Description
In terms of section 6(1) of the Fatal Accidents and Sudden Deaths Inquiry (Scotland) Act 1976, the Sheriff made a determination that Mr Bernard Graham died between about 11 pm on 9 November 2009 and 8:25 am on 10 November 2009, within Cell 8, Glenesk Hallm HMP Saughton, Edinburgh.
Having reviewed the extensive investigations into Mr Graham's death, the Sheriff concluded that he died of natural causes, his right coronary artery (which was affected by severe atherosclerosis) being completely occluded by a haemorrhagic thrombus.
Accordingly, under sub-sections 6(1)(c) and (d), the Sheriff pronounced that there were no reasonable precautions whereby his death might have been avoided, nor there any defects in any system of working which contributed to the death.
