiet and settled presentation, mood appears flat, interactions with peers and staff
were minimal and only where necessary. CP 2 - no evidence of response to stimuli, or Depressed mood (XE0re).
09 Jul 2010 06:14 Surgery: NABAFU, Barbara (Miss) (Practice Nurse) Entered at: HMP Elmley
History: nocte cp1- mood dificult to assess as client was already asleep at he start of the nocte shift, cp2 Nursed on
an OPEN ACCT as per acct recommentations all night no at risk behaviuors noted
09 Jul 2010 12:02 Surgery: REVELL, Sharon (Practice Nurse) Entered at: HMP Elmley
Activity: Low in Mood (Care Plan) (30 minutes) with Patient
Low in Mood Notes: Presented as bright in mood, says that he was fine and had nothing to talk about when offered
Thu 23 Apr 2020 15:02
Mr Saul Turner "Saul Altel" (A2425AM)
Confidential: Personal Data 719 122 2247, 08 Dec 1982
C3
Printed
409af26bccb2448dabacd1cf3d115e4f-4
by TURNER, Steven (Mr) (Clerical Access Role)HMP Highdown 4 of 216
1:1. Utilised the exercise yard interacting appropriately with staff and other inmates. No untoward behaviour noted.
Low in Mood performed (7 out of 13)
Patient Contact: 30 minutes
Total Contact: 30 minutes
09 Jul 2010 12:08 Surgery: REVELL, Sharon (Practice Nurse) Entered at: HMP Elmley
Activity: Self Harm (Care Plan) (30 minutes) with Patient
Self Harm Notes: Did not express any thoughts of self harm, interacted well with others. No triggers to self harm
identified or reported.
Self Harm performed (6 out of 9)
Patient Contact: 30 minutes
Total Contact: 30 minutes
10 Jul 2010 06:31 Surgery: NABAFU, Barbara (Miss) (Practice Nurse) Entered at: HMP Elmley
History: Nocte: CP1 complied with his prescribed medication. cp2 Remains on open ACCT document. He remains
subdued in mood and quiet unpredictable No evidence of risk behaviour observed. slept throughout the night.
10 Jul 2010 13:57 Surgery: REVELL, Sharon (Practice Nurse) Entered at: HMP Elmley
Activity: Self Harm (Care Plan) (30 minutes) with Patient
Activity: Low in Mood (Care Plan) (30 minutes) with Patient
Self Harm Notes: No self harm thoughts expressed, no triggers to self harm. Fairly settled day interacting well with
others. Utilised exercise and association time.
Low in Mood Notes: Offered 1:1 and he stated that he had nothing to talk about.
Low in Mood Notes: No physical complaints, attended to his personal hygiene this morning and cleaned his cell.
Low in Mood Notes: Presented as settled in mood and behaviour interacting appropriately with staff and other
inmates during exercise and association.
Low in Mood Notes: Managed on ACCT protocol, documentation maintained on ACCT
Self Harm performed (6 out of 9)
Low in Mood performed (4 out of 13)
Patient Contact: 60 minutes
Total Contact: 60 minutes
11 Jul 2010 06:35 Surgery: NABAFU, Barbara (Miss) (Practice Nurse) Entered at: HMP Elmley
History: Nocte. cp1 was resting on bed during commencement of the night shift. complied with his morning
prescribed medication. cp2 continues to be nursed on open ACCT document. No evidence of risk behaviour noted.
He slept well throughout the night no concerns to report.
11 Jul 2010 11:29 Surgery: MAIBVISIRA, Francis (Mr) (Health Professional Access Role) Entered at: HMP Elmley
History: Entry by Dr.A.Ghaffar: seen in inpatient still on citalopram and venlafaxine He says he feels better since
started Venlafaxine Not suicidal No thoughts of DSH Has been eating , keeping his personal Hygiene , associating
with ohter prisoners Having ACCT review on 13-07-2010 Contintue observations
11 Jul 2010 11:50 Surgery: NGARIZE, Tendai (Mr) (Practice Nurse) Entered at: HMP Elmley
Activity: Self Harm (Care Plan) (30 minutes) with Patient
Activity: Low in Mood (Care Plan) (30 minutes) with Patient
Self Harm Notes: CP1-Had 1.1 session denied suicidal or self harm intent.Interctive with peers .
Low in Mood Notes: States that his mood has improved, apetite is better and is sleeping better at night.Has been
commenced on new antidepressant is aware that this will take 4-6 weeks to check efficacy.Compliant with
medication regime.
Self Harm fully performed
Low in Mood performed (2 out of 13)
Patient Contact: 60 minutes
Total Contact: 60 minutes
12 Jul 2010 05:56 Surgery: NABAFU, Barbara (Miss) (Practice Nurse) Entered at: HMP Elmley
History: Nocte 11:07:10- CP1: He was resting / watching football match in cell at the start of the shift. He complied
with his medications,
CP2: Remains on acct, no concerns about mood and behaviour (brighter in mood). He appears to have slept
throughout the night.
12 Jul 2010 14:19 Surgery: COLTON, Paul (Practice Nurse) Entered at: HMP Elmley
Activity: Self Harm (Care Plan) (30 minutes) with Patient
Activity: Low in Mood (Care Plan) (30 minutes) with Patient
Self Harm Notes: settled morning self caring no mention of any self harm no problems apparent has eaten well
mixing with fellow patients
Self Harm performed (7 out of 9)
Low in Mood performed (4 out of 13)
Patient Contact: 60 minutes
Total Contact: 60 minutes
13 Jul 2010 05:35 Surgery: BHEBHE, Sifiso (Practice Nurse) Entered at: HMP Elmley
History: nocte; cp1 continues to be nursed on an OPEN ACCT due to risk of self harm no evidence of same noted,
cp2- mood appered slightly lifted observed to be reading books in his room -good concentration. slept
13 Jul 2010 12:15 Health Centre: MHLANGA, Nelly (Mrs) (Practice Nurse) Entered at: HMP Elmley
C4
Thu 23 Apr 2020 15:02
Mr Saul Turner "Saul Altel" (A2425AM)
Confidential: Personal Data 719 122 2247, 08 Dec 1982
C4
Printed
409af26bccb2448dabacd1cf3d115e4f-5
by TURNER, Steven (Mr) (Clerical Access Role)HMP Highdown 5 of 216
Activity: Low in Mood (Care Plan) (30 minutes) with Patient
Activity: Self Harm (Care Plan) (30 minutes) with Patient
Self Harm Notes: 1.1 session facilitated, stated that he feels more positive and is going out for exercise and
interacting well with other peers. No self harm or suicidal ideation expressed.
Self Harm performed (4 out of 9)
Low in Mood performed (5 out of 13)
Patient Contact: 60 minutes
Total Contact: 60 minutes
14 Jul 2010 20:08 Surgery: MUCHAZIWEPI, Osmond (Practice Nurse) Entered at: HMP Elmley
Activity: Low in Mood (Care Plan) (30 minutes) with Patient
Activity: Self Harm (Care Plan) (30 minutes) with Patient
Self Harm Notes: Mr Altel refused to have a one to one when it was offered
Low in Mood Notes: He had a good food and fluid intake.
Low in Mood Notes: Mr Altel has had minimal interractions with staff and peers.
Low in Mood performed (2 out of 13)
Self Harm performed (1 out of 9)
Patient Contact: 60 minutes
Total Contact: 60 minutes
15 Jul 2010 04:55 Surgery: BHEBHE, Sifiso (Practice Nurse) Entered at: HMP Elmley
History: noct:e predominantly settled night continues to be nursed on an OPEn ACCT as and checks done as per
protocol
15 Jul 2010 11:26 Health Centre: CRIPPS, Janet (Administrator) Entered at: HMP Entered: 15 Jul 2010 11:30
Elmley
Blood Results to unknown recipient
Notes: printed 05/07/2010
15 Jul 2010 18:57 Surgery: ADIGUN, Omolara (Practice Nurse) Entered at: HMP Elmley
Activity: Low in Mood (Care Plan) (30 minutes) with Patient
Activity: Self Harm (Care Plan) (30 minutes) with Patient
Self Harm Notes: No self harm issues, remains on an open ACCT. Managed according to ACCT protocol.
Self Harm Notes: 1-1 facilitated, stated he si still feeling low but denied self harm thoughts or siucidal intents.
Self Harm Notes: Participated in exercise and association.
Self Harm Notes: Good interaction with peers and observed to be watching TV in cell at times.
Low in Mood Notes: 1-1 facilitated with him, verbalised feeling low in mood, but denied self harm thoughts.
Low in Mood Notes: Remains on ACCT.
Low in Mood Notes: Compliant wiyh his medication, stated he found new medication effective.
Low in Mood Notes: Good personal hygiene maintained.
Low in Mood performed (8 out of 13)
Self Harm performed (8 out of 9)
Patient Contact: 60 minutes
Total Contact: 60 minutes
C5
16 Jul 2010 04:56 Surgery: BHEBHE, Sifiso (Practice Nurse) Entered at: HMP Elmley
History: Nocte: nurse on an OPEN ACCT PLAN all though the night checks done as per ACCt protocol,- mood
remains some what subdued continues to comply with the prescribed meds
16 Jul 2010 12:39 Surgery: NGARIZE, Tendai (Mr) (Practice Nurse) Entered at: HMP Elmley
Activity: Self Harm (Care Plan) (30 minutes) with Patient
Self Harm Notes: Generally settled, 1.1 facilitated stated that his motivation has improved,apetite is good and is
sleeping better.States has no suicidal or self harm intent.
Self Harm performed (1 out of 9)
Patient Contact: 30 minutes
Total Contact: 30 minutes
16 Jul 2010 12:41 Surgery: NGARIZE, Tendai (Mr) (Practice Nurse) Entered at: HMP Elmley
Activity: Self Harm (Care Plan) (30 minutes) with Patient
Self Harm Notes: Mr Altel was out for association in the exercise yard noted to be chatting with peers.Presented with
flat affect but motivation has improved.
Self Harm performed (1 out of 9)
Patient Contact: 30 minutes
Total Contact: 30 minutes
17 Jul 2010 05:10 Surgery: BHEBHE, Sifiso (Practice Nurse) Entered at: HMP Elmley
History: nocte: Cp1- mood appeared slightly improved- no self - harm behaviours noted slept undisturbed all night
17 Jul 2010 14:51 Surgery: MATSIKA, Clemence (Mental Health Nurse) Entered at: HMP Elmley
Activity: Low in Mood (Care Plan) (30 minutes) with Patient
Activity: Low in Mood (Care Plan) (30 minutes) with Patient
Low in Mood Notes: Saul came out for exercise and association he interacted appropriately with staff and peers. He
has played pool with staff and peers. Mood appears bright. He had a good dietary intake. No challenging behaviour
reported.
Thu 23 Apr 2020 15:02
Mr Saul Turner "Saul Altel" (A2425AM)
Confidential: Personal Data 719 122 2247, 08 Dec 1982
C5
Printed
409af26bccb2448dabacd1cf3d115e4f-6
by TURNER, Steven (Mr) (Clerical Access Role)HMP Highdown 6 of 216
Low in Mood Notes: Saul has been observed according to AACT protocol. He apperas free to express himself, as he
has been interacting with many of his peers and staff.
Low in Mood performed (10 out of 13)
Patient Contact: 60 minutes
Total Contact: 60 minutes
18 Jul 2010 14:03 Surgery: MUCHAZIWEPI, Osmond (Practice Nurse) Entered at: HMP Elmley
Activity: Self Harm (Care Plan) (30 minutes) with Patient
Activity: Low in Mood (Care Plan) (30 minutes) with Patient
Activity: Self Harm (Care Plan) (30 minutes) with Patient
Self Harm Notes: No at risk behaviours noted
Self Harm Notes: He refused to have 1:1 when it was offered
Low in Mood Notes: He was concordant with his medication
Low in Mood Notes: His mood was euthymic and he was monosyllabic in response to attempts to engage him in
conversation
Self Harm performed (2 out of 9)
Low in Mood performed (2 out of 13)
Patient Contact: 90 minutes
Total Contact: 90 minutes
19 Jul 2010 04:57 Surgery: MACARTHUR, Kevin (Mr) (Practice Nurse) Entered at: HMP Elmley
History: settled night no concerns expressed
20 Jul 2010 01:59 Surgery: NABAFU, Barbara (Miss) (Practice Nurse) Entered at: HMP Elmley
History: Nocte Settled night, no complains voiced. Ropo Zvouno RGN
20 Jul 2010 12:17 Surgery: NGARIZE, Tendai (Mr) (Practice Nurse) Entered at: HMP Elmley
Activity: Self Harm (Care Plan) (30 minutes) with Patient
Self Harm Notes: Saul remains on open acct nil untoward behaviour noted.
Self Harm performed (1 out of 9)
Patient Contact: 30 minutes
Total Contact: 30 minutes
20 Jul 2010 12:18 Surgery: NGARIZE, Tendai (Mr) (Practice Nurse) Entered at: HMP Elmley
Activity: Self Harm (Care Plan) (30 minutes) with Patient
Self Harm Notes: Spoken to denied suicidal or self harm intent.Much better in terms of motivation self caring and
associated with peers,
Self Harm performed (1 out of 9)
Patient Contact: 30 minutes
Total Contact: 30 minutes
20 Jul 2010 12:19 Surgery: NGARIZE, Tendai (Mr) (Practice Nurse) Entered at: HMP Elmley
Activity: Low in Mood (Care Plan) (30 minutes) with Patient
Low in Mood Notes: Brighter in mood and interactive with peers and staff.Out for exercise and association.Diet and
fluids atken at mealtimes.
Low in Mood performed (1 out of 13)
Patient Contact: 30 minutes
Total Contact: 30 minutes
20 Jul 2010 15:58 Surgery: NGARIZE, Tendai (Mr) (Practice Nurse) Entered at: HMP Elmley
Activity: Low in Mood (Care Plan) (30 minutes) with Patient
Low in Mood Notes: Saul remains compliant with medication regime.
Low in Mood performed (1 out of 13)
Patient Contact: 30 minutes
Total Contact: 30 minutes
21 Jul 2010 07:09 Surgery: NABAFU, Barbara (Miss) (Practice Nurse) Entered at: HMP Elmley
History: Settled night, no complains voiced.
21 Jul 2010 10:10 Surgery: TAGLIAVINI, Beatrice (Dr) Entered at: HMP Elmley Entered: 21 Jul 2010 17:55
Did not attend for GP Reception Clinic appointment with Dr Beatrice Tagliavini
Did not attend (Xa1kG)
21 Jul 2010 13:52 Surgery: NGARIZE, Tendai (Mr) (Practice Nurse) Entered at: HMP Elmley
Activity: Self Harm (Care Plan) (30 minutes) with Patient
Self Harm Notes: Had 1.1 session much calmer in presentation, stated that apetite and sleep pattern are
good.Reported that is awaiting therapeutic benefits frm his new antidepressant he was commenced last
weekReassured that this will take up to 4-6 weeks.
Self Harm performed (1 out of 9)
Patient Contact: 30 minutes
Total Contact: 30 minutes
21 Jul 2010 13:55 Surgery: NGARIZE, Tendai (Mr) (Practice Nurse) Entered at: HMP Elmley
Activity: Self Harm (Care Plan) (30 minutes) with Patient
Self Harm Notes: Remains on open ACCT spoken to states has no suicidal or self harm intent.Associated with peers
in the exercise yard,Self caring.
Self Harm performed (2 out of 9)
C6
Thu 23 Apr 2020 15:02
Mr Saul Turner "Saul Altel" (A2425AM)
Confidential: Personal Data 719 122 2247, 08 Dec 1982
C6
Printed
409af26bccb2448dabacd1cf3d115e4f-7
by TURNER, Steven (Mr) (Clerical Access Role)HMP Highdown 7 of 216
Patient Contact: 30 minutes
Total Contact: 30 minutes
21 Jul 2010 17:40 Surgery: NGARIZE, Tendai (Mr) (Practice Nurse) Entered at: HMP Elmley
Activity: Self Harm (Care Plan) (30 minutes) with Patient
Self Harm Notes: Mr Altel c/o itchy red spots on both feet not seen today due to non-availability of GP.
Self Harm performed (1 out of 9)
Patient Contact: 30 minutes
Total Contact: 30 minutes
22 Jul 2010 09:39 Health Centre: REED, Andrew (General Medical Practitioner) Entered at: HMP Elmley
History: new rash on left foot and right forefoot
Examination: well circumscrimbed eryhtrematous patches with centralised dry skin, fairly typical if tinea
Plan: continue to use the same cream that he has been using on the right forearm
Advice to return (Ua03I) - Pt has been advised to return to healthcare should his symptoms get worse or he
deteriorates etc. he has been made aware of the ability to report Special sick if need be
Tinea pedis (Xa97k)
22 Jul 2010 13:10 Surgery: NGARIZE, Tendai (Mr) (Practice Nurse) Entered at: HMP Elmley
Activity: Low in Mood (Care Plan) (30 minutes) with Patient
Activity: Low in Mood (Care Plan) (30 minutes) with Patient
Low in Mood Notes: Saul was spoken presented with good eye contact, mood remains somewhat subdued ,out for
association with peers and played pool.
Low in Mood Notes: Self caring, had shower and cleaned his cell.Diet and fluids taken at mealtimes.
Low in Mood performed (2 out of 13)
Patient Contact: 60 minutes
Total Contact: 60 minutes
22 Jul 2010 13:18 Surgery: NGARIZE, Tendai (Mr) (Practice Nurse) Entered at: HMP Elmley
Activity: Low in Mood (Care Plan) (30 minutes) with Patient
Low in Mood Notes: Saul remains compliant with medication regime.
Low in Mood performed (1 out of 13)
Patient Contact: 30 minutes
Total Contact: 30 minutes
22 Jul 2010 13:19 Surgery: NGARIZE, Tendai (Mr) (Practice Nurse) Entered at: HMP Elmley
Activity: Self Harm (Care Plan) (30 minutes) with Patient
Self Harm Notes: Saul remains on open ACCT states has no suicidal or self harm thoughts.During 1.1 session stated
that his motivation has improved and feels better about himself.
Self Harm performed (1 out of 9)
Patient Contact: 30 minutes
Total Contact: 30 minutes
23 Jul 2010 03:31 Surgery: ZVOUNO, Ropofadzai (Miss) (Practice Nurse) Entered at: HMP Elmley
History: Nocte CP1 Settled night, no complains voiced.
23 Jul 2010 17:44 Surgery: MABHEDHLA, Nyasha (Mental Health Nurse) Entered at: HMP Elmley
Activity: Self Harm (Care Plan) (30 minutes) with Patient
Activity: Low in Mood (Care Plan) (30 minutes) with Patient
Activity: Self Harm (Care Plan) (30 minutes) with Patient
Self Harm Notes: Mr Altel has remained subdued in his mood with minimum conversation with staff, he interacted
well with his peers during exercise and Association time. he did not verbalise any suicidal ideations or self harm
intent , he verbalised to staff that he was ok.
Low in Mood Notes: Mr Altel, complied with all his medication as prescribed. he attended to his ADL. though his
mood appeared to be subdued he did not isolate himself iin his cell instead he came out during association time and
exercise time. Saul attended the library and took out three books.
Self Harm performed (3 out of 9)
Low in Mood performed (6 out of 13)
Patient Contact: 90 minutes
Total Contact: 90 minutes
24 Jul 2010 01:40 Surgery: ZVOUNO, Ropofadzai (Miss) (Practice Nurse) Entered at: HMP Elmley
Activity: Self Harm (Care Plan) (30 minutes) with Patient
Activity: Self Harm (Care Plan) (30 minutes) with Patient
Self Harm Notes: No self harm issues raised.
Self Harm Notes: Remains on open ACCT observations done as required.
Self Harm performed (2 out of 9)
Patient Contact: 60 minutes
Total Contact: 60 minutes
24 Jul 2010 18:36 Surgery: ADIGUN, Omolara (Mental Health Nurse) Entered at: HMP Elmley
Activity: Low in Mood (Care Plan) (30 minutes) with Patient
Activity: Self Harm (Care Plan) (30 minutes) with Patient
Self Harm Notes: Mr Altel attended to his personal hygiene. He participated in all activities, in good spirit. Out for
exercise and association, interacted well with peers and staff. No untowards behaviour exhibited, stated he gets
along with peers.
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Thu 23 Apr 2020 15:02
Mr Saul Turner "Saul Altel" (A2425AM)
Confidential: Personal Data 719 122 2247, 08 Dec 1982
C7
Printed
409af26bccb2448dabacd1cf3d115e4f-8
by TURNER, Steven (Mr) (Clerical Access Role)HMP Highdown 8 of 216
Low in Mood Notes: Mr Altel presented as settled and slightly bright in mood. Stated he has bad and good days, on
bad days he slept over his negativity thoughts and on good days he intertacted with others. Advised to speak to staff
on bad. fenied self harm thoughts or suicidal intent. Stated his new anti-depressant seems to be working as he
noticed a change in his mood. ACCT maintained according to protocol. Compliant with his medication.
Self Harm fully performed
Low in Mood performed (10 out of 13)
Patient Contact: 60 minutes
Total Contact: 60 minutes
25 Jul 2010 05:09 Surgery: ZVOUNO, Ropofadzai (Miss) (Practice Nurse) Entered at: HMP Elmley
Activity: Self Harm (Care Plan) (30 minutes) with Patient
Activity: Low in Mood (Care Plan) (30 minutes) with Patient
Self Harm Notes: No self harm issues raised during the night
Low in Mood Notes: Appeared settled in mood and slept throughout the night. No complains voiced.
Low in Mood performed (1 out of 13)
Self Harm performed (1 out of 9)
Patient Contact: 60 minutes
Total Contact: 60 minutes
25 Jul 2010 13:19 Surgery: NGARIZE, Tendai (Mr) (Practice Nurse) Entered at: HMP Elmley
Activity: Self Harm (Care Plan) (30 minutes) with Patient
Self Harm Notes: Remains on open acct no risky behaviours exhibited.1.1 session facilitated stated that has no
thoughts of suicide or self harm.Reported that he keeps in touch with his family by phone or letters as they live
outside kent.Out for association played pool and engaged well with staff.Self caring, diet and fluids taken at
mealtimes.
Self Harm performed (1 out of 9)
Patient Contact: 30 minutes
Total Contact: 30 minutes
25 Jul 2010 13:23 Surgery: NGARIZE, Tendai (Mr) (Practice Nurse) Entered at: HMP Elmley
Activity: Low in Mood (Care Plan) (30 minutes) with Patient
Low in Mood Notes: States that his mood is improving and also his motivation.He acknowledges that has just been
commenced on an antidepressant and needs time to obtain therapeutic benefits.Played pool and associated with
peers.
Low in Mood performed (1 out of 13)
Patient Contact: 30 minutes
Total Contact: 30 minutes
26 Jul 2010 02:29 Surgery: ZVOUNO, Ropofadzai (Miss) (Practice Nurse) Entered at: HMP Elmley
Activity: Self Harm (Care Plan) (30 minutes) with Patient
Self Harm Notes: No self harm issues raised. Appeared settled in mood. Remains on open ACCT, observations
done as requested.
Self Harm performed (1 out of 9)
Patient Contact: 30 minutes
Total Contact: 30 minutes
26 Jul 2010 15:10 Health Centre: MHLANGA, Nelly (Mrs) (Practice Nurse) Entered at: HMP Elmley
Activity: Self Harm (Care Plan) (30 minutes) with Patient
Activity: Low in Mood (Care Plan) (30 minutes) with Patient
Self Harm Notes: No self harm issues noted or reported.
Low in Mood Notes: Mr Altel remains on open Acct document and has been nursed according to Acct protocol.
Complied with his medication regime, 1.1 offered and declined, he stated that he was fine, denied any thoughts to
self harm. Exercise facilitated this afternoon.
Self Harm performed (4 out of 9)
Low in Mood performed (4 out of 13)
Patient Contact: 60 minutes
Total Contact: 60 minutes
27 Jul 2010 05:08 Surgery: BHEBHE, Sifiso (Practice Nurse) Entered at: HMP Elmley
Activity: Self Harm (Care Plan) (30 minutes) with Patient
Self Harm Notes: client was taken over awake self occupied by reading books for most of the night- settled to sleep
by midnight- continues to be nursed on an ACCT- plan due to risk of self harm- no sings of DSH overnight checks
mantained as per protocol
Self Harm performed (3 out of 9)
Patient Contact: 30 minutes
Total Contact: 30 minutes
27 Jul 2010 13:33 Surgery: MABHEDHLA, Nyasha (Mental Health Nurse) Entered at: HMP Elmley
Activity: Low in Mood (Care Plan) (30 minutes) with Patient
Activity: Self Harm (Care Plan) (30 minutes) with Patient
Self Harm Notes: Mr Altel has remained in a settled mood there where no issues raised in regards to self harm or
suicidal ideations.
Low in Mood Notes: Mr Altel has attended to his personal hygiene and cleaned his room. He appeared subdued in
his mood with minimum interaction with both staff and other patients. He went out during exercise time he
C8
Thu 23 Apr 2020 15:02
Mr Saul Turner "Saul Altel" (A2425AM)
Confidential: Personal Data 719 122 2247, 08 Dec 1982
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Printed
409af26bccb2448dabacd1cf3d115e4f-9
by TURNER, Steven (Mr) (Clerical Access Role)HMP Highdown 9 of 216
verbalised that he was feeling ok and he appeared to be amicable with his peers during this time as there were no
issues raised.
Low in Mood performed (4 out of 13)
Self Harm performed (5 out of 9)
Patient Contact: 60 minutes
Total Contact: 60 minutes
28 Jul 2010 05:14 Surgery: BHEBHE, Sifiso (Practice Nurse) Entered at: HMP Elmley
Activity: Self Harm (Care Plan) (30 minutes) with Patient
Self Harm Notes: client was asleep at the start of the shift no at risk behaviours noted. nursed on an open acct plan
checks done as per acct protocol
Self Harm performed (1 out of 9)
Patient Contact: 30 minutes
Total Contact: 30 minutes
28 Jul 2010 11:01 Surgery: MUCHAZIWEPI, Osmond (Practice Nurse) Entered at: HMP Elmley
History: Violence between parents (13HP6)Mr Altel was overheard threatening a fellow patient with violence and
was locked behind his door SIR submitted and entered in the unit observation book
28 Jul 2010 15:28 Surgery: MUCHAZIWEPI, Osmond (Practice Nurse) Entered at: HMP Elmley
Activity: Low in Mood (Care Plan) (30 minutes) with Patient
Activity: Low in Mood (Care Plan) (30 minutes) with Patient
Low in Mood Notes: Mr Altel was reminded of appropriate behaviour after he was overhead threatening a fellow
prisoner
Low in Mood Notes: Mr Altel presented as pleasant and appropriate he apologised for his previous behaviour. He
presented with good eye contact and rapport. His mood was euthymic
Low in Mood Notes: Mr Altel has been concordant with his medication
Low in Mood performed (3 out of 13)
Patient Contact: 60 minutes
Total Contact: 60 minutes
28 Jul 2010 17:04 Surgery: MAIBVISIRA, Francis (Mr) (Health Professional Access Role) Entered at: HMP Elmley
Self Harm Visiting Frequency: Visit every week on Monday, Tuesday, Wednesday, Thursday, Friday, Saturday,
Sunday, Ended 28 Jul 2010 17:24
28 Jul 2010 17:23 Surgery: MAIBVISIRA, Francis (Mr) (Health Professional Access Role) Entered at: HMP Elmley
29 Jul 2010 05:12 Surgery: BHEBHE, Sifiso (Practice Nurse) Entered at: HMP Elmley
Activity: Low in Mood (Care Plan) (30 minutes) with Patient
Low in Mood Notes: remained quiet and appearing somewhat subdued, no concerns verbalised, nursed on an open
acct plan no self harm issues noted
Low in Mood performed (1 out of 13)
Patient Contact: 30 minutes
Total Contact: 30 minutes
29 Jul 2010 10:52 Health Centre: MUSTAPHA, Ahmed (General Medical Practitioner) Entered at: HMP Elmley
History: Says he has no physical health problems;
Plan: Returned to continue his Mental Health care.
29 Jul 2010 12:24 Surgery: NGARIZE, Tendai (Mr) (Practice Nurse) Entered at: HMP Elmley
Activity: Low in Mood (Care Plan) (30 minutes) with Patient
Low in Mood Notes: Mood remains subdued but complied with medication regime.
Low in Mood performed (1 out of 13)
Patient Contact: 30 minutes
Total Contact: 30 minutes
29 Jul 2010 12:25 Surgery: NGARIZE, Tendai (Mr) (Practice Nurse) Entered at: HMP Elmley
Activity: Low in Mood (Care Plan) (30 minutes) with Patient
Low in Mood Notes: Mr Altel was out for a shower and cleaned his cell.Diet and fluids taken at mealtimes.
Low in Mood performed (1 out of 13)
Patient Contact: 30 minutes
Total Contact: 30 minutes
29 Jul 2010 12:26 Surgery: NGARIZE, Tendai (Mr) (Practice Nurse) Entered at: HMP Elmley
Activity: Self Harm (Care Plan) with Patient
Self Harm Notes: Remains on open acct stated that has thoughts of self harm but has not acted on them.
Self Harm performed (1 out of 9)
29 Jul 2010 14:39 Surgery: MAIBVISIRA, Francis (Mr) (Health Professional Access Role) Entered at: HMP Elmley
Referral In to HMP Highdown for Healthcare: Ended on 25 Apr 2011 00:00
Status Update for Healthcare Referral In: Receiving Care
30 Jul 2010 05:47 Surgery: MACARTHUR, Kevin (Mr) (Practice Nurse) Entered at: HMP Elmley
Activity: Self Harm (Care Plan) with Patient
Self Harm Notes: settled over night no thoughts of self harm expressed, remains on open acct obs carried out as per
care plan.
Self Harm performed (2 out of 9)
Thu 23 Apr 2020 15:02
Mr Saul Turner "Saul Altel" (A2425AM)
Confidential: Personal Data 719 122 2247, 08 Dec 1982
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Printed
409af26bccb2448dabacd1cf3d115e4f-10
by TURNER, Steven (Mr) (Clerical Access Role)HMP Highdown 10 of 216
30 Jul 2010 18:23 Surgery: MABHEDHLA, Nyasha (Mental Health Nurse) Entered at: HMP Elmley
Activity: Self Harm (Care Plan) with Patient
Activity: Low in Mood (Care Plan) (30 minutes) with Patient
Self Harm Notes: Mr Altel, requested for a razor in the morning when returning it it was observed that he had
removed a blade, a room search was completed and the razor blade was retrieved from under his clothes. He
declined to talk to staff despite all effrts to engage him.
Low in Mood Notes: Mr Altel has remained subdued in mood, he has intercted minimally with both staff and patients.
Low in Mood performed (1 out of 13)
Self Harm performed (5 out of 9)
Patient Contact: 30 minutes
Total Contact: 30 minutes
31 Jul 2010 06:23 Surgery: BHEBHE, Sifiso (Practice Nurse) Entered at: HMP Elmley
Activity: Low in Mood (Care Plan) (30 minutes) with Patient
Low in Mood Notes: client appaered sullen in mood not keen on talking to staff when spoken complied with his meds
this am no evidence of self harm noted
Low in Mood performed (2 out of 13)
Patient Contact: 30 minutes
Total Contact: 30 minutes
31 Jul 2010 16:58 Surgery: ABIODUN, Babatunde (Mr) (Nurse Practitioner) Entered at: HMP Elmley
Activity: Low in Mood (Care Plan) (30 minutes) with Patient
Activity: Low in Mood (Care Plan) (30 minutes) with Patient
Low in Mood Notes: He appears subdued in mood at the start of the shift, later he became positive. He attended to
his personal care and cleans his room; he communicated his needs to staff in appropriate manner .Sill on basic,
concordant with medication and no aggressive behavior displayed during the shift. Adequate diet and fluid taken
Low in Mood performed (1 out of 13)
Patient Contact: 60 minutes
Total Contact: 60 minutes
01 Aug 2010 13:39 Surgery: NGARIZE, Tendai (Mr) (Practice Nurse) Entered at: HMP Elmley
Activity: Low in Mood (Care Plan) (30 minutes) with Patient
Low in Mood Notes: Mr Altel presented as irritable in mood.Observed opening another inmate's hatch spoken to
about his behaviour.1.1 facilitated reluctant to engage upset that he is allowed out for an hour.Rationale explained to
him that he made threats against another inmate.
Low in Mood performed (1 out of 13)
Patient Contact: 30 minutes
Total Contact: 30 minutes
01 Aug 2010 13:46 Surgery: NGARIZE, Tendai (Mr) (Practice Nurse) Entered at: HMP Elmley
Activity: Self Harm (Care Plan) with Patient
Self Harm Notes: Remains on open acct did not verbalise suicidal or self harm thoughts.
Self Harm performed (1 out of 9)
02 Aug 2010 07:08 Surgery: BHEBHE, Sifiso (Practice Nurse) Entered at: HMP Elmley
Activity: Low in Mood (Care Plan) (30 minutes) with Patient
Low in Mood Notes: mood remains low, denied any thoughts of self harm at the time of making contact, nursed in a
safe cell and continues to be nursed on an open acct paln
Low in Mood performed (3 out of 13)
Patient Contact: 30 minutes
Total Contact: 30 minutes
02 Aug 2010 08:48 Surgery: THOMAS, Hayley (Administrator) Entered at: HMP Elmley
Stay: 02 Aug 2010 08:48 - 04 Aug 2010
02 Aug 2010 17:42 Surgery: MAIBVISIRA, Francis (Mr) (Clinical Team Manager) Entered at: HMP Elmley
Activity: Low in Mood (Care Plan) (30 minutes) with Patient
Activity: Self Harm (Care Plan) with Patient
Self Harm Notes: He denied suicidal thoughts/actual dsh issues.
Low in Mood Notes: Saul spoke to staff about coming out of his cell more, he was informed that there is a review
meeting tomorrow to re-evaluate the risk of coming out normally after he made threats to assault another service
user. He was let out for his hour for association and exercise.
Low in Mood Notes: Came out for exercise and association and shower facilitated.
Low in Mood Notes: He took his medication as prescribed.
Self Harm performed (1 out of 9)
Low in Mood performed (3 out of 13)
Patient Contact: 30 minutes
Total Contact: 30 minutes
03 Aug 2010 06:17 Surgery: ZVOUNO, Ropofadzai (Miss) (Practice Nurse) Entered at: HMP Elmley
Activity: Low in Mood (Care Plan) (30 minutes) with Patient
Activity: Self Harm (Care Plan) with Patient
Self Harm Notes: No self harm issues raised
Low in Mood Notes: Settled night. Complied with morning medication as prescribed.
Thu 23 Apr 2020 15:02
Mr Saul Turner "Saul Altel" (A2425AM)
Confidential: Personal Data 719 122 2247, 08 Dec 1982
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409af26bccb2448dabacd1cf3d115e4f-11
by TURNER, Steven (Mr) (Clerical Access Role)HMP Highdown 11 of 216
Self Harm performed (1 out of 9)
Low in Mood performed (1 out of 13)
Patient Contact: 30 minutes
Total Contact: 30 minutes
03 Aug 2010 15:27 Surgery: NGARIZE, Tendai (Mr) (Practice Nurse) Entered at: HMP Elmley
Activity: Low in Mood (Care Plan) (30 minutes) with Patient
Low in Mood Notes: Concordant with medication regime.
Low in Mood performed (1 out of 13)
Patient Contact: 30 minutes
Total Contact: 30 minutes
03 Aug 2010 15:28 Surgery: NGARIZE, Tendai (Mr) (Practice Nurse) Entered at: HMP Elmley
Activity: Low in Mood (Care Plan) (30 minutes) with Patient
Low in Mood Notes: Spoken to regarding threats he made to another inmate.Informed that has been risk assesed
and is allowed to mix with other inmates.Spoken to about his future conduct.
Low in Mood performed (1 out of 13)
Patient Contact: 30 minutes
Total Contact: 30 minutes
03 Aug 2010 15:31 Surgery: NGARIZE, Tendai (Mr) (Practice Nurse) Entered at: HMP Elmley
Activity: Low in Mood (Care Plan) (30 minutes) with Patient
Low in Mood Notes: Self caring, had shower and exercise facilitated.Diet and fluids taken at mealtimes.,
Low in Mood performed (1 out of 13)
Patient Contact: 30 minutes
Total Contact: 30 minutes
03 Aug 2010 15:32 Surgery: NGARIZE, Tendai (Mr) (Practice Nurse) Entered at: HMP Elmley
Activity: Self Harm (Care Plan) with Patient
Self Harm Notes: Remains on open acct but nil untoward behaviour noted.
Self Harm performed (1 out of 9)
03 Aug 2010 15:34 Surgery: NGARIZE, Tendai (Mr) (Practice Nurse) Entered at: HMP Elmley
Activity: Self Harm (Care Plan) with Patient
Self Harm Notes: Supervised shaving only did not request any razors today.
Self Harm performed (1 out of 9)
03 Aug 2010 15:35 Surgery: NGARIZE, Tendai (Mr) (Practice Nurse) Entered at: HMP Elmley
Activity: Self Harm (Care Plan) with Patient
Self Harm Notes: Mr Altel associated with peers in the exercise yard noted to be appropriate in his intearctions.
Self Harm performed (1 out of 9)
03 Aug 2010 15:37 Surgery: NGARIZE, Tendai (Mr) (Practice Nurse) Entered at: HMP Elmley
Activity: Self Harm (Care Plan) with Patient
Self Harm Notes: Spoken to presented with good eye contact stated that is happy to mix with the rest of inmates
after being risk assessed.Denied suicidal or self harm intent.States that has fleeting thoughts of self harm but has not
acted on them.
Self Harm performed (1 out of 9)
04 Aug 2010 04:30 Surgery: ZVOUNO, Ropofadzai (Miss) (Practice Nurse) Entered at: HMP Elmley
Activity: Low in Mood (Care Plan) (30 minutes) with Patient
Low in Mood Notes: Appeared settled in mood, no concerns voiced.
Low in Mood performed (1 out of 13)
Patient Contact: 30 minutes
Total Contact: 30 minutes
04 Aug 2010 08:54 Surgery: THOMAS, Hayley (Administrator) Entered at: HMP Elmley
Stay: 04 Aug 2010 08:54 - 24 Aug 2010
04 Aug 2010 15:04 Surgery: MATSIKA, Clemence (Mental Health Nurse) Entered at: HMP Elmley
Activity: Low in Mood (Care Plan) (30 minutes) with Patient
Activity: Self Harm (Care Plan) with Patient
Self Harm Notes: No self harm ideation expressed.
Low in Mood Notes: Saul came out for exercise and he interacted with staff and peers appropriately. No challenging
behaviour or self harm reported.
Self Harm fully performed
Low in Mood performed (10 out of 13)
Patient Contact: 30 minutes
Total Contact: 30 minutes
05 Aug 2010 06:44 Surgery: ZVOUNO, Ropofadzai (Miss) (Practice Nurse) Entered at: HMP Elmley
Activity: Self Harm (Care Plan) with Patient
Activity: Low in Mood (Care Plan) (30 minutes) with Patient
Self Harm Notes: No self harm issues raised.
Low in Mood Notes: Compliant with medication and settled.
Self Harm performed (1 out of 9)
Low in Mood performed (1 out of 13)
Thu 23 Apr 2020 15:02
Mr Saul Turner "Saul Altel" (A2425AM)
Confidential: Personal Data 719 122 2247, 08 Dec 1982
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by TURNER, Steven (Mr) (Clerical Access Role)HMP Highdown 12 of 216
Patient Contact: 30 minutes
Total Contact: 30 minutes
05 Aug 2010 17:11 Surgery: WHITEHEAD, Katie (Officer) Entered at: HMP Elmley
Activity: Self Harm (Care Plan) with Patient
Activity: Low in Mood (Care Plan) (30 minutes) with Patient
Self Harm Notes: Mr Altel remains on an open acct, all staff are aware of the acct document.
Self Harm Notes: Mr Altel has not self harmed today, i have no concerns of self harm.
Self Harm Notes: No triggers points raised.
Self Harm Notes: Mr Altel has been out of his cell most of the day. He has been out on the exercise yard with
minimal interaction with others. He said he is waiting for an assessment from the inreach team. Collected his meals.
Low in Mood Notes: Mr Altel has been out for a shower and to clean his cell today.
Low in Mood Notes: Complied with medications. No side effects reported or noted.
Self Harm performed (4 out of 9)
Low in Mood performed (2 out of 13)
Patient Contact: 30 minutes
Total Contact: 30 minutes
06 Aug 2010 06:45 Surgery: ZVOUNO, Ropofadzai (Miss) (Practice Nurse) Entered at: HMP Elmley
Activity: Self Harm (Care Plan) with Patient
Activity: Low in Mood (Care Plan) (30 minutes) with Patient
Self Harm Notes: no self harm thoughts voiced.
Low in Mood Notes: Compliant with medication, no concerns voiced.
Low in Mood performed (1 out of 13)
Self Harm performed (1 out of 9)
Patient Contact: 30 minutes
Total Contact: 30 minutes
06 Aug 2010 18:14 Surgery: MABHEDHLA, Nyasha (Mental Health Nurse) Entered at: HMP Elmley
Activity: Low in Mood (Care Plan) (30 minutes) with Patient
Activity: Self Harm (Care Plan) with Patient
Self Harm Notes: no risk behaviour was reported by staff.
Self Harm Notes: verbalised that he was ok, and had no concerns to discuss.
Self Harm Notes: Used all his belongings appropriately.
Self Harm Notes: Adhered to his care plans.
Self Harm Notes: Saul did not verbalise any suicidal ideations.
Low in Mood Notes: complied with all his medication.
Low in Mood Notes: read a book that he took out from the library.
Low in Mood Notes: all needs were met.
Low in Mood Notes: Saul attended exercise session, he interacted well with his peers.
Low in Mood Notes: no agression was exhibited towards him from other inmates.
Self Harm performed (5 out of 9)
Low in Mood performed (5 out of 13)
Patient Contact: 30 minutes
Total Contact: 30 minutes
07 Aug 2010 13:14 Surgery: MABHEDHLA, Nyasha (Mental Health Nurse) Entered at: HMP Elmley
Activity: Low in Mood (Care Plan) (30 minutes) with Patient
Activity: Self Harm (Care Plan) with Patient
Self Harm Notes: posed no concerns in this regard as he did not verbalise any suicidal or self harm intents.
Self Harm Notes: verbalised that he was ok and settled.
Self Harm Notes: no concerns were raised in this regard.
Self Harm Notes: non were identified.
Self Harm Notes: Non were identified.
Self Harm Notes: played pool with his peers.
Low in Mood Notes: played some pool with his peers appears to have enjoyed himself.
Low in Mood Notes: all needs were met.
Low in Mood Notes: complied with all his medication as prescribed.
Low in Mood Notes: Mr Altel verbalised that he was feeling ok within himself.
Low in Mood Notes: no concerns were raised.
Low in Mood performed (6 out of 13)
Self Harm performed (6 out of 9)
Patient Contact: 30 minutes
Total Contact: 30 minutes
08 Aug 2010 10:31 Surgery: WHITEHEAD, Katie (Officer) Entered at: HMP Elmley
Activity: Low in Mood (Care Plan) (30 minutes) with Patient
Activity: Self Harm (Care Plan) with Patient
Self Harm Notes: All staff are aware that Mr Altel is on an open acct document.
Self Harm Notes: Mr Altel has no sharp objects in his cell to harm himself with. He has a supervised shave when
required.
Thu 23 Apr 2020 15:02
Mr Saul Turner "Saul Altel" (A2425AM)
Confidential: Personal Data 719 122 2247, 08 Dec 1982
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by TURNER, Steven (Mr) (Clerical Access Role)HMP Highdown 13 of 216
Self Harm Notes: Mr Altel has been out of his cell for a shower to clean his cell and shower. Whilst he is keeping
busy and interacting he appears settled in mood.
Self Harm Notes: Mr Altel participates in exercise and association.
Low in Mood Notes: Complied with medications.
Low in Mood Notes: All needs are met. No issues raised today.
Low in Mood Notes: Mr Altel does not fully communicate with staff. Minimal interaction when spoken to, little eye
contact.
Low in Mood performed (3 out of 13)
Self Harm performed (4 out of 9)
Patient Contact: 30 minutes
Total Contact: 30 minutes
09 Aug 2010 12:17 Surgery: WHITEHEAD, Katie (Officer) Entered at: HMP Elmley
Activity: Self Harm (Care Plan) with Patient
Activity: Low in Mood (Care Plan) (30 minutes) with Patient
Self Harm Notes: No concerns of self harm today. He is happy as his property from houseblock 5 has been found
and is now located in inpatients.
Self Harm Notes: No harmful objects in his cell. He is still having supervised shaves.
Self Harm Notes: No triggers of self harm mentioned.
Low in Mood Notes: medications complied with.
Low in Mood performed (1 out of 13)
Self Harm performed (3 out of 9)
Patient Contact: 30 minutes
Total Contact: 30 minutes
09 Aug 2010 12:32 Surgery: FEENEY, Sean (Dr) (Psychiatrist) Entered at: HMP Elmley
History: Seen in IPD; he is now in a safer cell after staff saw an attempt to make a ligature last week. Still has 8.5
months of sentence to do. Still depressed and severe easy fatiguability, though has put on some weight it appears.
PLAN -increase venlafaxine to 75 bd; remain in IPD.
10 Aug 2010 06:07 Surgery: MACARTHUR, Kevin (Mr) (Practice Nurse) Entered at: HMP Elmley
History: nocte settled night remains on acct obs carried out as per instructins no thoughts of self harm expressed
10 Aug 2010 17:27 Surgery: REVELL, Sharon (Practice Nurse) Entered at: HMP Elmley
Activity: Low in Mood (Care Plan) (30 minutes) with Patient
Activity: Self Harm (Care Plan) with Patient
Self Harm Notes: no self harm feelings or thoughts expressed
Self Harm Notes: Says he is fine when spoken to, minimal interaction and not engaging in conversation with staff
when spoken to
Self Harm Notes: no issues
Self Harm Notes: no concerns
Self Harm Notes: complied with his treatment plan
Self Harm Notes: no triggers mentioned
Self Harm Notes: no concerns
Self Harm Notes: utilised the exercise yard during exercise time
Low in Mood Notes: managed on ACCT procedure
Low in Mood Notes: Little interaction with staff only on needs basis. Says he is fine and does not wish to engange in
conversation with staff. Poor eye contact when spoken to.
Low in Mood Notes: Presented as low in mood, minimal interaction with ithers
Low in Mood Notes: complied with his medication
Low in Mood Notes: no issues
Low in Mood Notes: no safety issues
Low in Mood performed (6 out of 13)
Self Harm performed (8 out of 9)
Patient Contact: 30 minutes
Total Contact: 30 minutes
11 Aug 2010 06:15 Surgery: MACARTHUR, Kevin (Mr) (Practice Nurse) Entered at: HMP Elmley
Activity: Low in Mood (Care Plan) (30 minutes) with Patient
Activity: Self Harm (Care Plan) with Patient
Self Harm Notes: remains on acct obs carried out as per instructions no thoughts of self harm expressed
Self Harm performed (1 out of 9)
Patient Contact: 30 minutes
Total Contact: 30 minutes
11 Aug 2010 15:14 Surgery: MATSIKA, Clemence (Mental Health Nurse) Entered at: HMP Elmley
Activity: Low in Mood (Care Plan) (30 minutes) with Patient
Low in Mood Notes: Mood remains unpredictable, but pleasant on approach. He came out for exercise and
association. He had a good dietary intake. No self harm ideation or challenging behaviour reported. He has been
avoiding eye contact on interaction. He has been interacting with peers. He took his prescribed medications.
Low in Mood performed (10 out of 13)
Thu 23 Apr 2020 15:02
Mr Saul Turner "Saul Altel" (A2425AM)
Confidential: Personal Data 719 122 2247, 08 Dec 1982
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by TURNER, Steven (Mr) (Clerical Access Role)HMP Highdown 14 of 216
Patient Contact: 30 minutes
Total Contact: 30 minutes
12 Aug 2010 06:41 Surgery: MACARTHUR, Kevin (Mr) (Practice Nurse) Entered at: HMP Elmley
History: settled overnight.
Activity: Low in Mood (Care Plan) (30 minutes) with Patient
Activity: Self Harm (Care Plan) with Patient
Self Harm Notes: no thoughts of self harm expressed
Self Harm performed (1 out of 9)
Low in Mood performed (1 out of 13)
Patient Contact: 30 minutes
Total Contact: 30 minutes
12 Aug 2010 14:47 Surgery: WHITEHEAD, Katie (Officer) Entered at: HMP Elmley
Activity: Self Harm (Care Plan) with Patient
Activity: Low in Mood (Care Plan) (30 minutes) with Patient
Self Harm Notes: Mr Altel remains on an open acct document.
Self Harm Notes: Mr Altel was given some of his personal belongings yesterday which he was happy with. He is
hoping to move to a cell with power so he can have a tv.
Self Harm Notes: No triggers raised. He said he is ok.
Self Harm Notes: He has spent most of the day in his cell talking to people at his door. He has minimal interactions
and mostly talks when he is approached.
Low in Mood Notes: Mr Altel has been settled in mood today. He has minimal interaction with others and staff.
Low in Mood Notes: Complied with medications.
Low in Mood performed (2 out of 13)
Self Harm performed (4 out of 9)
Patient Contact: 30 minutes
Total Contact: 30 minutes
13 Aug 2010 06:22 Surgery: MACARTHUR, Kevin (Mr) (Practice Nurse) Entered at: HMP Elmley
History: Mood stable (Ua1r8) overnight remains on acct obs carried out as per instructions No thoughts of deliberate
self harm (XaIuw) expressed.
Activity: Self Harm (Care Plan) with Patient
Self Harm performed (2 out of 9)
13 Aug 2010 10:15 Health Centre: SHAH, Rajiv (Dr) (General Medical Practitioner) Entered at: HMP Elmley
History: spots on face
Diagnosis: Acne vulgaris (XE1BO)
Plan: no known allergy, take doxycycline od, see us if any concern
Doxycycline 100mg capsules - 30 capsules - Noon: 1.0 capsules
13 Aug 2010 12:05 Surgery: WHITEHEAD, Katie (Officer) Entered at: HMP Elmley
Activity: Self Harm (Care Plan) with Patient
Activity: Low in Mood (Care Plan) (30 minutes) with Patient
Self Harm Notes: Saul has not attempted any self harm. he is quite settled in mood.
Self Harm Notes: Saul has his own property in his cell, he is much happier now it has all been found.
Self Harm Notes: Saul went out for exercise this morning and has been interacting well.
Low in Mood Notes: I have been talking to Saul this morning. He approached me for a chat. We was talking about
his family and his child. He was talking very positivley about them.
Low in Mood Notes: Complied with medications.
Self Harm performed (3 out of 9)
Low in Mood performed (2 out of 13)
Patient Contact: 30 minutes
Total Contact: 30 minutes
14 Aug 2010 06:36 Surgery: MACARTHUR, Kevin (Mr) (Practice Nurse) Entered at: HMP Elmley
History: Mood stable (Ua1r8). No thoughts of deliberate self harm (XaIuw)expressed, remains on acct obs carried out
as per instructions
Activity: Self Harm (Care Plan) with Patient
Activity: Low in Mood (Care Plan) (30 minutes) with Patient
Self Harm performed (1 out of 9)
Patient Contact: 30 minutes
Total Contact: 30 minutes
14 Aug 2010 16:03 Surgery: MATSIKA, Clemence (Mental Health Nurse) Entered at: HMP Elmley
Activity: Low in Mood (Care Plan) (30 minutes) with Patient
Low in Mood Notes: Saul appeared settled in mood, he said he is feeling fine. He came out for exercise and
association. He played pool with staff and peers. He has been interacting with appropriately. No challenging
behaviour reported. no self harm ideation expressed. Given 1;1 session by named nurse.
Low in Mood performed (10 out of 13)
Patient Contact: 30 minutes
Total Contact: 30 minutes
15 Aug 2010 06:31 Surgery: MACARTHUR, Kevin (Mr) (Practice Nurse) Entered at: HMP Elmley
Thu 23 Apr 2020 15:02
Mr Saul Turner "Saul Altel" (A2425AM)
Confidential: Personal Data 719 122 2247, 08 Dec 1982
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by TURNER, Steven (Mr) (Clerical Access Role)HMP Highdown 15 of 216
Activity: Self Harm (Care Plan) with Patient
Activity: Low in Mood (Care Plan) (30 minutes) with Patient
Self Harm Notes: remains on acct obs carried out as per instructions no thoughts of self harm expressed
Self Harm performed (1 out of 9)
Patient Contact: 30 minutes
Total Contact: 30 minutes
15 Aug 2010 19:03 Surgery: MAIBVISIRA, Francis (Mr) (Clinical Team Manager) Entered at: HMP Elmley
Activity: Low in Mood (Care Plan) (30 minutes) with Patient
Low in Mood Notes: He came out to have exercise and association cleaned up his cell and interacted appropriately.
Low in Mood Notes: He presented as calm and settled in mood and behaviour.
Low in Mood Notes: No triggers identified today.
Low in Mood Notes: Medication was given as prescribed and no side effects observed or reported.
Low in Mood Notes: Saul presented as fairly sesttled and interacted well with fellow inmates amd staff alike.
Low in Mood Notes: He remains on an open Acct and denied suicidal thoughts.
Low in Mood performed (7 out of 13)
Patient Contact: 30 minutes
Total Contact: 30 minutes
16 Aug 2010 06:14 Surgery: MACARTHUR, Kevin (Mr) (Practice Nurse) Entered at: HMP Elmley
History: Mood stable (Ua1r8) overnight remains on acct obs carried out as per instructions No thoughts of deliberate
self harm (XaIuw) expressed
Activity: Low in Mood (Care Plan) (30 minutes) with Patient
Activity: Self Harm (Care Plan) with Patient
Low in Mood performed (1 out of 13)
Self Harm performed (1 out of 9)
Patient Contact: 30 minutes
Total Contact: 30 minutes
16 Aug 2010 11:59 Surgery: WHITEHEAD, Katie (Officer) Entered at: HMP Elmley
Activity: Low in Mood (Care Plan) (30 minutes) with Patient
Activity: Self Harm (Care Plan) with Patient
Self Harm Notes: No self harm issues reported or noted. Saul is settled and states he has no current self harm
thoughts.
Self Harm Notes: Saul interacts well with others. He has been out for exercise.
Low in Mood Notes: Saul approches me he likes to talk. He has no issues today to discuss.
Low in Mood performed (1 out of 13)
Self Harm performed (2 out of 9)
Patient Contact: 30 minutes
Total Contact: 30 minutes
17 Aug 2010 11:10 Health Centre: MHLANGA, Nelly (Mrs) (Practice Nurse) Entered at: HMP Elmley
Activity: Low in Mood (Care Plan) (30 minutes) with Patient
Low in Mood Notes: Complied with his medication regime, no side effects reported.
Low in Mood Notes: Exercise offered and accepted.
Low in Mood Notes: Remains on Acct document and has been nursed according to acct protocol. Denied any
suicidal ideation.
Low in Mood Notes: 1.1 facilitated, stated that he has ocassional thoughts of self harm, but has not acted upon his
thoughts. He also reported to be responding well to his treatment.
Low in Mood performed (4 out of 13)
Patient Contact: 30 minutes
Total Contact: 30 minutes
17 Aug 2010 17:32 Health Centre: MHLANGA, Nelly (Mrs) (Practice Nurse) Entered at: HMP Elmley
Activity: Self Harm (Care Plan) with Patient
Activity: Self Harm (Care Plan) with Patient
Self Harm Notes: No self harm thoughts expressed or noted, Mr Altel has been moved from a safer cell into a normal
cell after his acct review.
Self Harm Notes: No self harm triggers mentioned.
Self Harm performed (5 out of 9)
18 Aug 2010 18:09 Surgery: MAIBVISIRA, Francis (Mr) (Health Professional Access Role) Entered at: HMP Elmley
18 Aug 2010 18:13 Surgery: MAIBVISIRA, Francis (Mr) (Health Professional Access Role) Entered at: HMP Elmley
Dsh and depression. Care Plan Created
Low in Mood Instruction: Saul is to be managed as per careplan.
Low in Mood Instruction: Allocated/treatment nurse to ensure that he is compliant with his treatment plan.
Low in Mood Instruction: Allocated nurse to ensure that Saul has a 1.1 session facilitated per every shift, outcome to
be documented on system 1.
Dsh and depression. Visiting Frequency: Visit every week on Monday, Tuesday, Wednesday, Thursday, Friday,
Saturday, Sunday, Ended 19 Aug 2010 17:48
Dsh and depression. Review next due on 23 Aug 2010 18:14
18 Aug 2010 18:18 Surgery: MAIBVISIRA, Francis (Mr) (Clinical Team Manager) Entered at: HMP Elmley
Thu 23 Apr 2020 15:02
Mr Saul Turner "Saul Altel" (A2425AM)
Confidential: Personal Data 719 122 2247, 08 Dec 1982
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by TURNER, Steven (Mr) (Clerical Access Role)HMP Highdown 16 of 216
Activity: Low in Mood (Care Plan) (30 minutes) with Patient
Low in Mood Notes: Saul denied suicidal thoughts and presented as calm and settled in mood and behaviour. He
appears more settled in a normal cell with a tv.
Low in Mood Notes: He was concordant with his treatment plan and denied thoughts of harming himself. He came
out for exercise and association.
Low in Mood Notes: Saul's 1.1 session was facilitated and presented as calm and settled in mood and behaviour
Low in Mood fully performed
Patient Contact: 30 minutes
Total Contact: 30 minutes
19 Aug 2010 17:42 Health Centre: MHLANGA, Nelly (Mrs) (Practice Nurse) Entered at: HMP Elmley
Activity: Low in Mood (Care Plan) (30 minutes) with Patient
Dsh and depression. Visiting Frequency: Visit every minute, Ended 19 Aug 2010 18:26
Dsh and depression. Visiting Frequency: Visit every week on Monday, Tuesday, Wednesday, Thursday, Friday,
Saturday, Sunday, Ended 19 Aug 2010 17:49
Low in Mood Notes: Mr Saul was nursed as per careplan.
Low in Mood Notes: Complied with his medication regime.
Low in Mood Notes: 1.1 offered, did not verbalise any suicidal ideation or self harm thoughts. He stated that he was
fine.
Low in Mood fully performed
Patient Contact: 30 minutes
Total Contact: 30 minutes
19 Aug 2010 18:26 Health Centre: MHLANGA, Nelly (Mrs) (Practice Nurse) Entered at: HMP Elmley
Activity: Dsh and depression. (Care Plan) (30 minutes) with Patient
Dsh and depression. Instruction: Monitor and document, Mr Altel's mood and behaviour.
Dsh and depression. Instruction: To explore areas/activities of interest and encourage participation
Dsh and depression. Instruction: Observe how Mr Altel interacts with other peers (Deleted 19 Aug 2010 18:42)
Dsh and depression. Instruction: Observe how Mr Altel interacts with peers
Dsh and depression. Instruction: Provide Mr Altel with opportunity to express his thoughts, feelings and anxities.
Dsh and depression. Visiting Frequency: Visit every week on Monday, Tuesday, Wednesday, Thursday, Friday,
Saturday, Sunday, Ended 04 Sep 2010 18:54
Dsh and depression. Notes: Presented as being calm and settled in mood and behaviour.
Dsh and depression. Notes: Came out for association and has been palying pool with other peers.
Dsh and depression. Notes: Has been interacting well with peers.
Dsh and depression. Notes: 1.1 session facilitated by named nurse, stated that he was feeling 'alright'. did not
express any self harm issues.
Dsh and depression. performed (4 out of 5)
Patient Contact: 30 minutes
Total Contact: 30 minutes
20 Aug 2010 13:13 Surgery: REVELL, Sharon (Practice Nurse) Entered at: HMP Elmley
Activity: Low in Mood (Care Plan) (30 minutes) with Patient
Activity: Dsh and depression. (Care Plan) (30 minutes) with Patient
Activity: Self Harm (Care Plan) with Patient
Dsh and depression. Notes: Calm and settled in mood and behaviour, no untoward behaviour noted
Dsh and depression. Notes: Came out for exercise and associated with others
Dsh and depression. Notes: Good interaction with peers, laughing and jocking during association
Dsh and depression. Notes: Offered time to express his feelings and anxities, verbalised that he was fine and had no
issues to discuss
Self Harm Notes: No self harm issues expressed
Self Harm Notes: Stated that he was fine and had no issues to discuss about
Self Harm Notes: No triggers to self harm identified or verbalised
Self Harm Notes: Exercise and associated with others in the exercise yard
Low in Mood Notes: Settled in mood and behaviour, no self harm thoughts verbalised
Low in Mood Notes: :Complied with his treatment plan
Low in Mood Notes: Came out for exercise interacting with other patients. Offered him 1:1 time to express how he
was feeling and he stated that he was fine and had no issues to discuss
Self Harm performed (8 out of 9)
Dsh and depression. fully performed
Low in Mood fully performed
Patient Contact: 60 minutes
Total Contact: 60 minutes
21 Aug 2010 13:48 Surgery: MABHEDHLA, Nyasha (Mental Health Nurse) Entered at: HMP Elmley
Activity: Low in Mood (Care Plan) (30 minutes) with Patient
Activity: Low in Mood (Care Plan) (30 minutes) with Patient
Activity: Self Harm (Care Plan) with Patient
Activity: Dsh and depression. (Care Plan) (30 minutes) with Patient
Thu 23 Apr 2020 15:02
Mr Saul Turner "Saul Altel" (A2425AM)
Confidential: Personal Data 719 122 2247, 08 Dec 1982
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by TURNER, Steven (Mr) (Clerical Access Role)HMP Highdown 17 of 216
Dsh and depression. Notes: Mr Altel's mood appeared to be calm and subdued with no apparent issues to report.
Dsh and depression. Notes: Mr Altel came out during exercise time and sat in the garden where he interacted well
with his peers, he played some pool during association time.
Dsh and depression. Notes: Saul intercated amicably with his peers.
Dsh and depression. Notes: Mr Altel did not verbalise any concerns.
Self Harm Notes: Saul denied any suicidal or self harm ideations.
Self Harm Notes: care plan was adhered to.
Self Harm Notes: no issues were raised in this regard.
Self Harm Notes: no triggers were identified.
Self Harm Notes: Mr Altel appears to enjoy playing pool, he was encouraged to play pool during association time.
Self Harm Notes: Mr Altel played pool during association time.
Low in Mood Notes: Saul was managed as per care plan. he denied any self harm or suicidal ideations.
Low in Mood Notes: Mr Altel complied with all his treatment plan.
Low in Mood Notes: Mr Altel appeared to be settled in in his presentation, his mood appeared calm and subdued, he
verbalised that he was feeling ok, he denied any self harm or suicidal ideation.
Self Harm performed (8 out of 9)
Dsh and depression. fully performed
Low in Mood fully performed
Patient Contact: 90 minutes
Total Contact: 90 minutes
22 Aug 2010 13:56 Surgery: MABHEDHLA, Nyasha (Mental Health Nurse) Entered at: HMP Elmley
Activity: Dsh and depression. (Care Plan) (30 minutes) with Patient
Activity: Low in Mood (Care Plan) (30 minutes) with Patient
Activity: Self Harm (Care Plan) with Patient
Activity: Dsh and depression. (Care Plan) (30 minutes) with Patient
Dsh and depression. Notes: Mr Altel's was calm and settled in his mood and behaviour.
Dsh and depression. Notes: He came out during exercise time and interacted well with his peers, he appears to have
a good rapport with three other patients and appears to spend ampule time with them.
Dsh and depression. Notes: Mr Altel has interacted amicably with his peer.
Dsh and depression. Notes: care plan was adhered to.
Self Harm Notes: all staff are aware of his potential to self harm as he contiues to be managed on an open ACCt
docuement
Self Harm Notes: relationship was intiatated as per care plan.
Self Harm Notes: care plan adhered to.
Self Harm Notes: no concernss were raised inthis regard.
Self Harm Notes: complied with his treatment plan.
Self Harm Notes: no factors were identified, as he did not make any attempt to self harm.
Self Harm Notes: |M|r altel did not verbalise any suicidal ideations nor were they any factors identified
Self Harm Notes: Mr Altel came out during exercise time and interacted well with his peers.
Low in Mood Notes: Care plan adhered to.
Low in Mood Notes: Mr Altel complied to his treatment plan with no apparent concerns.
Low in Mood Notes: Mr altel verbalised that he was ok and feeling fine, he appeared to be calm in mood and settled
in his presentation.
Self Harm performed (8 out of 9)
Dsh and depression. fully performed
Low in Mood fully performed
Patient Contact: 90 minutes
Total Contact: 90 minutes
23 Aug 2010 09:23 Surgery: LONG, Hayley (Mrs) (Administrator) Entered at: HMP Elmley
23 Aug 2010 11:55 Surgery: NGARIZE, Tendai (Mr) (Practice Nurse) Entered at: HMP Elmley
Activity: Low in Mood (Care Plan) (30 minutes) with Patient
Low in Mood Notes: Concordant with medication regime.Did not report any side effects.
Low in Mood performed (1 out of 3)
Patient Contact: 30 minutes
Total Contact: 30 minutes
23 Aug 2010 11:58 Surgery: NGARIZE, Tendai (Mr) (Practice Nurse) Entered at: HMP Elmley
Activity: Low in Mood (Care Plan) (30 minutes) with Patient
Low in Mood Notes: 1.1 session facilitated made good eye contact.Presented with flat affect, but denied suicidal or
self harm intent.Reported that has ups and downs but maintained positive outlook.
Low in Mood performed (1 out of 3)
Patient Contact: 30 minutes
Total Contact: 30 minutes
23 Aug 2010 12:00 Surgery: NGARIZE, Tendai (Mr) (Nurse Access Role) Entered at: HMP Elmley
Activity: Dsh and depression. (Care Plan) (30 minutes) with Patient
Dsh and depression. Notes: Presented with a flat affect but associated with peers and staff.
Thu 23 Apr 2020 15:02
Mr Saul Turner "Saul Altel" (A2425AM)
Confidential: Personal Data 719 122 2247, 08 Dec 1982
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by TURNER, Steven (Mr) (Clerical Access Role)HMP Highdown 18 of 216
Dsh and depression. performed (1 out of 4)
Patient Contact: 30 minutes
Total Contact: 30 minutes
23 Aug 2010 12:01 Surgery: NGARIZE, Tendai (Mr) (Nurse Access Role) Entered at: HMP Elmley
Activity: Dsh and depression. (Care Plan) (30 minutes) with Patient
Dsh and depression. Notes: Mr altel associated with peers in the exercise yard and was appropriate in his
interactions.
Dsh and depression. performed (1 out of 4)
Patient Contact: 30 minutes
Total Contact: 30 minutes
23 Aug 2010 12:02 Surgery: NGARIZE, Tendai (Mr) (Nurse Access Role) Entered at: HMP Elmley
Activity: Dsh and depression. (Care Plan) (30 minutes) with Patient
Dsh and depression. Notes: 1.1 facilitated denied suicidal or self harm intent.
Dsh and depression. performed (1 out of 4)
Patient Contact: 30 minutes
Total Contact: 30 minutes
23 Aug 2010 12:04 Surgery: NGARIZE, Tendai (Mr) (Practice Nurse) Entered at: HMP Elmley
Activity: Low in Mood (Care Plan) (30 minutes) with Patient
Low in Mood Notes: Concordant with medication regime.Did not report any side effects.
Low in Mood performed (1 out of 3)
Patient Contact: 30 minutes
Total Contact: 30 minutes
23 Aug 2010 12:07 Surgery: NGARIZE, Tendai (Mr) (Practice Nurse) Entered at: HMP Elmley
Activity: Low in Mood (Care Plan) (30 minutes) with Patient
Low in Mood Notes: Concordant with medication regime.
Low in Mood performed (1 out of 3)
Patient Contact: 30 minutes
Total Contact: 30 minutes
23 Aug 2010 12:08 Surgery: NGARIZE, Tendai (Mr) (Practice Nurse) Entered at: HMP Elmley
Activity: Low in Mood (Care Plan) (30 minutes) with Patient
Low in Mood Notes: Concordant with medication regime.Did not report any side-effects.
Low in Mood performed (1 out of 3)
Patient Contact: 30 minutes
Total Contact: 30 minutes
23 Aug 2010 12:10 Surgery: NGARIZE, Tendai (Mr) (Practice Nurse) Entered at: HMP Elmley
Activity: Low in Mood (Care Plan) (30 minutes) with Patient
Low in Mood Notes: Concordant with medication regime.No side effects reported,
Low in Mood performed (1 out of 3)
Patient Contact: 30 minutes
Total Contact: 30 minutes
23 Aug 2010 12:11 Surgery: NGARIZE, Tendai (Mr) (Practice Nurse) Entered at: HMP Elmley
Activity: Low in Mood (Care Plan) (30 minutes) with Patient
Low in Mood Notes: Concordant with medication regime.
Low in Mood performed (1 out of 3)
Patient Contact: 30 minutes
Total Contact: 30 minutes
24 Aug 2010 06:20 Surgery: MACARTHUR, Kevin (Mr) (Practice Nurse) Entered at: HMP Elmley
History: settled night no concerns expressed, remqains on open acct no thoughts of self harm expressed
Activity: Low in Mood (Care Plan) (30 minutes) with Patient
Activity: Self Harm (Care Plan) with Patient
Activity: Low in Mood (Care Plan) (30 minutes) with Patient
Activity: Dsh and depression. (Care Plan) (30 minutes) with Patient
Self Harm performed (1 out of 9)
Dsh and depression. performed (1 out of 4)
Low in Mood performed (2 out of 3)
Patient Contact: 90 minutes
Total Contact: 90 minutes
24 Aug 2010 08:45 Surgery: LONG, Hayley (Mrs) (Administrator) Entered at: HMP Elmley
Stay: 24 Aug 2010 08:45 - 02 Sep 2010
24 Aug 2010 12:29 Surgery: MABHEDHLA, Nyasha (Mental Health Nurse) Entered at: HMP Elmley
Activity: Low in Mood (Care Plan) (30 minutes) with Patient
Activity: Dsh and depression. (Care Plan) (30 minutes) with Patient
Dsh and depression. Notes: Mr Altel, appeared calm and settled in his mood and behaviour, no issues were raised.
Dsh and depression. Notes: Mr Altel came out during exercise,and interacted well with his peers.
Dsh and depression. Notes: Mr Altel interacted well with his peers warmly and amicable.
Dsh and depression. Notes: care plan was adhered to.
Low in Mood Notes: Mr Altel attended to his personal hygiene and cleaned his cell.
Low in Mood Notes: Mr Altel complied with his medication and attended exercise session in the garden.
Thu 23 Apr 2020 15:02
Mr Saul Turner "Saul Altel" (A2425AM)
Confidential: Personal Data 719 122 2247, 08 Dec 1982
C18
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Printed
409af26bccb2448dabacd1cf3d115e4f-19
by TURNER, Steven (Mr) (Clerical Access Role)HMP Highdown 19 of 216
Low in Mood Notes: Mr Altel, verbalised that he was feeling fine and denied any suicidal or self harm ideations.
Dsh and depression. fully performed
Low in Mood fully performed
Patient Contact: 60 minutes
Total Contact: 60 minutes
25 Aug 2010 06:16 Surgery: MACARTHUR, Kevin (Mr) (Practice Nurse) Entered at: HMP Elmley
History: Mood stable (Ua1r8) overnight, acct now closed, no concerns raised.
Activity: Low in Mood (Care Plan) (30 minutes) with Patient
Activity: Low in Mood (Care Plan) (30 minutes) with Patient
Activity: Self Harm (Care Plan) with Patient
Activity: Dsh and depression. (Care Plan) (30 minutes) with Patient
Self Harm performed (1 out of 9)
Dsh and depression. performed (1 out of 4)
Low in Mood performed (1 out of 3)
Patient Contact: 90 minutes
Total Contact: 90 minutes
26 Aug 2010 05:57 Surgery: MACARTHUR, Kevin (Mr) (Practice Nurse) Entered at: HMP Elmley
History: Mood stable (Ua1r8) overnight, medication given as charted no concerns raised.
Activity: Low in Mood (Care Plan) (30 minutes) with Patient
Activity: Dsh and depression. (Care Plan) (30 minutes) with Patient
Activity: Low in Mood (Care Plan) (30 minutes) with Patient
Dsh and depression. performed (1 out of 4)
Low in Mood performed (1 out of 3)
Patient Contact: 90 minutes
Total Contact: 90 minutes
26 Aug 2010 14:12 Surgery: ADIGUN, Omolara (Mental Health Nurse) Entered at: HMP Elmley
Activity: Dsh and depression. (Care Plan) (30 minutes) with Patient
Activity: Self Harm (Care Plan) with Patient
Activity: Low in Mood (Care Plan) (30 minutes) with Patient
Dsh and depression. Notes: Appeared settled and brighter in mood.
Dsh and depression. Notes: Out for exercise and association with peers, no concerns reported.
Dsh and depression. Notes: Good rapport and interaction observed with peers.
Dsh and depression. Notes: 1-1 facilitated, He stated that he is fine, no anxieties expressed.
Self Harm Notes: No triggers reported.
Self Harm Notes: Mr Altel occupied himself with reading and watching TV. No self harm behaviour displayed.
Self Harm Notes: Mr Altel was off ACCT on 24/8/10, for closure review next week. Denied deliberate self harm
thoughts or intent.
Low in Mood Notes: Saul is compliant with his medication, no side effects reported.
Low in Mood Notes: 1-1 facilitated, Saul stated he is fine and denied self harm or suicidal intent or thoughts.
Dsh and depression. fully performed
Self Harm performed (6 out of 9)
Low in Mood fully performed
Patient Contact: 60 minutes
Total Contact: 60 minutes
27 Aug 2010 05:57 Surgery: MACARTHUR, Kevin (Mr) (Practice Nurse) Entered at: HMP Elmley
History: Mood stable (Ua1r8) overnight No thoughts of deliberate self harm (XaIuw) expressed no concerns raised,
Activity: Self Harm (Care Plan) with Patient
Activity: Low in Mood (Care Plan) (30 minutes) with Patient
Activity: Low in Mood (Care Plan) (30 minutes) with Patient
Activity: Low in Mood (Care Plan) (30 minutes) with Patient
Low in Mood performed (2 out of 3)
Self Harm performed (1 out of 9)
Patient Contact: 90 minutes
Total Contact: 90 minutes
27 Aug 2010 13:38 Health Centre: MHLANGA, Nelly (Mrs) (Practice Nurse) Entered at: HMP Elmley
Activity: Dsh and depression. (Care Plan) (30 minutes) with Patient
Activity: Low in Mood (Care Plan) (30 minutes) with Patient
Dsh and depression. Notes: Generally settled in mood and behaviour.
Dsh and depression. Notes: Mr Altel requested to play chess during association time, which was facilitated.
Dsh and depression. Notes: Noted to be interacting appropriately with peers, no concerns raised.
Dsh and depression. Notes: 1.1 offered and accepted, stated that he was fine, did not verbalise any self harm or
suicidal ideation.
Low in Mood Notes: Careplan adhered to.
Low in Mood Notes: Complied with his medication regime, no side effects reported or noted.
Low in Mood Notes: 1.1 facilitated, presented with good eye contact, stated that he was fine, no issues of self harm
verbalised.
Thu 23 Apr 2020 15:02
Mr Saul Turner "Saul Altel" (A2425AM)
Confidential: Personal Data 719 122 2247, 08 Dec 1982
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409af26bccb2448dabacd1cf3d115e4f-20
by TURNER, Steven (Mr) (Clerical Access Role)HMP Highdown 20 of 216
Dsh and depression. fully performed
Low in Mood fully performed
Patient Contact: 60 minutes
Total Contact: 60 minutes
28 Aug 2010 06:56 Surgery: MACARTHUR, Kevin (Mr) (Practice Nurse) Entered at: HMP Elmley
History: Mood stable (Ua1r8)overnight no concerns raised.
Activity: Low in Mood (Care Plan) (30 minutes) with Patient
Activity: Dsh and depression. (Care Plan) (30 minutes) with Patient
Dsh and depression. performed (1 out of 4)
Low in Mood performed (1 out of 3)
Patient Contact: 60 minutes
Total Contact: 60 minutes
28 Aug 2010 20:32 Surgery: MATSIKA, Clemence (Mental Health Nurse) Entered at: HMP Elmley
Activity: Low in Mood (Care Plan) (30 minutes) with Patient
Activity: Dsh and depression. (Care Plan) (30 minutes) with Patient
Dsh and depression. Notes: No DSH issues.
Low in Mood Notes: Saul was facilitated a 1;1 session . He appeared settled in mood and pleasant on approach
today. No self harm issues.
Dsh and depression. fully performed
Low in Mood fully performed
Patient Contact: 60 minutes
Total Contact: 60 minutes
29 Aug 2010 06:20 Surgery: MACARTHUR, Kevin (Mr) (Practice Nurse) Entered at: HMP Elmley
History: Mood stable (Ua1r8) overnight no concerns raised
Activity: Low in Mood (Care Plan) (30 minutes) with Patient
Activity: Dsh and depression. (Care Plan) (30 minutes) with Patient
Activity: Low in Mood (Care Plan) (30 minutes) with Patient
Dsh and depression. performed (1 out of 4)
Low in Mood performed (2 out of 3)
Patient Contact: 90 minutes
Total Contact: 90 minutes
29 Aug 2010 16:52 Surgery: ADIGUN, Omolara (Mental Health Nurse) Entered at: HMP Elmley
Activity: Low in Mood (Care Plan) (30 minutes) with Patient
Activity: Dsh and depression. (Care Plan) (30 minutes) with Patient
Activity: Dsh and depression. (Care Plan) (30 minutes) with Patient
Dsh and depression. Notes: Presented as settled and brighter in mood and behaviour.
Dsh and depression. Notes: He was out for exercise this morning and association.
Dsh and depression. Notes: Good rapport with peers observed.
Dsh and depression. Notes: Denied self harm thoughts or suicidal intent on spoken, appeared to be in good spirit.
Low in Mood Notes: Care plan adhered to.
Low in Mood Notes: Mr Altel is compliant with his medication and treatment plan, no concerns expressed.
Low in Mood Notes: Mr Altel stated that he is fine, no self harm thoughts verbalised.
Dsh and depression. fully performed
Low in Mood fully performed
Patient Contact: 90 minutes
Total Contact: 90 minutes
30 Aug 2010 06:37 Surgery: BHEBHE, Sifiso (Practice Nurse) Entered at: HMP Elmley
Activity: Low in Mood (Care Plan) (30 minutes) with Patient
Low in Mood Notes: saul reported he was ok at the start of the night shift no thoughts of self-harm reported complied
with his meds this am
Low in Mood performed (1 out of 3)
Patient Contact: 30 minutes
Total Contact: 30 minutes
31 Aug 2010 13:51 Surgery: ADIGUN, Omolara (Mental Health Nurse) Entered at: HMP Elmley
Activity: Dsh and depression. (Care Plan) (30 minutes) with Patient
Activity: Low in Mood (Care Plan) (30 minutes) with Patient
Dsh and depression. Notes: Presented as bright and cheerful in mood and behaviour.
Dsh and depression. Notes: He socialised with peers and participated in all activities.
Dsh and depression. Notes: Good rapport observed with peers.
Dsh and depression. Notes: Mr Altel stated he is fine on spoken to, no deliberate self harm thoughts or suicidal intent
expressed.
Low in Mood Notes: He is compliant with his medication, no side effects reported.
Low in Mood Notes: Mr Altel was seen by Dr Feeney, he is fit for discharge from IPD and to apply for rule 45. He
ststed he is fine with this decision.
Dsh and depression. fully performed
Low in Mood fully performed
Thu 23 Apr 2020 15:02
Mr Saul Turner "Saul Altel" (A2425AM)
Confidential: Personal Data 719 122 2247, 08 Dec 1982
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Printed
409af26bccb2448dabacd1cf3d115e4f-21
by TURNER, Steven (Mr) (Clerical Access Role)HMP Highdown 21 of 216
Patient Contact: 60 minutes
Total Contact: 60 minutes
01 Sep 2010 12:03 Surgery: NGARIZE, Tendai (Mr) (Practice Nurse) Entered at: HMP Elmley
Activity: Low in Mood (Care Plan) (30 minutes) with Patient
Low in Mood Notes: 1.1 session facilitated amenable and pleasant on approach.
Low in Mood performed (1 out of 3)
Patient Contact: 30 minutes
Total Contact: 30 minutes
01 Sep 2010 12:05 Surgery: NGARIZE, Tendai (Mr) (Practice Nurse) Entered at: HMP Elmley
Activity: Low in Mood (Care Plan) (30 minutes) with Patient
Low in Mood Notes: Presented as euthymic in mood and remains concordant with medication regime.
Low in Mood performed (1 out of 3)
Patient Contact: 30 minutes
Total Contact: 30 minutes
01 Sep 2010 12:06 Surgery: NGARIZE, Tendai (Mr) (Nurse Access Role) Entered at: HMP Elmley
Activity: Dsh and depression. (Care Plan) (30 minutes) with Patient
Dsh and depression. Notes: Interactive with peers played pool.
Dsh and depression. performed (1 out of 4)
Patient Contact: 30 minutes
Total Contact: 30 minutes
01 Sep 2010 12:39 Surgery: NGARIZE, Tendai (Mr) (Nurse Access Role) Entered at: HMP Elmley
Activity: Dsh and depression. (Care Plan) (30 minutes) with Patient
Dsh and depression. Notes: diet and fluids taken at mealtimes.
Dsh and depression. performed (1 out of 4)
Patient Contact: 30 minutes
Total Contact: 30 minutes
01 Sep 2010 18:22 Surgery: MAIBVISIRA, Francis (Mr) (Health Professional Access Role) Entered at: HMP Elmley
Referral In to HMP Highdown for Healthcare: Ended on 25 Apr 2011 00:00
Status Update for Healthcare Referral In: Discharged From Care
02 Sep 2010 08:41 Surgery: LONG, Hayley (Mrs) (Administrator) Entered at: HMP Elmley
Stay: 02 Sep 2010 08:41 - 03 Sep 2010
03 Sep 2010 08:38 Surgery: LONG, Hayley (Mrs) (Administrator) Entered at: HMP Elmley
Stay: 03 Sep 2010 08:38 - 17 Dec 2010
04 Sep 2010 18:54 Surgery: MAIBVISIRA, Francis (Mr) (Health Professional Access Role) Entered at: HMP Elmley
04 Sep 2010 18:54 Surgery: MAIBVISIRA, Francis (Mr) (Health Professional Access Role) Entered at: HMP Elmley
Referral In to HMP Highdown for Healthcare: Ended on 25 Apr 2011 00:00
Status Update for Healthcare Referral In: Discharged From Care
06 Sep 2010 10:36 Health Centre: SHAH, Rajiv (Dr) (General Medical Practitioner) Entered at: HMP Elmley
Medication review done (XaF8d)
(R) Doxycycline 100mg capsules - 30 capsules - Noon: 1.0 capsules
Doxycycline 100mg capsules - 30 capsules - Noon: 1.0 capsules
Ended 01 Nov 2010 Patient Preference (patient has stopped colecting for long time) by SHAH, Rajiv (Dr)
10 Sep 2010 09:27 Surgery: FEENEY, Sean (Dr) (Psychiatrist) Entered at: HMP Elmley
History: Dr Feeney; seen in IPD on 31st August. Feeling much better, up and down rather than down; Able to talk
more and more engaged. Optimistic on good days; is hoping to go to HB6. States that he has had periods of high
energy, overactivity, and sleeplessness over several days on a number of occasions in the past, so the question of
future need for mood stabiliser arises. Says 'thank you very much for your help ... your'e a thorough Gent'. PLAN -
discharge next week to single cell; FU by me 1 week; check literature re mood stabilizer.
13 Sep 2010 11:23 Health Centre: SHAH, Rajiv (Dr) (General Medical Practitioner) Entered at: HMP Elmley
(R) Doxycycline 100mg capsules - 30 capsules - Noon: 1.0 capsules
13 Sep 2010 12:25 Surgery: FEENEY, Sean (Dr) (Psychiatrist) Entered at: HMP Elmley
History: Seen OPD on 10th. States is well - 'perfect!' - and is looking forward with enthusiasm to going to the gym wvt
regaining weight.
23 Sep 2010 10:06 Health Centre: PARKS, Claire (Miss) (Administrator) Entered at: HMP Elmley
24 Sep 2010 08:48 Surgery: WISEMAN, Samantha ('Other' Community Health Service) Entered at: HMP Elmley
04 Oct 2010 11:00 Health Centre: SANDS, Rebecca (Miss) (Pharmacy Technician) Entered at: HMP Elmley
(R) Doxycycline 100mg capsules - 30 capsules - Noon: 1.0 capsules
04 Oct 2010 11:19 Health Centre: SHAH, Rajiv (Dr) (General Medical Practitioner) Entered at: HMP Elmley
Medication review done (XaF8d)
(R) Venlafaxine 150mg modified-release tablets - 28 tablets - AM: 1.0 tablets
Venlafaxine 150mg modified-release tablets - 28 tablets - AM: 1.0 tablets
Ended 01 Nov 2010 Patient Preference (patient has DNA for medicine) by SHAH, Rajiv (Dr)
05 Oct 2010 09:55 Health Centre: PARKS, Claire (Miss) (Administrator) Entered at: HMP Elmley
06 Oct 2010 09:04 Surgery: WISEMAN, Samantha ('Other' Community Health Service) Entered at: HMP Elmley
Thu 23 Apr 2020 15:02
Mr Saul Turner "Saul Altel" (A2425AM)
Confidential: Personal Data 719 122 2247, 08 Dec 1982
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409af26bccb2448dabacd1cf3d115e4f-22
by TURNER, Steven (Mr) (Clerical Access Role)HMP Highdown 22 of 216
01 Nov 2010 11:08 Health Centre: SHAH, Rajiv (Dr) (General Medical Practitioner) Entered at: HMP Elmley
10 Nov 2010 13:36 Surgery: ROBINSON, Dee (Medical Secretary) Entered at: HMP Elmley
History: Seen by Dr Feeney
He stated he is completely well at present and has not had any medication at all for over a month. He said his
appetite and sleep are good and he has gained weight, up to about 60kg, though he still looks quite thin. When his
mother came to see him recently she was surprised to see how much weight he has lost. However, he is essentially
euthymic and is going to the gym every day. He has now been told he will have full access to his daughter when he
is released from custody and he is looking forward greatly to getting out.
I will review him should the need arise in 6 weeks time.
01 Dec 2010 09:46 Health Centre: PARKS, Claire (Miss) (Administrator) Entered at: HMP Elmley
04 Dec 2010 09:32 Surgery: WOODS, Steve (Manager) Entered at: HMP Elmley
17 Dec 2010 09:12 Surgery: WISEMAN, Samantha ('Other' Community Health Service) Entered at: HMP Elmley
Stay: 17 Dec 2010 09:12 - 25 Apr 2011
11 Jan 2011 06:49 Surgery: BHEBHE, Sifiso (Practice Nurse) Entered at: HMP Elmley
History: Headache (XE0rh)
Examination: requested and received parcetamol 1 gram given by night osg Julie
11 Jan 2011 12:47 Surgery: ROBINSON, Dee (Medical Secretary) Entered at: HMP Elmley
History: Seen by Dr Feeney 10.01.11 - OPD
Seen by Dr Feeney in industrial cleaning. He has been given a job as a cleaner and is in the process of training to
do this. He has been well, no depression. He has been active and going to the gym regularly. He is on no
medication. I will him again in about two month's time.
12 Jan 2011 14:41 Health Centre: SANDS, Rebecca (Miss) (Pharmacy Technician) Entered at: HMP Elmley
History: 2 paracetamol issued by officer fairclough on the HB
13 Jan 2011 09:47 Health Centre: SANDS, Rebecca (Miss) (Pharmacy Technician) Entered at: HMP Elmley
History: 2 paracetamol issued by officer haywood on HB at 9.50am
07 Feb 2011 10:48 Health Centre: DENSHAM, Ronald (Mr) (Officer) Entered at: HMP Elmley
History: Special Sick
Examination: Swelling and redness to left side of face, painful to touch.
Diagnosis: He stated that he has no allergys and has had the medicatoin before. Medication explained and issued
Amoxicillin250mg and Ibuprofen 200mg x16
09 Feb 2011 09:47 Health Centre: PARKS, Claire (Miss) (Administrator) Entered at: HMP Elmley
10 Feb 2011 09:29 Surgery: WISEMAN, Samantha ('Other' Community Health Service) Entered at: HMP Elmley
07 Mar 2011 01:14 Surgery: BOYLE, Hugh (Healthcare Assistant) Entered at: HMP Elmley
History: Paracetamol 500mg soluble tablet (di22.) - 2 Paracetamol authorised to be issued by officer on the HB at
01.15hrs
Examination: c/o a headache
26 Apr 2011 08:56 Surgery: TUCKER, John (Clerical Access Role) Entered at: HMP Elmley
02 Nov 2011 14:22 H, Health Centre: PARKS, Claire (Miss) (Administrator) Entered at: HMP Elmley
Paper record held here (Y1800)
02 Feb 2012 20:32 Surgery: Unknown Staff Member Entered at: Hmp Rochester Entered: 11 Apr 2013 14:32
Previous Home Address: ZZ99 3VZ
02 Feb 2012 20:32 HCC, Surgery: LASKEY, Christine (Ms) (Sister/Charge Nurse) Entered at: HMP Lewes
Date Of Birth Changed From '01 Jan 1900', Address Entered
Previous Home Address: ZZ99 3VZ
Sentence: 02 Feb 2012 - 21 Feb 2013
Stay: 02 Feb 2012 20:32 - 03 Feb 2012
02 Feb 2012 20:32 Surgery: Unknown Staff Member Entered at: HMP Winchester Entered: 14 Jan 2015 16:52
Previous Home Address: ZZ99 3VZ
02 Feb 2012 20:32 Surgery: Unknown Staff Member Entered at: Hmp Camp Hill Entered: 07 Oct 2013 21:22
Previous Home Address: ZZ99 3VZ
02 Feb 2012 20:32 Surgery: Unknown Staff Member Entered at: HMP Wormwood Entered: 16 Feb 2016 02:32
Scrubs
Previous Home Address: ZZ99 3VZ
02 Feb 2012 20:32 HCC, Surgery: LASKEY, Christine (Ms) (Sister/Charge Nurse) Entered at: HMP Lewes
History: Seen by nurse (XaATp)No thoughts of deliberate self harm (XaIuw) and No suicidal thoughts (XaIJ7).
Cheerful mood (Ua1X9) although c/o feeling hungry and tired. No problems identified. Completed Hep B.
Tuberculosis: no (Y093d)
Asthma: no (Y0944)
Sickle cell carrier: no (Y09fe)
Thu 23 Apr 2020 15:02
Mr Saul Turner "Saul Altel" (A2425AM)
Confidential: Personal Data 719 122 2247, 08 Dec 1982
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409af26bccb2448dabacd1cf3d115e4f-23
by TURNER, Steven (Mr) (Clerical Access Role)HMP Highdown 23 of 216
Prisoners alcohol intake week before custody (YX013) 0 Units / Week
Has not stayed in a psychiatric hospital (Y08e2)
Prisoner does not take drug intravenously (Y08f9)
Prisoner has not used drugs in the last month (Y08f7)
Diabetes mellitus: no (Y093f)
Has not seen Doctor in previous few months (Y08d6)
Has no outstanding hospital/ Doctors appointments (Y07f8)
Health information not received from outside source: no (Y09cc)
Is not receiving prescribed medication (Y08d7)
Epilepsy: no (Y0941)
Chest pain: none (Y092a)
Has not received physical injuries recently (Y08d8)
First Reception Screening (Positive Response) (Y0801)
Has not been homeless in the past year (Y08db)
No medical/ psychiatric report required (Y08d9)
Has not been in prison before (Y08dc)
Prisoner does not feel like Self Harming or Suicide (Y0903)
Prisoner has a psychiatric nurse or care worker in the community : no (Y09d1)
Prisoner has not received treatment from a psychiatrist outside prison: no (Y09ce)
Prisoner has not tried to harm themselves (outside prison) (Y09fa)
No immediate action required (YX027)
Fit for normal location, work and any cell occupancy (YX035)
Prisoner has tried to harm themselves (in prison) (YX020)
Health care services information leaflet given (XaLMh)
03 Feb 2012 09:53 HCC, Surgery: MORLEY, Lynn (Clerical Worker) Entered at: HMP Lewes
Stay: 03 Feb 2012 09:54 - 15 Mar 2012
06 Feb 2012 07:55 Surgery: STEVENS, Helen (Community Psychiatric Nurse) Entered at: HMP Lewes
Reason for referral (XaIpS)
Phone call from Donna Beard informing us that Saul has returned to prison and for us to be aware.
Saul has a history of depression.
Referral In to HMP Highdown for In Reach: Ended on 14 Feb 2012 14:45
With the Following Intervention(s)
Referral back to GP
Status Update for In Reach Referral In: Receiving Care
06 Feb 2012 12:10 Surgery: STEVENS, Helen (Community Psychiatric Nurse) Entered at: HMP Lewes
Saul has been in HMP Lewes previously and spent time on HCC for depression. He was previously known as Saul
Altel.
Seen today on F wing, Saul was pleased to see me and informed me that he is very well and does not even take
antidepressants any longer. Reports being back on recall which he is not happy about but showed no evidence of
being depressed. Denied having any issues that would warrant Inreach/Mental health involvement and confirmed
that he knows how to access support if he requires it. Denies any current thoughts/urges to self harm or current
suicidal ideation.
According to eCPA document saved in record attachments from court Liaison Saul took an OD July 2011 due to
crisis regarding housing and relationship.
To discuss with Dr Gibbs in MDT meeting.
Acrobat Document: sa.pdf - Court Liaison report
06 Feb 2012 12:50 Surgery: STEVENS, Helen (Community Psychiatric Nurse) Entered at: HMP Lewes
14 Feb 2012 11:19 Surgery: STEVENS, Helen (Community Psychiatric Nurse) Entered at: HMP Lewes
Notes summary on computer (9344.)
History of depressive episodes in past
Reactive depression.
History of Borderline PD
Referral declined (XaPBy)
Notes summary on computer (9344.)
Has been known to Lewes prison, Saul is currently well and aware of how to access support if required.
Took OD in July 2011.
Diagnosis of Borderline PD
Yes (Y0427)
Notes summary on computer (9344.) - Call from Court Liaison Donna Beard
No (Y0428)
Yes (Y0427)
No (Y0428)
Thu 23 Apr 2020 15:02
Mr Saul Turner "Saul Altel" (A2425AM)
Confidential: Personal Data 719 122 2247, 08 Dec 1982
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by TURNER, Steven (Mr) (Clerical Access Role)HMP Highdown 24 of 216
Plan (XaIVg) - To be managed in Primary care.
Yes (Y0427) - Paula Message
Yes (Y0427)
14 Feb 2012 14:45 Surgery: STEVENS, Helen (Community Psychiatric Nurse) Entered at: HMP Lewes
Status Update for In Reach Referral In: Discharged From Care
15 Mar 2012 10:52 HCC, Surgery: MORLEY, Lynn (Clerical Worker) Entered at: HMP Lewes
Stay: 15 Mar 2012 10:52 - 27 Mar 2012
23 Mar 2012 02:59 Surgery: MACDONALD, Mary (Mental Health Nurse) Entered at: HMP Lewes
not on a detox and no outstanding appointments and therefore appears fit for transfer
23 Mar 2012 10:15 HCC, Surgery: MORLEY, Lynn (Clerical Worker) Entered at: HMP Lewes
27 Mar 2012 Surgery: DELL, Lindsay (Miss) (Administrator) Entered at: Hmp Entered: 28 Mar 2012 11:03
Camp Hill
Clinic Letter to Hmp Camp Hill
27 Mar 2012 Surgery: DELL, Lindsay (Miss) (Administrator) Entered at: Hmp Entered: 28 Mar 2012 11:04
Camp Hill
Second Reception Screening (Y0da6) (New Episode)
27 Mar 2012 13:54 Surgery: PACKER, Julie (Staff Nurse) Entered at: Hmp Camp Hill
27 Mar 2012 13:54 Surgery: PACKER, Julie (Staff Nurse) Entered at: Hmp Camp Hill
Stay: 27 Mar 2012 13:54 - 30 Mar 2012
27 Mar 2012 14:31 Surgery: PACKER, Julie (Staff Nurse) Entered at: Hmp Camp Hill
No thoughts of deliberate self harm (XaIuw)
No current indication/evidence of risk, suitable for multi-cell location (Y4579)
O/E - height (229..) 1.75 m (5 ' 9 ")
Pulse rate (X773s) 77 bpm
Past medical history (14...) - nil of note
Prisoner has been in prison before (YX004) - come from Lewis. Also has been at Camphill before.
Adult male (Y3072)
Health care services information leaflet given (XaLMh)
Prisoner has received medication for mental health problems (YX019) - was on anti depressents a few years ago. Nu
current issues
Emotional state observations (Ua16B) - no concerns
O/E - weight (22A..) 62.4 Kg (9 st 12 lb)
Unknown (X90UG)
Unknown (X90UG)
Unknown (X90UG)
Hepatitis B immunisation (X74VC)
New patient screening (68R..) - Fit and well. No concerns. Already had Hep B vaccinations.
Learning disabilities health action plan declined (XaJW9)
Hep B Vacc - immunised already (Y075d)
Expected peak expiratory flow rate (XaEFL) 631 L/min
Ideal body weight (66CB.) 76.26 Kg (12 st)
Body mass index - observation (22K..) 20.38 Kg/m²
Smoker (137R.)
Tuberculosis (BCG) vaccination (653..)
Prisoner has concerns over their physical health (YX009) - fit 1a
Not disabled (Y3416)
124 / 57 mmHg
30 Mar 2012 14:34 Surgery: DELL, Lindsay (Miss) (Administrator) Entered at: Hmp Camp Hill
Stay: 30 Mar 2012 14:34 - 16 Apr 2012
30 Mar 2012 15:15 Surgery: DENHAM, Susan (Staff Nurse) Entered at: Hmp Camp Hill
History: Headache (XE0rh)
Paracetamol 500mg tablets - 16.0 tablets - take 1 or 2 4 times/day
31 Mar 2012 07:04 Surgery: Unknown Staff Member Entered at: Hmp Camp Hill
Diagnosis Summary Marked in Error:
27 Mar 2012 14:31 New patient screening (68R..) was in summary
31 Mar 2012 07:04 Surgery: Unknown Staff Member Entered at: Hmp Camp Hill
Diagnosis Summary Marked in Error:
02 Feb 2012 20:32 First Reception Screening (Positive Response) (Y0801) was in summary
04 Apr 2012 09:32 HMP Prison: STRYDOM, Adriaan (Dr) (Doctor) Entered at: Hmp Camp Hill
Thu 23 Apr 2020 15:02
Mr Saul Turner "Saul Altel" (A2425AM)
Confidential: Personal Data 719 122 2247, 08 Dec 1982
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History: seen on segregation unit
Examination: npr
05 Apr 2012 09:51 Surgery: HARRIS, Mike (Staff Nurse) Entered at: Hmp Camp Hill
Seen by nurse (XaATp) - in segregation unit. Nothing to report but has asked for Aqueous cream.
06 Apr 2012 09:18 Surgery: WILLIAMS, Mark (Dr) (Doctor) Entered at: Hmp Camp Hill
History: Seen in segregation unit (Y0ce3) CO Rt upper chest/shoulder pain, releived by holding arm to side, no h/o
cough, temp etc.
Ibuprofen 200mg tablets - 24 tablets - take one or two 3 times/day
Diagnosis Summary Marked in Error:
05 Apr 2012 09:51 Seen by nurse (XaATp) was in summary
07 Apr 2012 10:54 Surgery: DENHAM, Susan (Staff Nurse) Entered at: Hmp Camp Hill
History: Seen by Nurse on Seg Round - NPR
Examination: Fit and well (Xa96k)
Plan: Review of admission to segregation unit (XaPmi)
08 Apr 2012 10:41 Surgery: DENHAM, Susan (Staff Nurse) Entered at: Hmp Camp Hill
History: Seen by Nurse on Seg Round - NPR
Examination: Fit and well (Xa96k)
Plan: Review of admission to segregation unit (XaPmi)
09 Apr 2012 09:17 Surgery: WILLIAMS, Mark (Dr) (Doctor) Entered at: Hmp Camp Hill
History: Seen in segregation unit (Y0ce3) NPR
10 Apr 2012 10:34 Surgery: WINZAR, Jacqueline (Staff Nurse) Entered at: Hmp Camp Hill
History: Seen by Nurse on Seg Round - NPR
Examination: Fit and well (Xa96k)
Plan: Review of admission to segregation unit (XaPmi)
11 Apr 2012 09:23 HMP Prison: MANNING, Victoria (Dr) (Doctor) Entered at: Hmp Camp Hill
History: Seen by general practitioner (9N21.)
Seen in segregation. No medical complaints. Appears to be coping well.
Plan: Review of admission to segregation unit (XaPmi)
12 Apr 2012 09:42 Surgery: DENHAM, Susan (Staff Nurse) Entered at: Hmp Camp Hill
History: Seen by Nurse on Seg Round - NPR
Examination: Fit and well (Xa96k)
Plan: Review of admission to segregation unit (XaPmi)
16 Apr 2012 08:55 Surgery: DELL, Lindsay (Miss) (Administrator) Entered at: Hmp Camp Hill
Stay: 16 Apr 2012 08:55 - 10 Oct 2012
20 Apr 2012 16:27 Surgery: BROWNING, Tanya (Staff Nurse) Entered at: Hmp Camp Hill
History: Headache (XE0rh)
Paracetamol 500mg tablets - 16.0 tablets - take 1 or 2 4 times/day
10 Jul 2012 09:29 Surgery: PACKER, Julie (Staff Nurse) Entered at: Hmp Camp Hill
History: c/o acne and wanting oral ABx.
Examination: Mild acne to forehead. Back appears a little more severe. States previous GP px oral ABx. No record
on S1.
