Inquest into the Death of Ronald Alan GIBLETT

79y · Male·Valvular ischaemic heart disease in association with coronary arteriosclerosis

A 79-year-old prisoner with a long history of ischaemic heart disease and coronary arteriosclerosis suffered fatal cardiac arrest in his cell at Karnet Prison Farm. He had been appropriately managed with regular cardiovascular reviews, six-monthly care plan assessments, and prompt medical attention when symptomatic. His cardiac disease dated back to 1990 with prior interventions including stents and bypass surgery. Despite his significant medical history, he exhibited no warning signs before collapse and died without warning. The coroner found his supervision, treatment and care while in custody were of a good standard. The death was entirely natural and unpreventable—no clinical or systemic failures were identified. The prisoner's cardiac condition was well-managed within the prison medical system.