PFD · Category

State Custody related deaths

357 reports 57 areas Earliest: Aug 2013 Latest: 8 Apr 2026

77% response rate (above 65% average). 60% of classified responses show concrete action taken. Reports rose 40% from 25 (2023) to 35 (2024).

PFD Reports

357 results

Rickie Poon

Reference 2026-0194Inner North London

Addressed to: HM Prison Pentonville; Practice Plus Group

2 responses identified · 2 indexed addressees

Jonathan Thornton

Reference 2026-0200Report dated 8 Apr 2026Nottingham and Nottinghamshire

Addressed to: HMP Nottingham; Ministry of Justice; Northampton Healthcare NHS Foundation Trust; Nottingham Healthcare NHS Foundation Trust; Nottinghamshire Healthcare NHS Foundation Trust

3 responses identified · 5 indexed addressees

Mark Smith

Reference 2026-0205Report dated 7 Apr 2026Inner South London

Addressed to: Chief Executive Officer, Practice Plus Group, 3rd Floor, 5 Lloyd’s Avenue, London EC3N 3AE 2. Chief Executive Lewisham and Greenwich NHS Trust, University Hospital Lewisham, Lewisham High Street, London SE13 76LH 3. The Director at HMP Thameside, Griffin Manor Way, London, SW28 0FJ. 4. Director General/Chief Executive HM Prison and Probation Service (HMPPS), 102 Petty France, London, SW1H 9AJ. 1CORONER I am Jenny Goldring assistant coroner, for the coroner area of Inner London South 2CORONER’S L; Serco

3 responses identified · 2 indexed addressees

Thomas Ruggiero

Reference 2026-0172Report dated 24 Mar 2026Ian Potter

Addressed to: HMP Swaleside

1 response identified · 1 indexed addressee

Thomas Ruggiero

Reference 2026-0171Report dated 24 Mar 2026Ian Potter

Addressed to: Oxlease NHS Foundation Trust

1 response identified · 1 indexed addressee

Thomas Ruggiero

Reference 2026-0170Report dated 24 Mar 2026Ian Potter

Addressed to: Department for Prison, Probation and Reducing Reoffending

0 responses identified · 1 indexed addressee

Ronald Meikle

Reference 2026-0168Report dated 24 Mar 2026Milton Keynes

Addressed to: Central & North West London NHS Foundation Trust; Chief Inspector of Prisons; HMPPS; HMP Woodhill; Minister of State for Prisons; Prisons and Probation Ombudsman

2 responses identified · 6 indexed addressees

Luke Ashcroft

Reference 2026-0159Report dated 20 Mar 2026Lincolnshire

Addressed to: HMP Lincoln; Ministry of Justice

2 responses identified · 2 indexed addressees

Clare Dupree

Reference 2026-0181Report dated 18 Mar 2026Avon

Addressed to: Director General Operations; Ministry of Justice

1 response identified · 2 indexed addressees

Rajwinder Singh

Reference 2026-0100Report dated 19 Feb 2026Inner West London

Addressed to: HMP Wandsworth; NHS England; Oxleas

3 responses identified · 3 indexed addressees

Edward Hands

Reference 2026-0097Report dated 17 Feb 2026Bedfordshire and Luton

Addressed to: HMP Bedford; Ministry of Justice; Northamptonshire Healthcare Foundation Trust

3 responses identified · 3 indexed addressees

Gareth Chumber-Kelly

Reference 2026-0073Report dated 9 Feb 2026North London

Addressed to: HMP Pentonville; HMPPS; Ministry for Justice; Serco

2 responses identified · 4 indexed addressees

Josh Tarrant (3)

Reference 2026-0077Report dated 9 Feb 2026Mid Kent & Medway

Addressed to: HMP Elmley

1 response identified · 1 indexed addressee

Josh Tarrant (2)

Reference 2026-0076Report dated 9 Feb 2026Mid Kent & Medway

Addressed to: Probation and Reducing Reoffending, Ministry of J; Prisons, Probation and Reducing Reoffending

0 responses identified · 2 indexed addressees

Josh Tarrant (1)

Reference 2026-0075Report dated 9 Feb 2026Mid Kent & Medway

Addressed to: NHS England

2 responses identified · 1 indexed addressee

Emmett Morrison

Reference 2026-0071Report dated 6 Feb 2026Worcestershire

Addressed to: Prison, Probation and Reducing Offending; Probation and Reducing Offending, Ministry of

1 response identified · 2 indexed addressees

Anthony Binfield

Reference 2025-0080Report dated 17 Dec 2025Nottingham City and Nottinghamshire

Addressed to: HMP Lowdham Grange

1 response identified · 1 indexed addressee

Sundeep Ghuman

Reference 2025-0625Report dated 15 Dec 2025London Inner South

Addressed to: HMP Belmarsh; Ministry of Justice

1 response identified · 2 indexed addressees

Oliver Mulangala

Reference 2025-0610Report dated 8 Dec 2025Surrey

Addressed to: HMP High Down; HMPPS; Ministry of Justice; The Minister of State for Prisons, Parole and Probation

1 response identified · 4 indexed addressees

Stuart Berry

Reference 2026-0015Report dated 1 Dec 2025Essex

Addressed to: Essex Partnership University NHS Foundation Trust; HCRG; HMPPS; MoJ

3 responses identified · 4 indexed addressees

Aminata Coulibaly

Reference 2025-0596Report dated 26 Nov 2025Essex

Addressed to: Chief Constable of Essex Police

1 response identified · 1 indexed addressee

Diana Grant

Reference 2025-0594Report dated 24 Nov 2025Surrey

Addressed to: [REDACTED] CEO, NHS England; [REDACTED] The Secretary of State for the Department of Health and Social Care

2 responses identified · 2 indexed addressees

Steven Ruddick

Reference 2025-0591Report dated 18 Nov 2025County Durham and Darlington

Addressed to: GeoAmey; HM Prison Service

1 response identified · 1 indexed addressee

Matthew Singh Prevention of future deaths report

Reference 2025-0567Report dated 5 Nov 2025North Wales (East and Central)

Addressed to: Ministry of Justice c/o Government Legal Department, London; Governor, HMP Berwyn

1 response identified · 2 indexed addressees

Steven Davidson

Reference 2025-0536Report dated 21 Oct 2025Essex

Addressed to: HCRG Care Group

1 response identified · 1 indexed addressee

AI Classification
Action Taken 60%
Action Planned 26%
Existing Practice 0%
Noted 12%
Disputed 1%
Based on 427 classified responses