Plan: Ref to GP. Appt booked for Friday.
13 Jul 2012 11:05 HMP Prison: WILLIAMS, Mark (Dr) (Doctor) Entered at: Hmp Camp Hill
History: Acne - ongoing problems, used Minicin Outside.
Examination: Acne spots at various stages, face & shoulders affected.
Diagnosis: Acne vulgaris (XE1BO)
Plan: Re-instate Tx.
Minocycline 100mg modified-release capsules - 56 capsules - take one daily
QUINODERM ANTIBACTERIAL wash [QUINODERM] - 100 millilitres - bd
17 Jul 2012 11:52 Surgery: DENHAM, Susan (Staff Nurse) Entered at: Hmp Camp Hill
24 Sep 2012 10:17 HMP Prison: WILLIAMS, Mark (Dr) (Doctor) Entered at: Hmp Camp Hill
History: acne - settled on Tx but has recurred
Diagnosis: Acne vulgaris (XE1BO)
History: Seb cyst on forehead - present several months
Examination: mobile cyst on forehead
Diagnosis: Sebaceous cyst (XaIP9)
Medication review done (XaF8d) - Acne Rx -> repeat.
Referral for minor surgery (XaJub)
(R) Minocycline 100mg modified-release capsules - 56 capsules - take one daily
(R) QUINODERM ANTIBACTERIAL wash [QUINODERM] - 100 millilitres - bd
Thu 23 Apr 2020 15:02
Mr Saul Turner "Saul Altel" (A2425AM)
Confidential: Personal Data 719 122 2247, 08 Dec 1982
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Hospital Referral for minor surgery
Minocycline 100mg modified-release capsules - 56 capsules - take one daily
Ended 22 Feb 2013 Patient Deducted (Hmp Camp Hill) by PACKER, Julie
QUINODERM ANTIBACTERIAL wash [QUINODERM] - 100 millilitres - bd
Ended 22 Feb 2013 Patient Deducted (Hmp Camp Hill) by PACKER, Julie
24 Sep 2012 12:23 Surgery: DELL, Lindsay (Miss) (Administrator) Entered at: Hmp Camp Hill
Hospital Referral for minor surgery updated: Waiting For Information
27 Sep 2012 12:19 Surgery: PICKERING, Sarah (Miss) (Staff Nurse) Entered at: Hmp Camp Hill
10 Oct 2012 12:31 Surgery: BRADLEY, Sarah (Mrs) (Administrator) Entered at: Hmp Camp Hill
Stay: 10 Oct 2012 12:31 - 22 Feb 2013
20 Oct 2012 16:17 Surgery: PICKERING, Sarah (Miss) (Staff Nurse) Entered at: Hmp Camp Hill
History: Medication given (8B311)
Examination: 28 x Minocycline given as precribed, unable to click off on S1
(R) QUINODERM ANTIBACTERIAL wash [QUINODERM] - 100 millilitres - bd
26 Oct 2012 14:47 Surgery: PEACEY-WILCOX, Saffron (Administrator) Entered at: Hmp Camp Hill
Angiography Report to Mr Saul Turner
Hospital Referral for minor surgery updated: Appointment Booked
12 Nov 2012 11:20 Surgery: HULL, Susan (Mrs) (Pharmacy Technician) Entered at: Hmp Camp Hill
(R) Minocycline 100mg modified-release capsules - 56 capsules - take one daily
19 Nov 2012 11:50 Surgery: SKELDON, Maria (Ms) (Clinical Team Manager) Entered at: Hmp Camp Hill
(R) Minocycline 100mg modified-release capsules - 56 capsules - take one daily (Future dated medication 07 Jan
2013)
02 Dec 2012 15:11 Surgery: WINZAR, Jacqueline (Staff Nurse) Entered at: Hmp Camp Hill
History: Transfer of care (XaBPq)
Examination: Fit and well (Xa96k)
Plan: per completed - for pt to attend SMH - for Maxillofacial appoint 12/12/12 - 14.15
02 Dec 2012 15:23 Surgery: WINZAR, Jacqueline (Staff Nurse) Entered at: Hmp Camp Hill
12 Dec 2012 Surgery: BRADLEY, Sarah (Mrs) (Administrator) Entered at: Hmp Entered: 07 Jan 2013 11:37
Camp Hill
Clinic Letter to Dr Victoria Manning
12 Dec 2012 Surgery: MANNING, Victoria (Dr) (Doctor) Entered at: Hmp Camp Entered: 10 Jan 2013 09:59
Hill
12 Dec 2012 Surgery: BRADLEY, Sarah (Mrs) (Administrator) Entered at: Hmp Entered: 10 Jan 2013 09:59
Camp Hill
Letter from consultant (XM1Tt) (New Episode)
12 Dec 2012 Surgery: BRADLEY, Sarah (Mrs) (Administrator) Entered at: Hmp Entered: 10 Jan 2013 09:59
Camp Hill
Letter from consultant (XM1Tt) (New Episode)
12 Dec 2012 Surgery: MANNING, Victoria (Dr) (Doctor) Entered at: Hmp Camp Entered: 10 Jan 2013 09:59
Hill
28 Dec 2012 09:45 Surgery: DELL, Lindsay (Miss) (Administrator) Entered at: Hmp Camp Hill
Letter to Patients to Mr Saul Turner
Hospital Referral for minor surgery updated: Appointment Booked
13 Jan 2013 11:51 Surgery: PICKERING, Sarah (Miss) (Staff Nurse) Entered at: Hmp Camp Hill
History: Transfer of care (XaBPq)
Examination: Fit and well (Xa96k)
Plan: For hospital appointment 21/1/13
21 Jan 2013 Surgery: STRYDOM, Adriaan (Dr) (Doctor) Entered at: Hmp Camp Entered: 08 Feb 2013 10:39
Hill
HISTOLOGY: CLINICAL INFORMATION:-
Skin. epidermoid cyst, forehead excision.
MACRO:-
Ellipse of skin 10x3mm with underlying whitish nodule 11x7x7mm.
MICRO:-
Skin shows an epidermal inclusion cyst ('sebaceous cyst'). No atypi
a
and no features of malignancy are seen.
LESION, CYST FOREHEAD - EPIDERMAL CYST.
Dr Kamarul Jamil, MBChB, FRCPath, Consultant Histopathologist
29.01.13.
Thu 23 Apr 2020 15:02
Mr Saul Turner "Saul Altel" (A2425AM)
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Reports are authorised electronically.
HISTOLOGY Report, Normal, Communicate Patient
28 Jan 2013 09:01 Surgery: WINZAR, Jacqueline (Staff Nurse) Entered at: Hmp Camp Hill
Removal of skin sutures (Y8880) - 4 sutures removed from forhead , no sign of infection, wound cleaned and small
dressing applied for one -two days just to allow the skin to heal completley . informed pt to return if he gets any sign
of infection or any other problems.
08 Feb 2013 10:38 Surgery: STRYDOM, Adriaan (Dr) (Doctor) Entered at: Hmp Camp Hill
Angiography Report to Mr Saul Turner
16 Feb 2013 13:59 Surgery: VERLANDER, Lesley (Staff Nurse) Entered at: Hmp Camp Hill
Medically fit for prison transfer (XaQfN)
22 Feb 2013 09:17 Surgery: PACKER, Julie (Staff Nurse) Entered at: Hmp Camp Hill
Stay: 22 Feb 2013 09:17 - 21 Feb 2013
22 Feb 2013 09:17 Surgery: Unknown Staff Member Entered at: HMP Lewes Entered: 03 Jun 2013 04:22
22 Feb 2013 10:39 Surgery: JAMES, Denise (Business Manager) Entered at: HMP Lewes
22 Feb 2013 15:17 HCC, Surgery: LASKEY, Christine (Ms) (Sister/Charge Nurse) Entered at: HMP Lewes
No immediate action required (YX027)
Fit for normal location, work and any cell occupancy (YX035)
Prisoner has not tried to harm themselves (in prison) (Y09f9)
Health care services information leaflet given (XaLMh)
No medical/ psychiatric report required (Y08d9)
Has not been homeless in the past year (Y08db)
First Reception Screening (Positive Response) (Y0801)
No known allergies (1151.)
Has not stayed in a psychiatric hospital (Y08e2)
Prisoner has not received treatment from a psychiatrist outside prison: no (Y09ce)
Prisoner has not used drugs in the last month (Y08f7)
Prisoner does not take drug intravenously (Y08f9)
Prisoner has a psychiatric nurse or care worker in the community : no (Y09d1)
Has not received medication for mental health problems (Y08e6)
Prisoner has not tried to harm themselves (outside prison) (Y09fa)
Prisoner does not feel like Self Harming or Suicide (Y0903)
Prisoner has been in prison before (YX004)
Sickle cell carrier: no (Y09fe)
Diabetes mellitus: no (Y093f)
Epilepsy: no (Y0941)
Has no concerns over their physical health (Y08dd)
Tuberculosis: no (Y093d)
Asthma: no (Y0944)
Chest pain: none (Y092a)
Prisoner seen doctor in previous few months (YX005)
Has no outstanding hospital/ Doctors appointments (Y07f8)
Health information not received from outside source: no (Y09cc)
Other Consent Given (Y9959)
Has not received physical injuries recently (Y08d8)
Prisoner receiving prescribed medication (YX007) - medication for achne
Sentence: 22 Feb 2013 - 02 Nov 2013
Stay: 22 Feb 2013 15:17 - 25 Feb 2013
22 Feb 2013 15:17 HCC, Surgery: LASKEY, Christine (Ms) (Sister/Charge Nurse) Entered at: HMP Lewes
22 Feb 2013 15:23 HCC, Surgery: LASKEY, Christine (Ms) (Sister/Charge Nurse) Entered at: HMP Lewes
History: Seen by nurse (XaATp)No thoughts of deliberate self harm (XaIuw)and No suicidal thoughts (XaIJ7)at time
of writing. No other problems identified. For prescribed medication for acne. Completed hep b vaccinations.
Hepatitis B immunisation (X74VC) - completed
25 Feb 2013 10:23 Surgery: JAMES, Denise (Business Manager) Entered at: HMP Lewes
Stay: 25 Feb 2013 10:23 - 12 Mar 2013
11 Mar 2013 15:28 Surgery: SKELDON, Maria (Ms) (Clinical Team Manager) Entered at: Hmp Camp Hill
Hospital Referral for minor surgery ended: Transferred Out Of Area
12 Mar 2013 10:16 Surgery: BARDEN, Anne (Clerical Access Role) Entered at: HMP Lewes
Stay: 12 Mar 2013 10:16 - 15 Mar 2013
13 Mar 2013 10:07 Surgery: KELLY, Steve (Mental Health Nurse) Entered at: HMP Lewes
Not on detox, no outstanding hospital apptmnts, fit for transfer.
Thu 23 Apr 2020 15:02
Mr Saul Turner "Saul Altel" (A2425AM)
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13 Mar 2013 17:15 Surgery: FULLER, Jane (Nurse Access Role) Entered at: HMP Lewes
History: Seen in segregation unit for completion of algortihm. Saul has brought a debt with him from another prison,
this has resulted in him being moved from a wing. Saul refused to relocate and was subsequently relocated to the
segregation unit where he most likely has a razor blade in his possession. Seen in cell, states he is fit and well
though believes his canteen of over one hundred pounds has been witheld/missing/taken. Saul demands his money
back immediatly and has made a threat to DSH if the canteen or money is not given to him, though he does state he
is not suicidal and this is a direct reaction to him not getting what he feels is his. Algorithm completed, fit for seg,
stated on form that if Saul does DSH then this will be reassessed.
15 Mar 2013 10:13 HCC, Surgery: CREAN, Ernest (General Medical Practitioner) Entered at: HMP Lewes
Patient reviewed (6A...) - seen in seg , no concerns
15 Mar 2013 11:37 Surgery: BARDEN, Anne (Clerical Access Role) Entered at: HMP Lewes
Stay: 15 Mar 2013 11:37 - 11 Apr 2013
15 Mar 2013 12:43 Surgery: STEVENS, Helen (Community Psychiatric Nurse) Entered at: HMP Lewes
Seen in segregation this morning - is currently located there as refuses to move any where. Has been known to
HCC in the past and Inreach for depression. Currently denies having any self harming thoughts or suicidal ideation
and is keen to have his property and monies sorted so he can settle. Reports that a lot of social circumstances
have changed since I saw him last. Fit to remain in the segregation unit currently.
17 Mar 2013 10:49 Surgery: HALLIWELL, Vanessa (Staff Nurse) Entered at: HMP Lewes
History: Seen in Seg. Chart and cream over on F wing so, will take them over PM. No other issues raised for HC
18 Mar 2013 08:48 Surgery: HALLIWELL, Vanessa (Staff Nurse) Entered at: HMP Lewes
History: Seen in Seg. No issues raised for HC
19 Mar 2013 12:55 Surgery: STEVENS, Helen (Community Psychiatric Nurse) Entered at: HMP Lewes
Seen in segregation unit this morning for an algorithm prior to adjudication, no current mental or physical health
issues so has been fitted for cellular confinement if required.
Seen by member of prison inreach mental health team (XaP7x)
20 Mar 2013 11:15 Surgery: LASKEY, Christine (Ms) (Sister/Charge Nurse) Entered at: HMP Lewes
History: Segregation unit referral (XaPmc)no problems identified.
20 Mar 2013 15:03 Prison: CARTER, Elizabeth (General Medical Practitioner) Entered at: HMP Lewes
Patient reviewed (6A...) - In seg, well
21 Mar 2013 08:27 Surgery: CONLEY, Christopher (Mr) (Staff Nurse) Entered at: HMP Lewes
History: Seen in segregation unit (Y0ce3)
No issues
Ongoing review (XaIpj)
21 Mar 2013 15:45 Surgery: CONLEY, Christopher (Mr) (Staff Nurse) Entered at: HMP Lewes
History: Segregation unit referral for good order and discipline (XaPmf)
Good review. in segregation for refusing to return to ordinary location in protest to canteen money being 'stolen'
Complaint is being dealt with at senior level following appear process. Saul is requesting legal advice regarding
taking things further and potential criminal proceedings.
5 days CC ended at the beginning of the week.
No current problems regarding healthcare. Seen daily by staff and is aware of how to access support.
For review in 2 weeks.
22 Mar 2013 08:57 Surgery: LASKEY, Christine (Ms) (Sister/Charge Nurse) Entered at: HMP Lewes
History: Seen in segregation unit (Y0ce3)no problems identified.
22 Mar 2013 10:04 Surgery: CREAN, Ernest (General Medical Practitioner) Entered at: HMP Lewes
Patient reviewed (6A...) - seen in seg, no concerns today
23 Mar 2013 12:26 Surgery: JUTSON, Stacy (Staff Nurse) Entered at: HMP Lewes
Seen in segregation unit (Y0ce3) - no conerns raised to HCC.
25 Mar 2013 10:04 Surgery: LASKEY, Christine (Ms) (Sister/Charge Nurse) Entered at: HMP Lewes
History: Seen in segregation unit (Y0ce3)no problems identified.
25 Mar 2013 12:38 Surgery: CARTER, Elizabeth (Clinical Practitioner Access Role) Entered at: HMP Lewes
Seen in seg well.
27 Mar 2013 12:26 Surgery: CARTER, Elizabeth (Clinical Practitioner Access Role) Entered at: HMP Lewes
seen in seg fine
30 Mar 2013 09:52 Surgery: HALLIWELL, Vanessa (Staff Nurse) Entered at: HMP Lewes
History: Seen in Seg Unit. No issues raised for HC
31 Mar 2013 10:57 Surgery: HALLIWELL, Vanessa (Staff Nurse) Entered at: HMP Lewes
History: Seen in Seg. No issues raised for HC
Thu 23 Apr 2020 15:02
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02 Apr 2013 08:53 Surgery: HURN, Richard (Nurse Access Role) Entered at: HMP Lewes
Seen in segregation no healthcare issues raised.
Seen in segregation unit (Y0ce3)
02 Apr 2013 10:37 Surgery: CREAN, Ernest (General Medical Practitioner) Entered at: HMP Lewes
Patient reviewed (6A...) - seen in seg , no concerns
03 Apr 2013 09:20 Surgery: LASKEY, Christine (Ms) (Sister/Charge Nurse) Entered at: HMP Lewes
History: Seen in segregation unit (Y0ce3)no problems identiifed.
03 Apr 2013 10:17 Surgery: CARTER, Elizabeth (Clinical Practitioner Access Role) Entered at: HMP Lewes
Seen in seg well
03 Apr 2013 14:41 Surgery: KELLY, Steve (Mental Health Nurse) Entered at: HMP Lewes
Seen at GOOD review, no DSH or healthcare issues, to remain in seg.
04 Apr 2013 09:18 Surgery: MOYO, Sithembile (Mrs) (Nurse Access Role) Entered at: HMP Lewes
Declined to be seen by the nurse
Told the officers that he was well, no health-care issues were reported
04 Apr 2013 09:39 Surgery: JONES, Stacy (Sister/Charge Nurse) Entered at: HMP Lewes
fitted for transfer
Medically fit for prison transfer (XaQfN)
05 Apr 2013 10:06 Surgery: CREAN, Ernest (General Medical Practitioner) Entered at: HMP Lewes
Patient reviewed (6A...) - seen in seg , no concerns
05 Apr 2013 12:40 Surgery: HURN, Richard (Nurse Access Role) Entered at: HMP Lewes
Seen in segregation no healthcare issues raised.
Seen in segregation unit (Y0ce3)
07 Apr 2013 13:40 Surgery: LASKEY, Christine (Ms) (Sister/Charge Nurse) Entered at: HMP Lewes
History: Seen in segregation unit (Y0ce3)c/o headache over last few days. for review by g.p. tomorrow. Given
analgesia for relieve of headache. No other problems identified.
08 Apr 2013 09:17 Surgery: LASKEY, Christine (Ms) (Sister/Charge Nurse) Entered at: HMP Lewes
History: Seen in segregation unit (Y0ce3)no problems identified.
09 Apr 2013 09:12 Surgery: CREAN, Ernest (General Medical Practitioner) Entered at: HMP Lewes
Patient reviewed (6A...) - seen in seg , no concerns today
10 Apr 2013 08:34 Surgery: LITTLE, Alastair (Mr) (Sister/Charge Nurse) Entered at: HMP Lewes
History: No issues raised.
Seen in segregation unit (Y0ce3)
10 Apr 2013 10:06 Surgery: CARTER, Elizabeth (Clinical Practitioner Access Role) Entered at: HMP Lewes
Seen in Seg says well.
11 Apr 2013 Prison: BELL, Sarah (Medical Secretary) Entered at: Hmp Entered: 13 Apr 2013 10:58
Rochester
Document to Hmp Rochester
11 Apr 2013 Surgery: BELL, Sarah (Medical Secretary) Entered at: Hmp Entered: 13 Apr 2013 10:58
Rochester
medication compact and consent to transfer of information
11 Apr 2013 09:06 Surgery: LASKEY, Christine (Ms) (Sister/Charge Nurse) Entered at: HMP Lewes
History: Seen in segregation unit (Y0ce3)no problems identified.
11 Apr 2013 14:32 Surgery: MAULINO, Rogelio (Mr) (Nurse Access Role) Entered at: Hmp Rochester
Stay: 11 Apr 2013 14:32 - 12 Apr 2013
11 Apr 2013 16:14 Surgery: MAULINO, Rogelio (Mr) (Nurse Access Role) Entered at: Hmp Rochester
Hep B Vacc - immunised already (Y075d)
Prisoner has received physical injuries over the past few days (YX008)
O/E appearance (XM09b) - Is taking Minocilline for his acne and needs to continue treatment.
Prisoner has been in prison before (YX004)
Smoker (137R.) - 25grams of tobacco a week
Asthma: no (Y0944)
Able to write (XaAzO)
Has no concerns over their physical health (Y08dd)
Does not have a psychiatric nurse or care worker (Y08e4)
Normal vision (668A.)
No hearing problems (Y1103)
Able to read (XaBme)
Has no outstanding hospital/ Doctors appointments (Y07f8)
Thu 23 Apr 2020 15:02
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Prisoner receiving prescribed medication (YX007) - Minocilline
Patient registered - GPR (XE2y4)
No medical/ psychiatric report required (Y08d9)
Has not been homeless in the past year (Y08db)
Has not seen Doctor in previous few months (Y08d6)
Reads English (XaIMM)
English language (Xa6ev)
Health information not received from outside source: no (Y09cc)
White British (XaFwD)
Country of birth (XaG2A) - UK
Not religious (135D.)
Paper record held here (Y1800) - paper record signed
At risk state (Xa1qc) 11 - Presentation: Orientated,Cheerful,Communicative
Previous Mental Health Problems: Seen a psychiatrist, antidepressants given
Previous in Possession: yes
History of Self Harm: N/A
History of overdose: Once 1-2 years ago
Cell Sharing (refer to cell sharing risk assessment): Single
Type of Medication: N/A
Age: 19 or above
Orientated (X75yi)
Health Information the prisoner thinks is important (YX024) - On antibiotics for his acne that he needs to continue.
Fit to attend gym (XaKkp)
Consent given to share patient data with specified 3rd party (XaNwR)
Consent obtained (Y001d) - paper record signed
Agitation or aggression (Y4573) - He states he gets agitated with someone around with him in the cell
Clear indication of high level of risk that prisoner might assault cell mate (Y4577) - He states he gets agitated if there
is anothe person sharing in his cell
Psychiatric monitoring (8A2..)
Prisoner assessment for in-possession medication completed (XaPim)
Drug overdose (Xa4eX)
Fit for work (13JW.)
No thoughts of deliberate self harm (XaIuw) - He said that he feels alright at the moment. No thoughts of self harm or
suicide.
Prisoner has not tried to harm themselves (outside prison) (Y09fa) - suicide attempt in 2011, tried to overdose.
Prisoner has tried to harm themselves (in prison) (YX020) - has self harmed few times, cut himself when he was
depressed
Prisoner has received treatment from a psychiatrist outside prison (YX016) - 2007 & 2011 re: Depression. No longer
on medications
Has not stayed in a psychiatric hospital (Y08e2)
Has not received medication for mental health problems (Y08e6)
Teetotaller (1361.)
None used (X90cT)
Did not attend substance misuse clinic (XaJsy)
At risk of DSH - deliberate self harm: no (Y09a3)
Moderate suicide risk (XaIeW)
H/O: deliberate self harm (XaF9U)
12 Apr 2013 08:52 Old Healthcare, Surgery: NOWICKA, Katarzyna (Medical Secretary) Entered at: Hmp Rochester
Stay: 12 Apr 2013 08:52
12 Apr 2013 12:06 Surgery: BELL, Sarah (Admin/Clinical Support Access Role) Entered at: Hmp Rochester
PNG Image: Photo.PNG
Reminder/Alert: CSRA - HIGH - SINGLE - Priority: High
Reminder/Alert: MEDICATION SCORE - 11 - Priority: High
16 Apr 2013 10:29 New Healthcare, Surgery: WICKENS, Angela Entered at: Hmp Entered: 17 Apr 2013 01:45
Rochester
Did not attend for Nurse Clinic appointment with Angela Wickens
Did not attend (Xa1kG)
19 Apr 2013 09:52 Surgery: SHAH, Rajiv (Dr) ('Other' Community Health Service) Entered at: Hmp Rochester
Minocycline 100mg modified-release capsules - 28 capsules - take one daily
19 Apr 2013 15:29 Surgery: MOREEA, Yacoob (Mr) (Nurse Access Role) Entered at: Hmp Rochester
Thu 23 Apr 2020 15:02
Mr Saul Turner "Saul Altel" (A2425AM)
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15 May 2013 10:19 Surgery: OSUAGWU, Ferdinand (Dr) (GP Partner) Entered at: Hmp Rochester
Minocycline 100mg modified-release capsules - 28 capsules - take one daily
15 May 2013 16:54 Surgery: VALINO, Maria (Mrs) (Nurse Access Role) Entered at: Hmp Rochester
23 May 2013 13:35 Surgery: CARTER, Ellen (Ms) (Admin/Clinical Support Access Role) Entered at: Hmp Rochester
Seen by smoking cessation advisor (XaIye) - co read 10 nrt 25mg patches 16hr and x 1 box 15mg uinhalator booklet
issued and treatment explained.
30 May 2013 13:26 Surgery: CLIFTON, Hannah (Miss) (Admin/Clinical Support Access Role) Entered at: Hmp
Rochester
Seen by smoking cessation advisor (XaIye) - Attended appt. CO reading 3, issued with 25mg nicorette patches
(16hr) and 15mg nicorette inhalator (1x20pk). Praise given for good reduction in Carbon monoxide reading.
06 Jun 2013 14:11 Surgery: CLIFTON, Hannah (Miss) (Admin/Clinical Support Access Role) Entered at: Hmp
Rochester
Seen by smoking cessation advisor (XaIye) - Attended appt. CO reading 4. Issued with 25mg nicorette patches
(16hr).
13 Jun 2013 09:47 Surgery: ADIGWE, Amechi (Dr) ('Other' Community Health Service) Entered at: Hmp Rochester
Minocycline 100mg modified-release capsules - 28 capsules - take one daily
13 Jun 2013 15:32 Surgery: CLIFTON, Hannah (Miss) (Admin/Clinical Support Access Role) Entered at: Hmp
Rochester
Seen by smoking cessation advisor (XaIye) - Attended appt. CO reading 5, issued with 25mg nicorette patches.
18 Jun 2013 11:39 Surgery: VALINO, Maria (Mrs) (Nurse Access Role) Entered at: Hmp Rochester
20 Jun 2013 13:12 Surgery: CARTER, Ellen (Ms) (Admin/Clinical Support Access Role) Entered at: Hmp Rochester
Seen by smoking cessation advisor (XaIye) - C.O. 0.3 15mg nrt patches
27 Jun 2013 11:15 New Healthcare, Surgery: CARTER, Ellen (Ms) Entered at: Hmp Entered: 27 Jun 2013 21:12
Rochester
Did not attend for Smoking Cessation appointment with Ellen Carter
Did not attend (Xa1kG)
28 Jun 2013 09:25 Old Healthcare, Surgery: NOWICKA, Katarzyna (Medical Secretary) Entered at: Hmp Rochester
04 Jul 2013 11:15 New Healthcare, Surgery: CARTER, Ellen (Ms) Entered at: Hmp Entered: 04 Jul 2013 13:33
Rochester
Did not attend for Smoking Cessation appointment with Ellen Carter
Did not attend (Xa1kG)
04 Jul 2013 15:11 Surgery: CARTER, Ellen (Ms) (Admin/Clinical Support Access Role) Entered at: Hmp Rochester
Did not attend smoking cessation clinic (XaIpo) - DNA
22 Jul 2013 07:53 Old Healthcare, Surgery: WELLS, Nancy ('Other' Community Health Service) Entered at: Hmp
Rochester
22 Jan 2014 14:54 Old Healthcare, Surgery: WELLS, Nancy ('Other' Community Health Service) Entered at: Hmp
Rochester
22 Jan 2014 14:54 Old Healthcare, Surgery: WELLS, Nancy ('Other' Community Health Service) Entered at: Hmp
Rochester
SystmOne Outgoing Record Sharing consent changed to: No
14 Jan 2015 16:52 Surgery: CHIMBWANDA, Chenai (Miss) (Staff Nurse) Entered at: HMP Winchester
SystmOne Outgoing Record Sharing consent changed to: No
14 Jan 2015 16:52 Surgery: CHIMBWANDA, Chenai (Miss) (Staff Nurse) Entered at: HMP Winchester
14 Jan 2015 16:52 Surgery: CHIMBWANDA, Chenai (Miss) (Staff Nurse) Entered at: HMP Winchester
White British - ethnic category 2001 census (XaQEa)
Is not receiving prescribed medication (Y08d7)
Prisoner has been in prison before (YX004)
First Reception Screening (Positive Response) (Y0801)
Teetotaller (1361.)
Cannabis drug dependence NOS (E243z)
Pulse rate (X773s) 66 bpm
Prisoner does not take drug intravenously (Y08f9)
Overview Notes (Y0028)
29 Newcome
Newcomb Road
Portsmouth
Overview Notes (Y0028)
Hastings
East Sussex
Thu 23 Apr 2020 15:02
Mr Saul Turner "Saul Altel" (A2425AM)
Confidential: Personal Data 719 122 2247, 08 Dec 1982
C31
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409af26bccb2448dabacd1cf3d115e4f-32
by TURNER, Steven (Mr) (Clerical Access Role)HMP Highdown 32 of 216
Overview Notes (Y0028) - Saul Turner
Overview Notes (Y0028) - 08/12/82
General practitioner (YX039) - Dr Seal
No known allergies (1151.)
History of cannabis misuse (XaMf9)
Fit for normal location, work and any cell occupancy - Referred to doctor (Y09d6)
Fit to attend gym (XaKkp)
No immediate action required (YX027)
Fit for work (13JW.)
Practice leaflet sent (8CE5.)
Date (Xa0ck)
Yes (Y0427)
Patient consented to sharing of information (Y3358)
H/O: mental health problem (YA741) - None raised
Prisoner has not received treatment from a psychiatrist outside prison: no (Y09ce)
Has not received medication for mental health problems (Y08e6)
Prisoner has a psychiatric nurse or care worker in the community : no (Y09d1)
Has not stayed in a psychiatric hospital (Y08e2)
Prisoner has not tried to harm themselves (outside prison) (Y09fa)
Has not tried to harm themselves (In prison) (Y08de)
Additional note (XaIg3) - Patient seemed fine, was stable, engaged well with staff, no concerns at time of
assessment
Prisoner does not feel like Self Harming or Suicide (Y0903)
127 / 62 mmHg
15 Jan 2015 Surgery: STOODLEY, Sam (Mr) (Administrator) Entered at: HMP Entered: 15 Jul 2015 11:15
Winchester
Consent Form to The Station Practice, Hastings
15 Jan 2015 09:15 Surgery: HOLBROOK, Nicola (Mrs) (Administrator) Entered at: HMP Winchester
Previous general practitioner clinical record requested (XaXPl) - Dr Seal & partners fax 01424 464757
15 Jan 2015 09:51 Surgery: COX, Louise (Miss) (Administrator) Entered at: HMP Winchester
16 Jan 2015 09:20 Surgery: SCREENING, Secondary Entered at: HMP Winchester Entered: 17 Jan 2015 01:55
Did not attend for Secondary Screening appointment with Secondary Screening
Did not attend (Xa1kG)
17 Jan 2015 09:05 Surgery: MCCARTHY, Tanya (Mrs) (Health Care Support Worker) Entered at: HMP Winchester
Cigarette consumption (Ub1tI) 10 cigarettes / day
Smoker (137R.)
Impressions of the prisoners behaviour and mental state (YX023) - no thoughts of self harm at this present time
No relevant family history (122..)
Pulse rate (X773s) 66 bpm
Body mass index - observation (22K..) 21.22 Kg/m²
O/E - weight (22A..) 65 Kg (10 st 3 lb)
O/E - height (229..) 1.75 m (5 ' 9 ")
Ideal body weight (66CB.) 76.26 Kg (12 st)
Expected peak expiratory flow rate (XaEFL) 636 L/min
Hepatitis C status - Unknown (Y0971)
Hepatitis B status - Unknown (Y096c)
Not known if had MMR Vaccination (Y08ec)
Second Reception Screening (Y0da6)
Chlamydia screening declined (XaJdS)
Unknown (X90UG)
Hep B Vacc - offered and refused (Y075b)
Fully mobile (13C1.)
Normal vision (668A.)
Hearing normal (1C11.)
Requires a course of hepatitis B (65W5.)
Learning disability screening questionnaire (XaXwn)
Other Disabilities Score (Y0cb3) 3 - Can you tell the time?: Yes
Can you read?: Yes
Can you write?: Yes
Do you live independent i.e. don't have daily help?: Yes
Do you have a job?: No
Thu 23 Apr 2020 15:02
Mr Saul Turner "Saul Altel" (A2425AM)
Confidential: Personal Data 719 122 2247, 08 Dec 1982
C32
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409af26bccb2448dabacd1cf3d115e4f-33
by TURNER, Steven (Mr) (Clerical Access Role)HMP Highdown 33 of 216
Have you had previous contact with learning disability services?: No
Have you had any special schooling?: No
127 / 62 mmHg
19 Jan 2015 10:11 Surgery: COX, Louise (Miss) (Administrator) Entered at: HMP Winchester
21 Jan 2015 14:22 Surgery: COX, Louise (Miss) (Administrator) Entered at: HMP Winchester
19 Feb 2015 15:24 Surgery: MCCARTHY, Tanya (Mrs) (Health Care Support Worker) Entered at: HMP Winchester
Registered GP (XaIjE)
Dr Seal
hasting
east sussex
Registered GP (XaIjE)
Patient consented to sharing of information (Y3358)
Discharge report (XaIgD)
03 Mar 2015 09:07 Surgery: COX, Louise (Miss) (Administrator) Entered at: HMP Winchester
26 Mar 2015 16:35 Surgery: MAHUMAPELO, Samuel (Mr) (Nurse Access Role) Entered at: HMP Winchester
26 Mar 2015 16:35 Surgery: MAHUMAPELO, Samuel (Mr) (Nurse Access Role) Entered at: HMP Winchester
Has not received physical injuries recently (Y08d8)
Has not had BCG Vaccination (Y0800)
Pulse rate (X773s) 68 bpm
Has no concerns over their physical health (Y08dd)
History of three hepatitis B vaccinations (XaN20)
Prisoner does not take drug intravenously (Y08f9)
Treatment given (8BC..) - no
Persistent cough (Xa2kc) - no
Prisoner receiving prescribed medication (YX007)
Prisoner has been in prison before (YX004)
No known allergies (1151.)
White British - ethnic category 2001 census (XaQEa)
Current health problems (Y3536) - none
Not religious (135D.)
First Reception Screening (Positive Response) (Y0801)
Teetotaller (1361.)
No immediate action required (YX027)
Fit for work (13JW.)
Has not tried to harm themselves (In prison) (Y08de)
H/O: mental health problem (YA741) - none
Fit for normal location, work and any cell occupancy - Referred to doctor (Y09d6)
Date (Xa0ck)
Overview Notes (Y0028) - not registered
Yes (Y0427)
Practice leaflet sent (8CE5.)
Prisoner has a psychiatric nurse or care worker in the community : no (Y09d1)
Has not stayed in a psychiatric hospital (Y08e2)
Cannabis drug dependence NOS (E243z)
History of cannabis misuse (XaMf9)
Prisoner has not received treatment from a psychiatrist outside prison: no (Y09ce)
Prisoner does not feel like Self Harming or Suicide (Y0903)
Prisoner has not tried to harm themselves (outside prison) (Y09fa)
Has not received medication for mental health problems (Y08e6)
Additional note (XaIg3) - calm
101 / 59 mmHg
Friend: Mr John Williams
26 Mar 2015 16:35 Surgery: MAHUMAPELO, Samuel (Mr) (Nurse Access Role) Entered at: HMP Winchester
SystmOne Outgoing Record Sharing consent changed to: No
27 Mar 2015 13:45 Surgery: COX, Louise (Miss) (Administrator) Entered at: HMP Winchester
30 Mar 2015 Surgery: COX, Louise (Miss) (Administrator) Entered at: HMP Entered: 04 Mar 2016 10:55
Winchester
Document to HMP Winchester
30 Mar 2015 10:04 Surgery: COX, Louise (Miss) (Administrator) Entered at: HMP Winchester
30 Mar 2015 15:09 Surgery: CAVANAGH, Ruaidhri (Mr) (Health Care Support Worker) Entered at: HMP Winchester
Thu 23 Apr 2020 15:02
Mr Saul Turner "Saul Altel" (A2425AM)
Confidential: Personal Data 719 122 2247, 08 Dec 1982
C33
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by TURNER, Steven (Mr) (Clerical Access Role)HMP Highdown 34 of 216
SystmOne Incoming Record Sharing consent changed to: Yes
30 Mar 2015 15:09 Surgery: CAVANAGH, Ruaidhri (Mr) (Health Care Support Worker) Entered at: HMP Winchester
Cigarette consumption (Ub1tI) 5 cigarettes / day
Smoker (137R.)
FH: Ischaemic heart disease at less than 60 years (XE0oG)
Sister has diabetes
Mother had stent put in after heart attack
FH: Diabetes mellitus (1252.)
Sister has diabetes
Mother had stent put in after heart attack
Pulse rate (X773s) 79 bpm
Body mass index - observation (22K..) 19.38 Kg/m²
O/E - weight (22A..) 58 Kg (9 st 2 lb)
O/E - height (229..) 1.73 m (5 ' 8 ")
Ideal body weight (66CB.) 74.52 Kg (11 st 10 lb)
Expected peak expiratory flow rate (XaEFL) 633 L/min
Unknown (X90UG)
Hepatitis C status - Unknown (Y0971)
Hepatitis B status - Unknown (Y096c)
Chlamydia test offered (XaLHg)
Second Reception Screening (Y0da6)
Chlamydia screening declined (XaJdS)
History of measles, mumps and rubella vaccination (XaQe5)
Normal vision (668A.)
Hearing normal (1C11.)
Impressions of the prisoners behaviour and mental state (YX023) - States that he self harmed in the past and two
suicide attempts (one in 2012 and one about three months ago) using pills. States no thoughts of suicide or self
harm presently. States that he's just looking 'for a bit of peace and quiet'. Appears quite anxious but together and
coperative and chatty.
Learning disability screening questionnaire (XaXwn)
Other Disabilities Score (Y0cb3) 4 - Can you tell the time?: Yes
Can you read?: Yes
Can you write?: Yes
Do you live independent i.e. don't have daily help?: Yes
Do you have a job?: Yes
Have you had previous contact with learning disability services?: No
Have you had any special schooling?: No
Fully mobile (13C1.)
107 / 51 mmHg
05 Apr 2015 15:03 Surgery: NDEBELE, Norma (Ms) (Staff Nurse) Entered at: HMP Winchester
Medically fit for prison transfer (XaQfN) - To Westhill at the time of completing this form
06 May 2015 22:53 Surgery: NDLOVU, Penelope (Ms) (Nurse Access Role) Entered at: HMP Winchester
11 May 2015 08:16 Surgery: HOLBROOK, Nicola (Mrs) (Administrator) Entered at: HMP Winchester
08 Oct 2015 05:34 Surgery: MIKOLAJCZUK, Beata (Healthcare Assistant) Entered at: HMP Swaleside
SystmOne Outgoing Record Sharing consent changed to: No
08 Oct 2015 05:34 Surgery: MIKOLAJCZUK, Beata (Healthcare Assistant) Entered at: HMP Swaleside
16 Feb 2016 02:32 Surgery: JAIMON, Nikhila (Mrs) (Staff Nurse) Entered at: HMP Wormwood Scrubs
SystmOne Outgoing Record Sharing consent changed to: No
16 Feb 2016 02:32 Surgery: JAIMON, Nikhila (Mrs) (Staff Nurse) Entered at: HMP Wormwood Scrubs
SystmOne Incoming Record Sharing consent changed to: Yes
16 Feb 2016 02:32 Surgery: JAIMON, Nikhila (Mrs) (Staff Nurse) Entered at: HMP Wormwood Scrubs
16 Feb 2016 02:32 Surgery: JAIMON, Nikhila (Mrs) (Staff Nurse) Entered at: HMP Wormwood Scrubs
16 Feb 2016 06:47 Surgery: DIAS, Leela (Mrs) (Nurse Manager) Entered at: HMP Wormwood Scrubs
White British (XaFwD)
Surname Changed From 'Turner', Middle Name(s) Entered, Former Surname Entered
16 Feb 2016 07:12 Surgery: DIAS, Leela (Mrs) (Nurse Manager) Entered at: HMP Wormwood Scrubs
16 Feb 2016 10:43 Surgery: XABANISA, Robert (Mr) (Staff Nurse) Entered at: HMP Wormwood Scrubs
No (Y0428)
No (Y0428)
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Thu 23 Apr 2020 15:02
Mr Saul Turner "Saul Altel" (A2425AM)
Confidential: Personal Data 719 122 2247, 08 Dec 1982
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by TURNER, Steven (Mr) (Clerical Access Role)HMP Highdown 35 of 216
No (Y0428)
No (Y0428)
No (Y0428)
Cigarette consumption (Ub1tI) 8 cigarettes / day
First Reception Screening (Unknown) (Y0803)
Fit for normal location, work and any cell occupancy (YX035)
Smoking cessation advice (Ua1Nz)
No (Y0428)
No (Y0428)
Smoker (137R.)
Diabetes mellitus: no (Y093f)
No (Y0428)
Asthma: no (Y0944)
No (Y0428)
No (Y0428)
No (Y0428)
No (Y0428)
Unknown (X90UG)
Hep B Vacc - immunised already (Y075d)
O/E - pulse rhythm regular (2431.)
No (Y0428)
No (Y0428)
No (Y0428)
No known allergies (1151.)
Referral for mental health assessment (XaLNF) - History of Nervous breakdown in 2007.
Tuberculosis: no (Y093d)
Sickle cell carrier: no (Y09fe)
Asthma: no (Y0944)
Chest pain: none (Y092a)
Health related observations about the prisoners physical appearance (YX010) - Appears well, personal hygiene
satisfactory, vital signs done and recorded.
Diabetes mellitus: no (Y093f)
Epilepsy: no (Y0941)
Health information received from outside source (YX002) - Last time seen a Dr was at HMP Winchester in 2015 for
routine check up.
Has not seen Doctor in previous few months (Y08d6)
Has a prison record (XE0pD) - HMP Winchester in 2015, states he was in prison for 45 days.
Has no outstanding hospital/ Doctors appointments (Y07f8)
Has not received physical injuries recently (Y08d8)
Is not receiving prescribed medication (Y08d7)
Waist circumference (Xa041) 85 cm (33 ")
Prisoner has tried to harm themselves (outside prison) (YX021) - States he had thoughts of selfharming, but he did
nothing. States the reason for the thoughts was due to family problems. States he will not selfharm whilst in prison.
Impressions of the prisoners behaviour and mental state (YX023) - Appears stable in mood, states no selfharm
thoughts, states he had nervous break down in 2007 and he was managed by the Mental Health Team at HMP
Lewes. Denies to delusions and hallucinations. Ref. MHT
Prisoner has a psychiatric nurse or care worker in the community : no (Y09d1)
Prisoner does not feel like Self Harming or Suicide (Y0903)
No (Y0428)
Prisoner has not tried to harm themselves (in prison) (Y09f9)
Has not received medication for mental health problems (Y08e6)
No (Y0428)
Does not drink (Xa4IC)
Has no concerns over their physical health (Y08dd)
Prisoner has not used drugs in the last month (Y08f7)
Has not stayed in a psychiatric hospital (Y08e2)
Prisoner has not received treatment from a psychiatrist outside prison: no (Y09ce)
Prisoner does not take drug intravenously (Y08f9)
Body mass index - observation (22K..) 19.05 Kg/m²
O/E - weight (22A..) 59 Kg (9 st 4 lb)
O/E - rate of respiration (235..) 20 Resp/min
Temperature (X75Xk) 35.9 C
Thu 23 Apr 2020 15:02
Mr Saul Turner "Saul Altel" (A2425AM)
Confidential: Personal Data 719 122 2247, 08 Dec 1982
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by TURNER, Steven (Mr) (Clerical Access Role)HMP Highdown 36 of 216
Pulse (XaIBo) 78 bpm
Unknown (X90UG)
Unknown (X90UG)
HIV negative (43C2.)
Second Reception Screening (Y0da6)
O/E - height (229..) 1.76 m (5 ' 9 ")
Reason for referral (XaIpS)
States he had Nervous breakdown few years ago and was treated by the Mental Health Team at HMP Lewes.
Kindly assess please.
Many thanks
Rob
FH: Anxiety state (1288.)
Blood oxygen saturation (X7708) 100 %
No medical/ psychiatric report required (Y08d9)
Tuberculosis screening (6831.)
No known allergies (1151.)
Has not been homeless in the past year (Y08db)
Health information received from outside source (YX002) - Information from the poice, re: attempted to selfharm in
2010, Nervous breakdown in 2007.
Health information received from outside source (YX002)
Prisoner has been in prison before (YX004)
Able to prepare food for eating (Xa3TG)
No (Y0428)
Able to tell the time (Xa3BE)
Able to clean room (Xa3Nc)
Learning disability assessment (Y2938)
No (Y0428)
Able to manage personal financial activities (Xa7gQ)
Speech observations (Xa4Pg) - Normal
Mood observations (X760o) - Stable in mood
Health related observations about the prisoners physical appearance (YX010) - Appears well
Thought observations (X75xq) - Normal
No (Y0428)
No (Y0428)
Observations relating to self-concept (Xa2je) - Nil
No (Y0428)
No (Y0428)
No (Y0428)
No (Y0428)
No (Y0428)
No (Y0428)
No (Y0428)
No (Y0428)
No partner at present (6123.)
Single current sexual partner (Ub0oN)
HIV screening declined (XaLI7)
No (Y0428)
No (Y0428)
No (Y0428)
No (Y0428)
No (Y0428)
Prisoner has not used drugs in the last month (Y08f7)
Alcohol screen - AUDIT C completed (XaMwb) 1 - 1. How often do you have a drink containing alcohol?: Monthly or
less
2. How many units of alcohol do you drink on a typical day when you are drinking?: 1-2
3. How often have you had 8 or more units on a single occasion in the last year?: Never
Smoker (137R.)
Hepatitis B immunisation declined (XaLIH)
Hep C test - offered and refused (Y075a)
Chlamydia screening declined (XaJdS)
EBOLA - questionnaire started - (finalised: 16 Feb 2016 10:43)
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Thu 23 Apr 2020 15:02
Mr Saul Turner "Saul Altel" (A2425AM)
Confidential: Personal Data 719 122 2247, 08 Dec 1982
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by TURNER, Steven (Mr) (Clerical Access Role)HMP Highdown 37 of 216
EBOLA - questionnaire started - (finalised: 16 Feb 2016 10:43)
121 / 77 mmHg
121 / 77 mmHg
Partner: Ms Louise Piper Peasmarsh in Sussex.
GP: States not reg. with GP.
17 Feb 2016 07:10 Surgery: DIAS, Leela (Mrs) (Nurse Manager) Entered at: HMP Wormwood Scrubs
18 Feb 2016 06:52 Surgery: DIAS, Leela (Mrs) (Nurse Manager) Entered at: HMP Wormwood Scrubs
25 Feb 2016 06:41 Surgery: DIAS, Leela (Mrs) (Nurse Manager) Entered at: HMP Wormwood Scrubs
25 Feb 2016 10:06 Surgery: KHUNT, Jayesh (Mr) (Pharmacy Technician) Entered at: HMP Wormwood Scrubs
Medication given (8B311)
Released from prison (Xa0re)
Is not receiving prescribed medication (Y08d7)
26 Feb 2016 Surgery: KHUNT, Jayesh (Mr) (Pharmacy Technician) Entered at: HMP Wormwood Scrubs
Date of departure (Y3524)
27 Feb 2016 15:32 Surgery: JOANS, Danielle (Miss) (Sister/Charge Nurse)
Single person (XE0oZ)
Previous Home Address: ZZ99 3VZ
27 Feb 2016 15:32 Surgery: JOANS, Danielle (Miss) (Sister/Charge Nurse)
SystmOne Incoming Record Sharing consent changed to: Yes
SystmOne Outgoing Record Sharing consent changed to: No
27 Feb 2016 15:32 Surgery: JOANS, Danielle (Miss) (Sister/Charge Nurse)
Health information not received from outside source: no (Y09cc)
Safe disposal of drug (Ua1LE)
Prisoner has been in prison before (YX004)
No medical/ psychiatric report required (Y08d9)
Is not receiving prescribed medication (Y08d7)
Body mass index - observation (22K..) 19.81 Kg/m²
Patient reports no current disability (XaaYD)
No known allergies (1151.)
O/E - weight (22A..) 58.6 Kg (9 st 3 lb)
Prescribed medication (YA592) - none
Pulse rate (X773s) 72 bpm
O/E - height (229..) 1.72 m (5 ' 8 ")
History of cannabis misuse (XaMf9)
Prisoner does not take drug intravenously (Y08f9)
Impressions of the prisoners behaviour and mental state (YX023) - Pt appears fit and well and denies any thoughts
of self harm or suicide.
Prisoner has used drugs in the last month (YX014) - cannabis but does not feel like he needs any help.
Fit for normal location, work and any cell occupancy (YX035)
Prison first reception health assessment completed (XaYXV)
Teetotaller (1361.)
Prisoners alcohol intake week before custody (YX013) 0 Units / Week
Fit and well (Xa96k)
Prisoner does not feel like Self Harming or Suicide (Y0903)
Health Information the prisoner thinks is important (YX024) - none
Health related observations about the prisoners physical appearance (YX010) - pt appears fit and well
Has not stayed in a psychiatric hospital (Y08e2) - had a nervous brack down in 2007 - currently not taking any
medication
Prisoner has received medication for mental health problems (YX019)
Prisoner has not tried to harm themselves (in prison) (Y09f9) - pt tried to kill himself about about a year ago due to
his daughter passing away.
Prisoner has tried to harm themselves (outside prison) (YX021) - pt tried to kill himself about about a year ago due to
his daughter passing away.
126 / 73 mmHg
29 Feb 2016 06:44 Surgery: DIAS, Leela (Mrs) (Nurse Manager) Entered at: HMP Wormwood Scrubs
29 Feb 2016 15:35 Surgery: WILSON, Carole (Ms) (Manager)
02 Mar 2016 11:15 Surgery: HOOKWAY, Victoria (Miss) (Health Professional Access Role)
History: Second day screening complete.
Religion NOS (XE0oe)
Main spoken language English (XaG5t)
Paper medical records unavailable (Y1141)
Thu 23 Apr 2020 15:02
Mr Saul Turner "Saul Altel" (A2425AM)
Confidential: Personal Data 719 122 2247, 08 Dec 1982
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Smoking cessation advice (Ua1Nz)
Cigarette consumption (Ub1tI) 10 cigarettes / day
Smoker (137R.)
White British (XaFwD)
Blood glucose level (X772z) 5 mmol/L
Pulse rate (X773s) 60 bpm
BCG Programme Status - Routinely Vaccinated (Y15a6)
No relevant family history (122..)
MMRII given before 1st birthday (Y0ef1)
Adult screening - second recall (9OC6.)
Hep B Vacc - immunised already (Y075d)
Testicular self-examination (2657.)
Ability to mobilise (Xa7yC)
Has no outstanding hospital/ Doctors appointments (Y07f8)
Normal vision (668A.)
Referral declined (XaPBy)
Hearing normal (1C11.)
125 / 62 mmHg
09 Mar 2016 15:28 Surgery: NELSON, Brenda (Mrs) (Analyst)
Surname Changed From 'Turner', Former Surname Entered
11 Mar 2016 01:14 Surgery: Unknown Staff Member Entered at: HMP Lewes
SystmOne Outgoing Record Sharing consent changed to: No
11 Mar 2016 01:14 Surgery: Unknown Staff Member Entered at: HMP Lewes
SystmOne Outgoing Record Sharing consent changed to: No
11 Mar 2016 01:14 Surgery: Unknown Staff Member Entered at: Hmp Camp Hill
SystmOne Outgoing Record Sharing consent changed to: No
11 Mar 2016 01:14 Surgery: Unknown Staff Member Entered at: HMP Lewes
SystmOne Outgoing Record Sharing consent changed to: No
11 Mar 2016 01:14 Surgery: Unknown Staff Member
Patient record merged (XaR4R)
11 Mar 2016 13:45 Surgery: NELSON, Brenda (Mrs) (Analyst)
Surname Changed From 'Altel'
17 Mar 2016 15:18 Surgery: HOOKWAY, Victoria (Miss) (Health Professional Access Role)
Ibuprofen please I/P for headaches.
17 Mar 2016 15:45 Surgery: BARHAM, Anna (Clinical Practitioner Access Role)
Ibuprofen 400mg tablets - 21 tablets - 1 TDS PRN (21 tablets every 7 days) (Future dated medication 18 Mar 2016)
Custom script: Printed On Thu 17 Mar 2016 15:45 By Anna Barham
17 Mar 2016 16:31 Surgery: PANKHANIA, Manish (Mr) (Health Professional Access Role)
18 Mar 2016 15:32 Surgery: HUNNINGS, Julie (Pharmacy Technician)
18 Mar 2016 15:32 Surgery: HUNNINGS, Julie (Admin/Clinical Support Access Role)
29 Mar 2016 16:19 Surgery: HOOKWAY, Victoria (Miss) (Health Professional Access Role)
Hi Dr please re Px Ibuprofen repeat thanks I/P
Task to G.P
30 Mar 2016 09:24 Surgery: BARHAM, Anna (Clinical Practitioner Access Role)
Ibuprofen 400mg tablets - 21 tablets - 1 TDS PRN (21 tablets every 7 days) (Future dated medication 31 Mar 2016)
Custom script: Printed On Wed 30 Mar 2016 09:24 By Anna Barham
30 Mar 2016 10:04 Surgery: CHOUDHRY, Khurshid (Mr) (Health Professional Access Role)
31 Mar 2016 08:04 Surgery: HUNNINGS, Julie (Pharmacy Technician)
31 Mar 2016 08:05 Surgery: HUNNINGS, Julie (Admin/Clinical Support Access Role)
05 Apr 2016 09:52 Surgery: HOOKWAY, Victoria (Miss) (Health Professional Access Role)
Added to skin clinic upon request.
05 Apr 2016 17:57 Surgery: WILSON, Carole (Ms) (Manager)
08 Apr 2016 09:44 Surgery: ABRAHAM, Joanne (Ms) (Admin/Clinical Support Access Role)
came to the hatch asking for anti biotics for a skin condition he has he is on the waiting list to see the skin GP
26 Apr 2016 11:27 Surgery: HOOKWAY, Victoria (Miss) (Health Professional Access Role)
Task sent to Dentist and spoken with re appt today for ? abscess, states in "a lot of pain past few days" - difficulty
talking / eating.
26 Apr 2016 14:08 Surgery: HOOKWAY, Victoria (Miss) (Health Professional Access Role)
Thu 23 Apr 2020 15:02
Mr Saul Turner "Saul Altel" (A2425AM)
Confidential: Personal Data 719 122 2247, 08 Dec 1982
C38
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Printed
409af26bccb2448dabacd1cf3d115e4f-39
by TURNER, Steven (Mr) (Clerical Access Role)HMP Highdown 39 of 216
Spoken with dentist and slip given to attend this pm on freeflow.
26 Apr 2016 14:15 Surgery: TOMSETT, Marina (Ms) (Dental Officer)
Problem: Dental care (Ua1RH)
History: Emerg appt. co - pain LRQ ? swelling. Pain since Saturday.
Mhx: NRMH.
Another year of sentence to serve.
Non smoker. Occasional alcohol when out.
Examination: Directed exam only
LR8 P.E. and operculum swollen and gum cut where tooth is erupting.
Pus draining from underneath.
Pericoronitits LR8. First episode.
Advised OHI ( small single tufted brush given).
Hot salt water mouthwash.
Px done amoxicillin 500mg tds 5/8 and ibuprofen.
Advised if recurrs then would recommend xla LR8.
Dental care (Ua1RH)
Amoxicillin 500mg capsules - 15 capsules - [08:00-1][12:00-1][16:00-1] (15 capsules every 5 days) (Future dated
medication 27 Apr 2016)
Ibuprofen 200mg tablets - 15 tablets - [08:00-1][12:00-1][16:00-1] (15 tablets every 5 days) (Future dated medication
27 Apr 2016)
Custom script: Printed On Tue 26 Apr 2016 15:56 By Ms Marina Tomsett
Dental care (Ua1RH)
27 Apr 2016 08:40 Surgery: HOOKWAY, Victoria (Miss) (Associate Practitioner)
27 Apr 2016 08:40 Surgery: HOOKWAY, Victoria (Miss) (Health Professional Access Role)
27 Apr 2016 08:40 Surgery: HOOKWAY, Victoria (Miss) (Health Professional Access Role)
29 Apr 2016 Surgery: JACKSON, Lauren (Miss) (Healthcare Assistant) Entered: 29 Apr 2016 10:45
Dentistry to HMP Highdown
23 May 2016 15:55 Surgery: LOGAN, Susan (Nurse Access Role)
23 May 2016 15:55 Surgery: LOGAN, Susan (Nurse Access Role)
(From PGD or Homely Remedy) Ibuprofen 200mg tablets - 1 pack of 16 tablet(s) - 1 tablet - Once only (Oral)
Stopped 23 May 2016 Medication has been administered by LOGAN, Susan
31 May 2016 17:01 Surgery: WILSON, Carole (Ms) (Manager)
16 Jun 2016 09:17 Surgery: HUNNINGS, Julie (Admin/Clinical Support Access Role)
(From PGD or Homely Remedy) Paracetamol 500mg tablets - 2 tablets - 2 tablet - Once only (Oral)
Stopped 16 Jun 2016 Medication has been administered by HUNNINGS, Julie
16 Jun 2016 09:18 Surgery: HUNNINGS, Julie (Admin/Clinical Support Access Role)
16 Jun 2016 11:08 Surgery: HUNNINGS, Julie (Admin/Clinical Support Access Role)
16 Jun 2016 11:40 Surgery: BARHAM, Anna (Clinical Practitioner Access Role)
Paracetamol 500mg tablets - 1 pack of 32 tablet(s) - 2 QDS PRN (32 tablets every 7 days)
Custom script: Printed On Thu 16 Jun 2016 11:40 By Anna Barham
16 Jun 2016 13:46 Surgery: EVANS, Nicola (Health Professional Access Role)
20 Jun 2016 11:23 Surgery: WILSON, Carole (Ms) (Manager)
25 Jul 2016 08:08 Surgery: NAKAYI, Cynthia (Miss) (Nurse Access Role)
(From PGD or Homely Remedy) Ibuprofen 200mg tablets - 1 pack of 16 tablet(s) - 1 tablet - Once only (Oral)
Stopped 25 Jul 2016 Medication has been administered by NAKAYI, Cynthia (Miss)
25 Jul 2016 08:12 Surgery: NAKAYI, Cynthia (Miss) (Nurse Access Role)
29 Jul 2016 11:21 Surgery: NELSON, Brenda (Mrs) (Analyst)
31 Jul 2016 09:09 Surgery: SWAMY, Margarita (Nurse Access Role)
seen today Re-L hand which is swollen. Apparently sustained an injury last Sunday whilst moving a wardrobe.
Finger very painful and unable to straighten.
17 Aug 2016 Prison: TANTON, Karen (Mrs) (Administrator) Entered at: Hmp
Rochester
Entered: 18 Aug 2016 10:11
Consent Form to Unknown
17 Aug 2016 Surgery: TANTON, Karen (Mrs) (Administrator) Entered at: Hmp
Rochester
Entered: 18 Aug 2016 10:11
Signed medication compact and consent to transfer of information.
17 Aug 2016 11:10 Surgery: TRIPTREE, Simon (Mr) (Admin/Clinical Support Access Role)
Medically fit for prison transfer (XaQfN)
Discharged from primary healthcare team (XaKHz)
Thu 23 Apr 2020 15:02
Mr Saul Turner "Saul Altel" (A2425AM)
Confidential: Personal Data 719 122 2247, 08 Dec 1982
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by TURNER, Steven (Mr) (Clerical Access Role)HMP Highdown 40 of 216
Prescription status (XaFl0) - none
Medical condition comments (Y2578) - no concerns raised
Has no outstanding hospital/ Doctors appointments (Y07f8)
17 Aug 2016 15:09 Surgery: TURNER, Nina (Clinical Team Manager) Entered at: Hmp Rochester
Previous Home Address: ZZ99 3VZ
SystmOne Incoming Record Sharing consent changed to: Yes
17 Aug 2016 15:09 Surgery: TURNER, Nina (Clinical Team Manager) Entered at: Hmp Rochester
History: Patient seen in reception, no thoughts of self harm or suicide. Advised how to access healthcare. Added to
list for hepb and smoking clinic.
No (Y0428)
Declined consent to share pt data with specified 3rd party (XaNwT)
First night risk assessment form completed (Y4581)
No (Y0428)
Is not receiving prescribed medication (Y08d7)
Has no outstanding hospital/ Doctors appointments (Y07f8)
Patient registered - GPR (XE2y4) - prison
Prison first reception health assessment completed (XaYXV)
Fit for work (13JW.)
Fit to attend gym (XaKkp)
Suitable for in-possession medication (XaYM5) (New Episode)
Prisoner has tried to harm themselves (outside prison) (YX021) - 2011 Overdose lost daughter.
Prisoner has a psychiatric nurse or care worker in the community : no (Y09d1)
Prisoner has not tried to harm themselves (in prison) (Y09f9)
Prisoner has not received treatment from a psychiatrist outside prison: no (Y09ce)
H/O: mental health problem (YA741) - stated he was seen by inreach for few months after death of daughter 2013
however does not need this now.
Case management risk assessment score (XaLWw) 2 - 1Did you have medication in possession at previous
establishment?: No
2. Has the patient understood and signed IP Compact/Leaflet/Medication Policy?: Yes
3. Has the patient any learning difficulties, problems with reading labels or language difficulties?: No
4. Has the patient any history of alcohol or drug abuse?: No
5. Is there any known history of medication related incidents eg trading, bullying etc?: No
6. Is the patient at risk from self-harm/overdose?: No
7. Is the patient on an open ACCT?: No
8. Is the patient confused or disorientated?: No
9. Has the patient had a recent change in prison status (eg recently sentenced) or a recent life event which has
increased their risk?: No
10. Practioner concern?: No
Has never misused drugs (Ub0mr)
Misused drugs in past (Ub0ms) - cannabis
Prisoner has a psychiatric nurse or care worker in the community : no (Y09d1)
Teetotaller (1361.)
HIV screening declined (XaLI7)
Chlamydia screening declined (XaJdS)
No (Y0428)
Hep C Test - Not Offered (Y0806)
Has not received physical injuries recently (Y08d8)
No (Y0428)
Has not stayed in a psychiatric hospital (Y08e2)
Has not received medication for mental health problems (Y08e6)
Not disabled (Y3416)
No (Y0428)
Has no concerns over their physical health (Y08dd)
Transfer moved in (Y3424)
Able to read (XaBme)
Not religious (135D.)
English language (Xa6ev)
Able to write (XaAzO)
Smoker (137R.)
Hepatitis C non-immune (Xa0v1)
Hep B Vacc- offered and accepted (Y075c)
C40
Thu 23 Apr 2020 15:02
Mr Saul Turner "Saul Altel" (A2425AM)
Confidential: Personal Data 719 122 2247, 08 Dec 1982
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by TURNER, Steven (Mr) (Clerical Access Role)HMP Highdown 41 of 216
Hepatitis B immune (XE2ww)
Asthma: no (Y0944)
Referral for smoking cessation service offered (XaXR4) - added to list
Medication In Possession Status: In possession - 28 days
Prisoner has a psychiatric nurse or care worker in the community : no (Y09d1)
17 Aug 2016 15:09 Surgery: TURNER, Nina (Clinical Team Manager) Entered at: Hmp Rochester
SystmOne Outgoing Record Sharing consent changed to: No
18 Aug 2016 08:27 Surgery: TANTON, Karen (Mrs) (Clerical Access Role) Entered at: Hmp Rochester
19 Aug 2016 07:29 Surgery: TANTON, Karen (Mrs) (Clerical Access Role) Entered at: Hmp Rochester
03 Oct 2016 09:20 Surgery: CARTER, Ellen (Ms) (Admin/Clinical Support Access Role) Entered at: Hmp Rochester
Smoking cessation drug therapy (XaMlI) - see notes
Smoker (137R.)
Seen by smoking cessation advisor (XaIye)
Seen by smoking cessation advisor (XaIye) - co read 29 issued x 1 pck21mg nrt patches and 1 pck 1.5nrt mints
Smoker (137R.)
Nicotine product (du3..)
Cigarette consumption (Ub1tI) 30 cigarettes / day
Total time smoked (Ub0p2) 12 Years
Seen by smoking cessation advisor (XaIye)
Smoker (137R.)
Rolls own cigarettes (137M.)
08 Oct 2016 08:07 Surgery: MAULINO, Rogelio (Mr) (Nurse Access Role) Entered at: Hmp Rochester
10 Oct 2016 09:06 Surgery: CARD, Lauren (Miss) (Nurse Access Role) Entered at: Hmp Rochester
SUDOCREM (form not specified) -
10 Oct 2016 10:52 Surgery: CARTER, Ellen (Ms) (Admin/Clinical Support Access Role) Entered at: Hmp Rochester
Seen by smoking cessation advisor (XaIye) - co read 15 issued x1 pck 21mg nrt patches x 2 pcks 1.5 nrt mints
17 Oct 2016 10:15 Surgery: CARTER, Ellen (Ms) (Admin/Clinical Support Access Role) Entered at: Hmp Rochester
Seen by smoking cessation advisor (XaIye) - issued 2 weeks supply 2 pcks 21mg nrt patches 2 pcks nrt mini mints
27 Oct 2016 07:25 Surgery: CLIFTON, Hannah (Miss) (Admin/Clinical Support Access Role) Entered at: Hmp
Rochester
31 Oct 2016 14:41 Surgery: CARTER, Ellen (Ms) (Admin/Clinical Support Access Role) Entered at: Hmp Rochester
Handover Report : Overall Communication (Y4510) - delivered x 1 pck 21mg patches x 1 pck 1.5 nrt mints
07 Nov 2016 08:45 New Healthcare, Surgery: CARTER, Ellen (Ms) Entered at: Hmp Entered: 07 Nov 2016 10:12
Rochester
Did not attend for HC-Smoking Clinic appointment with Ellen Carter
Did not attend (Xa1kG)
07 Nov 2016 10:18 Surgery: CARTER, Ellen (Ms) (Admin/Clinical Support Access Role) Entered at: Hmp Rochester
Did not attend - no reason (XE2NM)
Did not attend smoking cessation clinic (XaIpo) - DNA letter sent appt rebooked
08 Nov 2016 16:29 Surgery: MAULINO, Rogelio (Mr) (Nurse Access Role) Entered at: Hmp Rochester
Paracetamol 500mg tablets - 16 tablets - 2 qds
12 Nov 2016 08:10 Surgery: MAULINO, Rogelio (Mr) (Nurse Access Role) Entered at: Hmp Rochester
14 Nov 2016 08:45 New Healthcare, Surgery: CARTER, Ellen (Ms) Entered at: Hmp Entered: 14 Nov 2016 10:04
Rochester
Did not attend for HC-Smoking Clinic appointment with Ellen Carter
Did not attend (Xa1kG)
21 Nov 2016 08:45 New Healthcare, Surgery: CARTER, Ellen (Ms) Entered at: Hmp Entered: 21 Nov 2016 10:03
Rochester
Did not attend for HC-Smoking Clinic appointment with Ellen Carter
Did not attend (Xa1kG)
21 Nov 2016 11:39 Surgery: CARTER, Ellen (Ms) (Admin/Clinical Support Access Role) Entered at: Hmp Rochester
Lost to smoking cessation follow-up (XaXUL) - declined to attend appts missd 3
Did not attend - no reason (XE2NM)
29 Nov 2016 07:38 Surgery: TANTON, Karen (Mrs) (Clerical Access Role) Entered at: Hmp Rochester
01 Jan 2017 Surgery: NIXON, Sharon (Nurse Access Role) Entered at: HMYOI Entered: 22 Mar 2018 15:06
Stoke Heath
Stopped smoking (137K.)
20 Jan 2017 07:54 Surgery: CLIFTON, Hannah (Miss) (Admin/Clinical Support Access Role) Entered at: Hmp
Rochester
Thu 23 Apr 2020 15:02
Mr Saul Turner "Saul Altel" (A2425AM)
Confidential: Personal Data 719 122 2247, 08 Dec 1982
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by TURNER, Steven (Mr) (Clerical Access Role)HMP Highdown 42 of 216
21 Jan 2017 08:34 Surgery: MAULINO, Rogelio (Mr) (Nurse Access Role) Entered at: Hmp Rochester
22 Jan 2017 08:35 Surgery: MAULINO, Rogelio (Mr) (Nurse Access Role) Entered at: Hmp Rochester
26 Jan 2017 07:17 Surgery: CLIFTON, Hannah (Miss) (Admin/Clinical Support Access Role) Entered at: Hmp
Rochester
26 Jan 2017 12:17 Surgery: ESEKIE, Oseyi (Nurse Access Role) Entered at: Hmp Rochester
Seen in segregation unit (Y0ce3)
Overview Notes (Y0028) - Seen this morning, taken to SEG yesterday after an attempted suicide. Saul was found
with a noose around his neck, withdrawing from spice and report increased paranoia. He was seen in his cell with
an officer standing at the door, states finding it hard to cope being on basic without a TV to occupied his mind.
Report long history of substance misuse and no reported history of mental health illness, first time of attempted
suicide due to withdrawing from spice. Repot he had spent £14,000 on spice for the past 5 months due release 16
weeks times and already working on how to make back the money he had spent on spice when release by selling
things refused to give more detail what he will be selling. Saul sees being in SEG as a form of punishment by the
prison, He was made to understand this could also be a positive thing for him because he will have the opportunity
meeting with different professionals for support. Saul was still expressing suicidal thought and plan to do things so he
could manipulate staff to get what he wants. He requested to have all his properties from the wing, informed he will
not be having TV but SEG staff had promised to get him a radio. Entry made on his ACCT document and incell pact
will be given later this afternoon.
26 Jan 2017 16:00 Surgery: ESEKIE, Oseyi (Nurse Access Role) Entered at: Hmp Entered: 28 Jan 2017 10:55
Rochester
Overview Notes (Y0028) - incell pack given in SEG.
27 Jan 2017 11:10 Surgery: DEAN, Antony (Mr) (Nurse Access Role) Entered at: Hmp Rochester
Seen in segregation unit (Y0ce3)
Overview Notes (Y0028) - Seen in segregation unit for segregation rounds, stated that he is ok, no current mental
health needs identified or complained of, interacted well with staff and accepted applications.
27 Jan 2017 12:08 Surgery: HARDING, Tim (Clinical Practitioner Access Role) Entered at: Hmp Rochester
History: Seen in segregation unit (Y0ce3) - Seen in the Seggregation Unit. No complaints, suggested to discuss with
Segg staff should they need to see a member of the healthcare team
Examination: appears well, denies any health concerns
28 Jan 2017 10:13 Surgery: ESEKIE, Oseyi (Nurse Access Role) Entered at: Hmp Rochester
Seen in segregation unit (Y0ce3)
Overview Notes (Y0028) - seen this morning during the round and after in his cell, upset that his clothes were
brought to him from his previous wing wet and damped, Sean told me he flooded his cell before he was brought to
SEG and to the best of his knowledge all his clothes were all packed neatly in a bag and on top of his bed. He
blamed the wing staff for his wet clothes and want contact to any solicitor so He could report the case because his
personal solicitor does not deal with prison case advised to speak with IMB. Sean remain on open ACCT, he
determined not to allow his current situation affect his mental health even thou he had to cancel his visit today
because he has no clean clothes to wear. He denied any thoughts to self-harm when asked. Entry made on his
ACCT document, SEG staff aware.
29 Jan 2017 13:50 Surgery: CARD, Lauren (Miss) (Nurse Access Role) Entered at: Hmp Rochester
Seen in segregation unit (Y0ce3) - seen in segregation nurse rounds. no healthcare concerns raised at this time.
30 Jan 2017 08:56 Surgery: MORRIS, Carolyn (Ms) (Occupational Therapist) Entered at: Hmp Rochester
Seen in segregation unit (Y0ce3)
Overview Notes (Y0028) - Seen for morning review. No mental health concerns or issues raised or identified at the
rpresent time. Declined 1:1. Open ACCT noted and entry made
30 Jan 2017 12:37 Surgery: VIJAYATHARAN, Dr Karthika (GP Locum) Entered at: Hmp Rochester
History: seen in segregation
currently no health concerns, remains well
31 Jan 2017 10:37 Surgery: PEMBLE, Howard (Mr) (Nurse Access Role) Entered at: Hmp Rochester
Overview Notes (Y0028) - Seen for daily MHIRT :- Serving CC . Open ACCT noted . Dark under eyes and not
sleeping well . Looks exhausted and was tense about being asked "again " why he is on the ACCT . Withdrawing
from NPS and uncomfortable but this is lessening - wants to be NPS free . ACCT suggests some £14000 spent over
time on NPS . Had debt outstanding .
Seen in segregation unit (Y0ce3)
31 Jan 2017 14:07 Surgery: CARD, Lauren (Miss) (Nurse Access Role) Entered at: Hmp Rochester
Seen in segregation unit (Y0ce3) - seen in nurse segregation unit rounds. no healthcare concerns raised when seen
in cell.
Seen by nurse (XaATp)
31 Jan 2017 16:16 Surgery: PEMBLE, Howard (Mr) (Nurse Access Role) Entered at: Hmp Rochester
General mental state (X75ws) - Looks uncomfortable and low in mood . Used NPS extensively here until recently
when he took himself off it . Angry at HMP Rochester and some staff . Angrily said that no one tried to intervene .
Thu 23 Apr 2020 15:02
Mr Saul Turner "Saul Altel" (A2425AM)
Confidential: Personal Data 719 122 2247, 08 Dec 1982
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by TURNER, Steven (Mr) (Clerical Access Role)HMP Highdown 43 of 216
Withdrawal hit him hard . ACCT opened on him . Some paranoia and vague voice as sequelae to his use of NPS
but can challenge this . Said will not go to any wing at Rochester .
[V]Personal history of mental disorder (ZV11.) - No specific history disclosed today.
Clinical management plan (XaJYd)
Home in May .
Has no spent all his money on NPS and has little to go out to .
See daily .
Intends avoiding any return to a wing here .
Does not want RAPT .
Risk classification (Y2462) - On an open ACCT .
[V]Other reasons for encounter NOS (ZV6z.) - Serving CC
Review of admission to segregation unit (XaPmi) - Enhanced review
Levels of observation (Ua1Sw) - As per ACCT .
01 Feb 2017 09:44 Surgery: PEMBLE, Howard (Mr) (Nurse Access Role) Entered at: Hmp Rochester
Seen in segregation unit (Y0ce3)
Overview Notes (Y0028) - Seen for daily MHIRT :- Open ACCT noted . Again looks tense this morning . Had little to
say other than to indicate that today he feels as he did yesterday .
01 Feb 2017 12:23 Surgery: HARDING, Tim (Clinical Practitioner Access Role) Entered at: Hmp Rochester
History: Seen in segregation unit (Y0ce3) - Seen in the Seggregation Unit. No complaints, suggested to discuss with
Segg staff should they need to see a member of the healthcare team
Examination: appears well , denies any physical health problems
02 Feb 2017 09:32 Surgery: DEAN, Antony (Mr) (Nurse Access Role) Entered at: Hmp Rochester
Seen in segregation unit (Y0ce3)
Overview Notes (Y0028) - No current mental health concerns expressed today, comminucated with staff and
accepted applications. Remains on ACCT no current indication of increased risk, declined any input from inreach
today.
03 Feb 2017 12:09 Surgery: TURPIN, Rachel (Health Professional Access Role) Entered at: Hmp Rochester
Overview Notes (Y0028) - Remains on an ACCT and refused inreach 1:12 today - staff raised no issues and review
this pm. Quiet and engaged with staff.
Seen in segregation unit (Y0ce3)
03 Feb 2017 12:40 Surgery: HARDING, Tim (Clinical Practitioner Access Role) Entered at: Hmp Rochester
History: Seen in segregation unit (Y0ce3) - Seen in the Seggregation Unit. No complaints, suggested to discuss with
Segg staff should they need to see a member of the healthcare team
Examination: appears well, denies any physical health complaints
03 Feb 2017 14:15 Surgery: CARD, Lauren (Miss) (Nurse Access Role) Entered at: Hmp Rochester
Seen by nurse (XaATp) - seen in nurse segregation unit rounds. no healthcare concerns raised. acct document
signed.
Seen in segregation unit (Y0ce3)
03 Feb 2017 17:13 Surgery: TURPIN, Rachel (Health Professional Access Role) Entered at: Hmp Rochester
Overview Notes (Y0028)
Seen with Ms Birch (Duty Gov), MS Fitzmaurice and V Navaratnam (IMB)
In seg for flooding on the wing - 14 days CC- reports he was under the influence and asked for seg as a safe haven
but was declined so flooded cell.
Not engaged with RAPT - reports he was not smoking when he arrived here at all so wanted H wing but asked for
smokers pack to use to get things done for him and then was sharing with spice smokers and gradually used this
and spend £14,000 since arriving here in Aug 2017- is not smoking now but has lost all enhanced status - reports
this is the first time he has been addicted and does not want RAPT as it wrong happen again - seemed empowered
and insightful about this. Feels that he cope better when not bored so support plan will be put in place so he can get
a job etc., Will also get single cell on B wing. nO issues raised with returning to B wing. has 2 or 5 months left. has
put in complaint as duvet lost.ACCT closed with no dissent.
Review of care of detained patnt under Section 120 MHA 1983 (Xa9Ep)
04 Feb 2017 11:14 Surgery: BRYANT, Ian (Mr) ('Other' Community Health Service) Entered at: Hmp Rochester
Overview Notes (Y0028) - Seen this morning in segregation round, Mr Turner reported no issues or concerns
regarding his mental health before leaving segregation to attend visits.
Risk classification (Y2462) - Unknown risk to self or others, no current evidence of risk to self or others. Did not
identify a protective factor just stated 'no' 'sweet'.
General mental state (X75ws) - Well kempt, good eye contact and rapport. Lucid, coherent and mood appeared
euthymic.
Seen in segregation unit (Y0ce3)
05 Feb 2017 13:55 Surgery: VALINO, Maria (Mrs) (Nurse Access Role) Entered at: Hmp Rochester
History: Seen in segregation unit (Y0ce3) - Seen in the Seggregation Unit. No complaints, suggested to discuss with
Thu 23 Apr 2020 15:02
Mr Saul Turner "Saul Altel" (A2425AM)
Confidential: Personal Data 719 122 2247, 08 Dec 1982
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by TURNER, Steven (Mr) (Clerical Access Role)HMP Highdown 44 of 216
Segg staff should they need to see a member of the healthcare team (04-02-17)
05 Feb 2017 14:50 Surgery: MAULINO, Rogelio (Mr) (Nurse Access Role) Entered at: Hmp Rochester
Seen in segregation unit (Y0ce3) - c/o headache-2 paracetamol tablets given.
06 Feb 2017 09:11 Surgery: VIJAYATHARAN, Dr Karthika (GP Locum) Entered at: Hmp Rochester
History: seen in segregation
currently well, denies any health concerns
06 Feb 2017 10:19 Surgery: ESEKIE, Oseyi (Nurse Access Role) Entered at: Hmp Rochester
Seen in segregation unit (Y0ce3)
Overview Notes (Y0028) - Came out from his cell for the daily apps, good interaction with the officers, complained of
cold cell, officer promised to be given extra blanket and no issues were raised concerning his mental health.
07 Feb 2017 10:14 Surgery: PEMBLE, Howard (Mr) (Nurse Access Role) Entered at: Hmp Rochester
Overview Notes (Y0028) - Seen for daily MHIRT :- Looks much better - said feels better and that coming of NPS was
the most difficult thing he has ever done .
Seen in segregation unit (Y0ce3)
08 Feb 2017 11:06 Surgery: MORRIS, Carolyn (Ms) (Occupational Therapist) Entered at: Hmp Rochester
Seen in segregation unit (Y0ce3)
Overview Notes (Y0028) - Seen for morning review. No mental health concerns or issues raised or identified at the
present time.
08 Feb 2017 12:52 Surgery: HARDING, Tim (Clinical Practitioner Access Role) Entered at: Hmp Rochester
History: Seen in segregation unit (Y0ce3) - Seen in the Seggregation Unit. No complaints, suggested to discuss with
Segg staff should they need to see a member of the healthcare team
Examination: appears well ,denies any health complaints except migraine had years try amit
Amitriptyline 25mg tablets - 28 tablets - 1 tablet - admin times: 16:00 (Oral) (Future dated medication 10 Feb 2017)
Stopped 15 Feb 2017 End of course by HARDING, Tim
Custom script: Printed On Wed 08 Feb 2017 12:53 By Tim Harding
09 Feb 2017 12:31 Surgery: MORRIS, Carolyn (Ms) (Occupational Therapist) Entered at: Hmp Rochester
Seen in segregation unit (Y0ce3)
Overview Notes (Y0028) - Seen for morning review. No mental health concerns or issues raised or identified at the
present time
09 Feb 2017 13:50 Surgery: KEHOE, Bevan (Pharmacist) Entered at: Hmp Rochester
10 Feb 2017 11:41 Surgery: GONCARAS, Laimonas (Dr) (Clinical Practitioner Access Role) Entered at: Hmp
Rochester
History: Seen in segregation unit (Y0ce3) - Seen in the Seggregation Unit. No complaints, suggested to discuss with
Segg staff should they need to see a member of the healthcare team
10 Feb 2017 17:25 Surgery: MALINOWSKA, Agnieszka (Ms) (Mental Health Nurse) Entered at: Hmp Rochester
10 Feb 2017 17:26 Surgery: MALINOWSKA, Agnieszka (Ms) (Mental Health Nurse) Entered at: Hmp Rochester
11 Feb 2017 10:27 Surgery: ESEKIE, Oseyi (Nurse Access Role) Entered at: Hmp Rochester
Seen in segregation unit (Y0ce3)
Overview Notes (Y0028) - Seen this morning for MHIRT segregation round, appears bright in mood looking forward
to his visit this morning. No issues were raised concerning his mental health and none was observed.
11 Feb 2017 17:15 Surgery: MAULINO, Rogelio (Mr) (Sister/Charge Nurse) Entered at: Hmp Rochester
11 Feb 2017 17:15 Surgery: MAULINO, Rogelio (Mr) (Nurse Access Role) Entered at: Hmp Rochester
12 Feb 2017 14:15 Surgery: CARD, Lauren (Miss) (Nurse Access Role) Entered at: Hmp Rochester
Seen by nurse (XaATp)
Seen in segregation unit (Y0ce3) - seen in nurse segregation daily round. no healthcare concerns when asked.
13 Feb 2017 08:54 Surgery: VIJAYATHARAN, Dr Karthika (GP Locum) Entered at: Hmp Rochester
History: seen in segregation
currently well, denies any health concerns
13 Feb 2017 09:34 Surgery: MORRIS, Carolyn (Ms) (Occupational Therapist) Entered at: Hmp Rochester
Overview Notes (Y0028) - Seen for morning review. No mental health concerns or issues raised or identified at the
present time.
Seen in segregation unit (Y0ce3)
13 Feb 2017 16:25 Surgery: MORRIS, Carolyn (Ms) (Occupational Therapist) Entered at: Hmp Rochester
Overview Notes (Y0028)
Seen for review. Saul stated that eh was started on Amirtiptyline last week for sleep, but doesn't think they are
helping him, and would like the GP to sort this out.
Stated no other concerns at the present time. Is aware that he is awaiting transfer, but not sure where to as yet. Is
happy to remain in current location for 2 weeks
Goading (Xa2mO)
Present:
Thu 23 Apr 2020 15:02
Mr Saul Turner "Saul Altel" (A2425AM)
Confidential: Personal Data 719 122 2247, 08 Dec 1982
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by TURNER, Steven (Mr) (Clerical Access Role)HMP Highdown 45 of 216
Gov Martin
IMB
C Morris
S turner
13 Feb 2017 17:01 Surgery: MAULINO, Rogelio (Mr) (Sister/Charge Nurse) Entered at: Hmp Rochester
13 Feb 2017 17:01 Surgery: MAULINO, Rogelio (Mr) (Nurse Access Role) Entered at: Hmp Rochester
14 Feb 2017 11:41 Surgery: ESEKIE, Oseyi (Nurse Access Role) Entered at: Hmp Rochester
Seen in segregation unit (Y0ce3)
Overview Notes (Y0028) - Seen this morning for MHIRT segregation round, no issues were raised concerning his
mental health. Saul interacted well with the officers, declined 1:1 when offered, took his breakfast and requested to
have shower and exercise from today's apps.
14 Feb 2017 14:30 Surgery: CARD, Lauren (Miss) (Nurse Access Role) Entered at: Hmp Rochester
Handover Report : Overall Communication (Y4510) - seen in nurse segregation round. no concerns.
Seen by nurse (XaATp)
15 Feb 2017 12:22 Surgery: HARDING, Tim (Clinical Practitioner Access Role) Entered at: Hmp Rochester
History: Seen in segregation unit (Y0ce3) - Seen in the Seggregation Unit. No complaints, suggested to discuss with
Segg staff should they need to see a member of the healthcare team
Examination: appears well, denies any health complaints except sl;eep and heasdaches still issue plan ^ dose of
amit
(R) Amitriptyline 50mg tablets - 28 tablets - 1 tablet - admin times: 16:00 (Oral) (Future dated medication 16 Feb
2017)
Amitriptyline 50mg tablets - 28 tablets - 1 tablet
Ended 12 Apr 2017 Re-Authorised by HARDING, Tim
Custom script: Printed On Wed 15 Feb 2017 12:23 By Tim Harding
15 Feb 2017 12:23 Surgery: ESEKIE, Oseyi (Nurse Access Role) Entered at: Hmp Rochester
Seen in segregation unit (Y0ce3)
Overview Notes (Y0028) - Saul was seen this morning in the segregation unit, came out for his daily apps, requested
for cell clean and shower. No issues were raised concerning his mental health he collected his breakfast and went
back to his bedroom.
15 Feb 2017 12:30 Surgery: HARDING, Tim (Clinical Practitioner Access Role) Entered at: Hmp Rochester
(R) Paracetamol 500mg tablets - 80 tablets - 2 tablet - admin times: 08:45, 12:00, 16:00 (Oral) (Future dated
medication 16 Feb 2017)
Paracetamol 500mg tablets - 80 tablets - 2 tablet
Ended 13 May 2017 Patient Deducted (Sentence Ended)
Custom script: Printed On Wed 15 Feb 2017 12:31 By Tim Harding
16 Feb 2017 09:49 Surgery: SEEHRA, Sharon (Miss) (Pharmacist) Entered at: Hmp Rochester
16 Feb 2017 18:31 Surgery: VALINO, Maria (Mrs) (Sister/Charge Nurse) Entered at: Hmp Rochester
16 Feb 2017 18:31 Surgery: VALINO, Maria (Mrs) (Nurse Access Role) Entered at: Hmp Rochester
16 Feb 2017 18:31 Surgery: VALINO, Maria (Mrs) (Nurse Access Role) Entered at: Hmp Rochester
17 Feb 2017 09:06 Surgery: BONCHEV, Sevdalin (Dr) (Doctor) Entered at: Hmp Rochester
History: Seen in segregation unit (Y0ce3)
Diagnosis: Medically fit to be held in the segregation unit (Y0d06)
17 Feb 2017 09:35 Surgery: MAULINO, Rogelio (Mr) (Nurse Access Role) Entered at: Entered: 17 Feb 2017 17:14
Hmp Rochester
17 Feb 2017 10:49 Surgery: ESEKIE, Oseyi (Nurse Access Role) Entered at: Hmp Rochester
Seen in segregation unit (Y0ce3)
Overview Notes (Y0028) - Seen this morning, no issues were raised concerning his mental health and none
observed. Saul had good interaction with the officers, appropriate in behaviour and requested to have only shower.
17 Feb 2017 17:14 Surgery: MAULINO, Rogelio (Mr) (Sister/Charge Nurse) Entered at: Hmp Rochester
17 Feb 2017 17:14 Surgery: MAULINO, Rogelio (Mr) (Nurse Access Role) Entered at: Hmp Rochester
17 Feb 2017 17:14 Surgery: MAULINO, Rogelio (Mr) (Nurse Access Role) Entered at: Hmp Rochester
17 Feb 2017 17:14 Surgery: MAULINO, Rogelio (Mr) (Nurse Access Role) Entered at: Hmp Rochester
18 Feb 2017 09:32 Surgery: CARD, Lauren (Miss) (Sister/Charge Nurse) Entered at: Hmp Rochester
18 Feb 2017 09:32 Surgery: CARD, Lauren (Miss) (Nurse Access Role) Entered at: Hmp Rochester
18 Feb 2017 09:32 Surgery: CARD, Lauren (Miss) (Nurse Access Role) Entered at: Hmp Rochester
18 Feb 2017 13:06 Surgery: CARD, Lauren (Miss) (Nurse Access Role) Entered at: Hmp Rochester
Seen in segregation unit (Y0ce3) - seen in nurse segregation round. no healthcare concerns when asked.
Seen by nurse (XaATp)
18 Feb 2017 13:24 Surgery: DEAN, Antony (Mr) (Nurse Access Role) Entered at: Hmp Rochester
Overview Notes (Y0028) - Seen this morning in segregation unit, no current mental health issues of note
Thu 23 Apr 2020 15:02
Mr Saul Turner "Saul Altel" (A2425AM)
Confidential: Personal Data 719 122 2247, 08 Dec 1982
C45
C46
Printed
409af26bccb2448dabacd1cf3d115e4f-46
by TURNER, Steven (Mr) (Clerical Access Role)HMP Highdown 46 of 216
today,antogistic towards staff declined any input from inreach.
Seen in segregation unit (Y0ce3)
18 Feb 2017 17:04 Surgery: CARD, Lauren (Miss) (Sister/Charge Nurse) Entered at: Hmp Rochester
18 Feb 2017 17:04 Surgery: CARD, Lauren (Miss) (Nurse Access Role) Entered at: Hmp Rochester
18 Feb 2017 17:04
19 Feb 2017 10:47
Surgery: CARD, Lauren (Miss) (Nurse Access Role) Entered at: Hmp Rochester
Surgery: MAULINO, Rogelio (Mr) (Sister/Charge Nurse) Entered at: Hmp Rochester
19 Feb 2017 10:47 Surgery: MAULINO, Rogelio (Mr) (Nurse Access Role) Entered at: Hmp Rochester
19 Feb 2017 13:35 Surgery: MAULINO, Rogelio (Mr) (Nurse Access Role) Entered at:
Hmp Rochester
Entered: 19 Feb 2017 17:04
19 Feb 2017 15:05 Surgery: VALINO, Maria (Mrs) (Nurse Access Role) Entered at: Hmp Rochester
History: Seen in segregation unit (Y0ce3) - Seen in the Seggregation Unit. No complaints, suggested to discuss with
Segg staff should they need to see a member of the healthcare team
19 Feb 2017 17:03 Surgery: MAULINO, Rogelio (Mr) (Sister/Charge Nurse) Entered at: Hmp Rochester
19 Feb 2017 17:03 Surgery: MAULINO, Rogelio (Mr) (Nurse Access Role) Entered at: Hmp Rochester
19 Feb 2017 17:03
20 Feb 2017 11:28
Surgery: MAULINO, Rogelio (Mr) (Nurse Access Role) Entered at: Hmp Rochester
Surgery: ESEKIE, Oseyi (Nurse Access Role) Entered at: Hmp Rochester
Seen in segregation unit (Y0ce3)
Overview Notes (Y0028) - Mr Turner came out from his cell this morning for his daily apps, requested to have
shower and cell clean and no issues were raised concerning his mental health.
20 Feb 2017 14:16 Surgery: CARD, Lauren (Miss) (Nurse Access Role) Entered at: Hmp Rochester
Seen by nurse (XaATp)
Seen in segregation unit (Y0ce3) - seen by nurse in segregation unit round. no primary healthcare needs raised.
20 Feb 2017 16:59 Surgery: CARD, Lauren (Miss) (Sister/Charge Nurse) Entered at: Hmp Rochester
20 Feb 2017 16:59
20 Feb 2017 16:59
Surgery: CARD, Lauren (Miss) (Nurse Access Role) Entered at: Hmp Rochester
Surgery: CARD, Lauren (Miss) (Nurse Access Role) Entered at: Hmp Rochester
20 Feb 2017 16:59
20 Feb 2017 16:59
Surgery: CARD, Lauren (Miss) (Nurse Access Role) Entered at: Hmp Rochester
Surgery: CARD, Lauren (Miss) (Nurse Access Role) Entered at: Hmp Rochester
20 Feb 2017 18:46 Surgery: VIJAYATHARAN, Dr Karthika (GP Locum) Entered at: Hmp Rochester
History: written retrospectivelty from this morning, seen in segregation currently well denies any health concerns
21 Feb 2017 09:33 Surgery: PEMBLE, Howard (Mr) (Nurse Access Role) Entered at: Hmp Rochester
Seen in segregation unit (Y0ce3)
Overview Notes (Y0028) - Seen for daily MHIRT :- No concerns expressed by him or about him today . Interacting
well with the unit team and myself . Looks well today .
21 Feb 2017 16:19 Surgery: OLADEJI-OLANREWAJU, Olabode Entered at: Hmp Rochester
Second Reception Screening (Y0da6) - Added in bulk
21 Feb 2017 17:04
21 Feb 2017 17:04
Surgery: MAULINO, Rogelio (Mr) (Sister/Charge Nurse) Entered at: Hmp Rochester
Surgery: MAULINO, Rogelio (Mr) (Nurse Access Role) Entered at: Hmp Rochester
21 Feb 2017 17:04 Surgery: MAULINO, Rogelio (Mr) (Nurse Access Role) Entered at: Hmp Rochester
22 Feb 2017 09:00 Surgery: MALINOWSKA, Agnieszka (Ms) (Mental Health Nurse) Entered: 22 Feb 2017 14:50
Entered at: Hmp Rochester
22 Feb 2017 09:27 Surgery: HARDING, Tim (Clinical Practitioner Access Role) Entered at: Hmp Rochester
History: Seen in segregation unit (Y0ce3) - Seen in the Seggregation Unit. No complaints, suggested to discuss with
Segg staff should they need to see a member of the healthcare team
Examination: appears well ,declines any health concerns except dandruff - states other mx working now
Ketoconazole 2% shampoo - 120 millilitres - ao (120 millilitres every 28 days) (Future dated medication 24 Feb 2017)
Custom script: Printed On Wed 22 Feb 2017 09:28 By Tim Harding
22 Feb 2017 10:46 Surgery: TURPIN, Rachel (Health Professional Access Role) Entered at: Hmp Rochester
Seen in segregation unit (Y0ce3)
Overview Notes (Y0028) - Seen in the seg round _ appeared physically and mentally well, eye contact good and no
cell or personal hygiene issues. Declined MHIRT 1:1 when offered. Engaged well with prison staff , no concerns
raised by seg staff and complying with prison regime. No risk of DSH or suicide at this time. No further action at this
time.
22 Feb 2017 13:00 Surgery: MALINOWSKA, Agnieszka (Ms) (Mental Health Nurse)
Entered at: Hmp Rochester
Entered: 22 Feb 2017 14:50
22 Feb 2017 14:49
22 Feb 2017 17:04
Surgery: MALINOWSKA, Agnieszka (Ms) (Mental Health Nurse) Entered at: Hmp Rochester
Surgery: MALINOWSKA, Agnieszka (Ms) (Mental Health Nurse) Entered at: Hmp Rochester
22 Feb 2017 17:04 Surgery: MALINOWSKA, Agnieszka (Ms) (Mental Health Nurse) Entered at: Hmp Rochester
22 Feb 2017 17:04
23 Feb 2017 14:16
Surgery: MALINOWSKA, Agnieszka (Ms) (Mental Health Nurse) Entered at: Hmp Rochester
Surgery: ESEKIE, Oseyi (Nurse Access Role) Entered at: Hmp Rochester
Seen in segregation unit (Y0ce3)
Thu 23 Apr 2020 15:02
Mr Saul Turner "Saul Altel" (A2425AM)
Confidential: Personal Data 719 122 2247, 08 Dec 1982
C46
C47
Printed
409af26bccb2448dabacd1cf3d115e4f-47
by TURNER, Steven (Mr) (Clerical Access Role)HMP Highdown 47 of 216
Overview Notes (Y0028) - Mr Turner came out from his cell for his daily apps, no issues were raised concerning his
mental health and none was observed. He interacted well with the officers, offered 1:1 but declined.
23 Feb 2017 16:40 Surgery: MAULINO, Rogelio (Mr) (Sister/Charge Nurse) Entered at: Hmp Rochester
23 Feb 2017 16:40 Surgery: MAULINO, Rogelio (Mr) (Nurse Access Role) Entered at: Hmp Rochester
23 Feb 2017 16:40 Surgery: MAULINO, Rogelio (Mr) (Nurse Access Role) Entered at: Hmp Rochester
24 Feb 2017 08:00 Surgery: MALINOWSKA, Agnieszka (Ms) (Mental Health Nurse) Entered: 24 Feb 2017 17:02
Entered at: Hmp Rochester
24 Feb 2017 09:23 Surgery: HARDING, Tim (Clinical Practitioner Access Role) Entered at: Hmp Rochester
History: Seen in segregation unit (Y0ce3) - Seen in the Seggregation Unit. No complaints, suggested to discuss with
Segg staff should they need to see a member of the healthcare team
Examination: appears well , denies any physical health problems
24 Feb 2017 12:00 Surgery: MALINOWSKA, Agnieszka (Ms) (Mental Health Nurse)
Entered at: Hmp Rochester
Entered: 24 Feb 2017 17:02
24 Feb 2017 13:27 Surgery: DEAN, Antony (Mr) (Nurse Access Role) Entered at: Hmp Rochester
Seen in segregation unit (Y0ce3)
Overview Notes (Y0028) - Seen this morning in segregation unit, no current mental health concerns verbalised, good
communication with seg staff, no overt concerns today.
24 Feb 2017 17:01 Surgery: MALINOWSKA, Agnieszka (Ms) (Mental Health Nurse) Entered at: Hmp Rochester
24 Feb 2017 17:01 Surgery: MALINOWSKA, Agnieszka (Ms) (Mental Health Nurse) Entered at: Hmp Rochester
24 Feb 2017 17:01
24 Feb 2017 17:02
Surgery: MALINOWSKA, Agnieszka (Ms) (Mental Health Nurse) Entered at: Hmp Rochester
Surgery: MALINOWSKA, Agnieszka (Ms) (Mental Health Nurse) Entered at: Hmp Rochester
24 Feb 2017 17:02 Surgery: MALINOWSKA, Agnieszka (Ms) (Mental Health Nurse) Entered at: Hmp Rochester
25 Feb 2017 17:07 Surgery: MAULINO, Rogelio (Mr) (Sister/Charge Nurse) Entered at: Hmp Rochester
25 Feb 2017 17:07
25 Feb 2017 17:07
Surgery: MAULINO, Rogelio (Mr) (Nurse Access Role) Entered at: Hmp Rochester
Surgery: MAULINO, Rogelio (Mr) (Nurse Access Role) Entered at: Hmp Rochester
26 Feb 2017 09:30 Surgery: MALINOWSKA, Agnieszka (Ms) (Mental Health Nurse)
Entered at: Hmp Rochester
Entered: 26 Feb 2017 17:10
26 Feb 2017 12:00 Surgery: MALINOWSKA, Agnieszka (Ms) (Mental Health Nurse)
Entered at: Hmp Rochester
Entered: 26 Feb 2017 17:10
26 Feb 2017 14:32 Surgery: MALINOWSKA, Agnieszka (Ms) (Mental Health Nurse) Entered at: Hmp Rochester
Seen in segregation unit (Y0ce3) - No concerns in regards to his physical health reported. Seen by healthcare on
daily basis for his pm medication.
26 Feb 2017 17:10
26 Feb 2017 17:10
Surgery: MALINOWSKA, Agnieszka (Ms) (Mental Health Nurse) Entered at: Hmp Rochester
Surgery: MALINOWSKA, Agnieszka (Ms) (Mental Health Nurse) Entered at: Hmp Rochester
26 Feb 2017 17:10 Surgery: MALINOWSKA, Agnieszka (Ms) (Mental Health Nurse) Entered at: Hmp Rochester
27 Feb 2017 09:18 Surgery: VIJAYATHARAN, Dr Karthika (GP Locum) Entered at: Hmp Rochester
History: seen in segrgation, currently well, denies any health concerns
27 Feb 2017 09:23 Surgery: DEAN, Antony (Mr) (Nurse Access Role) Entered at: Hmp Rochester
Seen in segregation unit (Y0ce3)
Overview Notes (Y0028) - Seen in segregation unit this morning, no overt MH concern noted. Engaged well with staff
and accepted applications.
27 Feb 2017 15:17 Surgery: DEAN, Antony (Mr) (Nurse Access Role) Entered at: Hmp Rochester
Goading (Xa2mO)
Overview Notes (Y0028) - Seen this afternoon for GOAD review, he will be residing in the seg as he has not been
acepted for transfer by anywhere else as yet. he states he is "happy" in seg, I voiced my concern about lack of
stimulation and interaction with others. he stated that he is coping very well and if there is any concern from staff they
will alert us and we see every day so we can elicit any needs.
27 Feb 2017 17:07 Surgery: VALINO, Maria (Mrs) (Sister/Charge Nurse) Entered at: Hmp Rochester
27 Feb 2017 17:07 Surgery: VALINO, Maria (Mrs) (Nurse Access Role) Entered at: Hmp Rochester
27 Feb 2017 17:07 Surgery: VALINO, Maria (Mrs) (Nurse Access Role) Entered at: Hmp Rochester
28 Feb 2017 09:06 Surgery: TURPIN, Rachel (Health Professional Access Role) Entered at: Hmp Rochester
Seen in segregation unit (Y0ce3)
Overview Notes (Y0028) - Seen in the seg round _ appeared physically and mentally well, eye contact good and no
cell or personal hygiene issues. Declined MHIRT 1:1 when offered. Engaged well with prison staff , no concerns
raised by seg staff and complying with prison regime. No risk of DSH or suicide at this time. No further action at this
time.
