Lessons learnt at HMP Highpoint after Joseph Bone left dead for hours before anyone noticed

PUBLISHED: 09:00 23 December 2014

Highpoint Prison

Highpoint Prison


Failures at HMP Highpoint Prison meant a man was dead for hours before any prison officers even noticed.

Lessons have now been learnt following the death of Joseph Bone, 44, who also suffered due to “inadequate healthcare”.

An inquest into the death of Mr Bone, held in Bury St Edmunds, heard that he had several health problems, including diabetes and a previous heart attack.

He died from a second heart attack on August 11, 2013, after being transferred back to HMP Highpoint, from the open prison at HMP Hollesley Bay, due to deteriorating mental health.

Referring to a report from an independent clinical review, written by Amanda Muter, Suffolk Coroner Dr Peter Dean, said: “The night care had been inadequate and there had been insufficient monitoring.

“(She) was unable to determine whether increased care would have reduced the risk of the death happening.

“The evidence we have suggests that Joseph Bone had not always been compliant with (taking) medication.”

Prison officers carrying out a roll check at 6.30am on August 11 and opening the cell doors at 9am failed to get a response from Mr Bone.

It was only at lunchtime, when Mr Bone failed to attend, officers discovered him in his cell.

Dr Dean said: “The officers in the morning did not follow the local and national guidelines.”

Giving evidence, Richard Lombardo, head of operations at the prison, said: “Following the death of Joseph Bone…the then governor issued a notice to staff that outlined the requirement to carry out an effective roll check.”

Talking about the changes to the provision of healthcare at the prison, Ashley Maund, healthcare manager, said that an electronic system and new policies meant the same failures would not happen again.

The changes included increased monitoring of patients that do not attend appointments and more awareness of those with long term medical conditions.

The family of Mr Bone, who lived in Billericay, welcomed the changes. His sister, Susan Pickett, said: “There will be other people in prison with similar health problems, it will save lives. It is something positive to come out of his sad death.”


Welcome , please leave your message below.

Optional - JPG files only
Optional - MP3 files only
Optional - 3GP, AVI, MOV, MPG or WMV files

Please log in to leave a comment and share your views with other Sudbury Mercury visitors.

We enable people to post comments with the aim of encouraging open debate.

Only people who register and sign up to our terms and conditions can post comments. These terms and conditions explain our house rules and legal guidelines.

Comments are not edited by Sudbury Mercury staff prior to publication but may be automatically filtered.

If you have a complaint about a comment please contact us by clicking on the Report This Comment button next to the comment.

Not a member yet?

Register to create your own unique Sudbury Mercury account for free.

Signing up is free, quick and easy and offers you the chance to add comments, personalise the site with local information picked just for you, and more.

Sign up now

Other popular content

Millions of pounds of cutbacks for council services in Suffolk next year have been revealed – with homes facing further council tax rises for the next three years.

39 minutes ago

Suffolk Coastal MP Therese Coffey has responded to the news that the Academies Enterprise Trust (AET) is to give up control of two Felixstowe Schools.

Martin Roberts had nothing but praise for Ipswich after he visited with the film crew from BBC series, Homes Under The Hammer this week.

For a second year in a row Ipswich Central will bring a real tree to the town centre.

Show Job Lists

Local weather



max temp: 12°C

min temp: 9°C

Newsletter Sign Up

Sudbury Mercury weekly newsletter
Sign up to receive our regular email newsletter

Our Privacy Policy

MyDate24 MyPhotos24