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InquestIQ

Clive Cocking

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21 September 2026Coroner: Christopher LongArea: Lancashire and Blackburn with Darwen

Report response

Published response

This status records whether a response is published for this PFD report, regardless of which body sends it. It does not establish that every recipient answered or that the reply was complete or on time. Private replies may not be published.

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PFD reports and published responses

PFD reports
Separate PFD reports in InquestIQ, each counted once. A report can concern several people or be addressed to several organisations. This is not a count of deaths, inquests or PDF files.
With response
Reports with at least one linked published response. The reply can come from any body, including a parent body or someone answering on another organisation's behalf. Several letters still count as one report with a response.
No published response
Reports for which no published response is linked in InquestIQ. A private reply, an unpublished reply or a reply not yet identified may exist.
Response coverage
Reports with a published response divided by total reports, multiplied by 100. For example, 3 out of 4 is 75%. Percentages are rounded. Coverage does not measure whether every recipient answered, replied on time or took adequate action.

Figures reflect records currently held in InquestIQ and may change as sources are added or corrected. Read the full counting guide.

Report Content

Report text

Date of report: 21/09/2026 Ref: 2026-0422 Deceased name: Clive Cocking Coroner name: Christopher Long Coroner Area: Lancashire and Blackburn with Darwen This report is being sent to: HM Prison & Probation Service REGULATION 28: REPORT TO PREVENT FUTURE DEATHS

Coroner

I am Christopher Long, Senior Coroner, for the coroner area of Lancashire and Blackburn with Darwen

Date of Report

21 September 2026

Legal Powers

Show legal powers

I make this report under paragraph 7, Schedule 5, of the Coroners and Justice Act 2009 and regulations 28 and 29 of the Coroners (Investigations) Regulations 2013.

Recipients

1.His Majesty’s Prison and Probation Service You are under a duty to respond to this report within 56 days of the date of this report, namely by 16 November 2026. I, the coroner, may extend the period if an appropriate application is  made.

Your Response

Your response must contain details of action taken or proposed to be taken, setting out the timetable for action. Otherwise, you must explain why no action is proposed. I have a duty to send a copy of your response to the Chief Coroner. In accordance with the Chief Coroner’s Publication Policy, you should send me any  representations regarding publication of your response. These representations should be  made at the same time as the response is provided. I will pass any representations received to the Chief Coroner for a decision. Please note any links to webpages included in the response will not be  checked for sensitive information prior to publication, as the information is already online . The names of those who do not respond to PFD reports are regularly published on the Chief Coroner’s webpage s Non-responses to Prevention of Future Death (PFD) reports – Courts andTribunals Judiciary.

Summary of Coroner's Concern

Evidence was heard that national guidance did not require an ACCT to be reviewed where a  key support measure was removed in the post-closure period. The “Post-closure” section of  the Prison Safety Policy Framework was considered at the inquest. It was noted that it does  not contain any guidance about steps that should be taken if risks change after the ACCT is  closed but prior to the post closure review. In particular, it did not contain any guidance about bringing the post-closure review forward in these circumstances or re-opening the ACCT  pending the post-closure review taking place.

Action Required

In my opinion, unless action is taken to address the above concerns then there is a significant risk of future deaths and I believe each of you have the power to take such action.

Investigation and Inquest

On 31 October 2024, I commenced an investigation into the death of Clive Andrew Cocking aged 63 years… The medical cause of death was 1a Hanging How, when and where See conclusion Conclusion Mr. Clive Andrew COCKING died on the Twenty Second of October 2024 at HMP Wymott, 1  Wymott Drive, Ulnes Walton Lane, Leyland. Mr COCKING died as a result of suicide by means of hanging despite adequate measures being followed to prevent self-harm and  suicide. Mr. COCKING was discovered in his cell by a prison officer. Help was summoned, life saving treatment was administered but health care professionals and paramedics were unable to resuscitate Mr. COCKING. Mr. COCKING was pronounced dead at the scene .

Circumstances of Death

[Please explain the relevant circumstances of the individual’s death, ideally this should be in no more than 500 words] See box 7

Coroner's Concerns

During the course of the inquest I heard evidence giving rise to concern. In my opinion there is a risk that future deaths could occur unless action is taken. In the circumstances it is my  statutory duty to report to you. The MATTERS OF CONCERN are as follows: Evidence was heard that national guidance did not require an ACCT to be reviewed where a  key support measure was removed in the post-closure period. The “Post-closure” section of  the Prison Safety Policy Framework was considered at the inquest. It was noted that it does  not contain any guidance about steps that should be taken if risks change after the ACCT is  closed but prior to the post closure review. In particular, It did not contain any guidance about bringing the post-closure review forward in these circumstances or re-opening the ACCT  pending the post-closure review taking place. 11 COPIES AND PUBLICATION OF THIS REPORT I have a duty to send a copy of my report to every Interested Person who in my opinion should receive it. I also may send a copy of the report to any other person who I believe may find it useful or of interest. I can confirm I have sent the report to: [please do not use individual’s names, but instead roles/titles] 1.Family 2.PPG Healthcare I also have a duty to send a copy of the report to the Chief Coroner. You may make representations to me, the coroner, about the pub lication of the contents of this report in line with Chief Coroner’s PFD Publication Policy (2026). Any representations will be  sent to the Chief Coroner alongsi de the report. Please refer to bo x 4 above for additional  information relating to the publication of reports and responses. 12 [REDACTED]

Details

Report Date
21 September 2026
Coroner
Christopher Long
Coroner Area
Lancashire and Blackburn with Darwen
Reference
2026-0422

If you need support right now:

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