28 Feb 2017 17:02 Surgery: MAULINO, Rogelio (Mr) (Sister/Charge Nurse) Entered at: Hmp Rochester
28 Feb 2017 17:02
28 Feb 2017 17:02
Surgery: MAULINO, Rogelio (Mr) (Nurse Access Role) Entered at: Hmp Rochester
Surgery: MAULINO, Rogelio (Mr) (Nurse Access Role) Entered at: Hmp Rochester
28 Feb 2017 17:02 Surgery: MAULINO, Rogelio (Mr) (Nurse Access Role) Entered at: Hmp Rochester
Thu 23 Apr 2020 15:02
Mr Saul Turner "Saul Altel" (A2425AM)
Confidential: Personal Data 719 122 2247, 08 Dec 1982
C47
C48
Printed
409af26bccb2448dabacd1cf3d115e4f-48
by TURNER, Steven (Mr) (Clerical Access Role)HMP Highdown 48 of 216
01 Mar 2017 12:49 Surgery: HARDING, Tim (Clinical Practitioner Access Role) Entered at: Hmp Rochester
History: Seen in segregation unit (Y0ce3) - Seen in the Seggregation Unit. No complaints, suggested to discuss with
Segg staff should they need to see a member of the healthcare team
Examination: appears well, denies any physical health problems
01 Mar 2017 17:36
01 Mar 2017 17:36
Surgery: MALINOWSKA, Agnieszka (Ms) (Mental Health Nurse) Entered at: Hmp Rochester
Surgery: MALINOWSKA, Agnieszka (Ms) (Mental Health Nurse) Entered at: Hmp Rochester
01 Mar 2017 17:36 Surgery: MALINOWSKA, Agnieszka (Ms) (Mental Health Nurse) Entered at: Hmp Rochester
01 Mar 2017 17:36 Surgery: MALINOWSKA, Agnieszka (Ms) (Mental Health Nurse) Entered at: Hmp Rochester
01 Mar 2017 17:36 Surgery: MALINOWSKA, Agnieszka (Ms) (Mental Health Nurse) Entered at: Hmp Rochester
02 Mar 2017 11:31 Surgery: ESEKIE, Oseyi (Nurse Access Role) Entered at: Hmp Rochester
Seen in segregation unit (Y0ce3)
Overview Notes (Y0028) - Seen this morning for his daily apps, no raised mental health concern, I was later asked
by Sarah Nunn to see Mr Turner in his cell. Turner was met standing in his cell with packed bags on the floor he said
he was happy to be transfer to any prison as long he's kept in SEG because he will refuse to stay in normal location
because of his drug problem and would like to stay clean before of his release in 10 weeks' time. Advice long stay in
SEG also has negative effects on his mental states and Inreach does not encourage this. I also spoke to Sarah Nuun
of my disagreement of long stay in SEG and the prison need to decide on the next plan. Mr Turner is not engaging
with Inreach and no reported mental health issues.
02 Mar 2017 17:15 Surgery: VALINO, Maria (Mrs) (Sister/Charge Nurse) Entered at: Hmp Rochester
02 Mar 2017 17:15 Surgery: VALINO, Maria (Mrs) (Nurse Access Role) Entered at: Hmp Rochester
03 Mar 2017 10:51 Surgery: DEAN, Antony (Mr) (Nurse Access Role) Entered at: Hmp Rochester
Seen in segregation unit (Y0ce3)
Overview Notes (Y0028) - Seen this morning in segregation unit, no current issues of a mental health nature
observed or verbalised, took applications and had good communication with staff.
03 Mar 2017 12:13 Surgery: HARDING, Tim (Clinical Practitioner Access Role) Entered at: Hmp Rochester
History: Seen in segregation unit (Y0ce3) - Seen in the Seggregation Unit. No complaints, suggested to discuss with
Segg staff should they need to see a member of the healthcare team
Examination: appears well, denies any physical health problems
03 Mar 2017 16:54 Surgery: MALINOWSKA, Agnieszka (Ms) (Mental Health Nurse) Entered at: Hmp Rochester
Paracetamol 500mg tablet (di21.) - 2 tabs administered in seg on request
03 Mar 2017 16:55 Surgery: MALINOWSKA, Agnieszka (Ms) (Mental Health Nurse) Entered at: Hmp Rochester
04 Mar 2017 09:15 Surgery: UKPONG, Martine (Mrs) ('Other' Community Health
Service) Entered at: Hmp Rochester
Entered: 04 Mar 2017 11:57
Seen in segregation unit (Y0ce3)
Overview Notes (Y0028) - Mr Turner was well maintained, appropriately dressed and euthymic in mood. He
requested two applications of shower and phone call. He was coherent in conversation, chatting with wing staff as
he collected his breakfast and mail. He reported no concerns with his mental health and declined any input, wing
staff reported no concerns with his mental state.
04 Mar 2017 16:57 Surgery: MAULINO, Rogelio (Mr) (Sister/Charge Nurse) Entered at: Hmp Rochester
04 Mar 2017 16:57
05 Mar 2017 15:27
Surgery: MAULINO, Rogelio (Mr) (Nurse Access Role) Entered at: Hmp Rochester
Surgery: WHITE, Emma (Miss) (Health Professional Access Role) Entered at: Hmp Rochester
Seen in segregation unit (Y0ce3) - No Problems
05 Mar 2017 16:49 Surgery: WHITE, Emma (Miss) (Nurse Manager) Entered at: Hmp Rochester
05 Mar 2017 16:49
06 Mar 2017 10:30
Surgery: WHITE, Emma (Miss) (Health Professional Access Role) Entered at: Hmp Rochester
Surgery: PEMBLE, Howard (Mr) (Nurse Access Role) Entered at: Hmp Rochester
Overview Notes (Y0028) - Seen for daily MHIRT :- Interacting OK with unit team and myself and no concerns
expressed by him or about him . No evidence of distress seen .
Seen in segregation unit (Y0ce3)
06 Mar 2017 17:05 Surgery: MAULINO, Rogelio (Mr) (Sister/Charge Nurse) Entered at: Hmp Rochester
06 Mar 2017 17:05 Surgery: MAULINO, Rogelio (Mr) (Nurse Access Role) Entered at:
Hmp Rochester
Entered: 06 Mar 2017 17:10
06 Mar 2017 17:07 Surgery: VIJAYATHARAN, Dr Karthika (GP Locum) Entered at: Hmp Rochester
History: written retrospectively
seen in segregation
currently well, denies any health concerns
07 Mar 2017 10:51 Surgery: PEMBLE, Howard (Mr) (Nurse Access Role) Entered at: Hmp Rochester
Seen in segregation unit (Y0ce3)
Overview Notes (Y0028) - Seen for daily MHIRT :- Good interaction with the team today . No concerns expressed
about him or by him .
07 Mar 2017 17:15 Surgery: VALINO, Maria (Mrs) (Sister/Charge Nurse) Entered at: Hmp Rochester
Thu 23 Apr 2020 15:02
Mr Saul Turner "Saul Altel" (A2425AM)
Confidential: Personal Data 719 122 2247, 08 Dec 1982
C48
C49
Printed
409af26bccb2448dabacd1cf3d115e4f-49
by TURNER, Steven (Mr) (Clerical Access Role)HMP Highdown 49 of 216
07 Mar 2017 17:15 Surgery: VALINO, Maria (Mrs) (Nurse Access Role) Entered at: Hmp Rochester
08 Mar 2017 08:58 Surgery: DEAN, Antony (Mr) (Nurse Access Role) Entered at: Hmp Rochester
Overview Notes (Y0028) - Seen in segregation unit, good communication with staff, accepted applications no current
mental health concerns.
Seen in segregation unit (Y0ce3)
08 Mar 2017 12:46 Surgery: HARDING, Tim (Clinical Practitioner Access Role) Entered at: Hmp Rochester
History: Seen in segregation unit (Y0ce3) - Seen in the Seggregation Unit. No complaints, suggested to discuss with
Segg staff should they need to see a member of the healthcare team
Examination: Appears well, denies any physical health complaints
09 Mar 2017 10:19 Surgery: DEAN, Antony (Mr) (Nurse Access Role) Entered at: Hmp Rochester
Seen in segregation unit (Y0ce3)
Overview Notes (Y0028) - Seen in segregation unit, no overt mental health issues today, interacted well with staff,
and accepted applications.
09 Mar 2017 15:47 Surgery: AKISANYA, Adedun (Mrs) (Sister/Charge Nurse) Entered at: Hmp Rochester
09 Mar 2017 15:48 Surgery: AKISANYA, Adedun (Mrs) (Nurse Access Role) Entered at: Hmp Rochester
10 Mar 2017 09:24 Surgery: HARDING, Tim (Clinical Practitioner Access Role) Entered at: Hmp Rochester
History: Seen in segregation unit (Y0ce3) - Seen in the Seggregation Unit. No complaints, suggested to discuss with
Segg staff should they need to see a member of the healthcare team
Examination: Appears well ,denies any physical health symptoms except dry skin
(R) E45 cream (Forum Health Products Ltd) - 500 grams - ao (500 grams every 28 days)
E45 cream (Forum Health Products Ltd) - 500 grams - ao
Ended 13 May 2017 Patient Deducted (Sentence Ended)
Custom script: Printed On Fri 10 Mar 2017 09:25 By Tim Harding
10 Mar 2017 12:54 Surgery: ESEKIE, Oseyi (Nurse Access Role) Entered at: Hmp Rochester
Seen in segregation unit (Y0ce3)
Overview Notes (Y0028) - Saul came out for his daily apps this morning; no issues were raised concerning his
mental health. He requested to have shower, phone calls and no issues were raised concerning his mental health.
10 Mar 2017 17:03 Surgery: MAULINO, Rogelio (Mr) (Sister/Charge Nurse) Entered at: Hmp Rochester
10 Mar 2017 17:03 Surgery: MAULINO, Rogelio (Mr) (Nurse Access Role) Entered at: Hmp Rochester
11 Mar 2017 12:27 Surgery: TURPIN, Rachel (Health Professional Access Role) Entered at: Hmp Rochester
Overview Notes (Y0028) - Discussed with seg Gov Terry Martin as he has been in the seg for a long time and will
remain there until release on 6th May as he is refusing to relocate and if moved to another prison will refuse to
relocate there. Staff report that when he is in his cell he does not read, listen to the radio - just stares into space.
Advised wing staff and Mr Turner that he needs to be reviewed regularly by the Inreach team due to longevity within
the seg and the impact that this will have on his mental and physical health. Advised seg staff that he need to have
as much time out of his cell as possible. He is not engaging with RAPT or education at this time and is in the seg at
his own request. He declined to see Inreach today. Appeared calm and quiet.Plan: To discuss with team how we can
support him at this time. Not on an ACCT.
11 Mar 2017 17:19 Surgery: VALINO, Maria (Mrs) (Sister/Charge Nurse) Entered at: Hmp Rochester
11 Mar 2017 17:20 Surgery: VALINO, Maria (Mrs) (Nurse Access Role) Entered at: Hmp Rochester
12 Mar 2017 14:54 Surgery: VALINO, Maria (Mrs) (Nurse Access Role) Entered at: Hmp Rochester
History: Seen in segregation unit (Y0ce3) - Seen in the Seggregation Unit. No complaints, suggested to discuss with
Segg staff should they need to see a member of the healthcare team
12 Mar 2017 16:55 Surgery: MAULINO, Rogelio (Mr) (Sister/Charge Nurse) Entered at: Hmp Rochester
12 Mar 2017 16:55 Surgery: MAULINO, Rogelio (Mr) (Nurse Access Role) Entered at: Hmp Rochester
13 Mar 2017 09:24 Surgery: VIJAYATHARAN, Dr Karthika (GP Locum) Entered at: Hmp Rochester
(R) Amitriptyline 50mg tablets - 28 tablets - 1 tablet - admin times: 16:00 (Oral) (Future dated medication 18 Mar
2017)
Custom script: Printed On Mon 13 Mar 2017 09:24 By Dr Karthika Vijayatharan
13 Mar 2017 11:29 Surgery: ESEKIE, Oseyi (Nurse Access Role) Entered at: Hmp Rochester
Seen in segregation unit (Y0ce3)
Overview Notes (Y0028) - Saul came out for his daily application this morning, appears calm in mood and had good
interaction with SEG staff. He was offered 1:1 but declined.
13 Mar 2017 13:39 Surgery: UZOCHUKWU, Patrick (Mr) (Pharmacist) Entered at: Hmp Rochester
13 Mar 2017 16:24 Surgery: VIJAYATHARAN, Dr Karthika (GP Locum) Entered at: Hmp Rochester
History: seen in segregation this morning
currently well, denies any health concerns
14 Mar 2017 10:27 Surgery: DEAN, Antony (Mr) (Nurse Access Role) Entered at: Hmp Rochester
Seen in segregation unit (Y0ce3)
Overview Notes (Y0028) - Seen this morning in segregation unit rounds, no current mental health concerns noted or
complained of.
Thu 23 Apr 2020 15:02
Mr Saul Turner "Saul Altel" (A2425AM)
Confidential: Personal Data 719 122 2247, 08 Dec 1982
C49
C50
Printed
409af26bccb2448dabacd1cf3d115e4f-50
by TURNER, Steven (Mr) (Clerical Access Role)HMP Highdown 50 of 216
14 Mar 2017 16:56 Surgery: MAULINO, Rogelio (Mr) (Sister/Charge Nurse) Entered at: Hmp Rochester
14 Mar 2017 16:56 Surgery: MAULINO, Rogelio (Mr) (Nurse Access Role) Entered at: Hmp Rochester
15 Mar 2017 11:42 Surgery: ESEKIE, Oseyi (Nurse Access Role) Entered at: Hmp Rochester
Seen in segregation unit (Y0ce3)
Overview Notes (Y0028) - Saul came out this morning for his daily application with minimal interaction with the
officers and appears low in mood. On the 23rd of this month will be making it his 42days in SEG, Miss Stone had
already completed paper work for DDC. Turner had refused to stay in any normal location even when transfer to
another prison because of his drug problem. Mental health disagreement of long stay in the segregation unit had
been raised and Mr Turner was advised to engage with Seg staff, Inreach or Chaplaincy due to the negative effect
long stay in SEG could cause to his mental health such as anxiety, depression, anger and increase risk to self-harm.
Turner declined 1:1 when offered this morning, I even offered him incell activities pack but declined, he collected his
breakfast, requested to have shower and exercise with minimal interaction with the staff and went back into his cell.
15 Mar 2017 12:30 Surgery: GONCARAS, Laimonas (Dr) (Clinical Practitioner Access Role) Entered at: Hmp
Rochester
History: Admission to segregation unit (XaPma) - No concerns. Appears well. Mood is stable.
15 Mar 2017 12:31 Surgery: GONCARAS, Laimonas (Dr) (Clinical Practitioner Access Role) Entered at: Hmp
Rochester
History: Seen in segregation unit (Y0ce3) - Seen in the Seggregation Unit. No complaints, suggested to discuss with
Segg staff should they need to see a member of the healthcare team
15 Mar 2017 16:55 Surgery: MAULINO, Rogelio (Mr) (Sister/Charge Nurse) Entered at: Hmp Rochester
15 Mar 2017 16:55 Surgery: MAULINO, Rogelio (Mr) (Nurse Access Role) Entered at: Hmp Rochester
16 Mar 2017 11:59 Surgery: ESEKIE, Oseyi (Nurse Access Role) Entered at: Hmp Rochester
Seen in segregation unit (Y0ce3)
Overview Notes (Y0028) - Came out for his daily applications this morning, good interaction with the officers, offered
1:1 but declined. He requested to have shower, exercise and cell clean. No issues were raised concerning his
mental health.
17 Mar 2017 10:06 Surgery: DEAN, Antony (Mr) (Nurse Access Role) Entered at: Hmp Rochester
Seen in segregation unit (Y0ce3)
Overview Notes (Y0028) - Seen in segregation unit, he stated that he is doing well, no over concerns from him today,
engaged well with the staff and accepted applications.
18 Mar 2017 10:44 Surgery: BRYANT, Ian (Mr) ('Other' Community Health Service) Entered at: Hmp Rochester
Overview Notes (Y0028) - Seen this morning in segregation round, Mr Turner reported no issues or concerns
regarding his mental health
Seen in segregation unit (Y0ce3)
General mental state (X75ws) - Well kempt with good eye contact and rapport, offender was lucid, coherent and
mood appeared euthymic.
Risk classification (Y2462) - Did not disclose suicidal ideation, thoughts of self harm when asked just said 'no'
'alright'.
[V]Other reasons for encounter NOS (ZV6z.) - CC, reason unknown
18 Mar 2017 12:16 Surgery: CARD, Lauren (Miss) (Nurse Access Role) Entered at: Hmp Rochester
Seen by nurse (XaATp)
Seen in segregation unit (Y0ce3) - seen in nurse segregation rounds. no healthcare concerns raised.
18 Mar 2017 17:04 Surgery: CARD, Lauren (Miss) (Sister/Charge Nurse) Entered at: Hmp Rochester
18 Mar 2017 17:05 Surgery: CARD, Lauren (Miss) (Nurse Access Role) Entered at: Hmp Rochester
19 Mar 2017 15:04 Surgery: VALINO, Maria (Mrs) (Nurse Access Role) Entered at: Hmp Rochester
History: Seen in segregation unit (Y0ce3) - Seen in the Seggregation Unit. No complaints, suggested to discuss with
Segg staff should they need to see a member of the healthcare team
19 Mar 2017 16:41 Surgery: MAULINO, Rogelio (Mr) (Sister/Charge Nurse) Entered at: Hmp Rochester
19 Mar 2017 16:41 Surgery: MAULINO, Rogelio (Mr) (Nurse Access Role) Entered at: Hmp Rochester
20 Mar 2017 10:21 Surgery: ESEKIE, Oseyi (Nurse Access Role) Entered at: Hmp Rochester
Overview Notes (Y0028) - Mr Turner was seen this morning, came out for his daily applications, he appears calm in
mood, good interaction with the officers, requested for shower and cell clean. He was offered 1:1 but declined.
Seen in segregation unit (Y0ce3)
20 Mar 2017 13:08 Surgery: VIJAYATHARAN, Dr Karthika (GP Locum) Entered at: Hmp Rochester
History: seen in segregation currently well, denies any health concerns
20 Mar 2017 17:04 Surgery: MAULINO, Rogelio (Mr) (Sister/Charge Nurse) Entered at: Hmp Rochester
20 Mar 2017 17:04 Surgery: MAULINO, Rogelio (Mr) (Nurse Access Role) Entered at: Hmp Rochester
21 Mar 2017 10:08 Surgery: PEMBLE, Howard (Mr) (Nurse Access Role) Entered at: Hmp Rochester
Seen in segregation unit (Y0ce3)
Overview Notes (Y0028) - Seen for daily MHIRT :- No issues today - interacted well with the team and myself .
Thu 23 Apr 2020 15:02
Mr Saul Turner "Saul Altel" (A2425AM)
Confidential: Personal Data 719 122 2247, 08 Dec 1982
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409af26bccb2448dabacd1cf3d115e4f-51
by TURNER, Steven (Mr) (Clerical Access Role)HMP Highdown 51 of 216
21 Mar 2017 11:20 Surgery: CARD, Lauren (Miss) (Nurse Access Role) Entered at: Hmp Rochester
Seen by nurse (XaATp) - seen in segregation round. no healthcare concerns raised.
Seen in segregation unit (Y0ce3)
21 Mar 2017 17:23 Surgery: CARD, Lauren (Miss) (Sister/Charge Nurse) Entered at: Hmp Rochester
21 Mar 2017 17:23 Surgery: CARD, Lauren (Miss) (Nurse Access Role) Entered at: Hmp Rochester
22 Mar 2017 12:02 Surgery: ESEKIE, Oseyi (Nurse Access Role) Entered at: Hmp Rochester
Overview Notes (Y0028) - Seen in his cell this morning with an officer, no issues were raised concerning his mental
health. He was offered 1:1 but declined.
Seen in segregation unit (Y0ce3)
22 Mar 2017 12:24 Surgery: GONCARAS, Laimonas (Dr) (Clinical Practitioner Access Role) Entered at: Hmp
Rochester
History: Seen in segregation unit (Y0ce3) - Seen in the Seggregation Unit. No complaints, suggested to discuss with
Segg staff should they need to see a member of the healthcare team
23 Mar 2017 12:38 Surgery: DEAN, Antony (Mr) (Nurse Access Role) Entered at: Hmp Rochester
Overview Notes (Y0028) - Seen this morning on segregation unit rounds, stated he is ok and no current issues or
concerns, non raised by staff at time of review.
Seen in segregation unit (Y0ce3)
24 Mar 2017 10:57 Surgery: ESEKIE, Oseyi (Nurse Access Role) Entered at: Hmp Rochester
Seen in segregation unit (Y0ce3)
Overview Notes (Y0028) - Came out for his daily applications, no issues were raised concerning his mental health.
He was offered 1:1 which he declined only requested for phone call and shower.
24 Mar 2017 14:15 Surgery: CARD, Lauren (Miss) (Nurse Access Role) Entered at: Hmp Rochester
Seen in segregation unit (Y0ce3)
Seen by nurse (XaATp) - seen in nurse segregation round. no healthcare concerns raised.
25 Mar 2017 10:54 Surgery: DEAN, Antony (Mr) (Nurse Access Role) Entered at: Hmp Rochester
Seen in segregation unit (Y0ce3)
Overview Notes (Y0028) - Seen this morning in segregation unit rounds, he stated that he is doing ok, no overt
mental health concerns. he accepted applications and conversed well with the staff.
25 Mar 2017 16:56 Surgery: MAULINO, Rogelio (Mr) (Sister/Charge Nurse) Entered at: Hmp Rochester
25 Mar 2017 16:56 Surgery: MAULINO, Rogelio (Mr) (Nurse Access Role) Entered at: Hmp Rochester
26 Mar 2017 16:37 Surgery: MAULINO, Rogelio (Mr) (Sister/Charge Nurse) Entered at: Hmp Rochester
26 Mar 2017 16:37 Surgery: MAULINO, Rogelio (Mr) (Nurse Access Role) Entered at: Hmp Rochester
27 Mar 2017 09:35 Surgery: PEMBLE, Howard (Mr) (Nurse Access Role) Entered at: Hmp Rochester
Overview Notes (Y0028) - Seen for daily MHIRT :- greased staff with a smile - said he was OK. Appeared relaxed
and not troubled .
Seen in segregation unit (Y0ce3)
27 Mar 2017 16:01 Surgery: DEAN, Antony (Mr) (Nurse Access Role) Entered at: Hmp Rochester
Overview Notes (Y0028)
GOAD review this afternoon, due to leave prison in sex weeks time, he wished to stay in seg to stay away from the
drugs available in the wings, he states he keeps himself busy with reading, cell workouts and odd jobs, Cm Martin
offered him to paint some cells, to occupy his mind he accepted, and we spoke about his mental state, he convinced
me that he is doing ok, at present, motivation is good, mood is euthymic, he';s reactive and spontaneous, with
humour and can put across a reasoned argument.
No self harm or suicidal intent. Signed up for another two weeks, he will continue to be seen by inreach daily in seg.
Goading (Xa2mO) - Gov Birch, CM Martin T Dean S Dinn, IMB
27 Mar 2017 18:27 Surgery: VIJAYATHARAN, Dr Karthika (GP Locum) Entered at: Hmp Rochester
History: written in retrospect
Seen in segregation
Patient currently well, denies any health concerns however reportes insomnia over the last 4 days due to excessive
activity and shouting in nearby cells
requesting short term hypnotic
no suicidal thoughst
no illicit drug use
Examination: alert oriented
Plan: any deterioration in mental state or suicidal thoughts let dr know asap
Promethazine hydrochloride 25mg tablets - 5 tablets - 25 mg - admin times: 21:00 (Oral) (Future dated medication 29
Mar 2017)
Custom script: Printed On Mon 27 Mar 2017 18:29 By Dr Karthika Vijayatharan
28 Mar 2017 10:19 Surgery: ESEKIE, Oseyi (Nurse Access Role) Entered at: Hmp Rochester
Overview Notes (Y0028) - Mr Turner came out for his daily apps this morning, he was appropriate in behaviour,
interacted well with staff and collected his breakfast and requested to have shower and exercise. He declined 1:1
Thu 23 Apr 2020 15:02
Mr Saul Turner "Saul Altel" (A2425AM)
Confidential: Personal Data 719 122 2247, 08 Dec 1982
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by TURNER, Steven (Mr) (Clerical Access Role)HMP Highdown 52 of 216
when offered and no issues were raised concerning his mental health.
Seen in segregation unit (Y0ce3)
28 Mar 2017 11:21 Surgery: SEEHRA, Sharon (Miss) (Pharmacist) Entered at: Hmp Rochester
28 Mar 2017 14:07 Surgery: CARD, Lauren (Miss) (Nurse Access Role) Entered at: Hmp Rochester
Seen by nurse (XaATp)
Seen in segregation unit (Y0ce3) - seen in nurse segregaton rounds. no healthcare concerns raised.
28 Mar 2017 16:49 Surgery: CARD, Lauren (Miss) (Sister/Charge Nurse) Entered at: Hmp Rochester
28 Mar 2017 16:49 Surgery: CARD, Lauren (Miss) (Nurse Access Role) Entered at: Hmp Rochester
29 Mar 2017 07:32 Surgery: TANTON, Karen (Mrs) (Clerical Access Role) Entered at: Hmp Rochester
29 Mar 2017 09:52 Surgery: DEAN, Antony (Mr) (Nurse Access Role) Entered at: Hmp Rochester
Seen in segregation unit (Y0ce3)
Overview Notes (Y0028) - Seen in segregation unit this morning, no overt concern this morning, accpted applications
and conversed well with staff
29 Mar 2017 12:27 Surgery: HARDING, Tim (Clinical Practitioner Access Role) Entered at: Hmp Rochester
History: Seen in segregation unit (Y0ce3) - Seen in the Seggregation Unit. No complaints, suggested to discuss with
Segg staff should they need to see a member of the healthcare team
Examination: sleeping but breathing - declined attampts to talk to hoim
29 Mar 2017 14:15 Surgery: CARD, Lauren (Miss) (Nurse Access Role) Entered at: Hmp Rochester
Seen in segregation unit (Y0ce3)
Seen by nurse (XaATp) - seen by nurse in segregation rounds. no healthcare concerns raised.
29 Mar 2017 16:31 Surgery: CARD, Lauren (Miss) (Sister/Charge Nurse) Entered at: Hmp Rochester
29 Mar 2017 16:31 Surgery: CARD, Lauren (Miss) (Nurse Access Role) Entered at: Hmp Rochester
29 Mar 2017 16:32 Surgery: CARD, Lauren (Miss) (Nurse Access Role) Entered at: Hmp Rochester
30 Mar 2017 10:42 Surgery: ESEKIE, Oseyi (Nurse Access Role) Entered at: Hmp Rochester
Seen in segregation unit (Y0ce3)
Overview Notes (Y0028) - Mr Turner was seen this morning for MHIRT segregation round, he interacted well with the
officers, offered 1; 1 but declined. he requested to have all the three application and no issues were raised
concerning his mental health.
30 Mar 2017 13:54 Surgery: CARD, Lauren (Miss) (Nurse Access Role) Entered at: Hmp Rochester
Seen by nurse (XaATp)
Seen in segregation unit (Y0ce3) - seen in nurse segregation unit round. no healthcare concerns raised.
30 Mar 2017 16:41 Surgery: CARD, Lauren (Miss) (Sister/Charge Nurse) Entered at: Hmp Rochester
30 Mar 2017 16:41 Surgery: CARD, Lauren (Miss) (Nurse Access Role) Entered at: Hmp Rochester
30 Mar 2017 16:41 Surgery: CARD, Lauren (Miss) (Nurse Access Role) Entered at: Hmp Rochester
31 Mar 2017 14:21 Surgery: CARD, Lauren (Miss) (Nurse Access Role) Entered at: Hmp Rochester
Seen by nurse (XaATp) - seen in nurse segregation unit. no healthcare concerns.
Seen in segregation unit (Y0ce3)
31 Mar 2017 14:34 Surgery: TURPIN, Rachel (Health Professional Access Role) Entered at: Hmp Rochester
Seen in segregation unit (Y0ce3)
Overview Notes (Y0028) - Seen in the seg round _ appeared physically and mentally well, eye contact good and no
cell or personal hygiene issues. Declined MHIRT 1:1 when offered. Engaged well with prison staff , no concerns
raised by seg staff and complying with prison regime. No risk of DSH or suicide at this time. No further action at this
time.
31 Mar 2017 17:11 Surgery: CARD, Lauren (Miss) (Sister/Charge Nurse) Entered at: Hmp Rochester
31 Mar 2017 17:11 Surgery: CARD, Lauren (Miss) (Nurse Access Role) Entered at: Hmp Rochester
31 Mar 2017 17:11 Surgery: CARD, Lauren (Miss) (Nurse Access Role) Entered at: Hmp Rochester
01 Apr 2017 10:31 Surgery: ESEKIE, Oseyi (Nurse Access Role) Entered at: Hmp Rochester
Seen in segregation unit (Y0ce3)
Overview Notes (Y0028) - Seen by Inreach this morning, he looks tired heard telling the officers he did not sleep very
well last night due to disturbance from another offender in next cell, he raised no mental health concern, declined 1:1
when offered.
01 Apr 2017 16:52 Surgery: MOMOH, Aminata (Mental Health Nurse) Entered at: Hmp Rochester
01 Apr 2017 16:54 Surgery: MOMOH, Aminata (Mental Health Nurse) Entered at: Hmp Rochester
01 Apr 2017 16:54 Surgery: MOMOH, Aminata (Mental Health Nurse) Entered at: Hmp Rochester
02 Apr 2017 14:42 Surgery: VALINO, Maria (Mrs) (Nurse Access Role) Entered at: Hmp Rochester
History: Seen in segregation unit (Y0ce3) - Seen in the Seggregation Unit. No complaints, suggested to discuss with
Segg staff should they need to see a member of the healthcare team
02 Apr 2017 17:03 Surgery: VALINO, Maria (Mrs) (Sister/Charge Nurse) Entered at: Hmp Rochester
02 Apr 2017 17:03 Surgery: VALINO, Maria (Mrs) (Nurse Access Role) Entered at: Hmp Rochester
02 Apr 2017 17:03 Surgery: VALINO, Maria (Mrs) (Nurse Access Role) Entered at: Hmp Rochester
Thu 23 Apr 2020 15:02
Mr Saul Turner "Saul Altel" (A2425AM)
Confidential: Personal Data 719 122 2247, 08 Dec 1982
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by TURNER, Steven (Mr) (Clerical Access Role)HMP Highdown 53 of 216
03 Apr 2017 09:19 Surgery: BONCHEV, Sevdalin (Dr) (Doctor) Entered at: Hmp Rochester
History: Seen in segregation unit (Y0ce3)Insomnia NOS (X007s)
Examination: Insomnia NOS (X007s)
Diagnosis: Medically fit to be held in the segregation unit (Y0d06)Insomnia NOS (X007s)
Plan: SUGGESTED REVIEW BY MHIRT ROUND
03 Apr 2017 18:15 Surgery: MAULINO, Rogelio (Mr) (Nurse Access Role) Entered at:
Hmp Rochester
Entered: 04 Apr 2017 08:50
04 Apr 2017 08:50 Surgery: MAULINO, Rogelio (Mr) (Sister/Charge Nurse) Entered at: Hmp Rochester
04 Apr 2017 10:19 Surgery: ESEKIE, Oseyi (Nurse Access Role) Entered at: Hmp Rochester
Seen in segregation unit (Y0ce3)
Overview Notes (Y0028) - Mr Turner came out for his daily apps this morning, no issues were raised concerning his
mental health, requested to have all the three apps, collected his breakfast and went back into his cell.
05 Apr 2017 10:27 Surgery: ESEKIE, Oseyi (Nurse Access Role) Entered at: Hmp Rochester
Overview Notes (Y0028) - Seen this morning for MHIRT segregation round, he was appropriate in behaviour, good
interaction with the officers and no issues were raised concerning his mental health.
Seen in segregation unit (Y0ce3)
05 Apr 2017 12:01 Surgery: HARDING, Tim (Clinical Practitioner Access Role) Entered at: Hmp Rochester
History: Seen in segregation unit (Y0ce3) - Seen in the Seggregation Unit. No complaints, suggested to discuss with
Segg staff should they need to see a member of the healthcare team
Examination: appears well, denies any new physical health problems
05 Apr 2017 15:14 Surgery: MOMOH, Aminata (Mental Health Nurse) Entered at: Hmp Rochester
History: Seen this morning in segregation unit during nurses rounds. Appears well. No health care concerns raised
05 Apr 2017 16:46 Surgery: CARD, Lauren (Miss) (Sister/Charge Nurse) Entered at: Hmp Rochester
05 Apr 2017 16:46 Surgery: CARD, Lauren (Miss) (Nurse Access Role) Entered at: Hmp Rochester
06 Apr 2017 09:34 Surgery: DEAN, Antony (Mr) (Nurse Access Role) Entered at: Hmp Rochester
Seen in segregation unit (Y0ce3)
Overview Notes (Y0028) - Seen this morning in segregation unit, he accepted applications and interacted well with
the staff, normal voice tone and content, took breakfast, no overt concerns this morning.
06 Apr 2017 17:00 Surgery: MAULINO, Rogelio (Mr) (Nurse Access Role) Entered at: Entered: 07 Apr 2017 11:39
Hmp Rochester
06 Apr 2017 17:03 Surgery: MAULINO, Rogelio (Mr) (Nurse Access Role) Entered at: Entered: 07 Apr 2017 17:03
Hmp Rochester
07 Apr 2017 11:09 Surgery: MORRIS, Carolyn (Ms) (Occupational Therapist) Entered at: Hmp Rochester
Seen in segregation unit (Y0ce3)
Overview Notes (Y0028) - Seen for morning review. No mental health concerns or issues raised or identified at the
present time.
07 Apr 2017 11:39 Surgery: MAULINO, Rogelio (Mr) (Sister/Charge Nurse) Entered at: Hmp Rochester
07 Apr 2017 17:03 Surgery: MAULINO, Rogelio (Mr) (Sister/Charge Nurse) Entered at: Hmp Rochester
Drug Administration Marked in Error: Wrong data entered
Amitriptyline 50mg tablets, Quantity given: 1.0, Entered: 06/04/2017 17:00, Desc: Fully administered, Done:
06/04/2017 17:00, Given for: 07/04/2017 16:00
07 Apr 2017 17:03
08 Apr 2017 10:17
Surgery: MAULINO, Rogelio (Mr) (Nurse Access Role) Entered at: Hmp Rochester
Surgery: DEAN, Antony (Mr) (Nurse Access Role) Entered at: Hmp Rochester
Overview Notes (Y0028) - Seen on segregation unit rounds this morning, no stated mental health concerns,
accepted applications, good communication with the seg staff.
08 Apr 2017 16:48 Surgery: MAULINO, Rogelio (Mr) (Sister/Charge Nurse) Entered at: Hmp Rochester
08 Apr 2017 16:48 Surgery: MAULINO, Rogelio (Mr) (Nurse Access Role) Entered at: Hmp Rochester
09 Apr 2017 15:29 Surgery: VALINO, Maria (Mrs) (Nurse Access Role) Entered at: Hmp Rochester
History: Seen in segregation unit (Y0ce3) - Seen in the Seggregation Unit. No complaints, suggested to discuss with
Segg staff should they need to see a member of the healthcare team
09 Apr 2017 16:56 Surgery: MAULINO, Rogelio (Mr) (Sister/Charge Nurse) Entered at: Hmp Rochester
09 Apr 2017 16:56 Surgery: MAULINO, Rogelio (Mr) (Nurse Access Role) Entered at: Hmp Rochester
10 Apr 2017 09:02 Surgery: TURPIN, Rachel (Health Professional Access Role) Entered at: Hmp Rochester
Overview Notes (Y0028) - Seen in the seg round _ appeared physically and mentally well, eye contact good and no
cell or personal hygiene issues. Declined MHIRT 1:1 when offered. Engaged well with prison staff , no concerns
raised by seg staff and complying with prison regime. No risk of DSH or suicide at this time. No further action at this
time.
Seen in segregation unit (Y0ce3)
10 Apr 2017 11:58 Surgery: HARDING, Tim (Clinical Practitioner Access Role) Entered at: Hmp Rochester
History: Seen in segregation unit (Y0ce3) - Seen in the Seggregation Unit. No complaints, suggested to discuss with
Thu 23 Apr 2020 15:02
Mr Saul Turner "Saul Altel" (A2425AM)
Confidential: Personal Data 719 122 2247, 08 Dec 1982
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409af26bccb2448dabacd1cf3d115e4f-54
by TURNER, Steven (Mr) (Clerical Access Role)HMP Highdown 54 of 216
Segg staff should they need to see a member of the healthcare team
Examination: appears well, denies any new health concerns
10 Apr 2017 15:44 Surgery: MORRIS, Carolyn (Ms) (Occupational Therapist) Entered at: Hmp Rochester
Goading (Xa2mO)
Present:
Gov Martin
P Martin
K Spalding (IMB)
E Carauna
C Morris
S Turner
Overview Notes (Y0028)
Due for release in a month, next review due in 2 weeks. Stated he is happy to remain in the seg for the duration. Has
been exercising in cell, has declined any other gym. Has declined all other activities.
No mental health concerns noted at the present time.
10 Apr 2017 17:32 Surgery: AKISANYA, Adedun (Mrs) (Sister/Charge Nurse) Entered at: Hmp Rochester
10 Apr 2017 17:32 Surgery: AKISANYA, Adedun (Mrs) (Nurse Access Role) Entered at: Hmp Rochester
11 Apr 2017 09:10 Surgery: DEAN, Antony (Mr) (Nurse Access Role) Entered at: Hmp Rochester
Seen in segregation unit (Y0ce3)
Overview Notes (Y0028) - No current mental health concerns noted, accepted applications and good communication
with staff.
12 Apr 2017 10:35 Surgery: ESEKIE, Oseyi (Nurse Access Role) Entered at: Hmp Rochester
Seen in segregation unit (Y0ce3)
Overview Notes (Y0028) - Came out for his daily apps, no reported mental health concern, he was appropriate in
behaviour and had good interaction with the officers.
12 Apr 2017 10:49 Surgery: HARDING, Tim (Clinical Practitioner Access Role) Entered at: Hmp Rochester
(R) Amitriptyline 50mg tablets - 28 tablets - 1 tablet - admin times: 16:00 (Oral) (Future dated medication 15 Apr
2017)
Amitriptyline 50mg tablets - 28 tablets - 1 tablet
Ended 13 May 2017 Patient Deducted (Sentence Ended)
Custom script: Printed On Wed 12 Apr 2017 10:49 By Tim Harding
12 Apr 2017 13:24 Surgery: BOBIE, Nina (Miss) (Pharmacist) Entered at: Hmp Rochester
12 Apr 2017 17:13 Surgery: MOMOH, Aminata (Mental Health Nurse) Entered at: Hmp Rochester
12 Apr 2017 17:13 Surgery: MOMOH, Aminata (Mental Health Nurse) Entered at: Hmp Rochester
13 Apr 2017 10:22 Surgery: ESEKIE, Oseyi (Nurse Access Role) Entered at: Hmp Rochester
Seen in segregation unit (Y0ce3)
Overview Notes (Y0028) - Seen this morning, no issues were raised concerning his mental health. He was offered
1:1 which he declined. He accepted his applications, collected his breakfast and went back into his cell.
13 Apr 2017 17:16 Surgery: VALINO, Maria (Mrs) (Sister/Charge Nurse) Entered at: Hmp Rochester
13 Apr 2017 17:16 Surgery: VALINO, Maria (Mrs) (Nurse Access Role) Entered at: Hmp Rochester
14 Apr 2017 09:06 Surgery: UKPONG, Martine (Mrs) ('Other' Community Health Entered: 14 Apr 2017 10:30
Service) Entered at: Hmp Rochester
Seen in segregation unit (Y0ce3)
Overview Notes (Y0028) - Mr Turner was bright in mood, smiling and coherent in conversation, chatting with wing
staff as he collected his breakfast. He was dressed appropriately, he requested a shower and exercise as his daily
applications. He reported no concerns to Inreach, wing staff reported no concerns. Continue with current
management plan.
14 Apr 2017 17:02 Surgery: MAULINO, Rogelio (Mr) (Sister/Charge Nurse) Entered at: Hmp Rochester
14 Apr 2017 17:03 Surgery: MAULINO, Rogelio (Mr) (Nurse Access Role) Entered at: Hmp Rochester
15 Apr 2017 09:08 Surgery: UKPONG, Martine (Mrs) ('Other' Community Health Entered: 15 Apr 2017 13:35
Service) Entered at: Hmp Rochester
Overview Notes (Y0028) - Mr Turner was bright in mood, smiling and coherent in conversation, chatting with wing
staff as he collected his breakfast. He was dressed appropriately, he requested a shower as his daily application,
he said it was "too cold" for exercise. He reported no concerns to Inreach, wing staff reported no concerns.
Continue with current management plan.
Seen in segregation unit (Y0ce3)
15 Apr 2017 10:09 Surgery: BONCHEV, Sevdalin (Dr) (Doctor) Entered at: Hmp Rochester
History: Medically fit to be held in the segregation unit (Y0d06)
Admission to segregation unit (XaPma) - No concerns. Appears well. Mood is stable.
Diagnosis: Medically fit to be held in the segregation unit (Y0d06)
Thu 23 Apr 2020 15:02
Mr Saul Turner "Saul Altel" (A2425AM)
Confidential: Personal Data 719 122 2247, 08 Dec 1982
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409af26bccb2448dabacd1cf3d115e4f-55
by TURNER, Steven (Mr) (Clerical Access Role)HMP Highdown 55 of 216
15 Apr 2017 13:56 Surgery: CARD, Lauren (Miss) (Nurse Access Role) Entered at: Hmp Rochester
Seen by nurse (XaATp) - seen in segregation unit cell in nurse rounds. seems well - no healthcare concerns or
requests when asked.
Seen by triage nurse (XaFk6)
15 Apr 2017 13:56 Surgery: CARD, Lauren (Miss) (Nurse Access Role) Entered at: Hmp Rochester
Seen in segregation unit (Y0ce3)
15 Apr 2017 17:00 Surgery: CARD, Lauren (Miss) (Sister/Charge Nurse) Entered at: Hmp Rochester
15 Apr 2017 17:00 Surgery: CARD, Lauren (Miss) (Nurse Access Role) Entered at: Hmp Rochester
16 Apr 2017 14:02 Surgery: MOMOH, Aminata (Mental Health Nurse) Entered at: Hmp Rochester
Seen by nurse (XaATp) - He was seen today in the segragation unit during the nurses rounds. He appears settled
and pleasant on approach. No healthcare concerns raised
16 Apr 2017 16:41 Surgery: CARD, Lauren (Miss) (Sister/Charge Nurse) Entered at: Hmp Rochester
16 Apr 2017 16:41 Surgery: CARD, Lauren (Miss) (Nurse Access Role) Entered at: Hmp Rochester
17 Apr 2017 11:42 Surgery: MORRIS, Carolyn (Ms) (Occupational Therapist) Entered at: Hmp Rochester
Seen in segregation unit (Y0ce3)
Overview Notes (Y0028) - Seen for morning review. No mental health concerns or isuues raised or identified at the
present time.
17 Apr 2017 16:47 Surgery: MAULINO, Rogelio (Mr) (Sister/Charge Nurse) Entered at: Hmp Rochester
17 Apr 2017 16:47 Surgery: MAULINO, Rogelio (Mr) (Nurse Access Role) Entered at: Hmp Rochester
18 Apr 2017 09:26 Surgery: ESEKIE, Oseyi (Nurse Access Role) Entered at: Hmp Rochester
Overview Notes (Y0028) - Mr Turner came out from his cell for his daily applications this morning, he was calm in
mood and appropriate in behaviour. No issues were raised concerning his mental health, requested to have shower,
exercise and cell clean. Next Good review will be on the 24th of April 2017.
Seen in segregation unit (Y0ce3)
18 Apr 2017 17:33 Surgery: AKISANYA, Adedun (Mrs) (Sister/Charge Nurse) Entered at: Hmp Rochester
18 Apr 2017 17:33 Surgery: AKISANYA, Adedun (Mrs) (Nurse Access Role) Entered at: Hmp Rochester
19 Apr 2017 11:01 Surgery: MORRIS, Carolyn (Ms) (Occupational Therapist) Entered at: Hmp Rochester
Seen in segregation unit (Y0ce3)
Overview Notes (Y0028) - Seen for morning review. No mental health concerns or issues raised or identified at the
present time.
19 Apr 2017 12:27 Surgery: HARDING, Tim (Clinical Practitioner Access Role) Entered at: Hmp Rochester
History: Seen in segregation unit (Y0ce3) - Seen in the Seggregation Unit. No complaints, suggested to discuss with
Segg staff should they need to see a member of the healthcare team
Examination: Appears well, denies any new physical health problems
19 Apr 2017 17:47 Surgery: MOMOH, Aminata (Mental Health Nurse) Entered at: Hmp Rochester
19 Apr 2017 17:48 Surgery: MOMOH, Aminata (Mental Health Nurse) Entered at: Hmp Rochester
20 Apr 2017 12:08 Surgery: ESEKIE, Oseyi (Nurse Access Role) Entered at: Hmp Rochester
Overview Notes (Y0028) - Seen this morning, no issues were raised concerning his mental health and none was
observed. Mr Turner declined 1:1 when offered this morning. He interacted well with the officers, requested for
shower, exercise and cell clean.
Seen in segregation unit (Y0ce3)
21 Apr 2017 10:08 Surgery: TURPIN, Rachel (Health Professional Access Role) Entered at: Hmp Rochester
Seen in segregation unit (Y0ce3)
Overview Notes (Y0028) - Seen in the seg round _ appeared physically and mentally well, eye contact good and no
cell or personal hygiene issues. Declined MHIRT 1:1 when offered. Engaged well with prison staff , no concerns
raised by seg staff and complying with prison regime. No risk of DSH or suicide at this time. No further action at this
time.
21 Apr 2017 17:22 Surgery: AKISANYA, Adedun (Mrs) (Sister/Charge Nurse) Entered at: Hmp Rochester
21 Apr 2017 17:22 Surgery: AKISANYA, Adedun (Mrs) (Nurse Access Role) Entered at: Hmp Rochester
22 Apr 2017 10:18 Surgery: DEAN, Antony (Mr) (Nurse Access Role) Entered at: Hmp Rochester
Overview Notes (Y0028) - Seen in segregation unit rounds, came out of cell for applications, he accepted all offered
and had good communication with staff, no indication of any overt mental health needs, declined any input from
Inreach at this juncture.
Seen in segregation unit (Y0ce3)
22 Apr 2017 16:46 Surgery: MAULINO, Rogelio (Mr) (Sister/Charge Nurse) Entered at: Hmp Rochester
22 Apr 2017 16:46 Surgery: MAULINO, Rogelio (Mr) (Nurse Access Role) Entered at: Hmp Rochester
23 Apr 2017 15:19 Surgery: VALINO, Maria (Mrs) (Nurse Access Role) Entered at: Hmp Rochester
History: Seen in segregation unit (Y0ce3) - Seen in the Seggregation Unit. No complaints, suggested to discuss with
Segg staff should they need to see a member of the healthcare team
23 Apr 2017 16:33 Surgery: MAULINO, Rogelio (Mr) (Sister/Charge Nurse) Entered at: Hmp Rochester
Thu 23 Apr 2020 15:02
Mr Saul Turner "Saul Altel" (A2425AM)
Confidential: Personal Data 719 122 2247, 08 Dec 1982
C55
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Printed
409af26bccb2448dabacd1cf3d115e4f-56
by TURNER, Steven (Mr) (Clerical Access Role)HMP Highdown 56 of 216
23 Apr 2017 16:33 Surgery: MAULINO, Rogelio (Mr) (Nurse Access Role) Entered at: Hmp Rochester
24 Apr 2017 09:34 Surgery: HARDING, Tim (Clinical Practitioner Access Role) Entered at: Hmp Rochester
History: Seen in segregation unit (Y0ce3) - Seen in the Seggregation Unit. No complaints, suggested to discuss with
Segg staff should they need to see a member of the healthcare team
Examination: appears well ,denies any new physical health problems
24 Apr 2017 10:54 Surgery: ESEKIE, Oseyi (Nurse Access Role) Entered at: Hmp Rochester
Seen in segregation unit (Y0ce3)
Overview Notes (Y0028) - Seen this morning, no issues were raised concerning his mental health. He was
appropriate in behaviour, accepted his daily applications and declined 1:1 from Inreach when offered.
24 Apr 2017 14:34 Surgery: AKISANYA, Adedun (Mrs) (Nurse Access Role) Entered at: Hmp Rochester
24 Apr 2017 14:34 Surgery: AKISANYA, Adedun (Mrs) (Nurse Access Role) Entered at: Hmp Rochester
Seen by nurse (XaATp) - seen in nurse segregation round no issues or concerns.
Seen in segregation unit (Y0ce3)
24 Apr 2017 15:58 Surgery: ESEKIE, Oseyi (Nurse Access Role) Entered at: Hmp Rochester
Overview Notes (Y0028) - attended Mr Turner's GOOD review in the segregation unit this afternoon, meeting chaired
by Governor Terry Martin, attended by Shafiq from Chaplaincy, IMB, SO Perry and the offender. Turner engaged
well I the review, he was able to ask questions when necessary, maintained good eye contact and was happy to
remain in SEG until release two weeks' time. He was signed up for another two weeks and next review will be on the
5th of May 2017.
Goading (Xa2mO)
24 Apr 2017 17:01 Surgery: CARD, Lauren (Miss) (Sister/Charge Nurse) Entered at: Hmp Rochester
24 Apr 2017 17:02 Surgery: CARD, Lauren (Miss) (Nurse Access Role) Entered at: Hmp Rochester
25 Apr 2017 10:34 Surgery: MORRIS, Carolyn (Ms) (Occupational Therapist) Entered at: Hmp Rochester
Seen in segregation unit (Y0ce3)
Overview Notes (Y0028) - Seen for morning review. No mental health concerns or issues raised or identified at the
present time. Declined 1:1 input
25 Apr 2017 17:00 Surgery: MAULINO, Rogelio (Mr) (Sister/Charge Nurse) Entered at: Hmp Rochester
25 Apr 2017 17:00 Surgery: MAULINO, Rogelio (Mr) (Nurse Access Role) Entered at: Hmp Rochester
26 Apr 2017 09:28 Surgery: HARDING, Tim (Clinical Practitioner Access Role) Entered at: Hmp Rochester
History: Seen in segregation unit (Y0ce3) - Seen in the Seggregation Unit. No complaints, suggested to discuss with
Segg staff should they need to see a member of the healthcare team
Examination: appears well, denies any new physical health problems
26 Apr 2017 09:48 Surgery: PEMBLE, Howard (Mr) (Nurse Access Role) Entered at: Hmp Rochester
Seen in segregation unit (Y0ce3)
Overview Notes (Y0028) - Seen for daily MHIRT :- Interacting well with team and myself with no distress seen or
reported . Looking forward to going home soon - needs to see services concerning accomodation .
26 Apr 2017 16:38 Surgery: MAULINO, Rogelio (Mr) (Sister/Charge Nurse) Entered at: Hmp Rochester
26 Apr 2017 16:38 Surgery: MAULINO, Rogelio (Mr) (Nurse Access Role) Entered at: Hmp Rochester
27 Apr 2017 10:21 Surgery: MORRIS, Carolyn (Ms) (Occupational Therapist) Entered at: Hmp Rochester
Overview Notes (Y0028) - Seen for morning review. No mental health concerns or issues raised or identified at the
present time. Declined 1:1 input this morning
Seen in segregation unit (Y0ce3)
27 Apr 2017 14:07 Surgery: AKISANYA, Adedun (Mrs) (Nurse Access Role) Entered at: Hmp Rochester
27 Apr 2017 14:07 Surgery: AKISANYA, Adedun (Mrs) (Nurse Access Role) Entered at: Hmp Rochester
Seen in segregation unit (Y0ce3)
Seen by nurse (XaATp) - seen this morning in seg health care concerns
27 Apr 2017 15:28 Surgery: AKISANYA, Adedun (Mrs) (Sister/Charge Nurse) Entered at: Hmp Rochester
27 Apr 2017 15:28 Surgery: AKISANYA, Adedun (Mrs) (Nurse Access Role) Entered at: Hmp Rochester
28 Apr 2017 08:52 Surgery: BONCHEV, Sevdalin (Dr) (Doctor) Entered at: Hmp Rochester
History: Seen in segregation unit (Y0ce3) - Seen in the Seggregation Unit. No complaints, suggested to discuss with
Segg staff should they need to see a member of the healthcare team
28 Apr 2017 09:35 Surgery: DEAN, Antony (Mr) (Nurse Access Role) Entered at: Hmp Rochester
Seen in segregation unit (Y0ce3)
Overview Notes (Y0028) - Seen this morning in seg rounds, he declined any input from Inreach or chaplaincy,
accepted applications and returned to his cell. Good communication with the staff, no overt concerns this morning.
28 Apr 2017 17:33 Surgery: MOMOH, Aminata (Mental Health Nurse) Entered at: Hmp Rochester
28 Apr 2017 17:34 Surgery: MOMOH, Aminata (Mental Health Nurse) Entered at: Hmp Rochester
29 Apr 2017 13:06 Surgery: ESEKIE, Oseyi (Nurse Access Role) Entered at: Hmp Rochester
Seen in segregation unit (Y0ce3)
Overview Notes (Y0028) - Came out for his daily apps, he raised no mental health concern. He was offered 1:1 but
declined. He accepted his daily applications, collected his breakfast and went back into his cell.
Thu 23 Apr 2020 15:02
Mr Saul Turner "Saul Altel" (A2425AM)
Confidential: Personal Data 719 122 2247, 08 Dec 1982
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by TURNER, Steven (Mr) (Clerical Access Role)HMP Highdown 57 of 216
29 Apr 2017 14:18 Surgery: AKISANYA, Adedun (Mrs) (Nurse Access Role) Entered at: Hmp Rochester
29 Apr 2017 14:18 Surgery: AKISANYA, Adedun (Mrs) (Nurse Access Role) Entered at: Hmp Rochester
Seen in segregation unit (Y0ce3)
Seen by nurse (XaATp) - nil concerns
29 Apr 2017 16:48 Surgery: AKISANYA, Adedun (Mrs) (Sister/Charge Nurse) Entered at: Hmp Rochester
29 Apr 2017 16:48 Surgery: AKISANYA, Adedun (Mrs) (Nurse Access Role) Entered at: Hmp Rochester
30 Apr 2017 16:24 Surgery: MAULINO, Rogelio (Mr) (Sister/Charge Nurse) Entered at: Hmp Rochester
30 Apr 2017 16:24 Surgery: MAULINO, Rogelio (Mr) (Nurse Access Role) Entered at: Hmp Rochester
30 Apr 2017 16:27 Surgery: MAULINO, Rogelio (Mr) (Nurse Access Role) Entered at: Hmp Rochester
History: Seen in segregation unit (Y0ce3) - Seen in the Seggregation Unit. No complaints, suggested to discuss with
Segg staff should they need to see a member of the healthcare team
01 May 2017 09:29 Surgery: UKPONG, Martine (Mrs) ('Other' Community Health Service) Entered at: Hmp Rochester
Seen in segregation unit (Y0ce3)
Overview Notes (Y0028)
Mr Turner was not seen in the segregation round this morning as it had finished before Inreach arrived. Wing staff
said that the segregation round always starts at 08:30 at the weekend and Bank Holidays. Inreach Worker (MU)
has never experienced a segregation round starting before 09:00.
The Daily History Sheet was reviewed for Mr Turner's contact with staff this morning. According to the history sheet
he collected breakfast, made his application of a shower and he had no issues.
01 May 2017 11:42 Surgery: AKISANYA, Adedun (Mrs) (Nurse Access Role) Entered at: Hmp Rochester
01 May 2017 11:42 Surgery: AKISANYA, Adedun (Mrs) (Nurse Access Role) Entered at: Hmp Rochester
Seen in segregation unit (Y0ce3)
Seen by nurse (XaATp) - seen on seg round nil concerns
01 May 2017 16:35 Surgery: AKISANYA, Adedun (Mrs) (Sister/Charge Nurse) Entered at: Hmp Rochester
01 May 2017 16:35 Surgery: AKISANYA, Adedun (Mrs) (Nurse Access Role) Entered at: Hmp Rochester
02 May 2017 09:52 Surgery: PEMBLE, Howard (Mr) (Nurse Access Role) Entered at: Hmp Rochester
Overview Notes (Y0028) - Seen for daily MHIRT :- Has 10 days left to serve then home and the time is dragging for
him . Interacting OK with team and myself and he has not told me of any issues or concerns today .
Seen in segregation unit (Y0ce3)
02 May 2017 16:48 Surgery: MAULINO, Rogelio (Mr) (Sister/Charge Nurse) Entered at: Hmp Rochester
02 May 2017 16:48 Surgery: MAULINO, Rogelio (Mr) (Nurse Access Role) Entered at: Hmp Rochester
03 May 2017 09:36 Surgery: ESEKIE, Oseyi (Nurse Access Role) Entered at: Hmp Rochester
Seen in segregation unit (Y0ce3)
Overview Notes (Y0028) - Seen this morning, no issues were raised concerning his mental health and none was
observed. He was appropriate in behaviour, declined 1:1 when offered.
03 May 2017 16:59 Surgery: MAULINO, Rogelio (Mr) (Sister/Charge Nurse) Entered at: Hmp Rochester
03 May 2017 16:59 Surgery: MAULINO, Rogelio (Mr) (Nurse Access Role) Entered at: Hmp Rochester
04 May 2017 10:04 Surgery: CARD, Lauren (Miss) (Nurse Access Role) Entered at: Hmp Rochester
Seen in segregation unit (Y0ce3) - seen by nurse in segregation round no concerns.
Seen by nurse (XaATp)
04 May 2017 12:16 Surgery: ESEKIE, Oseyi (Nurse Access Role) Entered at: Hmp Rochester
Seen in segregation unit (Y0ce3)
Overview Notes (Y0028) - Came out for his daily applications, states he only has few days left to complete his
sentence. Turner accepted all his applications and no issues were raised concerning his mental health.
05 May 2017 09:37 Surgery: HARDING, Tim (Clinical Practitioner Access Role) Entered at: Hmp Rochester
History: Seen in segregation unit (Y0ce3) - Seen in the Seggregation Unit. No complaints, suggested to discuss with
Segg staff should they need to see a member of the healthcare team
Examination: appears well denies any new physical health problems
05 May 2017 11:41 Surgery: MORRIS, Carolyn (Ms) (Occupational Therapist) Entered at: Hmp Rochester
Overview Notes (Y0028) - Seen for morning review. No mental health concerns or issues were raised or identified at
the present time.
Seen in segregation unit (Y0ce3)
05 May 2017 17:01 Surgery: MOREEA, Yacoob (Mr) (Practice Nurse) Entered at: Hmp Rochester
05 May 2017 17:01 Surgery: MOREEA, Yacoob (Mr) (Nurse Access Role) Entered at: Hmp Rochester
05 May 2017 17:50 Surgery: TURPIN, Rachel (Health Professional Access Role) Entered at: Hmp Rochester
Overview Notes (Y0028) - No TV in his cell - seemed very contemplative and setlted -is happy in the seg and has 1
week left _ returning to Portsmouth and raised no issues with this. Presented as quiet and happy to be in the seg.
Staff raised no concerns, eye contact was good, well presented, calm, insightful, apropriate and no risks posed at
this time, not on an ACCT. staff report that he is able to bring issues up as they arise. Has been in seg an
excpetionally long time and this was raised but he had no issues with this.
Goading (Xa2mO)
Thu 23 Apr 2020 15:02
Mr Saul Turner "Saul Altel" (A2425AM)
Confidential: Personal Data 719 122 2247, 08 Dec 1982
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by TURNER, Steven (Mr) (Clerical Access Role)HMP Highdown 58 of 216
06 May 2017 11:45 Surgery: MORRIS, Carolyn (Ms) (Occupational Therapist) Entered at: Hmp Rochester
Seen in segregation unit (Y0ce3)
Overview Notes (Y0028) - Seen for morning review. No mental health concerns or issues raised or identified at the
present time. Declined 1:1 this morning
07 May 2017 11:21 Surgery: CARD, Lauren (Miss) (Nurse Access Role) Entered at: Hmp Rochester
History: Seen in segregation unit (Y0ce3) - Seen in the Seggregation Unit. No complaints, suggested to discuss with
Segg staff should they need to see a member of the healthcare team
07 May 2017 16:47 Surgery: MAULINO, Rogelio (Mr) (Sister/Charge Nurse) Entered at: Hmp Rochester
07 May 2017 16:47 Surgery: MAULINO, Rogelio (Mr) (Nurse Access Role) Entered at: Hmp Rochester
08 May 2017 09:06 Surgery: BONCHEV, Sevdalin (Dr) (Doctor) Entered at: Hmp Rochester
History: Seen in segregation unit (Y0ce3) - Seen in the Seggregation Unit. No complaints, suggested to discuss with
Segg staff should they need to see a member of the healthcare team
08 May 2017 10:11 Surgery: DEAN, Antony (Mr) (Nurse Access Role) Entered at: Hmp Rochester
Seen in segregation unit (Y0ce3)
Overview Notes (Y0028) - Seen this morning on segregation unit rounds, no current mental health concerns of note,
declined 1-1. Accepted applications and had good communication with staff.
08 May 2017 17:01 Surgery: MAULINO, Rogelio (Mr) (Sister/Charge Nurse) Entered at: Hmp Rochester
08 May 2017 17:01 Surgery: MAULINO, Rogelio (Mr) (Nurse Access Role) Entered at: Hmp Rochester
09 May 2017 09:19 Surgery: ESEKIE, Oseyi (Nurse Access Role) Entered at: Hmp Rochester
Seen in segregation unit (Y0ce3)
Overview Notes (Y0028) - Mr Turner came out for his daily apps this morning, no issues were raised concerning his
mental health and none was observed. He declined 1:1 when offered, GOOD review 12/05/2017.
09 May 2017 14:40 Surgery: AKISANYA, Adedun (Mrs) (Nurse Access Role) Entered at: Hmp Rochester
History: Seen in segregation unit (Y0ce3) - Seen in the Seggregation Unit. No complaints, suggested to discuss with
Segg staff should they need to see a member of the healthcare team
09 May 2017 16:46 Surgery: CARD, Lauren (Miss) (Sister/Charge Nurse) Entered at: Hmp Rochester
09 May 2017 16:46 Surgery: CARD, Lauren (Miss) (Nurse Access Role) Entered at: Hmp Rochester
10 May 2017 09:02 Surgery: MORRIS, Carolyn (Ms) (Occupational Therapist) Entered at: Hmp Rochester
Seen in segregation unit (Y0ce3)
Overview Notes (Y0028) - Seen for morning review. No mental health concerns or issues raised or identified at the
present time
10 May 2017 10:49 Surgery: CARD, Lauren (Miss) (Nurse Access Role) Entered at: Hmp Rochester
History: Seen in segregation unit (Y0ce3) - Seen in the Seggregation Unit. No complaints, suggested to discuss with
Segg staff should they need to see a member of the healthcare team
10 May 2017 12:02 Surgery: HARDING, Tim (Clinical Practitioner Access Role) Entered at: Hmp Rochester
(R) Amitriptyline 50mg tablets - 28 tablets - 1 tablet - admin times: 16:00 (Oral) (Future dated medication 13 May
2017)
Stopped 13 May 2017 Sentence Ended by MAULINO, Rogelio (Mr)
Custom script: Printed On Wed 10 May 2017 12:02 By Tim Harding
10 May 2017 13:27 Surgery: UZOCHUKWU, Patrick (Mr) (Pharmacist) Entered at: Hmp Rochester
10 May 2017 17:10 Surgery: CARD, Lauren (Miss) (Sister/Charge Nurse) Entered at: Hmp Rochester
10 May 2017 17:10 Surgery: CARD, Lauren (Miss) (Nurse Access Role) Entered at: Hmp Rochester
11 May 2017 09:24 Surgery: MORRIS, Carolyn (Ms) (Occupational Therapist) Entered at: Hmp Rochester
Seen in segregation unit (Y0ce3)
Overview Notes (Y0028) - Seen for morning review. No mental health concerns or issues raised or identified at the
present time. Declined offer of 1:1 this morning.
11 May 2017 14:09 Surgery: CARD, Lauren (Miss) (Nurse Access Role) Entered at: Hmp Rochester
History: Seen in segregation unit (Y0ce3) - Seen in the Seggregation Unit. No complaints, suggested to discuss with
Segg staff should they need to see a member of the healthcare team
11 May 2017 16:58 Surgery: CARD, Lauren (Miss) (Sister/Charge Nurse) Entered at: Hmp Rochester
11 May 2017 16:58 Surgery: CARD, Lauren (Miss) (Nurse Access Role) Entered at: Hmp Rochester
12 May 2017 08:51 Surgery: BONCHEV, Sevdalin (Dr) (Doctor) Entered at: Hmp Rochester
History: Seen in segregation unit (Y0ce3) - Seen in the Seggregation Unit. No complaints, suggested to discuss with
Segg staff should they need to see a member of the healthcare team
Diagnosis: Discharged from segregation unit (XaPmh)
13 May 2017 07:56 Surgery: MAULINO, Rogelio (Mr) (Nurse Access Role) Entered at: Hmp Rochester
30 Sep 2017 15:22 Surgery: O'SULLIVAN, Thomas (Mr) (Nurse Access Role) Entered at: HMP Lewes
Previous Home Address: ZZ99 3VZ
SystmOne Incoming Record Sharing consent changed to: Yes
30 Sep 2017 15:22 Surgery: O'SULLIVAN, Thomas (Mr) (Nurse Access Role) Entered at: HMP Lewes
Thu 23 Apr 2020 15:02
Mr Saul Turner "Saul Altel" (A2425AM)
Confidential: Personal Data 719 122 2247, 08 Dec 1982
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by TURNER, Steven (Mr) (Clerical Access Role)HMP Highdown 59 of 216
Has not received physical injuries recently (Y08d8)
Consent obtained (Y001d)
Is not receiving prescribed medication (Y08d7)
Other Consent Given (Y9959)
Diabetes mellitus: no (Y093f)
BCG vaccine (n42..)
HIV test offered (XaDvy)
Health assessment questionnaire (XM0e6) 0 - 1. Can the Patient tell the time?: Yes
2. Can the patient read?: Yes
3. Can the patient write?: Yes
4. Does the patient live independently (in the community)?: Yes
5. Does the patient have a job (in the community)?: Yes
6. Has the patient had previous contact with the LD services?: No
7. Has the patient had specialist schooling?: No
Tetanus (A37..)
Has not been in prison before (Y08dc)
Body mass index - observation (22K..) 19.61 Kg/m²
No known allergies (1151.)
O/E - weight (22A..) 58 Kg (9 st 2 lb)
O/E - height (229..) 1.72 m (5 ' 8 ")
No (Y0428)
Pulse (XaIBo) 88 bpm
Has no concerns over their physical health (Y08dd)
HIV screening declined (XaLI7)
Rolls own cigarettes (137M.)
Wants to stop smoking (XaLQh)
Cigarette smoker (XE0oq)
Impressions of the prisoners behaviour and mental state (YX023) - settled
Fit for normal location, work and any cell occupancy (YX035)
Case management risk assessment score (XaLWw) 0 - Is the patient on an open ACCT?: No
Is there a history of non-compliance with medication in the last year?: No
Are there any concerns about the ability of the patient to follow instructions / directions re. medication?: No
Is there any information to indicate that the patient is being bullied for medication or trading medication?: No
Have the Mental Health Team Raised any concerns regarding this patient and in-possession medication?: No
Prison first reception health assessment completed (XaYXV)
Yes (Y0427)
Refer to doctor Re: prisoners physical health (YX028)
Consent obtained (Y001d)
Health Information the prisoner thinks is important (YX024) - depression
Syphilis screening declined (XaLNB)
Hep C test - offered and refused (Y075a)
Syphilis screening offered (XaLN9)
Chlamydia test offered (XaLHg)
Chlamydia screening declined (XaJdS)
Emotional state observations (Ua16B) - settled
Second Reception Screening (Y0da6)
Prisoner has not used drugs in the last month (Y08f7)
Hepatitis B immune (XE2ww)
[V]Measles-mumps-rubella (MMR) vaccination (ZV064)
130 / 68 mmHg
Medication In Possession Status: In possession - 28 days
30 Sep 2017 15:22 Surgery: O'SULLIVAN, Thomas (Mr) (Nurse Access Role) Entered at: HMP Lewes
SystmOne Outgoing Record Sharing consent changed to: No
30 Sep 2017 15:31 Surgery: O'SULLIVAN, Thomas (Mr) (Nurse Access Role) Entered at: HMP Lewes
02 Oct 2017 08:31 Surgery: JEWSON, Nicola (Clerical Access Role) Entered at: HMP Lewes
02 Oct 2017 09:59 Surgery: JEWSON, Nicola (Clerical Access Role) Entered at: HMP Lewes
Reminder/Alert: No SCR record, therefore no NHS number or gp - Priority: Normal
04 Oct 2017 09:36 Surgery: HARVEY, Adrian (Nurse Access Role) Entered at: HMP Lewes
Word Document: turner refferal.doc
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Thu 23 Apr 2020 15:02
Mr Saul Turner "Saul Altel" (A2425AM)
Confidential: Personal Data 719 122 2247, 08 Dec 1982
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by TURNER, Steven (Mr) (Clerical Access Role)HMP Highdown 60 of 216
Referral In to HMP Highdown for In Reach: Ended on 16 Nov 2017 00:00
With the Following Intervention(s)
Transferred - in custody
Status Update for In Reach Referral In: Waiting For Assessment
05 Oct 2017 10:08 Surgery: JEWSON, Nicola (Clerical Access Role) Entered at: HMP Lewes
Date Of Birth Changed From '08 Dec 1982'
05 Oct 2017 12:55 Surgery: HILL, Rachel (Mrs) (Health Professional Access Role) Entered at: HMP Lewes
Risk Screening Tool - questionnaire started
05 Oct 2017 13:16 Surgery: HILL, Rachel (Mrs) (Health Professional Access Role) Entered at: HMP Lewes
05 Oct 2017 15:43 Surgery: HILL, Rachel (Mrs) (Health Professional Access Role) Entered at: HMP Lewes
I saw Saul on FNC.
Index offence: multiple burglaries. On remand. Due in court later in the month.
Current mental health: Saul reports that he feels depressed and has been unable to cope with life. He said that
since the breakdown of his relationship in May 2017 he said that he has not been able to function. Difficult to elicit
from Saul what he finds difficult to manage in his life as he would often say _I don_t know, it_s my mental health_.
Saul reported that he went on a _rampage_ of burglaries as he said that he wanted to get back into prison. He said
that his life was not _working_ and thought that by coming into prison he could get his life back on track. Saul
reports that he would be keen to understand how he can help himself in prison by engaging with mental health.
He reports to feeling depressed. He presented as low in mood. Some biological symptoms of depression notably
reduced appetite, sleep and concentration. He reports that he has felt like this for many months. He spoke about
previously being on antidepressant (amitriptyline) which he said had helped his mood. He reported that he was on
this the last time he was in prison (evidence shows that he was prescribed this) but he stopped taking it once he left
prison as he felt better. He thinks that being back on it would be helpful. Advised that this is not first line treatment for
depression and potentially unlikely to be prescribed. However an SSRI could be considered.
Past psychiatric history: recent attendance at A&E following an overdose. He said that he was seen by the mental
health team at the Conquest hospital with the notes on care note. He was advised to attend time to talk and to
contact his GP.
He denies that he has been involved with a mental health team in the community and did not most recently approach
time to talk. Saul reports being on healthcare back in 2009 when he was in prison. He said that he was in
healthcare due to depression but felt that he had been helped.
He reports seeing a psychiatrist in prison but I can not see evidence of this on system 1however notes only go back
to 2009.
Personal history: Saul reports that his mother was a prostitute and he was fathered by one of her clients. He reported
he did not find out until he was 12 yrs old. Up until this time he was brought up by his stepfather. He said that he
struggled to comprehend this when his mother told him. He referred to his mother as being "wicked" and reports
having no relationship with her. He reports being involved in crime since a young age. He reported that he feels that
he has previously been successful financially through crime.
Substance misuse: history of alcohol misuse in regards to binge drinking. He denies use of illicit substances.
C60
Risk:
To self: history of overdosing. Last overdose on 2/8/2017 whereby he took an overdose of paracetamol. He called
an ambulance and was taken to A&E.
He reports history of trying to end his life since 2007. He said that he has tried to end his life before by hanging
himself in a park. He said that he had tied a noose around a tree and was under the influence alcohol. He did not go
through with it as he thought that it would be too painful. No current thoughts of suicide or self harm.
To others: he denies a history of risk to others. Long history of being in prison for burglaries.
MSE: casually dressed male, small in stature. Moderate rapport and eye contact. No evidence of psychomotor
agitation or retardation. Speech normal. Mood objectively low and subjectively depressed. No overt anxiety. No
psychotic symptoms. No formal thought disorder. Cognition intact. No current suicidal or self harm thoughts
Formulation: 31 yr old who reports a previous diagnosis of depression dating back to 2007. He reported that being
in prison is the place where he thinks that he will be able to sort himself out and stated he deliberately got himself
back into prison. He presents as low in mood and evidence of emotionally unstable personality traits. Appears to
have poor coping strategies and a somewhat external locus of control around his life and how he functions.
However reporting that he wants to make a change in his life. He is keen to engage in the mood management
Thu 23 Apr 2020 15:02
Mr Saul Turner "Saul Altel" (A2425AM)
Confidential: Personal Data 719 122 2247, 08 Dec 1982
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by TURNER, Steven (Mr) (Clerical Access Role)HMP Highdown 61 of 216
group
Plan: to ensure he is on waiting list for GP _ would benefit from introduction of an antidepressant
To be added to mood management waiting list _ non f wing.
C61
Mental health assessment (XaIYN)
Seen by member of prison inreach mental health team (XaP7x)
05 Oct 2017 16:05 Surgery: HILL, Rachel (Mrs) (Health Professional Access Role) Entered at: HMP Lewes
09 Oct 2017 08:35 Surgery: JEWSON, Nicola (Clerical Access Role) Entered at: HMP Lewes
11 Oct 2017 13:30 Surgery: PERT, Caroline (Health Professional Access Role) Entered at: HMP Lewes
11 Oct 2017 13:31 Surgery: GRIFFIN, Elizabeth (Ms) (Health Professional Access Role) Entered at: HMP Lewes
18 Oct 2017 09:35 Surgery: JEWSON, Nicola (Clerical Access Role) Entered at: HMP Lewes
Letter to Patients to Mr Saul Turner
26 Oct 2017 09:00 Surgery: BARDEN, Anne (Clerical Access Role) Entered at: HMP Lewes
27 Oct 2017 08:28 Surgery: TURNER, Teresa (Ms) (Clerical Access Role) Entered at: HMP Lewes
30 Oct 2017 09:28 Surgery: PHILP, Kelly (Clerical Access Role) Entered at: HMP Lewes
31 Oct 2017 08:43 Surgery: JEWSON, Nicola (Clerical Access Role) Entered at: HMP Lewes
02 Nov 2017 08:46 Surgery: JEWSON, Nicola (Clerical Access Role) Entered at: HMP Lewes
06 Nov 2017 10:32 Surgery: HOSSAIN, Jahura (Dr) (Clinical Practitioner Access Role) Entered at: HMP Lewes
History: 1) Low mood and depression since 20007. When low, can't sleep, can't eat, has bad thoughts in his head.
Previously found Amitriptylline helped. Says Citalopram and Setraline did not work. Has found some benefit from
Miratizipine
Hx of self harm - has OD'ed and tried to hang himself. No active suicidal ideation. Recognises he needs to be back
on antideps to stabilise his mood.
2) Requesting tx for acne - requesting oral antibiotics.
3) Requesting help with stop smoking.
Examination: Alert, calm, flat, good eye contact, engages well.
Mild acne on forehead and upper back. Multiple old acne scars.
Plan: 1) Start Mirtazipine 15mg (in view of previous hx of what has/ has not helped his mood).
2) Refer to Smoking Cessation
3) Acne - discussed continuosu antibiotic use in Acne causes resistance. Better to have a maximum 12 wk course at
a time. Try tpoical Duac (limit to 12 wks).
Pulse rate (X773s) 90 bpm
112 / 73 mmHg
06 Nov 2017 12:46 Surgery: HOSSAIN, Jahura (Dr) (Clinical Practitioner Access Role) Entered at: HMP Lewes
Mirtazapine 15mg tablets - 28 tablets - 1 tablet - admin times: 19:00 (Oral)
Stopped 07 Nov 2017 End of course (Change to 7/7 IP) by HOSSAIN, Jahura (Dr)
Benzoyl peroxide 5% / Clindamycin 1% gel - 1 pack of 30 gram(s) - Apply ONCE at night (30 grams every 28 days)
(Future dated medication 07 Nov 2017)
Custom script: Printed On Mon 06 Nov 2017 14:27 By Sandra Clark
06 Nov 2017 14:27 Surgery: CLARK, Sandra (Health Professional Access Role) Entered at: HMP Lewes
07 Nov 2017 11:00 Surgery: HOSSAIN, Jahura (Dr) (Clinical Practitioner Access Role) Entered at: HMP Lewes
History: Message request - Tue 07 Nov 10:17 - Lisa Jakens
'Please change Mirtazapine to weekly in possession.
Thanks.'
Mirtazapine 15mg tablets - 7 tablets - [16:00-1 tablet] (7 tablets every 7 days)
Custom script: Printed On Tue 07 Nov 2017 11:17 By Sandra Clark
07 Nov 2017 11:17 Surgery: CLARK, Sandra (Health Professional Access Role) Entered at: HMP Lewes
07 Nov 2017 11:18 Surgery: JAKENS, Lisa (Health Professional Access Role) Entered at: HMP Lewes
07 Nov 2017 11:18 Surgery: JAKENS, Lisa (Health Professional Access Role) Entered at: HMP Lewes
07 Nov 2017 11:19 Surgery: JAKENS, Lisa (Health Professional Access Role) Entered at: HMP Lewes
09 Nov 2017 11:20 Surgery: GODDEN, Sara (Ms) (Nurse Access Role) Entered at: HMP Lewes
Medically fit for prison transfer (XaQfN)
10 Nov 2017 01:44 Surgery: TAYLOR, Graham (Mr) (Nurse Access Role) Entered at: HMP Lewes
Medically fit for prison transfer (XaQfN)
13 Nov 2017 09:04 Surgery: PHILP, Kelly (Clerical Access Role) Entered at: HMP Lewes
13 Nov 2017 12:05 Surgery: JAKENS, Lisa (Health Professional Access Role) Entered at: HMP Lewes
13 Nov 2017 12:10 Surgery: RAYCHAUDHURI, Bikram (Dr) (Clinical Practitioner Access Role) Entered at: HMP
Lewes
(R) Mirtazapine 15mg tablets - 28 tablets - [16:00-1 tablet] (7 tablets every 7 days) (Future dated medication 14 Nov
Thu 23 Apr 2020 15:02
Mr Saul Turner "Saul Altel" (A2425AM)
Confidential: Personal Data 719 122 2247, 08 Dec 1982
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by TURNER, Steven (Mr) (Clerical Access Role)HMP Highdown 62 of 216
2017)
Stopped 17 Nov 2017 Other (Ended after on admission medication review) by GONCARAS, Laimonas (Dr)
Mirtazapine 15mg tablets - 28 tablets - [16:00-1 tablet]
Ended 16 Nov 2017 Patient Deducted
Custom script: Printed On Mon 13 Nov 2017 13:10 By Veronica Hook
13 Nov 2017 13:10 Surgery: HOOK, Veronica (Health Professional Access Role) Entered at: HMP Lewes
14 Nov 2017 08:29 Surgery: JEWSON, Nicola (Clerical Access Role) Entered at: HMP Lewes
14 Nov 2017 11:22 Surgery: JAKENS, Lisa (Health Professional Access Role) Entered at: HMP Lewes
14 Nov 2017 11:23 Surgery: JAKENS, Lisa (Health Professional Access Role) Entered at: HMP Lewes
15 Nov 2017 12:26 Surgery: SALT, Darren (Mr) (Health Professional Access Role) Entered at: HMP Lewes
Medically fit for prison transfer (XaQfN)
15 Nov 2017 20:31 Surgery: DALTON, Diane (Mrs) (Health Professional Access Role) Entered at: HMP Lewes
Medically fit for prison transfer (XaQfN)
16 Nov 2017 Prison: TANTON, Karen (Mrs) (Clerical Access Role) Entered at: Entered: 17 Nov 2017 10:54
Hmp Rochester
Consent Form to Unknown
16 Nov 2017 Surgery: TANTON, Karen (Mrs) (Clerical Access Role) Entered at: Entered: 17 Nov 2017 10:55
Hmp Rochester
Signed Medication Compact and Consent to Transfer of Information.
16 Nov 2017 15:08 Surgery: Unknown Staff Member Entered at: HMP Guys Marsh Entered: 02 Oct 2018 13:34
Previous Home Address: ZZ99 3VZ
16 Nov 2017 15:08 Surgery: Unknown Staff Member Entered at: HMYOI Portland Entered: 25 Apr 2018 07:45
Previous Home Address: ZZ99 3VZ
16 Nov 2017 15:08 Surgery: Unknown Staff Member Entered at: HMYOI Stoke Heath Entered: 09 Mar 2018 12:17
Previous Home Address: ZZ99 3VZ
16 Nov 2017 15:08 Surgery: Unknown Staff Member Entered at: Hmp Rochester
(Admission Med) Mirtazapine 15mg tablets - 28 tablets - [16:00-1 tablet]
(Admission Med) Benzoyl peroxide 5% / Clindamycin 1% gel - 1 pack of 30 gram(s) - Apply ONCE at night
16 Nov 2017 15:08 Surgery: CARD, Lauren (Miss) (Nurse Access Role) Entered at: Hmp Rochester
Previous Home Address: ZZ99 3VZ
16 Nov 2017 15:08 Surgery: CARD, Lauren (Miss) (Nurse Access Role) Entered at: Hmp Rochester
SystmOne Outgoing Record Sharing consent changed to: No
16 Nov 2017 15:08 Surgery: CARD, Lauren (Miss) (Nurse Access Role) Entered at: Hmp Rochester
16 Nov 2017 15:22 Surgery: CARD, Lauren (Miss) (Nurse Access Role) Entered at: Hmp Rochester
Hep B Vacc - Not Offered (Y09f2) - states has had all
Hep C Test - Not Offered (Y0806)
Has not received physical injuries recently (Y08d8)
Hepatitus B status unknown (Y0905)
Hepatitis C status - Unknown (Y0971)
Not known if had Tetanus vaccination (Y08f2)
Blood test declined (XaZOq)
No (Y0428)
No (Y0428)
No (Y0428)
Chlamydia screening declined (XaJdS)
HIV screening declined (XaLI7)
English language (Xa6ev)
Interpreter not needed (XaI8Y)
Able to write (XaAzO)
Transfer moved in (Y3424)
Has no outstanding hospital/ Doctors appointments (Y07f8)
Patient not registered (9121.)
Smoker (137R.)
Asthma: no (Y0944)
Referral for smoking cessation service offered (XaXR4)
Not religious (135D.)
Transfer moved in (Y3424)
Able to read (XaBme)
Prisoner receiving prescribed medication (YX007) - weekly re ordered due tuesday
Thu 23 Apr 2020 15:02
Mr Saul Turner "Saul Altel" (A2425AM)
Confidential: Personal Data 719 122 2247, 08 Dec 1982
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First night risk assessment form completed (Y4581)
No (Y0428)
Has never misused drugs (Ub0mr)
Suitable for in-possession medication (XaYM5) (New Episode)
No (Y0428)
Consent given to share patient data with specified 3rd party (XaNwR)
Fit to attend gym (XaKkp)
Prison first reception health assessment completed (XaYXV)
Second Reception Screening (Y0da6)
Level 3 (Xa0VQ)
Green (XC08c)
Fit for work (13JW.)
Has not received medication for mental health problems (Y08e6)
Prisoner has not received treatment from a psychiatrist outside prison: no (Y09ce)
Prisoner has not tried to harm themselves (in prison) (Y09f9)
Has no concerns over their physical health (Y08dd)
Not disabled (Y3416)
Prisoner has stayed in a psychiatric hospital (YX017)
Prisoner has not tried to harm themselves (outside prison) (Y09fa)
Patient has not previously used drugs (Y09fb)
No (Y0428)
Case management risk assessment score (XaLWw) 0 - 1Did you have medication in possession at previous
establishment?: Yes
2. Has the patient understood and signed IP Compact/Leaflet/Medication Policy?: Yes
3. Has the patient any learning difficulties, problems with reading labels or language difficulties?: No
4. Has the patient any history of alcohol or drug abuse?: No
5. Is there any known history of medication related incidents eg trading, bullying etc?: No
6. Is the patient at risk from self-harm/overdose?: No
7. Is the patient on an open ACCT?: No
8. Is the patient confused or disorientated?: No
9. Has the patient had a recent change in prison status (eg recently sentenced) or a recent life event which has
increased their risk?: No
10. Practioner concern?: No
Prisoner has a psychiatric nurse or care worker in the community : no (Y09d1)
Prisoner has a psychiatric nurse or care worker in the community : no (Y09d1)
Teetotaller (1361.)
Medication In Possession Status: In possession - 7 days
16 Nov 2017 22:47 Surgery: PARKER, Kate (Nurse Access Role) Entered at: HMP Lewes
17 Nov 2017 07:33 Surgery: TANTON, Karen (Mrs) (Clerical Access Role) Entered at: Hmp Rochester
17 Nov 2017 09:54 Surgery: GONCARAS, Laimonas (Dr) (Clinical Practitioner Access Role) Entered at: Hmp
Rochester
(R) Mirtazapine 15mg tablets - 28 tablets - [16:00-1 tablet] (7 tablets every 7 days) (Future dated medication 21 Nov
2017)
Stopped 12 Dec 2017 Form, strength, or route change by GONCARAS, Laimonas (Dr)
Mirtazapine 15mg tablets - 28 tablets - [16:00-1 tablet]
Ended 09 Mar 2018 Patient Deducted
Custom script: Printed On Fri 17 Nov 2017 09:55 By Dr Laimonas Goncaras
17 Nov 2017 10:31 Surgery: CLIFTON, Hannah (Miss) (Admin/Clinical Support Access Role) Entered at: Hmp
Rochester
Health promotion (6B...) - Issued with Healthcare Induction pack - letter, application form and healthcare booklet.
17 Nov 2017 15:43 Surgery: ERDOGAN, Zerin (Miss) (Pharmacist) Entered at: Hmp Rochester
20 Nov 2017 08:34 Surgery: CLIFTON, Hannah (Miss) (Admin/Clinical Support Access Role) Entered at: Hmp
Rochester
Health promotion (6B...) - Issued with Healthcare Induction Pack - letter, application form and booklet.
21 Nov 2017 08:08 Surgery: MAULINO, Rogelio (Mr) (Nurse Access Role) Entered at: Hmp Rochester
21 Nov 2017 10:45 Surgery: MAULINO, Rogelio (Mr) (Nurse Access Role) Entered at: Hmp Rochester
Paracetamol 500mg tablets - 16 tablets - 2 qds
21 Nov 2017 10:46 Surgery: MAULINO, Rogelio (Mr) (Nurse Access Role) Entered at: Hmp Rochester
27 Nov 2017 10:16 Surgery: CLIFTON, Hannah (Miss) (Admin/Clinical Support Access Role) Entered at: Hmp
Rochester
Thu 23 Apr 2020 15:02
Mr Saul Turner "Saul Altel" (A2425AM)
Confidential: Personal Data 719 122 2247, 08 Dec 1982
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Smoking cessation advice (Ua1Nz) - No clinic due to staff shortage - this would've been patient's first appointment,
so rebooked for 1/52.
28 Nov 2017 10:34 Surgery: MAULINO, Rogelio (Mr) (Nurse Access Role) Entered at: Hmp Rochester
Paracetamol 500mg tablets - 16 tablets - 2 qds
28 Nov 2017 10:34 Surgery: MAULINO, Rogelio (Mr) (Nurse Access Role) Entered at: Hmp Rochester
01 Dec 2017 Surgery: SKINNER, Margaret (Assistant Practitioner) Entered at: Entered: 25 Apr 2018 11:14
HMYOI Portland
Stopped smoking (137K.)
04 Dec 2017 11:00 Surgery: CLIFTON, Hannah (Miss) (Admin/Clinical Support Access Role) Entered at: Hmp
Rochester
Attends stop smoking monitoring (9OO1.) - Attended first appt. Patient has been on the course before and is aware
of how it runs. All treatment options discussed and patient has chosen to start with NRT - issued. Review 1/52,
appointment booked.
04 Dec 2017 11:02 Surgery: CLIFTON, Hannah (Miss) (Admin/Clinical Support Access Role) Entered at: Hmp
Rochester
Smoking cessation programme start date (XaIth)
Age at starting smoking (Ub0p3) - 12
Expired carbon monoxide concentration (X77Qd) 12 PPM
Smoker (137R.)
Cigarette consumption (Ub1tI) 20 cigarettes / day
Quantity (X75QM) - Seven day supply
Seen by smoking cessation advisor (XaIye)
Expired carbon monoxide concentration (X77Qd) 26 PPM
NiQuitin CQ 21mg/24hours clear patch (du3s.)
Smoking cessation programme start date (XaIth)
Advice about treatment (Ua02O)
Advice about side effects of treatment (Xa9zk)
05 Dec 2017 10:31 Surgery: MOREEA, Yacoob (Mr) (Nurse Access Role) Entered at: Hmp Rochester
05 Dec 2017 10:31 Surgery: MOREEA, Yacoob (Mr) (Nurse Access Role) Entered at: Hmp Rochester
08 Dec 2017 07:34 Surgery: TANTON, Karen (Mrs) (Clerical Access Role) Entered at: Hmp Rochester
11 Dec 2017 11:02 Surgery: CARTER, Ellen (Ms) (Admin/Clinical Support Access Role) Entered at: Hmp Rochester
Seen by smoking cessation advisor (XaIye) - co read 12 issued x 1 pack 21mg nrt patches x 2 packs 4mg nrt mints
12 Dec 2017 08:42 Surgery: TANTON, Karen (Mrs) (Clerical Access Role) Entered at: Hmp Rochester
12 Dec 2017 09:45 Surgery: GONCARAS, Laimonas (Dr) (Clinical Practitioner Access Role) Entered at: Hmp
Rochester
(R) Mirtazapine 15mg tablets - 28 tablets - 1 tablet - admin times: 16:00 (Oral) (Future dated medication 13 Dec
2017)
Mirtazapine 15mg tablets - 28 tablets - 1 tablet
Ended 09 Mar 2018 Patient Deducted
Custom script: Printed On Tue 12 Dec 2017 09:45 By Dr Laimonas Goncaras
12 Dec 2017 09:49 Surgery: PEMBLE, Howard (Mr) (Nurse Access Role) Entered at: Hmp Rochester
Seen in segregation unit (Y0ce3)
Overview Notes (Y0028) - Seen for daily MHIRT :- No issues or concerns disclosed and he interacted well with the
team a and myself . When asked why he is in the unit he told me he had returned to NPS use . His last period in the
unit last sentence was also related to NPS use .
12 Dec 2017 10:30 Surgery: AKISANYA, Adedun (Mrs) Entered at: Hmp Rochester Entered: 12 Dec 2017 15:18
Did not attend for HC Weekly Collection-Tuesday appointment with Mrs Adedun Akisanya.
Did not attend (Xa1kG)
12 Dec 2017 15:09 Surgery: PEMBLE, Howard (Mr) (Nurse Access Role) Entered at: Hmp Rochester
Levels of observation (Ua1Sw) - Normal segregation unit observations .
General mental state (X75ws) - Saul in a much better place now he is in the unit . Was using NPS to £1.5K debt .
Feels powerless to resist his cravings for NPOS when he is being offered it . Chaotic when on the wing .
[V]Other reasons for encounter NOS (ZV6z.) - Saul refused to locate and is now in the unit .
Risk classification (Y2462) - No risk of self harm or suicide disclosed or identified today .
Review of admission to segregation unit (XaPmi) - Enhanced review
Clinical management plan (XaJYd) - Wants transfer .
[V]Personal history of mental disorder (ZV11.) - No specific mental heal;th history disclosed . Was in unit when last
here also having used NPS and built debt . Extensive withdrawal at that time . Was out to liberty which failed when
he had no accomodation and lost his job .
12 Dec 2017 15:25 Surgery: MUVUNGANI, Catherine (Miss) (Admin/Clinical Support Access Role) Entered at: Hmp
Rochester
Thu 23 Apr 2020 15:02
Mr Saul Turner "Saul Altel" (A2425AM)
Confidential: Personal Data 719 122 2247, 08 Dec 1982
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Substance misuse monitoring 6 month review (XaauR) - States he is £1500 in debt in the prison for NPS. He is
happy to be in the seg and declined to engage with the services. He stated that it will be his decision to stop using
NPS as he has never done drugs outside prison in his life. He does in here to get away from his thoughts and for
time to go quickly. Stated will not be needing to engage with the service
Substance misuse team (XaJRs)
Substance misuse team (XaJRs) - Catherine Muvungani
Substance misuse monitoring 6 month review (XaauR)
13 Dec 2017 08:57 Surgery: PEMBLE, Howard (Mr) (Nurse Access Role) Entered at: Hmp Rochester
Overview Notes (Y0028) - Seen for daily MHIRT round :- No issues or concerns expressed about him or by him
today . Good interaction with team and no overt distress noted . Told me he is OK .
Seen in segregation unit (Y0ce3)
13 Dec 2017 11:49 Surgery: HARDING, Tim (Clinical Practitioner Access Role) Entered at: Hmp Rochester
History: Seen in segregation unit (Y0ce3) - Seen in the Seggregation Unit. No complaints, suggested to discuss with
Segg staff should they need to see a member of the healthcare team
Examination: appears well denies any new health concerns
13 Dec 2017 16:59 Surgery: MAULINO, Rogelio (Mr) (Nurse Access Role) Entered at: Hmp Rochester
13 Dec 2017 16:59 Surgery: MAULINO, Rogelio (Mr) (Nurse Access Role) Entered at: Hmp Rochester
14 Dec 2017 Prison: TANTON, Karen (Mrs) (Clerical Access Role) Entered at: Entered: 15 Jan 2018 13:49
Hmp Rochester
F213 - Report of injury to inmate to Unknown
14 Dec 2017 Surgery: TANTON, Karen (Mrs) (Clerical Access Role) Entered at: Entered: 15 Jan 2018 13:49
Hmp Rochester
F213 -SH
14 Dec 2017 13:52 Surgery: DEAN, Antony (Mr) (Nurse Access Role) Entered at: Hmp Rochester
Seen in segregation unit (Y0ce3)
Overview Notes (Y0028) - Seen in seg this morning, no current mental health concerns expressed or noted.
Accepted applications and has a good rapport with staff and remembered me from previous encounters in seg.
14 Dec 2017 17:10 Surgery: MAULINO, Rogelio (Mr) (Nurse Access Role) Entered at: Hmp Rochester
14 Dec 2017 17:10 Surgery: MAULINO, Rogelio (Mr) (Nurse Access Role) Entered at: Hmp Rochester
15 Dec 2017 Prison: METCALFE, Jane (Ms) (Clerical Access Role) Entered at: Entered: 22 Dec 2017 13:13
Hmp Rochester
Consent Form to Unknown
15 Dec 2017 Surgery: METCALFE, Jane (Ms) (Clerical Access Role) Entered at: Entered: 22 Dec 2017 13:13
Hmp Rochester
signed mhirt consent form
15 Dec 2017 09:12 Surgery: DEAN, Antony (Mr) (Nurse Access Role) Entered at: Hmp Rochester
Seen in segregation unit (Y0ce3)
Overview Notes (Y0028) - Seen in segregation unit this morning, Saul had a suicide attempt last evening by cutting
wrist, he stated he is determined and will end his life. There will be a review this afternoon, he is due to have the
ACCT assessment this morning, I will attend this and then continue with triage.
Reminder/Alert: Constant watch in segregation unit following suicide attempt. - Priority: High
15 Dec 2017 12:00 Surgery: DEAN, Antony (Mr) (Nurse Access Role) Entered at: Hmp Rochester
Referral from other (Y1940) - In segregation unit, after act of self harming in a suicide attempt
Patients perception of current problem (Y3029)
I've had enough of life and I'm fed up "with my life I wish to die, it's been a long time coming", He stated that he is
happy with his decision. Agreed to be seen for assessment but does not think that he needs help, and has stated in
ACCT assessment that he does not want any help.
I want to die with "dignity and some self respect"
Reason for referral (XaIpS) - Attempted suicide by cutting right forearm with a scissor blade. Statement by staff in
seg on ACCT document that this was "over him not getting a smoke", not passing tobacco from another cell.
[V]Mental and behavioural problems (ZV40.)
Tobacco smoking behaviour (Ub0oo)
Substance misuse behaviour (XaJz5)
Mental health triage nurse follow up (XaL0v)
Prisoner has been in prison before (YX004) - Numerous times in jail previously.,
Seen in segregation unit (Y0ce3) - In constant watch cell, with O Daniels whom was doing the ACCT assessment.
Convicted for criminal activity (Ua0Sg) - Burglary sent to 3yrs and 5 months he is out in August 2019.
Prisoner constant watch commenced (XaaeK) - Has already commenced constant.
Open ACCT (YA213)
Thu 23 Apr 2020 15:02
Mr Saul Turner "Saul Altel" (A2425AM)
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Agencies and organisations (XaBfS) - No interventions from forward trust or mental health teams.
Overview Notes (Y0028) - Has two previous suicide attempts by overdose of cocodamol and alcohol, 1st about 9
years ago and again this year in the summer between July and September this year. Stated that he attempted to
hang self last evening but he "lost bottle". No previous mental health history prior to this event.
Clinic note (XaIgp) - Index offence of Burglary, most crimes of an acquisitive nature.
Summary of needs (XaX3D)
A 34 yrs old man with a long offending history, stated that he used to use CNBS regularly years ago but has not
used this for "quite a while now", not a drinker on a regular basis and describes self as "virtually teetotal". Saw R Hill
when in Lewes last month for a short one off session, he described this as "business like" and he did manage to get
the mirtazapine re prescribed that he says he only uses on jail. He stated that he never goes to the GP outside as he
stated this too much like hard work. In prison he finds easier access to healthcare.
He stated that he has felt unhappy or "depressed for a long time" he states that he cannot remember the last time he
felt happy. He describes the feeling of being happy likening it to "winning at the gambling table" and that it has been
very short lived for him. He states no that he "has had enough, I've reached the end, I really have made up my mind,
I am content with the decision I've made". I cannot go with the concerns for others, as I will not change my mind to
please other people. He was speaking to the safer custody.
I have never been fulfilled in my life, in any was shape or form, I have had a traumatic life with one thing and another,
He states he had counselling through the probation service and attended a 12 week "course" and this was for
gambling but we did not speak about my gambling at all, we spoke about everything else. Right at the end he stated
that she told him that there was not much she could do for him, she could not give him a conclusion, as she needed
more time with him, but this was not possible, due the constraints placed there by the contract from probation. He
stated that she did not tell him anything he did not already know.
Saul has a family of an ex partner and a nine year old daughter whom he does not have contact with any more due
to his criminal behaviour.
During the assessment for ACCT Saul said that he "never had this conversation before and feels this is a very
unfamiliar place" for him. " I feel this is my life and my choice" He was challenged about several aspects of this and
how "we" can help? He stated clearly that he does not want help he was not angry and his demeanour was such that
he stated he "could not find" a reason to live for.
Longest period out of prison was from 2013 to 2015.
Current presentation is emotionally subdued, not flat, he did have some reactivity and spontaneity, good eye contact,
normal voice tone, rate of speech is normal, content is subdued and calm.
He reports that sleep is easily attained, he can normally have good rapport with staff and peers alike.
No FTD, not responding to unseen stimuli, no history of psychosis or contact with mental health services. On
reflection in my opinion he presents as dysthymic with learned responses to social cues and does quite effectively
disarm concern when he smiles appropriately and displays humour in the right places.
Computer record NOS (934Z.) - System one and ACCT assessment.
Prisoner has received medication for mental health problems (YX019) - Mirtazapine 15mg nocte with good hypnotic
effect.
No (Y0428)
Self inflicted injury (Xa0EN)
Suicidal intent (XaA1G)
No (Y0428)
Destructive behaviour toward property (X765R)
Attempted suicide NOS (Xa3jI)
Suicidal thoughts (1BD1.)
15 Dec 2017 15:09 Surgery: DEAN, Antony (Mr) (Nurse Access Role) Entered at: Hmp Rochester
Overview Notes (Y0028)
Long and in depth review, with the panel and Saul engaged well, he is determined to end his life and the panel are
aware of this. He will remain on constant observations and he can have clothes back and he was offered a TV which
he declined.
Mood I would describe as dysthymic with learned responses to social cues.
Review of care of detained patnt under Section 120 MHA 1983 (Xa9Ep) - Gov Langridge, IMB G Griffiths OMU, O
Thu 23 Apr 2020 15:02
Mr Saul Turner "Saul Altel" (A2425AM)
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daniels safer custordy, Oscar 1, CM Shcaefer. T Dean and saul Tuner in Adjudication room of segregation unit.
15 Dec 2017 16:34 Surgery: AKISANYA, Adedun (Mrs) (Nurse Access Role) Entered at: Hmp Rochester
15 Dec 2017 16:34 Surgery: AKISANYA, Adedun (Mrs) (Nurse Access Role) Entered at: Hmp Rochester
15 Dec 2017 16:35 Surgery: AKISANYA, Adedun (Mrs) (Nurse Access Role) Entered
at: Hmp Rochester
Entered: 15 Dec 2017 16:37
Handover Report : Overall Communication (Y4510) - Officer Sarah reported that Mr Turner refused his meals both
lunch and supper and i went to him he refused his medication also that is the first day.
