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Trevor Monerville

2024-0025
Prevention of Future Deaths Report

Coroner

Coroner's area

Date of report

Read the PFD report for

Rachel Redman

East Sussex

16 January 2024

Report recipients

Healthcare staff in prison setting (inc MH)

Prison - operational staff

Trevor died in prison. His cause of death was Sudden Unexpected Death in Epilepsy (SUDEP).

His epilepsy was known to prison healthcare staff but not to prison staff. There was no seizure care plan, no seizure diary, and no means of monitoring his condition.

Response from prison healthcare provider: “As with patients in the community, medical records are highly sensitive and personal to the individual. They are not shared with prison staff for reasons of medical confidentiality.”

Issues raised
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