PPO

“And this is with a PPO,” Duong notes.

Other prisoners told the PPO they had heard Ms McDonald screaming, making comments about killing herself and expressing concern for her daughter, but said staff had been "dismissive".

The PPO investigation heard that Ms McDonald had been extremely worried about her daughter since arriving at 18:30 GMT on 1 March 2019, and had still not been updated by the time she suffered fatal injuries the following night.

The officer told the PPO he had "prioritised" passing that message on but had been called to another area of the prison, and had also not been told of Ms McDonald's distress.

You should also consider whether you want the option to go out of the network — which you can usually do in a preferred provider organization, or PPO, plan, although it will cost more.