16 Dec 2017 Prison: TANTON, Karen (Mrs) (Clerical Access Role) Entered at:
Hmp Rochester
Entered: 19 Dec 2017 13:05
F213 - Report of injury to inmate to Unknown
16 Dec 2017 Prison: TANTON, Karen (Mrs) (Clerical Access Role) Entered at:
Hmp Rochester
Entered: 15 Jan 2018 13:54
F213 - Report of injury to inmate to Unknown
16 Dec 2017 Prison: TANTON, Karen (Mrs) (Clerical Access Role) Entered at:
Hmp Rochester
Entered: 20 Feb 2018 14:14
F213 - Report of injury to inmate to Hmp Rochester
16 Dec 2017 Surgery: TANTON, Karen (Mrs) (Clerical Access Role) Entered at:
Hmp Rochester
Entered: 15 Jan 2018 13:54
F213 - SH
16 Dec 2017 12:40 Surgery: ESEKIE, Oseyi (Nurse Access Role) Entered at: Hmp Rochester
Overview Notes (Y0028)
Review in SEG, still determined to end his life and nothing will change this. Spoke about his last sentence briefly,
how he was release without any accommodation, no family support, survived by stealing only has a lady friend who
calls him occasionally. Read in the communication book of the attempted self-harm early this morning with a broken
ceramic cup given to him by the night officer on duty. Saul said he knew he was not supposed to be given a ceramic
cup but accepted it; felt it was not his obligation to notify the staff. Stated feeling hopeless and sees no point of living.
Risk to self remains high, constant watch nurse need to be vigilant. Declined incell pack when offered, stated he was
initially contemplating of going on hunger strike but changed his mind, had four biscuit last night. From TD entry, it
appears the prison already aware of Saul's risk.
16 Dec 2017 16:56 Surgery: MAULINO, Rogelio (Mr) (Nurse Access Role) Entered at: Hmp Rochester
Paracetamol 500mg tablets - 2 tablets - now
16 Dec 2017 16:57 Surgery: MAULINO, Rogelio (Mr) (Nurse Access Role) Entered at: Hmp Rochester
17 Dec 2017 Prison: METCALFE, Jane (Ms) (Clerical Access Role) Entered at: Entered: 22 Dec 2017 12:28
Hmp Rochester
Miscellaneous to Unknown
17 Dec 2017 Surgery: METCALFE, Jane (Ms) (Clerical Access Role) Entered at: Entered: 22 Dec 2017 12:28
Hmp Rochester
ACCT review
17 Dec 2017 10:23 Surgery: MAULINO, Rogelio (Mr) (Nurse Access Role) Entered at: Hmp Rochester
History: Seen in segregation unit (Y0ce3) - Seen in the Seggregation Unit. No complaints, suggested to discuss with
Segg staff should they need to see a member of the healthcare team
Paracetamol 500mg tablets - 2 tablets - now
17 Dec 2017 16:49 Surgery: MAULINO, Rogelio (Mr) (Nurse Access Role) Entered at: Hmp Rochester
17 Dec 2017 16:50 Surgery: MAULINO, Rogelio (Mr) (Nurse Access Role) Entered at: Hmp Rochester
18 Dec 2017 Surgery: TURPIN, Rachel (Health Professional Access Role)
Entered at: Hmp Rochester
Entered: 21 Dec 2017 09:27
Date (Xa0ck)
18 Dec 2017 07:26 Surgery: MAULINO, Rogelio (Mr) (Nurse Access Role) Entered at: Hmp Rochester
18 Dec 2017 09:15 Surgery: CARD, Lauren (Miss) (Nurse Access Role) Entered at: Hmp Rochester
Paracetamol 500mg tablets - x2 given nip
18 Dec 2017 10:45 Surgery: CARTER, Ellen (Ms) Entered at: Hmp Rochester Entered: 18 Dec 2017 11:42
Did not attend for HC-Smoking Clinic appointment with Ms Ellen Carter.
Did not attend (Xa1kG)
18 Dec 2017 11:47 Surgery: CARTER, Ellen (Ms) (Admin/Clinical Support Access Role) Entered at: Hmp Rochester
Did not attend smoking cessation clinic (XaIpo) - dna appt posted x 2 weeks nrt x 2 packs 21mg nrt patches next
appt 2/1/208
18 Dec 2017 15:26 Surgery: ESEKIE, Oseyi (Nurse Access Role) Entered at: Hmp Rochester
Thu 23 Apr 2020 15:02
Mr Saul Turner "Saul Altel" (A2425AM)
Confidential: Personal Data 719 122 2247, 08 Dec 1982
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Printed
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by TURNER, Steven (Mr) (Clerical Access Role)HMP Highdown 68 of 216
Overview Notes (Y0028)
Good and constant watch review this afternoon in SEG, Good review was chaired by Governor Langridge and the
ACCT review by safer custody manager Ugin, attended by IMB Dickson, Etienne (chaplaincy), R.Esekie(inreach) and
the offender Mr Turner. Mr Turner asked for his constant watch closed as soon as he walked into the room, stated
feeling more positive today, felt no different been on constant watch, also asked for his antidepressant to be
changed, report history of severe depression for the past seven years, tried different antidepressant medications
over the years and nothing seems to help apart from Amitriptyline. Mr Turner engaged well at the review, the
comment he made of ending his life was pointed out to him and the reason why he wanted his constant watch to
discontinued, no clear answer was given apart from making reference to how it took him long time to see the mental
health when in custody, how he was prescribed mirtazapine instead of Amitriptyline when seen. I remembered Mr
Turner stating how pleased he was to his current medication when seen last Saturday never mentioned change.
Mr Turner was on Amitriptyline 50mg up till 13th of May 2017 after his sentence. Team were briefed by Governor
Langridge of the transfer request to HMP Winchester which has been put in place; the plan is for Mr Turner to remain
in SEG until transfer. Risk to self remains high, Governor Langridge plan to get Turner painting job in SEG to keep
him busy.
Next review will be on Wednesday 20/12/2017.
Review of care of detained patnt under Section 120 MHA 1983 (Xa9Ep)
18 Dec 2017 16:30 Surgery: MAULINO, Rogelio (Mr) (Nurse Access Role) Entered at: Hmp Rochester
18 Dec 2017 16:30 Surgery: MAULINO, Rogelio (Mr) (Nurse Access Role) Entered at: Hmp Rochester
19 Dec 2017 16:30 Surgery: MAULINO, Rogelio (Mr) (Nurse Access Role) Entered at: Hmp Rochester
Paracetamol 500mg tablets - 2 tablets - now
19 Dec 2017 16:30 Surgery: MAULINO, Rogelio (Mr) (Nurse Access Role) Entered at: Hmp Rochester
20 Dec 2017 09:50 Surgery: HARDING, Tim (Clinical Practitioner Access Role) Entered at: Hmp Rochester
History: Seen in segregation unit (Y0ce3) - Seen in the Seggregation Unit. No complaints, suggested to discuss with
Segg staff should they need to see a member of the healthcare team
Examination: appears well, denies any new physical health problems
20 Dec 2017 14:06 Surgery: TURPIN, Rachel (Health Professional Access Role) Entered at: Hmp Rochester
Overview Notes (Y0028)
Seen in seg round - engaged to gets apps and was polite- reported twice " i have never been so strong" - but had
little meaning or strength behind this- seemed more odd and negative than real. Remains on constant watch.
Accepted all apps. Not malodourous but clothes were worn.
Team in the seg are fully aware and he engaged with them sufficiently.
Has psychiatric review and Constant watch review today.
Seen in segregation unit (Y0ce3)
20 Dec 2017 15:16 Surgery: SINGH, Sourabh (Dr) (Consultant) Entered at: Hmp Rochester
Mental health review follow-up (XaMJ8)
Mental health medication review (XaJr3)
Follow-up psychiatric assessment (6654.)
Outpatient (Ua0WZ)
Seen by forensic psychiatrist (XaATE)
Risk Assessment Review (Y2168)
Outcome (XaIXy)
Seen in Seg and also attended the ACCT review
In the ACCT review, all the MDT supported stopping 1:1 observations. HE will remain on ACCT monitoring.
C68
During my interview he admitted suffering from prolonged period of pervasive low mood. He can remember being low
in mood since 2007. Never felt that hsi mood returned to normal since then.
He has suefferd from 4-5 episodes of low mood, which were persistent and pervasive with suicidal thoughtss,
anhedonia, poor motivation,. low energy, negative thoughts in addition to the chronic baseline low mood. He also
admitted suicidal attempts by taking overdoses.
1st episode of overdose was at the age of 12. After that 3-4 suicidal attempts, mainly taking numerous tablets of
co-codamol.
The most recent attempt was in segregation unit by cutting himself. This is the first time he has cut himself.
He was born and brought up in Kent. He reported that hsi mother used to work as prostitute and hsi father was one
of her clients. Mr Turner reporetd that he never met hsi biologicalk father. His mother then married a man, with whom
she had 2 daughters. HE remembers not being treated as well as his half-sissters.
He was in amainstream school. He remembers being very difficult and disruptive at school, He was expelled from
secondary school. HE did nto finish schoolign and got into trouble with law.
Thu 23 Apr 2020 15:02
Mr Saul Turner "Saul Altel" (A2425AM)
Confidential: Personal Data 719 122 2247, 08 Dec 1982
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by TURNER, Steven (Mr) (Clerical Access Role)HMP Highdown 69 of 216
He has been in prison numerous times before this current episode.
He admitted using cannabis regularly in the community before. HE has used spice in the prison. HE reported that he
used spice worth thousands of pounds in prison. He admitted tot he ACCT team that he used spice to kill bordeom
and was at risk of using more if left on normla location.
No psychotic features evident. No formal thought disorder.
IMP: Double depression (recurrent depressive disorder on a backhground of dysthymia) with co-morbid
cannabis/spice misuse.
Plan:
1. MDT involveemnt in treatment. Pharmacological and psychological treatments
2. referral to substance misuse team
3. Sodium valproate for prophylaxis of recurrent depression
4. To be managed by Inreach team
5. F/u in my clinic in 4-6 weeks
C69
Valproic acid 250mg gastro-resistant tablets - 28 tablets - 250 mg - admin times: 08:45 (Oral)
Valproic acid 500mg gastro-resistant tablets - 28 tablets - 500 mg - admin times: 16:00 (Oral) (Future dated
medication 22 Dec 2017)
Custom script: Printed On Wed 20 Dec 2017 15:28 By Dr Sourabh Singh
20 Dec 2017 15:18 Surgery: TURPIN, Rachel (Health Professional Access Role) Entered at: Hmp Rochester
Referral In to HMP Highdown for Continuing Care other Levels: Ended on 09 Mar 2018 00:00
Status Update for Continuing Care other Levels Referral In: Receiving Care
20 Dec 2017 17:00 Surgery: VALINO, Maria (Mrs) (Nurse Access Role) Entered at: Hmp Rochester
20 Dec 2017 17:00 Surgery: VALINO, Maria (Mrs) (Nurse Access Role) Entered at: Hmp Rochester
21 Dec 2017 07:50 Surgery: MAULINO, Rogelio (Mr) (Nurse Access Role) Entered at: Hmp Rochester
21 Dec 2017 09:21 Surgery: TURPIN, Rachel (Health Professional Access Role) Entered at: Hmp Rochester
Yes (Y0427)
Other note (XaIgC) - on constant watch - has clearly attempted to end his life.
Other note (XaIgC) - self on seg
Other note (XaIgC) - saw psychiatrist and is now on caseload
Yes (Y0427)
Other note (XaIgC) - depression - ongoing risk
21 Dec 2017 09:27 Surgery: TURPIN, Rachel (Health Professional Access Role) Entered at: Hmp Rochester
Overview Notes (Y0028) - Inreach seg round - engaged and accepted apps - requested inside Times which was
delivered to him and he thanked me. Constant watch has been reduced and is now on ACCT - no reported issues
over night. saw psychiatrist yesterday. Declined 1: 1 when offered. No concerns raised by staff and no issues raised
from presentation.
Seen in segregation unit (Y0ce3)
21 Dec 2017 16:59 Surgery: MAULINO, Rogelio (Mr) (Nurse Access Role) Entered at: Hmp Rochester
21 Dec 2017 16:59 Surgery: MAULINO, Rogelio (Mr) (Nurse Access Role) Entered at: Hmp Rochester
22 Dec 2017 10:55 Surgery: MAULINO, Rogelio (Mr) (Nurse Access Role) Entered at: Hmp Rochester
22 Dec 2017 10:55 Surgery: MAULINO, Rogelio (Mr) (Nurse Access Role) Entered at: Hmp Rochester
22 Dec 2017 11:16 Surgery: DEAN, Antony (Mr) (Nurse Access Role) Entered at: Hmp Rochester
Review of care of detained patnt under Section 120 MHA 1983 (Xa9Ep) - Mark Crowhurst, CM Martin, T Dean and S
Turner in segregation unit.
Overview Notes (Y0028)
Discussion and observations about his mental state, also his intent for suicide and risk to self discussed. He denied
the latter and obj he is brighter in emotional state. To remain on ACCT, I have informed him that I will place an alert
on system one to inform future prescribers of the risk of death if he again becomes depressed in the future and he
has suicidal ideation and asks again for Amitryptiline as this is cardio toxic in O/D, he is aware of this and stated if
he'd known this previously he would have asked for this a long time ago.
ACCT to remain open for the next week or so review in a week.
Seen in segregation unit (Y0ce3)
Overview Notes (Y0028) - Seen this morning, he has commenced Sodium valproate this morning, he states he is
feeling a little better emotionally not as flat. ACCT Review this morning.
Reminder/Alert: If depressed and suicidal do not prescribe amitryptiline as Saul is aware of the Cardio toxicity of this
antidepressant.
Thu 23 Apr 2020 15:02
Mr Saul Turner "Saul Altel" (A2425AM)
Confidential: Personal Data 719 122 2247, 08 Dec 1982
C69
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Printed
409af26bccb2448dabacd1cf3d115e4f-70
by TURNER, Steven (Mr) (Clerical Access Role)HMP Highdown 70 of 216
He is aware of this alert. - Priority: High
22 Dec 2017 17:08 Surgery: MAULINO, Rogelio (Mr) (Nurse Access Role) Entered at: Hmp Rochester
22 Dec 2017 17:08 Surgery: MAULINO, Rogelio (Mr) (Nurse Access Role) Entered at: Hmp Rochester
22 Dec 2017 17:08
23 Dec 2017 08:47
Surgery: MAULINO, Rogelio (Mr) (Nurse Access Role) Entered at: Hmp Rochester
Surgery: SEEHRA, Sharon (Miss) (Pharmacist) Entered at: Hmp Rochester
23 Dec 2017 09:35 Surgery: MAULINO, Rogelio (Mr) (Nurse Access Role) Entered at: Entered: 23 Dec 2017 12:33
Hmp Rochester
23 Dec 2017 10:10 Surgery: TURPIN, Rachel (Health Professional Access Role) Entered at: Hmp Rochester
Overview Notes (Y0028) - Seen in seg round - he thanked me for the prompt Inside Times this week. cell seen as
was immaculate. engaged well asked some questions about the timeframe for the new medication working - I
suggested a week to feel any affect. Raised no issues with any side effects but reports it " had an impact". Staff
raised no concerns - remains on ACCT.
Seen in segregation unit (Y0ce3)
23 Dec 2017 12:32 Surgery: MAULINO, Rogelio (Mr) (Nurse Access Role) Entered at: Hmp Rochester
23 Dec 2017 17:00 Surgery: MAULINO, Rogelio (Mr) (Nurse Access Role) Entered at: Hmp Rochester
23 Dec 2017 17:00 Surgery: MAULINO, Rogelio (Mr) (Nurse Access Role) Entered at: Hmp Rochester
23 Dec 2017 17:00 Surgery: MAULINO, Rogelio (Mr) (Nurse Access Role) Entered at: Hmp Rochester
24 Dec 2017 09:19 Surgery: BONCHEV, Sevdalin (Dr) (Doctor) Entered at: Hmp Rochester
History: Seen in segregation unit (Y0ce3) - Seen in the Seggregation Unit. No complaints, suggested to discuss with
Segg staff should they need to see a member of the healthcare team
24 Dec 2017 10:05 Surgery: MAULINO, Rogelio (Mr) (Nurse Access Role) Entered at:
Hmp Rochester
Entered: 24 Dec 2017 15:57
24 Dec 2017 15:56
24 Dec 2017 16:53
Surgery: MAULINO, Rogelio (Mr) (Nurse Access Role) Entered at: Hmp Rochester
Surgery: MAULINO, Rogelio (Mr) (Nurse Access Role) Entered at: Hmp Rochester
24 Dec 2017 16:53
24 Dec 2017 16:53
Surgery: MAULINO, Rogelio (Mr) (Nurse Access Role) Entered at: Hmp Rochester
Surgery: MAULINO, Rogelio (Mr) (Nurse Access Role) Entered at: Hmp Rochester
25 Dec 2017 08:25 Surgery: MAULINO, Rogelio (Mr) (Nurse Access Role) Entered at:
Hmp Rochester
Entered: 25 Dec 2017 11:44
25 Dec 2017 11:44 Surgery: MAULINO, Rogelio (Mr) (Nurse Access Role) Entered at: Hmp Rochester
25 Dec 2017 14:56
25 Dec 2017 14:56
Surgery: MAULINO, Rogelio (Mr) (Nurse Access Role) Entered at: Hmp Rochester
Surgery: MAULINO, Rogelio (Mr) (Nurse Access Role) Entered at: Hmp Rochester
25 Dec 2017 14:56
26 Dec 2017 09:03
Surgery: MAULINO, Rogelio (Mr) (Nurse Access Role) Entered at: Hmp Rochester
Surgery: MAULINO, Rogelio (Mr) (Nurse Access Role) Entered at: Hmp Rochester
26 Dec 2017 09:03 Surgery: MAULINO, Rogelio (Mr) (Nurse Access Role) Entered at: Hmp Rochester
26 Dec 2017 09:55 Surgery: DEAN, Antony (Mr) (Nurse Access Role) Entered at: Hmp Rochester
Seen in segregation unit (Y0ce3)
Overview Notes (Y0028) - Seen this morning in segregation unit for rounds, no overt current mental health concerns,
stated he would like to "come off the ACCT" due to being woken at night every hour by observations. Review will be
later this week. Stated that he feels the medication is "working" and he feels a little better than previously.
26 Dec 2017 15:32 Surgery: MAULINO, Rogelio (Mr) (Nurse Access Role) Entered at: Hmp Rochester
26 Dec 2017 15:32 Surgery: MAULINO, Rogelio (Mr) (Nurse Access Role) Entered at: Hmp Rochester
26 Dec 2017 15:32
27 Dec 2017 09:10
Surgery: MAULINO, Rogelio (Mr) (Nurse Access Role) Entered at: Hmp Rochester
Surgery: DEAN, Antony (Mr) (Nurse Access Role) Entered at: Hmp Rochester
Overview Notes (Y0028)
Seen in segregation unit this morning, no current mental health concerns of note at the moment, no concerns raised
by staff. Engaged well and accepted applications.
Due for ACCT review this morning.
Seen in segregation unit (Y0ce3)
27 Dec 2017 10:29 Surgery: HARDING, Tim (Clinical Practitioner Access Role) Entered at: Hmp Rochester
History: appears well , denies any new health concerns xcept superficial self inflicted wound right wrist not
infected see nursing staff for review / ? dressing -
Examination: [HC informed to kindly arrange]
27 Dec 2017 11:00 Surgery: AKISANYA, Adedun (Mrs) (Nurse Access Role) Entered at: Hmp Rochester
27 Dec 2017 11:00 Surgery: AKISANYA, Adedun (Mrs) (Nurse Access Role) Entered at: Hmp Rochester
27 Dec 2017 15:27 Surgery: DEAN, Antony (Mr) (Nurse Access Role) Entered at: Hmp Rochester
Overview Notes (Y0028) - Seen for ACCT review saul stated that he now feels a lot better than the other week where
he was verbalising his determination to end his life. He feels the current medication is doing the job and he feels a
little brighter but not "out of the woods yet". Obj not much difference and he understands that he has a depression
and dysthymia, which he has had explained to him. he agrees that he does have the symptoms that match
depression and the dysthymia. The risk is significantly reduced but it in our opinion there is still as risk due to huis
Thu 23 Apr 2020 15:02
Mr Saul Turner "Saul Altel" (A2425AM)
Confidential: Personal Data 719 122 2247, 08 Dec 1982
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by TURNER, Steven (Mr) (Clerical Access Role)HMP Highdown 71 of 216
past impulsivity we would be happier to manage this risk through the ACCT over the new year low staffing period.
Review of care of detained patnt under Section 120 MHA 1983 (Xa9Ep) - CM Martin T Dean and Saul Turner with
Officer Jeffries in adjudication room.
27 Dec 2017 16:50 Surgery: AKISANYA, Adedun (Mrs) (Nurse Access Role) Entered at: Hmp Rochester
27 Dec 2017 16:51 Surgery: AKISANYA, Adedun (Mrs) (Nurse Access Role) Entered at: Hmp Rochester
27 Dec 2017 16:51 Surgery: AKISANYA, Adedun (Mrs) (Nurse Access Role) Entered at: Hmp Rochester
28 Dec 2017 09:09 Surgery: TURPIN, Rachel (Health Professional Access Role) Entered at: Hmp Rochester
Overview Notes (Y0028) - seen in the seg round - engaged well and agreed to see TD later today to complete care
plan. No concerns raised re his mental health, appeared less tired than previous. seen to be engaging with other
offenders in the seg in relaxed manner. remains on ACCT.
Seen in segregation unit (Y0ce3)
28 Dec 2017 09:26 Surgery: MAULINO, Rogelio (Mr) (Nurse Access Role) Entered at: Hmp Rochester
28 Dec 2017 09:26 Surgery: MAULINO, Rogelio (Mr) (Nurse Access Role) Entered at: Hmp Rochester
28 Dec 2017 10:45 Surgery: BICKER, Ian Entered at: Hmp Rochester Entered: 28 Dec 2017 10:59
Did not attend for HC-Nurse Lead Clinics appointment with Ian A Bicker.
Did not attend (Xa1kG)
28 Dec 2017 11:49 Surgery: DEAN, Antony (Mr) (Nurse Access Role) Entered at: Hmp Rochester
Seen in segregation unit (Y0ce3)
Overview Notes (Y0028) - Seen this morning and completed the initial care plan, he was somewhat bemused by this
as he had never completed one previously. Conversation was not flowing but he engaged with the process, and has
now a better understanding of the reasons for the care plan, this will be completed soon.
28 Dec 2017 16:56 Surgery: MAULINO, Rogelio (Mr) (Nurse Access Role) Entered at: Hmp Rochester
28 Dec 2017 16:56 Surgery: MAULINO, Rogelio (Mr) (Nurse Access Role) Entered at: Hmp Rochester
28 Dec 2017 16:56
29 Dec 2017 08:50
Surgery: MAULINO, Rogelio (Mr) (Nurse Access Role) Entered at: Hmp Rochester
Surgery: BONCHEV, Sevdalin (Dr) (Doctor) Entered at: Hmp Rochester
History: Seen in segregation unit (Y0ce3) - Seen in the Seggregation Unit. No complaints, suggested to discuss with
Segg staff should they need to see a member of the healthcare team
29 Dec 2017 09:10 Surgery: MAULINO, Rogelio (Mr) (Nurse Access Role) Entered at:
Hmp Rochester
Entered: 29 Dec 2017 11:29
29 Dec 2017 10:02 Surgery: TURPIN, Rachel (Health Professional Access Role) Entered at: Hmp Rochester
Overview Notes (Y0028) - Seen in the seg round- accepted all apps, engaged well with staff, eye contact good,
raised no issues and no issues were raised re his mental health and no issues evident from presentation. Declined to
have 1: 1 when offered today.
Seen in segregation unit (Y0ce3)
29 Dec 2017 11:29 Surgery: MAULINO, Rogelio (Mr) (Nurse Access Role) Entered at: Hmp Rochester
29 Dec 2017 15:21 Surgery: TURPIN, Rachel (Health Professional Access Role) Entered at: Hmp Rochester
Goading (Xa2mO)
Overview Notes (Y0028)
Seen in adjudication office with G. Pullinger - seg staff, Paul Martin seg CM, Andy Cooper- security gov, L. Langridge
seg gov, Etienne Caruna - Chaplain and IMB.
Acct to remain as Xmas period. new medication- awaiting to see some affect. to remain in seg as wants to avoid
Spice, eye contact good, some emotion shown, declined work as not paid- Langridsge will explore this engaging with
Inreach.
29 Dec 2017 17:02
29 Dec 2017 17:02
Surgery: MAULINO, Rogelio (Mr) (Nurse Access Role) Entered at: Hmp Rochester
Surgery: MAULINO, Rogelio (Mr) (Nurse Access Role) Entered at: Hmp Rochester
29 Dec 2017 17:02 Surgery: MAULINO, Rogelio (Mr) (Nurse Access Role) Entered at: Hmp Rochester
30 Dec 2017 10:21 Surgery: MAULINO, Rogelio (Mr) (Nurse Access Role) Entered at: Hmp Rochester
30 Dec 2017 10:21 Surgery: MAULINO, Rogelio (Mr) (Nurse Access Role) Entered at: Hmp Rochester
30 Dec 2017 10:54 Surgery: DEAN, Antony (Mr) (Nurse Access Role) Entered at: Hmp Rochester
Seen in segregation unit (Y0ce3)
Overview Notes (Y0028) - Seen in segregation unit this morning for rounds, No stated mental health concerns and
non observed. Engaged well with staff and accepted applications.
30 Dec 2017 16:55 Surgery: MAULINO, Rogelio (Mr) (Nurse Access Role) Entered at: Hmp Rochester
30 Dec 2017 16:56 Surgery: MAULINO, Rogelio (Mr) (Nurse Access Role) Entered at: Hmp Rochester
30 Dec 2017 16:56 Surgery: MAULINO, Rogelio (Mr) (Nurse Access Role) Entered at: Hmp Rochester
31 Dec 2017 10:36 Surgery: MAULINO, Rogelio (Mr) (Nurse Access Role) Entered at: Hmp Rochester
31 Dec 2017 10:36 Surgery: MAULINO, Rogelio (Mr) (Nurse Access Role) Entered at: Hmp Rochester
31 Dec 2017 11:19 Surgery: VALINO, Maria (Mrs) (Nurse Access Role) Entered at: Hmp Rochester
History: Seen in segregation unit (Y0ce3) - Seen in the Seggregation Unit. No complaints, suggested to discuss with
Segg staff should they need to see a member of the healthcare team
31 Dec 2017 17:08 Surgery: MAULINO, Rogelio (Mr) (Nurse Access Role) Entered at: Hmp Rochester
Thu 23 Apr 2020 15:02
Mr Saul Turner "Saul Altel" (A2425AM)
Confidential: Personal Data 719 122 2247, 08 Dec 1982
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409af26bccb2448dabacd1cf3d115e4f-72
by TURNER, Steven (Mr) (Clerical Access Role)HMP Highdown 72 of 216
31 Dec 2017 17:08 Surgery: MAULINO, Rogelio (Mr) (Nurse Access Role) Entered at: Hmp Rochester
31 Dec 2017 17:08 Surgery: MAULINO, Rogelio (Mr) (Nurse Access Role) Entered at: Hmp Rochester
01 Jan 2018 10:19 Surgery: MAULINO, Rogelio (Mr) (Nurse Access Role) Entered at: Hmp Rochester
01 Jan 2018 10:19 Surgery: MAULINO, Rogelio (Mr) (Nurse Access Role) Entered at: Hmp Rochester
01 Jan 2018 10:20 Surgery: TURPIN, Rachel (Health Professional Access Role) Entered at: Hmp Rochester
Seen in segregation unit (Y0ce3)
Overview Notes (Y0028) - Inreach segregation round- engaged to get apps, was polite and declined 1: 1 when
offered. No concerns raised or evident regarding his mental health.
01 Jan 2018 15:57 Surgery: MAULINO, Rogelio (Mr) (Nurse Access Role) Entered at: Hmp Rochester
01 Jan 2018 15:57 Surgery: MAULINO, Rogelio (Mr) (Nurse Access Role) Entered at: Hmp Rochester
01 Jan 2018 15:57 Surgery: MAULINO, Rogelio (Mr) (Nurse Access Role) Entered at: Hmp Rochester
02 Jan 2018 Surgery: CLIFTON, Hannah (Miss) (Admin/Clinical Support Access Role) Entered at: Hmp
Rochester
Negotiated date for cessation of smoking (XaIQj)
02 Jan 2018 09:15 Surgery: MAULINO, Rogelio (Mr) (Nurse Access Role) Entered at: Hmp Rochester
02 Jan 2018 09:15 Surgery: MAULINO, Rogelio (Mr) (Nurse Access Role) Entered at: Hmp Rochester
02 Jan 2018 09:38 Surgery: h PEMBLE (Practitioner) Entered at: Hmp Rochester
Seen in segregation unit (Y0ce3)
Overview Notes (Y0028) - Seen for daily MHIRT round :- Open ACCT noted . Saul told me he is concerned that his
mood is variable and that his current medication has not yet lifted it . Objectively he does look down .
02 Jan 2018 13:46 Surgery: TURPIN, Rachel (Health Professional Access Role) Entered at: Hmp Rochester
Outcome (XaIXy) - Discussed in team meeting - remains at considerable risk to self in seg or if removed to normal
location - is seen daily in the seg round and team aware of issues.
Outpatient (Ua0WZ)
Discussion about a problem (XaA2r)
Seen by member of prison inreach mental health team (XaP7x)
02 Jan 2018 16:39 Surgery: CARTER, Ellen (Ms) (Admin/Clinical Support Access Role) Entered at: Hmp Rochester
Did not attend - no reason (XE2NM)
Brief intervention for smoking cessation (XaQVQ) - posted to seg x 1 pack 21 mg nrt patches x 1 pack 4mg nrt mints
02 Jan 2018 17:10 Surgery: MAULINO, Rogelio (Mr) (Nurse Access Role) Entered at: Hmp Rochester
02 Jan 2018 17:11 Surgery: MAULINO, Rogelio (Mr) (Nurse Access Role) Entered at: Hmp Rochester
02 Jan 2018 17:11 Surgery: MAULINO, Rogelio (Mr) (Nurse Access Role) Entered at: Hmp Rochester
03 Jan 2018 08:57 Surgery: CARD, Lauren (Miss) (Nurse Access Role) Entered at: Hmp Rochester
03 Jan 2018 08:57 Surgery: CARD, Lauren (Miss) (Nurse Access Role) Entered at: Hmp Rochester
03 Jan 2018 09:14 Surgery: TURPIN, Rachel (Health Professional Access Role) Entered at: Hmp Rochester
Seen in segregation unit (Y0ce3)
Overview Notes (Y0028) - SEG ROUND: Declined to be seen when offered today. Concerns raised by Paul Martin
Seg CM due to incident that was not discussed as no time - however to remain on acct as still in low mood despite
reporting " I'm fine" to me this morning. No signs of self neglect or cell neglect.
03 Jan 2018 13:51 Surgery: TURPIN, Rachel (Health Professional Access Role) Entered at: Hmp Rochester
Seen in segregation unit (Y0ce3)
Overview Notes (Y0028)
seen in cell which was very clean and tidy, sparse with minimal belongings - reports " I need a radio and a bed".
Reports that he has been observing and monitoring himself since starting the medication and feels that his mental
health has deteriorated since starting it with increased anxiety and decreased sleep and increased irritability. Also
reports trembling and sweating. We discussed that various options can be tried. We discussed several options to
take now and he agreed to see TD on Monday , to engage fully with Howard and myself in seg round. he advises
that he has stopped the medication last night and this morning. Discussed longer term issues- reports he has been in
prison for 20 years- mostly at his own volition and that the last 20 years has been a debate of " death or prison" and
we discussed that he has done well to remain true to himself and that we hope that medication can change this.
Engaged well, no signs of abnormal experiences and no signs of altered state of perception - no risks reported but
feels that he has been more agitated towards others. Declined that I contact GP in first instance. reports good
relationship with Tony Dean.
Discussed with Seg CM Paul martin and that we suport him remaining int he seg and that he remains at risk and has
medication issues. I will contact primary care to advise he is not taking the meds at present.
03 Jan 2018 16:55 Surgery: TURPIN, Rachel (Health Professional Access Role) Entered at: Hmp Rochester
Reminder/Alert: DOES NOT WANT TO TAKE SODIUM VALPROATE CURRENTLY UNTIL REVIEWED - Priority:
Normal
Reminder/Alert: Does not want to take valproic acid until reviewed as struggling with side effects - Priority: Normal
03 Jan 2018 17:07 Surgery: CARD, Lauren (Miss) (Nurse Access Role) Entered at: Hmp Rochester
Thu 23 Apr 2020 15:02
Mr Saul Turner "Saul Altel" (A2425AM)
Confidential: Personal Data 719 122 2247, 08 Dec 1982
C72
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Printed
409af26bccb2448dabacd1cf3d115e4f-73
by TURNER, Steven (Mr) (Clerical Access Role)HMP Highdown 73 of 216
03 Jan 2018 17:07 Surgery: CARD, Lauren (Miss) (Nurse Access Role) Entered at: Hmp Rochester
03 Jan 2018 17:07 Surgery: CARD, Lauren (Miss) (Nurse Access Role) Entered at: Hmp Rochester
04 Jan 2018 09:24 Surgery: MAULINO, Rogelio (Mr) (Nurse Access Role) Entered at: Hmp Rochester
04 Jan 2018 09:24 Surgery: MAULINO, Rogelio (Mr) (Nurse Access Role) Entered at: Hmp Rochester
04 Jan 2018 09:52 Surgery: PEMBLE, Howard (Mr) (Nurse Access Role) Entered at: Hmp Rochester
Overview Notes (Y0028) - Seen for daily MHIRT round :- Open ACCT noted . Saul' presentation and response to me
remain as he has been recently with a matter of fact " I'm all right " when asked . When I suggested I return to talk to
him later his response was "if you want". Segregation staff are aware of him .
Seen in segregation unit (Y0ce3)
04 Jan 2018 16:14 Surgery: PEMBLE, Howard (Mr) (Nurse Access Role) Entered at: Hmp Rochester
Seen in segregation unit (Y0ce3)
Overview Notes (Y0028) - Spent time with Saul this afternoon as supportive contact . Saul describes periods of
increased anxiety , agitation and aggression and links these to his current Valproic acid prescription . He wants to
achieve a permanent lift to his overall low mood . Long talk about his love of gambling and his inability to say no to
NPS if it is presented to him . Saul is looking forward to meeting with AD on Monday and then Dr Singh on Tuesday .
Overall quite a positive meeting .
04 Jan 2018 17:06 Surgery: MAULINO, Rogelio (Mr) (Nurse Access Role) Entered at: Hmp Rochester
04 Jan 2018 17:06 Surgery: MAULINO, Rogelio (Mr) (Nurse Access Role) Entered at: Hmp Rochester
04 Jan 2018 17:06 Surgery: MAULINO, Rogelio (Mr) (Nurse Access Role) Entered at: Hmp Rochester
05 Jan 2018 09:36 Surgery: MAULINO, Rogelio (Mr) (Nurse Access Role) Entered at: Hmp Rochester
05 Jan 2018 09:36 Surgery: MAULINO, Rogelio (Mr) (Nurse Access Role) Entered at: Hmp Rochester
05 Jan 2018 09:57 Surgery: HARDING, Tim (Clinical Practitioner Access Role) Entered at: Hmp Rochester
History: Seen in segregation unit (Y0ce3) - Seen in the Seggregation Unit. No complaints, suggested to discuss with
Segg staff should they need to see a member of the healthcare team
Examination: Appears well , denies any new health concerns
05 Jan 2018 10:13 Surgery: TURPIN, Rachel (Health Professional Access Role) Entered at: Hmp Rochester
Overview Notes (Y0028) - Seen in seg round- agreed to be seen later for support during difficult period. Remains on
ACCT_ engaged to get needs and apps with officers but little else. No concerns raised o re his mental health.
Seen in segregation unit (Y0ce3)
05 Jan 2018 15:04 Surgery: TURPIN, Rachel (Health Professional Access Role) Entered at: Hmp Rochester
Seen in segregation unit (Y0ce3)
Overview Notes (Y0028)
seen in his cell through the glass panel- as there were no officers around on the seg- remains on acct - engaged
really well, asked me why I thought he had depression and we discussed flat affect and lack of interest- reports he is
an introvert and was honest about is failed relationships and we tentatively connected his depression and anhedonia
to this. Showed little knowledge of depression but admitted to feeling sad and lacking in interest unless it is extreme
such as gambling or thieving - we discussed that he could connect with the adrenaline rush from this. Reports being
motivated on this sentence as his daughter is now 11 and he wants to have contact with her - not seen since she
was 3 years old.
level 1 paperwork given re sleep and depression and advised to mark sections that apply and we can discuss them
with him.
No risk reported.
ACCT completed.
05 Jan 2018 15:20
05 Jan 2018 16:52
Surgery: TURPIN, Rachel (Health Professional Access Role) Entered at: Hmp Rochester
Surgery: MAULINO, Rogelio (Mr) (Nurse Access Role) Entered at: Hmp Rochester
05 Jan 2018 16:52 Surgery: MAULINO, Rogelio (Mr) (Nurse Access Role) Entered at: Hmp Rochester
05 Jan 2018 16:52 Surgery: MAULINO, Rogelio (Mr) (Nurse Access Role) Entered at: Hmp Rochester
06 Jan 2018 10:20 Surgery: MAULINO, Rogelio (Mr) (Nurse Access Role) Entered at:
Hmp Rochester
Entered: 06 Jan 2018 17:05
06 Jan 2018 13:55 Surgery: TURPIN, Rachel (Health Professional Access Role) Entered at: Hmp Rochester
Overview Notes (Y0028) - Agreed to be seen for 1: 1 when in seg round- will be seen today.
Seen in segregation unit (Y0ce3)
06 Jan 2018 16:02 Surgery: MOREEA, Yacoob (Mr) Entered at: Hmp Rochester Entered: 06 Jan 2018 17:04
Did not attend for HC-Treatments appointment with Mr Yacoob Moreea.
Did not attend (Xa1kG)
06 Jan 2018 16:21 Surgery: TURPIN, Rachel (Health Professional Access Role) Entered at: Hmp Rochester
Outcome (XaIXy)
is currently on acct.
TURNER
Agreed to be seen as per previous plan- was seen in immaculate cell in seg.
Thu 23 Apr 2020 15:02
Mr Saul Turner "Saul Altel" (A2425AM)
Confidential: Personal Data 719 122 2247, 08 Dec 1982
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by TURNER, Steven (Mr) (Clerical Access Role)HMP Highdown 74 of 216
When asked if he had read the paperwork on depression he said yes and now he feels _ fantastic_ also appreciated
the meditation paperwork and feels calm. Feels that he related to the PD paperwork and learnt a lot.
This is a brief overview of the history of his life that he told me without prompting for 30 minutes.
As I sat down he started to talk and told me his story of his life from birth to today- he retold this story with clarity and
honesty. He reports that his mother is a high class prostitute who did not want a son - he was a mistake. He has 2
siblings who are younger than him. His father is a drug baron. He was bought up by his sisters father. He reports that
his mother is manipulative and devious and did not treat him well, at one point he was looking after one sibling and
caring for her the whole time as his mother was working. He reports loving his mother but not liking her. He left home
at 12 years old ( when he found out his father was not his biological father) and moved from Hastings to Tunbridge
wells and left school. Reports was in prison by 15 and when he left at 18 returned to live with his mother in
Hastings. Reports his nan was also _ very nasty_ and that his maternal line was _ difficult_. At 18 started to sell
drugs and make money- met Cheryl- who had a child already and after some times in prison she became pregnant
with Ruby (now 11 ). As he came into prison his mother started to babysit for Cheryl- who she never liked- and had
++ contact with Ruby- while he was in prison social services approached by phone and said that unless he gives
permission for Ruby to go to his others immediately she will be put into care as her mother was not looking after her
well. Ruby went to live with his mother and when he was released he went home. He observed that Ruby was being
singled out compared to other children and treated in similar ways to him as a child. He gradually became suspicious
and went to speak to Cheryl. It transpired that his mother had paid 2 social workers 10K each ( he named then) to
fabricate risk to Ruby so he would transfer care to her. He then took this to court and she was found out and
collapsed in court. As a result of this he lost contact with his step father, mother and 2 sisters. But at this point had
contact with ruby. Relationship with Cheryl ended and he moved to Portsmouth. With no contact with Ruby. He
found new relationship _ her husband had treated her badly and life continued. Was then identified as a _Pedo_ by
someone _ and as he has no contact with any of his family his current partner believed it and _ all hell broke loose_
-and this relationship ended. Ended up in court after getting caught and was in such a poor state that he needed an
appropriate adult to support him- was on suicide watch from court. Feels very angry towards this person ( who lives
in Hull) and feels that if he ever saw him again he would be convicted of murder- has no thoughts of finding him to
act on this thought but now has not contact with anyone.
Reports previous Inreach teams have not engaged him and he does not trust them.
Reports issues in the seg as was given china cup with which he cut his arm and also despite his bag being searched
at Lewes, on admission here and also seg searched that even while on suicide risk he was given possessions which
included scissors in his shaver pack. So used this to cut up and cut an artery with them. Reports fully intending this
suicide to end his life. Reports has one friend, no family, no access to child and second relationship ended. Reports
worrying about resuming spice as this is his comfort zone. Motivated not to return to prison as realises the impact
that this has had on his life.
Presented as very keen to talk, spoke fluently without prompting or support for 30 minutes. Was animated at the end
and eye contact improved, seemed lighter in posture and manner _ was moving more freely - we discussed that
this was a hard story to tell but that he may now start to move on and wants to prepare for release in 20 months and
not return. No signs of cell or self neglect- reports is sleeping ++ and feels _ great_. Showed insight, clarity,
motivation and honesty. No signs of abnormal expericences, cognitive issues, delusions or manipulation for
secondary gain.
Plan: he wants to stay in HMP Rochester as he feels that he can trust the Inreach team after observing and working
with us for some time. Discussed with officer Perry- he advises that this may not be possible as he is due for transfer
as wont relocate. ? medical hold due to ongoing depression _ may struggle to gain trust with Inreach in a new
prison _ to be discussed. TD to see next week .
Seen by member of prison inreach mental health team (XaP7x)
Outpatient (Ua0WZ)
Wing officer (Y4746) - discussed with officer Perry- he is going to be transferred
06 Jan 2018 17:04 Surgery: MAULINO, Rogelio (Mr) (Nurse Access Role) Entered at: Hmp Rochester
06 Jan 2018 17:04 Surgery: MAULINO, Rogelio (Mr) (Nurse Access Role) Entered at: Hmp Rochester
06 Jan 2018 17:04 Surgery: MAULINO, Rogelio (Mr) (Nurse Access Role) Entered at: Hmp Rochester
07 Jan 2018 Surgery: COOPER, Deborah (Miss) (Clerical Access Role) Entered Entered: 08 Jan 2018 12:19
at: Hmp Rochester
Date (Xa0ck)
07 Jan 2018 10:42 Surgery: MAULINO, Rogelio (Mr) (Nurse Access Role) Entered at: Hmp Rochester
Handover Report : Overall Communication (Y4510) - Informed MHIRT via task re: Mr Turner in the Segregation who
is refusing his medications.
07 Jan 2018 10:42 Surgery: MAULINO, Rogelio (Mr) (Nurse Access Role) Entered at: Hmp Rochester
07 Jan 2018 14:51 Surgery: VALINO, Maria (Mrs) (Nurse Access Role) Entered at: Hmp Rochester
History: Seen in segregation unit (Y0ce3) - Seen in the Seggregation Unit. No complaints, suggested to discuss with
Segg staff should they need to see a member of the healthcare team
Thu 23 Apr 2020 15:02
Mr Saul Turner "Saul Altel" (A2425AM)
Confidential: Personal Data 719 122 2247, 08 Dec 1982
C74
C75
Printed
409af26bccb2448dabacd1cf3d115e4f-75
by TURNER, Steven (Mr) (Clerical Access Role)HMP Highdown 75 of 216
07 Jan 2018 17:03 Surgery: MAULINO, Rogelio (Mr) (Nurse Access Role) Entered at: Hmp Rochester
07 Jan 2018 17:04 Surgery: MAULINO, Rogelio (Mr) (Nurse Access Role) Entered at: Hmp Rochester
07 Jan 2018 17:04 Surgery: MAULINO, Rogelio (Mr) (Nurse Access Role) Entered at: Hmp Rochester
08 Jan 2018 09:30 Surgery: CLIFTON, Hannah (Miss) Entered at: Hmp Rochester Entered: 08 Jan 2018 11:47
Did not attend for HC-Smoking Clinic appointment with Miss Hannah Clifton.
Did not attend (Xa1kG)
08 Jan 2018 09:41 Surgery: VALINO, Maria (Mrs) (Nurse Access Role) Entered at: Hmp Rochester
08 Jan 2018 09:41 Surgery: VALINO, Maria (Mrs) (Nurse Access Role) Entered at: Hmp Rochester
08 Jan 2018 09:42 Surgery: VALINO, Maria (Mrs) (Nurse Access Role) Entered at: Hmp Rochester
Drug Administration Marked in Error: Wrong data entered
patient refused
Valproic acid 250mg gastro-resistant tablets, Quantity given: 250.0, Entered: 08/01/2018 09:41, Desc: Fully
administered, Done: 08/01/2018 09:41, Given for: 08/01/2018 08:45
08 Jan 2018 09:43 Surgery: VALINO, Maria (Mrs) (Nurse Access Role) Entered at: Hmp Rochester
08 Jan 2018 11:47 Surgery: CLIFTON, Hannah (Miss) (Admin/Clinical Support Access Role) Entered at: Hmp
Rochester
Did not attend smoking cessation clinic (XaIpo) - UTA for smoking cessation appt, due to being in the Seg. 14mg
niquitin patches (24hr) sent. Will check with seg staff that patient is actually attempting to quit smoking.
08 Jan 2018 11:51 Surgery: GONCARAS, Laimonas (Dr) (Clinical Practitioner Access Role) Entered at: Hmp
Rochester
History: Seen in segregation unit (Y0ce3) - Seen in the Seggregation Unit. No complaints, suggested to discuss with
Segg staff should they need to see a member of the healthcare team
08 Jan 2018 11:58 Surgery: PEMBLE, Howard (Mr) (Nurse Access Role) Entered at: Hmp Rochester
Seen in segregation unit (Y0ce3)
Overview Notes (Y0028) - Seen for daily MHIRT round :- No immediate issues this morning . Good interaction with
team and myself . Well turned out and cell very tidy . He is expecting to meet with TD for a one to one session today
.
08 Jan 2018 12:02 Surgery: PEMBLE, Howard (Mr) (Nurse Access Role) Entered at: Hmp Rochester
Seen in segregation unit (Y0ce3)
Overview Notes (Y0028) - Addendum to the above :- Open ACCT noted .
08 Jan 2018 12:18 Surgery: COOPER, Deborah (Miss) (Clerical Access Role) Entered at: Hmp Rochester
Yes (Y0427)
Other note (XaIgC)
Hi,
This is to inform you that Mr Turner in the Segregation Unit has been refusing his medication.
Tah
Other note (XaIgC) - MAULINO, Rogelio
Other note (XaIgC) - on caseload. caseholder TD informed
Referral In to HMP Highdown for Triage: Ended on 08 Jan 2018 12:19
With the Following Intervention(s)
Rejected - Duplicate referral request
Status Update for Triage Referral In: Rejected - Duplicate referral request
Status Update for Triage Referral In: Discharged From Care
08 Jan 2018 15:51 Surgery: DEAN, Antony (Mr) (Nurse Access Role) Entered at: Hmp Rochester
Seen in segregation unit (Y0ce3)
Overview Notes (Y0028) - Long discussion with saul in his cell, he describes not feeling at ease with recovery and
this makes him feel anxious. He will re start meds this evening and I have asked the primary care team to offer it. I
will continue to see tomorrow in segregation
08 Jan 2018 17:01 Surgery: MOREEA, Yacoob (Mr) (Nurse Access Role) Entered at: Hmp Rochester
08 Jan 2018 17:01 Surgery: MOREEA, Yacoob (Mr) (Nurse Access Role) Entered at: Hmp Rochester
08 Jan 2018 17:01 Surgery: MOREEA, Yacoob (Mr) (Nurse Access Role) Entered at: Hmp Rochester
09 Jan 2018 09:19 Surgery: MAULINO, Rogelio (Mr) (Nurse Access Role) Entered at: Hmp Rochester
09 Jan 2018 09:19 Surgery: MAULINO, Rogelio (Mr) (Nurse Access Role) Entered at: Hmp Rochester
09 Jan 2018 09:51 Surgery: DEAN, Antony (Mr) (Nurse Access Role) Entered at: Hmp Rochester
Overview Notes (Y0028) - Seen this morning in segregation unit, he stated he is ok today and I will see again later,
he accepted applications and had good rapport with staff.
Seen in segregation unit (Y0ce3)
09 Jan 2018 16:28 Surgery: MAULINO, Rogelio (Mr) (Nurse Access Role) Entered at: Hmp Rochester
09 Jan 2018 16:28 Surgery: MAULINO, Rogelio (Mr) (Nurse Access Role) Entered at: Hmp Rochester
09 Jan 2018 16:28 Surgery: MAULINO, Rogelio (Mr) (Nurse Access Role) Entered at: Hmp Rochester
Thu 23 Apr 2020 15:02
Mr Saul Turner "Saul Altel" (A2425AM)
Confidential: Personal Data 719 122 2247, 08 Dec 1982
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409af26bccb2448dabacd1cf3d115e4f-76
by TURNER, Steven (Mr) (Clerical Access Role)HMP Highdown 76 of 216
10 Jan 2018 09:36 Surgery: DEAN, Antony (Mr) (Nurse Access Role) Entered at: Hmp Rochester
Overview Notes (Y0028) - Seen this morning in segregation unit, no overt current metal health needs identified,
remains on ACCT which will be reviewed this afternoon.
Seen in segregation unit (Y0ce3)
10 Jan 2018 10:41 Surgery: VALINO, Maria (Mrs) (Nurse Access Role) Entered at: Hmp Rochester
10 Jan 2018 10:41 Surgery: VALINO, Maria (Mrs) (Nurse Access Role) Entered at: Hmp Rochester
10 Jan 2018 11:33 Surgery: HARDING, Tim (Clinical Practitioner Access Role) Entered at: Hmp Rochester
(R) Mirtazapine 15mg tablets - 28 tablets - 1 tablet - admin times: 16:00 (Oral)
Stopped 15 Jan 2018 Change of Dosage by BONCHEV, Sevdalin (Dr)
Custom script: Printed On Wed 10 Jan 2018 11:33 By Tim Harding
10 Jan 2018 16:39 Surgery: WHITE, Emma (Miss) (Nurse Manager) Entered at: Hmp Rochester
10 Jan 2018 16:39 Surgery: WHITE, Emma (Miss) (Health Professional Access Role) Entered at: Hmp Rochester
10 Jan 2018 16:39 Surgery: WHITE, Emma (Miss) (Health Professional Access Role) Entered at: Hmp Rochester
11 Jan 2018 09:24 Surgery: MAULINO, Rogelio (Mr) (Nurse Access Role) Entered at: Hmp Rochester
11 Jan 2018 09:24 Surgery: MAULINO, Rogelio (Mr) (Nurse Access Role) Entered at: Hmp Rochester
11 Jan 2018 17:03 Surgery: MAULINO, Rogelio (Mr) (Nurse Access Role) Entered at: Hmp Rochester
11 Jan 2018 17:03 Surgery: MAULINO, Rogelio (Mr) (Nurse Access Role) Entered at: Hmp Rochester
11 Jan 2018 17:03 Surgery: MAULINO, Rogelio (Mr) (Nurse Access Role) Entered at: Hmp Rochester
12 Jan 2018 08:39 Surgery: BONCHEV, Sevdalin (Dr) (Doctor) Entered at: Hmp Rochester
History: Seen in segregation unit (Y0ce3) - Seen in the Seggregation Unit. No complaints, suggested to discuss with
Segg staff should they need to see a member of the healthcare team
12 Jan 2018 09:26 Surgery: MAULINO, Rogelio (Mr) (Nurse Access Role) Entered at: Hmp Rochester
12 Jan 2018 09:26 Surgery: MAULINO, Rogelio (Mr) (Nurse Access Role) Entered at: Hmp Rochester
12 Jan 2018 09:29 Surgery: ESEKIE, Oseyi (Nurse Access Role) Entered at: Hmp Rochester
Overview Notes (Y0028) - Seen for MHIRT segregation round this morning, no issues were raised concerning his
mental health and none was observed. Declined 1:1 when offered.
Seen in segregation unit (Y0ce3)
12 Jan 2018 16:59 Surgery: MAULINO, Rogelio (Mr) (Nurse Access Role) Entered at: Hmp Rochester
12 Jan 2018 16:59 Surgery: MAULINO, Rogelio (Mr) (Nurse Access Role) Entered at: Hmp Rochester
12 Jan 2018 16:59 Surgery: MAULINO, Rogelio (Mr) (Nurse Access Role) Entered at: Hmp Rochester
13 Jan 2018 10:46 Surgery: MAULINO, Rogelio (Mr) (Nurse Access Role) Entered at: Hmp Rochester
13 Jan 2018 10:47 Surgery: MAULINO, Rogelio (Mr) (Nurse Access Role) Entered at: Hmp Rochester
13 Jan 2018 13:32 Surgery: ESEKIE, Oseyi (Nurse Access Role) Entered at: Hmp Rochester
Seen in segregation unit (Y0ce3)
Overview Notes (Y0028)
From daily briefing this morning, Mr Turner ACCT was re-opened after making threats to harm himself. He
appears low in mood although coherent in speech and was mentally stable when seen, He spoke about yesterday
incident and what led to his action of making threat to self-harm, told me he was thinking about his future and how he
will cope without an accommodation or financial support when release, even though he mentioned during the
conversation that having an accommodation will not change how he feels, risk was not discussed as Saul stopped
engaging as He heard two officers laughing outside his door.
Saul has found sodium valproate helpful, but want mirtazapine increase from 15mg to 30mg.
C76
Message send to healthcare for medication review with the GP
13 Jan 2018 17:00 Surgery: MAULINO, Rogelio (Mr) (Nurse Access Role) Entered at:
Hmp Rochester
Entered: 14 Jan 2018 08:42
14 Jan 2018 08:41 Surgery: MAULINO, Rogelio (Mr) (Nurse Access Role) Entered at: Hmp Rochester
14 Jan 2018 10:28 Surgery: MAULINO, Rogelio (Mr) (Nurse Access Role) Entered at: Hmp Rochester
14 Jan 2018 10:28 Surgery: MAULINO, Rogelio (Mr) (Nurse Access Role) Entered at: Hmp Rochester
14 Jan 2018 13:42 Surgery: VALINO, Maria (Mrs) (Nurse Access Role) Entered at: Hmp Rochester
History: Seen in segregation unit (Y0ce3) - Seen in the Seggregation Unit. No complaints, suggested to discuss with
Segg staff should they need to see a member of the healthcare team
14 Jan 2018 16:30 Surgery: MAULINO, Rogelio (Mr) (Nurse Access Role) Entered at: Hmp Rochester
14 Jan 2018 16:30 Surgery: MAULINO, Rogelio (Mr) (Nurse Access Role) Entered at: Hmp Rochester
14 Jan 2018 16:30
15 Jan 2018 09:00
Surgery: MAULINO, Rogelio (Mr) (Nurse Access Role) Entered at: Hmp Rochester
Surgery: BONCHEV, Sevdalin (Dr) (Doctor) Entered at: Hmp Rochester
History: Seen in segregation unit (Y0ce3) - Seen in the Seggregation Unit. No complaints, suggested to discuss with
Thu 23 Apr 2020 15:02
Mr Saul Turner "Saul Altel" (A2425AM)
Confidential: Personal Data 719 122 2247, 08 Dec 1982
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by TURNER, Steven (Mr) (Clerical Access Role)HMP Highdown 77 of 216
Segg staff should they need to see a member of the healthcare teamON MIRTAZAPINE 15 DXEPRESSEDE
WILLING TO ESCALATE to 30 mg PO ON
Examination: C/O - feeling depressed (XM0CR)
Diagnosis: Medication review with patient (XaJCO)
Plan: Treatment given (8BC..)
Mirtazapine 30mg tablets - 28 tablets - 1 tablet - admin times: 21:00 (Oral) (Future dated medication 16 Jan 2018)
Custom script: Printed On Mon 15 Jan 2018 09:03 By Dr Sevdalin Bonchev
15 Jan 2018 09:07 Surgery: PEMBLE, Howard (Mr) (Nurse Access Role) Entered at: Hmp Rochester
Seen in segregation unit (Y0ce3)
Overview Notes (Y0028) - Seen for daily MHIRT :- Open ACCT noted . Last threat to self harm was on the night of
12 / 01 . OK since . Today his demeanor was as it usually is at unlock. He told me he is OK . No concern expressed
by team .
15 Jan 2018 09:30 Surgery: CARTER, Ellen (Ms) Entered at: Hmp Rochester Entered: 15 Jan 2018 11:21
Did not attend for HC-Smoking Clinic appointment with Ms Ellen Carter.
Did not attend (Xa1kG)
15 Jan 2018 10:50 Surgery: VALINO, Maria (Mrs) (Nurse Access Role) Entered at: Hmp Rochester
15 Jan 2018 10:51 Surgery: VALINO, Maria (Mrs) (Nurse Access Role) Entered at: Hmp Rochester
15 Jan 2018 15:51 Surgery: DEAN, Antony (Mr) (Nurse Access Role) Entered at: Hmp Rochester
Review of care of detained patnt under Section 120 MHA 1983 (Xa9Ep) - Gov Langridge CM Martin, T Dean IMB
Chaplaincy and saul Turner in adjudication room of seg
Overview Notes (Y0028) - belated entry form 10th January. Saul indicated that he has no intent for self harming or
suicide, he engaged well with the panel and engaged appropriately, good eye contact, normal voice tine, rate of
speech and content all appropriate. Panel agreed to close the ACCT and Saul is content with this. He is keen to
engage with Inreach here and wished to be s=considered for H wing where he feel he will benefit from our input. He
is referred for counselling and he will have assessment this week.
15 Jan 2018 17:07 Surgery: VALINO, Maria (Mrs) (Nurse Access Role) Entered at: Hmp Rochester
15 Jan 2018 17:07 Surgery: VALINO, Maria (Mrs) (Nurse Access Role) Entered at: Hmp Rochester
16 Jan 2018 09:16 Surgery: DEAN, Antony (Mr) (Nurse Access Role) Entered at: Hmp Rochester
Overview Notes (Y0028) - Seen this morning in segregation unit, Saul was a little avoidant of staff, he did not engage
as well as he had been doing, he stated that he is tired and has not been sleeping well, and this is he thinks down to
not having sufficient dose of Mirtazapine. I think he could do with a few nights of some hypnotic to re establish a
sleep patter, but more importantly he needs to go to a wing, for some meaningful activity.
Seen in segregation unit (Y0ce3)
16 Jan 2018 09:35 Surgery: MAULINO, Rogelio (Mr) (Nurse Access Role) Entered at: Hmp Rochester
16 Jan 2018 09:35 Surgery: MAULINO, Rogelio (Mr) (Nurse Access Role) Entered at: Hmp Rochester
16 Jan 2018 11:04 Surgery: HARDING, Tim (Clinical Practitioner Access Role) Entered at: Hmp Rochester
(R) Valproic acid 250mg gastro-resistant tablets - 28 tablets - 1 tablet - admin times: 08:45 (Oral)
Stopped 16 Jan 2018 Change of Dosage by SINGH, Sourabh (Dr)
(R) Valproic acid 500mg gastro-resistant tablets - 28 tablets - 1 tablet - admin times: 16:00 (Oral)
Stopped 16 Jan 2018 End of course by SINGH, Sourabh (Dr)
Valproic acid 250mg gastro-resistant tablets - 28 tablets - 1 tablet
Ended 09 Mar 2018 Patient Deducted
Valproic acid 500mg gastro-resistant tablets - 28 tablets - 1 tablet
Ended 09 Mar 2018 Patient Deducted
Custom script: Printed On Tue 16 Jan 2018 11:05 By Tim Harding
16 Jan 2018 14:05 Surgery: SINGH, Sourabh (Dr) (Consultant) Entered at: Hmp Rochester
Valproic acid 500mg gastro-resistant tablets - 56 tablets - 500 mg - admin times: 08:45, 16:00 (Oral)
Zopiclone 7.5mg tablets - 3 tablets - 7.5 mg - admin times: 21:00 every 7 day(s) (Oral) (Future dated medication 17
Jan 2018)
Custom script: Printed On Tue 16 Jan 2018 14:10 By Dr Sourabh Singh
16 Jan 2018 16:30 Surgery: MAULINO, Rogelio (Mr) (Nurse Access Role) Entered at: Hmp Rochester
16 Jan 2018 16:30 Surgery: MAULINO, Rogelio (Mr) (Nurse Access Role) Entered at: Hmp Rochester
16 Jan 2018 16:30 Surgery: MAULINO, Rogelio (Mr) (Nurse Access Role) Entered at: Hmp Rochester
17 Jan 2018 09:03 Surgery: MAULINO, Rogelio (Mr) (Nurse Access Role) Entered at: Hmp Rochester
17 Jan 2018 09:32 Surgery: MAULINO, Rogelio (Mr) (Nurse Access Role) Entered at: Hmp Rochester
17 Jan 2018 11:26 Surgery: GONCARAS, Laimonas (Dr) (Clinical Practitioner Access Role) Entered at: Hmp
Rochester
History: Seen in segregation unit (Y0ce3) - Seen in the Seggregation Unit. No complaints, suggested to discuss with
Segg staff should they need to see a member of the healthcare team
17 Jan 2018 13:42 Surgery: DEAN, Antony (Mr) (Nurse Access Role) Entered at: Hmp Rochester
Overview Notes (Y0028) - Seen in segregation unit this morning, no overt current mental health concerns, yesterday
Thu 23 Apr 2020 15:02
Mr Saul Turner "Saul Altel" (A2425AM)
Confidential: Personal Data 719 122 2247, 08 Dec 1982
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by TURNER, Steven (Mr) (Clerical Access Role)HMP Highdown 78 of 216
the Sodium valproate was increased and he should have the increased dose from today, also he has three zopiclone
over a two week period to aid sleep.
Seen in segregation unit (Y0ce3)
17 Jan 2018 14:30 Surgery: CORCORAN, Tina (Miss) (Health Professional Access Role) Entered at: Hmp Rochester
Clinic note (XaIgp) - Having the space to talk openly about the way that he is feeling.
Clinic note (XaIgp)
Childhood issues
Anxiety
Seen by counsellor (9N2B.)
Clinic note (XaIgp) - Engaged and talkative
Clinic note (XaIgp) - No current risk of DSH and no current risk of suicide
Clinic note (XaIgp) - Tina Corcoran
Clinic note (XaIgp) - Counsellor
Clinic note (XaIgp) - Mr Turner stated that he feels that he has had many issues in his life that he feels he has not
processed. He states that this is something that he would like to do.
Clinic note (XaIgp) - Counselling Assessment
Clinic note (XaIgp) - Mr Turner is currently in the SEG. In order to start Counselling sessions Mr Turner needs to be
residing on one of the other wings. I have explained this to Mr Turner, once Mr Turner is on a different wing sessions
will begin.
17 Jan 2018 14:36 Surgery: CORCORAN, Tina (Miss) (Health Professional Access Role) Entered at: Hmp Rochester
Referral In to HMP Highdown for Counselling: Ended on 09 Mar 2018 00:00
Status Update for Counselling Referral In: Waiting For Care
17 Jan 2018 15:29 Surgery: UZOCHUKWU, Patrick (Mr) (Pharmacist) Entered at: Hmp Rochester
17 Jan 2018 17:00 Surgery: MAULINO, Rogelio (Mr) (Nurse Access Role) Entered at: Hmp Rochester
17 Jan 2018 17:00 Surgery: MAULINO, Rogelio (Mr) (Nurse Access Role) Entered at: Hmp Rochester
17 Jan 2018 17:00 Surgery: MAULINO, Rogelio (Mr) (Nurse Access Role) Entered at: Hmp Rochester
17 Jan 2018 17:00 Surgery: MAULINO, Rogelio (Mr) (Nurse Access Role) Entered at: Hmp Rochester
18 Jan 2018 09:10 Surgery: MAULINO, Rogelio (Mr) (Nurse Access Role) Entered at: Hmp Rochester
18 Jan 2018 09:10 Surgery: MAULINO, Rogelio (Mr) (Nurse Access Role) Entered at: Hmp Rochester
18 Jan 2018 09:23 Surgery: DEAN, Antony (Mr) (Nurse Access Role) Entered at: Hmp Rochester
Overview Notes (Y0028) - Seen this morning in segregation unit, saul looks well and accepted applications and went
to the shower, I have asked the wing CM for a space for him soonest and this is in for consideration. No overt new
issues today.
Seen in segregation unit (Y0ce3)
18 Jan 2018 15:39 Surgery: DEAN, Antony (Mr) (Nurse Access Role) Entered at: Hmp Rochester
Seen in segregation unit (Y0ce3)
Overview Notes (Y0028) - Seen this afternoon in segregation unit with Ash Gardener from OMU, I had spoken to the
wing CM about getting him a place on the wing as the seg had not done this with the wing manager. CM Saunders
agreed to take him on a trial basis and that he would have to work off the wing, This makes sense as he would only
isolate further but in a bigger environment using the wing to do so. Initially saul thought this was about making him
"Jump through hoops" that he could not possibly achieve but it was clear after a short time that his anxiety about his
is significant and he wants to succeed here. He has agreed that H wing may be the only place for him here and he
will go there next week for his first meeting with the wing CM. Due to start counselling next weds providing that he is
on a wing and not in the segregation unit.
18 Jan 2018 17:12 Surgery: MAULINO, Rogelio (Mr) (Nurse Access Role) Entered at: Hmp Rochester
18 Jan 2018 17:12 Surgery: MAULINO, Rogelio (Mr) (Nurse Access Role) Entered at: Hmp Rochester
18 Jan 2018 17:12 Surgery: MAULINO, Rogelio (Mr) (Nurse Access Role) Entered at: Hmp Rochester
19 Jan 2018 09:44 Surgery: MAULINO, Rogelio (Mr) (Nurse Access Role) Entered at: Hmp Rochester
19 Jan 2018 09:44 Surgery: MAULINO, Rogelio (Mr) (Nurse Access Role) Entered at: Hmp Rochester
19 Jan 2018 11:11 Surgery: DEAN, Antony (Mr) (Nurse Access Role) Entered at: Hmp Rochester
Overview Notes (Y0028) - Seen in segregation unit rounds this morning, no overt concerns this morning and
accepted applications,
Seen in segregation unit (Y0ce3)
19 Jan 2018 17:19 Surgery: MAULINO, Rogelio (Mr) (Nurse Access Role) Entered at: Hmp Rochester
19 Jan 2018 17:19 Surgery: MAULINO, Rogelio (Mr) (Nurse Access Role) Entered at: Hmp Rochester
19 Jan 2018 17:19 Surgery: MAULINO, Rogelio (Mr) (Nurse Access Role) Entered at: Hmp Rochester
20 Jan 2018 10:26 Surgery: MAULINO, Rogelio (Mr) (Nurse Access Role) Entered at: Hmp Rochester
20 Jan 2018 10:26 Surgery: MAULINO, Rogelio (Mr) (Nurse Access Role) Entered at: Hmp Rochester
20 Jan 2018 10:48 Surgery: DEAN, Antony (Mr) (Nurse Access Role) Entered at: Hmp Rochester
Seen in segregation unit (Y0ce3)
Overview Notes (Y0028) - Seen in segregation unit today, no current mental health issues of note, engaged with the
Thu 23 Apr 2020 15:02
Mr Saul Turner "Saul Altel" (A2425AM)
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staff accepted applications and is well kempt, clean and cell is very tidy.
20 Jan 2018 16:28 Surgery: MAULINO, Rogelio (Mr) (Nurse Access Role) Entered at: Hmp Rochester
20 Jan 2018 16:28 Surgery: MAULINO, Rogelio (Mr) (Nurse Access Role) Entered at: Hmp Rochester
21 Jan 2018 10:30 Surgery: MAULINO, Rogelio (Mr) (Nurse Access Role) Entered at: Entered: 21 Jan 2018 11:02
Hmp Rochester
21 Jan 2018 11:02 Surgery: MAULINO, Rogelio (Mr) (Nurse Access Role) Entered at: Hmp Rochester
21 Jan 2018 12:02 Surgery: MAULINO, Rogelio (Mr) (Nurse Access Role) Entered at: Hmp Rochester
History: Seen in segregation unit (Y0ce3) - Seen in the Seggregation Unit. No complaints, suggested to discuss with
Segg staff should they need to see a member of the healthcare team
21 Jan 2018 16:37 Surgery: MAULINO, Rogelio (Mr) (Nurse Access Role) Entered at: Hmp Rochester
21 Jan 2018 16:37 Surgery: MAULINO, Rogelio (Mr) (Nurse Access Role) Entered at: Hmp Rochester
21 Jan 2018 16:37 Surgery: MAULINO, Rogelio (Mr) (Nurse Access Role) Entered at: Hmp Rochester
22 Jan 2018 09:06 Surgery: DEAN, Antony (Mr) (Nurse Access Role) Entered at: Hmp Rochester
Overview Notes (Y0028) - Seen this morning in segregation unit, he accepted applications and has a good rapport
with the seg staff. No overt concerns today, he should be going to H wing this week.
Seen in segregation unit (Y0ce3)
22 Jan 2018 14:58 Surgery: HOLMAN, Joanna (Admin/Clinical Support Access Role) Entered at: Hmp Rochester
Did not attend smoking cessation clinic (XaIpo) - Unable to see due to not being able to hold clinic due to staffing. No
rading so unable to send products to patient, rebooked for 1 weeks time,
22 Jan 2018 16:15 Surgery: AKISANYA, Adedun (Mrs) (Nurse Access Role) Entered at: Hmp Rochester
22 Jan 2018 16:15 Surgery: AKISANYA, Adedun (Mrs) (Nurse Access Role) Entered at: Hmp Rochester
22 Jan 2018 16:15 Surgery: AKISANYA, Adedun (Mrs) (Nurse Access Role) Entered at: Hmp Rochester
22 Jan 2018 16:15 Surgery: AKISANYA, Adedun (Mrs) (Nurse Access Role) Entered at: Hmp Rochester
23 Jan 2018 07:25 Surgery: TANTON, Karen (Mrs) (Clerical Access Role) Entered at: Hmp Rochester
23 Jan 2018 09:11 Surgery: AKISANYA, Adedun (Mrs) (Nurse Access Role) Entered at: Hmp Rochester
23 Jan 2018 09:11 Surgery: AKISANYA, Adedun (Mrs) (Nurse Access Role) Entered at: Hmp Rochester
23 Jan 2018 11:04 Surgery: DEAN, Antony (Mr) (Nurse Access Role) Entered at: Hmp Rochester
Seen by member of prison inreach mental health team (XaP7x)
Outcome (XaIXy)
Seen on H wing with the wing CM Jade Saunders, saul was on his way to collect medication from new healthcare, he
is settling in well on the wing and is not having any problems so far. he joked that others think he may be a "grass"
because he came from the seg to H wing, but he said he can handle anything thrown his way, clean and well
groomed, looking a little tired, he asked for some Zopiclone, but he has still to collect another two from this
prescription over two weeks. he will ask primary care for this this afternoon.
I will see again soon, he is due to start counselling tomorrow mane in old Healthcare.
Outpatient (Ua0WZ)
23 Jan 2018 16:26 Surgery: TIDY, Michael (Mr) (Nurse Access Role) Entered at: Hmp Rochester
23 Jan 2018 16:26 Surgery: TIDY, Michael (Mr) (Nurse Access Role) Entered at: Hmp Rochester
23 Jan 2018 16:26 Surgery: TIDY, Michael (Mr) (Nurse Access Role) Entered at: Hmp Rochester
24 Jan 2018 10:05 Surgery: WHITE, Emma (Miss) (Nurse Manager) Entered at: Hmp Rochester
24 Jan 2018 10:05 Surgery: WHITE, Emma (Miss) (Health Professional Access Role) Entered at: Hmp Rochester
24 Jan 2018 15:18 Surgery: CORCORAN, Tina (Miss) (Health Professional Access Role) Entered at: Hmp Rochester
Clinic note (XaIgp) - Having the space to talk openly
Clinic note (XaIgp)
Anxiety
Childhood issues
Seen by counsellor (9N2B.)
Clinic note (XaIgp) - Counsellor
Clinic note (XaIgp) - Tina Corcoran
Clinic note (XaIgp) - No current risk of DSH and no current risk of Suicide
Clinic note (XaIgp) - Engaged and talkative
Clinic note (XaIgp) - Mr Turner stated that there are issues with childhood that he would like to go over, also issues
with gambling and feelings of anxiety about the way that he will be when he leaves prison.
Clinic note (XaIgp) - Session 1
24 Jan 2018 16:03 Surgery: WHITE, Emma (Miss) (Nurse Manager) Entered at: Hmp Rochester
24 Jan 2018 16:03 Surgery: WHITE, Emma (Miss) (Health Professional Access Role) Entered at: Hmp Rochester
24 Jan 2018 16:03 Surgery: WHITE, Emma (Miss) (Health Professional Access Role) Entered at: Hmp Rochester
24 Jan 2018 16:03 Surgery: WHITE, Emma (Miss) (Health Professional Access Role) Entered at: Hmp Rochester
25 Jan 2018 09:26 Surgery: AKISANYA, Adedun (Mrs) (Nurse Access Role) Entered at: Hmp Rochester
25 Jan 2018 09:27 Surgery: AKISANYA, Adedun (Mrs) (Nurse Access Role) Entered at: Hmp Rochester
Thu 23 Apr 2020 15:02
Mr Saul Turner "Saul Altel" (A2425AM)
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25 Jan 2018 16:07 Surgery: AKISANYA, Adedun (Mrs) (Nurse Access Role) Entered at: Hmp Rochester
25 Jan 2018 16:07 Surgery: AKISANYA, Adedun (Mrs) (Nurse Access Role) Entered at: Hmp Rochester
25 Jan 2018 16:07 Surgery: AKISANYA, Adedun (Mrs) (Nurse Access Role) Entered at: Hmp Rochester
26 Jan 2018 09:06 Surgery: JACOBS, Sarah (Miss) (Nurse Access Role) Entered at: Hmp Rochester
26 Jan 2018 09:06 Surgery: JACOBS, Sarah (Miss) (Nurse Access Role) Entered at: Hmp Rochester
26 Jan 2018 15:20 Surgery: DEAN, Antony (Mr) (Nurse Access Role) Entered at: Hmp Rochester
Outcome (XaIXy)
Seen o H wing in Cm's office, Saul was asking to see me, this was about the medication he has and he has to attend
the treatment room twice daily for medications, he is wondering when he can have this I/P, I have said he needs to
be off the ACCT for two weeks then he could in theory go onto daily I/P then after further two weeks risk assess and
then if ok weekly i/p, he is keen to engage and is looking forwards to working soon. Application has gone into
stonemasonry and we expect him to start next week. No overt issues at present, and he had started counselling, he
is keen to continue and will go next week, he gets on with the counsellor. No problems on the wing and like the wing
staff.
See again soon.
Seen by member of prison inreach mental health team (XaP7x)
Outpatient (Ua0WZ)
26 Jan 2018 16:23 Surgery: JACOBS, Sarah (Miss) (Nurse Access Role) Entered at: Hmp Rochester
26 Jan 2018 16:23 Surgery: JACOBS, Sarah (Miss) (Nurse Access Role) Entered at: Hmp Rochester
26 Jan 2018 16:23 Surgery: JACOBS, Sarah (Miss) (Nurse Access Role) Entered at: Hmp Rochester
27 Jan 2018 09:14 Surgery: CARD, Lauren (Miss) (Nurse Access Role) Entered at: Hmp Rochester
27 Jan 2018 09:15 Surgery: CARD, Lauren (Miss) (Nurse Access Role) Entered at: Hmp Rochester
27 Jan 2018 16:00 Surgery: CARD, Lauren (Miss) Entered at: Hmp Rochester
Did not attend for HC-Treatments appointment with Miss Lauren Card.
Did not attend (Xa1kG)
27 Jan 2018 16:09 Surgery: CARD, Lauren (Miss) (Nurse Access Role) Entered at: Hmp Rochester
27 Jan 2018 16:09 Surgery: CARD, Lauren (Miss) (Nurse Access Role) Entered at: Hmp Rochester
27 Jan 2018 16:09 Surgery: CARD, Lauren (Miss) (Nurse Access Role) Entered at: Hmp Rochester
28 Jan 2018 10:44 Surgery: CARD, Lauren (Miss) (Nurse Access Role) Entered at: Hmp Rochester
28 Jan 2018 10:44 Surgery: CARD, Lauren (Miss) (Nurse Access Role) Entered at: Hmp Rochester
28 Jan 2018 15:56 Surgery: CARD, Lauren (Miss) (Nurse Access Role) Entered at: Hmp Rochester
28 Jan 2018 15:58 Surgery: CARD, Lauren (Miss) (Nurse Access Role) Entered at: Hmp Rochester
28 Jan 2018 15:58 Surgery: CARD, Lauren (Miss) (Nurse Access Role) Entered at: Hmp Rochester
29 Jan 2018 09:14 Surgery: MOREEA, Yacoob (Mr) (Nurse Access Role) Entered at: Hmp Rochester
29 Jan 2018 09:15 Surgery: MOREEA, Yacoob (Mr) (Nurse Access Role) Entered at: Hmp Rochester
29 Jan 2018 09:19 Surgery: CLIFTON, Hannah (Miss) (Admin/Clinical Support Access Role) Entered at: Hmp
Rochester
Seen by smoking cessation advisor (XaIye) - Attended appt. CO reading 5. Issued with 21mg niquitin patches
(24hr) and 1.5mg mini mint lozenges (2x20pk). Review 1/52, appointment booked.
29 Jan 2018 16:11 Surgery: MOREEA, Yacoob (Mr) (Nurse Access Role) Entered at: Hmp Rochester
29 Jan 2018 16:11 Surgery: MOREEA, Yacoob (Mr) (Nurse Access Role) Entered at: Hmp Rochester
30 Jan 2018 08:51 Surgery: CARD, Lauren (Miss) (Nurse Access Role) Entered at: Hmp Rochester
30 Jan 2018 08:51 Surgery: CARD, Lauren (Miss) (Nurse Access Role) Entered at: Hmp Rochester
30 Jan 2018 15:14 Surgery: SINGH, Sourabh (Dr) (Consultant) Entered at: Hmp Rochester
Outcome (XaIXy)
Tried to see him.
He was not on the wing, and the offciers report that he went to work in Floplast.
No serious concerns about him.
Plan:
1. Reschedule to see him in next available clinic slot
Follow-up psychiatric assessment (6654.)
Clinical administration (Xa4HB)
30 Jan 2018 16:17 Surgery: CARD, Lauren (Miss) (Nurse Access Role) Entered at: Hmp Rochester
30 Jan 2018 16:17 Surgery: CARD, Lauren (Miss) (Nurse Access Role) Entered at: Hmp Rochester
30 Jan 2018 16:17 Surgery: CARD, Lauren (Miss) (Nurse Access Role) Entered at: Hmp Rochester
31 Jan 2018 10:12 Surgery: AKISANYA, Adedun (Mrs) (Nurse Access Role) Entered at: Hmp Rochester
31 Jan 2018 10:12 Surgery: AKISANYA, Adedun (Mrs) (Nurse Access Role) Entered at: Hmp Rochester
31 Jan 2018 12:28 Surgery: CORCORAN, Tina (Miss) (Health Professional Access Role) Entered at: Hmp Rochester
Thu 23 Apr 2020 15:02
Mr Saul Turner "Saul Altel" (A2425AM)
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Clinic note (XaIgp) - Having the space to talk openly
Clinic note (XaIgp)
Anxiety
Childhood issues
Seen by counsellor (9N2B.)
Clinic note (XaIgp) - Counsellor
Clinic note (XaIgp) - Tina Corcoran
Clinic note (XaIgp) - No current risk of DSH and no current risk of suicide
Clinic note (XaIgp) - Engaged and talkative
Clinic note (XaIgp) - Mr Turner stated today that he is unsure of how to feel about his life. He stated that he feels that
he is in a position with his daughter where he would really like to see her but feels that maybe he should not be too
much a part of her life.
Clinic note (XaIgp) - Session 2
31 Jan 2018 16:12 Surgery: AKISANYA, Adedun (Mrs) (Nurse Access Role) Entered at: Hmp Rochester
31 Jan 2018 16:13 Surgery: AKISANYA, Adedun (Mrs) (Nurse Access Role) Entered at: Hmp Rochester
31 Jan 2018 16:13 Surgery: AKISANYA, Adedun (Mrs) (Nurse Access Role) Entered at: Hmp Rochester
31 Jan 2018 16:13 Surgery: AKISANYA, Adedun (Mrs) (Nurse Access Role) Entered at: Hmp Rochester
01 Feb 2018 08:35 Surgery: CARD, Lauren (Miss) (Nurse Access Role) Entered at: Hmp Rochester
01 Feb 2018 08:35 Surgery: CARD, Lauren (Miss) (Nurse Access Role) Entered at: Hmp Rochester
01 Feb 2018 15:56 Surgery: JACOBS, Sarah (Miss) (Nurse Access Role) Entered at: Hmp Rochester
01 Feb 2018 15:56 Surgery: JACOBS, Sarah (Miss) (Nurse Access Role) Entered at: Hmp Rochester
01 Feb 2018 15:56 Surgery: JACOBS, Sarah (Miss) (Nurse Access Role) Entered at: Hmp Rochester
02 Feb 2018 08:34 Surgery: JACOBS, Sarah (Miss) (Nurse Access Role) Entered at: Hmp Rochester
02 Feb 2018 08:35 Surgery: JACOBS, Sarah (Miss) (Nurse Access Role) Entered at: Hmp Rochester
02 Feb 2018 13:44 Surgery: TURPIN, Rachel (Health Professional Access Role) Entered at: Hmp Rochester
Seen by member of prison inreach mental health team (XaP7x)
Outcome (XaIXy) - Seen in grounds on two occasions yesterday- notes entered retrospectively - engaged really well
- reports has been sleeping with asisstance of the medication. dark circles under eyes reducing. Keen to engage in
Stonemasonry course as " i get into trouble when I don't have enough to do "- contact made with ACU and he started
course today.
Outpatient (Ua0WZ)
02 Feb 2018 16:04 Surgery: JACOBS, Sarah (Miss) (Nurse Access Role) Entered at: Hmp Rochester
History: Paracetamol 500mg tablet (di21.) - Box of 16 Paracetamol tablets given for a headache. Two tablets up to
four times a day when required. No more than 8 to be taken in 48 hours and no more than 2 to be taken at any one
time.
02 Feb 2018 16:04 Surgery: JACOBS, Sarah (Miss) (Nurse Access Role) Entered at: Hmp Rochester
02 Feb 2018 16:04 Surgery: JACOBS, Sarah (Miss) (Nurse Access Role) Entered at: Hmp Rochester
03 Feb 2018 09:35 Surgery: WHITE, Emma (Miss) (Nurse Manager) Entered at: Hmp Rochester
03 Feb 2018 09:35 Surgery: WHITE, Emma (Miss) (Health Professional Access Role) Entered at: Hmp Rochester
03 Feb 2018 16:04 Surgery: WHITE, Emma (Miss) (Nurse Manager) Entered at: Hmp Rochester
03 Feb 2018 16:04 Surgery: WHITE, Emma (Miss) (Health Professional Access Role) Entered at: Hmp Rochester
04 Feb 2018 09:20 Surgery: WHITE, Emma (Miss) (Nurse Manager) Entered at: Hmp Rochester
04 Feb 2018 09:21 Surgery: WHITE, Emma (Miss) (Health Professional Access Role) Entered at: Hmp Rochester
04 Feb 2018 16:28 Surgery: WHITE, Emma (Miss) (Nurse Manager) Entered at: Hmp Rochester
04 Feb 2018 16:28 Surgery: WHITE, Emma (Miss) (Health Professional Access Role) Entered at: Hmp Rochester
05 Feb 2018 09:04 Surgery: AKISANYA, Adedun (Mrs) (Nurse Access Role) Entered at: Hmp Rochester
05 Feb 2018 09:05 Surgery: AKISANYA, Adedun (Mrs) (Nurse Access Role) Entered at: Hmp Rochester
05 Feb 2018 11:10 Surgery: CLIFTON, Hannah (Miss) (Admin/Clinical Support Access Role) Entered at: Hmp
Rochester
Smoking cessation advice (Ua1Nz) - No clinic due to staff shortage. 21mg niquitin patches (24hr) and 1.5mg mini
mint lozenges (1x20pk) delivered. Review 1/52, appointment already booked.
05 Feb 2018 15:56 Surgery: WHITE, Emma (Miss) (Nurse Manager) Entered at: Hmp Rochester
05 Feb 2018 15:57 Surgery: WHITE, Emma (Miss) (Health Professional Access Role) Entered at: Hmp Rochester
06 Feb 2018 08:42 Surgery: AKISANYA, Adedun (Mrs) (Nurse Access Role) Entered at: Hmp Rochester
06 Feb 2018 08:43 Surgery: AKISANYA, Adedun (Mrs) (Nurse Access Role) Entered at: Hmp Rochester
06 Feb 2018 16:12 Surgery: AKISANYA, Adedun (Mrs) (Nurse Access Role) Entered at: Hmp Rochester
06 Feb 2018 16:13 Surgery: AKISANYA, Adedun (Mrs) (Nurse Access Role) Entered at: Hmp Rochester
06 Feb 2018 16:13 Surgery: AKISANYA, Adedun (Mrs) (Nurse Access Role) Entered at: Hmp Rochester
07 Feb 2018 09:47 Surgery: AKISANYA, Adedun (Mrs) (Nurse Access Role) Entered at: Hmp Rochester
07 Feb 2018 09:49 Surgery: AKISANYA, Adedun (Mrs) (Nurse Access Role) Entered at: Hmp Rochester
Thu 23 Apr 2020 15:02
Mr Saul Turner "Saul Altel" (A2425AM)
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07 Feb 2018 15:32 Surgery: CORCORAN, Tina (Miss) (Health Professional Access Role) Entered at: Hmp Rochester
Clinic note (XaIgp)
Anxiety
Childhood issues
Seen by counsellor (9N2B.)
Clinic note (XaIgp) - Counsellor
Clinic note (XaIgp) - Having the spaec to talk openly about the way that he is feeling
Clinic note (XaIgp) - No current risk of DSH and no current risk of suicide
Clinic note (XaIgp) - Tina Corcoran
Clinic note (XaIgp) - Session 3
Clinic note (XaIgp) - Engaged and talkative
Clinic note (XaIgp) - Mr Turner stated that he is feeling like he would like to be normal. He states that he has been
reflecting on the session last week and states that he is surprised to find similarities between himself and others who
have been a part of his life. He stated that he would like to continue to be reflective
07 Feb 2018 15:53 Surgery: AKISANYA, Adedun (Mrs) (Nurse Access Role) Entered at: Hmp Rochester
07 Feb 2018 15:54 Surgery: AKISANYA, Adedun (Mrs) (Nurse Access Role) Entered at: Hmp Rochester
07 Feb 2018 15:54 Surgery: AKISANYA, Adedun (Mrs) (Nurse Access Role) Entered at: Hmp Rochester
08 Feb 2018 08:41 Surgery: MOREEA, Yacoob (Mr) (Nurse Access Role) Entered at: Hmp Rochester
08 Feb 2018 08:41 Surgery: MOREEA, Yacoob (Mr) (Nurse Access Role) Entered at: Hmp Rochester
08 Feb 2018 16:27 Surgery: MOREEA, Yacoob (Mr) (Nurse Access Role) Entered at: Hmp Rochester
08 Feb 2018 16:27 Surgery: MOREEA, Yacoob (Mr) (Nurse Access Role) Entered at: Hmp Rochester
09 Feb 2018 08:38 Surgery: CARD, Lauren (Miss) (Nurse Access Role) Entered at: Hmp Rochester
09 Feb 2018 08:39 Surgery: CARD, Lauren (Miss) (Nurse Access Role) Entered at: Hmp Rochester
09 Feb 2018 15:07 Surgery: DEAN, Antony (Mr) (Nurse Access Role) Entered at: Hmp Rochester
Outpatient (Ua0WZ)
Outcome (XaIXy) - Seen on the wing today, Saul stated that he is doing very well and feels the best he's felt in very
long time. The medications appear to be working and he feels that he is on the right amount and combination. We
will book CPA for the spring and he is aware of what this entails. Working in Stonemasons and enjoying it more than
he thought he would.
Seen by member of prison inreach mental health team (XaP7x)
09 Feb 2018 16:27 Surgery: MOREEA, Yacoob (Mr) (Nurse Access Role) Entered at: Hmp Rochester
09 Feb 2018 16:27 Surgery: MOREEA, Yacoob (Mr) (Nurse Access Role) Entered at: Hmp Rochester
09 Feb 2018 16:27 Surgery: MOREEA, Yacoob (Mr) (Nurse Access Role) Entered at: Hmp Rochester
09 Feb 2018 16:28 Surgery: MOREEA, Yacoob (Mr) (Nurse Access Role) Entered at: Hmp Rochester
10 Feb 2018 09:11 Surgery: AKISANYA, Adedun (Mrs) (Nurse Access Role) Entered at: Hmp Rochester
10 Feb 2018 09:12 Surgery: AKISANYA, Adedun (Mrs) (Nurse Access Role) Entered at: Hmp Rochester
10 Feb 2018 16:24 Surgery: AKISANYA, Adedun (Mrs) (Nurse Access Role) Entered at: Hmp Rochester
10 Feb 2018 16:24 Surgery: AKISANYA, Adedun (Mrs) (Nurse Access Role) Entered at: Hmp Rochester
10 Feb 2018 16:24 Surgery: AKISANYA, Adedun (Mrs) (Nurse Access Role) Entered at: Hmp Rochester
11 Feb 2018 09:42 Surgery: CARD, Lauren (Miss) (Nurse Access Role) Entered at: Hmp Rochester
11 Feb 2018 09:43 Surgery: CARD, Lauren (Miss) (Nurse Access Role) Entered at: Hmp Rochester
11 Feb 2018 15:58 Surgery: CARD, Lauren (Miss) (Nurse Access Role) Entered at: Hmp Rochester
11 Feb 2018 15:58 Surgery: CARD, Lauren (Miss) (Nurse Access Role) Entered at: Hmp Rochester
11 Feb 2018 15:59 Surgery: CARD, Lauren (Miss) (Nurse Access Role) Entered at: Hmp Rochester
12 Feb 2018 08:43 Surgery: AKISANYA, Adedun (Mrs) (Nurse Access Role) Entered at: Hmp Rochester
12 Feb 2018 08:44 Surgery: AKISANYA, Adedun (Mrs) (Nurse Access Role) Entered at: Hmp Rochester
12 Feb 2018 09:20 Surgery: CLIFTON, Hannah (Miss) (Admin/Clinical Support Access Role) Entered at: Hmp
Rochester
Seen by smoking cessation advisor (XaIye) - Attended appt. CO reading 3. Issued with 1.5mg mini mint lozenges
(2x20pk). Patient declined patches. Review 1/52, appointment booked.
12 Feb 2018 16:20 Surgery: JACOBS, Sarah (Miss) (Nurse Access Role) Entered at: Hmp Rochester
12 Feb 2018 16:20 Surgery: JACOBS, Sarah (Miss) (Nurse Access Role) Entered at: Hmp Rochester
12 Feb 2018 16:20 Surgery: JACOBS, Sarah (Miss) (Nurse Access Role) Entered at: Hmp Rochester
13 Feb 2018 11:24 Surgery: HARDING, Tim (Clinical Practitioner Access Role) Entered at: Hmp Rochester
Mirtazapine 30mg tablets - 28 tablets - 1 tablet - admin times: 21:00 (Oral)
Stopped 13 Feb 2018 Form, strength, or route change by SINGH, Sourabh (Dr)
Valproic acid 500mg gastro-resistant tablets - 55 tablets - 1 tablet - admin times: 08:45, 16:00 (Oral)
Stopped 13 Feb 2018 End of course by SINGH, Sourabh (Dr)
Custom script: Printed On Tue 13 Feb 2018 11:25 By Tim Harding
13 Feb 2018 15:28 Surgery: SINGH, Sourabh (Dr) (Consultant) Entered at: Hmp Rochester
Thu 23 Apr 2020 15:02
Mr Saul Turner "Saul Altel" (A2425AM)
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Printed
409af26bccb2448dabacd1cf3d115e4f-83
by TURNER, Steven (Mr) (Clerical Access Role)HMP Highdown 83 of 216
Mirtazapine 30mg orodispersible tablets - 28 tablets - [20:00-1] (7 tablets every 7 days) (Future dated medication 14
Feb 2018)
Sodium valproate 500mg gastro-resistant tablets - 56 tablets - [08:00-1][20:00-1] (14 tablets every 7 days) (Future
dated medication 14 Feb 2018)
Custom script: Printed On Tue 13 Feb 2018 15:30 By Dr Sourabh Singh
14 Feb 2018 09:10 Surgery: AKISANYA, Adedun (Mrs) (Nurse Access Role) Entered at: Hmp Rochester
14 Feb 2018 09:14 Surgery: AKISANYA, Adedun (Mrs) (Nurse Access Role) Entered at: Hmp Rochester
14 Feb 2018 09:14 Surgery: AKISANYA, Adedun (Mrs) (Nurse Access Role) Entered at: Hmp Rochester
15 Feb 2018 10:54 Surgery: HARDING, Tim (Clinical Practitioner Access Role) Entered at: Hmp Rochester
History: CYST BEHIND LEFT EAR OCC INFLAMED > REFER MINOR OP
(R) E45 cream (Forum Health Products Ltd) - 500 grams - ao (500 grams every 28 days) (Future dated medication
19 Feb 2018)
E45 cream (Forum Health Products Ltd) - 500 grams - ao
Ended 09 Mar 2018 Patient Deducted
Custom script: Printed On Thu 15 Feb 2018 10:57 By Tim Harding
16 Feb 2018 15:45 Surgery: TIDY, Michael (Mr) (Nurse Access Role) Entered at: Hmp Rochester
History: Code Blue Headcorn wing
Examination: Conscious and orientated. Oxygen saturation at periphery (X770D) 97 % and O/E - pulse rhythm
regular (2431.)90
Diagnosis: Suspected use of spice
Plan: Ambulance stood down. Staff to observe
17 Feb 2018 09:22 Surgery: CARD, Lauren (Miss) Entered at: Hmp Rochester Entered: 17 Feb 2018 16:00
Did not attend for HC-Treatments appointment with Miss Lauren Card.
Did not attend (Xa1kG)
17 Feb 2018 10:01 Surgery: COOPER, Deborah (Miss) (Clerical Access Role) Entered at: Hmp Rochester
Outcome (XaIXy) - Seen at the request of H wing staff with regards to accessing a TV whilst he is on basic following
an incident yesterday in which he was in a cell with 2 others and suspected as under the influence of NPS. Mr Turner
stated that he was fine and no concerns were raised. H wing staff were advised that there was no current mental
health reason evident that he should be allowed his TV whilst on basic.
Seen by member of prison inreach mental health team (XaP7x)
Overview Notes (Y0028) - Seen in MHIRT seg round. Dressed in clean clothes and made appropriate eye contact.
Requested 1 to 1 with MHIRT staff. Attempted to see in cell but he did not want to talk with the door open and an
officer outside so agreed to return later when I could see him in an interview room.
Outpatient (Ua0WZ)
19 Feb 2018 09:01 Surgery: CARD, Lauren (Miss) (Nurse Access Role) Entered at: Hmp Rochester
19 Feb 2018 09:01 Surgery: CARD, Lauren (Miss) (Nurse Access Role) Entered at: Hmp Rochester
19 Feb 2018 09:21 Surgery: CLIFTON, Hannah (Miss) (Admin/Clinical Support Access Role) Entered at: Hmp
Rochester
NICOTINE 1.5mg fresh mint lozenges (du7w.) - 2x20pk
Seen by smoking cessation advisor (XaIye) - Attended appt. CO reading 2. Issued with 1.5mg mini mint lozenges
(2x20pk). Review 1/52, appointment booked.
20 Feb 2018 09:09 Surgery: TURPIN, Rachel (Health Professional Access Role) Entered at: Hmp Rochester
Outpatient (Ua0WZ)
Outcome (XaIXy)
Seen on the wing yesterday on behalf of TD - notes entered retrospectively - engaged really well, reports coping
without TV - seemed embarrassed by spice use and basic. reports feeling odd on H wing- reports that the mayhem is
more what he is used to - reports has one friend on H wing who he really enjoys spending time with.Reports is
enjoying stonemasonry and counselling is a " big help". No risk reported, reports sleep is much improved.
Discussed with officer Doors - who is aware of the considerable risk of self harm or suicide with saul.
Seen by member of prison inreach mental health team (XaP7x)
20 Feb 2018 09:54 Surgery: PEMBLE, Howard (Mr) (Nurse Access Role) Entered at: Hmp Rochester
Seen by member of prison inreach mental health team (XaP7x)
Outcome (XaIXy) - Saul seen as intoxicated on H wing last Friday ? NPS use ? Saul now on BASIC . Wing plan to
move him out of H wing . I have asked Gov Davies to consider giving Mr Turner a chance to redeem himself on H
wing and stay there. Rational I am concerned that a move to another wing may trigger a crisis , further relapse into
NPS use , increased low mood . Gov Davies will speak to both the wing staff and Mr Turner and consider.
Outpatient (Ua0WZ)
20 Feb 2018 16:20 Surgery: CARD, Lauren (Miss) Entered at: Hmp Rochester Entered: 20 Feb 2018 16:48
Did not attend for HC-Treatments appointment with Miss Lauren Card.
Did not attend (Xa1kG)
21 Feb 2018 11:57 Surgery: CORCORAN, Tina (Miss) (Health Professional Access Role) Entered at: Hmp Rochester
Thu 23 Apr 2020 15:02
Mr Saul Turner "Saul Altel" (A2425AM)
Confidential: Personal Data 719 122 2247, 08 Dec 1982
C83
C84
Printed
409af26bccb2448dabacd1cf3d115e4f-84
by TURNER, Steven (Mr) (Clerical Access Role)HMP Highdown 84 of 216
Seen by counsellor (9N2B.)
Clinic note (XaIgp) - Having the space to talk openly
Clinic note (XaIgp) - Counsellor
Clinic note (XaIgp) - Tina Corcoran
Clinic note (XaIgp)
Mr Turner is aware of how to refer back to the service in the future if he would like to.
Clinic note (XaIgp) - No current risk of DSH and no current risk of suicide
Clinic note (XaIgp) - Session 4 (case closed)
Clinic note (XaIgp) - Engaged and talkative
Clinic note (XaIgp) - Mr Turner stated today that he feels that he has had enough counselling for now. He stated that
he is now on the level of medication that he is happy with and he states that this is helping him and making him feel
ok.
21 Feb 2018 12:27 Surgery: MAULINO, Rogelio (Mr) (Nurse Access Role) Entered at: Hmp Rochester
21 Feb 2018 12:27 Surgery: MAULINO, Rogelio (Mr) (Nurse Access Role) Entered at: Hmp Rochester
21 Feb 2018 12:27 Surgery: MAULINO, Rogelio (Mr) (Nurse Access Role) Entered at: Hmp Rochester
22 Feb 2018 16:00 Surgery: TURPIN, Rachel (Health Professional Access Role) Entered at: Hmp Rochester
Seen by member of prison inreach mental health team (XaP7x)
Outcome (XaIXy)
Reports may be able to remain on H wing- but not certain - engaged well, smiling- reports enjoying smiling. reports is
now meds IP and is taking Mirtazapine later so sleep and "hangover" in am is bad so will take at 4pm again. is
engaging with stonemasonry - also will self ref to SLMC and to film workshop to give a break from stonemasonry with
stonemasons permission. No self harm or suicidal thoughts reported. Reports " i havent felt this good for years".
feels medicaiotn is good.
Advised to contact inreach if required and has knowledge of all agenices if needed.
Outpatient (Ua0WZ)
26 Feb 2018 09:30 Surgery: CLIFTON, Hannah (Miss) Entered at: Hmp Rochester Entered: 26 Feb 2018 10:37
Did not attend for HC-Smoking Clinic appointment with Miss Hannah Clifton.
Did not attend (Xa1kG)
26 Feb 2018 10:52 Surgery: DEAN, Antony (Mr) (Nurse Access Role) Entered at: Hmp Rochester
Discussion about a problem (XaA2r) - Telecon-Dean/Coleman
Outpatient (Ua0WZ)
Seen by member of prison inreach mental health team (XaP7x)
Outcome (XaIXy)
Saul is currently on SSI Basic, he has been using spice last week and no longer meets the criteria for staying on H
wing. The wing CM Ms Coleman is potentially looking at moving him off the wing today but the location is not yet
known. he is still currently working in Stonemasonry and doing ok there. He reported last week that he is feeling
good and the medication is the "right level". Sleep is easily attained.
There does however seem to be some self sabotage going on and I note from the entries that he has withdrawn from
Counselling, also that he had used spice and I wonder if he is deliberately trying to get the move off the wing? Mood
state seems to be ok and he is due to see the psychiatrist next on the 13th March.
I will see him again soon.
26 Feb 2018 11:11 Surgery: CARTER, Ellen (Ms) (Admin/Clinical Support Access Role) Entered at: Hmp Rochester
Did not attend smoking cessation clinic (XaIpo) - dna appt wing called letter sent appt rebooked
Did not attend - no reason (XE2NM)
28 Feb 2018 10:17 Surgery: AKISANYA, Adedun (Mrs) (Nurse Access Role) Entered at: Hmp Rochester
28 Feb 2018 10:17 Surgery: AKISANYA, Adedun (Mrs) (Nurse Access Role) Entered at: Hmp Rochester
28 Feb 2018 10:17 Surgery: AKISANYA, Adedun (Mrs) (Nurse Access Role) Entered at: Hmp Rochester
05 Mar 2018 08:45 New Healthcare, Surgery: CARTER, Ellen (Ms) Entered at: Hmp
Rochester
Entered: 05 Mar 2018 09:27
Did not attend for HC-Smoking Clinic appointment with Ms Ellen Carter.
