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Independent investigation into an incident of life-threatening self-harm involving ‘Mr Idris’[1] at HMP Swansea on 24 October 2015

Published:

[1] A pseudonym is used to protect the identity of the individual concerned.

The report of the independent investigation conducted by Sally Lester into the incident of life-threatening self-harm involving ‘Mr Idris’ at HMP Swansea on 24 October 2015 is published here. Also published are the responses to the investigation from His Majesty’s Prison and Probation Service (HMPPS) and Swansea Bay University Health Board.


On 24 October 2015 ‘Mr Idris’ was discovered hanging in his cell at HMP Swansea. Staff administered first aid, including CPR, before paramedics arrived and ‘Mr Idris’ was taken to hospital. ‘Mr Idris’ sustained serious and long-term injuries requiring ongoing care.


In order to meet the State’s investigative obligation under Article 2 of the European Convention on Human Rights, Sally Lester, a former Assistant Chief Inspector at HM Inspectorate of Probation, was commissioned to conduct an independent investigation to examine the circumstances surrounding the incident of life-threatening self-harm involving ‘Mr Idris’ and to see what lessons can be learned.


The investigation report completed by Sally Lester is published, along with the responses to the recommendations from those responsible for commissioning and providing custodial and healthcare services at the prison.

Mr-Idris-investigation-report

Mr-Idris-response-to-recommendations