Overview
- The Bolton inquest, which began Monday, is examining why the 22-year-old was moved from HMP Liverpool to HMP Forest Bank three weeks before he died.
- Jurors saw an HMP Liverpool email stating there were "no concerns" about the transfer and heard there was no medical hold, a clinical flag that would have stopped a court transfer.
- Evidence showed Forest Bank was not told he was mid-referral to the Edenfield secure mental health unit, leaving staff without crucial details about planned assessment and care.
- At Wednesday’s hearing, consultant psychiatrist Dr Simon Plunkett said he felt "very conflicted," missed or could not complete assessments, updated records without seeing O’Brien, and wrongly told solicitors a hospital move had been approved.
- Witnesses also highlighted weaker healthcare access at Forest Bank than at Liverpool and described staff ignoring advice not to segregate him two weeks before his death.