Did not attend (Xa1kG)
05 Mar 2018 13:14 Surgery: CARTER, Ellen (Ms) (Admin/Clinical Support Access Role) Entered at: Hmp Rochester
Did not attend smoking cessation clinic (XaIpo) - dna wing called appt rebooked letter sent
07 Mar 2018 07:30 Surgery: MAULINO, Rogelio (Mr) (Nurse Access Role) Entered at: Hmp Rochester
07 Mar 2018 09:09 Surgery: MAULINO, Rogelio (Mr) (Nurse Access Role) Entered at: Hmp Rochester
07 Mar 2018 09:09
07 Mar 2018 09:09
Surgery: MAULINO, Rogelio (Mr) (Nurse Access Role) Entered at: Hmp Rochester
Surgery: MAULINO, Rogelio (Mr) (Nurse Access Role) Entered at: Hmp Rochester
07 Mar 2018 12:33 Surgery: DEAN, Antony (Mr) (Nurse Access Role) Entered at: Hmp Rochester
Thu 23 Apr 2020 15:02
Mr Saul Turner "Saul Altel" (A2425AM)
Confidential: Personal Data 719 122 2247, 08 Dec 1982
C84
C85
Printed
409af26bccb2448dabacd1cf3d115e4f-85
by TURNER, Steven (Mr) (Clerical Access Role)HMP Highdown 85 of 216
Seen by member of prison inreach mental health team (XaP7x)
Outcome (XaIXy)
Has now lost his place on the enhanced wing H wing and is now residing on D wing, he is sporting a black eye (left)
and he states he got this through falling over whilst under the influence of spice. He is in debt, he reports to the tune
af about £1200, he states that he feels his life is at risk as a result.
I had spoken to OMU yesterday and CM Townsend and OCA have applied to another prison to look at the possibility
of transfer, he agrees he needs to be transferred as his life is at risk if he remains here at Rochester. HMP Stoke
Heath has accepted him as part of an exchange. he will be travelling tomorrow 8th March.
Mental health he is still low in mood but stable at present, he is concordant with medication and this does seem to be
effective. There have been periods where he is using spice and not been taking medication but this is not that often.
He wishes to engage with Inreach at HMP Stoke heath, and I will call them on Friday to discuss his needs and
intervention by counselling if necessary.
Outpatient (Ua0WZ)
08 Mar 2018 12:03 Surgery: BONCHEV, Sevdalin (Dr) (Doctor) Entered at: Hmp Rochester
Mirtazapine 30mg orodispersible tablets - 28 tablets - [21:00-1] (7 tablets every 7 days)
Stopped 14 Mar 2018 End of course by KHAN, Joblu (Dr)
Sodium valproate 500mg gastro-resistant tablets - 56 tablets - [08:00-1][18:00-1] (14 tablets every 7 days)
Stopped 14 Mar 2018 End of course by KHAN, Joblu (Dr)
Custom script: Printed On Thu 08 Mar 2018 12:04 By Dr Sevdalin Bonchev
08 Mar 2018 13:08 Surgery: TURPIN, Rachel (Health Professional Access Role) Entered at: Hmp Rochester
Seen by member of prison inreach mental health team (XaP7x)
Outcome (XaIXy) - seen on the wing and advised that TD wil be advising his new prison f his mental health and
counseling needs tommorow.He had lage black eye- reports was using drugs and woke up on floor with thissuggests
may have banged head on desk. Engaged well - asked about new prison - I was unable to give any details.
Discussed self sabotage and denial of life patterns. No reported thoughts to harm self or others. Pleased to be
leaving Rochester.
Outpatient (Ua0WZ)
09 Mar 2018 12:17 Surgery: OAKLEY, Helen (Mrs) (Clerical Access Role) Entered at: HMYOI Stoke Heath
SystmOne Outgoing Record Sharing consent changed to: No
09 Mar 2018 12:17 Surgery: OAKLEY, Helen (Mrs) (Clerical Access Role) Entered at: HMYOI Stoke Heath
09 Mar 2018 12:17 Surgery: Unknown Staff Member Entered at: HMYOI Stoke Heath
(Admission Med) Mirtazapine 30mg orodispersible tablets - 28 tablets - [21:00-1]
(Admission Med) Mirtazapine 30mg orodispersible tablets - 28 tablets - [20:00-1]
(Admission Med) E45 cream (Forum Health Products Ltd) - 500 grams - ao
(Admission Med) Paracetamol 500mg tablets - 2 tablets - now
(Admission Med) Paracetamol 500mg tablets - 2 tablets - now
(Admission Med) Paracetamol 500mg tablets - 2 tablets - now
(Admission Med) Paracetamol 500mg tablets - 16 tablets - 2 qds
(Admission Med) Paracetamol 500mg tablets - 16 tablets - 2 qds
(Admission Med) Sodium valproate 500mg gastro-resistant tablets - 56 tablets - [08:00-1][18:00-1]
(Admission Med) Sodium valproate 500mg gastro-resistant tablets - 56 tablets - [08:00-1][20:00-1]
09 Mar 2018 12:17 Surgery: OAKLEY, Helen (Mrs) (Clerical Access Role) Entered at: HMYOI Stoke Heath
12 Mar 2018 08:45 New Healthcare, Surgery: CLIFTON, Hannah (Miss) Entered at: Entered: 12 Mar 2018 09:49
Hmp Rochester
Did not attend for HC-Smoking Clinic appointment with Miss Hannah Clifton.
Did not attend (Xa1kG)
12 Mar 2018 20:22 Surgery: NIXON, Sharon (Nurse Access Role) Entered at: HMYOI Stoke Heath
History: Patient seen on G Wing this evening as he did not turn up for his clinic appointment for 1st assessment.
Patient says he did not know about it. Patient tells me he is known to in reach and has medication for his mood
stabilisation. Patient has IP meds and has a few days left. No thoughts of self harm. Patient says he is ok.
Plan: Patient to be seen tomorrow. Will hand over to night staff as no room to fit appointment in tomorrow.
13 Mar 2018 14:27 Surgery: PERKINS, Jane (Pharmacy Technician) Entered at: HMYOI Stoke Heath
14 Mar 2018 09:51 Surgery: ROBERTSON, Maria (Ms) (Nurse Access Role) Entered at: HMYOI Stoke Heath
Review of admission to segregation unit (XaPmi) - No problems expressed by prisoner
14 Mar 2018 10:33 Surgery: OAKLEY, Helen (Mrs) (Clerical Access Role) Entered at: HMYOI Stoke Heath
14 Mar 2018 10:45 Surgery: ROBERTSON, Maria (Ms) (Nurse Access Role) Entered at: HMYOI Stoke Heath
Segregation unit referral for cellular confinement (XaPmd) - Retrospect entry for 13/3/18. Spoke to prisoner as he
was taken from B wing to the SRU. No injuries reported from prisoner none noted by nurse. Saul stated he was fine
to be in the SRU. No problems expressed.
14 Mar 2018 10:47 Surgery: ROBERTSON, Maria (Ms) (Nurse Access Role) Entered at: HMYOI Stoke Heath
Thu 23 Apr 2020 15:02
Mr Saul Turner "Saul Altel" (A2425AM)
Confidential: Personal Data 719 122 2247, 08 Dec 1982
C85
Printed
409af26bccb2448dabacd1cf3d115e4f-86
by TURNER, Steven (Mr) (Clerical Access Role)HMP Highdown 86 of 216
Seen by nurse (XaATp) - Retrospect entry for 13/3/18. Seen prisoner in the SRU from B wing no injuries reported by
prisoner none noted by nurse. 213 completed.
14 Mar 2018 11:21 Surgery: KHAN, Joblu (Dr) (General Medical Practitioner) Entered at: HMYOI Stoke Heath
History: Medication requested (8B3H.)
Tue 13 Mar 14:29 - PERKINS, Jane
Repeat WEEKLY prescription reqiured for sodium valporate 500mg g/r and mirtazapine 30mg orodispersible.
Plan: Na Val off label
(R) Mirtazapine 30mg tablets - 1 pack of 28 tablet(s) - One to be taken daily (7 tablets every 7 days) (Future dated
medication 16 Mar 2018)
Stopped 16 Mar 2018 End of course by KHAN, Joblu (Dr)
(R) Sodium valproate 500mg gastro-resistant tablets - 56 tablets - To be taken Twice Daily (14 tablets every 7 days)
(Future dated medication 16 Mar 2018)
Stopped 16 Mar 2018 End of course by KHAN, Joblu (Dr)
Mirtazapine 30mg tablets - 1 pack of 28 tablet(s) - One to be taken daily
Ended 25 Apr 2018 Patient Deducted
Sodium valproate 500mg gastro-resistant tablets - 56 tablets - To be taken Twice Daily
Ended 19 Apr 2018 End of course by APPLEFORD, James (Dr)
Custom script: Printed On Wed 14 Mar 2018 11:27 By Dr Joblu Khan
14 Mar 2018 11:46 Surgery: WISE, Charlotte (Occupational Therapist) Entered at: HMYOI Stoke Heath
SystmOne Incoming Record Sharing consent changed to: Not asked - Record not shared
14 Mar 2018 11:46 Surgery: WISE, Charlotte (Occupational Therapist) Entered at: HMYOI Stoke Heath
History: Community mental health team (Ua0um)
Examination: Task recieved from Dr Khan, GP re: transfer of care
Transferred from HMP Rochester - no handover recieved yet
Reviewing system one
It appears Saul had contact with in-reach mental health team - various entries from different professionals
C86
It appears he has been using substances recently - entry from 8th March highlights he has a black eye and woke up
on his floor, suggesting he fell over and banged head on desk
No thoughts of self-harm or harm to others noted
7th March - Recently lost place on enhanced wing due to being under the influence of spice, in debt and there were
concerns his life would be at risk if he was not transferred
Mental health - low in mood, but stable, compliant with medication but not effective. He is keen to engage with
in-reach at Stoke heath.
PLAN
To discuss in clinical team meeting on Thursday 15th March as a transfer of care
14 Mar 2018 14:00 Surgery: COLLEY, Dianne (Nurse) Entered at: HMYOI Stoke
Heath
Entered: 15 Mar 2018 06:43
Did not attend for Triage and Assessment Clinic appointment with Nurse Dianne Colley.
Did not attend (Xa1kG)
15 Mar 2018 Surgery: RIDGWAY, Gemma (Mrs) (Administrator) Entered at:
HMYOI Stoke Heath
Entered: 21 Mar 2018 09:54
Miscellaneous to HCC
15 Mar 2018 Surgery: RIDGWAY, Gemma (Mrs) (Administrator) Entered at:
HMYOI Stoke Heath
Entered: 21 Mar 2018 09:55
Admission to segregation unit (XaPma) - ALGORITHM (Ongoing Episode)
15 Mar 2018 18:24 Surgery: NIXON, Sharon (Nurse Access Role) Entered at: HMYOI Stoke Heath
16 Mar 2018 08:57 Surgery: KHAN, Joblu (Dr) (General Medical Practitioner) Entered at: HMYOI Stoke Heath
History: Medication review done (XaF8d)
Thu 15 Mar 18:25 - NIXON, Sharon (Nurse)
Please can this patient have his meds changed to not IP as he is on the SAU
thanks
Sodium valproate 500mg gastro-resistant tablets - 1 pack of 100 tablet(s) - 1 tablet - admin times: 07:45, 16:00 (Oral)
Mirtazapine 30mg tablets - 1 pack of 28 tablet(s) - 1 tablet - admin times: 16:00 (Oral)
Custom script: Printed On Fri 16 Mar 2018 08:59 By Dr Joblu Khan
16 Mar 2018 09:48
16 Mar 2018 09:49
Surgery: ROBERTSON, Alina (Miss) (Nurse Access Role) Entered at: HMYOI Stoke Heath
Surgery: ROBERTSON, Alina (Miss) (Nurse Access Role) Entered at: HMYOI Stoke Heath
16 Mar 2018 09:50 Surgery: ROBERTSON, Alina (Miss) (Nurse Access Role) Entered at: HMYOI Stoke Heath
Thu 23 Apr 2020 15:02
Mr Saul Turner "Saul Altel" (A2425AM)
Confidential: Personal Data 719 122 2247, 08 Dec 1982
C86
C87
Printed
409af26bccb2448dabacd1cf3d115e4f-87
by TURNER, Steven (Mr) (Clerical Access Role)HMP Highdown 87 of 216
Review of admission to segregation unit (XaPmi)
Overview Notes (Y0028) - Seen by nurse, reporting concerns that he should be on medication. G.P has prescribed
this medication and this has been completed. due to have reception screen completed today.
16 Mar 2018 10:05 Surgery: COLLEY, Dianne (Nurse) Entered at: HMYOI Stoke Entered: 16 Mar 2018 14:40
Heath
No access visit for Triage and Assessment Clinic appointment with Nurse Dianne Colley
Home visit - no reply (9NFC.)
16 Mar 2018 10:05 Surgery: HUMPHRIES, Emma L (Health Professional Access Role) Entered at: HMYOI Stoke
Heath
16 Mar 2018 15:38 Surgery: WISE, Charlotte (Occupational Therapist) Entered at: HMYOI Stoke Heath
History: Community mental health team (Ua0um)
Examination: RETROSPECTIVE ENTRY FROM 15TH MARCH 2018
Clinical Team meeting – 15th March 2018
Present - Julie Roper (chair, CPN), Sandra Douglas (team leader), Charlotte Wise (OT), Beth Cole (CPN), Wendy
Sweeney (HCC manager), Paul Fountaine (social worker), Dr Appleford (psychiatrist). Apologises – substance
misuse team
Saul was discussed at the meeting yesterday, following a transfer from HMP Rochester
Within the meeting, limited information available and no handover received from HMP Rochester
It was decided to discuss again next week when information has been gathered and a handover has been received
whether he has been under primary or secondary mental health services
Telephone call made to HMP Rochester on 01634 803100 – spoke to someone from switchboard they were unable
to put me through to someone in the mental health team
Reviewing notes – engaging in counselling until 21st February 2018 – he decided to stop engaging in the
intervention, substance misuse – using NPS and is in debt, mentions in the notes around self-sabotage to move off
enhanced wing, Saul was due to see a psychiatrist on 13th March however transferred on 9th March, last seen
psychiatrist on 20th December 2017.
Diagnosis – impression: double depression (recurrent depressive disorder on a background of dysthymia) with
co-morbid cannabis/spice misuse (taken from entry on 20th December 2017)
Medication – Sodium Valproate 500mg (BD), Mirtazapine 30mg (PM)
It appears Saul was under the in-reach team from the notes and has seen a psychiatrist where the plan was to
engage with the in-reach team – to continue to attempt to make contact with the mental health team
16 Mar 2018 17:07 Surgery: BAILEY, Martyn (Mr) (Nurse Access Role) Entered at: HMYOI Stoke Heath
16 Mar 2018 17:07
16 Mar 2018 17:08
Surgery: BAILEY, Martyn (Mr) (Nurse Access Role) Entered at: HMYOI Stoke Heath
Surgery: BAILEY, Martyn (Mr) (Nurse Access Role) Entered at: HMYOI Stoke Heath
17 Mar 2018 00:23 Surgery: JACKSON, Melanie (Mrs) (Admin/Clinical Support Access Role) Entered at: HMYOI
Stoke Heath
17 Mar 2018 00:46 Surgery: JACKSON, Melanie (Mrs) (Admin/Clinical Support Access Role) Entered at: HMYOI
Stoke Heath
17 Mar 2018 09:38 Surgery: COLLEY, Dianne (Nurse) (Nurse Access Role) Entered at: HMYOI Stoke Heath
17 Mar 2018 09:38 Surgery: COLLEY, Dianne (Nurse) (Nurse Access Role) Entered at: HMYOI Stoke Heath
17 Mar 2018 17:08 Surgery: BIBBY, Lynn (Ms) (Nurse Access Role) Entered at: HMYOI Stoke Heath
17 Mar 2018 17:09 Surgery: BIBBY, Lynn (Ms) (Nurse Access Role) Entered at: HMYOI Stoke Heath
17 Mar 2018 17:09 Surgery: BIBBY, Lynn (Ms) (Nurse Access Role) Entered at: HMYOI Stoke Heath
17 Mar 2018 22:35 Surgery: JACKSON, Melanie (Mrs) (Admin/Clinical Support Access Role) Entered at: HMYOI
Stoke Heath
17 Mar 2018 22:45 Surgery: JACKSON, Melanie (Mrs) (Admin/Clinical Support Access Role) Entered at: HMYOI
Stoke Heath
18 Mar 2018 09:18 Surgery: COLLEY, Dianne (Nurse) (Nurse Access Role) Entered
at: HMYOI Stoke Heath
Entered: 18 Mar 2018 14:18
18 Mar 2018 09:30 Surgery: COLLEY, Dianne (Nurse) Entered at: HMYOI Stoke
Heath
Entered: 18 Mar 2018 21:22
Did not attend for Triage and Assessment Clinic appointment with Nurse Dianne Colley.
Did not attend (Xa1kG)
18 Mar 2018 14:17
18 Mar 2018 16:21
Surgery: COLLEY, Dianne (Nurse) (Nurse Access Role) Entered at: HMYOI Stoke Heath
Surgery: COLLEY, Dianne (Nurse) (Nurse Access Role) Entered at: HMYOI Stoke Heath
18 Mar 2018 16:21 Surgery: COLLEY, Dianne (Nurse) (Nurse Access Role) Entered at: HMYOI Stoke Heath
Thu 23 Apr 2020 15:02
Mr Saul Turner "Saul Altel" (A2425AM)
Confidential: Personal Data 719 122 2247, 08 Dec 1982
C87
C88
Printed
409af26bccb2448dabacd1cf3d115e4f-88
by TURNER, Steven (Mr) (Clerical Access Role)HMP Highdown 88 of 216
18 Mar 2018 16:21 Surgery: COLLEY, Dianne (Nurse) (Nurse Access Role) Entered at: HMYOI Stoke Heath
18 Mar 2018 22:16 Surgery: PRITCHARD, Bridie (Admin/Clinical Support Access Role) Entered at: HMYOI Stoke
Heath
18 Mar 2018 23:50 Surgery: PRITCHARD, Bridie (Admin/Clinical Support Access Role) Entered at: HMYOI Stoke
Heath
19 Mar 2018 10:37 Surgery: DANIELS, Sara (Mrs) (Nurse Access Role) Entered at: Entered: 20 Mar 2018 10:37
HMYOI Stoke Heath
19 Mar 2018 14:07 Surgery: COLLEY, Dianne (Nurse) Entered at: HMYOI Stoke Entered: 20 Mar 2018 03:42
Heath
Did not attend for Triage and Assessment Clinic appointment with Nurse Dianne Colley.
Did not attend (Xa1kG)
19 Mar 2018 17:39 Surgery: EDE, Michelle (Miss) (Nurse Access Role) Entered at: HMYOI Stoke Heath
19 Mar 2018 17:39 Surgery: EDE, Michelle (Miss) (Nurse Access Role) Entered at: HMYOI Stoke Heath
19 Mar 2018 17:40 Surgery: EDE, Michelle (Miss) (Nurse Access Role) Entered at: HMYOI Stoke Heath
19 Mar 2018 22:55 Surgery: PRITCHARD, Bridie (Admin/Clinical Support Access Role) Entered at: HMYOI Stoke
Heath
20 Mar 2018 01:32 Surgery: PRITCHARD, Bridie (Admin/Clinical Support Access Role) Entered at: HMYOI Stoke
Heath
20 Mar 2018 10:36 Surgery: DANIELS, Sara (Mrs) (Nurse Access Role) Entered at: HMYOI Stoke Heath
20 Mar 2018 10:36 Surgery: DANIELS, Sara (Mrs) (Nurse Access Role) Entered at: HMYOI Stoke Heath
20 Mar 2018 18:07 Surgery: DANIELS, Sara (Mrs) (Nurse Access Role) Entered at: HMYOI Stoke Heath
20 Mar 2018 18:07 Surgery: DANIELS, Sara (Mrs) (Nurse Access Role) Entered at: HMYOI Stoke Heath
20 Mar 2018 18:07 Surgery: DANIELS, Sara (Mrs) (Nurse Access Role) Entered at: HMYOI Stoke Heath
20 Mar 2018 21:58 Surgery: PRITCHARD, Bridie (Admin/Clinical Support Access Role) Entered at: HMYOI Stoke
Heath
20 Mar 2018 23:25 Surgery: PRITCHARD, Bridie (Admin/Clinical Support Access Role) Entered at: HMYOI Stoke
Heath
21 Mar 2018 01:00 Surgery: PRITCHARD, Bridie (Admin/Clinical Support Access Role) Entered at: HMYOI Stoke
Heath
Clinic Letter to Mr Saul Turner
21 Mar 2018 10:21 Surgery: OAKLEY, Helen (Mrs) (Clerical Access Role) Entered at: HMYOI Stoke Heath
21 Mar 2018 12:17 Surgery: EDE, Michelle (Miss) (Nurse Access Role) Entered at: HMYOI Stoke Heath
21 Mar 2018 12:17 Surgery: EDE, Michelle (Miss) (Nurse Access Role) Entered at: HMYOI Stoke Heath
21 Mar 2018 13:06 Surgery: FRANKE, Theodorus (General Medical Practitioner) Entered at: HMYOI Stoke Heath
Plan: Seen in CSU - no issues
21 Mar 2018 16:13 Surgery: BAILEY, Martyn (Mr) (Nurse Access Role) Entered at: HMYOI Stoke Heath
21 Mar 2018 16:13 Surgery: BAILEY, Martyn (Mr) (Nurse Access Role) Entered at: HMYOI Stoke Heath
21 Mar 2018 16:13 Surgery: BAILEY, Martyn (Mr) (Nurse Access Role) Entered at: HMYOI Stoke Heath
21 Mar 2018 22:53 Surgery: PRITCHARD, Bridie (Admin/Clinical Support Access Role) Entered at: HMYOI Stoke
Heath
21 Mar 2018 22:56 Surgery: PRITCHARD, Bridie (Admin/Clinical Support Access Role) Entered at: HMYOI Stoke
Heath
22 Mar 2018 Surgery: RIDGWAY, Gemma (Mrs) (Administrator) Entered at:
HMYOI Stoke Heath
Entered: 26 Mar 2018 14:21
Consent Form to hcc
22 Mar 2018 Surgery: RIDGWAY, Gemma (Mrs) (Administrator) Entered at:
HMYOI Stoke Heath
Entered: 26 Mar 2018 14:22
Consent obtained (Y001d) - consent to share info and medication compact (Ongoing Episode)
22 Mar 2018 00:45 Surgery: PRITCHARD, Bridie (Admin/Clinical Support Access Role) Entered at: HMYOI Stoke
Heath
22 Mar 2018 10:18 Surgery: PRICE, Linda (Mrs) (Nurse Access Role) Entered at: HMYOI Stoke Heath
22 Mar 2018 10:19 Surgery: PRICE, Linda (Mrs) (Nurse Access Role) Entered at: HMYOI Stoke Heath
22 Mar 2018 15:02 Surgery: NIXON, Sharon (Nurse Access Role) Entered at: HMYOI Stoke Heath
History: Patient seen on the segregation unit for his first reception screen. Unable to acess the first screen template
as i accidently clicked off it when i was looking a patient history. Patient has c/o a cyst behind his left ear. He says he
would like to see a GP to be referred for removal of it. Appointment made.
Chlamydia test offered (XaLHg)
Chlamydia screening declined (XaJdS)
Herpes zoster vaccination invitation (XaasI)
Herpes zoster vaccination declined (Xaa9j)
Thu 23 Apr 2020 15:02
Mr Saul Turner "Saul Altel" (A2425AM)
Confidential: Personal Data 719 122 2247, 08 Dec 1982
C88
C89
Printed
409af26bccb2448dabacd1cf3d115e4f-89
by TURNER, Steven (Mr) (Clerical Access Role)HMP Highdown 89 of 216
Hepatitis C screening counselling (XaLTu)
Hepatitis C screening offered (XaLDh)
Screening offered (6812.)
Gonorrhoea screening declined (XaLHo)
Seasonal influenza vaccination declined (XaZ0i)
Meningitis C vaccination offered (XaQGB)
Booster meningitis C vaccination declined (XaaXb)
Has no outstanding hospital/ Doctors appointments (Y07f8)
Family history unknown (XaJ2K)
Hep B Vacc - immunised already (Y075d)
Hep B Vacc - offered and refused (Y075b)
Measles mumps rubella catch-up vaccination invitation (XaQPt)
Measles mumps rubella vaccination declined (XaLkV)
Screening (XE1TS)
Referral to smoking cessation service declined (XaaDx)
Attended new patient screening (9OW1.)
Ex-smoker (Ub1na)
Body mass index - observation (22K..) 20.96 Kg/m²
O/E - weight (22A..) 62 Kg (9 st 11 lb)
O/E - height (229..) 1.72 m (5 ' 8 ")
Pulse (XaIBo) 73 bpm
HIV screening declined (XaLI7)
Hepatitis B screening counselling (XaLTv)
HIV screening counselling (XaLIE)
HIV test offered (XaDvy)
Hepatitis C screening declined (XaLNE)
Patient given advice (8CA..) - Patient says he has h/o depression and his medications are working well for him.
Second Reception Screening (Y0da6)
Referral to mental health team (XaIPw) - Patient alresdy known to the mental health team at Stoke Heath prison.
Hepatitis B screening offered (XaLFK)
Hepatitis B screening declined (XaLND)
118 / 69 mmHg
22 Mar 2018 15:03 Surgery: PRICE, Linda (Mrs) (Nurse Access Role) Entered at: HMYOI Stoke Heath
22 Mar 2018 16:01 Surgery: TURPIN, Rachel (Health Professional Access Role) Entered at: Hmp Rochester
Outpatient (Ua0WZ)
Seen by member of prison inreach mental health team (XaP7x)
Outcome (XaIXy) - Discussed with Charlotte White from Stoke heath prison- update given.
22 Mar 2018 16:06 Surgery: ROBERTSON, Alina (Miss) (Nurse Access Role) Entered at: HMYOI Stoke Heath
22 Mar 2018 16:07 Surgery: WISE, Charlotte (Occupational Therapist) Entered at: HMYOI Stoke Heath
History: Community mental health team (Ua0um)
Examination: Clinical Team Meeting – 23rd March 2018
Present – Charlotte Wise (chair, OT), Beth Cole (CPN), Jill Crawley (IDTS nurse), Linda Price (Primary mental health
team)
Apologises – Paul Fountaine (social worker), Julie Roper (CPN), Sandra Douglas (CPN, team leader), Dr Appleford
(psychiatrist)
Handover telephone call with HMP Rochester – 01634 803122, spoke to Rachel Turpin
Saul was under secondary care in HMP Rochester
Diagnosis – double depression (taken from psychiatrist clinic in December 2017)
Medication – Sodium Valproate and Mirtazapine has been effect
Rachel reported he had been engaging in counselling, however disengaged, keen for him to continue this at Stoke
Heath, I have placed him on the waiting list for counselling – 34th on the list, current wait around 28 weeks
Rachel discussed Saul goes through phases of using NPS, self-sabotage and engaging with services, wanting to do
well.
She reported he is reluctant to state he is depressed and this is often indicated by large dark circles under his eyes,
as he stops sleeping.
Large amounts of time spent in SRU – reviewing notes, Rachel reported he had been in SRU between Jan 17 – May
17 and Dec 17 – Jan 18.
RISK – has made serious self-harm attempts, she reported he had managed to smuggle a blade through visits at
one point so he could end his own life
Transferred out of HMP Rochester as his life was at risk due to increased debt
Thu 23 Apr 2020 15:02
Mr Saul Turner "Saul Altel" (A2425AM)
Confidential: Personal Data 719 122 2247, 08 Dec 1982
C89
C90
Printed
409af26bccb2448dabacd1cf3d115e4f-90
by TURNER, Steven (Mr) (Clerical Access Role)HMP Highdown 90 of 216
Saul was discussed in the meeting today, transferred from HMP Rochester – no handover received. Reviewing the
notes, he saw a psychiatrist in December 2017 and appears to be under the in-reach team.
Telephone call to SRU where Saul currently resides, concerns raised from officers that he appears low in mood and
would benefit from seeing someone from the mental health team. Beth Cole (CPN) agreed to out-reach him.
PLAN
To discuss with Beth Cole (CPN) on her return from SRU - reviewed mood and mental state, agreed to remain on
waiting list at this time. Beth to complete a full entry in due course. No increased risk factors noted. Beth agreed
to out-reach next week whilst on SRU to monitor mood and mental state. Saul is aware is will not be allocated to an
in-reach worker at this time.
22 Mar 2018 16:37 Surgery: ROBERTSON, Alina (Miss) (Nurse Access Role) Entered at: HMYOI Stoke Heath
22 Mar 2018 16:37 Surgery: ROBERTSON, Alina (Miss) (Nurse Access Role) Entered at: HMYOI Stoke Heath
22 Mar 2018 16:38 Surgery: ROBERTSON, Alina (Miss) (Nurse Access Role) Entered at: HMYOI Stoke Heath
22 Mar 2018 17:59 Surgery: JACKSON, Melanie (Mrs) (Admin/Clinical Support Access Role) Entered at: HMYOI
Stoke Heath
23 Mar 2018 07:38 Surgery: COLLEY, Dianne (Nurse) (Nurse Access Role) Entered at: HMYOI Stoke Heath
23 Mar 2018 10:57 Surgery: COLLEY, Dianne (Nurse) (Nurse Access Role) Entered at: HMYOI Stoke Heath
23 Mar 2018 10:57 Surgery: COLLEY, Dianne (Nurse) (Nurse Access Role) Entered at: HMYOI Stoke Heath
23 Mar 2018 13:38 Surgery: COLE, Elizabeth (Ms) (Nurse Access Role) Entered at: HMYOI Stoke Heath
Community mental health team (Ua0um)
I visited Saul in SRU yesterday, in order to conduct a welfare check and inform him that he is currently on our waiting
list. Saul presented as pleasant and co operative, he gave an account of being under in reach at his previous prison,
and having weekly supportive appointments with his worker. Saul stated that he knew his diagnosis to be Dysthymia
with additional depressive eisodes, or 'double depression.' He stated that the medication he is currently on is helpful.
Saul identified that he has previously had issues with NPS, although does not see himself as a drug addict, and he
shows insight into the harmful effects of NPS. Saul stated that outside of prison, he does not take drugs, but has a
gambling problem. He tells me that he prefers to be in segregation, and feels that this is a good way to stay away
from drugs. He also has no desire to associate with other prisoners. Saul did not appear obviously low in mood, he
denies any feelings of self harm or suicide. He stated he has tried to cut his wrist in the past, but this was specifically
intended to be sucide, and staed that he is 'not a self harmer.'
I explained to Saul that he was currently on our waiting list, and that I would out reach him again next week. He is
happy to recieve in reach input.
SRU officers tell me that Saul does not speak to them but is not a management problem.
23 Mar 2018 14:29 Surgery: JACKSON, Melanie (Mrs) (Admin/Clinical Support Access Role) Entered at: HMYOI
Stoke Heath
23 Mar 2018 14:47 Surgery: JACKSON, Melanie (Mrs) (Admin/Clinical Support Access Role) Entered at: HMYOI
Stoke Heath
23 Mar 2018 17:33 Surgery: PRICE, Linda (Mrs) (Nurse Access Role) Entered at: HMYOI Stoke Heath
23 Mar 2018 17:33 Surgery: PRICE, Linda (Mrs) (Nurse Access Role) Entered at: HMYOI Stoke Heath
23 Mar 2018 17:33 Surgery: PRICE, Linda (Mrs) (Nurse Access Role) Entered at: HMYOI Stoke Heath
24 Mar 2018 10:00 Surgery: PEARCE, Eirian (Nurse Access Role) Entered at: HMYOI Stoke Heath
24 Mar 2018 16:37 Surgery: BIBBY, Lynn (Ms) (Nurse Access Role) Entered at: HMYOI Stoke Heath
24 Mar 2018 16:38 Surgery: BIBBY, Lynn (Ms) (Nurse Access Role) Entered at: HMYOI Stoke Heath
24 Mar 2018 16:38 Surgery: BIBBY, Lynn (Ms) (Nurse Access Role) Entered at: HMYOI Stoke Heath
24 Mar 2018 16:38 Surgery: BIBBY, Lynn (Ms) (Nurse Access Role) Entered at: HMYOI Stoke Heath
24 Mar 2018 22:31 Surgery: JACKSON, Melanie (Mrs) (Admin/Clinical Support Access Role) Entered at: HMYOI
Stoke Heath
25 Mar 2018 00:43 Surgery: JACKSON, Melanie (Mrs) (Admin/Clinical Support Access Role) Entered at: HMYOI
Stoke Heath
25 Mar 2018 17:28 Surgery: PEARCE, Eirian (Nurse Access Role) Entered at: HMYOI Stoke Heath
25 Mar 2018 17:28 Surgery: PEARCE, Eirian (Nurse Access Role) Entered at: HMYOI Stoke Heath
25 Mar 2018 17:28 Surgery: PEARCE, Eirian (Nurse Access Role) Entered at: HMYOI Stoke Heath
25 Mar 2018 17:58 Surgery: EDE, Michelle (Miss) (Nurse Access Role) Entered at: HMYOI Stoke Heath
25 Mar 2018 17:58 Surgery: EDE, Michelle (Miss) (Nurse Access Role) Entered at: HMYOI Stoke Heath
26 Mar 2018 09:51 Surgery: ROBERTSON, Maria (Ms) (Nurse Access Role) Entered at: HMYOI Stoke Heath
26 Mar 2018 09:51 Surgery: ROBERTSON, Maria (Ms) (Nurse Access Role) Entered at: HMYOI Stoke Heath
26 Mar 2018 09:53 Surgery: ROBERTSON, Maria (Ms) (Nurse Access Role) Entered at: HMYOI Stoke Heath
Review of admission to segregation unit (XaPmi) - No problems expressed.
26 Mar 2018 10:44 Surgery: ROBERTSON, Maria (Ms) (Nurse Access Role) Entered at: HMYOI Stoke Heath
26 Mar 2018 16:45 Surgery: ROBERTSON, Maria (Ms) (Nurse Access Role) Entered at: HMYOI Stoke Heath
26 Mar 2018 16:46 Surgery: ROBERTSON, Maria (Ms) (Nurse Access Role) Entered at: HMYOI Stoke Heath
Thu 23 Apr 2020 15:02
Mr Saul Turner "Saul Altel" (A2425AM)
Confidential: Personal Data 719 122 2247, 08 Dec 1982
C90
C91
Printed
409af26bccb2448dabacd1cf3d115e4f-91
by TURNER, Steven (Mr) (Clerical Access Role)HMP Highdown 91 of 216
26 Mar 2018 16:46 Surgery: ROBERTSON, Maria (Ms) (Nurse Access Role) Entered at: HMYOI Stoke Heath
27 Mar 2018 00:46 Surgery: STANIER-FILIP, Paul (Mr) (Admin/Clinical Support Access Role) Entered at: HMYOI
Stoke Heath
27 Mar 2018 00:57 Surgery: STANIER-FILIP, Paul (Mr) (Admin/Clinical Support Access Role) Entered at: HMYOI
Stoke Heath
27 Mar 2018 14:51 Surgery: ROBERTSON, Alina (Miss) (Nurse Access Role) Entered at: HMYOI Stoke Heath
Overview Notes (Y0028)
Seen in the SRU no concerns raised.
Review of admission to segregation unit (XaPmi)
27 Mar 2018 14:51 Surgery: ROBERTSON, Alina (Miss) (Nurse Access Role) Entered at: HMYOI Stoke Heath
27 Mar 2018 15:37
27 Mar 2018 17:24
Surgery: ROBERTSON, Alina (Miss) (Nurse Access Role) Entered at: HMYOI Stoke Heath
Surgery: ROBERTSON, Alina (Miss) (Nurse Access Role) Entered at: HMYOI Stoke Heath
27 Mar 2018 17:24 Surgery: ROBERTSON, Alina (Miss) (Nurse Access Role) Entered at: HMYOI Stoke Heath
27 Mar 2018 17:24 Surgery: ROBERTSON, Alina (Miss) (Nurse Access Role) Entered at: HMYOI Stoke Heath
27 Mar 2018 21:53 Surgery: JACKSON, Melanie (Mrs) (Admin/Clinical Support Access Role) Entered at: HMYOI
Stoke Heath
27 Mar 2018 22:06 Surgery: JACKSON, Melanie (Mrs) (Admin/Clinical Support Access Role) Entered at: HMYOI
Stoke Heath
28 Mar 2018 09:27 Surgery: BAILEY, Martyn (Mr) (Nurse Access Role) Entered at: HMYOI Stoke Heath
28 Mar 2018 09:27
28 Mar 2018 09:46
Surgery: BAILEY, Martyn (Mr) (Nurse Access Role) Entered at: HMYOI Stoke Heath
Surgery: BAILEY, Martyn (Mr) (Nurse Access Role) Entered at: HMYOI Stoke Heath
Seen in segregation unit (Y0ce3) - medication given as per prescription. nohealth issues to raise.
28 Mar 2018 16:10
28 Mar 2018 16:10
Surgery: BAILEY, Martyn (Mr) (Nurse Access Role) Entered at: HMYOI Stoke Heath
Surgery: BAILEY, Martyn (Mr) (Nurse Access Role) Entered at: HMYOI Stoke Heath
28 Mar 2018 16:10 Surgery: BAILEY, Martyn (Mr) (Nurse Access Role) Entered at: HMYOI Stoke Heath
29 Mar 2018 00:28 Surgery: JACKSON, Melanie (Mrs) (Admin/Clinical Support Access Role) Entered at: HMYOI
Stoke Heath
29 Mar 2018 01:20 Surgery: JACKSON, Melanie (Mrs) (Admin/Clinical Support Access Role) Entered at: HMYOI
Stoke Heath
29 Mar 2018 09:15 Surgery: EDE, Michelle (Miss) (Nurse Access Role) Entered at: HMYOI Stoke Heath
29 Mar 2018 09:16 Surgery: EDE, Michelle (Miss) (Nurse Access Role) Entered at: HMYOI Stoke Heath
29 Mar 2018 15:53 Surgery: COLE, Elizabeth (Ms) (Nurse Access Role) Entered at: HMYOI Stoke Heath
Community mental health team (Ua0um) - Visited Saul in SRU today. He appears settled. Saul reports that he is
hoping to be transferred back 'cown south' soon. Adcised Saul that if he is still here, I have booked him an
appointment to see me on 10/04/18. Saul was happy with this and stated he had no immediate mental health
concerns.
29 Mar 2018 18:11
29 Mar 2018 18:12
Surgery: EDE, Michelle (Miss) (Nurse Access Role) Entered at: HMYOI Stoke Heath
Surgery: EDE, Michelle (Miss) (Nurse Access Role) Entered at: HMYOI Stoke Heath
29 Mar 2018 18:12 Surgery: EDE, Michelle (Miss) (Nurse Access Role) Entered at: HMYOI Stoke Heath
30 Mar 2018 00:35 Surgery: JACKSON, Melanie (Mrs) (Admin/Clinical Support Access Role) Entered at: HMYOI
Stoke Heath
30 Mar 2018 01:01 Surgery: JACKSON, Melanie (Mrs) (Admin/Clinical Support Access Role) Entered at: HMYOI
Stoke Heath
30 Mar 2018 11:24 Surgery: BAILEY, Martyn (Mr) (Nurse Access Role) Entered at: HMYOI Stoke Heath
30 Mar 2018 11:24 Surgery: BAILEY, Martyn (Mr) (Nurse Access Role) Entered at: HMYOI Stoke Heath
30 Mar 2018 13:58 Surgery: BAILEY, Martyn (Mr) (Nurse Access Role) Entered at: HMYOI Stoke Heath
30 Mar 2018 16:53 Surgery: BAILEY, Martyn (Mr) (Nurse Access Role) Entered at: HMYOI Stoke Heath
30 Mar 2018 16:54 Surgery: BAILEY, Martyn (Mr) (Nurse Access Role) Entered at: HMYOI Stoke Heath
30 Mar 2018 16:54 Surgery: BAILEY, Martyn (Mr) (Nurse Access Role) Entered at: HMYOI Stoke Heath
30 Mar 2018 22:40 Surgery: PRITCHARD, Bridie (Admin/Clinical Support Access Role) Entered at: HMYOI Stoke
Heath
31 Mar 2018 01:12 Surgery: PRITCHARD, Bridie (Admin/Clinical Support Access Role) Entered at: HMYOI Stoke
Heath
31 Mar 2018 09:01 Surgery: PEARCE, Eirian (Nurse Access Role) Entered at: HMYOI Stoke Heath
Review of admission to segregation unit (XaPmi) - Seen in the SRU no concerns.
31 Mar 2018 09:50 Surgery: PEARCE, Eirian (Nurse Access Role) Entered at: HMYOI Stoke Heath
31 Mar 2018 09:50
31 Mar 2018 15:12
Surgery: PEARCE, Eirian (Nurse Access Role) Entered at: HMYOI Stoke Heath
Surgery: PEARCE, Eirian (Nurse Access Role) Entered at: HMYOI Stoke Heath
31 Mar 2018 15:12 Surgery: PEARCE, Eirian (Nurse Access Role) Entered at: HMYOI Stoke Heath
Thu 23 Apr 2020 15:02
Mr Saul Turner "Saul Altel" (A2425AM)
Confidential: Personal Data 719 122 2247, 08 Dec 1982
C91
C92
Printed
409af26bccb2448dabacd1cf3d115e4f-92
by TURNER, Steven (Mr) (Clerical Access Role)HMP Highdown 92 of 216
31 Mar 2018 15:12 Surgery: PEARCE, Eirian (Nurse Access Role) Entered at: HMYOI Stoke Heath
31 Mar 2018 20:56 Surgery: PRITCHARD, Bridie (Admin/Clinical Support Access Role) Entered at: HMYOI Stoke
Heath
31 Mar 2018 21:05 Surgery: PRITCHARD, Bridie (Admin/Clinical Support Access Role) Entered at: HMYOI Stoke
Heath
01 Apr 2018 10:00 Surgery: COLLEY, Dianne (Nurse) Entered at: HMYOI Stoke Entered: 02 Apr 2018 00:42
Heath
Did not attend for Triage and Assessment Clinic appointment with Nurse Dianne Colley.
Did not attend (Xa1kG)
01 Apr 2018 10:45
01 Apr 2018 10:45
Surgery: PRICE, Linda (Mrs) (Nurse Access Role) Entered at: HMYOI Stoke Heath
Surgery: PRICE, Linda (Mrs) (Nurse Access Role) Entered at: HMYOI Stoke Heath
01 Apr 2018 14:37 Surgery: DANIELS, Sara (Mrs) (Nurse Access Role) Entered at: HMYOI Stoke Heath
01 Apr 2018 16:58 Surgery: DANIELS, Sara (Mrs) (Nurse Access Role) Entered at: HMYOI Stoke Heath
01 Apr 2018 16:58 Surgery: DANIELS, Sara (Mrs) (Nurse Access Role) Entered at: HMYOI Stoke Heath
01 Apr 2018 16:58 Surgery: DANIELS, Sara (Mrs) (Nurse Access Role) Entered at: HMYOI Stoke Heath
01 Apr 2018 21:52 Surgery: PRITCHARD, Bridie (Admin/Clinical Support Access Role) Entered at: HMYOI Stoke
Heath
01 Apr 2018 22:17 Surgery: PRITCHARD, Bridie (Admin/Clinical Support Access Role) Entered at: HMYOI Stoke
Heath
02 Apr 2018 10:49 Surgery: PRICE, Linda (Mrs) (Nurse Access Role) Entered at: HMYOI Stoke Heath
02 Apr 2018 10:49 Surgery: PRICE, Linda (Mrs) (Nurse Access Role) Entered at: HMYOI Stoke Heath
02 Apr 2018 16:37 Surgery: EDE, Michelle (Miss) (Nurse Access Role) Entered at: HMYOI Stoke Heath
02 Apr 2018 16:38 Surgery: EDE, Michelle (Miss) (Nurse Access Role) Entered at: HMYOI Stoke Heath
02 Apr 2018 16:38
02 Apr 2018 20:34
Surgery: EDE, Michelle (Miss) (Nurse Access Role) Entered at: HMYOI Stoke Heath
Surgery: EDE, Michelle (Miss) (Nurse Access Role) Entered at: HMYOI Stoke Heath
03 Apr 2018 08:38 Surgery: SWEENEY, Wendy (Mrs) (Health Professional Access Role) Entered at: HMYOI Stoke
Heath
Medication In Possession Status: Not in possession
03 Apr 2018 09:23
03 Apr 2018 09:23
Surgery: EDE, Michelle (Miss) (Nurse Access Role) Entered at: HMYOI Stoke Heath
Surgery: EDE, Michelle (Miss) (Nurse Access Role) Entered at: HMYOI Stoke Heath
03 Apr 2018 15:21 Surgery: JACKSON, Melanie (Mrs) (Admin/Clinical Support Access Role) Entered at: HMYOI
Stoke Heath
03 Apr 2018 17:53
03 Apr 2018 17:53
Surgery: PEARCE, Eirian (Nurse Access Role) Entered at: HMYOI Stoke Heath
Surgery: PEARCE, Eirian (Nurse Access Role) Entered at: HMYOI Stoke Heath
03 Apr 2018 17:53 Surgery: PEARCE, Eirian (Nurse Access Role) Entered at: HMYOI Stoke Heath
04 Apr 2018 11:11
04 Apr 2018 11:11
Surgery: PRICE, Linda (Mrs) (Nurse Access Role) Entered at: HMYOI Stoke Heath
Surgery: PRICE, Linda (Mrs) (Nurse Access Role) Entered at: HMYOI Stoke Heath
04 Apr 2018 17:59 Surgery: PRICE, Linda (Mrs) (Nurse Access Role) Entered at: HMYOI Stoke Heath
04 Apr 2018 17:59
04 Apr 2018 17:59
Surgery: PRICE, Linda (Mrs) (Nurse Access Role) Entered at: HMYOI Stoke Heath
Surgery: PRICE, Linda (Mrs) (Nurse Access Role) Entered at: HMYOI Stoke Heath
05 Apr 2018 Surgery: RIDGWAY, Gemma (Mrs) (Administrator) Entered at:
HMYOI Stoke Heath
Entered: 06 Apr 2018 09:35
Prescription or Medication details to HCC
05 Apr 2018 Surgery: RIDGWAY, Gemma (Mrs) (Administrator) Entered at:
HMYOI Stoke Heath
Entered: 06 Apr 2018 09:35
Prescription (X904q) - PRESCRIPTION (New Episode)
05 Apr 2018 09:08 Surgery: BAILEY, Martyn (Mr) (Nurse Access Role) Entered at: HMYOI Stoke Heath
05 Apr 2018 09:50 Surgery: KHAN, Joblu (Dr) Entered at: HMYOI Stoke Heath Entered: 06 Apr 2018 05:00
Did not attend for GP Clinic appointment with Dr Joblu Khan.
Did not attend (Xa1kG)
05 Apr 2018 12:40 Surgery: BIBBY, Lynn (Ms) (Nurse Access Role) Entered at: HMYOI Stoke Heath
05 Apr 2018 12:40 Surgery: BIBBY, Lynn (Ms) (Nurse Access Role) Entered at: HMYOI Stoke Heath
05 Apr 2018 14:51 Surgery: BIBBY, Lynn (Ms) (Nurse Access Role) Entered at: HMYOI Stoke Heath
05 Apr 2018 14:52 Surgery: BIBBY, Lynn (Ms) (Nurse Access Role) Entered at: HMYOI Stoke Heath
06 Apr 2018 01:52 Surgery: WALSHAW, Catherine (Ms) (Nurse Access Role) Entered at: HMYOI Stoke Heath
06 Apr 2018 01:53 Surgery: WALSHAW, Catherine (Ms) (Nurse Access Role) Entered at: HMYOI Stoke Heath
06 Apr 2018 01:53
06 Apr 2018 05:43
Surgery: WALSHAW, Catherine (Ms) (Nurse Access Role) Entered at: HMYOI Stoke Heath
Surgery: WALSHAW, Catherine (Ms) (Nurse Access Role) Entered at: HMYOI Stoke Heath
06 Apr 2018 10:22 Surgery: NIXON, Sharon (Nurse Access Role) Entered at: HMYOI Stoke Heath
Thu 23 Apr 2020 15:02
Mr Saul Turner "Saul Altel" (A2425AM)
Confidential: Personal Data 719 122 2247, 08 Dec 1982
C92
C93
Printed
409af26bccb2448dabacd1cf3d115e4f-93
by TURNER, Steven (Mr) (Clerical Access Role)HMP Highdown 93 of 216
06 Apr 2018 10:23 Surgery: NIXON, Sharon (Nurse Access Role) Entered at: HMYOI Stoke Heath
06 Apr 2018 15:22
06 Apr 2018 15:22
Surgery: NIXON, Sharon (Nurse Access Role) Entered at: HMYOI Stoke Heath
Surgery: NIXON, Sharon (Nurse Access Role) Entered at: HMYOI Stoke Heath
06 Apr 2018 15:22 Surgery: NIXON, Sharon (Nurse Access Role) Entered at: HMYOI Stoke Heath
07 Apr 2018 00:45 Surgery: STANIER-FILIP, Paul (Mr) (Admin/Clinical Support Access Role) Entered at: HMYOI
Stoke Heath
07 Apr 2018 02:28 Surgery: STANIER-FILIP, Paul (Mr) (Admin/Clinical Support Access Role) Entered at: HMYOI
Stoke Heath
07 Apr 2018 09:38 Surgery: EDE, Michelle (Miss) (Nurse Access Role) Entered at: HMYOI Stoke Heath
Paracetamol 500mg tablets - x 2 - 500mg
07 Apr 2018 09:39 Surgery: EDE, Michelle (Miss) (Nurse Access Role) Entered at: HMYOI Stoke Heath
07 Apr 2018 16:45 Surgery: EDE, Michelle (Miss) (Nurse Access Role) Entered at: HMYOI Stoke Heath
07 Apr 2018 16:45
07 Apr 2018 16:45
Surgery: EDE, Michelle (Miss) (Nurse Access Role) Entered at: HMYOI Stoke Heath
Surgery: EDE, Michelle (Miss) (Nurse Access Role) Entered at: HMYOI Stoke Heath
07 Apr 2018 21:35 Surgery: STANIER-FILIP, Paul (Mr) (Admin/Clinical Support Access Role) Entered at: HMYOI
Stoke Heath
07 Apr 2018 22:15 Surgery: STANIER-FILIP, Paul (Mr) (Admin/Clinical Support Access Role) Entered at: HMYOI
Stoke Heath
08 Apr 2018 12:11 Surgery: BIBBY, Lynn (Ms) (Nurse Access Role) Entered at: HMYOI Stoke Heath
08 Apr 2018 12:11 Surgery: BIBBY, Lynn (Ms) (Nurse Access Role) Entered at: HMYOI Stoke Heath
08 Apr 2018 17:13 Surgery: BIBBY, Lynn (Ms) (Nurse Access Role) Entered at: HMYOI Stoke Heath
08 Apr 2018 17:14 Surgery: BIBBY, Lynn (Ms) (Nurse Access Role) Entered at: HMYOI Stoke Heath
08 Apr 2018 17:14 Surgery: BIBBY, Lynn (Ms) (Nurse Access Role) Entered at: HMYOI Stoke Heath
08 Apr 2018 22:21 Surgery: STANIER-FILIP, Paul (Mr) (Admin/Clinical Support Access Role) Entered at: HMYOI
Stoke Heath
09 Apr 2018 07:23 Surgery: STANIER-FILIP, Paul (Mr) (Admin/Clinical Support Access Role) Entered at: HMYOI
Stoke Heath
09 Apr 2018 10:49 Surgery: BIBBY, Lynn (Ms) (Nurse Access Role) Entered at: HMYOI Stoke Heath
09 Apr 2018 10:50
09 Apr 2018 12:50
Surgery: BIBBY, Lynn (Ms) (Nurse Access Role) Entered at: HMYOI Stoke Heath
Surgery: FRANKE, Theodorus (General Medical Practitioner) Entered at: HMYOI Stoke Heath
Plan: Seen in CSU - not taking meds: Urgently advised to take meds:
09 Apr 2018 16:31 Surgery: BIBBY, Lynn (Ms) (Nurse Access Role) Entered at: HMYOI Stoke Heath
09 Apr 2018 16:31 Surgery: BIBBY, Lynn (Ms) (Nurse Access Role) Entered at: HMYOI Stoke Heath
09 Apr 2018 16:31 Surgery: BIBBY, Lynn (Ms) (Nurse Access Role) Entered at: HMYOI Stoke Heath
09 Apr 2018 23:37 Surgery: STANIER-FILIP, Paul (Mr) (Admin/Clinical Support Access Role) Entered at: HMYOI
Stoke Heath
10 Apr 2018 Surgery: RIDGWAY, Gemma (Mrs) (Administrator) Entered at:
HMYOI Stoke Heath
Entered: 13 Apr 2018 14:22
Miscellaneous to HCC
10 Apr 2018 Surgery: RIDGWAY, Gemma (Mrs) (Administrator) Entered at: Entered: 13 Apr 2018 14:22
HMYOI Stoke Heath
Seen in segregation unit (Y0ce3) - SRU ALGORITHM (Ongoing Episode)
10 Apr 2018 08:50 Surgery: DANIELS, Sara (Mrs) (Nurse Access Role) Entered at:
HMYOI Stoke Heath
Entered: 11 Apr 2018 08:50
10 Apr 2018 09:41 Surgery: DANIELS, Sara (Mrs) (Nurse Access Role) Entered at: HMYOI Stoke Heath
Review of admission to segregation unit (XaPmi)
visited in the SRU, declined his medication. Noted to have not taken his medication over the last few days. Has been
advised by GP to start taking his medication again.
SRU officers have raised concerns regarding Sauls presentation, thathe does not apper to be himself and mood
appears to be low.
Task sent to inreach
10 Apr 2018 09:45 Surgery: DANIELS, Sara (Mrs) (Nurse Access Role) Entered at: HMYOI Stoke Heath
10 Apr 2018 09:46 Surgery: DANIELS, Sara (Mrs) (Nurse Access Role) Entered at: HMYOI Stoke Heath
10 Apr 2018 10:13 Surgery: PERKINS, Jane (Pharmacy Technician) Entered at: HMYOI Stoke Heath
(R) Mirtazapine 30mg tablets - 1 pack of 28 tablet(s) - One to be taken daily (7 tablets every 7 days)
Stopped 13 Apr 2018 Other (CSU) by FRANKE, Theodorus
(R) Sodium valproate 500mg gastro-resistant tablets - 56 tablets - To be taken Twice Daily (14 tablets every 7 days)
Stopped 13 Apr 2018 Other (CSU) by FRANKE, Theodorus
Custom script: Printed On Tue 10 Apr 2018 10:14 By Jane Perkins
10 Apr 2018 13:40 Surgery: PERKINS, Jane (Pharmacy Technician) Entered at: HMYOI Stoke Heath
Thu 23 Apr 2020 15:02
Mr Saul Turner "Saul Altel" (A2425AM)
Confidential: Personal Data 719 122 2247, 08 Dec 1982
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Printed
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by TURNER, Steven (Mr) (Clerical Access Role)HMP Highdown 94 of 216
Prescribed medication (YA592) - 13/04/18
10 Apr 2018 16:42 Prison: COLE, Elizabeth (Ms) (Mental Health Nurse) Entered at: HMYOI Stoke Heath
Community mental health team (Ua0um)
I saw Saul in SRU today following reports that he is refusing medication. Saul reports that he is refusing his
medication because he wants to be transferred back down south, to a jail with a healthcare wing. He stated that
since his mental health deteriorated, he knows he cannot cope on normal location, because he is weakened. He tells
me that he has been in prison many times, and is used to prison life, but his menatl health has now changed this. I
explained to Saul that refusing medication would potentially make his menatl health worse, and his response was
'death would be bliss.' I asked what had precipitated his deterioration and Saul explained that in 2013, his partner ran
away with his daughter. This was preceeded by a court battle with his own family to obtain custody of the child from
his mother. When he entered prison shortly after this, his partner disappeared with his daughter. Saul staed he has
lost everything now. He became tearful and distressed. Saul also disclosed that he has refused food for two days.
He is drinking water. He stated he was not engaging in any other self harm behaviours. SRU staff confirmed that he
is refusing meals. They inform me that from tomorrow they would be opening an ACCT document due to food
refusal. After returning to healthcare and siscussing with Wendy Sweeney Healthcare Manager, I have decided to
open an ACCT document today.
ACCT OPENED 1630hrs.
To be discussed at CTM meeting on 12/04/18.
10 Apr 2018 17:30 Surgery: DANIELS, Sara (Mrs) (Nurse Access Role) Entered at: Entered: 11 Apr 2018 08:50
HMYOI Stoke Heath
10 Apr 2018 22:02 Surgery: STANIER-FILIP, Paul (Mr) (Admin/Clinical Support Access Role) Entered at: HMYOI
Stoke Heath
Clinic Letter to Mr Saul Turner
11 Apr 2018 00:19 Surgery: STANIER-FILIP, Paul (Mr) (Admin/Clinical Support Access Role) Entered at: HMYOI
Stoke Heath
11 Apr 2018 08:49 Surgery: DANIELS, Sara (Mrs) (Nurse Access Role) Entered at: HMYOI Stoke Heath
11 Apr 2018 10:02 Surgery: DANIELS, Sara (Mrs) (Nurse Access Role) Entered at: HMYOI Stoke Heath
11 Apr 2018 10:02 Surgery: DANIELS, Sara (Mrs) (Nurse Access Role) Entered at: HMYOI Stoke Heath
11 Apr 2018 15:41 Prison: COLE, Elizabeth (Ms) (Mental Health Nurse) Entered at: HMYOI Stoke Heath
Community mental health team (Ua0um)
Seen today in SRU. Saul remains on his ACCT document, on hourly observations. Saul's presentation remains
unchanged; tearful and expressing feelings of hopelessness. He states that he feels refusing to eat is his only option,
as he cannot be at Stoke Heath. He explained that when he tried to cope on normal location in his previous prison,
he took NPS and was deteriorating. Saul expressed that no one has regard for his life, and therefore he does not. He
feels he has nothing to lose, and his only hope is being in a healthcare wing where he has 'space' and time to talk. I
explained that we could support him at Stoke Heath, but that he would need to progress to normal location at some
point which he is adamant he will not do. He stated that he would rather they carry his body out. Saul appears low in
mood, although was able to articulate himself. Rapport established, good eye contact.
Saul reports he feels a little dizzy, and gets headaches but this is helped by drinking water. I will ask our visiting
Psychiatrist to see Saul tomorrow if he is able.
11 Apr 2018 15:54 Surgery: JACKSON, Melanie (Mrs) (Admin/Clinical Support Access Role) Entered at: HMYOI
Stoke Heath
11 Apr 2018 16:22 Surgery: COLE, Elizabeth (Ms) (Nurse Access Role) Entered at: HMYOI Stoke Heath
Community mental health team (Ua0um) - I have spoken with my Primary Care colleagues in relation to the Food
Refusal policy, and requested a GP appt for Saul. I will also provide SRU staff tomorrow with a copy of the policy if
they require it, and copies of food and fluid charts, and log book as per policy. To be discussed in tomorrow's CTM
meeting.
11 Apr 2018 18:46 Surgery: EDE, Michelle (Miss) (Nurse Access Role) Entered at: HMYOI Stoke Heath
11 Apr 2018 18:46 Surgery: EDE, Michelle (Miss) (Nurse Access Role) Entered at: HMYOI Stoke Heath
11 Apr 2018 18:46 Surgery: EDE, Michelle (Miss) (Nurse Access Role) Entered at: HMYOI Stoke Heath
11 Apr 2018 22:51 Surgery: STANIER-FILIP, Paul (Mr) (Admin/Clinical Support Access Role) Entered at: HMYOI
Stoke Heath
12 Apr 2018 Surgery: WHITE, Carla (Mrs) (Administrator) Entered at: HMYOI
Stoke Heath
Psychiatry to HMP Stoke Heath
12 Apr 2018 Surgery: WHITE, Carla (Mrs) (Administrator) Entered at: HMYOI
Stoke Heath
Dr Appleford clinic 12.04.18
C94
Entered: 23 Apr 2018 14:43
Entered: 23 Apr 2018 14:43
12 Apr 2018 09:07 Prison: FRANKE, Theodorus (General Medical Practitioner) Entered at: HMYOI Stoke Heath
History: I was asked to see Mr Turner, re Food refusal.on the CSU unit
Thu 23 Apr 2020 15:02
Mr Saul Turner "Saul Altel" (A2425AM)
Confidential: Personal Data 719 122 2247, 08 Dec 1982
C94
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by TURNER, Steven (Mr) (Clerical Access Role)HMP Highdown 95 of 216
He refused to see me.
However, i discussed his case with Nurse, and advsed her accordingly.
Diagnosis: Refusing food (X767f)
Plan: Continue care and obtain weight measurments,
Collect urine for ketones,
fill in food/drink chart,
Offer emotional support.
Consider re feeding protocol after refusal is stopped.
I will see him tomorrow on the CSU round.
12 Apr 2018 09:49 Surgery: EDE, Michelle (Miss) (Nurse Access Role) Entered at: HMYOI Stoke Heath
Seen by nurse (XaATp) - Spoke to Saul on the SRU this morning during medication round. He has assured me that
although he has not eaten for the last three days, that he is drinking plenty. Have arranged for a full set of
observations and also urine tests to be completed Saturday morning if he has still not eaten. Saul was fully aware of
the implications of not eating. He is currently well and does not have any symptoms of dehydration.
12 Apr 2018 11:27 Surgery: EDE, Michelle (Miss) (Nurse Access Role) Entered at: HMYOI Stoke Heath
12 Apr 2018 11:28 Surgery: EDE, Michelle (Miss) (Nurse Access Role) Entered at: HMYOI Stoke Heath
12 Apr 2018 12:15 Surgery: APPLEFORD, James (Dr) (Clinical Practitioner Access Role) Entered at: HMYOI Stoke
Heath
History: Seen with Beth Cole, RMN.
Saul has refused food for 5 days, but has been drinking fluids. He has not been taking medication.
Saul has been extensively assessed.
Today, Saul reports depressive symptoms, low mood, some tearfulness, reduced appetite, loss of interest,
enjoyment, motivation, poor memory and concentration, with suicidal thoughts. He gives a history of similar
episodes, and suicide attempts. He states that there are underlying issues, including circumstances leading to lack of
contact with his daughter, and subsequent family issues.
Examination: Slim. Well kempt. Good eye contact and rapport. Flat, depressed affect. Suicidal thoughts, no psychotic
features.
Diagnosis: Depressive disorder (X00SO) (New Episode)
Plan: Lengthy discussion
Explained treatment might include medication and therapy, but that it is essential that he continues to eat
Saul has agreed to eat
For continued regular support
For medication review once he is eating regularly
Will need therapy referral
Liaise with Governor re support for move to local establishment near his home area and where he might have access
to healtcare unit
Suggest continue ACCT and food refusal protocol
12 Apr 2018 17:21 Surgery: EDE, Michelle (Miss) (Nurse Access Role) Entered at: HMYOI Stoke Heath
12 Apr 2018 17:21 Surgery: EDE, Michelle (Miss) (Nurse Access Role) Entered at: HMYOI Stoke Heath
12 Apr 2018 17:21 Surgery: EDE, Michelle (Miss) (Nurse Access Role) Entered at: HMYOI Stoke Heath
13 Apr 2018 08:33 Surgery: ROBERTSON, Alina (Miss) (Nurse Access Role) Entered at: HMYOI Stoke Heath
13 Apr 2018 09:54 Surgery: COLE, Elizabeth (Ms) (Nurse Access Role) Entered at: HMYOI Stoke Heath
Community mental health team (Ua0um) - Contacted SRU this morning, who inform me that Saul has begun eating. I
have also spoken with Mr Lishman OMU regarding our support for Saul's transfer on mental health grounds. He
informs me that he saw Saul in his ACCT review yesterday following our visit, and was aware of the situation. He
believes there are plans to transfer, and OCA are currently negotiating transfer to somewherer closer to home. I have
asked SRU staff to inform Saul that I will see him on Tuesday on my return to Stoke Heath.
13 Apr 2018 12:19 Surgery: FRANKE, Theodorus (General Medical Practitioner) Entered at: HMYOI Stoke Heath
Plan: Seen in CSU - no issues.
13 Apr 2018 13:02 Surgery: FRANKE, Theodorus (General Medical Practitioner) Entered at: HMYOI Stoke Heath
Mirtazapine 30mg tablets - 14 tablets - 1 tablet - admin times: 16:00 (Oral)
Stopped 24 Apr 2018 Other (transferred to another establishment) by HUMPHRIES, Emma L
Sodium valproate 500mg gastro-resistant tablets - 28 tablets - 1 tablet - admin times: 07:45, 16:00
Stopped 19 Apr 2018 End of course by APPLEFORD, James (Dr)
Custom script: Printed On Fri 13 Apr 2018 13:06 By Theodorus Franke
13 Apr 2018 16:03 Surgery: ROBERTSON, Alina (Miss) (Nurse Access Role) Entered at: HMYOI Stoke Heath
13 Apr 2018 16:03 Surgery: ROBERTSON, Alina (Miss) (Nurse Access Role) Entered at: HMYOI Stoke Heath
13 Apr 2018 16:04 Surgery: ROBERTSON, Alina (Miss) (Nurse Access Role) Entered at: HMYOI Stoke Heath
13 Apr 2018 22:50 Surgery: JACKSON, Melanie (Mrs) (Admin/Clinical Support Access Role) Entered at: HMYOI
Stoke Heath
13 Apr 2018 23:05 Surgery: JACKSON, Melanie (Mrs) (Admin/Clinical Support Access Role) Entered at: HMYOI
Thu 23 Apr 2020 15:02
Mr Saul Turner "Saul Altel" (A2425AM)
Confidential: Personal Data 719 122 2247, 08 Dec 1982
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by TURNER, Steven (Mr) (Clerical Access Role)HMP Highdown 96 of 216
Stoke Heath
14 Apr 2018 07:42
14 Apr 2018 10:08
Surgery: PRICE, Linda (Mrs) (Nurse Access Role) Entered at: HMYOI Stoke Heath
Surgery: PRICE, Linda (Mrs) (Nurse Access Role) Entered at: HMYOI Stoke Heath
14 Apr 2018 10:08
14 Apr 2018 10:48
Surgery: PRICE, Linda (Mrs) (Nurse Access Role) Entered at: HMYOI Stoke Heath
Surgery: PRICE, Linda (Mrs) (Nurse Access Role) Entered at: HMYOI Stoke Heath
Food intake (Ub09i) - Seen this morning to administer morning medication however Saul declined. Saul stated that
he has started to eat now and has had his breakfast this morning. Wing staff continue to monitor, acct remains open,
no need to implement policy for food refusal at this time unless situation changes.
14 Apr 2018 16:39 Surgery: PRICE, Linda (Mrs) (Nurse Access Role) Entered at: HMYOI Stoke Heath
14 Apr 2018 16:39
14 Apr 2018 16:39
Surgery: PRICE, Linda (Mrs) (Nurse Access Role) Entered at: HMYOI Stoke Heath
Surgery: PRICE, Linda (Mrs) (Nurse Access Role) Entered at: HMYOI Stoke Heath
14 Apr 2018 21:34 Surgery: JACKSON, Melanie (Mrs) (Admin/Clinical Support Access Role) Entered at: HMYOI
Stoke Heath
14 Apr 2018 22:10 Surgery: JACKSON, Melanie (Mrs) (Admin/Clinical Support Access Role) Entered at: HMYOI
Stoke Heath
15 Apr 2018 10:21 Surgery: ROBERTSON, Maria (Ms) (Nurse Access Role) Entered at: HMYOI Stoke Heath
15 Apr 2018 10:21 Surgery: ROBERTSON, Maria (Ms) (Nurse Access Role) Entered at: HMYOI Stoke Heath
15 Apr 2018 15:17 Surgery: DANIELS, Sara (Mrs) (Nurse Access Role) Entered at: HMYOI Stoke Heath
15 Apr 2018 15:17 Surgery: DANIELS, Sara (Mrs) (Nurse Access Role) Entered at: HMYOI Stoke Heath
15 Apr 2018 15:17 Surgery: DANIELS, Sara (Mrs) (Nurse Access Role) Entered at: HMYOI Stoke Heath
15 Apr 2018 22:42 Surgery: PRITCHARD, Bridie (Admin/Clinical Support Access Role) Entered at: HMYOI Stoke
Heath
15 Apr 2018 23:18 Surgery: PRITCHARD, Bridie (Admin/Clinical Support Access Role) Entered at: HMYOI Stoke
Heath
16 Apr 2018 15:59 Surgery: OAKLEY, Helen (Mrs) (Clerical Access Role) Entered at: HMYOI Stoke Heath
16 Apr 2018 16:11 Surgery: DANIELS, Sara (Mrs) (Nurse Access Role) Entered at: HMYOI Stoke Heath
16 Apr 2018 16:12
16 Apr 2018 17:37
Surgery: DANIELS, Sara (Mrs) (Nurse Access Role) Entered at: HMYOI Stoke Heath
Surgery: PEARCE, Eirian (Nurse Access Role) Entered at: HMYOI Stoke Heath
16 Apr 2018 17:37
16 Apr 2018 17:37
Surgery: PEARCE, Eirian (Nurse Access Role) Entered at: HMYOI Stoke Heath
Surgery: PEARCE, Eirian (Nurse Access Role) Entered at: HMYOI Stoke Heath
16 Apr 2018 23:28 Surgery: PRITCHARD, Bridie (Admin/Clinical Support Access Role) Entered at: HMYOI Stoke
Heath
16 Apr 2018 23:50 Surgery: PRITCHARD, Bridie (Admin/Clinical Support Access Role) Entered at: HMYOI Stoke
Heath
17 Apr 2018 09:10 Surgery: PEARCE, Eirian (Nurse Access Role) Entered at: HMYOI
Stoke Heath
Entered: 17 Apr 2018 11:45
17 Apr 2018 11:45
17 Apr 2018 13:30
Surgery: PEARCE, Eirian (Nurse Access Role) Entered at: HMYOI Stoke Heath
Prison: COLE, Elizabeth (Ms) (Mental Health Nurse) Entered at: HMYOI Stoke Heath
Community mental health team (Ua0um)
Seen today in SRU. Saul appears brighter in mood. He reports that he is now eating and feels that he is having a
good day today. In formed Saul that I have liaised with his Offender Supervisor and that a tranfer is being looked
into, however I could not make any guarantees. He was happy with this and remains keen to engage with treatment
and therapy. Saul spoke about underestimating the impact of depression in the past, and feeling overwhelmed
recently.
He remains in SRU, on an open ACCT document.
I will see him again on Thurday, with Dr Appleford to review.
17 Apr 2018 16:37 Surgery: COLLEY, Dianne (Nurse) (Nurse Access Role) Entered at: HMYOI Stoke Heath
17 Apr 2018 16:37 Surgery: COLLEY, Dianne (Nurse) (Nurse Access Role) Entered at: HMYOI Stoke Heath
17 Apr 2018 16:37 Surgery: COLLEY, Dianne (Nurse) (Nurse Access Role) Entered at: HMYOI Stoke Heath
17 Apr 2018 21:56 Surgery: PRITCHARD, Bridie (Admin/Clinical Support Access Role) Entered at: HMYOI Stoke
Heath
Clinic Letter to Mr Saul Turner
17 Apr 2018 22:18 Surgery: PRITCHARD, Bridie (Admin/Clinical Support Access Role) Entered at: HMYOI Stoke
Heath
18 Apr 2018 01:33 Surgery: PRITCHARD, Bridie (Admin/Clinical Support Access Role) Entered at: HMYOI Stoke
Heath
18 Apr 2018 11:44 Surgery: ROPER, Julie (Mrs) (Nurse Access Role) Entered at: HMYOI Stoke Heath
History: Community mental health team (Ua0um)
Plan: Today I have attended the MASH meeting with the prison and informed the team of the recommendations from
Dr Appleford and the clinical team. His ACCT was closed 17 April 2018. I will inform E. Cole CMHN of this. Awaiting
Thu 23 Apr 2020 15:02
Mr Saul Turner "Saul Altel" (A2425AM)
Confidential: Personal Data 719 122 2247, 08 Dec 1982
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by TURNER, Steven (Mr) (Clerical Access Role)HMP Highdown 97 of 216
a transfer.
18 Apr 2018 16:35 Surgery: PEARCE, Eirian (Nurse Access Role) Entered at: HMYOI Stoke Heath
18 Apr 2018 16:35 Surgery: PEARCE, Eirian (Nurse Access Role) Entered at: HMYOI Stoke Heath
18 Apr 2018 16:35 Surgery: PEARCE, Eirian (Nurse Access Role) Entered at: HMYOI Stoke Heath
18 Apr 2018 17:05 Surgery: EDE, Michelle (Miss) (Nurse Access Role) Entered at: HMYOI Stoke Heath
18 Apr 2018 17:05 Surgery: EDE, Michelle (Miss) (Nurse Access Role) Entered at: HMYOI Stoke Heath
18 Apr 2018 23:08 Surgery: PRITCHARD, Bridie (Admin/Clinical Support Access Role) Entered at: HMYOI Stoke
Heath
18 Apr 2018 23:47 Surgery: PRITCHARD, Bridie (Admin/Clinical Support Access Role) Entered at: HMYOI Stoke
Heath
19 Apr 2018 Surgery: BAILEY, Sharon (Mrs) (Administrator) Entered at: HMYOI Entered: 03 May 2018 15:03
Stoke Heath
Psychiatry to HMYOI STOKE HEATH
19 Apr 2018 Surgery: BAILEY, Sharon (Mrs) (Administrator) Entered at: HMYOI Entered: 03 May 2018 15:03
Stoke Heath
Dr Appleford - Psychiatric clinic letter - 19th April 2018
19 Apr 2018 09:09 Surgery: BAILEY, Martyn (Mr) (Nurse Access Role) Entered at: HMYOI Stoke Heath
19 Apr 2018 09:09 Surgery: BAILEY, Martyn (Mr) (Nurse Access Role) Entered at: HMYOI Stoke Heath
19 Apr 2018 10:19 Surgery: APPLEFORD, James (Dr) (Clinical Practitioner Access Role) Entered at: HMYOI Stoke
Heath
History: Review in CSU with Julie Roper, RMN
Saul is now eating and drinking. His ACCT has been closed.
Saul said that he feels better. He is not sleeping well. He wakes every few hours, and feels tired. He reports no other
symptoms. On enquiry, he did not report depressed mood, anxiety, or suicidal thinking.
Examination: Tidy and clean cell. Well kempt. Normal eye contact, rapport and speech. Subjectively not depressed.
Objectively a little flat in affect. Not suicidal. No psychotic features.
Plan: Discussed treatment options.
I note Saul has not been taking medication. Advised Mirtazapine may help with sleep and mood. He has agreed to
take this.
Advised Valproate could be discontinued at present, and may be reserved for use if his mood does not stabilize with
Mirtazapine.
Discussed role of psychological therapies. Saul is aware that he is being considered for a move. Therapy may be
offered after his move; it would be unproductive to begin a therapy that would not be completed prior to transfer.
Continued support while he remains here. Will need a handover when transferred.
Letter to follow
19 Apr 2018 10:26 Surgery: APPLEFORD, James (Dr) (Clinical Practitioner Access Role) Entered at: HMYOI Stoke
Heath
19 Apr 2018 16:16 Surgery: BAILEY, Martyn (Mr) (Nurse Access Role) Entered at: HMYOI Stoke Heath
19 Apr 2018 16:17 Surgery: BAILEY, Martyn (Mr) (Nurse Access Role) Entered at: HMYOI Stoke Heath
19 Apr 2018 21:55 Surgery: GASTON, Pascal (Mr) (Admin/Clinical Support Access Role) Entered at: HMYOI Stoke
Heath
Clinic Letter to Mr Saul Turner
19 Apr 2018 23:21 Surgery: GASTON, Pascal (Mr) (Admin/Clinical Support Access Role) Entered at: HMYOI Stoke
Heath
20 Apr 2018 09:11 Surgery: CARNAHAN, Aaron (Mr) (Nurse Access Role) Entered at: HMYOI Stoke Heath
Review of admission to segregation unit (XaPmi)
Overview Notes (Y0028) - No health concerns expressed
20 Apr 2018 15:13 Surgery: COLE, Elizabeth (Ms) (Nurse Access Role) Entered at: HMYOI Stoke Heath
Community mental health team (Ua0um)
I visited Saul today in SRU. He appears settled and reports he feels 'ok.' Saul has now recommenced Mirtazepine,
and reports he had a really good night's sleep last night. We spoke today about his previous NPS use, and Saul
explained that he has taken large amounts of it in the past, but only whilst in priosn. He stated that for him, it is like
no other drug, but that he only takes it because he cannot get Cannabis. Saul is aware of the dangers of NPS, and
acknowledges them, however this did not stop him using NPS in the past. He did state that he has no intention to
continue using, as his mental health is more important to him now.
Plan- I will continue to see Saul and liaise with OCA regarding his transfer.
20 Apr 2018 16:28 Surgery: COLLEY, Dianne (Nurse) (Nurse Access Role) Entered at: HMYOI Stoke Heath
20 Apr 2018 16:29 Surgery: COLLEY, Dianne (Nurse) (Nurse Access Role) Entered at: HMYOI Stoke Heath
20 Apr 2018 21:13 Surgery: GASTON, Pascal (Mr) (Admin/Clinical Support Access Role) Entered at: HMYOI Stoke
Heath
Thu 23 Apr 2020 15:02
Mr Saul Turner "Saul Altel" (A2425AM)
Confidential: Personal Data 719 122 2247, 08 Dec 1982
C97
C98
Printed
409af26bccb2448dabacd1cf3d115e4f-98
by TURNER, Steven (Mr) (Clerical Access Role)HMP Highdown 98 of 216
21 Apr 2018 18:15 Surgery: EDE, Michelle (Miss) (Nurse Access Role) Entered at: HMYOI Stoke Heath
21 Apr 2018 18:15 Surgery: EDE, Michelle (Miss) (Nurse Access Role) Entered at: HMYOI Stoke Heath
22 Apr 2018 16:06 Surgery: EDE, Michelle (Miss) (Nurse Access Role) Entered at: HMYOI Stoke Heath
22 Apr 2018 16:06 Surgery: EDE, Michelle (Miss) (Nurse Access Role) Entered at: HMYOI Stoke Heath
22 Apr 2018 21:39 Surgery: GASTON, Pascal (Mr) (Admin/Clinical Support Access Role) Entered at: HMYOI Stoke
Heath
23 Apr 2018 11:28 Surgery: RIDGWAY, Gemma (Mrs) (Clerical Access Role) Entered at: HMYOI Stoke Heath
23 Apr 2018 13:32 Surgery: HUMPHRIES, Emma L (Health Professional Access Role) Entered at: HMYOI Stoke
Heath
Medication Approval Marked in Error: Medication has changed
23 Apr 2018 13:32 - HUMPHRIES, Emma
23 Apr 2018 18:53 Surgery: PRICE, Linda (Mrs) (Nurse Access Role) Entered at: HMYOI Stoke Heath
23 Apr 2018 18:53 Surgery: PRICE, Linda (Mrs) (Nurse Access Role) Entered at: HMYOI Stoke Heath
24 Apr 2018 01:56 Surgery: JACKSON, Melanie (Mrs) (Admin/Clinical Support Access Role) Entered at: HMYOI
Stoke Heath
24 Apr 2018 10:57 Surgery: ROBERTSON, Maria (Ms) (Nurse Access Role) Entered at: HMYOI Stoke Heath
Review of admission to segregation unit (XaPmi) - No problems expressed.
24 Apr 2018 14:23 Surgery: ROBERTSON, Maria (Ms) (Nurse Access Role) Entered at: HMYOI Stoke Heath
24 Apr 2018 14:23 Surgery: ROBERTSON, Maria (Ms) (Nurse Access Role) Entered at: HMYOI Stoke Heath
24 Apr 2018 14:27 Surgery: HUMPHRIES, Emma L (Health Professional Access Role) Entered at: HMYOI Stoke
Heath
25 Apr 2018 Surgery: BOSWELL, Karen (Miss) (Admin/Clinical Support Access Entered: 25 Apr 2018 14:02
Role) Entered at: HMYOI Portland
Consent Forms to Healthcare, HMP YOI Portland
25 Apr 2018 Surgery: BOSWELL, Karen (Miss) (Admin/Clinical Support Access Entered: 25 Apr 2018 14:02
Role) Entered at: HMYOI Portland
Medication Compact & Consent to share information
Medication management plan in situ (YA461) (New Episode)
Patient consented to sharing of information (Y3358)
25 Apr 2018 07:45 Surgery: PRICE, Ashlee (Miss) (Admin/Clinical Support Access Role) Entered at: HMYOI Portland
SystmOne Outgoing Record Sharing consent changed to: No
25 Apr 2018 07:45 Surgery: PRICE, Ashlee (Miss) (Admin/Clinical Support Access Role) Entered at: HMYOI Portland
SystmOne Incoming Record Sharing consent changed to: Yes
25 Apr 2018 07:45 Surgery: Unknown Staff Member Entered at: HMYOI Portland
(Admission Med) Paracetamol 500mg tablets - x 2 - 500mg
(Admission Med) Paracetamol 500mg tablets - 2 tablets - now
(Admission Med) Paracetamol 500mg tablets - 2 tablets - now
(Admission Med) Paracetamol 500mg tablets - 2 tablets - now
(Admission Med) Paracetamol 500mg tablets - 16 tablets - 2 qds
(Admission Med) Paracetamol 500mg tablets - 16 tablets - 2 qds
25 Apr 2018 07:45 Surgery: PRICE, Ashlee (Miss) (Admin/Clinical Support Access Role) Entered at: HMYOI Portland
25 Apr 2018 07:45 Surgery: PRICE, Ashlee (Miss) (Admin/Clinical Support Access Role) Entered at: HMYOI Portland
25 Apr 2018 08:54 Surgery: RIMELL, Lynne (Mrs) (Admin/Clinical Support Access Role) Entered at: HMYOI Portland
25 Apr 2018 11:08 Surgery: COOKE, Karen (Systems Support Access Role) Entered Entered: 02 Aug 2018 16:03
at: HMYOI Portland
Depression interim review (XaK6f)
25 Apr 2018 11:08 Surgery: SKINNER, Margaret (Admin/Clinical Support Access Role) Entered at: HMYOI Portland
Diagnosis: Are you taking any medicines that have been prescribed for you on prescription or do you take any
medicines that you buy yourself? - No
Does the patient have a problem with alcohol or using drugs? - No
Has the patient had any problems in the last 12 months with bullying or trading medicines? - No
Has the patient had any problems in the last 12 months with not taking, or not remembering to take their medicines
as prescribed? - No
Has the patient had any problems in the last 12 months with not being able to collect their medicines? - No
Has the patient had any problems in the last 12 months with not being able to get their medicines out of their
containers? - No
Has the patient self-harmed or attempted suicide in the last 12 months? - Yes
Has the patient overdosed with medicines in the last 12 months? - No
Does the patient have an open ACCT document? - No
Is the patient confused or disorrientated? - No
Thu 23 Apr 2020 15:02
Mr Saul Turner "Saul Altel" (A2425AM)
Confidential: Personal Data 719 122 2247, 08 Dec 1982
C98
C99
Printed
409af26bccb2448dabacd1cf3d115e4f-99
by TURNER, Steven (Mr) (Clerical Access Role)HMP Highdown 99 of 216
Is it the patient's first time in prison? - No
Has there been a change in their custodial status? (e.g. licence recall; long sentence to serve; manslaughter or
murder charge) - No
Other recent life changing event? - No
Assessment Outcome:
IP Status: Consider Risks and Consider 7 Day In Possession with Follow-Up and Review
Medium Risk Score: 10-20
Plan: Assessment of risk of prisoner in-possession medication (Xab5S)
Body mass index - observation (22K..) 22.8 Kg/m²
O/E - weight (22A..) 68 Kg (10 st 10 lb)
Medical condition comments (Y2578) - Pt states that he was next to a pt in CSU who was diagnosed with TB
Further background information (Y2299) - none
O/E - height (229..) 1.727 m (5 ' 8 ")
Has not been homeless in the past year (Y08db)
N/A (Y0426)
Further background information (Y2299) - Book appointment with GP to discuss
Able to perform personal care activity (Xa2u6)
No current problems or disability (1152.) (Ongoing Episode)
History of cannabis misuse (XaMf9)
Prisoner has not used drugs in the last month (Y08f7)
Has not received physical injuries recently (Y08d8)
Fever symptoms (X76Dl)
[V]Contact with or exposure to tuberculosis (ZV011)
Tuberculosis screening (6831.)
Loss of appetite (XM07Y)
Patient not registered (9121.)
No known allergies (1151.)
N/A (Y0426)
Reason for action (XaIVN) - Pt was prescribed weekly IP before going into CSU .
Tuberculosis screening (6831.)
Ex-smoker (Ub1na)
Attended new patient screening (9OW1.)
Lack of energy (X76Ai)
Referral to smoking cessation service declined (XaaDx)
Main spoken language English (XaG5t)
Theft (X765j) - Burgulary
Medical records review (XaE42)
No (Y0428)
No (Y0428)
No (Y0428)
Patient consented to sharing of information (Y3358)
Interpreter not needed (XaI8Y)
No (Y0428)
Transfer moved in (Y3424)
No (Y0428)
No (Y0428)
No (Y0428)
Further background information (Y2299) - Pt would like a GP appointment to discuss exposure to TB from last prison
Has not seen Doctor in previous few months (Y08d6)
No (Y0428)
No (Y0428)
No (Y0428)
No (Y0428)
No (Y0428)
Is informed (Ua29U)
Current medication as reported by patient (XaQnH) - none
Referral to GP (8H62.)
Prison first reception health assessment completed (XaYXV)
Not fit for normal location, work and any cell occupancy (Y0b8b) - Preference to single cell
Prisoner receiving prescribed medication (YX007)
Has no outstanding hospital/ Doctors appointments (Y07f8)
Current medication as reported by patient (XaQnH) - Mirtazapine 30mg
Thu 23 Apr 2020 15:02
Mr Saul Turner "Saul Altel" (A2425AM)
Confidential: Personal Data 719 122 2247, 08 Dec 1982
C99
C100
Printed
409af26bccb2448dabacd1cf3d115e4f-100
by TURNER, Steven (Mr) (Clerical Access Role)HMP Highdown 100 of 216
Current medication as reported by patient (XaQnH) - none
Current medication as reported by patient (XaQnH) - none
No (Y0428)
Overview Notes (Y0028) - Mitrazapine 30mg
Prisoner has received medication for mental health problems (YX019)
No suicidal thoughts (XaIJ7)
Prisoner has tried to harm themselves (in prison) (YX020) - Pt make cuts to wrists approx 3 to 4 months ago. Pt was
treated while in CSU .
No thoughts of deliberate self harm (XaIuw)
H/O: depression (1465.)
Impressions of the prisoners behaviour and mental state (YX023) - Engaging well during reception screening with
good eye contact. No apparent concerns at this present time. Pt states that he has a past history of depression but
does not wish to engage with the mental health team at this present time. I have explained to pt that if he wishes to
engage with mental health at any time he can submit a H?C application .
Prisoner has not received treatment from a psychiatrist outside prison: no (Y09ce)
Prisoner has a psychiatric nurse or care worker in the community : no (Y09d1)
Has not stayed in a psychiatric hospital (Y08e2)
No (Y0428)
No (Y0428)
No (Y0428)
No (Y0428)
No (Y0428)
Overview Notes (Y0028)
Pt took two overdoses of co codamol and alcohol.
This resulted in pt being admitted to hosputal where he remained for 2 to 3 weeks.
Prisoner has tried to harm themselves (outside prison) (YX021)
No (Y0428)
No (Y0428)
No (Y0428)
126 / 64 mmHg
Medication In Possession Status: In possession - 7 days
25 Apr 2018 11:42 Surgery: SAMOUELLE, Richard (Dr) (Clinical Practitioner Access Role) Entered at: HMYOI
Portland
(R) Mirtazapine 30mg tablets - 28 tablets - one at night (7 tablets every 7 days)
Mirtazapine 30mg tablets - 28 tablets - one at night
Ended 11 Jul 2018 Patient Preference by SAMOUELLE, Richard (Dr)
Custom script: Printed On Wed 25 Apr 2018 11:45 By Dr Richard Samouelle
26 Apr 2018 13:17 Surgery: GRUNDONNER, Mark (Mr) (Clerical Access Role) Entered at: HMYOI Portland
Medical records transfer (XaAKm)
Sources of information (XaIKS)
Medicines reconciliation performed (XaRF0)
Medication reconciliation (XaXfG)
(Admission Med) Mirtazapine 30mg tablets -
26 Apr 2018 15:46 Surgery: NDONGO, Andrew (Mr) (Nurse Access Role) Entered at: HMYOI Portland
History: Telephone encounter (9N31.)
Examination: Received telephone call from the Mental health in-reach Team HMP Stoke Heath, tel: 01630636184.
Staff member Berth handed over aabout Mr Turner, that he has been under their care at HMP Stoke Heath for a
while. He has been in and out of prison, long history of substance misuse and has been using NPS whilst in prison.
He was in seg for a while as he was refusing to be locate to the main wing. Suffered from depression, had low
mood, refused medication (sodium valproate) and food for a while. He was seen by a psychiatrist, who believed, he
had untreated depression and some psychological issues that needed to be addressed. Appeared to be very keen to
stay on healthcare wing, refusing to locate to main wing.
Plan: Triage assessment
27 Apr 2018 11:12 Surgery: NDONGO, Andrew (Mr) (Nurse Access Role) Entered at: HMYOI Portland
Generalised anxiety disorder 7 item score (XaNkT)
Generalised anxiety disorder 7 item score (XaNkT) 1 - 1.Feeling nervous, anxious or on edge: Not at all
2. Not being able to stop or control worrying: Not at all
3. Worrying too much about different things: Several days
4. Trouble relaxing: Not at all
5. being so restless that it is hard to sit still: Not at all
6. Becoming easily annoyed or irritable: Not at all
7. Feeling afraid as if something awful might happen: Not at all
Thu 23 Apr 2020 15:02
Mr Saul Turner "Saul Altel" (A2425AM)
Confidential: Personal Data 719 122 2247, 08 Dec 1982
C100
C101
Printed
409af26bccb2448dabacd1cf3d115e4f-101
by TURNER, Steven (Mr) (Clerical Access Role)HMP Highdown 101 of 216
Patient health questionnaire (PHQ-9) score (XaLDN) 0 - 1. Little interest or pleasure in doing things: N/A
2. Feeling down, depressed or hopeless: Not at all
3. Trouble falling or staying asleep, or sleeping too much: Not at all
4. Feeling tired or having no energy: Not at all
5. Poor appetite or overeating: Not at all
6. Feeling bad about yourself - or that you are a failure or have let yourself or your family down: Not at all
7. Trouble concentrating on things, such as reading the newspaper or watching television: Not at all
8. Moving or speaking so slowly that other people could have noticed. Or the opposite - being so fidgety or restless
that you have been moving around a lot more than usual: Not at all
9. Thoughts that you would be better off dead, or of hurting yourself in some way: Not at all
Depression screening using questions (XaLIc)
27 Apr 2018 13:24 Surgery: NDONGO, Andrew (Mr) (Nurse Access Role) Entered at: HMYOI Portland
Family history of mental disorder (128..) - Says he has a long standing history of depression, has no contact in the
community, no family, no where to stay when he gets released.
H/O: mental health problem (YA741) - States he has been in seg for 6 weeks before he was transfered to Portland.
Stated that he did not like the prison, he wanted to get out desperately. Says he selfharmed whilst in prison around
December 2017, was trying to commit suicide, also took an overdose of 120 cococdamol and alcohol in 2007 and
another one in 2011. Stated he wanted to end it all but failed.
Mental health care programme approach care plan (Xa4HV) (Ongoing Episode)
Impressions of the prisoners behaviour and mental state (YX023) - Stated that he is feeling much better, mood, self
rated 8/10. He appeared well kempt, interacted appropriately maintaining good eye contact, rational conversation, no
significant mood disorder or perceptional disturbances. Denied having thoughts of deliberate selfharm or suicidal
thoughts, intent or plan.
Mental symptom findings (XaBfp) - States he is having poor sleep, has not received medication (mirtazepine) as yet.
Says today he is feeling "great" but at times he feels down.
No (Y0428)
No (Y0428)
No (Y0428)
No (Y0428)
Prisoner has received medication for mental health problems (YX019)
Yes (Y0427)
Discharged from care of mental health triage nurse (XaL0w)
Mental health assessment (XaIYN)
Patient consented to sharing of information (Y3358)
Outcome (XaIXy)
He says he feels well at HMP Portland and he does not want to engage with mental health team, stated that he
knows how to contact the team if he needs help. Declined to do emotional well being, however advise given
regarding same and contacting mental health if he begins to feel being unwell.
He however agreed to take two patient information books about : low mood and depression: sleep advise.
He was discharged from carer of mental health traige nurse.
Substance misuse behaviour (XaJz5) - States he smoked cannabis before coming into prison, denied use of any
other drugs.
Prisoner has received medication for mental health problems (YX019) - Mirtazepine 30mg
No suicidal thoughts (XaIJ7)
No thoughts of deliberate self harm (XaIuw)
22 May 2018 08:52 Surgery: RIMELL, Lynne (Mrs) (Admin/Clinical Support Access Role) Entered at: HMYOI Portland
23 May 2018 Surgery: SHERRATT, Claire (Miss) (Pharmacist) Entered at: HMYOI Portland
(R) Mirtazapine 30mg tablets - 28 tablets - one at night (7 tablets every 7 days)
Custom script: Printed On Mon 14 May 2018 07:59 By Miss Claire Sherratt
27 May 2018 09:09 Surgery: HAMPSHIRE, Ann (Miss) (Nurse Access Role) Entered at: HMYOI Portland
Paracetamol 500mg tablets - 2 - 2
05 Jun 2018 13:50 Surgery: SHERRATT, Claire (Miss) (Pharmacist) Entered at: HMYOI Portland
12 Jun 2018 10:49 Surgery: BOSWELL, Karen (Miss) (Admin/Clinical Support Access Role) Entered at: HMYOI
Portland
13 Jun 2018 08:00 Surgery: RIMELL, Lynne (Mrs) (Admin/Clinical Support Access Role) Entered at: HMYOI Portland
13 Jun 2018 14:30 Surgery: SHERRATT, Claire (Miss) (Pharmacist) Entered at: HMYOI Portland
20 Jun 2018 Surgery: SHERRATT, Claire (Miss) (Pharmacist) Entered at: HMYOI Portland
(R) Mirtazapine 30mg tablets - 28 tablets - one at night (7 tablets every 7 days)
Stopped 11 Jul 2018 Patient Preference by SAMOUELLE, Richard (Dr)
Thu 23 Apr 2020 15:02
Mr Saul Turner "Saul Altel" (A2425AM)
Confidential: Personal Data 719 122 2247, 08 Dec 1982
C101
C102
Printed
409af26bccb2448dabacd1cf3d115e4f-102
by TURNER, Steven (Mr) (Clerical Access Role)HMP Highdown 102 of 216
Custom script: Printed On Wed 13 Jun 2018 09:18 By Miss Claire Sherratt
22 Jun 2018 09:55 Surgery: GREGORIOUS, Mathew (Nurse Access Role) Entered at: HMYOI Portland
(From PGD or Homely Remedy) Paracetamol 500mg tablets - 2 tablets - 1-2 tablet - Once only (Oral)
Stopped 22 Jun 2018 Medication has been administered by GREGORIOUS, Mathew
22 Jun 2018 09:55
11 Jul 2018 09:04
Surgery: GREGORIOUS, Mathew (Nurse Access Role) Entered at: HMYOI Portland
Surgery: SHERRATT, Claire (Miss) (Pharmacist) Entered at: HMYOI Portland
11 Jul 2018 11:59 Surgery: SAMOUELLE, Richard (Dr) (Clinical Practitioner Access Role) Entered at: HMYOI
Portland
Drug Dispensing Schedule Marked in Error: Wrong data entered
18 Jul 2018 00:00
Drug Dispensing Schedule Marked in Error: Wrong data entered
18 Jul 2018 00:00
Medication Marked in Error: Wrong data entered
18 Jul 2018 00:00, Mirtazapine 30mg tablets, one at night, 28 tablets, , 29
Drug Chart Details Marked in Error: Wrong data entered
18 Jul 2018 00:00
18 Jul 2018 Surgery: SHERRATT, Claire (Miss) (Pharmacist) Entered at: HMYOI Portland
Custom script: Printed On Tue 10 Jul 2018 14:26 By Miss Claire Sherratt
31 Jul 2018 Surgery: SKINNER, Margaret (Assistant Practitioner) Entered at: HMYOI Portland
Risk assessment required (YA465)
13 Aug 2018 09:08 Surgery: SMITH, Lynda (Mrs) (Nurse Access Role) Entered at: HMYOI Portland
(From PGD or Homely Remedy) Ibuprofen 200mg tablets - 2 tablets - 1-2 tablet - Once only (Oral)
Stopped 13 Aug 2018 Medication has been administered by SMITH, Lynda (Mrs)
(From PGD or Homely Remedy) Paracetamol 500mg tablets - 2 tablets - 1-2 tablet - Once only (Oral)
Stopped 13 Aug 2018 Medication has been administered by SMITH, Lynda (Mrs)
13 Aug 2018 09:09 Surgery: SMITH, Lynda (Mrs) (Nurse Access Role) Entered at: HMYOI Portland
13 Aug 2018 09:10 Surgery: SMITH, Lynda (Mrs) (Nurse Access Role) Entered at: HMYOI Portland
13 Aug 2018 12:00 Surgery: ROOM, Dental Entered at: HMYOI Portland Entered: 13 Aug 2018 15:20
Did not attend for Dentist appointment with Dental Room.
Did not attend (Xa1kG)
13 Aug 2018 16:23 Surgery: SMITH, Lynda (Mrs) (Nurse Access Role) Entered at: HMYOI Portland
(From PGD or Homely Remedy) Ibuprofen 200mg tablets - 1 pack of 24 tablet(s) - 1-2 tablet - Once only (Oral)
Stopped 13 Aug 2018 Medication has been administered by SMITH, Lynda (Mrs)
(From PGD or Homely Remedy) Paracetamol 500mg tablets - 1 pack of 16 tablet(s) - 1-2 tablet - Once only (Oral)
Stopped 13 Aug 2018 Medication has been administered by SMITH, Lynda (Mrs)
13 Aug 2018 16:26 Surgery: SMITH, Lynda (Mrs) (Nurse Access Role) Entered at: HMYOI Portland
16 Aug 2018 09:58
16 Aug 2018 09:58
Surgery: HAMPSHIRE, Ann (Miss) (Nurse Access Role) Entered at: HMYOI Portland
Surgery: HAMPSHIRE, Ann (Miss) (Nurse Access Role) Entered at: HMYOI Portland
(From PGD or Homely Remedy) Paracetamol 500mg tablets - 1 pack of 16 tablet(s) - 1-2 tablet - Once only (Oral)
Stopped 16 Aug 2018 Medication has been administered by HAMPSHIRE, Ann (Miss)
20 Aug 2018 09:01 Surgery: ROBSON, Bryan (Nurse Access Role) Entered at: HMYOI Portland
20 Aug 2018 09:05 Surgery: ROBSON, Bryan (Nurse Access Role) Entered at: HMYOI Portland
(From PGD or Homely Remedy) Ibuprofen 200mg tablets - 2 tablets - 1-2 tablet - Once only (Oral)
Stopped 20 Aug 2018 Medication has been administered by ROBSON, Bryan
(From PGD or Homely Remedy) Paracetamol 500mg tablets - 2 tablets - 1-2 tablet - Once only (Oral)
Stopped 20 Aug 2018 Medication has been administered by ROBSON, Bryan
20 Aug 2018 09:06 Surgery: ROBSON, Bryan (Nurse Access Role) Entered at: HMYOI Portland
20 Aug 2018 12:05 Surgery: BARNES, Trevor (Mr) (Health Professional Access Role) Entered at: HMYOI Portland
History: Dental,Pat c/o pain LR
O/e pericoronitis LR8 , not too inflamed but could be pushing ,
Pat advised re , cotton bud , HSMW s ,interspace to keep gum flap healthy ,
To take aspirin / paracetamol if it is trying to erupt
To refer ext LR8
23 Aug 2018 Surgery: BOSWELL, Karen (Miss) (Clerical Access Role) Entered
at: HMYOI Portland
Entered: 23 Aug 2018 10:27
Referral to Orthodontic Department, Dorset County Hospital
23 Aug 2018 Surgery: BOSWELL, Karen (Miss) (Clerical Access Role) Entered
at: HMYOI Portland
Entered: 23 Aug 2018 10:27
Dental referral
Thu 23 Apr 2020 15:02
Mr Saul Turner "Saul Altel" (A2425AM)
Confidential: Personal Data 719 122 2247, 08 Dec 1982
C102
C103
Printed
409af26bccb2448dabacd1cf3d115e4f-103
by TURNER, Steven (Mr) (Clerical Access Role)HMP Highdown 103 of 216
Patient consented to sharing of information (Y3358)
Seen in oral surgery clinic (9N1q.)
