Mark Vagnoni, 35, was found hanged in his cell at HMP Bedford, less than 15 minutes after being seen by a prison officer as he played with his bed sheet. He died two days later in hospital on 13 July 2016. On 4 October 2017 an inquest jury concluded that a number of serious failures and missed opportunities by the prison contributed to his death. Jessie Waldman acts for Mark's mother, Christine Garside-Neville.
Read the press release from INQUEST here.