a serious problem at HMP Chelmsford according to HM Inspectorate of Prisons (42.6% of prisoners failed drug tests) and organised gangs supply prohibited items. Inspectors describe, "significant concerns about safety" and excessive levels of violence, much of the violence is due to supply and use of prohibited substances. Overcrowding and under-resourcing are blamed. Peter Clarke said the rising violence, suicides, accessibility of drugs and bad living conditions made him consider using the Urgent Notification protocol, which would make the Justice Secretary take action. In one month, prison authorities seized £15,000 worth of illegal goods. There were 17 suicides at Chelmsford during the 8 years to 2018 and 5 of them were since the inspection in 2016. For examples of suicides, see Notable former inmates. Deborah Coles of Inquest said the prison was, "incredibly unsafe [the rate of suicides] suggests that the plethora of recommendations following previous self-inflicted deaths have not been implemented. Inquests repeatedly identify the same systemic failings with dismal regularity. Recent inquests into deaths at Chelmsford prison have highlighted failures around the management of self-harm procedures, a lack of staff training in mental health awareness, inadequate risk assessments and failures in responding to bullying. The failure to implement existing guidelines on the care of those at risk indicates a lack of care, neglect and inhuman treatment from punitive and often inflexible prison regimes." Coles urged the setting up of a national group to supervise how lessons from inquests and reports are carried out, the group to be accountable to Parliament. Problems inspectors drew attention to included that 40% of prisoners who did not take part in activities were locked in their cells for up to 22 hours a day and items including mattresses and pillows were in short supply. The Howard League for Penal Reform maintain Chelmsford was designed to hold 521 men but the prison actually held 700 men when it was inspected. Notable former inmates Ian Wright, former footballer Alfred George Hinds Warren Sampson, hanged himself in Chelmsford Prison on 4 September 2015. Sampson's mother contacted the prison hours before his death because she was worried about messages he had sent her but the prison failed to safeguard Sampson. The prison ombudsman said suicide and self-harm procedures, "did not operate fully effectively" and "staff missed signs that Mr Sampson's vulnerability and risk of suicide had increased". Following a mental health review, a counsellor was worried about