25 Aug 2018 15:19 Surgery: HAMPSHIRE, Ann (Miss) (Nurse Access Role) Entered at: HMYOI Portland
(From PGD or Homely Remedy) Paracetamol 500mg tablets - 2 tablets - 1-2 tablet - Once only (Oral)
Stopped 25 Aug 2018 Medication has been administered by HAMPSHIRE, Ann (Miss)
25 Aug 2018 15:20 Surgery: HAMPSHIRE, Ann (Miss) (Nurse Access Role) Entered at: HMYOI Portland
02 Sep 2018 Surgery: RIMELL, Lynne (Mrs) (Clerical Access Role) Entered at: Entered: 07 Sep 2018 12:51
HMYOI Portland
F213 - Report of injury to inmate to Healthcare, HMP YOI Portland
02 Sep 2018 Surgery: RIMELL, Lynne (Mrs) (Clerical Access Role) Entered at: Entered: 07 Sep 2018 12:51
HMYOI Portland
F213
F213 report of injury to inmate completed (XaYgE)
02 Sep 2018 12:09 Surgery: HAMPSHIRE, Ann (Miss) (Nurse Access Role) Entered at: HMYOI Portland
Segregation unit referral for pending investigation (XaPmg)
Admission to segregation unit (XaPma) (New Episode)
Prison segregation unit risk assessment (XaQii)
Seen in segregation unit (Y0ce3)
Seen by nurse (XaATp)
Medically fit to be held in the segregation unit (Y0d06) - Yes
03 Sep 2018 08:45 Surgery: RIMELL, Lynne (Mrs) (Clerical Access Role) Entered at: HMYOI Portland
04 Sep 2018 13:35 Surgery: SMITH, Lynda (Mrs) (Nurse Access Role) Entered at: HMYOI Portland
Seen by nurse (XaATp)
Review of admission to segregation unit (XaPmi) - Seen in segregation unit, nil healthcare concerns raised.
No suicidal thoughts (XaIJ7)
Seen in segregation unit (Y0ce3)
06 Sep 2018 08:03 Surgery: RIMELL, Lynne (Mrs) (Clerical Access Role) Entered at: HMYOI Portland
06 Sep 2018 13:43 Surgery: NOONAN, Marie (Nurse Access Role) Entered at: HMYOI Portland
No suicidal thoughts (XaIJ7)
No thoughts of deliberate self harm (XaIuw)
Review of admission to segregation unit (XaPmi)
seen in csu.
Nil issues for Healthcare
Seen by nurse (XaATp)
Seen in segregation unit (Y0ce3)
Medication given (8B311)
Medically fit to be held in the segregation unit (Y0d06) - yes
08 Sep 2018 10:31 Surgery: SMITH, Lynda (Mrs) (Nurse Access Role) Entered at: HMYOI Portland
History: Seen in segregation unit (Y0ce3)Seen by nurse (XaATp)
Seen in segregation unit (Y0ce3)
Review of admission to segregation unit (XaPmi) - Seen in segregation unit, nil healthcare concerns raised.
Seen by nurse (XaATp)
No suicidal thoughts (XaIJ7)
09 Sep 2018 14:11 Surgery: SMITH, Lynda (Mrs) (Nurse Access Role) Entered at: HMYOI Portland
History: Seen in segregation unit (Y0ce3)Seen by nurse (XaATp)
Review of admission to segregation unit (XaPmi) - Seen in segregation on daily healthcare round. Nil healthcare
concerns raised.
No thoughts of deliberate self harm (XaIuw)
Prison segregation unit risk assessment (XaQii)
Seen by nurse (XaATp)
Segregation unit referral for cellular confinement (XaPmd)
Seen in segregation unit (Y0ce3)
No suicidal thoughts (XaIJ7)
10 Sep 2018 13:57 Surgery: SMITH, Lynda (Mrs) (Nurse Access Role) Entered at: HMYOI Portland
History: Seen in segregation unit (Y0ce3)Seen by nurse (XaATp)
Medication given (8B311)
No thoughts of deliberate self harm (XaIuw)
Review of admission to segregation unit (XaPmi) - Seen in segregation on daily healthcare round. Dry skin evident
to arms Plan: aqueous cream to be issued through PGD. Nil other healthcare concerns raised.
Prison segregation unit risk assessment (XaQii)
Seen by nurse (XaATp)
Thu 23 Apr 2020 15:02
Mr Saul Turner "Saul Altel" (A2425AM)
Confidential: Personal Data 719 122 2247, 08 Dec 1982
C103
C104
Printed
409af26bccb2448dabacd1cf3d115e4f-104
by TURNER, Steven (Mr) (Clerical Access Role)HMP Highdown 104 of 216
No suicidal thoughts (XaIJ7)
Prison segregation unit risk assessment (XaQii)
Seen in segregation unit (Y0ce3)
10 Sep 2018 17:51 Surgery: SMITH, Lynda (Mrs) (Nurse Access Role) Entered at: HMYOI Portland
10 Sep 2018 17:51 Surgery: SMITH, Lynda (Mrs) (Nurse Access Role) Entered at: HMYOI Portland
(From PGD or Homely Remedy) Aqueous cream - 1 pack of 100 gram(s) - 1-5 application - Once only (Topical)
Stopped 10 Sep 2018 Medication has been administered by SMITH, Lynda (Mrs)
12 Sep 2018 08:09 Surgery: SMITH, Zoe (Nurse Access Role) Entered at: HMYOI Portland
Review of admission to segregation unit (XaPmi) - No issues raised today.
Seen by nurse (XaATp)
No thoughts of deliberate self harm (XaIuw)
No suicidal thoughts (XaIJ7)
Seen in segregation unit (Y0ce3)
15 Sep 2018 13:37 Surgery: HAMPSHIRE, Ann (Miss) (Nurse Access Role) Entered at: HMYOI Portland
No suicidal thoughts (XaIJ7)
No thoughts of deliberate self harm (XaIuw)
Review of admission to segregation unit (XaPmi) - Seen in segregation unit on daily nurse round, no concerns raised
for healthcare.
Seen in segregation unit (Y0ce3)
Seen by nurse (XaATp)
Medically fit to be held in the segregation unit (Y0d06) - Yes
16 Sep 2018 12:35 Surgery: SMITH, Lynda (Mrs) (Nurse Access Role) Entered at: HMYOI Portland
History: Seen in segregation unit (Y0ce3)Seen by nurse (XaATp)
Review of admission to segregation unit (XaPmi) - Seen in segregation on daily healthcare round. Nil healthcare
concerns raised.
No thoughts of deliberate self harm (XaIuw)
Prison segregation unit risk assessment (XaQii)
Seen by nurse (XaATp)
Prison segregation unit risk assessment (XaQii)
Seen in segregation unit (Y0ce3)
No suicidal thoughts (XaIJ7)
17 Sep 2018 11:42 Surgery: NOONAN, Marie (Nurse Access Role) Entered at: HMYOI Entered: 18 Sep 2018 07:42
Portland
No suicidal thoughts (XaIJ7)
No thoughts of deliberate self harm (XaIuw)
Review of admission to segregation unit (XaPmi)
Seen in CSU - He requests like "spot " cream - reports skin irritaion on trunk area
tasked nurse prescriber
Seen in segregation unit (Y0ce3)
Seen by nurse (XaATp)
Medically fit to be held in the segregation unit (Y0d06) - yes
17 Sep 2018 13:59 Automatically updated from PAS interface: Unknown Staff Member Entered at: Dorset County
Hospital NHS Foundation Trust EPR Core
Previous Home Address: Hmp Yoi, Grove Road, Portland DT5 1DL
Hospital Number: D706036 (Primary PAS ID) at Dorset County Hospital EPR Core Trust
SystmOne Outgoing Record Sharing consent changed to: Not asked - Record shared - Automatically generated by
SystmOne
SystmOne Incoming Record Sharing consent changed to: Not asked - Record shared - Automatically generated by
SystmOne
Home telephone number: 01305 715600
18 Sep 2018 13:47 Surgery: SMITH, Lynda (Mrs) (Nurse Access Role) Entered at: HMYOI Portland
History: Seen in segregation unit (Y0ce3)Seen by nurse (XaATp)
Review of admission to segregation unit (XaPmi) - Seen in segregation on daily healthcare round. Nil healthcare
concerns raised.
No thoughts of deliberate self harm (XaIuw)
Prison segregation unit risk assessment (XaQii)
Seen by nurse (XaATp)
Prison segregation unit risk assessment (XaQii)
Seen in segregation unit (Y0ce3)
No suicidal thoughts (XaIJ7)
19 Sep 2018 11:30 Surgery: SMITH, Lynda (Mrs) (Nurse Access Role) Entered at: HMYOI Portland
Thu 23 Apr 2020 15:02
Mr Saul Turner "Saul Altel" (A2425AM)
Confidential: Personal Data 719 122 2247, 08 Dec 1982
C104
C105
Printed
409af26bccb2448dabacd1cf3d115e4f-105
by TURNER, Steven (Mr) (Clerical Access Role)HMP Highdown 105 of 216
History: Seen in segregation unit (Y0ce3)Seen by nurse (XaATp)
Review of admission to segregation unit (XaPmi) - Seen in segregation on daily healthcare round. Nil healthcare
concerns raised.
No thoughts of deliberate self harm (XaIuw)
Prison segregation unit risk assessment (XaQii)
Seen by nurse (XaATp)
Prison segregation unit risk assessment (XaQii)
Seen in segregation unit (Y0ce3)
No suicidal thoughts (XaIJ7)
20 Sep 2018 14:09 Surgery: SMITH, Lynda (Mrs) (Nurse Access Role) Entered at: HMYOI Portland
History: Seen in segregation unit (Y0ce3)Seen by nurse (XaATp)
Review of admission to segregation unit (XaPmi) - Seen in segregation on daily healthcare round. Nil healthcare
concerns raised.
No thoughts of deliberate self harm (XaIuw)
Prison segregation unit risk assessment (XaQii)
Seen by nurse (XaATp)
Prison segregation unit risk assessment (XaQii)
Seen in segregation unit (Y0ce3)
No suicidal thoughts (XaIJ7)
21 Sep 2018 13:40 Surgery: SMITH, Lynda (Mrs) (Nurse Access Role) Entered at: HMYOI Portland
History: Seen in segregation unit (Y0ce3)Seen by nurse (XaATp)
Review of admission to segregation unit (XaPmi) - Seen in segregation on daily healthcare round. Nil healthcare
concerns raised.
No thoughts of deliberate self harm (XaIuw)
Prison segregation unit risk assessment (XaQii)
Seen by nurse (XaATp)
Prison segregation unit risk assessment (XaQii)
Seen in segregation unit (Y0ce3)
No suicidal thoughts (XaIJ7)
22 Sep 2018 09:43 Surgery: NOONAN, Marie (Nurse Access Role) Entered at: HMYOI Portland
No suicidal thoughts (XaIJ7)
No thoughts of deliberate self harm (XaIuw)
Review of admission to segregation unit (XaPmi)
Seen In csu cell .
No concerns re Helathcare when asked
Seen in segregation unit (Y0ce3)
Seen by nurse (XaATp)
Medically fit to be held in the segregation unit (Y0d06) - yes
23 Sep 2018 13:36 Surgery: SMITH, Lynda (Mrs) (Nurse Access Role) Entered at: HMYOI Portland
Review of admission to segregation unit (XaPmi) - Seen in segregation on daily healthcare round. Requesting 1
gram of paracetamol for a headache. Issued through nurses PGD. Advised to increase fluid intake. Nil other
healthcare concerns raised.
Medication given (8B311)
Prison segregation unit risk assessment (XaQii)
Seen by nurse (XaATp)
Seen in segregation unit (Y0ce3)
No suicidal thoughts (XaIJ7)
No thoughts of deliberate self harm (XaIuw)
Prison segregation unit risk assessment (XaQii)
25 Sep 2018 12:05 Surgery: ROBSON, Bryan (Nurse Access Role) Entered at: HMYOI Portland
Seen by nurse (XaATp)
Admission to segregation unit (XaPma) (Ongoing Episode)
Review of admission to segregation unit (XaPmi) - Seen , no requests for any healthcare needs at time seen.
No suicidal thoughts (XaIJ7)
No thoughts of deliberate self harm (XaIuw)
26 Sep 2018 09:39 Surgery: NOONAN, Marie (Nurse Access Role) Entered at: HMYOI Portland
No suicidal thoughts (XaIJ7)
No thoughts of deliberate self harm (XaIuw)
Review of admission to segregation unit (XaPmi) - Seen in csu - lying on bed reading a book this morning . Denied
any issues for Healthcare . Stable at time of consultation
Seen in segregation unit (Y0ce3)
Thu 23 Apr 2020 15:02
Mr Saul Turner "Saul Altel" (A2425AM)
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Seen by nurse (XaATp)
Medically fit to be held in the segregation unit (Y0d06) - yes
27 Sep 2018 11:37 Surgery: THOMPSON, Nicola (Nurse Access Role) Entered at: HMYOI Portland
No thoughts of deliberate self harm (XaIuw)
Review of admission to segregation unit (XaPmi) - seen in CSU no concerns raised at time, appears fit and well at
time.
Seen in segregation unit (Y0ce3)
No suicidal thoughts (XaIJ7)
Seen in segregation unit (Y0ce3)
Seen by nurse (XaATp)
Medically fit to be held in the segregation unit (Y0d06) - yes
28 Sep 2018 11:29 Surgery: SMITH, Lynda (Mrs) (Nurse Access Role) Entered at: HMYOI Portland
Review of admission to segregation unit (XaPmi) - Seen in segregation on daily healthcare round. Nil healthcare
concerns raised.
Seen by nurse (XaATp)
Prison segregation unit risk assessment (XaQii)
No thoughts of deliberate self harm (XaIuw)
No suicidal thoughts (XaIJ7)
Seen in segregation unit (Y0ce3)
Prison segregation unit risk assessment (XaQii)
29 Sep 2018 13:04 Surgery: SMITH, Lynda (Mrs) (Nurse Access Role) Entered at: HMYOI Portland
Review of admission to segregation unit (XaPmi) - Seen in segregation on daily healthcare round. Mr Turner
requested cream which he believed the doctor was going to prescribe following previous segregation round. Looked
under patient notes noted no cream has been prescribed. Will inform Mr Turner. Nil further healthcare concerns
raised.
Seen by nurse (XaATp)
Prison segregation unit risk assessment (XaQii)
No thoughts of deliberate self harm (XaIuw)
No suicidal thoughts (XaIJ7)
Seen in segregation unit (Y0ce3)
Prison segregation unit risk assessment (XaQii)
30 Sep 2018 11:44 Surgery: HAMPSHIRE, Ann (Miss) (Nurse Access Role) Entered at: HMYOI Portland
No suicidal thoughts (XaIJ7)
No thoughts of deliberate self harm (XaIuw)
Review of admission to segregation unit (XaPmi) - Seen by healthcare no concerns raised this morning.
Seen in segregation unit (Y0ce3)
Seen by nurse (XaATp)
Medically fit to be held in the segregation unit (Y0d06) - Yes
01 Oct 2018 13:55 Surgery: NOONAN, Marie (Nurse Access Role) Entered at: HMYOI Portland
No suicidal thoughts (XaIJ7)
No thoughts of deliberate self harm (XaIuw)
Review of admission to segregation unit (XaPmi) - seen in csu . paracetamol given for headache -otherwise well
Medication given (8B311)
Seen in segregation unit (Y0ce3)
Seen by nurse (XaATp)
Medically fit to be held in the segregation unit (Y0d06) - yes
02 Oct 2018 HMP Prison: MUNDY, Caroline (Mrs) (Clerical Access Role) Entered: 03 Oct 2018 13:35
Entered at: HMP Guys Marsh
Medication Compact to HMP Guys Marsh
02 Oct 2018 Surgery: MUNDY, Caroline (Mrs) (Clerical Access Role) Entered Entered: 03 Oct 2018 13:36
at: HMP Guys Marsh
Medical Compact
Patient consented to sharing of information (Y3358)
Accepted (Ub1mG)
02 Oct 2018 08:22 Surgery: GOULD, Holly (Miss) (Clerical Access Role) Entered at: HMYOI Portland
Transfer moved out (Y3425)
Medically fit for prison transfer (XaQfN)
Has no outstanding hospital/ Doctors appointments (Y07f8)
Is not receiving prescribed medication (Y08d7)
02 Oct 2018 11:11 Surgery: SMITH, Lynda (Mrs) (Nurse Access Role) Entered at: HMYOI Portland
Seen by nurse (XaATp)
Thu 23 Apr 2020 15:02
Mr Saul Turner "Saul Altel" (A2425AM)
Confidential: Personal Data 719 122 2247, 08 Dec 1982
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Prison segregation unit risk assessment (XaQii)
Review of admission to segregation unit (XaPmi) - Seen in segregation on daily healthcare round. Nil healthcare
concerns raised.
Seen in segregation unit (Y0ce3)
No suicidal thoughts (XaIJ7)
No thoughts of deliberate self harm (XaIuw)
Prison segregation unit risk assessment (XaQii)
02 Oct 2018 13:34 Surgery: DAYMAN, James (Mr) (Clerical Access Role) Entered at: HMP Guys Marsh
SystmOne Incoming Record Sharing consent changed to: Yes
02 Oct 2018 13:34 Surgery: DAYMAN, James (Mr) (Clerical Access Role) Entered at: HMP Guys Marsh
02 Oct 2018 13:34 Surgery: DAYMAN, James (Mr) (Clerical Access Role) Entered at: HMP Guys Marsh
SystmOne Outgoing Record Sharing consent changed to: No
02 Oct 2018 13:34 Surgery: Unknown Staff Member Entered at: HMP Guys Marsh
(Admission Med) Paracetamol 500mg tablets - x 2 - 500mg
(Admission Med) Paracetamol 500mg tablets - 2 tablets - now
(Admission Med) Paracetamol 500mg tablets - 2 tablets - now
(Admission Med) Paracetamol 500mg tablets - 2 tablets - now
(Admission Med) Paracetamol 500mg tablets - 16 tablets - 2 qds
(Admission Med) Paracetamol 500mg tablets - 16 tablets - 2 qds
02 Oct 2018 13:34 Surgery: DAYMAN, James (Mr) (Clerical Access Role) Entered at: HMP Guys Marsh
02 Oct 2018 15:53 Surgery: DAYMAN, James (Mr) (Clerical Access Role) Entered at: HMP Guys Marsh
Are you taking any medicines that have been prescribed for you on prescription or do you take any medicines that
you buy yourself? - Yes
Before coming here, for example at home, did you look after your medicines yourself? - Yes
Before coming here, for example at home, did you take your medicines yourself? - Yes
Do you have any problems understanding how to take your medicines? - No
- difficulties with reading the label
- language issues
- confusing intructions on when to take them
- other issues (please specify)
Does the patient have a problem with alcohol or using drugs? - No
Has the patient had any problems in the last 12 months with bullying or trading medicines? - No
Has the patient had any problems in the last 12 months with not taking, or not remembering to take their medicines
as prescribed? - No
Has the patient had any problems in the last 12 months with not being able to collect their medicines? - No
Has the patient had any problems in the last 12 months with not being able to get their medicines out of their
containers? - No
Has the patient self-harmed or attempted suicide in the last 12 months? - No
Has the patient overdosed with medicines in the last 12 months? - No
Does the patient have an open ACCT document? - No
Is the patient confused or disorrientated? - No
Is it the patient's first time in prison? - No
Has there been a change in their custodial status? (e.g. licence recall; long sentence to serve; manslaughter or
murder charge) - No
Other recent life changing event? - No
Assessment Outcome:
IP Status: Full In Possession
Low Risk Score: 0-9
No suicidal thoughts (XaIJ7)
Not known if prisoner has received medication for mental health problems (Y08fd)
Prisoner has not tried to harm themselves (in prison) (Y09f9)
No thoughts of deliberate self harm (XaIuw)
Prisoner has a psychiatric nurse or care worker in the community : no (Y09d1)
Impressions of the prisoners behaviour and mental state (YX023) - DECLINED REFERRAL
Urine not tested: unable to obtain sample (Y2336)
Has not stayed in a psychiatric hospital (Y08e2)
Prisoner has not received treatment from a psychiatrist outside prison: no (Y09ce)
Prisoner has not tried to harm themselves (outside prison) (Y09fa)
No (Y0428)
No (Y0428)
No (Y0428)
Thu 23 Apr 2020 15:02
Mr Saul Turner "Saul Altel" (A2425AM)
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No (Y0428)
No (Y0428)
No (Y0428)
No (Y0428)
No (Y0428)
No (Y0428)
Diet notes (Y1310) - NORMAL
No (Y0428)
No (Y0428)
No (Y0428)
Unknown (X90UG)
Transfer moved in (Y3424)
Assessment of risk of prisoner in-possession medication (Xab5S)
N/A (Y0426)
Patient consented to sharing of information (Y3358)
Interpreter needed (XaI8X)
No (Y0428)
Tuberculosis screening (6831.)
Medical condition comments (Y2578) - N/A
No current problems or disability (1152.) (Ongoing Episode)
Has not received physical injuries recently (Y08d8)
Relevant medical information (XaYmG) - N/A (Ongoing Episode)
Patient not registered (9121.)
No (Y0428)
Has not been homeless in the past year (Y08db)
N/A (Y0426)
No (Y0428)
Medication changed (8B316) - NIL
Other medication management (XaJr2) - NIL
Advice to continue with drug treatment (XaAsN) - NIL
Further background information (Y2299) - NIL
Advice to stop drug treatment (XaA02) - NIL
Sources of information (XaIKS) - PATIENT
Fit to attend gym (XaKkp)
Over the counter medication (YA459) - NIL
H/O: high risk medication (14P..) - NIL
Herbal medicine (x00yv) - NIL
Referral to smoking cessation service declined (XaaDx)
User of electronic cigarette (XaaNL)
Comment note (XaIg6)
Alcohol screen - AUDIT PC completed (XaMyj) 0
Tuberculosis screening (6831.)
Attended new patient screening (9OW1.)
Medication reconciliation (XaXfG)
O/E - weight (22A..) 66 Kg (10 st 6 lb)
Smoker (137R.)
Body mass index - observation (22K..) 22.13 Kg/m²
No (Y0428)
No (Y0428)
Has not seen Doctor in previous few months (Y08d6)
Is not receiving prescribed medication (Y08d7)
Has no outstanding hospital/ Doctors appointments (Y07f8)
No (Y0428)
No (Y0428)
No (Y0428)
No (Y0428)
No (Y0428)
Hepatitis B screening offered (XaLFK)
Hepatitis C screening declined (XaLNE)
Hepatitis B screening declined (XaLND)
HIV screening declined (XaLI7)
HIV test offered (XaDvy)
Thu 23 Apr 2020 15:02
Mr Saul Turner "Saul Altel" (A2425AM)
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Is informed (Ua29U)
Current medication as reported by patient (XaQnH) - N/A
Fit for normal location, work and any cell occupancy (YX035)
Hepatitis C screening offered (XaLDh)
Prison first reception health assessment completed (XaYXV)
Medication In Possession Status: In possession - 7 days
02 Oct 2018 16:07 Surgery: DAYMAN, James (Mr) (Clerical Access Role) Entered at: HMP Guys Marsh
SEEN ON RECEPTION, task sent to trevor barnes, re his referral for pt , when seen at hmp portland, 20th august.
Toothache (1912.)
02 Oct 2018 16:12 Surgery: DAYMAN, James (Mr) (Clerical Access Role) Entered at: HMP Guys Marsh
02 Oct 2018 16:43 Surgery: DAYMAN, James (Mr) (Clerical Access Role) Entered at: HMP Guys Marsh
03 Oct 2018 08:14 Surgery: TRIM, Zara (Miss) (Health Professional Access Role) Entered at: HMP Guys Marsh
Drug addiction therapy (XE0hi) - Risk review - none noted - to be seen by DW.
03 Oct 2018 08:21 Surgery: MUNDY, Caroline (Mrs) (Clerical Access Role) Entered at: HMP Guys Marsh
03 Oct 2018 10:23 Surgery: HEWETT, Francis (Mr) (Health Professional Access Role) Entered at: HMP Guys Marsh
Drug addiction therapy (XE0hi) - Intervention offered and refused. Harm min and P-S sheet given and signed. ISMS
non-engaement disclamimer signed. stated drug use not problematic.
03 Oct 2018 11:33 Surgery: TAYLOR, Diane (Mrs) (Clerical Access Role) Entered at: HMP Guys Marsh
Fit to attend gym (XaKkp)
05 Oct 2018 20:48 Acute Hospital: Unknown Staff Member Entered at: Dorset County Hospital NHS Foundation
Trust EPR Core
Patient record merged (XaR4R)
05 Oct 2018 20:48 Surgery: Unknown Staff Member Entered at: HMP Guys Marsh
Patient record merged (XaR4R)
09 Oct 2018 15:30 Surgery: BARNES, Trevor (Mr) Entered at: HMP Guys Marsh Entered: 09 Oct 2018 16:29
Did not attend for DENTIST appointment with Mr Trevor Barnes.
Did not attend (Xa1kG)
09 Oct 2018 15:31 Dentist: BARNES, Trevor (Mr) (Health Professional Access Role) Entered at: HMP Guys Marsh
History: Dental,
We rang the wing 3 x to get him over ,& each time they said they would get him over.
26 Oct 2018 Surgery: SOPER, Irena (Mrs) (Health Professional Access Role) Entered: 27 Oct 2018 13:46
Entered at: HMP Guys Marsh
Open ACCT (YA213) (Ongoing Episode)
27 Oct 2018 11:20 Surgery: SOPER, Irena (Mrs) (Health Professional Access Role) Entered at: HMP Guys Marsh
Plan: Referral to primary care mental health team (XaMhM)Saul was seen as part of the ACCT review. He made a
suicide attempts last night and he stated tyhat this was not his first one. He suffers from depression, and he said that
he has received medications for it in the past.
No (Y0428)
No (Y0428)
Mental symptom findings (XaBfp) - feeling low, and depressed
Family history of mental disorder (128..) - none
H/O: mental health problem (YA741) - has been on medications for depression, he has made several suicide
attempts in the past
No (Y0428)
Attended Assessment, Care in Custody and Teamwork review (XaQfl) - officer Parker, and MH Practitioner (Ongoing
Episode)
Attended Assessment, Care in Custody and Teamwork review (XaQfl)
Review status (Y04d8)
Issues discussd during the ACCT review was Saul's recent heavy SPICE use. He said that he does not have an
outstanding debt as a result of this and he justified his cell isolation as 'like being by myself'. He is cell isolating at
the mement because he does not want to use any more SPICE and the only way to avoid it is to stay way from
everybody according to him. Officer Parker has offered a move to Cambria as a way of giving him more opportunities
to engage with the regime.
Saul said that he suffers from sever depression, which when treated is well managed but he does not take any
medications for it at the moment. A GP appointmnet will be booked for him in order to discuss medications. Also his
case will be discussed on a team meeting to see who will be more suitable to take his case forward as he is willing to
give talking therapies a go.
Saul has made several serious suicide atempts in the past the last one being in 2011. He has made only one attempt
at self-harm and he does not define hilself as a self-harmer.
Althoug he has been using SPICE heavily he does not want to engage with ISMS. He has experince with meetings
Thu 23 Apr 2020 15:02
Mr Saul Turner "Saul Altel" (A2425AM)
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due to his compulsive gambling and he does not beleive that ISMS can help. He has been tald he was allowed to
change his mind, should he wish to give ISMS a go he can do this at a later date.
Saul stated that he got a good night sleep, and did not feel suicidal at the time of the review. His observations have
been lowered to an hourly one, and he has been adviced to try and speak to staff if he felt low.
Yes (Y0427)
Impressions of the prisoners behaviour and mental state (YX023) - He engaged well, and maintained good eye
contact during the ACCT review. His tone, and speach rate were normal. There were no sighns of perceptual or
thought disorder
Yes (Y0427)
Under care of mental health team (XaIvk)
Referred to doctor (XaBhV)
Seen by mental health triage nurse (XaL0u)
Mental health assessment (XaIYN)
Outcome (XaIXy)
Saul has made a suicide attempt last night and he was placed on an ACCT document. He was seens as part of the
ACCT review (see my notes). He said that he suffers from depression, which has been treated in the past but not at
the moment. He also has been using SPICE whilst in prison but does not want to engage with ISMS.
PLAN: he has been referred to the GP, and he will be discussed on the next team meeting for allocation.
Prisoner has received medication for mental health problems (YX019) - He has been on antidepressants in the past
Prisoner has received medication for mental health problems (YX019)
Substance misuse behaviour (XaJz5) - He has uses cannabis when not in prison but has been using SPICE whilst in
custody
No suicidal thoughts (XaIJ7)
No thoughts of deliberate self harm (XaIuw)
28 Oct 2018 14:52 Surgery: EDWARDS, Sharon (Mrs) (Health Professional Access Role) Entered at: HMP Guys
Marsh
Did not attend - no reason (XE2NM) - mr turner is not leaving his cell, he does not even go out to get his food or
shower, he refused to come and see the GP TODAY, he is in a viciouse circle, not seeing GP for a perscription and
not leaving his cell due to his angxiety, he will not az\ttend health care for his medication even if it is perscribed,
28 Oct 2018 15:01 Surgery: EDWARDS, Sharon (Mrs) (Health Professional Access Role) Entered at: HMP Guys
Marsh
28 Oct 2018 15:10 Surgery: SPRING, Mark (Dr) Entered at: HMP Guys Marsh
Did not attend for Doctor appointment with Dr Mark Spring.
Did not attend (Xa1kG)
29 Oct 2018 08:04 Surgery: MUNDY, Caroline (Mrs) (Clerical Access Role) Entered at: HMP Guys Marsh
29 Oct 2018 13:21 Surgery: LEITCH, Yvonne (Miss) (Clerical Access Role) Entered at: HMP Guys Marsh
Mental health review (XaIyU)
Other relevant information (Y4331) - went to see Saul as Nurse Blackmore concerned that there seemed to be no
reason for Saul self isolating and being depressed. Saul on acct and review previously attended by mh. acct
assessment indicates that Saul has been a spice user and does not want to use again. He has been self isolating.
When I went to see him he asked could I come back another time. Discussed at mh team meeting today- Lisa will
see with ISMS tomorrow
Review status (Y04d8) - went to see Saul as Nurse Blackmore concerned that there seemed to be no reason for
Saul self isolating and being depressed. Saul on acct and review previously attended by mh. acct assessment
indicates that Saul has been a spice user and does not want to use again. He has been self isolating. When I went to
see him he asked could I come back another time. Discussed at mh team meeting today- Lisa will see with ISMS
tomorrow
Mental health assessment (XaIYN)
Seen by primary care mental health team (XaZrh)
Open ACCT (YA213) (Ongoing Episode)
30 Oct 2018 10:35 Surgery: HUDSON, Lisa (Ms) (Nurse Access Role) Entered at: HMP Guys Marsh
Other relevant information (Y4331)
Seen in his cell due to concerns about low mood, depression and spice use. Saul was led on his bed, appeared
unkempt with the curtains drawn. He stated just wanting to be left alone, denied any current thoughts of suicide or
self harm. Saul admitted previous spice use but denied using anything currently, not keen to work with ISMS but
referred anyway and will request they attend with me again later.
Saul reported some paranoia but denied any voices or hallucinations, there was no evidence of severe mental illness
or formal thought disorder. He reports periods of depression but is unwilling to attend healthcare to see the doctor
or pick up medication, I will visit him again in a few days to review.
No thoughts of deliberate self harm (XaIuw)
Patient consented to sharing of information (Y3358)
Yes (Y0427)
Thu 23 Apr 2020 15:02
Mr Saul Turner "Saul Altel" (A2425AM)
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No suicidal thoughts (XaIJ7)
Seen by primary care mental health team (XaZrh)
Mental health assessment (XaIYN)
Mental health review (XaIyU)
Open ACCT (YA213) (Ongoing Episode)
30 Oct 2018 11:28 Surgery: HUDSON, Lisa (Ms) (Nurse Access Role) Entered at: HMP Guys Marsh
Referral In to HMP Highdown for Long Term Conditions Case Management Service: Ended on 17 Dec 2018 12:05
With the Following Intervention(s)
No appropriate treatment available
Status Update for Long Term Conditions Case Management Service Referral In: Care ongoing
31 Oct 2018 10:42 HMP Prison: CHEESEMAN, Emma (Miss) (Health Professional Access Role) Entered at: HMP
Guys Marsh
One to one communication with the client (Ua1FW)
Drug addiction therapy (XE0hi)
Initial assessment complete and Saul declined to engage with ISMS. He said that he used PS regularly and that he
had no plans to stop as it helps with the boredom of prison. He smokes pipes and spliffs and we discussed the
dangers of pipe use particularly, we discuss the unknown chemicals in PS. He stated that he wasn't on any
medication.
Harm min given and PS information given and discussed.
31 Oct 2018 10:53 Surgery: LEITCH, Yvonne (Miss) (Clerical Access Role) Entered at: HMP Guys Marsh
Review status (Y04d8) - SO bartholemew attended saying he had spoken to Saul encouraging him to attend acct
review, Saul said that he gets anxious as soon as cell door opens and whille he was happy to speak to SO
Barholemew he didnt want. He spoke to Mr Bartholemew for about 10 mins saying he just wanted left alone and had
no thoughts of self harm. Said he didnt want to end things and would be ok if acct closed.Mr Bartholemew came to
speak to me to advise me of this and that currently Saul on 3 obs per hr but this seemed unnecessary- Saul staed
recently to Lisa that he had no thoughts of self arm and has not made further attempts at self harm since acct
opened. We agreed obs could be reduced to one per hr but meaningful conversations must be strongly reminded to
staff to encourage. Also for Saul to be encouraged to shower and take part in self isolator regime. I have said it is ok
at present he can be only one out at a time to encourage Saul to shower. Lisa has further appt with Saul. He also
has been accepted by Cambria where he may be more comfortable to come out.
Other relevant information (Y4331) - SO bartholemew attended saying he had spoken to Saul encouraging him to
attend acct review, Saul said that he gets anxious as soon as cell door opens and whille he was happy to speak to
SO Barholemew he didnt want. He spoke to Mr Bartholemew for about 10 mins saying he just wanted left alone and
had no thoughts of self harm. Said he didnt want to end things and would be ok if acct closed.Mr Bartholemew came
to speak to me to advise me of this and that currently Saul on 3 obs per hr but this seemed unnecessary- Saul staed
recently to Lisa that he had no thoughts of self arm and has not made further attempts at self harm since acct
opened. We agreed obs could be reduced to one per hr but meaningful conversations must be strongly reminded to
staff to encourage. Also for Saul to be encouraged to shower and take part in self isolator regime. I have said it is ok
at present he can be only one out at a time to encourage Saul to shower. Lisa has further appt with Saul. He also
has been accepted by Cambria where he may be more comfortable to come out.
Attended Assessment, Care in Custody and Teamwork review (XaQfl) (Ongoing Episode)
Attended Assessment, Care in Custody and Teamwork review (XaQfl)
SO Bartholomew
Yvonne mh (Ongoing Episode)
Open ACCT (YA213) (Ongoing Episode)
Multi-disciplinary team meeting (Y04c6)
Mental health assessment (XaIYN)
No thoughts of deliberate self harm (XaIuw)
No suicidal thoughts (XaIJ7)
Mental health review (XaIyU)
02 Nov 2018 14:30 Surgery: POELVOORDE, Maria (Mrs) Entered at: HMP Guys Entered: 30 Nov 2018 12:34
Marsh
Did not attend for Nurse Clinic appointment with Mrs Maria Louise Poelvoorde.
Did not attend (Xa1kG)
04 Nov 2018 13:58 Surgery: DAYMAN, James (Mr) (Health Professional Access Role) Entered at: HMP Guys Marsh
Examination: Appointment For Doctor (Y1307)
Plan: declined to see dr today, when called, no reason given
06 Nov 2018 11:49 Surgery: HUDSON, Lisa (Ms) (Nurse Access Role) Entered at: HMP Guys Marsh
Other relevant information (Y4331)
Visited on the wing due to self isolating, Saul was up and about in his cell. Engaged with good eye contact, normal
speech rhythm tone & pace. He reported feeling better in himself, visibly cleaner, reports no spice use for over a
Thu 23 Apr 2020 15:02
Mr Saul Turner "Saul Altel" (A2425AM)
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week which he identifies has helped with mood.
Saul denied any thoughts of deliberate self harm or suicide and reported the ACCT is becoming annoying, this was
fed back to the wing and added to to the ACCT document.
No thoughts of deliberate self harm (XaIuw)
Patient consented to sharing of information (Y3358)
Yes (Y0427)
Seen by primary care mental health team (XaZrh)
Mental health assessment (XaIYN)
Open ACCT (YA213) (Ongoing Episode)
No suicidal thoughts (XaIJ7)
Mental health review (XaIyU)
07 Nov 2018 08:43 Surgery: MUNDY, Caroline (Mrs) (Clerical Access Role) Entered at: HMP Guys Marsh
09 Nov 2018 17:04 Surgery: LAZENBURY, Michelle (Mrs) (Health Professional Access Role) Entered at: HMP Guys
Marsh
History: Wing visit as Cell isolating - No issues at present - declined Healthcare
10 Nov 2018 17:08 Surgery: LEITCH, Yvonne (Miss) (Clerical Access Role) Entered at: HMP Guys Marsh
Yes (Y0427)
Other relevant information (Y4331)
Saul has been a cause for concern as self isolating and not getting out of bed. He has been accepting food and
saying he wants to stay off spice. Today a space was available on Cambria and he was moved there. Saul attended
acct rreview in SO office and engaged really well. Wasnt a spice user till previous sentence - says he spent
thousands and had to self isolate for two months at Portland to stay off it. When he got here he smoked it straight
away - increased use and lots of debt. he wasnt going to pay it back but got lots of hassle and couldnt be bothered
with it so paid it all. Says it was a lot of money. Others know he has money so he is a target for others to sell to. He
said he does get depressed but doesnt want meds. He had traumatic thing when young and partner left him and took
his child many years ago. He feels he has mental health related issues but his way of dealing with them is taking to
bed for lengthy period. he says we will know if he is depressed again as this is what he does. He says we dont have
to worry = he wont kill himself or self harm. Says he self harmed once cutting wrist and told us its not as easy as
people think. He showed me a well healed and faded scar across inside of right wrist. He said when moved to Saxon
from Anglia he had just stopped spice, was starting to withdraw, he was given no food , had no mattress etc and he
lost it and wrote note to ex that is mother of child saying he would kill himself. He said he had no intention of killing
himself and never will. Prison staff believe this was his sister but he says no it was ex and he doesnt even know
where she is. He is happy for acct to be closed. He doesnt know how it will go on Cambria but he will request wing
work or workshop 10 to be co-operative. After review he was having a look around Cambria and later I saw him
collecting his food and he pulled a comical face when he saw me.
No signs of perceptual or thought disorder. Would benefit from CBT or similar but not keen but Lisa reviewing him
soon so she may persuade him but he clearly has capacity to make decisions and manage his issues / life his
way.All agreed acct could be closed
In Assessmnt Care in Custody and Teamwork post-closure phase (XaYXJ) - yes
Close ACCT (Y0804) (New Episode)
Close ACCT (Y0804)
CM Bartholemew
SO Hoskins
Saul
Yvonne mh
Saul has been a cause for concern as self isolating and not getting out of bed. He has been accepting food and
saying he wants to stay off spice. Today a space was available on Cambria nd he was moved there. Saul attended
acct rreview in SO office and engaged really well. Wasnt a spice user till previous sentence - says he spent
thousands and had to self isolate for two months at Portland to stay off it. When he got here he smoked it straight
away - increased use and lots of debt. he wasnt going to pay it back but got lots of hassle and couldnt be bothered
with it so paid it all. Says it was a lot of money. Others know he has money so he is a target for others to sell to. He
said he does get depressed but doesnt want meds. He had traumatic thing when young and partner left him and took
his child many years ago. He feels he has mental health related issues but his way of dealing with them is taking to
bed for lengthy period. he says we will know if he is depressed again as this is what he does. He says we donr have
to worry = he wont kill himself or self harm. Says he self harmed once cutting wrist and told us its not as easy as
people think. He showed me a well healed and faded scar across inside of right wrist. He said when moved to Saxon
from Anglia he had just stopped spice, was starting to withdraw, he was given no food , had no mattress etc and he
lost it and wrote note to ex that is mother of child and said he would kill himself. He said he had no intention of killing
himself and never will. Prison staff believe this was his sister but he says no it was ex and he doesnt even know
where she is. He is happy for acct to be closed. He doesnt know how it will go on Cambria but he will request wing
work or workshop 10 to be co-operative. After review he was having a look around Cambria and later I saw him
collecting his food and he pulled a comical face when he saw me.
Thu 23 Apr 2020 15:02
Mr Saul Turner "Saul Altel" (A2425AM)
Confidential: Personal Data 719 122 2247, 08 Dec 1982
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by TURNER, Steven (Mr) (Clerical Access Role)HMP Highdown 113 of 216
No signs of perceptual or thought disorder. Would benefit from CBT or similar but not keen but Lisa reviewing him
soon so she may persuade him but he clearly has capacity to make decisions and manage his issues / life his
way.All agreed acct could be closed (Ongoing Episode)
Open ACCT (YA213) (Ongoing Episode)
Seen by primary care mental health team (XaZrh)
Mental health assessment (XaIYN)
No thoughts of deliberate self harm (XaIuw)
No suicidal thoughts (XaIJ7)
Mental health review (XaIyU)
12 Nov 2018 08:04 Surgery: MUNDY, Caroline (Mrs) (Clerical Access Role) Entered at: HMP Guys Marsh
22 Nov 2018 11:52 Surgery: HUDSON, Lisa (Ms) (Nurse Access Role) Entered at: HMP Guys Marsh
Seen by primary care mental health team (XaZrh)
Close ACCT (Y0804) (Ongoing Episode)
Other relevant information (Y4331)
Seen on the wing with OM Hoskins, Saul continues to self isolate due to feeling at risk. Reporting still being given
"grief", he refuses to leave the cell even when the self isolators are out. Saul would like a ship out to another prison
where he would feel safe, Miss Hoskins discussed this with him and assured his safety if he comes out with the other
isolators. He currently looks unkempt and hasn't had a shower since moving to Cambria.
He reported his mental health as good denying any thoughts of self harm or suicide, there was no evidence of
severe mental illness or formal thought disorder, Soul denies and psychotic symptoms and believes thoughts about
being under threat are totally founded.
I will continue to monitor his mental health presentation.
Mental health review (XaIyU)
Open ACCT (YA213) (Ongoing Episode)
Mental health assessment (XaIYN)
No suicidal thoughts (XaIJ7)
Close ACCT (Y0804) - ACCT was closed when Saul was moved to Cambria. (Ongoing Episode)
No thoughts of deliberate self harm (XaIuw)
30 Nov 2018 16:39 Surgery: LAZENBURY, Michelle (Mrs) (Admin/Clinical Support Access Role) Entered at: HMP
Guys Marsh
Cell visit as Mr Turner is Cell isolating, No issues at present
06 Dec 2018 08:59 Surgery: HUDSON, Lisa (Ms) (Nurse Access Role) Entered at: HMP Guys Marsh
Patient consented to sharing of information (Y3358)
Seen by primary care mental health team (XaZrh)
Mental health assessment (XaIYN)
Yes (Y0427)
Close ACCT (Y0804) - . (Ongoing Episode)
Close ACCT (Y0804)
Mental health review (XaIyU)
Other relevant information (Y4331) - Seen on the wing, Saul continues to self isolate. He was asleep in bed when I
attended and not pleased to see me, stating that he's fine and doesn't need any mental health support. The ACCT
has been closed.
06 Dec 2018 12:07 Surgery: HUDSON, Lisa (Ms) (Nurse Access Role) Entered at: HMP Guys Marsh
Yes (Y0427)
Patient consented to sharing of information (Y3358)
Responsible to (XaIjx) - Everyone
Seen by primary care mental health team (XaZrh)
Mental health review (XaIyU)
Other relevant information (Y4331) - Risk assessment
Summary report (XaX2s) - Low risk: Saul is currently low risk, he denies any thoughts of deliberate self harm or
suicide. He is at risk of self neglect due to self isolating and being unable to meet his needs.
Unable to summon help (Y4904)
Misuses drugs (Ub0mt)
Multi-agency action plan (XaXHL)
The establishment to help Saul meet his needs ensuring he has sufficient food, drink and access to facilities.
Contact healthcare with any concerns and open an ACCT if appropriate.
Responsible to (XaIjx) - Mental health team
Multi-agency action plan (XaXHL) - Mental health to continue monitoring.
Risk of self neglect (XaIv1)
Overview Notes (Y0028) - Denies any current thoughts of deliberate self harm or suicide. But at risk of self neglect
due to long term self isolation
No (Y0428)
Thu 23 Apr 2020 15:02
Mr Saul Turner "Saul Altel" (A2425AM)
Confidential: Personal Data 719 122 2247, 08 Dec 1982
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by TURNER, Steven (Mr) (Clerical Access Role)HMP Highdown 114 of 216
Destructive behaviour toward property (X765R)
Unknown (X90UG)
No (Y0428)
In prison (XE0pK)
Unknown (X90UG)
Clinic note (XaIgp) - Saul has minimalised risk from others by self isolating.
Destructive behaviour toward property (X765R)
Unknown risk of deliberate self harm (XaIv0)
Suicidal intent (XaA1G)
H/O: deliberate self harm (XaF9U)
Mental health assessment (XaIYN)
Risk of self neglect (XaIv1)
Overview Notes (Y0028) - History of deliberate self harm and suicidal thoughts
Unknown (X90UG)
Unknown (X90UG)
Self inflicted injury (Xa0EN)
No (Y0428)
11 Dec 2018 16:40 Surgery: LAZENBURY, Michelle (Mrs) (Admin/Clinical Support Access Role) Entered at: HMP
Guys Marsh
Note Marked in Error: Entered on wrong patient
Wrong Name of patient documented, however notes are correct
30 Nov 2018 16:39, History: Wing/Cell visit as cell isolating
Examination: Mr Dicks has no issues at present
12 Dec 2018 13:37 Surgery: HUDSON, Lisa (Ms) (Nurse Access Role) Entered at: HMP Guys Marsh
No suicidal thoughts (XaIJ7)
No thoughts of deliberate self harm (XaIuw)
Other relevant information (Y4331) - Visited on the wing, Saul reports his mental health is absolutely fine & asked to
be discharged from the service. He was made of how to re refer if needed.
Mental health review (XaIyU)
Mental health assessment (XaIYN)
Discharged from primary care mental health team (XaXH8)
Seen by primary care mental health team (XaZrh)
General Letter to Mr Saul Turner
12 Dec 2018 16:28 Surgery: EDWARDS, Sharon (Mrs) (Health Professional Access Role) Entered at: HMP Guys
Marsh
Clinical history and observations (X76sV) - well fare check completed on mr turner, he claims he is perfectly okay
and does not need anything from health care at this time, his cell was very clean and tidy, the officers says that hye
does not come out of his cell very often if ever, he does not get much exercise
Cell (XS1CR)
Plan (XaIVg) - to review in 1 weeks time
17 Dec 2018 12:05 Surgery: HUDSON, Lisa (Ms) (Nurse Access Role) Entered at: HMP Guys Marsh
Status Update for Long Term Conditions Case Management Service Referral In: Discharged From Care
18 Dec 2018 13:35 Hospital: THOMAS, Eleanor (Mrs) (Clerical Access Role) Entered at: HMP Guys Marsh
Address Changed From: 'ZZ99 3VZ'
Previous Home Address: HMP Guys Marsh, Guys Marsh, Shaftesbury SP7 0AH
Home telephone number: 01305 715600
28 Mar 2019 14:45 Surgery: SOPER, Irena (Mrs) Entered at: HMP Guys Marsh Entered: 28 Mar 2019 15:43
Did not attend for MENTAL HEALTH appointment with Mrs Irena Soper.
Did not attend (Xa1kG)
28 Mar 2019 15:45 Surgery: SOPER, Irena (Mrs) (Health Professional Access Role) Entered at: HMP Guys Marsh
Procedure declined (8I3..) - Refused to attend despite making several calls to the wing. A task sent to the psychiatrist
for a review.
28 Apr 2019 14:53 Surgery: HOLLAND, Gillian (Miss) (Nurse Access Role) Entered at: HMP Guys Marsh
Blood oxygen saturation (X7708) 98 %
Other professionals involved (Y3076) - G. Holland.
Novel psychoactive substance misuse (XabbR)
O/E - pulse rate (242..) 115 bpm
Novel psychoactive substance misuse (XabbR)
Treatment given (8BC..)
Monitored oxygen saturations and heart rate, gave advice of the risks associated with illicit drug use.
Officer asked to start Welfare log (reported that was already started).
Thu 23 Apr 2020 15:02
Mr Saul Turner "Saul Altel" (A2425AM)
Confidential: Personal Data 719 122 2247, 08 Dec 1982
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by TURNER, Steven (Mr) (Clerical Access Role)HMP Highdown 115 of 216
Left patient alert in his cell.
Informed him that I would be informing ISMS regarding the incident.
History and observations (X76sU)
Called to wing to assess Mr Turner for suspected illicit substance misuse.
On arrival patient was laying on his bed and alert.
Asked him to sit up which he did unaided.
Airway- maintaining independently.
Breathing- No concerns noted maintaining saturations 98-100% on room air.
Cirulcation- no bleeding or vomit.
Disibility- alert, speech slurred but engaged with staff. Pupils equal size 4 and a little sluggish.
29 Apr 2019 08:10 Surgery: TRIM, Zara (Miss) (Health Professional Access Role) Entered at: HMP Guys Marsh
Drug addiction therapy (XE0hi)
PS use suspected
To be seen by RW.
29 Apr 2019 14:30 Surgery: SHIPP, Paul (Mr) (Health Professional Access Role) Entered at: HMP Guys Marsh
Drug addiction therapy (XE0hi) - Met with Mr Turner on Cambria House this morning as ISMS duty worker. ISMS had
received a referral for him ref a recent PS episode. He declined to engage with ISMS at this time saying it was a 'one
off'. I had a discussion with him about the dangers of using PS.
One to one communication with the client (Ua1FW)
03 May 2019 07:52 Surgery: MUNDY, Caroline (Mrs) (Clerical Access Role) Entered at: HMP Guys Marsh
08 May 2019 08:18 Surgery: MUNDY, Caroline (Mrs) (Clerical Access Role) Entered at: HMP Guys Marsh
11 Jun 2019 12:50 Automatically updated from PAS interface: Unknown Staff Member Entered: 11 Jun 2019 13:02
Entered at: Dorset County Hospital NHS Foundation Trust EPR
Core
Home telephone number: 01305 715600
24 Dec 2019 12:20 Surgery: DEAN, Antony (Mr) (Nurse Access Role) Entered at: Hmp Rochester
Seen by primary care mental health team (XaZrh)
Outpatient (Ua0WZ)
Discussion about a problem (XaA2r)
Email from Leonard Higgins probation officer asking about information for housing.
Hi Tony
Could you please provide me with information regarding Mr Turners mental health issues to support his Housing
application.
Kind Regards
Leonard Higgins
Case Manager
Hampshire and Isle of Wight Community Rehabilitation Company
C115
Seen by primary care mental health gateway worker (XaM7s)
No (Y0428)
Outcome (XaIXy)
Thank you for your email, I can confirm that Mr Saul Turner was diagnosed with
Double depression (recurrent depressive disorder on a background of dysthymia) with co-morbid cannabis/spice
misuse.
This was diagnosed by Dr Singh Consultant forensic psychiatrist on 20th December 2017.
In my view this would meet the criteria for priority housing due to his mental health.
Kind regards
Tony Dean
24 Dec 2019 13:31 Surgery: DEAN, Antony (Mr) (Nurse Access Role) Entered at: Hmp Rochester
Thu 23 Apr 2020 15:02
Mr Saul Turner "Saul Altel" (A2425AM)
Confidential: Personal Data 719 122 2247, 08 Dec 1982
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by TURNER, Steven (Mr) (Clerical Access Role)HMP Highdown 116 of 216
Acrobat Document: Consent to share Saul Turner.pdf
08 Jan 2020 HMP Prison: MARTIN, Ruby (Miss) (Clerical Access Role) Entered: 09 Jan 2020 10:52
Consent Form to HMP Highdown
08 Jan 2020 20:53 Surgery: FUGILL, Niamh (Miss) (Health Professional Access Role)
Address Changed From: 'ZZ99 3VZ', Dispensing Flag Turned Off
Previous Home Address: HMP Guys Marsh, Guys Marsh, Shaftesbury SP7 0AH
08 Jan 2020 20:53 Surgery: Unknown Staff Member
(Admission Med) Paracetamol 500mg tablets - x 2 - 500mg
(Admission Med) Paracetamol 500mg tablets - 2 tablets - now
(Admission Med) Paracetamol 500mg tablets - 2 tablets - now
(Admission Med) Paracetamol 500mg tablets - 2 tablets - now
(Admission Med) Paracetamol 500mg tablets - 16 tablets - 2 qds
(Admission Med) Paracetamol 500mg tablets - 16 tablets - 2 qds
08 Jan 2020 20:53 Surgery: FUGILL, Niamh (Miss) (Health Professional Access Role)
Eating normal (Xa4O0)
Normal diet (Ub04n)
Memory function normal (X75xR)
Able to mobilise indoors (Xa7zW)
No (Y0428)
not required (Y1471)
Able to dress (Xa2xE)
Able to wash self (Xa2uI)
No known allergies (1151.)
Prisoner has a psychiatric nurse or care worker in the community : no (Y09d1)
Prisoner assessment for in-possession medication completed (XaPim)
Is not receiving prescribed medication (Y08d7)
General practice premises (XC0SY) - n/a
No (Y0428)
Prisoner has not received treatment from a psychiatrist outside prison: no (Y09ce)
Has not stayed in a psychiatric hospital (Y08e2)
Hepatitis B screening declined (XaLND)
HIV test offered (XaDvy)
Learning disability screening questionnaire (XaXwn)
Hepatitis B screening offered (XaLFK)
Hepatitis C screening declined (XaLNE)
Syphilis screening declined (XaLNB)
HIV screening declined (XaLI7)
Hepatitis C screening offered (XaLDh)
Able to communicate about self (Xa4Fa)
Patient consented to sharing of information (Y3358)
Safe to be left unattended (Ua2Ah)
No (Y0428)
not required (Y1471)
Health assessment questionnaire (XM0e6) 1 - 1. Can the prisoner tell the time?: Yes
2. Can the prisoner read?: Yes
3. Can the prisoner write?: Yes
4. Does the prisoner live independently?: Yes
5. Does the prisoner have a job?: No
6. Has the prisoner had previous contact with LD Services?: No
7. Has the client had special schooling?: No
No (Y0428)
No (Y0428)
Admission to establishment (XaAMo)
Ex-drinker (Ub0lI)
Prisoner has a psychiatric nurse or care worker in the community : no (Y09d1)
Has never injected drugs (Ub0nF)
Patient has previously used drugs (Y2479)
O/E - mental state (225..) - Low in mood, compliant with screening, states he does not hae any thoughts of self hamr
or suicide but feels as if hes going to have a nervous breakdown.
No suicidal thoughts (XaIJ7)
Thu 23 Apr 2020 15:02
Mr Saul Turner "Saul Altel" (A2425AM)
Confidential: Personal Data 719 122 2247, 08 Dec 1982
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by TURNER, Steven (Mr) (Clerical Access Role)HMP Highdown 117 of 216
Prisoner has not received treatment from a psychiatrist outside prison: no (Y09ce)
Has not stayed in a psychiatric hospital (Y08e2)
Chlamydia screening declined (XaJdS)
Chlamydia test offered (XaLHg)
Syphilis screening offered (XaLN9)
Gonorrhoea screening declined (XaLHo)
No current problems or disability (1152.) (Ongoing Episode)
Never smoked tobacco (XE0oh)
Prison first reception health assessment completed (XaYXV)
No injuries apparent (Ua15i)
Body mass index - observation (22K..) 20.76 Kg/m²
Pulse rate (X773s) 90 bpm
Interpreter not present (XaF47)
Interpreter not needed (XaI8Y)
O/E - weight (22A..) 60 Kg (9 st 6 lb)
O/E - height (229..) 1.7 m (5 ' 7 ")
No thoughts of deliberate self harm (XaIuw)
Feeling hopeless (XaAyM)
Prisoner has tried to harm themselves (outside prison) (YX021)
Prisoner has not tried to harm themselves (in prison) (Y09f9)
Has not been homeless in the past year (Y08db) - currently
Respiratory rate (X774f) 18 breaths/min
History/symptoms (1....) - Chronic depression, dysoman nervous breakdown 2011
Homeless single person (13D2.)
124 / 69 mmHg
Medication In Possession Status: Not in possession
08 Jan 2020 20:53 Surgery: FUGILL, Niamh (Miss) (Health Professional Access Role)
SystmOne Outgoing Record Sharing consent changed to: No
08 Jan 2020 22:56 Surgery: FUGILL, Niamh (Miss) (Health Professional Access Role)
seen patient in reception, pt informed me he spoke with a MH team this AM in police custody, who recommened he
goes to HC, he states they informed him that they would fax over his documents- unable to loacte. he states he is
feeling very low in mood and the reason he is in prison is because 'it was prison or kill himself', he informed me he
had a nervous break down in 2011 and feels as if hes going to have another one. He states he is very depressed at
them minute but does not have any thoughts of self harm or suicidal ideation at present. When speaking with Mr
Turner he was reluctant to disclose any information on his current MH state and MH HX, he got very frustated as he
said "everyone is asking the same questions and doing nothing about it". He expressed that he thinks he should be
in HC as he is very concerned about his MH but would not further discuss this. Pt sent to HC for review. ACCT not
opened as not at immediate risk to himself, and denies any thoughts of self harm or suicidal ideation, pt states he
does not want an ACCT to be opened
08 Jan 2020 23:04 Surgery: FUGILL, Niamh (Miss) (Health Professional Access Role)
Admission avoidance care ended (XaYD2) - attempted to loacte referral documents from MH team in police custodyunable
to loacte
Primary Care Group (XaIgz)
Mental health disorder (E....)
Referral to acute medical assessment unit (XaQsi)
No smokers in the household (XaIn9)
Outcome of delivery (XE1SI) - Pt to be assessed by MH and to see Dr regarding meds
09 Jan 2020 06:18 HMP Prison: VICTOIRE, Francois (Nurse Access Role)
Clinical management plan to date (Y0fd8)
Admission to ward (XaAMw)
O/E - weight (22A..) 0 Kg
Informed consent for procedure (892..)
Mental health disorder (E....)
Saul was admitted from reception, He was not engaging and refusing to cooperate with assessment and c/o low in
mood.
He has a hx of dysthemia ( persistant depressive disorder ) psychiatric letter 17 April 2018
He has a hx of insisting in staying in Health Care in other prison.
He has been on Na Valproate and Mirtazapine whenever he is in prison.
Spice (Xa4eZ)
Hx of using Cannabis and Spice when he is outside.
Thu 23 Apr 2020 15:02
Mr Saul Turner "Saul Altel" (A2425AM)
Confidential: Personal Data 719 122 2247, 08 Dec 1982
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by TURNER, Steven (Mr) (Clerical Access Role)HMP Highdown 118 of 216
General observation of patient (Xa1bt)
Inpatient treatment (Y0714)
Shared care: other agency and GP (66SY.)
Patient held care plan (XaQxa)
Mental health disorder (E....)
Hx of Persistant depressive disorder, he has been on Mirtazapine and Na Valproate whilst in prison in the past.
Goal identification (Ua1LR) - Stabilise mental health then transfer to the houseblock.
Record of Needs (XaItR) - Mental health problem with persistant depressive disorder.
Intervention (XaIja)
Seek medical info from gp and local CHMT and previous prison Inreach.
Refer to psychiatrist for assessment.
Provide One to One support to One to gather as much background history.
Provide access to Samaritans, Listeners and Chaplaincy as needed
09 Jan 2020 06:41 HMP Prison: VICTOIRE, Francois (Nurse Access Role)
Saul was admitted and located. He was looking somewhat confused, appeared to be under substance influence.
He got agitated he could not tell me if he wanted hot water or cup of tea. He started to be verbally abusive.
He later settled and slept.
He was kept on general obs.
09 Jan 2020 11:24 Surgery: ASIEDU, Marian (Mrs) (Health Professional Access Role)
Sources of information (XaIKS)
MAR Chart / Transfer Records -
Verbal report from - Patient
Other Source - FirstScreening
Further background information (Y2299) - Patient was prescribed sodium valporate and mirtazapine when last in
prison (2018). Patient is current not on regular prescribed meds
Medicines reconciliation performed (XaRF0)
09 Jan 2020 14:25 HMP Prison: NELSON, Brenda (Mrs) (Information Officer Access Role)
09 Jan 2020 16:50 HMP Prison: RUSE, Gareth (Dr) (Clinical Practitioner Access Role)
History: he may need zopiclone tonight soi nurse asking for him to have help. see me tomorrow
Zopiclone 7.5mg tablets - 3 tablets - 1 tablet - admin times: 20:00
Custom script: Printed On Thu 09 Jan 2020 16:51 By Dr Gareth Ruse
09 Jan 2020 19:43 Surgery: HILL, Paula (Mrs) (Admin/Clinical Support Access Role)
Personal Care
Mr Turner washed and dressed in his cell this morning.
Mood & Mental State
He is feeling a bit low mood today.
Physical
He is physically capable of doing everyday tasks if he wanted too.
Dietary Intake
Has been observed eating and drinking.
Activities & Social Interaction
Mr Turner came out for association and sat in the Day room. He interacted with other patients. He is now in his cell,
hourly observations maintained.
09 Jan 2020 19:48 HMP Prison: TAFIRENYIKA, Stellah (Health Professional Access Role)
History: Saul said he came to prison to seek help
Did not get any form of help when released from prison
Had no accommodation, was financially unstable and relationship broke down
Feeling very low in mood, hopeless, unable to sleep at night, emotional
Family
Reported is the only child, mum was a prostitute never met his father
Left home when he was 12 yrs was on the street for a year then went to stay with nan
Nan died in 2007 when he was in prison and does not have contact with mum
No proper education was arrested at 15 and has been in and out of prison
Said he was staying with a girlfriend was had a miscarriage of their twin babies during a short time when he was out
of prison. This caused tension with their relationship due to his depression and the relationship broke down. He left
girlfriend and has since been homeless.
Main index offence burglary and theft and arson once
Substance misuse
Denied using any illicit drugs nor alcohol but records from previous records suggest so
Thu 23 Apr 2020 15:02
Mr Saul Turner "Saul Altel" (A2425AM)
Confidential: Personal Data 719 122 2247, 08 Dec 1982
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by TURNER, Steven (Mr) (Clerical Access Role)HMP Highdown 119 of 216
Said has a diagnosis of chronic Depression and has been on Mirtazapine and Sodium Valproate before but did not
work for him.
Reports hearing voices ‘from mu head’ for the past six months one male and female
Voices are distressing as they are always arguing, not commanding
Denied any thoughts nor plans of DSH
Plan: Will be seen by psychiatrist
Has no outstanding hospital/ Doctors appointments (Y07f8)
Body mass index - observation (22K..) 20.76 Kg/m²
O/E - temperature (XaBzA) 37.2 degC
Family history unknown (XaJ2K)
Meningitis C vaccination offered (XaQGB)
Meningitis ACW & Y vacc given by other healthcare provider (XacK5)
Family history (12...) - Saul stated that he does not have family and no very little about his father's side
O/E - weight (22A..) 60 Kg (9 st 6 lb)
Referral to smoking cessation service (XaaDy)
User of electronic cigarette (XaaNL)
Smoker (137R.)
Pulse (XaIBo) 87 bpm
O/E - height (229..) 1.7 m (5 ' 7 ")
Dietary advice (8CA4.)
Advice about exercise (Xa9zF)
Patient given advice NOS (8CAZ.)
Advice on effects of smoking on health (Ua1O0)
Second Reception Screening (Y0da6)
Other medication management (XaJr2)
Sexual advice (X71FD)
Advice on alcohol consumption (Xa1dA)
Seasonal influenza vaccin given by other healthcare provider (XaZ0e)
Hep B Vacc - immunised already (Y075d)
History of measles, mumps and rubella vaccination (XaQe5)
Chlamydia screening declined (XaJdS)
Patient given advice (8CA..)
Referral to mental health team (XaIPw) - patient already referred and in inpatient
Gonorrhoea screening declined (XaLHo)
116 / 63 mmHg
Home telephone number: 01305 715600
09 Jan 2020 20:54 HMP Prison: BOSU, Kwaku (Mr) (Nurse Access Role)
09 Jan 2020 20:55 Surgery: BOSU, Kwaku (Mr) (Nurse Access Role)
10 Jan 2020 05:48 HMP Prison: BOSU, Kwaku (Mr) (Nurse Access Role)
History: Night Report:
Saul had a quite night, he was observed to have slept well during the shift.
No psychotic symptoms observed or reported
He was monitored by general nursing observations.
10 Jan 2020 08:51 Surgery: ASIEDU, Marian (Mrs) (Health Professional Access Role)
10 Jan 2020 17:49 HMP Prison: BROWN, Beverly (Mrs) (Nurse Access Role)
History: Mr Turner came out on association this morning and took care of his personal hygiene (shower).
He also went to the Dayroom and spent sometime there and was observed talking to other inmates. He ate and
drank
adequately and at present there are no concern in regards to his physical wellbeing. He was observed dancing
around
in his cell earlier. He did not clean his cell today however, it is fairly clean and at present he appears to be watching
television.
10 Jan 2020 20:29 HMP Prison: BOSU, Kwaku (Mr) (Nurse Access Role)
10 Jan 2020 20:52 Surgery: BOSU, Kwaku (Mr) (Nurse Access Role)
11 Jan 2020 04:54 HMP Prison: BOSU, Kwaku (Mr) (Nurse Access Role)
History: Night Report:
Mr Turner was stable in mood and behaviour during the shift, he adhered to his medication, and appeared to have
slept well
No concerns raised or observed
He was nursed on hourly observations
11 Jan 2020 17:15 HMP Prison: BROWN, Beverly (Mrs) (Nurse Access Role)
Thu 23 Apr 2020 15:02
Mr Saul Turner "Saul Altel" (A2425AM)
Confidential: Personal Data 719 122 2247, 08 Dec 1982
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History: Saul came out on association this morning and went to the Dayroom however, he was not observed
interacting with
any other inmate. He was sitting in his cell watching television and whilst I was doing the hourly checks I asked
him
if he was ok. He asked me when he was going to see the psychatrist and I have explained to him that it might be on
Tuesday. He said ok because he was told that he would be seeing one.
Saul took care of his personal hygiene whilst he was out on association (shower). He ate and drank adequately
throughout the day and at present there are no concern in regards to his physical wellbeing.
11 Jan 2020 21:06 HMP Prison: BOSU, Kwaku (Mr) (Nurse Access Role)
11 Jan 2020 21:06 Surgery: BOSU, Kwaku (Mr) (Nurse Access Role)
12 Jan 2020 05:28 HMP Prison: BOSU, Kwaku (Mr) (Nurse Access Role)
History: Night Entry:
Saul appeared to have slept well throughout the night, and was monitored by general nursing observations
No concerns verbalised or observed
12 Jan 2020 14:14 Surgery: OGUNMODEDE, Folasade (Mrs) (Nurse Access Role)
History: Mr Turner came out for his association.
Minimal interaction with staff.
He attended to his personal care(shower)
He did not clean his cell but hs cell is habitable.
He was given all meals.
Observed to have had good dietary intake and fluid intake.
Nursing hourly observation maintained.
13 Jan 2020 05:11 HMP Prison: BOSU, Kwaku (Mr) (Nurse Access Role)
History: Night Report:
Mr Turner was observed to have slept well during the night.and was nursed on hourly observations.
No psychotic features noted
No issues raised
13 Jan 2020 18:23 Surgery: OGUNMODEDE, Folasade (Mrs) (Nurse Access Role)
History: Mr Turner came out for his association.
He spent time in day room.
Used the kiosk.
Minimal interaction with staff.
He did not attend to his personal care(shower)
He did not clean his cell but his cell is habitable.
He was given all meals.
Observed to have had good dietary intake and fluid intake.
Nursing hourly observation maintained.
14 Jan 2020 05:49 HMP Prison: VICTOIRE, Francois (Nurse Access Role)
Saul was in bed on taking over, he appeared to have slept.
He did not wake up during the night. Hourly obs maintaied.
14 Jan 2020 18:30 Surgery: OGUNMODEDE, Folasade (Mrs) (Nurse Access Role)
14 Jan 2020 18:48 HMP Prison: TAFIRENYIKA, Stellah (Health Professional Access Role)
History: Mood and Mental State
Had been fairly settled part of the morning
Requested to see psychiatrist and became agitated, angry and threatened to put in a compliant
Stating that he has not been seen by anyone, reminded him that he has was seen by the nurse when he came and
he will be seen by psychiatrist.
When he was informed that he was not going to be seen today he became very agitated ‘I did not sleep last night
can l have something for tonight’
It would not encourage any more Zopiclone for this patient.
Personal Care & Immediate Environment
He did not take a shower though he was out for association. His cell is fairly clean.
Physical Health
Complained of fatigue stating that he has not slept at all last night
Nutritional Intake
He collected all his meals and appears to be drinking and eating well.
Therapeutic Activity & Social Interaction
Spend most of his time in dayroom watched television appeared relaxed
Medication
Not on any current medication but would like to be prescribed a mood stabiliser
Said he was on Sodium Valproate and did not work so does not want to go back on it
ACCT/Risk to Self
Thu 23 Apr 2020 15:02
Mr Saul Turner "Saul Altel" (A2425AM)
Confidential: Personal Data 719 122 2247, 08 Dec 1982
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by TURNER, Steven (Mr) (Clerical Access Role)HMP Highdown 121 of 216
He did not express any thoughts or plans to DSH express future plans of wanting to put in a complaint tomorrow if
not seen by a doctor
15 Jan 2020 06:10 HMP Prison: VICTOIRE, Francois (Nurse Access Role)
Saul was in bed on taking over, he appeared to have slept the whole night.
Hourly checks carried out.
15 Jan 2020 08:28 HMP Prison: FEENEY, Adrian (Health Professional Access Role)
History: review of notes
significant docs
liaison referral in rec attachments 2012
journal entries: 5.7.17 and 6.1.18
He reports his mother was a high class prostitute and his father was one of her clients and a drugs baron.
he dislikes his mother
int he entry on 6.1.18 he alleges that his mother paid bribes to social workers to ensure that she got custody of his
daughter (now aged late teens)
history of NPS use in prison
Assessment in April 18 that he had
recurrent depression
dysthymia
hx of cannabis and NPS
the doctor initially concluded that he hadn't responded much to antidepressants and didn't offer then, suggesting
counselling instead
later he did prescribe mirtazapine 30m g PM
(had previously been prescribed fluoxetine.
in March 18 was on
mirtazapine 30mg OD
valproate 500mg BD
There is a record in December 17 that the valproate was a prophylaxis for recurrent depression
he had stopped taking the medication when out of prison.
S1 entry in Nov18 states had been self isolating, had been using NPS
previous entry stated at times he engages and wants to do the right thing and at other times doesnt' engage.
He has had multiple short spells in prison (recorded on S1) since 2012.
last released in May 19
15 Jan 2020 08:35 HMP Prison: FEENEY, Adrian (Health Professional Access Role)
Mental health medication review (XaJr3)
Inpatient stay (XaBV3)
Imported notes (Y0529)
See summary above
he was prescribed zopiclone on 9th for 3 days: he was quite rude to a nurse yesterday demanding to see the
psychiatrist and complaining of insomnia
remand
Charged with Burglary
Pmth CC
says not sure when next in court
not entered a plea
irritable when I asked about this at the beginning of the interview
not very forthcoming
He told me that he had been diagnosed with
dysthymia
chronic depression
He confirmed he had been released in May 19 and stayed on tag at a hostel: Bass House.
says he used cannabis about 6 months ago
denied using drugs or alcohol since
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Thu 23 Apr 2020 15:02
Mr Saul Turner "Saul Altel" (A2425AM)
Confidential: Personal Data 719 122 2247, 08 Dec 1982
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by TURNER, Steven (Mr) (Clerical Access Role)HMP Highdown 122 of 216
says hasn't been working: vague about work history: some agency work in the past
no relationship
says he has been living on the streets in Portsmouth: wouldn't be more specific
wouldn't tell me what he does with his time.
he claims no alcohol or drugs including NPS in the recent past
m state
irritable
not very forthcoming
mood dysthymic
denied thoughts of DSH or suicide
thoughts
difficult to probe since he is not very cooperative
I asked if anything strange was going on
he said "What you mean paranoia?"
Yes slightly
he recounted that he had perfume confiscated in reception and later thought that he could smell the same scent on
the officers.
nil else: no abnormality of form, possession or content
perception
at the end of the interview I asked him if he had anything else to say
he said
I have been hearing 2 voices (1 male the other female) arguing in my head for the last 6 months.
says they argue between themselves: no references to him.
not likely to be a true hallucinations
hx in notes
July 2011 took OD, has taken another OD, on one occasion cut wrists
meds in prison
was prescribed mirtazapine 30mg and valproate in March/ April 19 in Guys Marsh: last regularly took meds in March
19
impression
not clearly depressed
it is possible that he is depressed or this is part of dysthymia.
He is very irritable
We discussed his problems and I offered mirtazapine: he said that meds hadn't worked for him in the past.
I suggested that given his presentation it seemed sensible to restart
I suggest he stays in HCU for next week and I will assess on the 21.1.20
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He is likely to need support from the MHT on discharge from HCU
discuss in MHT meeting today
Mental health review follow-up (XaMJ8)
(R) Mirtazapine 30mg tablets - 28 tablets - 1 tablet - admin times: 16:00 (Oral)
Mirtazapine 30mg tablets - 28 tablets - 1 tablet
Ended 12 Feb 2020 Patient Deducted (Sentence Ended)
Custom script: Printed On Wed 15 Jan 2020 09:24 By Adrian Feeney
15 Jan 2020 09:25 Surgery: MURRAY, Louise (Miss) Entered: 15 Jan 2020 11:31
Did not attend for Second-stage health assessment appointment with Miss Louise Murray.
Did not attend (Xa1kG)
15 Jan 2020 09:25 HMP Prison: FEENEY, Adrian (Health Professional Access Role)
15 Jan 2020 11:31 HMP Prison: MURRAY, Louise (Admin/Clinical Support Access Role)
Thu 23 Apr 2020 15:02
Mr Saul Turner "Saul Altel" (A2425AM)
Confidential: Personal Data 719 122 2247, 08 Dec 1982
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by TURNER, Steven (Mr) (Clerical Access Role)HMP Highdown 123 of 216
Screening declined (XaZ1n) - dna 15/01/2020
15 Jan 2020 15:39 Surgery: ATHWAL, Amrita (Miss) (Health Professional Access Role)
Referral by person (XaBFi) - Dr Adrian Feeney
Reason for referral (XaIpS) - For long term low mood / depression
Referral to mental health in-reach team (XaWzW)
Referral to mental health team (XaIPw)
Referral In to HMP Highdown for In Reach: Ended on 06 Feb 2020 09:35
Patient is deceased
Status Update for In Reach Referral In: Waiting For Assessment
15 Jan 2020 15:48 HMP Prison: BROWN, Beverly (Mrs) (Nurse Access Role)
History: Saul was assessed by Dr Feeney this morning during Ward Round (see notes above).
He was out on association however, he was not observed taking care of his personal hygiene.
He did not clean his cell today but it is fairly clean and tidy at present. He is eating and drinking adequately
and there are no concern in regards to his physical wellbeing. He is lying in bd awake at present and appears
to be watching television.
15 Jan 2020 17:22 Surgery: OGUNMODEDE, Folasade (Mrs) (Nurse Access Role)
Is this medicine supervised (NIP)? - Yes
Depression Questionaire: No action required.
Depression monitoring administration (XaMGL)
15 Jan 2020 17:22 Surgery: OGUNMODEDE, Folasade (Mrs) (Nurse Access Role)
16 Jan 2020 05:52 HMP Prison: VICTOIRE, Francois (Nurse Access Role)
Saul settled around 23:00hrs and slept. No concern, hourly checks carried out.
16 Jan 2020 08:52 HMP Prison: NELSON, Brenda (Mrs) (Information Officer Access Role)
16 Jan 2020 08:57 HMP Prison: NELSON, Brenda (Mrs) (Information Officer Access Role)
Address Changed From: 'HMP Guys Marsh, Guys Marsh, Shaftesbury SP7 0AH'
Current Home Address: HMP Highdown, Highdown, Highdown Lane, Sutton SM2 5PJ
Current Temporary Address: HMP Highdown, Highdown, Highdown Lane, Sutton SM2 5PJ
16 Jan 2020 16:57 HMP Prison: BROWN, Beverly (Mrs) (Nurse Access Role)
History: Saul came out on association and took care of his personal hygiene (shower). He went to the Dayroom and
was also walking around on the unit however, he was not observed interacting with the other inmates. He
ate and drank adequately throughout the day and there are no concern in regards to his physical wellbeing.
He leaned his cell and at present he is lying in bed awake.
16 Jan 2020 17:38 HMP Prison: BROWN, Beverly (Mrs) (Nurse Access Role)
Is this medicine supervised (NIP)? - Yes
Depression Questionaire: No action required.
Depression monitoring administration (XaMGL)
16 Jan 2020 17:40 Surgery: BROWN, Beverly (Mrs) (Nurse Access Role)
17 Jan 2020 05:22 HMP Prison: BOSU, Kwaku (Mr) (Nurse Access Role)
History: Night Entry:
Mr Turner had a quite shift, he was observed to have slept well during the shift and was nursed on hourly
observations.
No physical or mental health issues observed or reported
17 Jan 2020 10:34 Surgery: OGUNMODEDE, Folasade (Mrs) (Nurse Access Role)
Heart rate (X773r) 93 BPM
Respiratory rate (X774f) 14 breaths/min
No (Y0428)
O/E - temperature (XaBzA) 36.3 degC
Response to voice (X75q0)
Response to pain (X769v)
Informed consent given (XaLQR)
Regular (X78xd)
National Early Warning Score - Royal College of Physicians (XaaPo) 1 - Respiratory rate: 12 - 20
SpO2: N/A
Supplemented Oxygen?: No
Temperature: 36.1 - 38
Blood Pressure - systolic: 111 - 219
Heart Rate: 91-110
Conscious Level: Alert
Mentally alert (X769o)
122 / 76 mmHg
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Thu 23 Apr 2020 15:02
Mr Saul Turner "Saul Altel" (A2425AM)
Confidential: Personal Data 719 122 2247, 08 Dec 1982
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17 Jan 2020 12:15 Surgery: HUNNINGS, Julie (Admin/Clinical Support Access Role)
Custom script: Re-printed On Fri 17 Jan 2020 12:17 By Julie Hunnings
17 Jan 2020 13:47 Surgery: SARAN, Mandeep (Health Professional Access Role)
17 Jan 2020 16:19 Surgery: OGUNMODEDE, Folasade (Mrs) (Nurse Access Role)
Is this medicine supervised (NIP)? - Yes
Depression Questionaire: No action required.
Depression monitoring administration (XaMGL)
17 Jan 2020 16:24 Surgery: OGUNMODEDE, Folasade (Mrs) (Nurse Access Role)
17 Jan 2020 18:25 Surgery: CROUCHER, Carolynne (Miss) (Nurse Access Role)
History: MR Turner came out on association today and used the day room. He ate and drank well. He complied with
his prescribed medications. Hourly checks carried out.
18 Jan 2020 04:59 HMP Prison: BOSU, Kwaku (Mr) (Nurse Access Role)
History: Night Report:
Saul was abusive to SN Bosu saying ''fuck off'' because I was switching on the lights every hour to check on him,
tried to explain but he was still abusive so I walked away. He appeared to have slept well during the shift and was
monitored by general nursing observations
18 Jan 2020 05:18 HMP Prison: BOSU, Kwaku (Mr) (Nurse Access Role)
18 Jan 2020 12:34 HMP Prison: TAFIRENYIKA, Stellah (Health Professional Access Role)
18 Jan 2020 17:01 Surgery: ROBERTS, Carleen (Miss) (Health Professional Access Role)
Is this medicine supervised (NIP)? - Yes
Depression Questionaire: No action required.
Depression monitoring administration (XaMGL)
18 Jan 2020 17:19 Surgery: ROBERTS, Carleen (Miss) (Health Professional Access Role)
18 Jan 2020 18:40 Surgery: ROBERTS, Carleen (Miss) (Health Professional Access Role)
Personal hygiene activities (Xa3bU) - Did not shower today. Room habitable.
Health related observations about the prisoners physical appearance (YX010) - Very little interaction with staff or
peers. Came out to day room but did not socialise.
Nutritional observation (Xa7k6) - Given hot meal at lunchtime - has not eaten remaining food as yet.
19 Jan 2020 05:20 HMP Prison: BOSU, Kwaku (Mr) (Nurse Access Role)
History: Night Report:
Saul had a calm shift, he was observed to have slept well during the shift and was nursed by hourly observations.
No issues raised or observed
19 Jan 2020 16:11 Surgery: ROBERTS, Carleen (Miss) (Health Professional Access Role)
Is this medicine supervised (NIP)? - Yes
Depression Questionaire: No action required.
Depression monitoring administration (XaMGL)
19 Jan 2020 16:11 Surgery: ROBERTS, Carleen (Miss) (Health Professional Access Role)
19 Jan 2020 19:10 Surgery: ROBERTS, Carleen (Miss) (Health Professional Access Role)
Health related observations about the prisoners physical appearance (YX010) - Minimal engagement with staff and
peers. Was concordant with prescribed medication.
Personal hygiene activities (Xa3bU) - Attended to his own personal hygiene and had a shower in the afternoon.
Nutritional observation (Xa7k6) - Food / fluid intake observed
20 Jan 2020 05:26 HMP Prison: BOSU, Kwaku (Mr) (Nurse Access Role)
History: Night Entry:
Mr Turner had a stable shift, he appeared to have slept well during the night and was nursed by general
observations
No physical health issues observed or reported
20 Jan 2020 17:16 Surgery: OGUNMODEDE, Folasade (Mrs) (Nurse Access Role)
Is this medicine supervised (NIP)? - Yes
Depression Questionaire: No action required.
Depression monitoring administration (XaMGL)
20 Jan 2020 17:24 Surgery: OGUNMODEDE, Folasade (Mrs) (Nurse Access Role)
20 Jan 2020 19:03 Surgery: OGUNMODEDE, Folasade (Mrs) (Nurse Access Role)
History: Mr Turner came out for his association.
He attended to his personal care(shower)
He used the mirror.
He spent time in the day room.
He was given all meals.
Observed to have had good dietary intake and fluid intake.
He complied with his prescribed medication.
Nursing hourly observation maintained.
Thu 23 Apr 2020 15:02
Mr Saul Turner "Saul Altel" (A2425AM)
Confidential: Personal Data 719 122 2247, 08 Dec 1982
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21 Jan 2020 05:56 HMP Prison: VICTOIRE, Francois (Nurse Access Role)
Saul was in bed on taking over, he appeaed to have slept the whole night.
Hourly checks carried out.
21 Jan 2020 11:34 HMP Prison: FEENEY, Adrian (Health Professional Access Role)
Mental health medication review (XaJr3)
Inpatient stay (XaBV3)
Imported notes (Y0529)
hand over from staff
self isolating
spends time in his cell watching TV
m state
rapport slightly better
less brittle than last week
after about 10 minutes did start confiding in me
mood low he rates 3/10
he said he had thought about suicide in the community but not since being in prison
C125
he has been taking mirtazapine again for about a week
he reports no improvement in his mood yet
thoughts
no abnormality of form, possession or content
very negative theme
What's the point of you offering me help: I will never get better.,
Says he intentionally got arrested because he was falling apart and needed help with his mental health
he told me that he had had one positive relationship with a nurse in prison: Tony Dean in Rochester. See Feb 18
entry shows that on the 9th he had reported he was feeling as good as he had done, he was in HCU attending stone
masonary and doing well on mirtazapine and valproate, However just two weeks later he had lost his place on the
HCU for using NPS and there is a comment that he had sabotaged his progress.
perception no abnormality
he says he is unconcerned about the legal process, had been homeless, seems not to care about lost of his liberty at
present.
impression
a slight improvement in his rapport with me.
he did explain how low he is and his very negative view of his circumstances.
plan
to remain in HCU for at least another week
I will ask the MHT to asign someone to work with him and ask them to come to engage with him soon to build a
relationship with him to prepare him for discharge to the HB.
Mental health review follow-up (XaMJ8)
21 Jan 2020 16:48 HMP Prison: TAFIRENYIKA, Stellah (Health Professional Access Role)
Is this medicine supervised (NIP)? - Yes
Depression Questionaire: No action required.
Depression monitoring administration (XaMGL)
21 Jan 2020 16:48 Surgery: TAFIRENYIKA, Stellah (Health Professional Access Role) Entered: 21 Jan 2020 16:53
21 Jan 2020 19:56 HMP Prison: TAFIRENYIKA, Stellah (Health Professional Access Role)
History: Reports feeling low in mood feels hopelessness
Spend day in his cell will come out to collect his meals , take showers
He has not been interacting with any peers but is stating to approach staff
He takes all his meals and call staff for hot water
He had his medication
He was reviewed by Dr Feeney
Thu 23 Apr 2020 15:02
Mr Saul Turner "Saul Altel" (A2425AM)
Confidential: Personal Data 719 122 2247, 08 Dec 1982
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22 Jan 2020 06:22 HMP Prison: VICTOIRE, Francois (Nurse Access Role)
Saul was in bed on taking over, he got up once for toilet paper. He appeared to have slept well.
Hourly obs carried out.
22 Jan 2020 16:12 HMP Prison: BROWN, Beverly (Mrs) (Nurse Access Role)
Is this medicine supervised (NIP)? - Yes
Depression Questionaire: No action required.
Depression monitoring administration (XaMGL)
22 Jan 2020 16:16 Surgery: BROWN, Beverly (Mrs) (Nurse Access Role)
22 Jan 2020 20:04 HMP Prison: BROWN, Beverly (Mrs) (Nurse Access Role)
History: Saul came out on association and went to the Dayroom. He was not observed interacting with any other
inmates.
Later he went back to his cell and was observed watching television. He ate and drank adequately throughout
the day and was compliant with his prescribed medication. He was not observed taking care of his personal
hygiene or cleaning his cell today.
23 Jan 2020 06:12 HMP Prison: VICTOIRE, Francois (Nurse Access Role)
Saul was in bed by 22:00hr, he appeared to have slept.
Hourly obs maintained.
23 Jan 2020 14:04 HMP Prison: NELSON, Brenda (Mrs) (Information Officer Access Role)
23 Jan 2020 14:45 Surgery: OGUNMODEDE, Folasade (Mrs) (Nurse Access Role)
History: Mr Turner complied with his prescribed medication.
He was given all his meals.
Observed to have had good dietary intake and fluid intake.
Nursing hourly observation maintained.
23 Jan 2020 16:17 Surgery: OGUNMODEDE, Folasade (Mrs) (Nurse Access Role)
Is this medicine supervised (NIP)? - Yes
Depression Questionaire: No action required.
Depression monitoring administration (XaMGL)
23 Jan 2020 16:17 Surgery: OGUNMODEDE, Folasade (Mrs) (Nurse Access Role)
24 Jan 2020 05:20 HMP Prison: BOSU, Kwaku (Mr) (Nurse Access Role)
History: Night Entry:
Saul had a settled shift, he was observed to have slept well during the shift and was monitored by general nursing
observations.
No bizarre behaviour observed or reported.
24 Jan 2020 13:59 Surgery: OGUNMODEDE, Folasade (Mrs) (Nurse Access Role)
History: Mr Turner came out for his association.
Minimal interaction with staff.
He attended to his personal care(shower).
He spent time in the day room, used the kiosk.
He did not clean his cell but his cell is habitable.
His mental state appears stable.
He was given all his meals.
Observed to have had good dietary intake and fluid intake.
Nursing hourly observation maintained.
24 Jan 2020 16:34 HMP Prison: TAFIRENYIKA, Stellah (Health Professional Access Role)
Is this medicine supervised (NIP)? - Yes
Depression Questionaire: No action required.
Depression monitoring administration (XaMGL)
24 Jan 2020 16:35 Surgery: TAFIRENYIKA, Stellah (Health Professional Access Role) Entered: 24 Jan 2020 16:39
25 Jan 2020 04:52 HMP Prison: BOSU, Kwaku (Mr) (Nurse Access Role)
History: Night Entry:
Saul appeared to have slept well throughout the shift and was nursed on hourly observations.
No concerns verbalised
25 Jan 2020 11:10 Surgery: OGUNMODEDE, Folasade (Mrs) (Nurse Access Role)
O/E - temperature (XaBzA) 36.6 degC
Respiratory rate (X774f) 14 breaths/min
Baseline SpO2 (oxygen saturation at periphery) (Xabhv) 98 %
No (Y0428)
Heart rate (X773r) 76 BPM
Response to voice (X75q0)
Response to pain (X769v)
Informed consent given (XaLQR)
Thu 23 Apr 2020 15:02
Mr Saul Turner "Saul Altel" (A2425AM)
Confidential: Personal Data 719 122 2247, 08 Dec 1982
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Regular (X78xd)
National Early Warning Score - Royal College of Physicians (XaaPo) 0 - Respiratory rate: 12 - 20
SpO2: >=96
Supplemented Oxygen?: No
Temperature: 36.1 - 38
Blood Pressure - systolic: 111 - 219
Heart Rate: 51 - 90
Conscious Level: Alert
Mentally alert (X769o)
111 / 75 mmHg
25 Jan 2020 14:16 Surgery: OGUNMODEDE, Folasade (Mrs) (Nurse Access Role)
History: Mr Turner came out for association.
He attended to his personal care(shower)
He did not clean his cell but his cell is habitable.
He spent some time in the day room.
Minimal interaction with staff.
He complied with his prescribed medication and his general physical observation.
No concerns about his physical health condition.
He was given all his meals.
Observed to have had good dietary intake and fluid intake.
Nursing hourly observation maintained.
25 Jan 2020 16:28 Surgery: OGUNMODEDE, Folasade (Mrs) (Nurse Access Role)
Is this medicine supervised (NIP)? - Yes
Depression Questionaire: No action required.
Depression monitoring administration (XaMGL)
25 Jan 2020 16:30 Surgery: OGUNMODEDE, Folasade (Mrs) (Nurse Access Role)
26 Jan 2020 05:20 HMP Prison: BOSU, Kwaku (Mr) (Nurse Access Role)
History: Night Report:
Mr Turner had a stable shift, he was observed writting a letter before he retired to bed, he slept well throughout the
night.
No physical health issues observed or reported
He was nursed by general observationms.
26 Jan 2020 14:07 Surgery: OGUNMODEDE, Folasade (Mrs) (Nurse Access Role)
History: Mr Turner came out for association.
Minimal interaction with staff and his other inmates.
He attended to his personal care(shower)
He did not clean his cell but his cell is habitable.
He spent time in the day room, used the kiosk.
He was given all meals.
Observed to have had good dietary intake and fluid intake.
Nursing hourly observation maintained.
26 Jan 2020 16:13 Surgery: OGUNMODEDE, Folasade (Mrs) (Nurse Access Role)
Is this medicine supervised (NIP)? - Yes
Depression Questionaire: No action required.
Depression monitoring administration (XaMGL)
26 Jan 2020 16:13 Surgery: OGUNMODEDE, Folasade (Mrs) (Nurse Access Role)
26 Jan 2020 17:52 Surgery: OGUNMODEDE, Folasade (Mrs) (Nurse Access Role)
26 Jan 2020 22:05 HMP Prison: BOSU, Kwaku (Mr) (Nurse Access Role)
Mini mental state score (XaJx9) 1 - Sexual Abuse: No Evidence Found
Physical Abuse: No Evidence Found
Emotional Abuse: No Evidence Found
Neglect: Not Known
Bullying: No Evidence Found
Exploitation. Financial Abuse: No Evidence Found
No (Y0428)
No (Y0428)
No safeguarding issues identified (XaZwt)
Carers concerns about patient (Y4330) - Unpredictable in mood and behaviour
Mini mental state score (XaJx9) 0 - Absconsion: No Evidence Found
Escape from Institutions: No Evidence Found
Thu 23 Apr 2020 15:02
Mr Saul Turner "Saul Altel" (A2425AM)
Confidential: Personal Data 719 122 2247, 08 Dec 1982
C127
Printed
409af26bccb2448dabacd1cf3d115e4f-128
by TURNER, Steven (Mr) (Clerical Access Role)HMP Highdown 128 of 216
No safeguarding issues identified (XaZwt)
H/O: mental health problem (YA741)
No (Y0428)
Risk assessment completed (Y3403)
Patients and carer referral concerns wishes and goals (Y0fd7) - None disclosed currently
Presenting complaint (XaIm8)
It was reported that Mr Turner attempted Overdose in 2011 according to Sys 1 entry.
- He also reported that he has self harmed few times by cutting himself when he is depressed.
Mini mental state score (XaJx9) 4 - Suicidal Thoughts: No Evidence Found
Attempted Suicide: No Evidence Found
Thoughts of self-harm: Evidence of Historical Risk
Acts of Self Harm: Evidence of Historical Risk
Self-neglect: No Evidence Found
Substance misuse: No Evidence Found
Assessment for risk of harm to others (Xad5d) - - Mr Turner was aggressive and verbally abusive to staff on 18/01/20
by telling staff to 'fuck off''
No (Y0428)
No (Y0428)
Mini mental state score (XaJx9) 6 - Aggression/ Irritability: Evidence of Current Risk (last 6 months)
Violence to others: No Evidence Found
Use of weapons: No Evidence Found
Arson: No Evidence Found
Concerns about terrorism/ extremism: No Evidence Found
Sexual harm: No Evidence Found
Harm to children: No Evidence Found
Risk to staff - violence: Evidence of Current Risk (last 6 months)
Risk to staff - allegations: No Evidence Found
Subject to Mappa: No Evidence Found
26 Jan 2020 22:28 HMP Prison: BOSU, Kwaku (Mr) (Nurse Access Role)
26 Jan 2020 22:32 HMP Prison: BOSU, Kwaku (Mr) (Nurse Access Role)
26 Jan 2020 22:37 HMP Prison: BOSU, Kwaku (Mr) (Nurse Access Role)
Patient held care plan (XaQxa)
Inpatient treatment (Y0714)
Care plan (Xa0jb) - Care Plan to be immediately reviewed should he engage in any risk taking behaviour
Mental health disorder (E....)
Goal identification (Ua1LR)
- For Saul to maintain good standard of personal hygiene
Record of Needs (XaItR)
Care Plan 1
Personal Care
Saul is self caring but needs a lot of promptings and reassurance to maintain good personal hygiene
Intervention (XaIja)
- Saul will need to be offered his daily regime to enable him to take showers
- Staff to offer Saul toiletries and clean sets of clothes and bedding
- Saul to have easy access to cleaning material for his cell
- He will hoover and mop his cell when needed to keep it clean
- He will take his rubbish out of his cell when needed
Note Marked in Error: Wrong data entered
26 Jan 2020 22:32, - For Junior to continue taking his medication as prescribed
Template Entry Marked in Error: Wrong data entered
Template Entry Marked in Error: Wrong data entered
Diagnosis Marked in Error: Wrong data entered
26 Jan 2020 22:32, Goal identification (Ua1LR),
Diagnosis Marked in Error: Wrong data entered
26 Jan 2020 22:32, Record of Needs (XaItR),
C128
Thu 23 Apr 2020 15:02
Mr Saul Turner "Saul Altel" (A2425AM)
Confidential: Personal Data 719 122 2247, 08 Dec 1982
C128
Printed
409af26bccb2448dabacd1cf3d115e4f-129
by TURNER, Steven (Mr) (Clerical Access Role)HMP Highdown 129 of 216
Template Entry Marked in Error: Wrong data entered
Diagnosis Marked in Error: Wrong data entered
26 Jan 2020 22:37, Inpatient treatment (Y0714),
Diagnosis Marked in Error: Wrong data entered
26 Jan 2020 22:37, Care plan (Xa0jb),
Note Marked in Error: Wrong data entered
26 Jan 2020 22:37, As Required
Note Marked in Error: Wrong data entered
26 Jan 2020 22:05, Care Plan to be reviewed immediately should he engage in any risk taking behaviour
Template Entry Marked in Error: Wrong data entered
Template Entry Marked in Error: Wrong data entered
Diagnosis Marked in Error: Wrong data entered
26 Jan 2020 22:05, Care plan (Xa0jb),
Diagnosis Marked in Error: Wrong data entered
26 Jan 2020 22:32, Inpatient treatment (Y0714),
Template Entry Marked in Error: Wrong data entered
Diagnosis Marked in Error: Wrong data entered
26 Jan 2020 22:32, Mental health disorder (E....),
Template Entry Marked in Error: Wrong data entered
Diagnosis Marked in Error: Wrong data entered
26 Jan 2020 22:32, Patient held care plan (XaQxa),
Diagnosis Marked in Error: Wrong data entered
26 Jan 2020 22:37, Intervention (XaIja),
Note Marked in Error: Wrong data entered
26 Jan 2020 22:37, - Staff to ensure that Saul is offered his daily regime to enable him to socialise with peers.
- For Saul to utilise the court yard and day room and encouraged to interact with others
- For Saul to maintain good communication with his family/friends outside
- Staff to encourage him to attend ward groups and activities.
Note Marked in Error: Wrong data entered
26 Jan 2020 22:37, Care Plan 5
Social interaction
Saul appears to have good social skills and needs to be encouraged to maintain these skills
Template Entry Marked in Error: Wrong data entered
Template Entry Marked in Error: Wrong data entered
Template Entry Marked in Error: Wrong data entered
Diagnosis Marked in Error: Wrong data entered
26 Jan 2020 22:37, Goal identification (Ua1LR),
Diagnosis Marked in Error: Wrong data entered
26 Jan 2020 22:37, Mental health disorder (E....),
Template Entry Marked in Error: Wrong data entered
Template Entry Marked in Error: Wrong data entered
Diagnosis Marked in Error: Wrong data entered
26 Jan 2020 22:32, Care plan (Xa0jb),
Template Entry Marked in Error: Wrong data entered
Diagnosis Marked in Error: Wrong data entered
26 Jan 2020 22:37, Patient held care plan (XaQxa),
Note Marked in Error: Wrong data entered
26 Jan 2020 22:32, As Required
Template Entry Marked in Error: Wrong data entered
C129
Thu 23 Apr 2020 15:02
Mr Saul Turner "Saul Altel" (A2425AM)
Confidential: Personal Data 719 122 2247, 08 Dec 1982
C129
Printed
409af26bccb2448dabacd1cf3d115e4f-130
by TURNER, Steven (Mr) (Clerical Access Role)HMP Highdown 130 of 216
Diagnosis Marked in Error: Wrong data entered
26 Jan 2020 22:37, Record of Needs (XaItR),
Template Entry Marked in Error: Wrong data entered
Note Marked in Error: Wrong data entered
26 Jan 2020 22:37, - For Saul to maintain good social skills
Note Marked in Error: Wrong data entered
26 Jan 2020 22:05, For Junior to maintain good personal hygiene
Template Entry Marked in Error: Wrong data entered
Note Marked in Error: Wrong data entered
26 Jan 2020 22:28, - Junior's vital signs to be taken every Friday
- For Junior to be referred to a GP if he experience physical health issues which needs referring
- For Junior to have good dietary intake and exercise regularly
Diagnosis Marked in Error: Wrong data entered
26 Jan 2020 22:05, Goal identification (Ua1LR),
Diagnosis Marked in Error: Wrong data entered
26 Jan 2020 22:28, Care plan (Xa0jb),
Diagnosis Marked in Error: Wrong data entered
26 Jan 2020 22:28, Inpatient treatment (Y0714),
Template Entry Marked in Error: Wrong data entered
Note Marked in Error: Wrong data entered
26 Jan 2020 22:28, As Required
Template Entry Marked in Error: Wrong data entered
Diagnosis Marked in Error: Wrong data entered
26 Jan 2020 22:28, Goal identification (Ua1LR),
Note Marked in Error: Wrong data entered
26 Jan 2020 22:28, - For Junior to maintain good physical health.
C130
Diagnosis Marked in Error: Wrong data entered
26 Jan 2020 22:28, Mental health disorder (E....),
Template Entry Marked in Error: Wrong data entered
Template Entry Marked in Error: Wrong data entered
Template Entry Marked in Error: Wrong data entered
Diagnosis Marked in Error: Wrong data entered
26 Jan 2020 22:28, Intervention (XaIja),
Diagnosis Marked in Error: Wrong data entered
26 Jan 2020 22:28, Record of Needs (XaItR),
Note Marked in Error: Wrong data entered
26 Jan 2020 22:28, Care Plan 3
Physical Health
JUnior reported to be in good physical health. He needs his vital observation monitoring as on going and for him to
be referred to the GP if he happened to experience any concerns with physical health.
Template Entry Marked in Error: Wrong data entered
Note Marked in Error: Wrong data entered
26 Jan 2020 22:32, Care Plan 4
Medication
-Junior is currently on Mirtazepine and is compliant with his prescribed medication
Diagnosis Marked in Error: Wrong data entered
26 Jan 2020 22:05, Record of Needs (XaItR),
Note Marked in Error: Wrong data entered
Thu 23 Apr 2020 15:02
Mr Saul Turner "Saul Altel" (A2425AM)
Confidential: Personal Data 719 122 2247, 08 Dec 1982
C130
Printed
409af26bccb2448dabacd1cf3d115e4f-131
by TURNER, Steven (Mr) (Clerical Access Role)HMP Highdown 131 of 216
26 Jan 2020 22:05, Needs: Needs: Care Plan 1
Personal Care
Saul is self caring but needs a lot of promptings and reassurance to maintain good personal hygiene
He needs to maintain good standard of personal hygiene
Template Entry Marked in Error: Wrong data entered
Template Entry Marked in Error: Wrong data entered
Diagnosis Marked in Error: Wrong data entered
26 Jan 2020 22:05, Inpatient treatment (Y0714),
Diagnosis Marked in Error: Wrong data entered
26 Jan 2020 22:32, Intervention (XaIja),
Note Marked in Error: Wrong data entered
26 Jan 2020 22:32, -Vital signs to be monitored
-Staff to monitor signs of side effect
-More information to be given to Junior about his medication.
