Baranovsky Inquest Verdict
Inquest verdict into the death of Aleksey Baranovsky
at HMP Rye Hill
23 September 2009
The Jury at the inquest into the death of 33 year-old Aleksey
Baranovsky today reached its verdict by slamming the appalling care
and conditions that led to the death of Aleksey Baranovsky at Rye
Hill Prison. They concluded that his death was caused by anaemia
due to chronic blood loss and also by under nutrition. However,
they listed seven additional failings by the prison that caused or
contributed to the death.
Jocelyn
Cockburn, partner at law firm Hodge Jones & Allen who is
acting for Mr Baranovsky’s family, expressed relief at the verdict.
She commented:
“In light of the evidence that emerged throughout this long
inquest, Mr Baranovsky’s family is relieved that the jury reached
the correct verdict in highlighting the dreadful conditions that
led to his untimely death. Let us not forget that only a year
before Aleksey’s death, HMP Rye Hill was heavily criticised by HM
Chief Inspector of Prisons who stated that the prison was an unsafe
and an unstable environment, both for prisoners and staff; and that
Mr Baranovsky’s death was one of three controversial deaths at the
privately-run prison in a fifteen month time period.
“We hope that lessons have been learnt from this long and
painful inquest to ensure that the appalling level of care that Mr
Baranovsky received is not inflicted upon other prisoners at Rye
Hill or any other prison.”
The coroner added his own swingeing criticism after the Jury had
handed down the verdict and said that in his view Aleksey’s
treatment was “appalling and unacceptable in any modern society
and shameful”.
“Deborah Coles of the charity organisation INQUEST, which arranged the
family's legal representation, comments: “The importance of
family legal representation at inquests and robust public scrutiny
of prison deaths is demonstrated by the strong jury narrative and
coroner’s comments in this case.
"Government ministers must be held accountable for their
failures to ensure action was taken on the clear warnings about Rye
Hill prison and the fact that prisoner’s lives were at
risk.
"They need to inform the public about how those responsible for
this death have been held to account. The three deaths that have
occurred in this prison raise serious questions about the
appropriateness of the privatisation of prisons and prison health
care.”
Jocelyn Cockburn says: "In light of these findings we invite
the prison to make a formal apology to the family, something which
has not been forthcoming over the last three years".
The Inquest verdict recorded the following failures at Rye
Hill:
"Aleksey Baranovsky died in his cell in the healthcare unit of Rye
Hill prison after a prolonged period of deliberate self harm by way
of cutting himself and regularly refusing food. This was during the
period from 22 April 2006 until 10 June 2006. During this time Mr
Baranovsky repeatedly refused medical attention.
We find that the following factors caused or contributed to his
death:
- A failure to carry out an adequate mental health
assessment;
- A failure to carry out a full and adequate health
assessment on admission or at any time that he was at Rye hill
prison;
- A failure to assess healthcare needs and draw up a detailed
care plan regarding Mr Baranovsky’s long term care;
- Inadequate systems and processes regarding those verbal and
written communications between healthcare prison security and
prison management leading to insufficient management of Mr
Baranovsky’s well being;
- Insufficient training and knowledge of some prison policies
resulting in poor implementation of key safeguards;
- Failure to carry out and follow agreed actions regarding
care;
- Inadequate interventions at time of greatest healthcare
need”.