Diagnosis Marked in Error: Wrong data entered
26 Jan 2020 22:05, Mental health disorder (E....),
Template Entry Marked in Error: Wrong data entered
Diagnosis Marked in Error: Wrong data entered
26 Jan 2020 22:28, Patient held care plan (XaQxa),
Template Entry Marked in Error: Wrong data entered
Diagnosis Marked in Error: Wrong data entered
26 Jan 2020 22:05, Patient held care plan (XaQxa),
Note Marked in Error: Wrong data entered
26 Jan 2020 22:05, - Junior will need to be offered his daily regime to enable him to take showers
- Staff to offer Junior toiletries and clean sets of clothes and bedding
- Junior to have easy access to cleaning material for his cell
- He will hoover and mop his cell when needed to keep it clean
- He will take his rubbish out of his cell when needed
Template Entry Marked in Error: Wrong data entered
Template Entry Marked in Error: Wrong data entered
Diagnosis Marked in Error: Wrong data entered
26 Jan 2020 22:05, Intervention (XaIja),
26 Jan 2020 22:45 HMP Prison: BOSU, Kwaku (Mr) (Nurse Access Role)
Record of Needs (XaItR)
Care Plan 3
Physical Health
Saul reported to be in good physical health. He needs his vital observation monitoring as on going and for him to be
referred to the GP if he happened to experience any concerns with physical health.
Intervention (XaIja)
- Saul's vital signs to be taken every Friday
- For Saul to be referred to a GP if he experience physical health issues which needs referring
- For Saul to have good dietary intake and exercise regularly
Mental health disorder (E....)
Goal identification (Ua1LR)
- For Saul to maintain good physical health.
Care plan (Xa0jb) - As Required
Inpatient treatment (Y0714)
Patient held care plan (XaQxa)
26 Jan 2020 22:47 HMP Prison: BOSU, Kwaku (Mr) (Nurse Access Role)
Care plan (Xa0jb) - As Required
Inpatient treatment (Y0714)
Patient held care plan (XaQxa)
C131
Thu 23 Apr 2020 15:02
Mr Saul Turner "Saul Altel" (A2425AM)
Confidential: Personal Data 719 122 2247, 08 Dec 1982
C131
Printed
409af26bccb2448dabacd1cf3d115e4f-132
by TURNER, Steven (Mr) (Clerical Access Role)HMP Highdown 132 of 216
Mental health disorder (E....)
Goal identification (Ua1LR)
- To continue taking his medication as prescribed
Record of Needs (XaItR)
Care Plan 4
Medication
-Saul is currently on Mirtazepine and is compliant with his prescribed medication
Intervention (XaIja)
-Vital signs to be monitored
-Staff to monitor signs of side effect
-More information to be given to Saul about his medication
26 Jan 2020 22:50 HMP Prison: BOSU, Kwaku (Mr) (Nurse Access Role)
Care plan (Xa0jb) - As Required
Inpatient treatment (Y0714)
Patient held care plan (XaQxa)
Mental health disorder (E....)
Goal identification (Ua1LR)
- For Saul to maintain good social skills
Record of Needs (XaItR)
Care Plan 5
Social interaction
Saul appears to have good social skills and needs to be encouraged to maintain these skills.
Intervention (XaIja)
- Staff to ensure that Saul is offered his daily regime to enable him to socialise with peers.
- For Saul to utilise the court yard and day room and encouraged to interact with others
- For Saul to maintain good communication with his family/friends outside
- Staff to encourage him to attend ward groups and activities.
27 Jan 2020 05:26 HMP Prison: BOSU, Kwaku (Mr) (Nurse Access Role)
History: Night Report
Saul was calm in presentation during the shift, he was observed to have slept well during the night.
He was monitored by general nursing observations.
No issues raised
27 Jan 2020 15:32 Surgery: OGUNMODEDE, Folasade (Mrs) (Nurse Access Role)
History: Mr Turner complied with his prescribed medication.
He spent time in his cell watching his TV.
Interacts with staff appropriately.
He came out for association.
He attended to his personal care(shower)
He spent some time in the day room.
His mental state appears stable.
He was given all meals.
Observed to have had good dietary intake and fluid intake.
Nursing hourly observation maintained.
27 Jan 2020 16:10 Surgery: OGUNMODEDE, Folasade (Mrs) (Nurse Access Role)
Is this medicine supervised (NIP)? - Yes
Depression Questionaire: No action required.
Depression monitoring administration (XaMGL)
27 Jan 2020 16:12 Surgery: OGUNMODEDE, Folasade (Mrs) (Nurse Access Role)
27 Jan 2020 18:28 Surgery: OGUNMODEDE, Folasade (Mrs) (Nurse Access Role)
28 Jan 2020 06:03 HMP Prison: VICTOIRE, Francois (Nurse Access Role)
Saul watched tv, he was in bed by 23:00 hr and appeared to have slept.
Hourly oobs maintained.
28 Jan 2020 10:28 HMP Prison: NELSON, Brenda (Mrs) (Information Officer Access Role)
Surname Changed From 'Turner', Date Of Birth Changed From '08 Dec 1983', Former Surname Entered
28 Jan 2020 18:36 HMP Prison: BROWN, Beverly (Mrs) (Nurse Access Role)
Is this medicine supervised (NIP)? - Yes
Depression Questionaire: No action required.
C132
Thu 23 Apr 2020 15:02
Mr Saul Turner "Saul Altel" (A2425AM)
Confidential: Personal Data 719 122 2247, 08 Dec 1982
C132
Printed
409af26bccb2448dabacd1cf3d115e4f-133
by TURNER, Steven (Mr) (Clerical Access Role)HMP Highdown 133 of 216
Depression monitoring administration (XaMGL)
28 Jan 2020 18:36 Surgery: BROWN, Beverly (Mrs) (Nurse Access Role)
28 Jan 2020 19:14 HMP Prison: BROWN, Beverly (Mrs) (Nurse Access Role)
History: Mr Turner came on association this afternoon and went to the Dayroom. He is presenting as much
brighter in his mood however, he was not observed interacting with other inmates whilst he was in the Dayroom.
He took care of his personal hygiene (shower) before returning to his cell. He is eating and drinking adequately
and there are no concern in regards to his physical wellbeing. At present he is sitting in his cell watching television.
29 Jan 2020 01:00 Surgery: Unknown Staff Member Entered at: HMP Elmley
SystmOne Outgoing Record Sharing consent changed to: No
29 Jan 2020 01:00 Surgery: Unknown Staff Member
Patient record merged (XaR4R)
29 Jan 2020 01:00 Acute Hospital: Unknown Staff Member Entered at: Dorset County Hospital NHS Foundation
Trust EPR Core
Patient record merged (XaR4R)
29 Jan 2020 06:55 HMP Prison: VICTOIRE, Francois (Nurse Access Role)
Saul was asleep on taking over, he slept the whole night.
Hourly obs maintained.
29 Jan 2020 11:09 HMP Prison: NELSON, Brenda (Mrs) (Information Officer Access Role)
29 Jan 2020 13:55 HMP Prison: FEENEY, Adrian (Health Professional Access Role)
Inpatient stay (XaBV3)
Depressive disorder (X00SO)
Mental health medication review (XaJr3)
Imported notes (Y0529)
reviewed with Fola
not on ACCT
m state
rapport good
good eye contact and relaxed posture
mood euthymic
he says his mood lifter a couple of days ago
denies thoughts of DSH or suicide
said felt anxious on going to video link recently
C133
no abnormality of thought or perception suggestive of psychosis.
legal,
says made an admission in cells
yet to plea
will plea guilty to burglary
in court after 10.2.20: Pth
this is 7th burglary conviction
last got 3 yr 9 month
he is claiming mititagation
didn't steal much and it was a cry for help: says it was the quickest way he knew he could access help
Says wasn't getting adequate support from OM
impression
mood improved
no risk statement
I will discharge today
Kumar has kindly agreed to pop down to see him today and to engage and follow up
he does better if feels supported
he has asked for a single cell
I cannot justify recommending a medical single, among other things he has a history of DSH and this will be easier to
manage if he is in a double.
Thu 23 Apr 2020 15:02
Mr Saul Turner "Saul Altel" (A2425AM)
Confidential: Personal Data 719 122 2247, 08 Dec 1982
C133
C134
Printed
409af26bccb2448dabacd1cf3d115e4f-134
by TURNER, Steven (Mr) (Clerical Access Role)HMP Highdown 134 of 216
Discharge today
Mental health review follow-up (XaMJ8)
Depressive disorder (X00SO)
29 Jan 2020 15:11 Surgery: OGUNMODEDE, Folasade (Mrs) (Nurse Access Role)
History: Mr Tuner was seen by Dr Feeney today.
He presented as brighter in mood.
He interacted appropriately during this review.
He maintained good eye contact throughout the interview.
No concerns was raised.
He came out for association.
He attended to his personal care(shower)
His cell is habitable.
He was given all meals.
Observed to have had good dietary intake and fluid intake.
Nursing hourly observation maintained.
29 Jan 2020 16:15 HMP Prison: TRIPTREE, Simon (Mr) (Admin/Clinical Support Access Role)
Is this medicine supervised (NIP)? - Yes
Depression Questionaire: No action required.
Depression monitoring administration (XaMGL)
29 Jan 2020 16:17 Surgery: TRIPTREE, Simon (Mr) (Admin/Clinical Support Access Role)
29 Jan 2020 16:49 HMP Prison: NAGHEE, Reddy (Mr) (Health Professional Access Role)
Presenting complaint (XaIm8) - Introduced myself to saul that I will be his care co ordinator when he is discharged
from HCU. He was in the process of having a shower.
Inpatient stay (XaBV3)
Seen by member of prison inreach mental health team (XaP7x)
Planned intervention (Y01be)
30 Jan 2020 05:31 HMP Prison: VICTOIRE, Francois (Nurse Access Role)
Saul was asleep on taking over, he slept the whole night. No concern raised.
Hourly obs maintained.
30 Jan 2020 10:12 HMP Prison: NELSON, Brenda (Mrs) (Information Officer Access Role)
Surname Changed From 'Altel', Former Surname Entered
30 Jan 2020 14:28 Surgery: OGUNMODEDE, Folasade (Mrs) (Nurse Access Role)
History: Mr Turner complied with his prescribed medication.
Interacted with staff.
His mood appeared lifted.
He came out for association.
He attended to his personal care(shower)
He was given all meals.
Observed to have had good dietary intake and fluid intake.
Nursing hourly observation maintained.
30 Jan 2020 16:03 Surgery: OGUNMODEDE, Folasade (Mrs) (Nurse Access Role)
Is this medicine supervised (NIP)? - Yes
Depression Questionaire: No action required.
Depression monitoring administration (XaMGL)
30 Jan 2020 16:04 Surgery: OGUNMODEDE, Folasade (Mrs) (Nurse Access Role)
30 Jan 2020 16:50 Surgery: OGUNMODEDE, Folasade (Mrs) (Nurse Access Role)
31 Jan 2020 05:17 HMP Prison: BOSU, Kwaku (Mr) (Nurse Access Role)
History: Night Report:
Saul had a quite shift, he appeared to have slept well throughout the night and was nursed by general observations
No concerns raised
31 Jan 2020 16:57 HMP Prison: BROWN, Beverly (Mrs) (Nurse Access Role)
Is this medicine supervised (NIP)? - Yes
Depression Questionaire: No action required.
Depression monitoring administration (XaMGL)
31 Jan 2020 16:59 Surgery: BROWN, Beverly (Mrs) (Nurse Access Role)
31 Jan 2020 18:08 HMP Prison: BROWN, Beverly (Mrs) (Nurse Access Role)
History: Saul came out on association this afternoon and went to the Dayroom for sometime.
He also took care of his personal hygiene (shower) and cleaned his cell. He collected his evening
meal from the hotplate before returning to his cell. He remains compliant with his prescribed medication
and at present there are no concern in regards to his physical or mental wellbeing. At present he is lying
in bed watching television.
Thu 23 Apr 2020 15:02
Mr Saul Turner "Saul Altel" (A2425AM)
Confidential: Personal Data 719 122 2247, 08 Dec 1982
C134
C135
Printed
409af26bccb2448dabacd1cf3d115e4f-135
by TURNER, Steven (Mr) (Clerical Access Role)HMP Highdown 135 of 216
01 Feb 2020 05:25 HMP Prison: BOSU, Kwaku (Mr) (Nurse Access Role)
History: Night Entry:
Mr Turner was observed to have slept well throughout the night and was monitored by general nursing observations.
No issues raised
01 Feb 2020 16:38 HMP Prison: TAFIRENYIKA, Stellah (Health Professional Access Role)
Is this medicine supervised (NIP)? - Yes
Depression Questionaire: No action required.
Depression monitoring administration (XaMGL)
01 Feb 2020 16:41 Surgery: TAFIRENYIKA, Stellah (Health Professional Access Role)
01 Feb 2020 18:05 Surgery: ROBERTS, Carleen (Miss) (Health Professional Access Role)
Personal hygiene activities (Xa3bU) - Mr Turner had a shower and attended to his personal hygiene independently
Health related observations about the prisoners physical appearance (YX010) - calm and appropriate, although
engaged minimally with staff and peers. Was concordant with medication as prescribed.
Nutritional observation (Xa7k6) - Had hot meal at lunch time and was given supper / breakfast packs. Requested hot
water on a few occasions.
02 Feb 2020 05:24 HMP Prison: BOSU, Kwaku (Mr) (Nurse Access Role)
History: Night Entry:
Mr Turner had a fairly settled shift, he watched tv briefly before he retired to bed. He was upset that the lights were
switched on every hour to check on him
Reassurance given
He appeared to have slept during the night and was nursed on hourly observations
No issues raised or observed
02 Feb 2020 16:28 HMP Prison: TAFIRENYIKA, Stellah (Health Professional Access Role)
Is this medicine supervised (NIP)? - Yes
Depression Questionaire: No action required.
Depression monitoring administration (XaMGL)
02 Feb 2020 16:28 Surgery: TAFIRENYIKA, Stellah (Health Professional Access Role)
02 Feb 2020 19:21 Surgery: ROBERTS, Carleen (Miss) (Health Professional Access Role)
Personal hygiene activities (Xa3bU) - Attended to his own personal hygiene independently
Nutritional observation (Xa7k6) - Had hot meal at lunch time and was given supper and breakfast packs
Health related observations about the prisoners physical appearance (YX010) - Concordant with medication as
prescribed. Little interaction with staff or peers. Asleep at 7pm.
03 Feb 2020 05:16 HMP Prison: BOSU, Kwaku (Mr) (Nurse Access Role)
History: Night Report:
Saul was settled in presentation during the shift, he was observed to have slept well during the shift and was nursed
on general observations
No physical health issues raised or observed
03 Feb 2020 16:30 HMP Prison: TRIPTREE, Simon (Mr) (Admin/Clinical Support Access Role)
Is this medicine supervised (NIP)? - Yes
Depression Questionaire: No action required.
Depression monitoring administration (XaMGL)
03 Feb 2020 16:32 Surgery: TRIPTREE, Simon (Mr) (Admin/Clinical Support Access Role)
03 Feb 2020 18:47 HMP Prison: BROWN, Beverly (Mrs) (Nurse Access Role)
History: Saul came out on association and went to Dayroom where it was observed using the Kiosk.
He had minimal interaction with the other inmates whilst he was in the Dayroom. He took care of his
personal hygiene (shower) before returning to his cell. He is eating and drinking adequately and is
presenting as much brighter in mood. There are no immediate concern in regards to his physical
or mental wellbeing. He remains compliant with his prescribed medication and is sitting in his cell
watching television at present.
04 Feb 2020 06:05 HMP Prison: VICTOIRE, Francois (Nurse Access Role)
Saul was in bed on taking over, he appeared to have slept the whole night.
Hourly obs maintained.
04 Feb 2020 15:12 HMP Prison: BROWN, Beverly (Mrs) (Nurse Access Role)
History: Saul came out on his regime this morning
He had a shower and spent time within the day room
He also used the kiosk whilst spending time within the day room
His mood is lifting up and is now interacting and communicating with staff
His mood has improved from when he first came into the prison
He is eating and drinking adequately
He is still compliant with his medication
No concerns in regards to his physical or mental wellbeing.
Thu 23 Apr 2020 15:02
Mr Saul Turner "Saul Altel" (A2425AM)
Confidential: Personal Data 719 122 2247, 08 Dec 1982
C135
C136
Printed
409af26bccb2448dabacd1cf3d115e4f-136
by TURNER, Steven (Mr) (Clerical Access Role)HMP Highdown 136 of 216
04 Feb 2020 16:52 HMP Prison: TAFIRENYIKA, Stellah (Health Professional Access Role)
Is this medicine supervised (NIP)? - Yes
Depression Questionaire: No action required.
Depression monitoring administration (XaMGL)
04 Feb 2020 16:52 Surgery: TAFIRENYIKA, Stellah (Health Professional Access Role)
05 Feb 2020 06:22 HMP Prison: VICTOIRE, Francois (Nurse Access Role)
Saul was in bed by 23:00hrs and slept, hourly checks carried out.
05 Feb 2020 10:57 HMP Prison: FEENEY, Adrian (Health Professional Access Role)
History: I discharged him from HCU on the 28th and he is still here
no concerns raised in Hand over this morning
POs to look for cell on the HB
he is requesting a single cell but there aren't medical grounds for this
Kumar to engage on the HB
as a discharged pt I will not review in person today.
05 Feb 2020 11:57 Surgery: OGUNMODEDE, Folasade (Mrs) (Nurse Access Role)
History: Mr Turner complied with his prescribed medication.
He came out for association.
Interacted with staff.
He attended to his personal care(shower)
His cell is clean and tidy.
His mental state is stable.
He was given all meals.
Observed to have had good dietary intake and fluid intake.
Nursing hourly observation maintained.
05 Feb 2020 16:33 HMP Prison: TRIPTREE, Simon (Mr) (Admin/Clinical Support Access Role)
Is this medicine supervised (NIP)? - Yes
Depression Questionaire: No action required.
Depression monitoring administration (XaMGL)
05 Feb 2020 16:35 Surgery: TRIPTREE, Simon (Mr) (Admin/Clinical Support Access Role)
05 Feb 2020 16:44 Surgery: OGUNMODEDE, Folasade (Mrs) (Nurse Access Role)
05 Feb 2020 19:15 HMP Prison: BROWN, Beverly (Mrs) (Nurse Access Role)
Action taken (YA794) - Saul was reviewed by Dr Feeney.
Discharged from inpatient care (8HE2.)
In prison (XE0pK)
Duration of inpatient stay (8HN..) 26 Days
Outcome of action (XaIVO)
His medication to be taken to the houseblock.
Send task to Inreach for follow up.
06 Feb 2020 08:26 HMP Prison: NELSON, Brenda (Mrs) (Information Officer Access Role)
06 Feb 2020 09:56 HMP Prison: RUSE, Gareth (Dr) (Clinical Practitioner Access Role)
History: Asked to see on wing at 0910 hours. He was found dead in his bed in the upper bunk. He is a 37 year old
discharged from healthcare yesterday.
He has a history of alleged NPS use , and has been suicidal in the past.
He is sharing with a cell mate. Offidcers attended and pulled the mattress to the gorund determining rigormortice.
Asystolic on AEDifibrillator. I understand cpr was commenced, andthe prison paramedic discontinued it as futile..
Examination: congestion of the back , mild patches onthe abdomen, severe rigorortice-yung and muscular -of the
arms which are contracted firmly, so death more than 6 hours ago.
He has no arcus inthe eyes so less than 24hours.
no thermometer available.for low readings.
He does have congestion of the upper chest neck and head. no ligautre marking is seen in the thraot. possible
petechiae besicde the right eye and some purpuric haemorrhagfes appear present in both sclera on each side of the
pupil.
Diagnosis: Death declared at 0920 hours. possible a cardiac arrhythmia, respiratory arrest due ot natural causes or
drug use and over sedation , and a possible suspicious element inthe congestion of the upper chest and face and
bilateral ocular purpuric haemorrghfes or staining /pigmentiona ?
Plan: Rigor mortice is more pround in young muscular men, ocmse on quicker with severe exertion.
It is possible if the eyes have purpuric haemorhages to consider coughing/vomiting (none present) or suggocation or
soft ligauting as the cause.
Officers advised this could be a suspicious death, and should proceed witht he police accordingly until the pathology
investigation . Inpatinets asked to clarify if he had purpuric haemorrhages or chronic staining of both eyeballs when
he left.
Thu 23 Apr 2020 15:02
Mr Saul Turner "Saul Altel" (A2425AM)
Confidential: Personal Data 719 122 2247, 08 Dec 1982
C136
Printed
409af26bccb2448dabacd1cf3d115e4f-137
by TURNER, Steven (Mr) (Clerical Access Role)HMP Highdown 137 of 216
Added after 5 minutes ..spoke officer Stavert who saw him yesterday morning and he did not have any eye
discoloruation that she noticed, so this does appear to be fresh.
06 Feb 2020 10:06 HMP Prison: RUSE, Gareth (Dr) (Clinical Practitioner Access Role)
06 Feb 2020 10:55 HMP Prison: WEBSTER, Jacqueline (Ms) (Clerical Access Role)
Fw: 070120/005 Re: Saul Turner - DOB 08.12.1982
REPLY REPLY ALL FORWARD
Mark as read
YADALLEE, Zeiyad (CENTRAL AND NORTH WEST LONDON NHS FOUNDATION TRUST)
Thu 06/02/2020 10:48
Inbox
To:
WEBSTER, Jacqueline (CENTRAL AND NORTH WEST LONDON NHS FOUNDATION TRUST);
...
Cc:
KING, Kirk (CENTRAL AND NORTH WEST LONDON NHS FOUNDATION TRUST);
...
1 attachment
S36BW-42002~.pdf
281 KB Open in browser
Can you share Dr Feeney's assessment with them please.
Thank you
Zeiyad Yadallee
MH Practitioner/Non-Medical Nurse Prescriber/Acting MH Service Lead
Mental Health In Reach
HMP HighDown
Central and North West London NHS Foundation Trust
Telephone: 02071476552
Fax: 02071476611
Web: www.cnwl.nhs.uk
Follow us on Twitter: @CNWLNHS
Like us on Facebook: www.facebook.com/CNWLNHSFT
C137
Central and North West London NHS Foundation Trust (CNWL) is one of the largest trusts in the UK, caring for
people with a wide range of physical and mental health needs. We have approximately 7,000 staff who provide
healthcare to a third of London's population and across wider geographical areas, including Milton Keynes, Kent,
Surrey and Hampshire.
As a Foundation Trust we involve service users, carers, the public, staff and partner organisations in the way that we
are run and our future development. If you are interested in becoming a member of our Foundation Trust please visit:
www.cnwl.nhs.uk/get-involved
Compassion | Respect | Empowerment | Partnership
________________________________________
From: Enquiries <enquiries@tbj-solicitors.co.uk>
Sent: 06 February 2020 10:40
To: YADALLEE, Zeiyad (CENTRAL AND NORTH WEST LONDON NHS FOUNDATION TRUST)
Subject: RE: 070120/005 Re: Saul Turner - DOB 08.12.1982
Thank you for your email of which I acknowledge the content.
It would be helpful if you could provide Dr Feeney_s assessment of Mr Turner and I attach with this email the signed
authority from our client for ease of reference.
Yours sincerely
Daniel Reilly
Tang, Bentley & Jackson Solicitors Limited
CRIMINAL DEFENCE SPECIALISTS
Thu 23 Apr 2020 15:02
Mr Saul Turner "Saul Altel" (A2425AM)
Confidential: Personal Data 719 122 2247, 08 Dec 1982
C137
Printed
409af26bccb2448dabacd1cf3d115e4f-138
by TURNER, Steven (Mr) (Clerical Access Role)HMP Highdown 138 of 216
Email: enquiries@tbj-solicitors.co.uk
151 West Street, Fareham, Hampshire PO16 0DZ
Telephone 01329 220 401 Fax 01329 828 347 DX 40801 Fareham
Emergency Police Station Out of Hours Phone 07765 331 590
Portchester Business Centre, 1 Castle Street, Portchester, Hampshire PO16 9QD
Telephone 02392 272 720
www.tbjsolicitorsfareham.co.uk
C138
Re: 070120/005 Re: Saul Turner - DOB 08.12.1982
REPLY REPLY ALL FORWARD
Mark as unread
WEBSTER, Jacqueline (CENTRAL AND NORTH WEST LONDON NHS FOUNDATION TRUST)
Thu 06/02/2020 11:12
Sent Items
To:
enquiries@tbj-solicitors.co.uk;
...
Cc:
YADALLEE, Zeiyad (CENTRAL AND NORTH WEST LONDON NHS FOUNDATION TRUST);
...
1 attachment
S Turner - ~.pdf
703 KB Open in browser
FAO: Daniel Reilly - TBJ Solicitors
Dear Mr. Reilly,
Please find attached a copy of Dr. Feeney's assessments as requested, with your client's signed consent.
The assessment is encrypted. I will send the password with my next email.
With kind regards,
Jacqueline
Jacqueline Webster
Transfer and Discharge Officer - Surrey Prisons
Mental Health InReach Team
Central & North West London NHS Foundation Trust
HMP High Down, Sutton Lane, Sutton, Surrey, SM2 5PJ
For patients record only - Please note: I sent a further email to Solicitors with the encrypted password for Dr.
Feeney's assessment (nreach).
Acrobat Document: S Turner - Signed Consent from Solicitors - 08.01.2020.pdf
Acrobat Document: S Turner - Assessment by Dr. A. Feeney - HMP High Down.pdf
06 Feb 2020 11:29 HMP Prison: FEENEY, Adrian (Health Professional Access Role)
History: retrospective entry relating to yesterday.
I spoke briefly to him as I left the inpatient unit at about 1150 yesterday morning.
he was standing in the open door way of his cell.
I asked him how he was and he said he was ok
I told him that he would be discharged from the HCU soon.
Thu 23 Apr 2020 15:02
Mr Saul Turner "Saul Altel" (A2425AM)
Confidential: Personal Data 719 122 2247, 08 Dec 1982
C138
C139
Printed
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by TURNER, Steven (Mr) (Clerical Access Role)HMP Highdown 139 of 216
I then briefly mentioned him in the MHT weekly meeting when discussing the prisoners in the HCU
I explained he had been discharged from the caseload last week and the plan was to transfer him to a double cell on
normal location
I checked in with Kumar that he was aware of this plan since he has already engaged him on the HCU and planned
to follow him up on the HB.
I have this morning recieved an email informing me of his sad death.
06 Feb 2020 11:37 HMP Prison: FEENEY, Adrian (Health Professional Access Role)
06 Feb 2020 11:56 HMP Prison: MILES, Verity (Mrs) (Health Professional Access Role)
History: On 6/2/20 at 09:09 Code blue called. Control room asked for information – came over radio ‘possible death
in custody’. I was in outpatients at the time so started to make my way to HB3. Whilst on route there, a call over the
radio ‘All response staff attend HB4’ then straight after ‘All medical staff attend HB3 and bring red bags’.
Examination: At approximately 09:12, I arrived onto HB3 A spur 3’s landing. On arrival officers were around the door
and Nurse Sawmy standing outside the door. I entered the cell and officers were moving Mr Turner from the top bunk
onto the floor.
Mr Turner was laying on his back, covered in sheets. I observed both arms were fixed in a flexed position. I
attempted to move left arm, confirmed rigor mortis, no response from patient. At my request officers cut clothing from
patient.
Airway and breathing assessment carried out, patient not breathing. I asked officers to get the red bag and CPR
commenced. I asked an officer to carry out chest compressions while I called over the radio ‘Please inform
Ambulance patient is unresponsive and not breathing’. I then took over chest compressions.
Health Care Assistant Simon Triptree arrived on scene and applied defibrillator pads. Defibrillator assessed rhythm
and shock not advised. CPR recommenced by HCA Triptree. At approximately 09:14, Paramedic Ana Bakht arrived
on scene, I handed over information to her and she carried out physical assessment of patient. I also asked that the
on duty GP attend the incident. Assessment from Paramedic, Ana Bakht showed, no breath or heart sounds on
auscultation, pupils fixed and non-responsive and Post mortem staining observed to upper chest and flank of back.
During assessment of breath and heart sounds CPR stopped, defibrillator further assessed rhythm and again shock
not advised.
09:15 following discussion of assessment decision made by Paramedic Ana Bakht and myself that life extinct and to
stop CPR.
09:18 Dr Gareth Ruse attended and confirmed life extinct.
09:22 External paramedics arrived on scene and carried out assessment.
09:35 External paramedics confirmed life extinct.
06 Feb 2020 12:43 HMP Prison: SWAMY, Margarita (Nurse Access Role)
I was doing the medication in HB3 hatch when I heard code blue on the radio. I immediately went to see what
was happening . I saw a few officers on A spur landing on the 3rd landing. and went to see what was going on. I
went up to the cell to see who the prisoner was and what was the emergency of the code. . I stood on a chair to be
able to see as his face appeared half covered. I tried to remove the sheets from his face but was unable to do so
due to the rigidity of the prisoners arms and hands . I then went out of the cell room to get the emergency bag
and other staff had arrived to help. After that I found out that the prisoner in question was Mr. Turner. I then
called the G.P on duty to attend the scene.
06 Feb 2020 12:47 Surgery: BAKHT, Ana (Miss) (Health Professional Access Role)
On Wednesday 6th February 2020 at approximately 09:09 Code Blue heard over radio. Travelled to House Block 3
and directed to Cell by Officers.
On/Arrival: Arrived at approximately 09:14 with Nurse Sophie Marshall. Officers, Nurse Verity Miles and HCA Simon
Triptree present. Patient appears unresponsive lying on back on a mattress on the floor with both arms raised and
fixed in flexed position with visible rigor mortis. Defibrillator pads applied. HCA Simon performing compressions with
Nurse Verity overseeing CPR. Received handover from Nurse Verity, Patient unresponsive and showing no signs
of life following ABC assessment.
On/Examination: Patient displaying visible rigor mortis and on attempting to unsuccessfully move arm rigor mortis
reconfirmed. Evidence of post mortem staining. Patient unresponsive. No breath sounds heard on auscultation. No
heart sounds heard on auscultation. Defibrillator assessed rhythm as shock not advised. Pupils fixed and dilated on
assessment. Unable to obtain 30 second rhythm strip due to absence of ECG machine. No obvious DSH or injuries
observed.
Plan: Patient assessed and displaying rigor mortis , visible post mortem staining around upper chest and flank of
back, with no breath sounds or heart sounds on auscultation and fixed and dilated pupils. Therefore with support
from Nurse Verity declared recognition of life extinct at approximately 09:15 and CPR halted. GP Dr Gareth Ruse
arrived at 09:18 and following assessment confirmed recognition of life extinct.
Ambulance arrived and conducted assessment for recognition of life extinct including obtaining 30 second Asystole
rhythm strip. Ambulance confirmed recognition of life extinct at approximately 09:35.
06 Feb 2020 13:01 HMP Prison: SWAMY, Margarita (Nurse Access Role)
Thu 23 Apr 2020 15:02
Mr Saul Turner "Saul Altel" (A2425AM)
Confidential: Personal Data 719 122 2247, 08 Dec 1982
C139
Printed
409af26bccb2448dabacd1cf3d115e4f-140
by TURNER, Steven (Mr) (Clerical Access Role)HMP Highdown 140 of 216
06 Feb 2020 13:09 HMP Prison: SWAMY, Margarita (Nurse Access Role)
06 Feb 2020 13:15 HMP Prison: RUSE, Gareth (Dr) (Clinical Practitioner Access Role)
History: Spke with police officer to give clarity. I note he has been seen and treated by Dr Feeney with mirtazepine
and had been discharged from healthcare. His old photo does not show any scleral pigmentation.
06 Feb 2020 14:35 HMP Prison: NELSON, Brenda (Mrs) (Information Officer Access Role)
Restricted to Staff member MARTIN, Kerry (Miss) (Audit Manager)
Restricted to Staff member TURNER, Steven (Mr) (Analyst)
Restricted to Staff member JONES, Lisa
12 Feb 2020 10:03 HMP Prison: TURNER, Steven (Mr) (Clerical Access Role)
Patient died (XM01Y)
Informant of death - GP - Dr Ruse & Ambulance Crew
Date Of Death Entered
25 Feb 2020 11:58 Surgery: WATERS, Gemma (Mrs) (Information Officer Access Role) Entered at: Hmp Rochester
23 Apr 2020 15:01 HMP Prison: TURNER, Steven (Mr) (Clerical Access Role)
Medication
A = Acute P = Private I = Instalment Dispensed D = Dental H = Hospital O = Other
Paracetamol 500mg tablets 500mg x 2 O
Script notes: Headache
13 Aug 2010
06 Sep 2010
Doxycycline 100mg capsules
Doxycycline 100mg capsules
Noon: 1.0 capsules
Noon: 1.0 capsules
30 capsules
30 capsules
A
13 Sep 2010 Doxycycline 100mg capsules Noon: 1.0 capsules 30 capsules
04 Oct 2010 Doxycycline 100mg capsules Noon: 1.0 capsules 30 capsules
04 Oct 2010 Venlafaxine 150mg modified-release tablets AM: 1.0 tablets 28 tablets
30 Mar 2012
06 Apr 2012
Paracetamol 500mg tablets
Ibuprofen 200mg tablets
take 1 or 2 4 times/day
take one or two 3 times/day
16.0 tablets
24 tablets
A
A
20 Apr 2012
13 Jul 2012
Paracetamol 500mg tablets
Minocycline 100mg modified-release capsules
take 1 or 2 4 times/day
take one daily
16.0 tablets
56 capsules
A
A
13 Jul 2012 QUINODERM ANTIBACTERIAL wash
[QUINODERM]
bd 100 millilitres A
24 Sep 2012 Minocycline 100mg modified-release capsules take one daily 56 capsules
24 Sep 2012 QUINODERM ANTIBACTERIAL wash
bd
100 millilitres
[QUINODERM]
20 Oct 2012 QUINODERM ANTIBACTERIAL wash
bd
100 millilitres
[QUINODERM]
12 Nov 2012 Minocycline 100mg modified-release capsules take one daily 56 capsules
07 Jan 2013 Minocycline 100mg modified-release capsules take one daily 56 capsules
19 Apr 2013 Minocycline 100mg modified-release capsules take one daily 28 capsules A
15 May 2013
13 Jun 2013
Minocycline 100mg modified-release capsules
Minocycline 100mg modified-release capsules
take one daily
take one daily
28 capsules
28 capsules
A
A
18 Mar 2016
31 Mar 2016
Ibuprofen 400mg tablets
Ibuprofen 400mg tablets
1 TDS PRN
1 TDS PRN
21 tablets
21 tablets
A
A
27 Apr 2016 Amoxicillin 500mg capsules [08:00-1][12:00-1][16:00-1] 15 capsules A
27 Apr 2016 Ibuprofen 200mg tablets [08:00-1][12:00-1][16:00-1] 15 tablets A
23 May 2016 Ibuprofen 200mg tablets 1 tablet 1 pack of 16 A
Ended early on 23 May 2016: Medication has been administered by LOGAN, Susan
Administrative notes: " One to two tablets.
" Up to three times a day (4 hours between doses) after food.
" Maximum 6 tablets in 24 hours.
tablet(s)
C140
16 Jun 2016 Paracetamol 500mg tablets 2 tablet 2 tablets A
Ended early on 16 Jun 2016: Medication has been administered by HUNNINGS, Julie
Administrative notes: 2 single tabs given at hatch for cold symptoms
16 Jun 2016 Paracetamol 500mg tablets 2 QDS PRN 1 pack of 32
tablet(s)
A
25 Jul 2016 Ibuprofen 200mg tablets 1 tablet 1 pack of 16 A
Thu 23 Apr 2020 15:02
Mr Saul Turner "Saul Altel" (A2425AM)
Confidential: Personal Data 719 122 2247, 08 Dec 1982
C140
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Printed
409af26bccb2448dabacd1cf3d115e4f-141
by TURNER, Steven (Mr) (Clerical Access Role)HMP Highdown 141 of 216
tablet(s)
Ended early on 25 Jul 2016: Medication has been administered by NAKAYI, Cynthia (Miss)
Administrative notes: " One to two tablets.
" Up to three times a day (4 hours between doses) after food.
" Maximum 6 tablets in 24 hours.
10 Oct 2016 SUDOCREM (form not specified) O
08 Nov 2016 Paracetamol 500mg tablets 2 qds 16 tablets O
10 Feb 2017 Amitriptyline 25mg tablets 1 tablet 28 tablets A
Ended early on 15 Feb 2017: End of course by HARDING, Tim
16 Feb 2017 Amitriptyline 50mg tablets 1 tablet 28 tablets
16 Feb 2017 Paracetamol 500mg tablets 2 tablet 80 tablets
24 Feb 2017 Ketoconazole 2% shampoo ao 120 millilitres A
10 Mar 2017 E45 cream (Forum Health Products Ltd) ao 500 grams
18 Mar 2017 Amitriptyline 50mg tablets 1 tablet 28 tablets
29 Mar 2017 Promethazine hydrochloride 25mg tablets 25 mg 5 tablets A
15 Apr 2017 Amitriptyline 50mg tablets 1 tablet 28 tablets
13 May 2017 Amitriptyline 50mg tablets 1 tablet 28 tablets
Ended early on 13 May 2017: Sentence Ended by MAULINO, Rogelio (Mr)
06 Nov 2017 Mirtazapine 15mg tablets 1 tablet 28 tablets A
Ended early on 07 Nov 2017: End of course (Change to 7/7 IP) by HOSSAIN, Jahura (Dr)
07 Nov 2017 Benzoyl peroxide 5% / Clindamycin 1% gel Apply ONCE at night 1 pack of 30
gram(s)
A
Administrative notes: BNF:
Dose
"Apply 1_2 times daily preferably after washing with soap and water, start treatment with lower-strength preparations
Note May bleach clothing
07 Nov 2017
14 Nov 2017
Mirtazapine 15mg tablets
Mirtazapine 15mg tablets
[16:00-1 tablet]
[16:00-1 tablet]
7 tablets
28 tablets
A
Ended early on 17 Nov 2017: Other (Ended after on admission medication review) by GONCARAS, Laimonas (Dr)
21 Nov 2017 Mirtazapine 15mg tablets [16:00-1 tablet] 28 tablets
Ended early on 12 Dec 2017: Form, strength, or route change by GONCARAS, Laimonas (Dr)
21 Nov 2017
28 Nov 2017
Paracetamol 500mg tablets
Paracetamol 500mg tablets
2 qds
2 qds
16 tablets
16 tablets
O
O
13 Dec 2017 Mirtazapine 15mg tablets 1 tablet 28 tablets
16 Dec 2017 Paracetamol 500mg tablets now 2 tablets O
17 Dec 2017
18 Dec 2017
Paracetamol 500mg tablets
Paracetamol 500mg tablets
now
x2 given nip
2 tablets O
O
19 Dec 2017 Paracetamol 500mg tablets now 2 tablets O
20 Dec 2017 Valproic acid 250mg gastro-resistant tablets 250 mg 28 tablets A
22 Dec 2017 Valproic acid 500mg gastro-resistant tablets 500 mg 28 tablets A
Administrative notes: Mania, initially 750 mg daily in 2-3 divided doses, increased according to response, usual dose
1-2 g daily; doses greater than 45 mg/kg daily require careful monitoring; child under 18 years not recommended
Migraine prophylaxis [unlicensed], initially 250 mg twice daily, increased if necessary to 1 g daily in divided doses
10 Jan 2018 Mirtazapine 15mg tablets 1 tablet 28 tablets
Ended early on 15 Jan 2018: Change of Dosage by BONCHEV, Sevdalin (Dr)
16 Jan 2018 Mirtazapine 30mg tablets 1 tablet 28 tablets A
16 Jan 2018 Valproic acid 250mg gastro-resistant tablets 1 tablet 28 tablets
Ended early on 16 Jan 2018: Change of Dosage by SINGH, Sourabh (Dr)
Administrative notes: Mania, initially 750 mg daily in 2-3 divided doses, increased according to response, usual dose
1-2 g daily; doses greater than 45 mg/kg daily require careful monitoring; child under 18 years not recommended
Migraine prophylaxis [unlicensed], initially 250 mg twice daily, increased if necessary to 1 g daily in divided doses
Thu 23 Apr 2020 15:02
Mr Saul Turner "Saul Altel" (A2425AM)
Confidential: Personal Data 719 122 2247, 08 Dec 1982
C141
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409af26bccb2448dabacd1cf3d115e4f-142
by TURNER, Steven (Mr) (Clerical Access Role)HMP Highdown 142 of 216
16 Jan 2018 Valproic acid 500mg gastro-resistant tablets 1 tablet 28 tablets
Ended early on 16 Jan 2018: End of course by SINGH, Sourabh (Dr)
Administrative notes: Mania, initially 750 mg daily in 2-3 divided doses, increased according to response, usual dose
1-2 g daily; doses greater than 45 mg/kg daily require careful monitoring; child under 18 years not recommended
Migraine prophylaxis [unlicensed], initially 250 mg twice daily, increased if necessary to 1 g daily in divided doses
16 Jan 2018 Valproic acid 500mg gastro-resistant tablets 500 mg 56 tablets A
Administrative notes: Mania, initially 750 mg daily in 2-3 divided doses, increased according to response, usual dose
1-2 g daily; doses greater than 45 mg/kg daily require careful monitoring; child under 18 years not recommended
Migraine prophylaxis [unlicensed], initially 250 mg twice daily, increased if necessary to 1 g daily in divided doses
17 Jan 2018 Zopiclone 7.5mg tablets 7.5 mg 3 tablets A
13 Feb 2018 Mirtazapine 30mg tablets 1 tablet 28 tablets A
Ended early on 13 Feb 2018: Form, strength, or route change by SINGH, Sourabh (Dr)
13 Feb 2018 Valproic acid 500mg gastro-resistant tablets 1 tablet 55 tablets A
Ended early on 13 Feb 2018: End of course by SINGH, Sourabh (Dr)
Administrative notes: Mania, initially 750 mg daily in 2-3 divided doses, increased according to response, usual dose
1-2 g daily; doses greater than 45 mg/kg daily require careful monitoring; child under 18 years not recommended
Migraine prophylaxis [unlicensed], initially 250 mg twice daily, increased if necessary to 1 g daily in divided doses
14 Feb 2018 Mirtazapine 30mg orodispersible tablets [20:00-1] 28 tablets A
14 Feb 2018 Sodium valproate 500mg gastro-resistant [08:00-1][20:00-1] 56 tablets A
tablets
19 Feb 2018 E45 cream (Forum Health Products Ltd) ao 500 grams
08 Mar 2018 Mirtazapine 30mg orodispersible tablets [21:00-1] 28 tablets A
Ended early on 14 Mar 2018: End of course by KHAN, Joblu (Dr)
08 Mar 2018 Sodium valproate 500mg gastro-resistant
tablets
[08:00-1][18:00-1] 56 tablets A
Ended early on 14 Mar 2018: End of course by KHAN, Joblu (Dr)
16 Mar 2018 Mirtazapine 30mg tablets One to be taken daily 1 pack of 28
tablet(s)
Ended early on 16 Mar 2018: End of course by KHAN, Joblu (Dr)
16 Mar 2018 Mirtazapine 30mg tablets 1 tablet 1 pack of 28 A
tablet(s)
Administrative notes: CSU
16 Mar 2018 Sodium valproate 500mg gastro-resistant
tablets
To be taken Twice Daily 56 tablets
Ended early on 16 Mar 2018: End of course by KHAN, Joblu (Dr)
16 Mar 2018 Sodium valproate 500mg gastro-resistant 1 tablet 1 pack of 100 A
tablets
tablet(s)
Administrative notes: CSU
10 Apr 2018 Mirtazapine 30mg tablets One to be taken daily 1 pack of 28
tablet(s)
Ended early on 13 Apr 2018: Other (CSU) by FRANKE, Theodorus
10 Apr 2018 Sodium valproate 500mg gastro-resistant
tablets
To be taken Twice Daily 56 tablets
Ended early on 13 Apr 2018: Other (CSU) by FRANKE, Theodorus
13 Apr 2018 Mirtazapine 30mg tablets 1 tablet 14 tablets A
Ended early on 24 Apr 2018: Other (transferred to another establishment) by HUMPHRIES, Emma L
Administrative notes: Pt in CSU
13 Apr 2018 Sodium valproate 500mg gastro-resistant
tablets
1 tablet 28 tablets A
Ended early on 19 Apr 2018: End of course by APPLEFORD, James (Dr)
Administrative notes: Pt in CSU
25 Apr 2018 Mirtazapine 30mg tablets one at night 28 tablets
23 May 2018 Mirtazapine 30mg tablets one at night 28 tablets
27 May 2018 Paracetamol 500mg tablets 2 2 O
Thu 23 Apr 2020 15:02
Mr Saul Turner "Saul Altel" (A2425AM)
Confidential: Personal Data 719 122 2247, 08 Dec 1982
C142
Printed
409af26bccb2448dabacd1cf3d115e4f-143
by TURNER, Steven (Mr) (Clerical Access Role)HMP Highdown 143 of 216
20 Jun 2018 Mirtazapine 30mg tablets one at night 28 tablets
Ended early on 11 Jul 2018: Patient Preference by SAMOUELLE, Richard (Dr)
22 Jun 2018 Paracetamol 500mg tablets 1-2 tablet 2 tablets A
Ended early on 22 Jun 2018: Medication has been administered by GREGORIOUS, Mathew
Administrative notes: Every 4-6 hours Maximum 8 tablets per day
13 Aug 2018 Ibuprofen 200mg tablets 1-2 tablet 2 tablets A
Ended early on 13 Aug 2018: Medication has been administered by SMITH, Lynda (Mrs)
Administrative notes: Every 6-8 hours, up to three times a day (max 6 tablets in 24 hours)
13 Aug 2018 Ibuprofen 200mg tablets 1-2 tablet 1 pack of 24
tablet(s)
A
Ended early on 13 Aug 2018: Medication has been administered by SMITH, Lynda (Mrs)
Administrative notes: 24 tablets supplied IP Every 6-8 hours, up to three times a day (max 6 tablets in 24 hours)
13 Aug 2018 Paracetamol 500mg tablets 1-2 tablet 2 tablets A
Ended early on 13 Aug 2018: Medication has been administered by SMITH, Lynda (Mrs)
Administrative notes: Every 4-6 hours Maximum 8 tablets per day
13 Aug 2018 Paracetamol 500mg tablets 1-2 tablet 1 pack of 16
tablet(s)
A
Ended early on 13 Aug 2018: Medication has been administered by SMITH, Lynda (Mrs)
Administrative notes: 16 tablets supplied IP
16 Aug 2018 Paracetamol 500mg tablets 1-2 tablet 1 pack of 16 A
tablet(s)
Ended early on 16 Aug 2018: Medication has been administered by HAMPSHIRE, Ann (Miss)
Administrative notes: 16 tablets supplied IP
20 Aug 2018 Ibuprofen 200mg tablets 1-2 tablet 2 tablets A
Ended early on 20 Aug 2018: Medication has been administered by ROBSON, Bryan
Administrative notes: Every 6-8 hours, up to three times a day (max 6 tablets in 24 hours)
20 Aug 2018 Paracetamol 500mg tablets 1-2 tablet
Ended early on 20 Aug 2018: Medication has been administered by ROBSON, Bryan
2 tablets A
Administrative notes: Every 4-6 hours Maximum 8 tablets per day
25 Aug 2018 Paracetamol 500mg tablets 1-2 tablet 2 tablets A
Ended early on 25 Aug 2018: Medication has been administered by HAMPSHIRE, Ann (Miss)
Administrative notes: Every 4-6 hours Maximum 8 tablets per day
10 Sep 2018 Aqueous cream 1-5 application 1 pack of 100 A
gram(s)
Ended early on 10 Sep 2018: Medication has been administered by SMITH, Lynda (Mrs)
Administrative notes: Apply to the affected area upto five times daily - to be used as a soap substitute only.
09 Jan 2020 Zopiclone 7.5mg tablets 1 tablet 3 tablets A
15 Jan 2020 Mirtazapine 30mg tablets 1 tablet 28 tablets
Repeat Templates
C143
06 Sep 2010 Doxycycline 100mg capsules Noon: 1.0 capsules 30 capsules 04 Oct 2010, Ended
Issues: 3
End Reason: Patient Preference (patient has stopped
colecting for long time) by SHAH, Rajiv (Dr)
04 Oct 2010 Venlafaxine 150mg
modified-release tablets
AM: 1.0 tablets 28 tablets 04 Oct 2010, Ended
Issues: 1
End Reason: Patient Preference (patient has DNA for
medicine) by SHAH, Rajiv (Dr)
24 Sep 2012 Minocycline 100mg
modified-release capsules
take one daily 56 capsules 07 Jan 2013, Ended
Issues: 3
End Reason: Patient Deducted (Hmp Camp Hill) by
PACKER, Julie
Indication: Acne vulgaris (XE1BO)
24 Sep 2012 QUINODERM ANTIBACTERIAL
wash [QUINODERM]
bd 100 millilitres 20 Oct 2012, Ended
Issues: 2
End Reason: Patient Deducted (Hmp Camp Hill) by
PACKER, Julie
Thu 23 Apr 2020 15:02
Mr Saul Turner "Saul Altel" (A2425AM)
Confidential: Personal Data 719 122 2247, 08 Dec 1982
C143
Printed
409af26bccb2448dabacd1cf3d115e4f-144
by TURNER, Steven (Mr) (Clerical Access Role)HMP Highdown 144 of 216
15 Feb 2017 Amitriptyline 50mg tablets 1 tablet 28 tablets 18 Mar 2017, Ended
Issues: 2
End Reason: Re-Authorised by HARDING, Tim
15 Feb 2017 Paracetamol 500mg tablets 2 tablet 80 tablets 16 Feb 2017, Ended
Issues: 1
End Reason: Patient Deducted (Sentence Ended)
10 Mar 2017 E45 cream (Forum Health Products ao 500 grams 10 Mar 2017, Ended
Ltd)
Issues: 1
End Reason: Patient Deducted (Sentence Ended)
12 Apr 2017 Amitriptyline 50mg tablets 1 tablet 28 tablets 13 May 2017, Ended
Issues: 2
End Reason: Patient Deducted (Sentence Ended)
14 Nov 2017 Mirtazapine 15mg tablets [16:00-1 tablet] 28 tablets 14 Nov 2017, Ended
Issues: 1
End Reason: Patient Deducted
17 Nov 2017 Mirtazapine 15mg tablets [16:00-1 tablet] 28 tablets 21 Nov 2017, Ended
Issues: 1
End Reason: Patient Deducted
12 Dec 2017 Mirtazapine 15mg tablets 1 tablet 28 tablets 10 Jan 2018, Ended
Issues: 2
End Reason: Patient Deducted
16 Jan 2018 Valproic acid 250mg
1 tablet 28 tablets 16 Jan 2018, Ended
gastro-resistant tablets
Issues: 1
End Reason: Patient Deducted
Administrative notes: Mania, initially 750 mg daily in 2-3 divided doses, increased according to response, usual dose
1-2 g daily; doses greater than 45 mg/kg daily require careful monitoring; child under 18 years not recommended
Migraine prophylaxis [unlicensed], initially 250 mg twice daily, increased if necessary to 1 g daily in divided doses
16 Jan 2018 Valproic acid 500mg
1 tablet 28 tablets 16 Jan 2018, Ended
gastro-resistant tablets
Issues: 1
End Reason: Patient Deducted
Administrative notes: Mania, initially 750 mg daily in 2-3 divided doses, increased according to response, usual dose
1-2 g daily; doses greater than 45 mg/kg daily require careful monitoring; child under 18 years not recommended
Migraine prophylaxis [unlicensed], initially 250 mg twice daily, increased if necessary to 1 g daily in divided doses
15 Feb 2018 E45 cream (Forum Health Products
Ltd)
ao 500 grams 19 Feb 2018, Ended
Issues: 1
End Reason: Patient Deducted
16 Mar 2018 Mirtazapine 30mg tablets One to be taken daily 1 pack of 28 10 Apr 2018, Ended
tablet(s)
Issues: 2
End Reason: Patient Deducted
16 Mar 2018 Sodium valproate 500mg
gastro-resistant tablets
To be taken Twice
Daily
56 tablets 10 Apr 2018, Ended
Issues: 2
End Reason: End of course by APPLEFORD, James (Dr)
25 Apr 2018 Mirtazapine 30mg tablets one at night 28 tablets 20 Jun 2018, Ended
Issues: 3
End Reason: Patient Preference by SAMOUELLE, Richard
(Dr)
15 Jan 2020
Issues: 1
Mirtazapine 30mg tablets 1 tablet 28 tablets 15 Jan 2020, Ended
End Reason: Patient Deducted (Sentence Ended)
Drug Sensitivities
No information recorded
Allergies
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CS = Chronic Summary MS = Major Summary OS = Minor Summary S = Unspecified Summary NE = New
Episode OE = Ongoing Episode
22 Feb 2013 No known allergies (1151.)
14 Jan 2015 No known allergies (1151.)
26 Mar 2015 No known allergies (1151.)
16 Feb 2016 No known allergies (1151.)
16 Feb 2016 No known allergies (1151.)
27 Feb 2016 No known allergies (1151.)
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30 Sep 2017 No known allergies (1151.)
25 Apr 2018 No known allergies (1151.)
08 Jan 2020 No known allergies (1151.)
Problem Substances
No information recorded
Recalls
No information recorded
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Reminders
03 Jan 2018 Does not want to take valproic acid until reviewed as struggling with side
effects
03 Jan 2018 DOES NOT WANT TO TAKE SODIUM VALPROATE CURRENTLY UNTIL
REVIEWED
22 Dec 2017 If depressed and suicidal do not prescribe amitryptiline as Saul is aware of the
Cardio toxicity of this antidepressant.
Normal Priority
Cancelled on 03
Jan 2018
High Priority
He is aware of this alert.
15 Dec 2017 Constant watch in segregation unit following suicide attempt. Cancelled on 19
Jan 2018
02 Oct 2017 No SCR record, therefore no NHS number or gp Cancelled on 14
Mar 2018
12 Apr 2013 MEDICATION SCORE - 11 Cancelled on 14
Mar 2018
12 Apr 2013 CSRA - HIGH - SINGLE Cancelled on 14
Mar 2018
Vaccinations
No information recorded
Summary
CS = Chronic Summary MS = Major Summary OS = Minor Summary S = Unspecified Summary NE = New
Episode OE = Ongoing Episode
22 Jul 2010 Tinea pedis (Xa97k) S
02 Nov 2011 Paper record held here (Y1800) S
22 Feb 2013 First Reception Screening (Positive Response) (Y0801) S
11 Apr 2013 Hep B Vacc - immunised already (Y075d) S
11 Apr 2013 Smoker (137R.) S
25grams of tobacco a week
11 Apr 2013 Asthma: no (Y0944) S
11 Apr 2013 Does not have a psychiatric nurse or care worker (Y08e4) S
11 Apr 2013 Normal vision (668A.) S
11 Apr 2013 No hearing problems (Y1103) S
11 Apr 2013 Patient registered - GPR (XE2y4) S
11 Apr 2013 Reads English (XaIMM) S
11 Apr 2013 English language (Xa6ev) S
11 Apr 2013 White British (XaFwD) S
11 Apr 2013 Consent given to share patient data with specified 3rd party
(XaNwR)
S
11 Apr 2013 Prisoner has received treatment from a psychiatrist outside prison
(YX016)
S
2007 & 2011 re: Depression. No longer on medications
11 Apr 2013 Has not stayed in a psychiatric hospital (Y08e2) S
11 Apr 2013 Teetotaller (1361.) S
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11 Apr 2013 Did not attend substance misuse clinic (XaJsy) S
11 Apr 2013 Moderate suicide risk (XaIeW) S
17 Jan 2015 No relevant family history (122..) S
30 Mar 2015 FH: Ischaemic heart disease at less than 60 years (XE0oG) S
Sister has diabetes
Mother had stent put in after heart attack
30 Mar 2015 FH: Diabetes mellitus (1252.) S
Sister has diabetes
Mother had stent put in after heart attack
16 Feb 2016 First Reception Screening (Unknown) (Y0803) S
16 Feb 2016 No (Y0428) S
16 Feb 2016 Unknown (X90UG) S
16 Feb 2016 Hep B Vacc - immunised already (Y075d) S
02 Mar 2016 No relevant family history (122..) S
17 Aug 2016 Declined consent to share pt data with specified 3rd party (XaNwT) S
17 Aug 2016 Patient registered - GPR (XE2y4) prison S
17 Aug 2016 Teetotaller (1361.) S
17 Aug 2016 No (Y0428) S
17 Aug 2016 Not disabled (Y3416) S
17 Aug 2016 No (Y0428) S
17 Aug 2016 Able to read (XaBme) S
17 Aug 2016 English language (Xa6ev) S
17 Aug 2016 Able to write (XaAzO) S
17 Aug 2016 Smoker (137R.) S
17 Aug 2016 Asthma: no (Y0944) S
30 Sep 2017 Rolls own cigarettes (137M.) S
30 Sep 2017 Wants to stop smoking (XaLQh) S
30 Sep 2017 Cigarette smoker (XE0oq) S
16 Nov 2017 No (Y0428) S
16 Nov 2017 No (Y0428) S
16 Nov 2017 English language (Xa6ev) S
16 Nov 2017 Interpreter not needed (XaI8Y) S
16 Nov 2017 Able to write (XaAzO) S
16 Nov 2017 Patient not registered (9121.) S
16 Nov 2017 Smoker (137R.) S
16 Nov 2017 Asthma: no (Y0944) S
16 Nov 2017 Able to read (XaBme) S
16 Nov 2017 Consent given to share patient data with specified 3rd party
(XaNwR)
S
16 Nov 2017 Not disabled (Y3416) S
16 Nov 2017 Teetotaller (1361.) S
02 Jan 2018 Seen by member of prison inreach mental health team (XaP7x) S
06 Jan 2018 Seen by member of prison inreach mental health team (XaP7x) S
23 Jan 2018 Seen by member of prison inreach mental health team (XaP7x) S
26 Jan 2018 Seen by member of prison inreach mental health team (XaP7x) S
02 Feb 2018 Seen by member of prison inreach mental health team (XaP7x) S
09 Feb 2018 Seen by member of prison inreach mental health team (XaP7x) S
17 Feb 2018 Seen by member of prison inreach mental health team (XaP7x) S
20 Feb 2018 Seen by member of prison inreach mental health team (XaP7x) S
20 Feb 2018 Seen by member of prison inreach mental health team (XaP7x) S
22 Feb 2018 Seen by member of prison inreach mental health team (XaP7x) S
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26 Feb 2018 Seen by member of prison inreach mental health team (XaP7x) S
07 Mar 2018 Seen by member of prison inreach mental health team (XaP7x) S
08 Mar 2018 Seen by member of prison inreach mental health team (XaP7x) S
15 Mar 2018 Admission to segregation unit (XaPma) ALGORITHM S
OE
22 Mar 2018 Consent obtained (Y001d) S
OE
consent to share info and medication compact
22 Mar 2018 Seen by member of prison inreach mental health team (XaP7x) S
05 Apr 2018 Prescription (X904q) PRESCRIPTION S
NE
10 Apr 2018 Seen in segregation unit (Y0ce3) SRU ALGORITHM S
OE
25 Apr 2018 Patient consented to sharing of information (Y3358) S
27 Apr 2018
27 Apr 2018
Patient health questionnaire (PHQ-9) score (XaLDN)
No suicidal thoughts (XaIJ7)
0 S
S
27 Apr 2018 No thoughts of deliberate self harm (XaIuw) S
27 Oct 2018 No suicidal thoughts (XaIJ7) S
27 Oct 2018 No thoughts of deliberate self harm (XaIuw) S
24 Dec 2019 Seen by primary care mental health team (XaZrh) S
08 Jan 2020 Patient consented to sharing of information (Y3358) S
08 Jan 2020
09 Jan 2020
Health assessment questionnaire (XM0e6)
Admission to ward (XaAMw)
1 S
S
09 Jan 2020 General observation of patient (Xa1bt) S
15 Jan 2020 Inpatient stay (XaBV3) S
21 Jan 2020 Inpatient stay (XaBV3) S
29 Jan 2020 Inpatient stay (XaBV3) S
29 Jan 2020 Depressive disorder (X00SO) S
05 Feb 2020 Discharged from inpatient care (8HE2.) S
Pathology Results
No information recorded
Active Problem: Dental care (Ua1RH) (26 Apr 2016 - Ongoing)
A = Acute P = Private I = Instalment Dispensed D = Dental H = Hospital O = Other
27 Apr 2016 Amoxicillin 500mg capsules [08:00-1][12:00-1][16:00-1] 15 capsules A
27 Apr 2016 Ibuprofen 200mg tablets [08:00-1][12:00-1][16:00-1] 15 tablets A
26 Apr 2016 Problem: Dental care (Ua1RH)
H: Emerg appt. co - pain LRQ ? swelling. Pain since Saturday.
Mhx: NRMH.
Another year of sentence to serve.
Non smoker. Occasional alcohol when out.
E: Directed exam only
LR8 P.E. and operculum swollen and gum cut where tooth is erupting.
Pus draining from underneath.
Pericoronitits LR8. First episode.
Advised OHI ( small single tufted brush given).
Hot salt water mouthwash.
Px done amoxicillin 500mg tds 5/8 and ibuprofen.
Advised if recurrs then would recommend xla LR8.
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Active Problem: Prisoner has a psychiatric nurse or care worker in the community : no (Y09d1)
(17 Aug 2016 - Ongoing)
No information recorded
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Active Problem: Depressive disorder (X00SO) (29 Jan 2020 - Ongoing)
No information recorded
Inactive Problems
No information recorded
Care Plans
05 Jul 2010 Self Harm (HMP Elmley) Reviewed:
Care Goal: To reduce self injury behaviour.
To avoid self injury.
To enable communication of thoughts and feelings about self harm.
To promote feelings of safety and security.
Review Due: 12 Jul 2010 09:57
1) Ensure that all staff are aware of the potential for self harm. 27 Aug 2010
2) Initiate a therapeutic relationship with key worker. 26 Aug 2010
3) Demonstrate acceptance and non judgmental responses. 26 Aug 2010
4) Ensure all potentially harmful substances and implements are removed whilst
22 Aug 2010
encouraging to retain and use personal belongings. - no concernss were raised inthis
regard.
5) Provide clear and understandable instructions about care and treatment. - complied with 22 Aug 2010
his treatment plan.
6) Identify factors which appear to trigger self harm thoughts. - No triggers reported. 26 Aug 2010
7) Identify potential factors which appear to reduce suicidal preoccupation. - Mr Altel 26 Aug 2010
occupied himself with reading and watching TV. No self harm behaviour displayed.
8) Encourage diversional or recreational activities. - Mr Altel came out during exercise time 22 Aug 2010
and interacted well with his peers.
9) Record all notes and observations in this template - Mr Altel was off ACCT on 24/8/10, for 26 Aug 2010
closure review next week. Denied deliberate self harm thoughts or intent.
05 Jul 2010 Low in Mood (HMP Elmley) Reviewed:
Care Goal: To facilitate opportunities for emotionally positive experiences
To reduce the influence of depressive thoughts on behaviour, emotions and communication
To promote control over thoughts and behaviour
Review Due: 12 Jul 2010 09:58
4) Saul is to be managed as per careplan. 31 Aug 2010
12) Allocated/treatment nurse to ensure that he is compliant with his treatment plan. - 01 Sep 2010
Presented as euthymic in mood and remains concordant with medication regime.
13) Allocated nurse to ensure that Saul has a 1.1 session facilitated per every shift, 01 Sep 2010
outcome to be documented on system 1. - 1.1 session facilitated amenable and pleasant on
approach.
18 Aug 2010 Dsh and depression. (HMP Elmley, IPD) Reviewed:
Care Goal: Mental and physical wellbeing.
Review Due: 23 Aug 2010 18:14
1) Monitor and document, Mr Altel's mood and behaviour. - diet and fluids taken at 01 Sep 2010
mealtimes.
2) To explore areas/activities of interest and encourage participation - Interactive with peers 01 Sep 2010
played pool.
3) Observe how Mr Altel interacts with peers - Good rapport observed with peers. 31 Aug 2010
5) Provide Mr Altel with opportunity to express his thoughts, feelings and anxities. - Mr Altel 31 Aug 2010
stated he is fine on spoken to, no deliberate self harm thoughts or suicidal intent expressed.
Social Services Contacts
No information recorded
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Admissions
No information recorded
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Communications
2010 Incoming Prescription or Medication details Arrived 01 Jan 2010 09:16
From ,
To ,
Entered By FORSHAW, Karen
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26 Jun 2010 Incoming F213 Arrived 26 Jun 2010 21:58
From ,
To ,
Entered By STANLEY, Dermot (Mr)
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15 Jul 2010 Incoming Blood Results Arrived 15 Jul 2010 11:26
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Entered By CRIPPS, Janet
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Scanned Documents
08 Dec 1982 Prescription or Medication details to unknown
Letter Type
Prescription or Medication details
Letter To
Letter From
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02 Feb 2010 Prescription or Medication details to unknown
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Prescription or Medication details
Letter To
Letter From
HMP Swaleside
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Prescription or Medication details
Letter To
Letter From
HMP Swaleside
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Letter Type
Prescription or Medication details
Letter To
Letter From
HMP Swaleside
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27 Mar 2012 Clinic Letter to Hmp Camp Hill
Letter Type
Clinic Letter
Letter To
Hmp Camp Hill
Letter From
Hmp Camp Hill
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12 Dec 2012 Clinic Letter to Dr Victoria Manning
Letter Type
Clinic Letter
Letter To
Dr Victoria Manning
Letter From
Maxillofacial, St Mary's Hospital
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Document
Letter To
Hmp Rochester
Letter From
Hmp Rochester
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15 Jan 2015 Consent Form to The Station Practice, Hastings
Letter Type
Consent Form
Letter To
The Station Practice, Hastings
Letter From
HMP Winchester
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30 Mar 2015 Document to HMP Winchester
Letter Type
Document
Letter To
HMP Winchester
Letter From
HMP Winchester
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Dentistry
Letter To
HMP Highdown
Letter From
HMP Highdown
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Appendix C — foreseeable death Clinical Reviewer template
D1
Clinical Review for the purpose of the Prisons and Probation
Ombudsman’s investigation into the death of
Saul Altal
06.02.2020
HMP Highdown
Carried out by Dr Peter Saunders
Date of final clinical review report: 6.7.20
D1
181
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D2
1. Terms of Reference
The aim of the review is to consider clinical care pertinent to the death the
deceased received in relation to his/her cause of death while in custody at
HMP Highdown.
The approach of how and why has been adopted, not apportioning blame.
This clinical review report is for the purposes of informing the PPO report and
providing clinical oversight and the report is not intended to offer expert
witness testimony for the purposes of the Coroner’s inquest.
The following key questions must be covered in relation to the death:
- How
- Is
- Was
- Are
- Were
- Is
- Are
and when did Saul Altal die?
there any root cause(s) of the death?
the clinical care equivalent to that which could have been
expected in the community?
there any learning opportunities?
local and national policies and procedures (both
establishment and NHS) followed?
there an opportunity to prevent future deaths in similar
circumstances?
there any examples of good practice?
The purpose of the clinical review is to support the aims of the PPO
investigation, which are to:
• Establish the circumstances and events surrounding the death, in
particular the health care the deceased received, while in custody.
• The management of the individual by the relevant authority or authorities
within remit, but also including any relevant external factors.
• Examine whether any change in operational methods, policy, and practice
or management arrangements would help prevent a recurrence.
• In conjunction with NHS England or the relevant authority where
appropriate, examine relevant healthcare received whilst in custody or
detention and assess clinical care pertinent to the death.
• Provide explanations and insight for the bereaved families, carers and
relatives
• Help fulfil the investigative obligation arising under Article 2 of the
European Convention on Human Rights (‘the right to life’) by working
together with coronets to ensure as far as possible that the full facts are
brought to light and any relevant failing is exposed, any commendable
action or practice is identified, and any lessons from the death are made
clear.
Clinical review template —Non foreseeable death
Version 1.0 June 2018
2 D2
Non
418605bdd01d47659e207caa74ba7d90-3
D3
The aims of the clinical review are to:
• Establish the circumstances and events surrounding the death,
especially as regards management of the individual by the relevant
service or services, but including relevant outside factors.
• Examine relevant health issues and assess the clinical care.
• Examine whether any change in operational methods, policy, and
practice or management arrangements would help prevent a
recurrence.
• Identify any root causes that inform the identification of learning
opportunities.
• Make SMART (Specific, Measurable, Achievable, Realistic and
Timely) recommendations for the health community and service.
• Provide explanations and insight for the bereaved relatives to aid
understanding of care whilst in custody or detention.
• Identify any good practice to support improvement work across the
criminal justice system.
2. Methodology
Level 2 — a single clinical reviewer carrying out a review of records, interviews
with healthcare staff at the establishment and report. Some self-inflicted
deaths can involve individuals with complex health needs and may require an
expert review of a particular element of their healthcare, such as a forensic
psychiatrist and drug misuse and dependence.
Due to the circumstances and information available regarding the deceased
this Clinical Review report is a level 2: a single clinical reviewer carrying out a
review of records, telephone interviews with healthcare staff at the
establishment and report.
The assigned Prisons and Probation Ombudsman’s investigator for this
review is Steve Lusted I Senior Investigator.
Table 1
below details documentary evidence reviewed.
Documents relating to
healthcare
Date published/version
number
Documents for evidence of healthcare provision
SystmOne electronic patient record received 216 pages from 2.2.10 to
23.4.20 and include tasks & electronic care 12.2.20
plans
Clinical review template — foreseeable death
Version 1.0_June 2018
3 D3
Non
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D4
Healthcare Provider Initial review! 72 hour 31 .03.2020
review report
Substance Misuse!Use Services records and or None
additional mental health records [add which
other records reviewed]
The clinical reviewer will report on the quality of records management in line
with NMC Code of Conduct and GMC Good Medical Practice Guidelines and
Health Care Professional Council (HCPC) Standards of conduct, performance
and ethics.
In addition to the documents reviewed, interviews were also conducted by
telephone with Kerry Martin, Head of the healthcare team at HMP Highdown
Francois Victoire, Nurse Access Role at HMP Highdown.
Interviews were conducted by the clinical reviewer and contemporaneous
notes of the responses were recorded.
The report is written based on documentary evidence and information
ascertained from interviews with clinical staff and discussions with the
assigned Prisons and Probation Ombudsman’s investigator.
The family of Mr. Saul Altal wished the following issues to be considered in
relation to clinical care
Bruising to head and spine.
The post mortem report does not indicate such bruising:
The neck structures soft tissues showed no evidence of bruising or other
injury.
Reflection of the scalp revealed no evidence of bruising or other injury.
Appendix A — chronology
of clinical events leading up to death.
3. Clinical Reviewer
I am Dr Peter Saunders, the Clinical Reviewer who has reviewed the case and
written this report.
My qualifications are BSc., MB ChB, MRCGP, DRCOG
My professional experience -
I have been a GP for over 30 years based in Bristol.
Clinical review template —
Version 1.0 June 2018
foreseeable death
4 D4
Non
E1
418605bdd01d47659e207caa74ba7d90-5
D5
I am also a Performance Assessor for the General Medical Council; a Case
Investigator for NHS England; an Appraiser and Senior Appraiser for GP
Appraisal for NHS England South.
I have undergone NCAS Case investigation training and have had follow up
training from NHS England and NCAS as a clinical reviewer in Deaths in
Custody. I have also undertaken training in Performance assessment by the
GMC with biannual follow up training.
I
have current professional registration with GMC.
4. Conflict of interest statement
I confirm there are no actual or potential conflicts in my carrying out this
clinical review. I have not previously worked at HMP Highdown either in
my capacity as a qualified healthcare professional or in any other
employed or voluntary capacity.
5. Clinical Care
It should be noted that the medical records are named Saul Turner rather than
Saul Altal (SA).
a. Outline medical history
Mr. Altal entered HMP Highdown from the community on 8.1.2020. He had a
long history of incarceration at other establishments and had been released
from HMP Guys Marsh in May 2019.
Mr. Altal’s significant medical history was:
• Depression and Dysthemia (persistent depressive disorder) for many
years both in prison and in the community
• Substance Misuse (mainly Cannabis and Spice) for many years both in
prison and in the community
Mr. Altal’s regular medications included:
• Mirtazepine and Vaiproate (antidepressants)
Mr. Altal was also under the care of:
• Dr Adrian Feeney — consultant
psychiatrist
Mr. Altal had been an inmate for other offences in various prisons. The last
sentence was served at HMP Guys Marsh and he was released May 2019.
Clinical review template —
Version 1.0 June 201$
foreseeable death
5
D5
Non
he
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D6
During that admission at HMP Guys Marsh he had significant mental health
issues and was at times managed under an ACCT. He had attempted suicide.
He had also built up significant debt due to his use of Spice.
On 8.1.20 entries in the SystmOne record by Niamh FUGILL (Health
Professional Access Role) confirm that the first reception screening was
undertaken on admission to HMP Highdown.
b. Reception Screen
The reception screen carried out by Niamh Fug ill (health professional access
role) was comprehensive and revealed:
• Low mood and previous mental health issues, but no current thoughts
of suicide or self-harm. An ACCT was declined by SA and not opened.
He admitted to previous “chronic depression” and a “nervous
breakdown” in 2011.
• Mr. Altal admitted previous drug use, but no injecting drug use
• That he was an ex-drinker — denied any alcohol consumption and
therefore Audit C was not carried out.
• He was a non-smoker.
• He was not offered referral to substance misuse services, but he
admitted to Cannabis and Spice usage
He was referred to Mental Health Services (MHS)
c. Full health assessment
He was prescribed Zopiclone (sleeping tablet), by the GP, for 3 days to aid his
sleep. He was not referred to the GP for an appointment.
He was seen by the psychiatrist DrA Feeney on 15.1.2020.
He did not attend his appointment for a secondary health assessment. He
was not sent another appointment for this secondary screening.
At interview the Head of Healthcare stated that this was due to him being
reviewed daily on the Healthcare Unit and that the same questions would be
asked during these reviews. However, there is no record of completion of the
secondary care template or the questions on it being asked, nor any answers
recorded.
This did not therefore comply with NICE Guidelines (NG 57).
d. Physical care
Clinical review template —
Version 1.0 June 201$
foreseeable death
6 D6
Non
and
when
418605bdd01d47659e207caa74ba7d90-7
D7
During his time at HMP Highdown Mr. Altal did not complain of any physical
health issues.
He therefore was not seen by the GP while in HMP Highdown —
reviewed by the psychiatrist regularly.
e. Mental Health and Wellbeing
but
was
Mr. Altal had a long history of mental health problems both during his time in
prison and in the community.
He was referred promptly to Mental Health services after the reception screen
at HMP Highdown, and he was reviewed regularly by the psychiatrist who
confirmed his diagnoses of acute depression with Dysthemia.
He was treated with anti-depressants.
At all times Mr. Altal denied any thoughts of self-harm or suicide and it was
not deemed appropriate to open an ACCT — he himself declined this.
The psychiatrist reviewed him appropriately and comprehensively on 3
occasions, and another member of the mental health team also assessed his
needs.
He was initially prescribed the anti-depressant Mirtazepine
He was discharged from the HCU, after a final assessment by Dr Feeney on
29.1.20
f. Mental Capacity Act
During his psychiatric and mental health team assessments no capacity
issues were highlighted.
g. Assessment and access to secure Mental Health Transfer
N/A
h. Substance Misuse
Mr. Altal admitted to extensive previous drug misuse (both in prison and in the
community) on several occasions:
• At his reception screen
• To the nurse reviewing him on HCU — it was also noted he
appeared to be under the influence of
• During his psychiatric assessments
Clinical review template —
Version 1.0_June 2018
foreseeable death
7 D7
Non
418605bdd01d47659e207caa74ba7d90-8
D8
but he was not at any time referred to Substance Misuse Services
During his assessments on HCU, NEWS scores were frequently calculated.
i. Other vulnerabilities
N/A
j. Other clinical issues and care such as missed appointments and
follow-up
N/A
6. Key Findings of fact and Issues of Concern Relating to Healthcare
Cause of Death
1 a Coronary Artery Thrombosis
1 b Coronary Atheroma
2 5F-MDMB-PICA (Spice) Toxicity
a. Physical Healthcare
Mr. Altal had no physical health issues during his time in HMP Highdown.
Although the post mortem examination revealed coronary artery disease, at
no time during his time in prison did Mr. Altal complain of chest pain or any
other symptoms related to coronary artery disease. There would be no reason
therefore to suspect coronary heart disease in this case.
However, a concern is noted that NICE Guidance was not followed when
he did not receive a formal secondary Health Screen.
b. Mental healthcare
Mr. Altal was referred promptly to mental health services at his reception
screen and he was reviewed comprehensively (including his previous
psychiatric notes) by the psychiatrist.
He was also reviewed by another member of the mental health team with a
view to continuing these reviews when he was discharged from Healthcare.
He was prescribed anti-depressants and this medication was reviewed
appropriately.
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c. Substance misuse care
Despite a history of drug misuse mainly with Psychoactive substances (Spice)
and cannabis, Mr. Altal was not referred to Substance Misuse services during
his time in HMP Highdown.
At one review in HCU (on 9.1.20) a nurse noted that he may have been under
the influence of a substance. At interview the nurse confirmed that he wasn’t
acting “normally” and was irritable. The nurse noted that he may have used
cannabis or Spice before coming into prison and that although he was a
known drug user he would not refer Mr Altal to SMS under these
circumstances.
He stated that he would review him the following day when a “clearer picture”
could be appreciated, but that there was “nothing to indicate” a referral should
have been made. There is no record in the notes of a subsequent assessment
on the following days to obtain this “clearer picture”.
Even though he denied drug use on several occasions, a concern is
noted that despite a clearly documented drug misuse issue, and an
observed occasion when he appeared to be under the influence of a
substance and was not acting normally, he was not offered a referral to
Substance Misuse Services.
The post mortem report revealed the presence of 5F-MDMB-PICA (Spice)
toxicity and it is noted by the pathologist that:
the presence of the Spice had played a part in death by increasing heart
rate and myocardial ischaemia in a man with underlying coronary heart
disease, and increasing the risk of the development of a fatal arrhythmia in
the presence of a coronary artery thrombus.
Thus a referral to Substance Misuse services, or a discussion with Mr. Altal
about such a referral, would have been pertinent here.
d. Other vulnerabilities
N/A
e. Other clinical issues
N/A
7. Custodial management and Partnership working
N/A
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a. Information sharing
N/A
b. Prison regime and escorts to internal clinics and any impact for
individual accessing healthcare
N/A
c. ACCT/ACDT process and healthcare role and input
Mr. Altal had been managed under an ACCT during previous prison
admissions but during this admission he consistently denied any thoughts of
self-harm or suicide and an ACCT was not deemed necessary. Mr Altal also
declined the opening of an ACCT.
d. Health care input into restraints risk assessment
N/A
e. Escort and bed watch and impact on timely attendance to external
healthcare appointments
N/A
f. Emergency Response
When Mr. Altal was discovered unresponsive a Code Blue was called
appropriately. Staff responded quickly and he was positioned on the floor and
defibrillator pads were attached.
Although he may have been deceased some while, it was appropriate to start
CPR at this stage.
No shockable rhythm was identified and CPR commenced.
It was however, quickly realised that he had significant signs of rigor mortis,
with post mortem skin discolouration, and life support measures were
appropriately discontinued.
g. Social Care needs (including any physical health needs)
Nil
h. Location
He was admitted to the Healthcare Unit (HCU) at admission to HMP Highdown.
At interview Head of Healthcare stated this was because he was distressed and
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dishevelled and it was thought that he could be better supported on the unit than
on the wing. He was reviewed by the psychiatrist who concurred — until he was
stable when he was discharged from healthcare.
This discharge took a few days to find a suitable placement on the wings and he
was discharged to a shared cell on 5.2.20. He died that night in the cell.
It is noted that during his whole time on the HCU he was observed hourly during
day and night. Head of Healthcare stated these were visual observations (and
required a light to be switched on at night), and that this was standard practice at
HMP Highdown when a prisoner was on the HCU.
It is noted that hourly checks are not standard practice at other institutions
and could be considerably disruptive to sleep and maintaining normal daily
activities. This could also affect mental health. Mr. AItal complained that
these observations were indeed disrupting his sleep.
I. Clinical hold and recommendations
N/A
8. Key findings of fact and issues of concern
Mr Altal was in HMP Highdown for one month before his death. He was
located on the Healthcare unit for all of this time except the final night, during
which he died.
His mental health issues were identified promptly at intake and he was
referred to, and managed by, the Mental Health Team and the Psychiatrist.
His care was comprehensive and of a good standard.
He did not have any physical health issues during his admission.
A concern is noted that he did not receive a formal secondary health
screen along NICE Guidelines.
Mr. Altal admitted to significant drug misuse issues while at other prisons and
in the community but denied any illicit drug use in HMP Highdown during his
frequent assessments. However, he was noted to be possibly under the
influence of a substance on one occasion.
5F-MDMB-PICA (Spice) was discovered in the toxicological analysis of his
blood and may have contributed to his demise.
A concern is noted that despite a significant recent history of drug
misuse (in a previous prison and in the community), and an observation
of possible drug use, he was not referred to the Substance Misuse
Services.
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9. Conclusion
Having reviewed the clinical care extended to Mr. Saul Altal, I consider that
the care received was of a reasonable standard and was equivalent to that
which would have been received in the wider community.
JO.
Recommendations
Head of Healthcare should:
• Review the protocol around carrying out a secondary health screen for
those admitted to the Healthcare unit.
• Review the policy around referral to Substance Misuse Services when
a prisoner admits to previous drug misuse issues and/or is observed to
be possibly under the influence of an illicit substance.
• Review the policy of hourly observations when a prisoner is on the
Healthcare Unit, taking into account policies in other establishments.
Other findings to bring to the attention of the NHS England
Commissioning Team (healthcare commissioners)
Nil
Other recommendations
N/A
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of relevant events
Chronology
Annex A —
Date Time Event Location Name Source (eg IMR)
Summary of previous prisons’ events
2017 Long offending history and was transferred into HMP Medical records
HMP Rochester. Depression and on Mirtazapine. Rochester
Known user of drugs in prison. Suicide attempt
Dec 2017 in segregation. On ACCT and
constant watch. Seen by psychiatrist and
diagnosed with depression and dysthymia with
co-morbid cannabis/spice use. To be managed
by in-reach team. Medication review and Na
Valproate added. Has built up debt due to Spice
usage
Jan 2018 Further threat of self-harm but later rescinded HMP Medical Records
this and ACCT closed Rochester
16.2.18 HMP TIDY, Michael (Mr) Medical Records
Rochester (Nurse Access
Role)
March & Transfer to HMPYOI Stoke Heath. Review by HMPYOI Medical Records
April 2018 Mental Health team and taken onto caseload. In Stoke
segregation. Low mood — food and medication Heath
refusal - ACCT opened in April (hourly obs).
ACCT closed later when started eating. Transfer
to HMPYOI Portland on health wing — stated
feeling well and not requiring input from MH
team. No thoughts of self-harm.
foreseeable death
Non
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19.4.18 Reviewed by Psychiatrist and reported feeling South DrJKAppleyard Medical Records
better. Not suicidal. Subjectively not depressed Staffs NHS (Consultant
and Valproate discontinued. Trust Psychiatrist)
HMPYOI Medical Records
he
September In segregation unit after “injury to inmate” —
2018 flooded his cell. No thoughts of suicide or self- Portland
harm
October Transfer to HMP Guys Marsh. Suicide attempt HMP Guys Prison Officer Medical Records
2018 on 27.10.18 and put on ACCT. Reviewed by Marsh Woodbridge
mental health team. Self-isolating in cell but
Reception Screening — previous mental health using Spice again. Declined to engage with Medical Officer A.
Substance misuse team Hampshire
May 2019 Discharge from Prison. HMP Guys Medical Records
Marsh
Medical Records
8.1.20 HMP FUGILL, Niamh Medical Records
issues discussed. Feeling low in mood and Highdown (Miss) (Health
feeling hopeless but no thoughts of self-harm or Professional
suicide. Declines and ACCT and ACCT not Access Role)
opened. No medication repeat required. Ex
drinker — no Audit C — and non-smoker. Drug
use (Cannabis and Spice) in community but no
injecting — no record of referral to Substance
misuse service (SMS). BP normal. Referred for
Mental Health services (MHS) assessment and
to GP. Admitted to Health Care Unit (HCU). On
hourly observations.
foreseeable death
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engaging with HMP VICTOIRE, Medical Records
not
9.1.20 Reviewed on HCU —
15
assessment but has history of persistent Highdown Francois (Nurse
depressive disorder (dysthemia). Had been Access Role)
treated with valproate and mirtazapine in prison.
Referred to psychiatrist for assessment and 1 :1
support provided with information about help e.g.
Samaritans, chaplain etc. Appeared agitated and
confused? drug use. Zopiclone prescribed by GP
for 3 nights only.
release from HMP Guys Marsh HMP TAFIRENYIKA, Medical Records
after
9.1.20 Review —
last year did not receive support and was • Highdown Stellah (Health
homeless, no financial support and relationship Professional
broke down. Very low mood and feeling Access Role)
hopeless. Reports hearing voices in head,
arguing. Denies self-harm. Advice on alcohol —
but denies any alcohol intake recently. Referred
to smoking cessation service as using electronic
cigarette. Denies any drug misuse but doctor
noted previous issues in prison. Not referred to
SMS. He was looking somewhat confused,
appeared to be under substance influence.
Daily routine assessments during January while HMP Medical Records
on HCU continue but no issues highlighted Highdown
routinely. BP and NEWS recorded. Reported to
come out of cell for association and behaviour
was normal. Not regularly cleaning his cell and
sometimes not showering.
foreseeable death
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and asking for further HMP TAFIRENYIKA, Medical Records
denied. Denies any intention of self- Highdown Stellah (Health
14.1.20 Review - Agitated
Zopiclone —
harm. Professional
Access Role)
15.1.20 Comprehensive review by psychiatrist and of HMP FEENEY, Adrian Medical Records
previous notes. History of psychoactive Highdown (Health
substance use in prison but claimed no recent Professional
alcohol or drug use. Assessed in 2018 for Access Role)
initially
recurrent depression and dysthymia —
referred for counselling then started Mirtazepine
in 2018. Previously prescribed valproate.
Irritable and again mentioned voices — but not
threatening. Not clearly depressed and no
thoughts of self-harm or suicide but
recommended to restart Mirtazepine (30mg od) —
not IF — referred to mental health for psychiatrist
consultation and to be discussed in Mental
Health team meeting.
15.1.20 He did not attend his secondary health screen
?was a further appointment sent
21.2.20 Review and medication review. Rapport better HMP FEENEY, Adrian Medical Records
and less brittle in interaction. Mood scored at Highdown (Health
3/10 and no thoughts of self-harm since in Professional
prison. No effect of Mirtazepine at this stage. Access Role)
Claimed to have been purposely arrested to get
help with mental health. Mental health review
expedited.
16
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26.1.20 HMP BOSU, Kwaku (Mr) Medical Records
‘ mood
D17
Highdown (Nurse Access
Role)
Review of mental health and risk assessment
completed — occasional unpredictable mood and
behaviour. No thoughts of self-harm or suicide.
No safeguarding issues. No evidence of selfneglect
or substance misuse. Comprehensive
review of personal (patient held) Care Plan for
personal care in place. Compliant with
Mirtazepine medication. Is self-caring but
requires prompting to maintain good standard of
personal hygiene. Stated in good physical
health. Encouraged to maintain social skills.
Hourly observations continue in healthcare unit.
in mood and showered. HMP BROWN, Beverly Medical Records
Highdown (Nurse Access
Role)
brighter
28.1.20 Review —
29.1.20 Comprehensive review by psychiatrist. No HMP FEENEY, Adrian Medical Records
evidence of psychosis; no thoughts of self-harm; Highdown (Health
has lifted and is euthymic. To be Professional
discharged from HCU Access Role)
Daily routine assessments while on HCU. No HMP Medical Records
concerns highlighted. Hourly observations Highdown
continue until discharge from HCU.
5.2.20 Discharged from HCU to wing in double HMP BROWN, Beverly Medical Records
occupancy cell. Highdown (Nurse Access
Role)
6.2.20 9.09 Code Blue called. Attended cell and noted that HMP MILES, Verity (Mrs) Medical Records
he was in rigor mortis when moved off top bunk. Highdown (Health
CPR commenced though and defibrillator pads
foreseeable death
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attached. No shockable rhythm. During the CPR Professional
discussion about rigor mortis and decided with Access Role)
in-house paramedic to discontinue life support
and life extinct. Dr Gareth Ruse confirmed life
extinct at 09.18
6.2.20 Arrived while CPR in motion and visible rigor HMP BAKHT, Ana (Miss) Medical Records
mortis with arms in flexion, post-mortem staining Highdown (Health
and no spontaneous breathing or heart sounds Professional
with fixed dilated pupils. Decided life extinct at Access Role)
09.15 and CPR discontinued, ambulance arrived (Paramedic)
and confirmed asystole with ecg rhythm strip and
confirmed life extinct.
Telephone Interviews
5.5.20 Reception Screen HMP Kerry Martin —
He was known to use drugs both in prison and Highdown Head of Healthcare
outside but no referral to Substance misuse
services (SMS) at reception screen. Please
comment.
It would normally be standard practice to refer
such a person to SMS but this did not happen.
He was adamant he was clean from drugs
though.
Location on HCU
He was admitted to Healthcare Unit (HCU) from
reception — why was this? Why was he kept on
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HCU for the month? Why did he require hourly
observations for the whole month?
H (
H:: v/H IC’ HECOfl1E3
Secondary Health Screen
DNA on 15.1.20 — what was the outcome and
would another appointment have been offered?
: r1jR;
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visits and it was possibly felt to be less important
to complete the template formally.
19.5.20 You noted he may have been under influence of HMP Francois VICTOIRE
substance/drugs on 9.1.20 and that he had a Highdown (Nurse Access
previous drug problem, but not offered referral to Role)
Substance Misuse services (SMS). Please
comment.
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Prisons &
Probation
Ombudsman
Independent Investigations
Independent investigation into
the death of Mr Saul Altal (aka
Turner), a prisoner at HMP High
Down, on 6
A report by the Prisons and Probation Ombudsman
Third Floor, 10 South Colonnade Email mafl@ppo.gov Uk T 102076334100
Canary WharI London E14 4PU Web www ppo.gov.uk P10207633 4141
LII
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Our Vision
To carry out independent investigations
to make custody and community
supervision safer and fairer.
Our Values
We are:
Impartial: we do not take sides
Respectful: we ai’çQnsiderate and courteous
Inclusive: we value diversity
Dedicated: we areetrmined and focused
Fair: we are hpnesand act with integrity
CCL
© Crown copyright 2020
This publication is licensed under the terms of the Open Government Licence v3.O except where otherwise
stated. To Aew this licence, Asit nationalarchies. gov. uk/doc/o pen -g overnme nt-licence/ye rsion/3 or write
to the Information Policy Team, The National Archies, Kew, London 1W9 4DU, or email:
psi©nationalarchiesgsigov. uk.
Where we ha identified any third-party copyright information you will need to obtain permission from the
copyright holders concerned.
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The Prisons and Probation Ombudsman aims to make a significant contribution to safer,
fairer custody and community supervision. One of the most important ways in which we
work towards that aim is by carrying out independent investigations into deaths, due to
any cause, of prisoners, young people in detention, residents of approved premises and
detainees in immigration centres.
My office carries out investigations to understand what happened and identity how the
organisations whose actions we oversee can improve their work in the future.
Mr Saul Altal, who also used the surname Turner, died from heart failure linked to drug
use on 6 February 2020 at HMP High Down. Mr Altal was 36 years old. I offer my
condolences to Mr Altal’s family and friends.
The post-mortem found that he had a significant level of heart disease. He spent
almost all his four weeks in prison in High Down’s healthcare centre while his mental
health was assessed. No symptoms of heart disease were observed and he did not
complain of any.
We are satisfied that the healthcare Mr Altal received at High Down was equivalent to
that he could have expected in the community.
We do, however, have some concerns, although we do not consider that they
contributed to his death. We are concerned that Mr Altal did not have a secondary
health screen, although it is unlikely that this would have picked up his heart disease.
We are also concerned that, despite staffs suspicion that Mr Altal had taken drugs and
his history of substance misuse, no one submitted an intelligence report and he was not
referred to substance misuse services for sLipport.
We are also concerned that the officer who unlocked Mr Altal’s cell on 6 February did
not check on his welfare as he should have done. This did not affect the outcome for
Mr Altal as he had been dead for some hours when he was found. ft could, however,
make a significant difference in other cases.
Sue McAllister, CB
Prisons and Probation Ombudsman September 2020
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Contents
Summary .1
The Investigation Process 3
Background Information 4
KeyEvents 6
Findings 10
Annexes
1. Clinical review
Transcripts of interviews with:
2. Mr Gary Stevens, prison officer
3. Mr Jason Willis, prison officer
Notes of interviews with:
4. Mr Victoire Francois, nurse
5. Mr Tommy Gurney, prisoner
6. Ms Kerry Martin, Head of Healthcare
7. Mr Jack Ripley, prisoner
8. Mr Matthew WaltersKitson, prisoner
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Summary
Events
1. Mr Saul Altal was remanded to HMP High Down on 8 January 2020, charged
with burglary. He had been in prison before.
2. At a reception health screen, Mr Altal said he had not used drugs recently, so he
was not given a drug test. He was concerned about his mental health, so was
admitted to the healthcare centre for assessment. The next morning, a nurse
tried to assess him, but MrAltal was possibly under the influence of something
and was abusive. The nurse referred him to a psychiatrist, but did not refer him
to substance misuse services or submit a security intelligence report.
3. On 15 January, Mr Altal saw the psychiatrist., who prescribed antidepressants
and said that he should remain in the healthcare centre for further assessment.
That afternoon, Mr Altal did not go to his secondary health screen. There is no
evidence that staff followed this up.
4. When the psychiatrist assessed him again the following week, Mr Altal did not
report any improvement in his mood. The doctor assigned someone from the
mental health team to work with him when he left the healthcare centre.
5. When he saw the psychiatrist on 29 January, Mr Altal said that his mood had
lifted. The doctor recorded that he no longer needed to remain in the healthcare
centre. When a suitable cell became available on 5 February, Mr Altal was
moved to a shared cell on a standard prison wing.
6. Mr Altal was unwell during the night. His ceilmate asked him if he was alright,
and Mt Altal said that he was being sick.
7. In the morning, a prison officer unlocked the cell, but Mr Altal did not wake up.
His cellmate told a prison officer that Mr Altal had been unwell and might need to
see a nurse at some point. After about an hour, Mr Altal’s cellmate called
another prisoner to check on him, and this prisoner raised the alarm. Staff
responded and attempted to resuscitate Mr Altal, but coLild not do so.
Findings
Healthcare
8. The clinical reviewer considered that the healthcare Mr Altal received was
equivalent to that which he could have expected in the community.
9. The post-mortem found that MrAltal had heart disease which contributed to his
death. He was being observed in the healthcare centre for four weeks before he
died. Healthcare staff did not observe any symptoms of heart failure and Mr Altal
did not complain of any.
10. Mr Altal did not attend his appointment for a secondary health screen. We share
the clinical reviewer’s concern that this was not followed up, a matter we have
drawn to the Head of Healthcare’s attention in previous investigations. However,
we do not consider that it would have altered the outcome in this case.
Prisons and Probation Ombudsman
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Substance misuse
11. Post-mortem reports found that Mr Altal had traces of synthetic cannabinoids in
his system when he died, which indicated relatively recent use.
12. Despite a nurse’s suspicion that he might be under the inflUence of something
and his history of substance misuse, no one referred him for support with his
substance misuse. We are also concerned that the nurse did not report her
suspicions to the security department.
Unlock procedures
13. When officers unlock cells, they should check on a prisoner’s wellbeing. The
officer who unlocked Mr Altal on 6 February, did not do so. Although this did not
affect the outcome for Mr Altal, it could make a significant difference in other
cases.
Recommendations
• The Head of Healthcare should ensure that all new prisoners are offered a
secondary health screen. If they do not attend, there should be a follow up
process and this should be reflected in the monthly audits.
• The Governor and the Head of Healthcare should ensure that all staff are aware
of their responsibilities to tackle the use of illicit drugs, including submitting
intelligence reports and referring prisoners to substance misuse services where
appropriate.
• The Governor should ensure that staff are aware of their responsibility to ensure
prisoners’ welfare at unlock.
• The Governor should share a copy of this report with Officer Willis and arrange
for a senior manager to discuss the Ombudsman’s findings with him.
Prisons and Probation Ombudsman
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The Investigation Process
14. The investigator, Mr Steve Lusted, issued notices to staff and prisoners at HMP
High Down informing them of the investigation and asking anyone with relevant
information to contact him. No one responded.
15. Mr Lusted visited High Down in February 2020. He obtained copies of relevant
extracts from Mr Altal’s prison and medical records.
16. Mr Lusted interviewed two members of staff and three prisoners at High Down.
NHS England commissioned Dr Peter Satinders to review Mr Altal’s clinical care
at the prison. Dr Saunders interviewed two members of High Down staff.
17. We informed HM Coroner for Surrey of the investigation. He gave us the results
of the post-mortem examination. We have sent the coronet a copy of this report.
18. One of the Ombudsman’s family liaison officers, Ms Lizzie Laing, contacted Mr
Altal’s mother to explain the investigation and to ask if she had any matters she
wanted the investigation to consider. Solicitors representing Mr Altal’s mother
asked about bruising to his head and spine. They also asked for the dates that
Mt Altal was in the healthcare unit and the rationale for this. We have addressed
these questions in this report.
Prisons and Probation Ombudsman
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Background Information
HMP High Down
19. HMP High Down is a local prison in Surrey, which holds up to 1 ,1 50
men. Central and North-West London NHS Foundation Trust provides primary
health services and in-reach mental health care. The healthcare unit has
inpatient facilities with 24-hour nLlrsing cover.
HM Inspectorate of Prisons
20. The most recent full inspection of HMP High Down was in May 2018. Inspectors
reported that drugs were easily available. They were particularly concerned
about the prevalence of psychoactive substances (PS). Governance and
partnership arrangements for healthcare were good. Demands for mental
healthcare were high but services were good. Nurses and prison officers in the
healthcare unit worked collaboratively to deliver respectful care.
Independent Monitoring Board
21. Each prison has an Independent Monitoring Board (1MB) of unpaid volunteers
from the local community who help to ensure that prisoners are treated fairly and
decently. In its latest annual report, for the year to December 201 9, the 1MB
reported that prisoners said that drugs were easily available in the prison. There
had been a 68% increase in reported drug finds.
Previous deaths at HMP High Down
22. Mr Altal was the ninth prisoner to die at High Down in the last two years. Five of
the previous deaths were due to natural causes and three were self-inflicted. We
have previously identified an issue over staff failing to check prisoners’ wellbeing
when unlocking cells. We have also made a recommendation about prisoners
receiving secondary health screenings. We found both these issues relevant
again in this investigation.
Assessment, Care in Custody and Teamwork
23. ACCT is the Prison Service care-planning system used to support prisoners at
risk of suicide or self-harm. The purpose of ACCT is to try to determine the level
of risk, how to reduce the risk and how best to monitor and sLipervise the
prisoner.
24. After an initial assessment of the prisoner’s main concerns, levels of supervision
and interactions are set according to the perceived risk of harm. Checks should
be irregular to prevent the prisoner anticipating when they will occur. There
should be regular multi-disciplinary review meetings involving the prisoner. As
part of the process, a caremap (plan of care, support and intervention) is put in
place. The ACCT plan should not be closed until all the actions of the caremap
have been completed.
25. All decisions made as part of the ACCT process and any relevant observations
about the prisoner should be written in the ACCT booklet, which accompanies
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the prisoner as they move around the prison. Guidance on ACCI procedures is
set out in Prison Service Instruction (PSI) 64/2011.
Psychoactive Substances (PS)
26. Psychoactive substances, previously known as ‘legal highs’, are a problem
across the prison estate. They are difficult to detect and can affect people in a
number of ways including increasing heart rate, raising blood pressure, reducing
blood supply to the heart and vomiting. Prisoners under the influence of PS can
present with marked levels of disinhibition, heightened energy levels, a high
tolerance of pain and a potential for violence. Besides emerging evidence of
such dangers to physical health, there is potential for precipitating or
exacerbating the deterioration of mental health with links to suicide or self-harm.
27. In July 2015, we published a Learning Lessons Bulletin about the use of PS and
its dangers, including its close association with debt, bullying and violence. The
bulletin identified the need for better awareness among staff and prisoners of the
dangers of PS; the need for more effective drug supply reduction strategies;
better monitoring by drug treatment services; and effective violence reduction
strategies.
28. HMPPS now has in place provisions that enable prisoners to be tested for
specified non-controlled psychoactive substances as part of established
mandatory drugs testing arrangements. HMPPS continue to analyse data about
drLlg use in prison to ensure new versions of PS are included in the testing
process.
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Key Events
29. Mr Saul Altal was remanded to HMP High Down on 8 January 2020, charged
with burglary. He was Lising the surname Turner at the time. He had been in
prison before and was on licence when arrested. His licence was subsequently
revoked.
30. At an initial health screen with Nurse Niamh Fugill, Mr Altal said that he had had
contact with a mental health team that morning in police custody, and they had
recommended that he be held in the healthcare centre. He said he had used
drugs in the past, but not for some time, apart from cannabis. He expressed
concerns about his mental health, and Nurse Fugill arranged for him to be
admitted to the healthcare centre for review.
31. The next morning, Nurse Francois Victoire recorded that Mr Altal was under the
influence of an illicit substance. Nurse Victoire noted Mr Altal’s history of
depression and drug use, but had to stop the assessment when Mr Altal became
verbally abusive. He referred him to the psychiatrist for further assessment.
32. That evening, Nurse Ste(lah Tafirenyika assessed Mr Altal. He told her that he
felt low and had trouble sleeping. He said he did not use drugs or alcohol,
though Nurse Tafirenyika noted that his record suggested this was not true. He
said that he had been hearing voices for the previous six months. Nurse
Tafirenyika confirmed that he had been referred to the psychiatrist.
33. Prisoners in the healthcare unit are checked hourly. Records indicate that over
the following days Mr Altal slept well at night. During the day, he came out of his
cell and mixed with other prisoners in the day room. Although he had minimal
interaction with staff, they had no concerns about him.
34. On 15 January, Mr Altal saw the psychiatrist, Dr Adrian Feeney. Dr Feeney
noted that Mr Altal was not very co-operative. He said that he heard voices, but
the doctor did not think it likely that these were hallucinations. Nor did he think
that Mr Altal was clearly depressed, though he described him as very irritable. Dr
Feeney prescribed mirtazapine (an antidepressant) and said that Mr Altal should
remain in the healthcare centre for a further week and be reassessed. That
afternoon, Mr Altal did not attend an appointment for a secondary health screen.
35. On 21 January, Dr Feeney assessed Mr Altal again. Mr Altal did not report any
improvement in his mood despite a week of taking mirtazapine. Dr Feeney noted
that he would assign someone from the mental health team to provide ongoing
support when Mr Altal was discharged from the healthcare centre. In the
meantime, Dr Feeney said he should remain in the healthcare centre for at least
a further week.
36. Over the next few days, Mr Altal slept well, but did not interact much with either
staff or prisoners. He took his medication as directed, and staff had no concerns
about his physical health. When Mr Altal saw Dr Feeney again on 29 January,
he said he felt better. He was due to appear in court after 10 February, and said
he intended to plead guilty. Dr Feeney noted that Mr Altal did not appear to be at
risk of self-harm and his mood had lifted. He recorded that Mr Altal no longer
needed to be located in the healthcare centre. That afternoon, Mr Reddy
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Naghee introduced himself to Mr Altal as his care co-ordinator for after his
discharge from the healthcare centre.
5 to 6 February
37. On the evening of 5 February, Mr Altal was discharged from the healthcare
centre. He arrived at Houseblock 3 at 513pm, and was put into a shared cell
with Mr Tommy Gurney. Mr Gurney told the investigator that Mr Altal did not look
well and was pale. He arrived in the cell after everyone had been locked up for
the evening. Mr Altal said that he had a problem with drugs, and Mr Gurney said
that his appearance confirmed this.
38. Mr GLirney took his own medication and went to bed on the bottom bunk at about
1000pm. When he went to bed, Mr Altal was still awake, sitting in a chair.
39. Mr Gurney said that Mr Altal disturbed him a few times in the night by moving
about. More than once, Mr Gurney heard him being sick in the toilet. At one
point he asked Mr AltaT if he was airight, and Mr Altal replied, ri just feel ill and
am throwing up.”
40. High Down told the investigator that they cocild not provide cell bell records for
that night because of a technical fault. Mr Gurney told the investigator that he did
not press the cell bell during the night, and assumed that Mr Aital would press
the bell if he needed to.
41. At approximately 800am, Officer Jason Willis unlocked the cell. CCIV footage
showed that he put his head inside the doorway but did not go into the cell.
Officer Willis said that Mr Altal appeared to be asleep. Mr Gurney came out of
the cell and spoke to Officer Willis. Officer Willis said that Mr Gurney told him
that Mr Altal had kept him awake going back and forth between his bed and the
toilet all night. Officer Willis said that he glanced into the cell and saw Mr Altal
lying in bed, and presumed he was still asleep.
42. Over the next 50 minutes, Mr Gurney kept walking in and oLit of the cell,
preparing himself for a visit. He told another prisoner, Mr Jack Ripley, that he
was concerned that Mr Altal had not moved, and did not seem to be reacting to
loud noises. Mr Ripley went into the cell and looked at Mr Aital. He thought that
Mr Aital was asleep, but his eyes were slightly open. Mr Gurney told the
investigator that he thought Mr Altal was still asleep because he had been awake
all night. Mr Gurney then went for a shower.
43. At the showers, Mr Gurney told Officer Willis that he was worried about Mr Aital,
and thought he might need to see a nurse. Officer Willis was supervising another
prisoner at the time so could not leave. Officer Willis said he did not get the
impression Mr Gurney thought the situation was urgent, so he decided to check
Mr Altal when he was back on the landing. He told Officer Gary Stevens and
Officer Mark Grover that Mr Gurney had mentioned that his celimate had been
unwell and might ask to see a nurse. Officer Willis told the investigator that the
three officers agreed that someone would check Mr Altal once ‘free flow’ (when
prisoners move from their wings around the prison) was over.
44. Mr Gurney spoke to another prisoner when he got back to the wing, Mr Matthew
Walters-Kitson, and said he was concerned about Mr Altai. Mr Walters-Kitson
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went into the cell. He told the investigator that Mr Altal’s eyes were slightly open,
his mouth was open and his lips were dry. Mr Walters-Kitson spoke to him and
touched his shoulder, with no response. He then held the back of his hand to Mr
Altal’s mouth and nostrils, but could not feel any breathing. He shouted, “This
guy’s dead.” Mr Ripley was on the landing outside the cell and COW footage
showed him calling to staff and pointing to the cell. Officer Stevens and Officer
Jess Gardner were nearby and immediately went into the cell.
45. Officer Stevens tried to get a verbal response from Mr Altal but without success.
He touched Mr Altal’s arm, which was cold, and he saw that his eyes were open.
Officer Stevens radioed a code blue emergency (meaning a prisoner is not
breathing or is having difficulty breathing). This prompted the control room to call
an ambulance. Prison records showed that the code blue was called at 909am
and ambulance service records showed that the call was received at 910am.
46. CCTV footage showed that three other prison officers and Nurse Margaret
Sawmy arrived within a minute and went into the cell, shortly followed by further
staff. The prison officers moved Mr Altal and his mattress from the bed onto the
floor. Nurse Sawmy left to get the emergency medical bag.
47. Nurse Verity Miles arrived and began cardiopulmonary resuscitation (CPR)
briefly. Officer Dorian Rodger arrived at the cell and switched on his body-worn
video camera, and Healthcate Assistant (HCA) Simon Triptree applied a
defibrillator (a machine that assesses and, in some circumstances, restarts the
heart). Ms Ana Bakht, a paramedic working in the prison, arrived at the cell. She
noted that Mr Altal had visible rigor mortis and was displaying no signs of life.
Having assessed Mr Altal, she and Nurse Miles agreed that Mr Altal had died
and that CPR should not continue.
48. Dr Gareth Ruse arrived at the cell and pronounced Mr Altal dead at 920am. In
his notes, Dr Ruse said that rigor mortis was apparent and Mr Altal was likely to
have been dead for at least six hours.
Contact with Mr Altars family
49. MrAltal had not giventhe details of his next ofkinwhen he arrived atthe prison.
Officer Maria Killigrew, the prison’s family liaison officer, traced MrAltal’s sister
and broke the news of her brother’s death to her on the telephone. Later that
day, Officer Killigrew travelled with Ms Katie Jefferson, the prison Governor, and
Ms Jane Gosden, one of the prison’s senior managers, to Mr Altal’s mother’s
home and met her and other family members. In line with Prison Service
guidance, High Down offered a contribution to the costs of Mr Altal’s funeral.
Support for prisoners and staff
50. After Mr Altal’s death, Mr Ben Mnyama, the duty governor, debriefed the staff
involved in the emergency response to ensure they had the opportunity to
discuss any issues arising, and to offer support. The staff care team also offered
support.
51. The prison posted.notices informing other prisoners of MrAltal’s death, and
offering support. Staff reviewed all prisoners assessed as being at risk of suicide
or self-harm in case they had been adversely affected by Mr Altal’s death.
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Post-mortem report
52. Post-mortem toxicology tests showed that Mr Altal had traces of ‘Spice’ (a type of
PS) in his system, indicating relatively recent use, and the toxicologist noted that
Mr Altal may have been experiencing the effects of this drug at the time of his
death.
53. The post-mortem report concluded that Mr Altal died as a result of coronary
artery thrombosis (a blood clot in the heart), caused by coronary atheroma (a
build-tip of fatty deposits in the arteries around the heart), with ‘Spice’ (PS)
toxicity as a contributory factor.
54. The pathologist noted that Mr Altal had significant heart disease. He commented
that the use of PS is associated with abnormal heart rhythms and heart attacks,
and that it appeared likely that PS contributed to Mr Altal’s death.
55. The post-mortem report stated that there was no evidence of bruising or other
injury to Mr Altal’s neck or head.
After Mr Altal’s death
56. An intelligence report after Mr Altal had died noted that prisoners on the wing
were overheard discussing Mr Altal’s death. They speculated that Mr Altal must
have taken drugs given to him by someone on the wing the night before he died.
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Findings
Mr Aftal’s clinical care
57. The clinical reviewer concluded that the clinical care Mr Altal received in prison
was of a reasonable standard and equivalent to that he could have expected to
receive in the community.
58. Mr Altal was promptly referred to mental health services on arrival at High Down,
regularly reviewed by the psychiatrist, and treated with antidepressants. There
were plans in place for ongoing support from the mental health team after he was
discharged from the healthcare unit. He was discharged following advice from
the psychiatrist, once a suitable cell was identified.
59. Mr Atal was observed by healthcare staff for the four weeks that he was
accommodated in the healthcare centre and they recorded no symptoms of heart
disease.
60. National Institute for Health and Clinical Excellence (NICE) guidelines and Prison
Service Order (PSO) 3050, Continuity of Healthcare for Prisoners, set out the
expectation that prisons ensure continuity of care for prisoners. This includes
that all new prisoners should be offered a secondary health screen, equivalent to
a primary care assessment when registering with a new GP in the community.
Mr Altal did not attend his secondary health screen and no one followed it up.
Although this does not comply with NICE guidance, the clinical reviewer said that
the health screen would not have identified Mr Altal’s heart disease.
61. In a previous report we recommended that High Down conduct audits of
successful completion of secondary health assessments. This was accepted, but
the prison said that as Mr Altal was offered a screen (even though he did not
attend), this was not picked up by the audit. This raises the question of what
constitutes a successful completion. Prisoners may not attend appointments for
a variety of legitimate reasons. We make the following recommendation:
The Head of Healthcare should ensure that all new prisoners are offered a
secondary health screen. If they do not attend, there should be a follow up
process and this should be reflected in the monthly audits.
62. Solicitors representing Mr Altal’s mother asked about bruising to his head and
spine. The post-mortem report does not refer to any such injuries, and we are
therefore unable to comment further.
Substance misuse
63. Post-mortem toxicology tests found that Mr Altal had traces of PS in his system
when he died, which was likely to have contribLited to his death.
64. In their last report on High Down in 2018, HM Inspectorate of Prisons said that
drugs were easily available in the prison. The Independent Monitoring Board
annual report for 2019 also raised this issue. High Down updated their Drug
Strategy in 2018.
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65. There were no intelligence reports during Mr Altal’s time in High Down that
indicated he was using substances. The ambulance service reports said that no
drug paraphernalia were found in his cell. The police searched the cell, as well
as rubbish that Mr Altal’s cellmate removed from their cell on the morning of 6
February, and did not find any drug-related detritus. We have not been able to
establish where or when MrAltal obtained drugs in prison.
66. Healthcare staff in reception at High Down carry out drug screening if the
prisoner discloses drug use in the previous month. Mr Altal had a history of drug
misuse, which he admitted to and which was known from his record. On
reception to High Down, however, he did not disclose recent drug use so was not
tested.
67. On 9 January, a nurse noted in his medical file that he might have been under
the influence of a substance, but did not submit an intelligence report.
68. We are concerned that despite his history, and suspicion of being under the
influence, Mr Altal was not offered a referral to substance misuse services. The
clinical reviewer recommended a review of the referral process to substance
misuse services. We make the following recommendation:
The Governor and the Head of Healthcare should ensure that all staff are
aware of their responsibilities to tackle the use of illicit drugs, including
submitting intelligence reports and referring prisoners to substance
misuse services where appropriate.
Unlock procedures
69. When officers unlock cells, they should take active steps to check on a prisoner’s
wellbeing. The Prison Officer Entry Level Training (POELT) Manual states:
‘Prior to unlock, staff should physically check the presence of the
occupants in every cell. You must ensure that you receive a positive
response from them by knocking on the door and await a gesture of
acknowledgement. If you fail to get a response you may need to open the
cell to check. The purpose of this check is to confirm that the prisoner has
not escaped, is ill or dead.”
70. Prison Service Instruction 75/2011, Residential Services, states:
“Reports from the Prisons and Probation Ombudsman on deaths in
custody have identified cases in which a prisoner has died overnight
but staff unlocking them have not noticed that the prisoner had died. This
is not acceptable...
“[Differingj arrangements will depend on the local regime, but there need
to be clearly understood systems in place for staff to assure themselves of
the well-being of prisoners during or shortly after unlock ... Where
prisoners are not necessarily expected to leave their cell, staff will need to
check on their well-being, for example by obtaining a response during the
unlock process.”
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71. Officer Willis said that he thought Mr Altal was still asleep when he unlocked his
cell on 6 February. When Mr Gurney told him that Mr Altal had been awake
through the night, he thought it likely that he would be tired. While this is of
course possible, he should still have checked on Mr Altal’s welfare in line with the
instruction.
72. We are satisfied that the failure to check did not affect the outcome for Mr Altal,
as he had been dead for some hours when he was found. However, it coLild
make a significant difference in other cases.
73. In a previous investigation we found deficiencies in unlock procedures at High
Down. In response, the Governor issued a Notice to Staff (143/2018), reminding
staff that they must check prisoners’ wellbeing when they unlock cells.
Unfortunately, the issue has arisen again, so we make the following
recommendations:
The Governor should ensure that staff are aware of their responsibility to
ensure prisoners’ welfare at unlock.
The Governorshould share a copy of this report with Officer Willis and
arrange for a senior manager to discuss the Ombudsman’s findings with
him.
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Prisons &
Probation
Ombudsman
Independent Investigations
Third Floor 10 South Colonnade Email mali@ppo.gov uk T 102076336100
Canary Whar1 London E14 4PU Web www ppo govuk F 102076334141
I7
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Investigation into the death of Saul Turner
At HMP Highdown on 6 February 2020
Case Number: F4141-20
Date of Interview: 6 May 2020
Name of Interviewee:
Name of Interviewer:
Gary Stevens
Steve Lusted, Prisons and Probation Ombudsman’s
Office.
Steve Lusted:
Gary Stevens:
Steve Lusted:
Okay, good afternoon. Today is Wednesday 6 May
2020. I have the time as 235pm. I’m Steve Lusted. I’m
an investigator for the Prisons and Probation
Ombudsman and we’re looking at the circumstances
around the death of Mr Saul Atwal at HMP High Down.
Mr Atwal was convicted under the name Turner so staff
at High Down would know him as Mr Turner. So I’m
going to refer him through this interview as Turner.
Joining me this afternoon is.
My name is Prison Officer Gary Stevens.
Thank you Mr Stevens. Mr Turner died on 6 February
this year in High Down and you were working in the
prison on that day. You understand the point of the
Ombudsman’s investigation, you know why I’ve asked
to see you today?
Gary Stevens: Yes, that’s correct, 1 understand.
Steve Lusted:
Thank you, if you need a break at any point while we’re
recording then please say so, that’s fine. And just to
reiterate what I said before I switched on the recorder,
that when we publish our report, transcripts of all
interviews will be annexed to it and what we’re saying
today will go to the governor, to Mr Atwal’s farnly and
to the Coroner so it could be used in court. So. what
we’re saying today is not confidential. I just want to
make that clear. Right, before we talk specificafly about
Mr Turner himself could you just give me a very brief
rundown of your service history and your role in High
Down please?
Saul Turner-F4141-20 Page 1
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Gary
Stevens:
Fm a Prison Officer, on Block 3 at HMP High
Down. I’ve held this role for over six I’m a
residential officer, I work on the block. My
particular block approximately 195
I’m to, one of levels
approximately 65
in total which we obviously
unlock and for.
that
house
assigned
care
House
has
spur
prisoners
house
three
years.
prisoners
Steve
Lusted:
Thank you very much. Mr Turner, Saul Turner, did you
know, had you come him prior to 6
across
February?
Gary
Stevens:
was
No, I
he’d
that
on the day previous and I
located from
him or met him.
been
came across
healthcare
was aware
but I
never
late on
Steve
Lusted:
please
happened
No, okay. So, talk me through what
then. How did he first you radar? What was the
first time you
of Mr Turner?
that
cross
became aware
Gary
Stevens:
Well, basically on the day in question, on
6 February 2020 1 my at 7.30 hours on
my block, on House Block 3. I was detailed
along with Officers
work on A
briefing and then we unlocked. Mr Willis went and
unlocked level 3 and Officer Grover level 2 and myself
level 1. During this time
unlocked for their
hour in which they showers, go oLit on
and clean their cells, etc, etc. During this time,
particular things
or wants. On this day in
well
a lot of on regime
remained behind their doors. So,
animosity and they’ve very rude and to
staff, ringing their cell bells so it was quite taxing in
of our
hour, Officer Willis and Grover went out to dc-exit off
block, to the going off for
flow to activities, work and education. Sorry.
house
domestic
exercise
started
duties
Jason Willis and Mark Grover to
spur where Mr Turner resided. We had our
everyone’s
have
also we deal with tots of queries about
that everyone needs
as
that
terms
the house
free
there was
been
prisoners
question
basic
there was a lot of
abusive
resources. When it come to the end of the
search
prisoners
Steve
Gary
Lusted:
Stevens:
Unaudible)
just Officer Willis was going off, he was
Okay,
then
(‘ThaudThIe1 and he just said to me that a
prisoner, Gurney, A4756DP said to him that his cell
who arrived the day before and that’s Mr Saul
Turner, A2425AM basically up during night
and said he might ask to the at point.
So, I just left level 2 ‘on my own to with a
board to
off. It was then
Prison Ripley A6548AM down from level 3 to
me. I couldn’t
saying it was so noisy
became
mate
spur
the
see
gate
check prisoners
been
shouted
hear what he wa
nurse
the
some
then
that
Saul Turner- F4141-20 Page 2
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on the housebiock. Then eventually I heard him say
“he’s dead”. I ran up the stairs, luckily Officer Gardner,
that’s Jessica Gardner was following behind me, she
was there at the time. I was initially a bit apprehensive
because Mr Ripley, who was obviously going to
adjudication that morning, was saying that he was
going to assault staff because he didn’t want to go to
his adjudication down the Segregation so I kind of
thought he was maybe going to try and lure me into a
cell or something, assault me. So, I was kind of a bit
apprehensive going through the gate but then I saw, I
think it was MrAmey. A2159EF. He also came out the
cell 33A10. He also said he’s dead. So, I was kind of
obviously a bit panicky at that point. I went straight in
and I saw Mr Turner ... who I now know to be Mr
Turner, laying on the top bunk. He had a sheet pulled
up to his face clutching in front of his chest. I tried to
get a response from him, by you know verbal, saying,
Are you okay, are you okay?’ I got no reply. I then tried
to pull the sheets slightly away and nudge his arm
gently to wake him because I thought he was asleep.
Then I kind of saw his eyes, were you know slightly
open and his face was dark and blotchy and he felt a
bit cold and rigid. At this point I kind of thought he, you
know might be deceased but I wasn’t entirely sure. So,
immediately I called a code blue from my radio, which
was call sign Charlie 9, giving the location. Then
comms kind of came through to me again and asked
for the name and number and what the situation was.
Luckily, I looked on the table and there was his ID card
with his name and number and location so I gave that
and seeing as I thought it might be a possible death in
custody I immediately just said possible death in
custody. Because I haven’t really kind of experienced
that situation before and I thought well if I say that then
everyone who needs to be there is going to come
straightaway. So, then basically, Officer Rigby, that’s
Ross Rigby, Doreen Roger and Alex James were there
in the cell with myself and Officer Jess Gardner. I
started puffing gloves on because I normally do just in
preparation if I touch anything or give any medical aid.
Nurse Margaret saw me. She looked at prisoner Turner
and then Hotel 2, who was the duty nurse for the day,
Verity Miles, came in. We were already moving
Mr Turner down as Officer Roger said we needed to
• get him down and assist with medical aid. We used a
mattress to basically hold on to. because it was quite
difficult getting him down from the top bunk, securely
and safely so we used it as a kind of you know a prop
to kind of get him down onto the floor safely. I then
Saul Turner-F4141-20
—
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removed the sheet and blanket which he was clutching
onto and Officer Rigby cut his tee-shirt when Nurse
Miles asked him to. She then started CPR hut then she
asked someone to take over while she set up the
defibrillator. I was the closest in proximity so I started
chest compressions. I kind of looked at Mr Turner and
saw no ligature marks or obvious cuts. After a couple of
minutes, I was instructed to stop compressions and she
was about to put defibrillator pads on so I just sat back
away on top of the table as we were told to clear the
area. Some staff outside the cell kind of informed us to
exit the cell, the people that initially responded. So, we
then left the areas and we were told to go and wait in
the holding room where we awaited further instruction.
And thafs all my part in dealing with Mr Turner.
Steve Lusted:
Gary Stevens:
Steve Lusted:
Gary Stevens:
Steve Lusted:
Gary Stevens:
Steve Lusted:
Thank you very much, that’s very comprehensive. If I
can just take you back to a couple of questions I’ve got
during that.
Of course.
When Officer Willis mentioned to yourself and Officer
Grover that Mr Gurney had said that Mr Turner might
need a nurse, what sense did you get from that
conversation. Was there any urgency in it?
No, it was very low key in terms of, we normally kind of
get, that someone will say oh you know he’s been up
during the night and you know he might ask to see the
nurse at some point. It wasn’t like oh you need to give
medical assistance now, otherwise Mr Willis would
have definitely, you know, called a code or you know
got the houseblock nurse to go and see him. It was
more in general that when we were locking up, possibly
he might ask to see the nurse or press his cell bell at
some point.
So, he was kind of tipping you off that this might
happen, yes?
Yes, pretty much. No, just because obviously he
assumed that Mr Turner was asleep at that point
because Mr Gurney had told him that you know he’d
been up during the night so he assumed that you know
he didn’t want to be disturbed.
Okay, and how did you leave that between the three of
you? When he said that, was there a kind of yes, okay,
I’ll go and see him, sort of conclusion to that or were
you going to wait until you know, Mr Turner, had sort of
asked for a nurse himself?
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Gary Stevens: Well, I would have asked him, obviously because when
we let the prisoners off for their period of going off to
activities we then go around to every single cell and
lock the door and would normally kind of you know
speak to the remaining prisoners in there. So, would
probably if I was looking at a level would have you
know asked him if he was alright.
Steve Lusted:
Gary Stevens:
Steve Lusted:
Yes.
But obviously it didn’t get to that point because we
were alerted before that situation arose.
What was the time lapse approximately between
Officer Willis telling you this and you being alerted to
the fact that there was a problem?
Gary Stevens: I can’t recall exact time but you’re probably looking at
about between five and 10 minutes, you know probably
enough time because it was only really let off a few
people onto free flow before obviously, Mr Ripley
phoned down, sorry, called down to me. So, it’s
probably, matter of, between five and 10 minutes.
Steve Lusted:
Gary Stevens:
Steve Lusted:
Yes, thanks. I’m not trying to pin you down to the
second, what I meant was, he mentioned this, he went
oft the wing. You were then supervising others going
off the wing and then this would have, you know the
lock-up would have been shortly after that. We’re not
talking an hour?
Oh yes, definitely, when the last few come off and we
go straight on and we lock up every door and speak to
the prisoners inside.
Okay, okay, thank you. Your emergency response was
quite detailed, thank you. When you actually looked at..
Sorry do you have any first aid training?
Gary Stevens: No, I mean I was previously in the British Army so I
have some but obviously I’m not in date with any first
aid at work, which I have done subsequently after the
incident. But I wasn’t in date or anything at the time.
Steve Lusted:
Gary Stevens:
Steve Lusted:
You weren’t in date but you have had training?
Yes.
Yes, okay. And when you saw, Mr Turner, you say you
sort of nudged him to try and see, you know to try and
make him stir. You thought he was asleep, trying to
make him stir. Was there any movement at all or was it
beyond that?
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Gary Stevens: No, none at all. Obviously, I used verbally first to try
and get a response, got none then obviously I
of like slightly you know with my thumb and forefinger
just tugged the sheets slightly next to his arm and I
patted his arm very gently. There was no movement.
just kind
Steve Lusted:
No, okay. Debrief. VVere you invited to the hot debrief?
Gary Stevens: I was but unfortunately, I wasn’t in at that point so I
didn’t actually go to it.
Steve Lusted:
Gary Stevens:
Steve Lusted:
Was this not held directly after the emergency
response?
Oh sorry, you mean the one on the day?
Yes.
Gary Stevens: Oh sorry, I thought you meant the one that was just a
while ago. Yes, we were held in the chapel area and
then we were debrief and I think the DC, police kind of
spoke to myself and Mr Willis just as an initial
statement.
Steve Lusted: Yes, okay, I don’t need to know if you took but was
support made available to you if you needed it?
Gary Stevens:
Steve Lusted:
Gary Stevens:
Steve Lusted:
Gary Stevens:
Steve Lusted:
Is that help, sorry?
Yes, help, the Care Team, you know some kind of
support that you might need if you wanted it. Was it
there for you?
Yes, we had a member of the Care Team with us and
then I think the day after they said to me, said if we
need anything obviously, we didn’t, resource is
available.
Yes, okay, thank yoti. Thank you, Mr Stevens, there
wasn’t really anything else on my list to ask. Is there
anything about that day that you recall, anything else
about Mr Turner you may have heard subsequently or
you recall from that day that we haven’t discussed or
are you content that we’ve gone through it all?
Yes, l’r’n very content we’ve gone through it all. As I
said I mean obviously he came the day previous and I
had no knowledge of him as such and then, yes, so
there’s nothing really, I can add on that, unfortunately.
That’s great, thank you very much. I’ve now got the
time as 2.42.
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Endorsement
I understand that if I do not sign and return this transcript, it will be deemed to have
been agreed by me as an accurate record of my interview which may be used as
evidence at inquest.
I agree that this is a true and accurate record of my interview with Steve Lusted on
6 February 2020 I confirm I have been given the opportunity to make any necessary
amendments.
Signed
NAME IN CAPITALS
G.....
Dae .0S..
Signed
NAME IN CAPITALS
Data
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Investigation into the death of Saul Turner
At HMP Highdown on 6 February 2020
Case Number: F4141-20
Date of Interview: 6 May 2020
Name of Interviewee:
Name of Interviewer:
Jason WiHis
Steve Lusted, Prisons and Probation Ombudsman’s
Office
Steve Lusted: Good morning. Today is VVednesday, 6 May 2020. 1
have the time as 11 .3lam. I’m Steve Lusted. I am an
investigator for the Prisons and Probation
Ombudsman. And we are looking at the circumstances
around the death of Mr Saul Turner, who was also
known as Mr Saul Atwal. He died on 6 February this
year at HMP High Down. Joining me this morning is.
Would you introduce yourself, please?
Officer WHlis:
Steve Lusted:
Officer Willis:
Steve Lusted:
My name is Officer Willis, at HMP High Down.
Thank you Mr Willis. For the benefit of the transcriber
would you give your first name as well.
Oh yes, Jason.
Thank you very much. You’ve seen the notes for
interviewees, you understand the point of the
Ombudsman’s investigation, you know why I wanted to
see you today, yes?
Officer Willis: Yes, I understand, yes.
Steve Lusted:
Officer Willis:
Steve Lusted:
Thank you. You’re on your own. If you decide that you
want a break or you want someone with you then that’s
fine and as I say if you need a break in the recording
that’s fine as well. Just say so and we can pause.
Okay.
Final point, just to reiterate when we publish our report
the transcripts of all interviews will be annexed. So,
what we’re saying today will go to Mr Atwal’s family, it
will go to the Coroner and it will possibly be used at
inquest in open court. So, what we’re saying today is
not confidential, just so you’re clear.
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Officer Wiflis:
Steve Lusted:
Officer Willis:
Steve Lusted:
Okay, that’s fine.
Thank you. Again, I’M just point out for the benefit of
anyone reading the transcript. That afthough Mr Atwal,
note as Mr AtweM. He was convicted as Turner and
he was in High Down as Turner so I’m going to refer to
him as Mr Turner. That’s how you knew him, isn’t it?
That’s right, yes.
Yes, before we go straight into that, Officer Willis,
would you just give me a very brief rundown of your
service history and your role at High Down?
Officer Willis: Basically, I’ve been in the role as of today 1 1 months
on live act service. So, I’ve been with the actual Prison
Service since February 2019 and I went live on
3 June 2019.
Steve Lusted:
Officer Willis:
Steve Lusted:
Officer Willis:
Steve Lusted:
Sorry, how fong have you been working in High Down?
In High Down, since 3 June last year.
Okay, so at the time that you’ve had dealings with
Mr Turner you’ve been live in High Down for seven,
eight months, yes?
Seven or eight months, yes that’s right.
Okay, you came across Mr Turner on the afternoon of
5 February but had you had any dealings with him prior
to that, did you know him?
Officer Willis: No, but my first interaction with him was when I was
asked by Supervising Officer Terry, to locate him into a
cell on A spur which is the spur I normally work.
Steve Lusted:
Okay, so just talk me through the logistics of that. Was
this after lock-up or something or was it just because
you had to escort him across from healthcare?
Officer Willis: No, basically he came onto the house block and I was
actually working on the spur. I was called over by
Supervising Officer Terry and he said this is Mr Turner,
put him into cell 10 on the 3’s. Which I did, walked up
the stairs with him and yes put him into the cell with,
Mr Gurney, who was already there.
Steve Lusted:
Officer Willis:
Okay, so you were actually on the wing, you just
walked him, you know from the office to the cell, yes,
showed him where it was?
That is correct, yes.
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Steve Lusted:
Officer Willis:
Steve Lusted:
Officer Willis:
And were prisoners locked away at the time?
No, we had a few out at the time so there was basically
a couple out on the landing but yes it was late
afternoon so they were being locked up, in the process
of being locked up.
Okay, did you talk to Mr Turner, on the way? You
know how was he? Bearing in mind we know what
happened the next day, did he appear okay, did he
appear ill? Was there anything about him that stood
out?
He seemed fine, you know, walked to the cell, just said
hello, you know how are you doing and that’s about it
and he said yeah, fine. So, there was nothing
remarkable about it at all.
Steve Lusted: I appreciate that you didn’t know him, so you didn’t
have anything to compare it with but he didn’t seem
particularly agitated, sweaty, pale, shaking? There
were no signs?
Officer Willis:
Steve Lusted:
No, no, seemed very normal.
Okay, you knew, Mr Gurney, because he was on the
spur and you’ve been working on there so you were
aware of Mr Gurney.
Officer Willis: Yes, I was aware of him. I’ve known him for a little
while before Mr Turner came. Yes, he was on the spur
so I knew him.
Steve Lusted:
Officer Willis:
Steve Lusted:
Officer Willis:
Steve Lusted:
Officer Willis:
Okay, so when you introduced, Mr Turner into the cell,
you know did the three of you have any kind of
conversation?
Just, basically, said to Gurney, you know you’ve got a
new cell mate. He said, alright. fine. They said hello to
each other. So, (‘inaudible) locked up and walked away.
There’s not interaction between the three of us, no.
No, okay, and did you see either of them again that
day?
No, not that day, no.
No, okay. Right, so moving onto the following morning
then, 6 February. YOU were, well, not you alone but you
and your colleagues were unlocking the wing and you
were on the 3s landing on that spur. So, you unlocked
their cell door, yes?
That’s correct, yes.
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Steve Lusted:
Yes, can you talk me through what happened? What
do you do when you unlock? Do you go in, do you
shout, do you bang on the door? Can you talk me
through it?
Officer Willis: Basically, I opened the obs flap which looks into the
cell, which is a smafl window looks into the cell and
obviously I had a look in there, see what’s going on. As
I looked through it. I saw, Mr Gurney, standing on the
side with a bag in his hands. So, I unlocked the cell
door and he said oh you know just got to put my
rubbish out. As he was walking out the door he said
you know, you gave me a right one there. I said what
do you mean? He said, he’s been up aW night you know
to the toilet and what have you. And yes, just walked
off to the bin to chuck his rubbish away. And that’s the
interaction I had with Gurney.
Steve Lusted:
Did you go into the cell?
Officer Willis: I looked into the cell and actually saw Turner. He was
facing towards the wall. I assumed he was asleep
because he’d been up, you know during the night,
what, Gurney, had told me. I assumed he was asleep
and I just left him to sleep.
Steve Lusted:
Officer Willis:
What’s your understanding of what you’re supposed to
do at unlock? Is there a wellbeing element to the...
Yes, you should get a response from the prisoner. But I
mean, basically, rightly or wrongly on my part I
assumed because, Mr Gurney, had, you know
experience with him during the night, He gave me no
impression that was anything wrong, apart from the fact
that he was asleep.
Steve Lusted: Yes, okay. And again, I don’t want to harp too much on
the fact that we know what happened later but at the
time did you actually see Mr Turner’s face? Did you
look at him or did you just kind of look and see that he
was in bed?
Officer Willis: I looked, I saw he was in bed, you know I could see
him, facing the wall. I could basically see part of his
face but not all of his face. Yes, so that’s what I could
see of him really. You know but his blanket was
covering him, the only other parts I could see was
basically his feet just (inaudible) blanket.
Steve Lusted:
Officer Willis:
When you say he was facing the wall, was he laying on
his back, on his side?
Yes, on his back
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Steve Lusted: He was on his back but he’d turned slightly towards ...?
Officer Willis:
Steve Lusted:
Officer Willis:
Yes, that’s right.
Okay, alright so that happened, you went about your
business. Then I understand that you bumped into Mr
Gurney again at the showers.
No, before that basically, Gurney, asked me to get an
iron and an ironing board for him because he had a
visit that morning. So, basically returned to the office,
got the iron because obviously we need to sign the
irons out and got him an ironing board. And then
basically got him the iron and the ironing board and he
took it up to the landing and started ironing some
clothes outside his cell.
Steve Lusted: That’s right, yes, I saw that on the CCTV. Yes, so he
was actually, on the corridor, wasn’t he?
Officer Willis:
Steve Lusted:
Yes, and again unconcerned, didn’t seem to be you
know, didn’t give me any reason to be alarmed
basically.
Okay, so please carry on with the story.
Officer Willis: Yes, then just before 9 o’clock I was escorting a
different prisoner to the shower. I spoke to Gurney, you
know, he basically said that Turner might need to see
the nurse, you know he was indicating up to the cell,
just basically pointing out that he might need a nurse.
No urgency in his voice. There was nothing you know
which actually made me overly concerned so I went off
the wing, said to my colleagues, Officer Stevens,
Officer Grover, that Gurney had told me that he maybe
see nurse and then I went out to D spur to do free flow
when all people going off to work and carried on
searching and stuff.
Steve Lusted:
Officer Willis:
Steve Lusted:
Officer Willis:
Steve Lusted:
So, from what Mr Gurney said to you didn’t ... it said in
your statement I think at some point, you said it didn’t
give you any particular, sense of urgency. It wasn’t “oh
my God he needs to see a nurse now”. It was..
No, it was like, yes, he might need to see a nurse and
that is you know pretty much exactly what he said.
He wasn’t asking you to get a nurse?
No, no.
And he wasn’t suggesting that one was needed
immediately?
Saul Turfler-F4111-20 —
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Officer Willis:
Steve Lusted:
No, he hasicaHy said he might need to see a nurse.
Okay.
Officer Wiflis: Like I say no urgency in his voice at aH, you know just
like sort of casual, he might need see a nurse.
Steve Lusted:
Officer Willis:
Steve Lusted:
In what circumstances then would you have you know,
would you have then taken further action? When
would you contact healthcare yourself, off your own
back? Would you have done that at some point here,
did that cross your mind or did the fact that you’ve told
your colleagues that he may need to see a nurse
were you in essence waiting for Mr Turner to ask for
one?
Basically, what we were going to do was get free flow
out of the way. Which takes about five, 10 minutes and
then go up and see what the (inaLlUthIe) was with him.
Yes, and did you actually say that to either of your
colleagues or was that just what was in your mind?
Officer Willis: No, I said to my colleagues, you know he might need to
see a nurse. Gurney said he might need to see the
nurse and so apparently, we’ll sort that out after free
flow so.
Steve Lusted:
Officer Willis:
Steve Lusted:
Officer Willis:
Steve Lusted:
Officer Willis:
Steve Lusted:
Who said that, sorry?
Between the three of us basically, Officer Stevens and
myself and Officer Grover.
Between the three of you, you said someone will go
and see him after flow?
Yes.
Yes, okay. When did you became aware that there’d
been an emergency?
Basically, there was a radio message by my colleague,
Officer Stevens, I believe and he basicaHy called on the
radio saying that you know there’s problem in the cell.
Yes.
Officer Willis: I believe it came over as a death in custody over the
actual radio?
Steve Lusted:
Officer VVillis:
Steve Lusted:
And so that’s when you became aware of it?
Yes.
Did you attend the debrief?
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Officer Wiflis: Yes, I did, yes.
Steve Lusted: You did, yes. I dont need to know if you took but was
support available for you if you wanted it?
Officer Willis:
Steve Lusted:
Officer Willis:
Steve Lusted:
Yes, support was available?
It was yes, then and subsequently, yes?
Yes.
Okay, bearing in mind that we know what happened, is
there anything that we haven’t discussed that you
remember or anything that you want to tell me about
that morning? Anything about the circumstances that
you think would give me a better flavour of it or are you
happy that you’ve captured it?
Officer Willis: I don’t think so, I mean basically what happened on
that morning is how I’ve said just now and in my
statement earlier so I think that’s it.
Steve Lusted:
Okay, thank you very much. I’ll end the interview. It’s
now 11A3.
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Endo reern en t
I understand that if I do not sign and return this transcript, it will be deemed to have
been agreed by me as an accurate record of my interview which may be used as
evidence at inquest.
I agree that this is a true and accurate record of my interview with Stove Lusted on
6 February 2020 I confirm I have been given the opportunity to make any necessary
amendments
Signed:
NAME IN CAPITALS
Date [../..
Signed
NAME IN CAPITALS
Date
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Case Number: F4141-20
Date of Telephone 19 May 2020
Interview:
Name of Interviewer: Dr Peter Saunders
Clinical Reviewer
NHS England
Name of Interviewee: Francois Victoire (Nurse Access Role)
Introductions and process explained on 18.5.20 and telephone interview on 19.5.20.
Question
You noted he may have been under influence of substance/drugs on 9.1.20 and that he had
a previous drug problem, but not offered referral to Substance Misuse services (SMS).
Please comment.
IS
iI
I: F [j --
bei
cc
vouki not no;mI]y oFfer rferrai to SMS uncir these cIrcumsaicCs. He would hsce been
reerreci at reception if necessary.
would wait until the folloviino day to get a clearer picture befom referring him to SMS
There was nothing to indicate anywhere that he should have been referred to SMS
He was fine ever since on the folIo ving days and nights.
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Endorsement
I understand that if I do not sign and return this transcript, it will be deemed to have
been agreed by me as an accurate record of my interview which may be used as
evidence at inquest.
I agree that this is an accurate record of my conversation with Peter Saunders on 19 May
2020.
Print name
Signed
Date
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Case Number: F4141-20
Date of Telephone 5 May 2020
Interview:
Name of Interviewer:
Name of Interviewee:
Introductions and process explained.
Dr Peter Saunders
Clinical Reviewer
NHS England
Kerry Martin — Interim Head of Healthcare
Questions
Reception Screen
Mt Altal was known to use drugs both in prison and outside but no referral to Substance
misuse services (SMS) at reception screen. Please comment.
Location on HCU
He was admitted to Healthcare Unit (HCU) from reception —why was this? Why was he kept
on HCU for the month? Why did he require hourly observations for the whole month?
Secondary Health Screen
DNA (did not attend) on 15.1.20 —
have been offered?
was the outcome and would another appointment
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Endorsement
I understand that if I do not sign and return this transcript, it wiN be deemed to have
been agreed by me as an accurate record of my interview which may be used as
evidence at inquest.
I agree that this is an accurate record of my conversation with Peter Saunders on 5 May
2020.
Print name
Signed
Date
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Investigation into the death of Mr Saul Turner on 6 February
2020 while a prisoner at HMP High Down
Case Number: F4141-20
Date of Interview: 12 February 2020
Name of Interviewer: Steve Lusted,
Senior Investigator,
Prisons and Probation Ombudsman’s Office
Name of Interviewee: Jack Ripley
Mr Steve Lusted explained that he wanted to speak to Mr Ripley as he had
been one of those who raised the alarm when Mr Turner was found to be
unresponsive on the morning of 6 February. He explained the purpose of the
Ombudsman’s investigation and that he would provide a note of this interview
for Mt Ripley to agree. Once agreed, the note would likely be published as an
annex to the Ombudsman’s report along with notes of interviews with other
prisoners and staff. The interview was therefore not confidential. Mr Ripley
said that he understood.
Mr Ripley said that he had not known Mr Turner. He was friends with Mr
Turner’s celimate, Mr Gurney.
On the morning of 6 February, downstairs by the showers, Mr Gurney had
said that he thought something might be wrong with his celimate. He was still
asleep despite amounts of noise in and around the cell. Mr Gurney told
Officer Willis this, though Officer Willis was busy supervising another prisoner
at the time.
When they returned to their cells, Mr Gurney told Mr Ripley that he was still
concerned about Mr Turner. He had been making noise, and had banged the
door shut, and Mr Turner still made no response. Mr Ripley went into their
cell, and looked at Mr Turner. He was lying on the top bunk bed, with the
covers up to his chest. His eyes were slightly open, and Mr Ripley was
unsure if he was asleep. He said as much to Mr Gurney and another prisoner
called Dave, then called to staff. At this point prison officers responded and
went into the cell.
Mr Ripley said that support had been available to him.
Ripley for his time and for the information provided.
Mr Lusted thanked Mr
I agree that this is an accurate record of my conversation with Steve Lusted
on 12 February 2020.
Signed.,.?
Date...(..(94/.)
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Investigation into the death of Mr Saul Turner on 6 February
2020 while a prisoner at HMP High Down
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Case Number: F4141-20
Date of Interview: 12 February 2020
Name of Interviewer: Steve Lusted,
Senior Investigator,
Prisons and Probation Ombudsman’s Office
Name of Interviewee: Tommy Gurney
Mr Steve Lusted explained that he wanted to speak to Mr Gurney as he had
been Mr Turner’s ceilmate. He explained the purpose of the Ombudsman’s
investigation and that he would provide a note of this interview for Mr Gurney
to agree. Once agreed, the note would likely be published as an annex to the
Ombudsman’s report along with notes of interviews with other prisoners and
staff. The interview was therefore not confidential. Mr Gurney said that he
understood.
Mr Gurney said that he had not known Mr Turner. During the evening of 5
February, after prisoners had been locked away for the evening, staff brought
Mr Turner to Mr Gurney’s cell and said that he had a new cellmate. Mr
Gurney and Mr Turner introduced themselves to each other. Mr Turner said
that he had a problem with drug use, and Mr Gurney told Mr Lusted that he
had not been surprised at this. Mr Turner did not look well and was pale, with
the overall appearance of someone who was a drug user, although he did not
appear to be under the influence of anything at the time.
Mr Gurney went to bed, leaving Mr Turner sitting in a chair. During the course
of the night, Mr Gurney was awoken several times by Mr Turner moving about
the cell, going to the toilet to be sick on more than one occasion. Mr Gurney
said “Are you alright?”, and Mr Turner replied that he just felt ill. Mr Lusted
asked if they had pressed the cell bell. Mr Gurney said that he had not done
so. Mr Turner was able to move about the cell, so if he needed assistance he
could press the bell himself. He did not ask Mr Gurney for any help.
On the morning of 6 February, when the cell was unlocked Mr Gurney got out
of bed. Mr Turner was still in bed. His eyes were slightly open, but Mr
Gurney thought that he was still asleep, having been ill during the night.
Mr Gurney went to the showers, and said to Officer Willis that he thought he
ought to have a look at Mr Turner. Officer Willis was supervising- a prisoner
on restricted security at the time and was unable to leave him.
Mr Gurner returned to his cell and began to prepare for a visit. He ironed
some clothes on the landing, and spoke to some fellow prisoners, including
Mr Jack Ripley. He went back into the cell, and Mr Turner was still apparently
asleep. Mr Gurney noted that he had not moved, and asked another prisoner,
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Mr Walters-Kitson to have a look at him. Mr Shipley called to staff, and at this
point it became apparent that something was wrong. Mr Gurney moved away
from the cell, as a number of staff arrived.
Mr Gurney was taken to a different cell, and remained there for approximately
six hours. His clothes were taken from him, and the police spoke to him. He
told Mr Lusted that he had not been offered support during that time. A
member of the chaplaincy team had visited him on the morning of 12
February and offered support then.
Mr Lusted asked Mr Gurney if there had been any indications as to what
might have been wrong with Mr Turner. Mr Gurney said that he had been in
the cell with Mr Turner for such a short period of time before he went to bed
that he had not really had much chance to form an opinion. Mr Lusted said
that he had noticed the end of a rolled cigarette on the window sill. Mr Gurney
said that it was not his, and he had not noticed Mr Turner smoking anything
but he may have done while Mr Gurney had been asleep. ft may have
belonged to a previous cell occupant. Mr Gurney said that it appeared that
drugs were available on the wing but as Mr Turner had been there such a
short time and had spent it all in the cell, he did not feel able to comment
further than that.
Mt Lusted thanked Mr Gurney for his time and for the information provided.
I agree that this is an accurate record of my conversation with Steve Lusted
on 12 February 2020.
Print name
Signed
Date
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OFFICIAL Sensitive (When completed)
E1
MG11
Occurrence Number: 45200014974
Statement of: ANNA BAKHT
WITNESS STATEMENT
Criminal Procedure Rules, r 16.2; Criminal Justice Act 1967, s.9
Age if under 18: Over 18 (if over 18 insert ‘over 18’)
URN
Occupation: Ambulance service
This statement (consisting of page(s) each signed by me) is true to the best of my knowledge and
belief and I make it knowing that, if it is tendered in evidence, I shall be liable to prosecution if I have wilfully
stated in it anything which I know to be false, or do not believe to be true.
Signature: _____________________________ Date: 24/03/2020
Signature Witnessed By: ______________________________
Statement Locked By:
Tick if witness evidence is visually recorded
The statement is in relation to a death of a prisoner called Saul Turner at HMP High Down. I am a registered
Paramedic. I qualified with a Paramedic Science BSc (Hons) in September 2018. I have been employed by
Central and North West London NHS Foundation Trust to work at HMP High Down (Prison) within the
Healthcare Team in the role of a Paramedic. I have worked within this role for 1.5 weeks from when this
incident occurred. My role as a Paramedic involves responding to emergency healthcare incidents at HMP High
Down.
On Thursday 6th February 2020, my role was to shadow Nurse Sophie in the Reception. Prior to this, I have
had no interactions with Mr Saul Turner.
On Thursday 6th February 2020 at approximately 09:09 I responded to a Code Blue called over the radio. From
my location in Reception, I attended the Code in House Block 3, A Spur, Level 3 and was directed to the cell by
Officers. Upon arrival to the incident with Nurse Sophie Marshall at approximately 09:14, multiple Officers,
Nurse Verity Miles and HCA Simon Triptree were present. The Patient Mr Saul Turner appeared unresponsive,
lying on his back on a mattress on the floor with both arms raised and fixed in a flexed position with visible rigor
mortis. The defibrillator pads had been applied. HCA Simon Triptree was performing compressions with Nurse
Verity Miles overseeing CPR. I received a handover from Nurse Verity Miles during which it was relayed that
10/2017
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Mr Saul Turner had been assessed and was unresponsive and showing no signs of life following an ABC
assessment. I was then requested by Nurse Verity Miles to assess and if required recognise life extinct.
Upon my examination, Mr Saul Turner displayed visible rigor mortis and upon unsuccessful attempts to move
his arm I was able to confirm rigor mortis. I also observed evidence of post mortem staining around Mr Saul
Turner’s upper chest and the flank of his back. Mr Saul Turner was unresponsive. Following auscultation of the
chest, I was able to confirm the absence of breath sounds and heart sounds. In addition to this, on my arrival
the defibrillator assessed and verbally relayed the rhythm to be as shock not advised. With the use of a pen
torch I was able to confirm Mr Saul Turner’s pupils were fixed and dilated. I was unable to obtain a 30-second
Asystole rhythm strip due to the absence of an ECG machine. I observed no obvious deliberate self-harm or
injuries on Mr Saul Turner.
Following my assessment and with support from Nurse Verity Miles I recognised life extinct at approximately
09:15 and CPR was halted at this time. Following this, GP Dr Gareth Ruse arrived at approximately 09:18 and
following his own assessment confirmed recognition of life extinct.
At approximately 09:22, the ambulance Paramedics arrived and conducted their own assessment for
recognition of life extinct including obtaining a 30-second Asystole rhythm strip. They confirmed recognition of
life extinct at approximately 09:35.
10/2017
OFFICIAL Sensitive (When completed)
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Occurrence Number: 45200014974
Statement of: CLAIRE FRANKLIN
WITNESS STATEMENT
Criminal Procedure Rules, r 16.2; Criminal Justice Act 1967, s.9
Age if under 18: Over 18 (if over 18 insert ‘over 18’)
URN
Occupation: Prison officer
This statement (consisting of 2 page(s) each signed by me) is true to the best of my knowledge and belief
and I make it knowing that, if it is tendered in evidence, I shall be liable to prosecution if I have wilfully stated
in it anything which I know to be false, or do not believe to be true.
Signature: _____________________________ Date: 21/03/2020
Signature Witnessed By: ______________________________
Statement Locked By:
Tick if witness evidence is visually recorded
This statement is in relation to the death of Saul Turner at HMP HighDown on 6th February 2020. I work at
HMP HighDown as custodial manager and I have worked at the prison since 2012. On the morning of 6th
February 2020 I was on the walk way and heard a call over the radio for available staff. The next call over the
radio asked for medical staff to assist. I went to the cell and prison officers Ross, Gary and Jess were already in
the cell. The cell door was half open and I was in the cell. They had lifted Turner from the top bunk and onto
the floor, including his mattress. Verity a prison nurse arrived and completed some quick assessments and
almost immediately started carrying out CPR on Turner. I told Ross to take the pillow from under Turners head
as I thought he might need to open his airway. Ross moved the pillow and exited the cell. From where I was
standing I couldn’t see that Turner was deceased. It was myself and Gary in the cell with Verity. Simon Triptree
arrived with a defibrillator and plugged it in. The defibrillator was assessing and advised to continue CPR. I
offered my assistance to take over from verity performing CPR but Gary was in a better position in the cell and
he took over CPR. Anna a paramedics arrived and had a discussion with medical staff and confirmed Turner
was dead. Dr Ruse attended a short time later and again confirmed Turner was dead. Turner’s body was
covered with a sheet for dignity. I waited for the external paramedics to arrive and I had a look around Turners
cell without disturbing anything. I couldn’t see anything that could have caused or contributed to his death. I
exited the cell when the paramedics arrived. When I saw Turners body on the floor it was obvious he was dead,
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I could see his top half was exposed. I noticed his hands were in front of his face, elbows bent and his eyes
were open. Turner had a purple staining on his upper chest to his shoulder line. I didn’t see Turners neck.
10/2017
OFFICIAL Sensitive (When completed)
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Occurrence Number: 45200014974
WITNESS STATEMENT
Criminal Procedure Rules, r 16.2; Criminal Justice Act 1967, s.9
Statement of: Dorian Fredrick Arthur RODGER
Age if under 18: O18 (if over 18 insert ‘over 18’)
URN
Occupation: Prison officer
This statement (consisting of 1 page(s) each signed by me) is true to the best of my knowledge and belief
and I make it knowing that, if it is tendered in evidence, I shall be liable to prosecution if I have wilfully stated
in it anything which I know to be false, or do not believe to be true.
Signature: _____________________________ Date: 17 th April 2020
Signature Witnessed By: ______________________________
Statement Locked By:
Tick if witness evidence is visually recorded
I have been employed by the prison service for 9 years and I am currently based at Highdown Prison in Surrey.
I have been asked to make a statement to police in relation to an incident that I attended whilst on duty at the
prison on 6 th February 2020. I had been in the role of Custodial manager for 12 months immediately prior to this
which included acting as point of contact for all deaths in custody for all agencies and overseeing family liason
officers. I would also 'enhance case manage' all self harm cases and some of the more challenging prisoners in
Highdown. The 6 th February was my first shift back as a regular prison officer.
I was posted to block 3, starting at 0730 hours. I heard over the radionet that there was a code Blue at 0909
hours on my house block. Gary STEVENS, a colleaugue established that it was on A spur I went up to that
landing where I saw Officer STEVENS and Officer GARDENER outside Cell 33A 10, whilst I was with Officer
Abbie JAMES. As we reached the door, Officer GARDENER said to me "He is dead". I have entered the cell
with Officer JAMES where I saw a prisoner that I now know to be Mr TURNER on the top bunk of the bed. The
bed was positioned on the left hand side and his feet were pointing towards the door. TURNER was lying on his
back with the bed sheet completely covering him, I.E. it was covering his head aswell as his body.There was
nobody else in the room as I entered. Officer STEVENS came into the cell and I asked him if he could see a
ligature around his neck, if there was it needs to be cut. He checked and then stated that there was no ligature.
We were joined byOfficers RIGBY and GARDENER and I informed the staff even though we believe that he is
10/2017
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dead we are not medically trained so can not state that he is. I then said we need to get him off the bed and
commence CPR. One of his ankles was exposed and I touched his leg and it was cold to the touch and he felt
quite rigid. Together officers GARDENER, STEVENS, RIGBY and I lifted TURNER off the bed and onto the
floor still on the mattress and CPR was started. As the sheet was lowered in order to do this I noticed some
pooling around the side of his chest which made me believe that he had been dead for some time. As far as I
can remember nurse Margaret SAWMY and Officer STEVENS started CPR to begin with and then nurse Verity
MILES took over. Custodial manager Claire FRANKLIN also attended and I remember that she was there whilst
chest compressions were carried out.I also remember that Nurse Kirsty SHEEHAN was present at that time. By
now it was 0915 and the nurses collectively, decided that there were no signs of life and CPR should be
stopped. Dr RUSE then attended the cell and declared life extinct and confirmed that he estimated that
TURNER had been dead for between 4-6 hours. I was then instructed to leave the cell by Governor Karen
LEAK and she led me to a side office where i was offered support from the care team and made a cup of tea.
Prior to this incident I had never met Mr Turner, I believe that he was new to the block also.
10/2017
OFFICIAL Sensitive (When completed)
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Occurrence Number: 45200020557
Statement of: Simon TRIPTREE
WITNESS STATEMENT
Criminal Procedure Rules, r 16.2; Criminal Justice Act 1967, s.9
URN
Age if under 18: (if over 18 insert ‘over 18’) Occupation: Health Care Assistant
This statement (consisting of 1 page(s) each signed by me) is true to the best of my knowledge and belief
and I make it knowing that, if it is tendered in evidence, I shall be liable to prosecution if I have wilfully stated
in it anything which I know to be false, or do not believe to be true.
Signature: _____________________________ Date: 17 th April 2020
Signature Witnessed By: ______________________________
Statement Locked By:
Tick if witness evidence is visually recorded
I have been employed as a heath care assistant at Highdown Prison since 2012. I primarily work in the inpatient
department which is the health care unit. On 6 th February 2020 I responded to a code blue call and
attended A3, house block 3 where I had followed the discipline staff to. This was around 9 O'Clock in the
morning but I do not have the exact time. When I arrived I saw that the patient was lying on the floor receiving
chest compressions. Verity MILES asked me to put the defib on, which is a standard practice. I set up the defib
and attached the pads to the patient but we did not shock him. It is an automatic Defibrillator and it decides
whether to shock the patient or not, in this case it did not. The attendees continued to give chest compressions
until the paramedic called life extinct, this was around 0915 at this time. I think I was there for about 4 minutes
in total. When I stood back I recognised the patient as someone that I had seen in the in-patient department. I
remember that I had given him medication at some point whilst he was there and I believe he suffered from
depression. I know now that he was called Mr Turner.
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2746eefb00594c9580189b8540cc518e2746eefb00594c9580189b8540cc518e-1
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PHOTOGRAPH EXHIBIT BOOK
THIS BOOKLET CONTAINS: 7 PHOTOGRAPHS
THIS BOOKLET IS EXHIBIT: SPR/PHOTO/01 – photos of cell and deceased
THE DEFENDANT IN THIS CASE IS: N/A
THESE PHOTOGRAPHS WERE TAKEN BY: PC RICHMOND 40487 OF SURREY POLICE.
THE PHOTOS WERE TAKEN ON: 06/02/20 AT 1453 HOURS
THIS BOOKLET WAS PRODUCED BY: PC 40487 Richmond of Surrey Police
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80BFB369
/wEdAAjgGrx2TZx
THIS DOCUMENT IS SUBJECT TO DATA PROTECTION - Printed
from CAD Browser V3
Incident
Number
P20029697 Call
Source
OFFICER Phone - Date
Time
06/02/2020
09:43:16
Name 1795 Address -
Location
1000 HIGHDOWN LN HMP_HIGHDOWN SUTT HMP
Type P2 SUDDEN DEATH Centre IHC
P20029697 15:44 04/06/20 15:44 05/06/20 ALL
Event
Grade
2
Comments
Date Time Oper Comment
06/02/202
0
09:43:20
06/02/202
0
09:43:20
06/02/202
0
09:43:25
06/02/202
0
09:43:25
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0
09:43:35
06/02/202
0
09:44:14
06/02/202
0
09:44:52
06/02/202
0
09:44:57
cad039 15689 IN FROM 1795
dbserve
r
15689 [SYSTEM] LOI search completed at 06/02/20 09:43:20
cad039 15689 .
cad039 15689
cad039 15689 .
cad039 15689
cad039 15689
cad039 15689
DETAILS TO FOLLOW...
1795 IS PRISONER LIAISON AT LOCATION
GOVERNOR HAS JUST MADE US AWARE OF A
SUDDEN DEATH OF A PRISONER
FOUND DECEASED IN HIS CELL
E40
ca90cf7e858b4b4cb85f6052dccbb7cc-2
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06/02/202
0
09:44:57
06/02/202
0
09:45:07
06/02/202
0
09:45:09
06/02/202
0
09:45:18
06/02/202
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06/02/202
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09:45:29
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09:45:42
06/02/202
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09:46:15
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0
09:46:15
06/02/202
0
09:48:04
06/02/202
0
09:48:47
06/02/202
0
09:48:53
cad039 15689 .
cad039 15689
cad039 15689 .
cad039 15689
cad039 15689 .
cad039 15689
cad039 15689
cad039 15689 .
cad039 15689
cad039 15689
cad039 15689
COLLEGUE EN ROUTE TO CELL NOW TO SEAL
CELL
REQUESTING NPT TO ATTEND
NO PRISONER DETAILS KNOWN AT THIS TIME OR
CAUSE OF DEATH
WILL FIND THIS OUT AND EMAIL !FCR WITH
DETAILS
ADVISED WILL PASS FOR ATTENDANCE AND FOR
DUTY INSP REVIEW
INFT REQUESTING CID MADE AWARE
CC
cad039 15689 ##
cad007 7950
cad012 16962 .
cad012 16962
OPS2 NOTED AND REVIEWING - THIS WILL
REQUIRE REVIEW - DUTY DI AND CORONER WILL
NEED TO BE MADE AWARE - DEATH IN
CUSTODY/PERSON UNDER DOL ORDER
RB20 AWARE WILL VIEW
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06/02/202
0
09:48:54
06/02/202
0
09:49:51
06/02/202
0
09:50:26
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09:50:42
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09:51:05
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09:51:10
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09:53:20
06/02/202
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09:57:28
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09:58:29
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10:12:36
06/02/202
0
10:12:36
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10:12:36
06/02/202
0
10:12:36
cad012 16962 .
cad013 16577
cad007 7950
cad013 16577 #
cad013 16577
cad013 16577
cad007 7950
cad007 7950
cad007 7950
cad007 7950
cad014 11794 .
OUT TO CID
OPS2 - OUT TO CORONER'S OFFICE
DS GRIFFIN AWARE AND MONITORING CAD
CC
cad014 11794 # NDM #
cad014 11794
cad014 11794
SARAH CAWSEY AT THE CORONER'S OFFICE
AWARE
OPS2 - THE INFT IS PRISON LIAISON - THEY NOW
HAVE AN OFFICE WITHIN HIGHDOWN
PC DOBISZ MOBILE GOES STRAIGHT TO
ANSWERPHONE
OPS2 - DUE TO THE DEATH BEING IN CUSTODY -
CAN THE OFFICER ATTENDING PLEASE
CONTACT THE CORONER'S OFFICE ASAP ON
01483 404530 AS SOON AS INITIAL DETAILS OF
THE DECEASED HAVE BEEN ESTABLISHED -
THANK YOU ##
THREAT: SUDDEN DEATH OF PRISON INMATE
HARM: NO CIRCS KNOWN
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10:13:46
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10:13:48
06/02/202
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06/02/202
0
10:13:48
cad014 11794
cad014 11794
cad014 11794
cad014 11794
cad014 11794
cad014 11794
cad014 11794 .
cad014 11794
cad039 15689 ##
RISK: UNKNOWN - NO DETAILS KNOWN
WHATSOEVER - UNKNOWN
CIRCS OR IDENTITY OF THE DECEASED
INVESTIGATION: UNIT TO ATTEND CONFIRM
DETAILS AND ASSESS
WHETHER ANY SUS CIRCS
VULNERABILITY: N/A
cad039 15689 IN FROM 1795
cad039 15689
cad039 15689
cad039 15689 .
ENGAGEMENT: NPT ATTENDANCE
[SYSTEM] Event Location changed from "@HMP :
1000 HIGHDOWN LN HMP_HIGHDOWN SUTT" to
"1000 HIGHDOWN LN HMP_HIGHDOWN SUTT: #
UNKNOWN SUDDEN DEATH # : @HMP" at: 06/02/20
10:12:48
PRISONER: TURNER/SAUL/ALEXANDER
08/12/1983
WHITE BRITISH
cad039 15689 IN HOUSE BLOCK 3 SPUR A LEVEL 3 CELL 10
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cad039 15689 .
cad039 15689 ONLY ARRIVED ON 8TH JAN 2020
cad039 15689 .
cad039 15689
cad039 15689
cad039 15689
cad039 15689 .
cad039 15689
cad039 15689
cad039 15689 .
cad039 15689
cad039 15689 .
cad039 15689
cad039 15689 .
cad039 15689
SHARING CELL, CELL MATE SPOKEN TO, AND
WHEN UNLOCKED AT
0900HRS CELL MATE LEFT THE CELL DON'T
KNOW IF TRIED TO WAKE
HIM BUT AS FAR AS HE WAS AWARE NOTHING
HAD HAPPENED
COUPLE OF PRISONERS GONE INTO CELL TO
SPEAK TO HIM OF A
CELL MATE
NOTICED THAT HE WAS STILL IN BED
APPARENTLY ASLEEP
TRIED TO ROUSE HIM BUT BEEN UNABLE TO DO
SO
A CODE BLUE HAS BEEN CALLED AT 0909HRS
WHICH IS MEDICAL
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10:13:48
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cad039 15689
cad039 15689 .
cad039 15689
cad039 15689
cad039 15689 .
cad039 15689
cad039 15689
cad039 15689 .
cad039 15689
cad039 15689
cad039 15689 .
cad039 15689
cad039 15689 .
cad039 15689
cad039 15689
EMERGENCY
HEALTH CARE HAVE ATTENDED AND FOUND HIM
UNRESPONSIVE
AND SUSPECT DECEASED
ON SITE DOCTOR HAS ATTENDED AT 0918HRS
AND COME TO THE
SAME CONCLUSION
AMBULANCE CALLED AND EXTERNAL
PARAMEDICS ATTENDED AT
0922HSR
THEY HAVE DECLARED DECEASED AT 0935HRS
SOME CONCERN FROM COLLEAGUE APPEARS
TO BE
DISCOLORATION AROUND THE NECK AREA -
POSSIBLE BRUISING TO
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cad039 15689
cad039 15689
cad039 15689 .
cad039 15689
cad039 15689 .
cad039 15689
cad039 15689 .
cad039 15689
cad039 15689
cad039 15689
cad039 15689 .
cad039 15689
cad039 15689 .
cad039 15689
cad039 15689
THE THROAT AND WHITES OF EYES SHOW
BLOWN BLOOD VESSELS
WHICH WOULD INDICATE STRANGULATION
NOT KNOW IF SELF-INFLICTED OR OTHERWISE
AT THIS TIME
NO ON ANY ACT REPORT WHILST AT LOC
HOWEVER HE HAS GOT A HISTORY OF
PREVIOUSLY SELF-HARM
PRIOR TO COMING TO HIGH DOWN - PREVIOUS
FOR BEING A
'CUTTER'
NO LIGATURE IN SIGHT
COLLEAGUE HAS ASKED FOR FULL DETAILS OF
ALL PARAMEDICS
AND HEALTH CARE THAT HAVE ATTENDED
E46
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10:13:48
06/02/202
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10:13:48
06/02/202
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10:13:48
06/02/202
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10:13:48
06/02/202
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10:13:48
06/02/202
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10:13:48
06/02/202
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10:13:48
06/02/202
0
10:13:48
06/02/202
0
10:13:48
06/02/202
0
10:13:48
06/02/202
0
10:13:48
cad039 15689 .
cad039 15689
cad039 15689
cad039 15689
cad039 15689 .
cad039 15689
cad039 15689
cad039 15689 .
cad039 15689
cad039 15689 .
cad039 15689
cad039 15689
cad039 15689 .
cad039 15689
cad039 15689 .
HIS CELL MATE AND THE TWO PRISONERS THAT
RAISED THE
ALARM WILL BE SEPARATED AND CONTAINED
INDIVIDUALLY AND
CLOTHING SEIZED
NO NAIL KITS SO CAN'T TAKE NAIL SCRAPINGS
AND NO SWABBING
CAPABILITIES
CELL HAS BEEN SEALED WITH DECEASED STILL
IN SIDE
CPR WAS ATTEMPTED BY IN HOUSE HEALTH
CARE AND
PARAMEDICS WITH NO SUCCESS HENCE THEIR
DETAILS OBTAINED
THAT IS THE UPDATE AT THIS TIME - NO
FURTHER INFO
E47
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10:15:21
06/02/202
0
10:15:50
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0
10:16:15
06/02/202
0
10:17:53
06/02/202
0
10:18:07
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0
10:19:00
06/02/202
0
10:19:07
06/02/202
0
10:19:10
06/02/202
0
10:19:10
06/02/202
0
10:19:10
06/02/202
0
10:19:12
cad039 15689
cad039 15689
COLLEAGUE IS 40487 SIMON RICHMOND
CC
cad039 15689 ##
cad007 7950
cad007 7950 ##
cad014 11794
cad014 11794
cad014 11794 .
cad014 11794
cad015 10257 .
cad014 11794
cad015 10257 .
cad012 16962 .
cad012 16962
cad015 10257
OPS2 NOTED - NPT DEPLOYMENT ASAP PLEASE -
SGT AND DUTY INSP TO BE MADE AWARE -
PLEASE CHECK WITH CID THAT DUTY DI IS
AWARE - THANK YOU
OUT TO RB20 P2P
UPDATED
RB20 - SUGGEST RB35 TO BE DEPLOYED
OUT TO CID
RB35 WILL VIEW AND DEAL
SRCH TURNER/SAUL/ALEXANDER:08121983:::
E48
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06/02/202
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10:19:12
06/02/202
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10:19:12
06/02/202
0
10:19:12
06/02/202
0
10:19:12
06/02/202
0
10:19:12
06/02/202
0
10:19:12
06/02/202
0
10:19:12
06/02/202
0
10:19:12
06/02/202
0
10:19:12
06/02/202
0
10:19:12
06/02/202
0
10:19:13
cad015 10257
OI:1 AS:30 IP:5 DNA:4 DH:24 AL:5 AB:2 OD:1
RECORD 1
cad015 10257 TURNER, SAUL ALEXANDER PNCID 96/473121X
cad015 10257 08/12/83 KENT CRO 217944/96W
cad015 10257
MALE WHITENORTHEURO
cad015 10257 TATT 2 SCAR 4
cad015 10257
cad015 10257
cad015 10257
cad015 10257
cad015 10257 +
cad015 10257
cad015 10257
cad015 10257
SELF-HARM HAS MADE THREATS TO SELF HARM
OFFENDS ON BAIL (12) *HOME DETENTION
CURFEW RELEASED
SUPERVISED
*PROLIFIC OFFENDER *DNA E+W NOT REQUIRED
*FAILS TO APPEAR
LAST KNOWN ADDRESS AS AT 09/01/20 (HOME)
133 EAGLE AVENUE WATERLOOVILLE
HAMPSHIRE PO8 9XB (44JW)
cad015 10257 RECORD LAST UPDATED 04/02/20 09:35
cad015 10257 .
E49
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10:19:35
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10:19:35
06/02/202
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10:19:35
06/02/202
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10:19:35
06/02/202
0
10:19:35
06/02/202
0
10:19:35
06/02/202
0
10:19:35
06/02/202
0
10:19:35
06/02/202
0
10:19:35
06/02/202
0
10:19:35
06/02/202
0
10:19:35
06/02/202
0
10:19:35
cad015 10257
cad015 10257
cad015 10257
cad015 10257 FOR :
cad015 10257
cad015 10257
cad015 10257
cad015 10257
cad015 10257
cad015 10257
cad015 10257
cad015 10257
OPERATIONAL INFORMATION REPORT
MANAGED OFFENDER
ISSUED AT : HAMPSHIRE IOM
ACTION : INFORMATION
FS/REF : 44FF/44200043488 CASE PAPERS : 44FF
START DATE : 04/02/20 END DATE : UNLIMITED
SUBJECT IS MANAGED BY HAMPSHIRE
INTEGRATED OFFENDER
MANAGEMENT (IOM)
IF YOU HAVE ANY INVOLVEMENT
(STOPS/ARRESTS/INTEL) PLEASE
CONTACT
cad015 10257 478853
IOM.INFORMATION.HUB@HAMPSHIRE.PNN.POLIC
E.UK OR 02380
cad015 10257 ENTERED BY 44FF ON 04/02/20
cad015 10257 LAST UPDATED ON 04/02/20
E50
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06/02/202
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10:20:22
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0
10:20:23
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0
10:20:46
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10:20:46
06/02/202
0
10:20:46
06/02/202
0
10:20:46
06/02/202
0
10:23:03
06/02/202
0
10:23:03
06/02/202
0
10:36:40
06/02/202
0
10:36:40
06/02/202
0
10:36:40
06/02/202
0
10:36:40
cad015 10257 .
cad015 10257
cad015 10257 .
cad014 11794
cad014 11794 .
cad015 10257
cad015 10257
cad015 10257
cad015 10257
NO WS PNC
CID DI WILL BE MADE AWARE
WARNINGS/FLAGS [FILTERED] -- PERSON:
TURNER, SAUL
ALEXANDER [G1] / 08/12/1983 (36) M / SUSSEX /
157717 / 96/473121X
TYPE FROM / TIME TO NOTES / REMARKS
------------------------------------------------------------------------
--------
cad015 10257 ++ N/T NFLMS SAUL TURNER ++
cad015 10257 .
cad069 16908
cad069 16908
cad069 16908
cad069 16908
CALL INTO THE CTC FROM HEATHER NIN
01483404507
FROM THE CORONER'S OFFICE WHO WILL BE
ATTENDING
REQUESTING TO SPEAK TO SOMEONE FOR
FURTHER DETAILS
BEFORE THEY ATTEND
E51
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10:36:40
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10:36:40
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10:36:40
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10:36:40
06/02/202
0
10:36:57
06/02/202
0
10:36:57
06/02/202
0
10:42:50
06/02/202
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10:43:00
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10:43:43
06/02/202
0
10:43:53
06/02/202
0
10:44:19
06/02/202
0
10:48:02
06/02/202
0
11:15:14
06/02/202
0
11:15:19
cad069 16908 .
cad069 16908
cad069 16908
cad069 16908
cad069 16908 .
cad069 16908
cad069 16908
cad013 16577 #
cad013 16577
cad013 16577
cad013 16577
cad013 16577 #
cad013 16577
cad013 16577 #
cad013 16577
HAVE ADVISED WILL UPDATE THE REPORT AND
WE WILL BE IN
CONTACT IN DUE COURSE
CC
[REVIEW EVENT ALERT] P20029697 RB HAS BEEN
UPDATED. PLEASE
REVIEW ASAP.
3887 WILL BE ATTENDING AS DIVISIONAL DI
3887 CONTACTING CORONER DIRECT
CID DEPLOYING FROM REIGATE
RB35- DI HAS REQUESTED DOUBLE CREWED
WITH A VAN SO RB38 ASSISTING
UNITS ST6
E52
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11:24:27
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0
11:24:32
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0
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11:27:57
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11:28:07
06/02/202
0
12:42:34
06/02/202
0
12:43:00
06/02/202
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12:43:00
06/02/202
0
12:43:06
cad013 16577 #
cad013 16577
cad013 16577
cad013 16577
cad013 16577 #
cad013 16577
cad013 16577
cad013 16577 -
cad013 16577
cad013 16577 #
cad013 16577
cad039 15689 ##
cad039 15689
cad039 15689 .
cad039 15689
387- HAVE SPOKEN TO CORONERS OFFICER
WHO WILL RV AT HIGHDOWN WITH POLICE AT
MIDDAY
PC RICHMOND IS ON SCENE- HE HAS CELL
LOCKED WITH DECEASED INSIDE
THE CELL MATE HAS BEEN TAKEN BY HMP
STAFF ELSEWHERE ALONG WITH 2 WITNESSES
ABOVE IS FROM 3887 DI CHETTY
3887 NEED SENIOR SOCO DETAILS
PC RICHMOND HAS BEEN TASKED TO FIND OUT
CELL MATE AND WITNESS DETAILS AND WILL
THEN DIRECT 24/7 TO RUN CHECKS IN VIEW TO
FINDING OUT ANY LINKS OR ONGOING ISSUES
SENIOR SOCO DETAILS EMAILED TO DI CHETTY
AS REQUESTED
EMAIL INTO !FCR MAILBOX TIMED - THU
06/02/2020 10:52
DETAILS OF THE DECEASED'S CELL MATE:
E53
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0
12:43:06
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0
12:43:06
06/02/202
0
12:43:06
06/02/202
0
12:43:06
06/02/202
0
12:43:06
06/02/202
0
12:43:07
06/02/202
0
12:43:33
06/02/202
0
12:43:34
06/02/202
0
12:43:56
06/02/202
0
12:43:56
06/02/202
0
12:43:56
06/02/202
0
12:43:56
06/02/202
0
12:43:56
06/02/202
0
12:43:56
cad039 15689
TOMMY GURNEY
cad039 15689 28/04/1992
cad039 15689 PNC ID: 03/365056V
cad039 15689
cad039 15689
DEFINITELY A TWO MAN CELL - NO OTHER
OCCUPANTS.
TIM DOBISZ
cad039 15689 POLICE CONSTABLE 1795
cad039 15689 ##
cad039 15689
cad039 15689 .
cad039 15689
cad039 15689
cad039 15689
cad039 15689 .
cad039 15689
EMAIL INTO !FCR MAILBOX TIMED - THU
06/02/2020 12:11
FURTHER UPDATES:
PRISONERS WHO DISCOVERED THE DECEASED
AND RAISED THE
ALARM.
JACK RIPLEY
cad039 15689 23/03/1990
E54
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12:43:56
06/02/202
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12:43:56
06/02/202
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12:43:56
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12:43:56
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12:43:56
06/02/202
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12:43:56
06/02/202
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12:43:56
06/02/202
0
12:43:56
06/02/202
0
12:43:56
06/02/202
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12:43:56
06/02/202
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12:43:56
06/02/202
0
12:43:56
06/02/202
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12:43:56
06/02/202
0
12:43:56
06/02/202
0
12:43:56
cad039 15689 PNC ID: 02/172096Q
cad039 15689
cad039 15689 .
cad039 15689
CELL HB3-3-A-001
DAVID AMEY
cad039 15689 22/01/1981
cad039 15689 PNC ID: 94/187306Y
cad039 15689
cad039 15689 .
cad039 15689
cad039 15689
cad039 15689
cad039 15689
cad039 15689
cad039 15689
cad039 15689 .
CELL HB3-3-A-007
REQUEST FROM DI CHETTY - CAN THIS CAD
PLEASE BE PASSED TO
24/7 INTEL HUB AND RESEARCH CONDUCTED ON
THE VICTIM, CELL
MATE AND THE TWO PRISONERS WHO
DISCOVERED THE
DECEASED, TO SEE IF THERE IS ANY INTEL TO
LINK THEM OR TO
SUGGEST THAT THE VICTIM WAS UNDER ANY
FORM OF THREAT
(FROM ANY PARTY).
E55
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12:43:56
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0
12:43:56
06/02/202
0
12:44:35
06/02/202
0
12:55:31
06/02/202
0
12:58:09
06/02/202
0
13:20:31
06/02/202
0
13:20:39
06/02/202
0
13:20:40
06/02/202
0
15:27:13
06/02/202
0
16:22:55
06/02/202
0
16:24:17
cad039 15689
TIM DOBISZ
cad039 15689 POLICE CONSTABLE 1795
cad039 15689 ##
cad039 15689
cad019 16006 .
cad019 16006
cad019 16006
cad019 16006
cad019 16006 .
cad012 10161
cad015 17001 .
cad015 17001
24-7 INTEL CURRENTLY COMMITTED
SECAMB OPS1: AMB CREW HAVE BEEN ON
SCENE FOR 3 HOURS. NEED TO ESTABLISH
WHETHER THEY ARE STILL REQUIRED FOR
STATEMENTS, ETC
PC RICHMOND: THE AMB CREW HAVE BEEN
RELEASED AND ARE HEADING BACK TO THEIR
VEHICLE
SECAMB OPS2 UPDATED
RB51 AND RB59 >> LOCATION TO ASSIST WITH
REMOVAL OF DECEASED
CALL FROM 3887, HAS VISITED THE SCENE AND
IS SATISFIED THERE IS NO FURTHER
INVOLVMENT IT IS AN UNEXPLAINED DEATH
HOWEVER, NO SIGNS OF ANY SELF HARM OR
ANY INVOLVMENT OF ANY THIRD PARTY. THE
SOCO (HAZEL) HAS BEEN TASKED TO RECOVER
THE DECEASED TO THE ROYAL SURREY FOR
HOME OFFICE PM, THE SCENE GUARD WILL
REMAIN AND THEN BE REQUIRED TO ASSIST
DECEASED TO MORTUARY
E56
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16:25:59
06/02/202
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16:30:38
06/02/202
0
16:37:21
06/02/202
0
16:37:35
06/02/202
0
17:34:28
06/02/202
0
17:34:34
06/02/202
0
17:34:41
06/02/202
0
17:45:28
06/02/202
0
17:47:29
06/02/202
0
19:28:15
06/02/202
0
19:28:18
06/02/202
0
19:28:39
cad015 17001
cad015 17001 .
cad015 17001
cad015 17001
CORONER OFFICER HEATHER NINN AWARE. PC
RICHMOND 40487 WILL CREATE SVR AND
RELATED NICHE / SCARF . NICHE CREATED AND
LINKED 4500014974, DEATH MESSAGE WILL BE
PASSED BY HMP
3887 REQUESTING CHEIF TEMPLATE LOG
OPS 2 ADVISED OF ABOVE
cad012 10161 IN FROM 40487
cad012 10161
cad014 11730 ...
cad014 11730
cad014 11730
cad015 17001
cad014 11730
cad014 11730 ..
cad014 11730
cad014 11730
UNDERTAKERS CALLED AT 1630 ETA WITHIN THE
HOUR
REQUIRE UPDATE FROM RB51
CURRENTLY ON PHONE WILL CALL DESK WHEN
FREE
RB59 STILL WAITING ATT
SOCO ARE NOT YET ST6, WE ARE AWAITING
THEIR ARRIVAL
OUT TO RB59
SOCO ST6
E57
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0
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06/02/202
0
19:29:30
06/02/202
0
19:29:34
06/02/202
0
20:46:08
06/02/202
0
20:54:36
06/02/202
0
21:01:06
06/02/202
0
21:11:45
06/02/202
0
21:36:46
06/02/202
0
22:04:52
06/02/202
0
22:59:15
06/02/202
0
23:01:05
06/02/202
0
23:07:51
06/02/202
0
23:19:02
06/02/202
0
23:19:13
cad014 11730
cad014 11730
cad014 11730
cad015 17001
cad015 17001
$RB51 40808
$RB51 40808
cad012 10161
UNITS STILL ON SCENE ATT
BODY STILL IN SITU
CALLING UNDERTAKERS NOW
RB51 ON WAY TO ROYAL SURREY WITH
DECEASED RB59 STAYING IN THE PRISON WITH
SOCO
RB59 DOOR SECURED AT 2036, KEY PASSED TO
OFFICER LINEHAN
[40808]UNDERTAKERS HAVE CALLED ROYAL
SURREY HOSPITAL AND THEY HAVE REFUSED
THE DECEASED DUE TO NO ROOM. RB21 IS
LIAISING WITH CID ABOUT NEXT COURSE OF
ACTION
[40808]RB21 HAS CONFIRMED THAT A SPACE IS
AVAILABLE AT ROYAL SURREY FOR THE
DECEASED AS IT WAS PRE-ORGANISED. RB51 S5
TOWARDS ROYAL SURREY
RB51 ST6 HOSPITAL
$RB51 40808 [40808]DECEASED PLACED IN FRIDGE D RACK 3
$RB51 40808
cad006 2273
500933
9
500933
9
cad012 11008 45200014974
cad012 11008
[40808]DI CHETTY HAS STATED THAT OFFICERS
DO NOT NEED TO STAY WITH DECEASED. THIS
ICAD BE CLOSED
FIM - PLS CONFIRM IF WE STILL HAVE ANY
SCENE GUARDS ON
QH32 ATTENDED SCENE. PHOTOS TAKEN AND
BODY PROCESSED THEN COLLECTED BY
UNDERTAKERS FOR TRANSPORTING TO RSCH
ON 6TH FEBRUARY 2020 TBE DECEASED WHO IS
A PRISONER AT
E58
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23:19:13
06/02/202
0
23:19:13
06/02/202
0
23:19:13
06/02/202
0
23:19:13
06/02/202
0
23:19:13
06/02/202
0
23:19:13
06/02/202
0
23:19:13
06/02/202
0
23:19:13
06/02/202
0
23:19:13
06/02/202
0
23:19:13
06/02/202
0
23:19:13
06/02/202
0
23:19:13
06/02/202
0
23:19:13
06/02/202
0
23:19:13
06/02/202
0
23:19:13
cad012 11008
cad012 11008
cad012 11008
cad012 11008
cad012 11008
cad012 11008
cad012 11008
cad012 11008
cad012 11008
cad012 11008
cad012 11008
cad012 11008
cad012 11008
cad012 11008
cad012 11008
HMP HIGHDOWN HAS BEEN FOUND IN HIS CELL
AFTER FELLOW
PRISONERS RAISED THE ALARM ABOUT HIM
BEING NON
RESPONSIVE. THE DECEASED HAS BEEN
REMOVED FROM THE TOP
BUNK OF THE CELL HE WAS IN AND HAVE
ATTEMPTED CPR.
MEDICAL STAFF HAVE ATTENDED AND
ATTEMPTED TO
REAUSITATE THE DECEASED BUT HAVE
STOPPED AFTER
DISCUSSION THAT THERE WAS NO RESPONSE.
DR AT THE PRISON
HAS ATTENDED AS WELL TO GIVE SECOND
OPINION. PARAMEDICS
ALSO ATTENDED AND HAVE ATTEMPTED
REAUSITATE BUT HAVE
STOPPED AND ROLE DECLARED AT 0935HRS.
THERE HAS BEEN NO
OBVIOUS SIGNS AS TO CAUSE OF DEATH AND
DUE TO SITUATION
AND INITIAL ASSESSMENT FROM CHECK OF
BODY GAVE CONCERNS
OF A SUSPICIOUS DEATH SO DECEASED HAS
BEEN SEALED IN CELL
AND CRIME SCENE BEGUN WITH SCENE LOG.
DUTY DETECTIVE
INSPECTOR CALLED OUT TO ATTEND.
E59
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23:44:42
06/02/202
0
23:45:11
cad019 8448
cad019 8448
[SYSTEM] Event Location changed from "#
UNKNOWN SUDDEN DEATH # : @HMP : 1000
HIGHDOWN LN HMP_HIGHDOWN SUTT" to "1000
HIGHDOWN LN HMP_HIGHDOWN SUTT" at:
06/02/20 23:44:42
[SYSTEM] Assigned Result Code: Z3PSW - PUBLIC
SAFETY / WELFARE, Detailed Event Type: PSW25 -
SUDDEN DEATH, Qualifier 1: IHC
06/02/202
0 cad019 8448 [SYSTEM] Event P20029697 closed.
23:45:11
Unit History
Date Time Oper Unit and Status
06/02/2020 16:13:09 5012507 5012507 Unit: QH30 : DISPATCHED
06/02/2020 16:13:10 5012507 5012507 Unit: QH32 : DISPATCHED
06/02/2020 23:18:07 $RB59 8040976 Unit: RB59 : Unknown (AM)
06/02/2020 23:18:46 $RB51 40808 Unit: RB51 : Unknown (AM)
06/02/2020 15:36:10 $RB59 8040976 Unit: RB59 : Unknown (UC)
06/02/2020 15:36:29 $RB59 8040976 Unit: RB59 : Unknown (UC)
06/02/2020 15:36:29 $RB59 8040976 Unit: RB59 : Unknown (UC)
06/02/2020 15:36:55 $RB51 40808 Unit: RB51 : Unknown (UC)
06/02/2020 15:36:58 $RB51 40808 Unit: RB51 : Unknown (UC)
06/02/2020 15:36:58 $RB51 40808 Unit: RB51 : Unknown (UC)
06/02/2020 15:36:58 $RB51 40808 Unit: RB51 : Unknown (UC)
06/02/2020 15:37:41 $RB51 40808 Unit: RB51 : Unknown (UC)
06/02/2020 15:37:41 $RB51 40808 Unit: RB51 : Unknown (UC)
06/02/2020 15:37:54 $RB51 40808 Unit: RB51 : Unknown (UC)
06/02/2020 15:37:54 $RB51 40808 Unit: RB51 : Unknown (UC)
06/02/2020 22:58:51 $QH30 15519 Unit: QH30 : Unknown (AM)
06/02/2020 17:12:21 $QH30 15519 Unit: QH30 : ARRIVED
06/02/2020 10:34:49 cad013 16577 Unit: RB35 : Unknown (SX)
06/02/2020 10:48:04 cad013 16577 Unit: RB38 : DISPATCHED
06/02/2020 10:53:12 cad013 16577 Unit: RB35 : ENROUTE
06/02/2020 17:39:38 $RB59 8040976 Unit: RB59 : Unknown (UC)
06/02/2020 17:40:03 $RB51 40808 Unit: RB51 : Unknown (UC)
06/02/2020 17:45:31 cad015 17001 Unit: RB59 : ARRIVED
06/02/2020 10:53:13 cad013 16577 Unit: RB38 : ENROUTE
06/02/2020 11:15:09 cad013 16577 Unit: RB38 : ARRIVED
06/02/2020 10:43:17 $RB35 40991 Unit: RB35 : Unknown (UC)
06/02/2020 10:43:17 $RB35 40991 Unit: RB35 : Unknown (UC)
06/02/2020 10:43:18 $RB35 40991 Unit: RB35 : Unknown (UC)
E60
ca90cf7e858b4b4cb85f6052dccbb7cc-22
E61
06/02/2020 10:43:18 $RB35 40991 Unit: RB35 : Unknown (UC)
06/02/2020 11:17:51 $RB38 41270 Unit: RB38 : Unknown (UC)
06/02/2020 11:17:51 $RB38 41270 Unit: RB38 : Unknown (UC)
06/02/2020 11:17:52 $RB38 41270 Unit: RB38 : Unknown (UC)
06/02/2020 11:18:08 $RB38 41270 Unit: RB38 : Unknown (UC)
06/02/2020 11:18:08 $RB38 41270 Unit: RB38 : Unknown (UC)
06/02/2020 11:17:30 $RB35 40991 Unit: RB35 : Unknown (UC)
06/02/2020 11:17:31 $RB35 40991 Unit: RB35 : Unknown (UC)
06/02/2020 11:17:50 $RB38 41270 Unit: RB38 : Unknown (UC)
06/02/2020 11:57:34 $RB35 40991 Unit: RB35 : Unknown (UC)
06/02/2020 11:58:25 $RB35 40991 Unit: RB35 : Unknown (UC)
06/02/2020 11:58:25 $RB35 40991 Unit: RB35 : Unknown (UC)
06/02/2020 11:58:53 $RB35 40991 Unit: RB35 : Unknown (UC)
06/02/2020 11:58:53 $RB35 40991 Unit: RB35 : Unknown (UC)
06/02/2020 12:02:29 $RB35 40991 Unit: RB35 : Unknown (UC)
06/02/2020 12:02:30 $RB35 40991 Unit: RB35 : Unknown (UC)
06/02/2020 10:19:03 cad012 16962 Unit: RB35 : DISPATCHED
06/02/2020 17:18:06 cad014 11730 Unit: RB59 : ARRIVED
06/02/2020 17:18:11 cad014 11730 Unit: RB59 : Unknown (CL)
06/02/2020 17:18:11 cad014 11730 Unit: RB59 : Unknown (UG)
06/02/2020 17:47:36 cad014 11730 Unit: RB51 : ENROUTE
06/02/2020 19:29:37 cad014 11730 Unit: RB59 : ARRIVED
06/02/2020 19:29:42 cad014 11730 Unit: RB51 : ARRIVED
06/02/2020 20:30:59 cad014 11730 Unit: RB51 : ARRIVED
06/02/2020 20:32:58 cad014 11730 Unit: RB59 : ARRIVED
06/02/2020 10:39:55 $RB35 40991 Unit: RB35 : Unknown (UC)
06/02/2020 20:01:48 $RB51 40808 Unit: RB51 : Unknown (UC)
06/02/2020 20:01:48 $RB51 40808 Unit: RB51 : Unknown (UC)
06/02/2020 16:43:32 cad012 10161 Unit: QH30 : Unknown (SC)
06/02/2020 20:07:04 $RB51 40808 Unit: RB51 : Unknown (UC)
06/02/2020 20:07:05 $RB51 40808 Unit: RB51 : Unknown (UC)
06/02/2020 16:51:12 $RB59 8040976 Unit: RB59 : Unknown (UC)
06/02/2020 16:51:13 $RB59 8040976 Unit: RB59 : Unknown (UC)
06/02/2020 17:10:31 $RB59 8040976 Unit: RB59 : Unknown (UC)
06/02/2020 17:10:31 $RB59 8040976 Unit: RB59 : Unknown (UC)
06/02/2020 16:55:35 $RB59 8040976 Unit: RB59 : Unknown (UC)
06/02/2020 16:55:38 $RB59 8040976 Unit: RB59 : Unknown (UC)
06/02/2020 16:55:38 $RB59 8040976 Unit: RB59 : Unknown (UC)
06/02/2020 17:41:43 $RB59 8040976 Unit: RB59 : Unknown (UC)
E61
ca90cf7e858b4b4cb85f6052dccbb7cc-23
E62
06/02/2020 17:41:44 $RB59 8040976 Unit: RB59 : Unknown (UC)
06/02/2020 17:41:59 $RB59 8040976 Unit: RB59 : Unknown (UC)
06/02/2020 17:42:42 $RB59 8040976 Unit: RB59 : Unknown (UC)
06/02/2020 17:42:42 $RB59 8040976 Unit: RB59 : Unknown (UC)
06/02/2020 15:34:17 cad015 17001 Unit: RB51 : Unknown (SC)
06/02/2020 15:34:24 cad015 17001 Unit: RB59 : Unknown (SC)
06/02/2020 18:03:09 $RB59 8040976 Unit: RB59 : Unknown (UC)
06/02/2020 18:03:15 $RB59 8040976 Unit: RB59 : Unknown (UC)
06/02/2020 18:03:15 $RB59 8040976 Unit: RB59 : Unknown (UC)
06/02/2020 16:50:18 $RB59 8040976 Unit: RB59 : Unknown (UC)
06/02/2020 16:50:23 $RB59 8040976 Unit: RB59 : Unknown (UC)
06/02/2020 16:50:23 $RB59 8040976 Unit: RB59 : Unknown (UC)
06/02/2020 17:02:33 $RB59 8040976 Unit: RB59 : Unknown (UC)
06/02/2020 17:02:36 $RB59 8040976 Unit: RB59 : Unknown (UC)
06/02/2020 17:02:36 $RB59 8040976 Unit: RB59 : Unknown (UC)
06/02/2020 17:02:45 $RB51 40808 Unit: RB51 : Unknown (UC)
06/02/2020 17:02:45 $RB51 40808 Unit: RB51 : Unknown (UC)
06/02/2020 17:38:51 $RB59 8040976 Unit: RB59 : Unknown (UC)
06/02/2020 17:38:51 $RB59 8040976 Unit: RB59 : Unknown (UC)
06/02/2020 17:41:23 $RB59 8040976 Unit: RB59 : Unknown (UC)
06/02/2020 18:01:51 $RB59 8040976 Unit: RB59 : Unknown (UC)
06/02/2020 18:01:53 $RB59 8040976 Unit: RB59 : Unknown (UC)
06/02/2020 18:01:53 $RB59 8040976 Unit: RB59 : Unknown (UC)
06/02/2020 14:35:51 cad014 11730 Unit: RB38 : Unknown (CL)
06/02/2020 14:35:51 cad014 11730 Unit: RB38 : Unknown (UG)
06/02/2020 14:35:57 cad014 11730 Unit: RB35 : Unknown (CL)
06/02/2020 14:35:57 cad014 11730 Unit: RB35 : Unknown (UG)
06/02/2020 15:35:07 cad014 11730 Unit: RB59 : ENROUTE
06/02/2020 15:35:11 cad014 11730 Unit: RB51 : ENROUTE
06/02/2020 22:02:55 $RB51 40808 Unit: RB51 : Unknown (UC)
06/02/2020 22:02:55 $RB51 40808 Unit: RB51 : Unknown (UC)
06/02/2020 22:04:52 $RB51 40808 Unit: RB51 : Unknown (UC)
06/02/2020 22:04:52 $RB51 40808 Unit: RB51 : Unknown (UC)
06/02/2020 22:04:52 $RB51 40808 Unit: RB51 : Unknown (UC)
06/02/2020 23:08:00 5009339 5009339 Unit: QH32 : Unknown (AM)
06/02/2020 18:21:25 C41HD-CL-INT2 0 Unit: RB51 : ARRIVED
06/02/2020 20:56:09 $RB51 40808 Unit: RB51 : Unknown (UC)
06/02/2020 20:56:09 $RB51 40808 Unit: RB51 : Unknown (UC)
06/02/2020 15:26:51 cad012 10161 Unit: RB51 : DISPATCHED
E62
ca90cf7e858b4b4cb85f6052dccbb7cc-24
E63
06/02/2020 15:26:55 cad012 10161 Unit: RB59 : DISPATCHED
06/02/2020 22:50:27 $RB51 40808 Unit: RB51 : Unknown (UC)
06/02/2020 22:50:28 $RB51 40808 Unit: RB51 : Unknown (UC)
06/02/2020 21:01:05 $RB51 40808 Unit: RB51 : Unknown (UC)
06/02/2020 21:01:06 $RB51 40808 Unit: RB51 : Unknown (UC)
06/02/2020 21:01:06 $RB51 40808 Unit: RB51 : Unknown (UC)
06/02/2020 21:03:06 $RB51 40808 Unit: RB51 : Unknown (UC)
06/02/2020 21:03:52 $RB51 40808 Unit: RB51 : Unknown (UC)
06/02/2020 21:03:53 $RB51 40808 Unit: RB51 : Unknown (UC)
06/02/2020 21:04:20 $RB51 40808 Unit: RB51 : Unknown (UC)
06/02/2020 21:04:20 $RB51 40808 Unit: RB51 : Unknown (UC)
06/02/2020 21:04:55 $RB51 40808 Unit: RB51 : Unknown (UC)
06/02/2020 15:22:49 $RB38 41270 Unit: RB38 : Unknown (AM)
06/02/2020 21:04:55 $RB51 40808 Unit: RB51 : Unknown (UC)
06/02/2020 21:05:26 $RB59 8040976 Unit: RB59 : Unknown (UC)
06/02/2020 21:05:28 $RB59 8040976 Unit: RB59 : Unknown (UC)
06/02/2020 21:05:28 $RB59 8040976 Unit: RB59 : Unknown (UC)
06/02/2020 21:05:35 $RB51 40808 Unit: RB51 : Unknown (UC)
06/02/2020 21:05:35 $RB51 40808 Unit: RB51 : Unknown (UC)
06/02/2020 21:09:26 $RB51 40808 Unit: RB51 : Unknown (UC)
06/02/2020 21:09:26 $RB51 40808 Unit: RB51 : Unknown (UC)
06/02/2020 11:13:30 C41HD-CL-INT2 0 Unit: RB35 : ARRIVED
06/02/2020 22:59:15 $RB51 40808 Unit: RB51 : Unknown (UC)
06/02/2020 22:59:15 $RB51 40808 Unit: RB51 : Unknown (UC)
06/02/2020 22:59:15 $RB51 40808 Unit: RB51 : Unknown (UC)
06/02/2020 21:11:45 $RB51 40808 Unit: RB51 : Unknown (UC)
06/02/2020 21:11:45 $RB51 40808 Unit: RB51 : Unknown (UC)
06/02/2020 21:11:45 $RB51 40808 Unit: RB51 : Unknown (UC)
06/02/2020 15:39:33 $RB35 40991 Unit: RB35 : Unknown (AM)
06/02/2020 21:45:23 $RB51 40808 Unit: RB51 : Unknown (UC)
06/02/2020 21:45:28 $RB51 40808 Unit: RB51 : Unknown (UC)
06/02/2020 21:45:29 $RB51 40808 Unit: RB51 : Unknown (UC)
06/02/2020 21:46:48 $RB51 40808 Unit: RB51 : Unknown (UC)
06/02/2020 21:46:48 $RB51 40808 Unit: RB51 : Unknown (UC)
Unit Dispatched -> Enroute -> Arrived -> Available Total
QH30
06/02/2020
16:13:09
CHARLOTTE
ANDERTON 15519
00h:59m:12s
00h:59m:12s
E63
ca90cf7e858b4b4cb85f6052dccbb7cc-25
E64
QH32 06/02/2020
16:13:10
RB35
RB38
RB51
RB59
Total
06/02/2020
10:19:03
GEORGE
STRATFORD
40991
06/02/2020
10:48:04
ELIZABETH
BLOOMFIELD
41270
06/02/2020
15:26:51
KIERAN TODD
40808
06/02/2020
15:26:55
JACK HOWIE
8040976
00h:34m:09s 00h:20m:18s
00h:05m:09s 00h:21m:56s
02h:20m:45s 02h:43m:23s
00h:08m:12s 04h:57m:51s
+1 day
00h:54m:27s
00h:27m:05s
05h:04m:08s
05h:06m:03s
+1 day
DATA PROTECTION ACT
The information in this document is subject to the Data Protection Act
1998
It must not be disclosed to any unauthorised person
E64
a69d7e8e3d794ff2b7573a4fe5230d62a69d7e8e3d794ff2b7573a4fe5230d62-1
E65
E65
47eacc3468b548e29932f3709aa5aed247eacc3468b548e29932f3709aa5aed2-1
E66
E66
b4f9985801c2470d9aace42d21669677b4f9985801c2470d9aace42d21669677-1
E67
E67
82dffc377dc54d4dadccfefc71eafc7182dffc377dc54d4dadccfefc71eafc71-1
E68
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82dffc377dc54d4dadccfefc71eafc71-2
E69
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82dffc377dc54d4dadccfefc71eafc71-3
E70
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82dffc377dc54d4dadccfefc71eafc71-4
E71
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82dffc377dc54d4dadccfefc71eafc71-5
E72
E72
82dffc377dc54d4dadccfefc71eafc71-6
E73
E73
82dffc377dc54d4dadccfefc71eafc71-7
E74
E74
82dffc377dc54d4dadccfefc71eafc71-8
E75
E75
82dffc377dc54d4dadccfefc71eafc71-9
E76
E76
82dffc377dc54d4dadccfefc71eafc71-10
E77
E77
82dffc377dc54d4dadccfefc71eafc71-11
E78
E78
82dffc377dc54d4dadccfefc71eafc71-12
E79
E79
82dffc377dc54d4dadccfefc71eafc71-13
E80
E80
82dffc377dc54d4dadccfefc71eafc71-14
E81
E81
82dffc377dc54d4dadccfefc71eafc71-15
E82
E82
82dffc377dc54d4dadccfefc71eafc71-16
E83
E83
82dffc377dc54d4dadccfefc71eafc71-17
E84
E84
82dffc377dc54d4dadccfefc71eafc71-18
E85
E85
82dffc377dc54d4dadccfefc71eafc71-19
E86
E86
82dffc377dc54d4dadccfefc71eafc71-20
E87
E87
82dffc377dc54d4dadccfefc71eafc71-21
E88
E88
82dffc377dc54d4dadccfefc71eafc71-22
E89
E89
82dffc377dc54d4dadccfefc71eafc71-23
E90
E90
82dffc377dc54d4dadccfefc71eafc71-24
E91
E91
82dffc377dc54d4dadccfefc71eafc71-25
E92
E92