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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).

Clear 81 results

PFD Reports

81 results

Matthew Braben

Reference 2024-0423Report dated 1 Aug 2024West London

Addressed to: His Majesty’s Prison and Probation Service; Ministry of Justice

0 responses identified · 2 indexed addressees · Chief Coroner confirmed non-response

Yuri Hatton

Reference 2024-0608Report dated 11 Jun 2024Inner West London

Addressed to: HMPPS; HMP Wandsworth

0 responses identified · 2 indexed addressees · Chief Coroner confirmed non-response

Daniel Beckford

Reference 2024-0607Report dated 11 Jun 2024Inner West London

Addressed to: HMPPS; HMP Wandsworth

0 responses identified · 2 indexed addressees · Chief Coroner confirmed non-response

Kristopher Tilbury

Reference 2023-0331DeceasedReport dated 8 Sep 2023Hertfordshire

Addressed to: HMP The Mount; Ministry of Justice

0 responses identified · 2 indexed addressees

Stephen Beadman

Reference 2023-0210Report dated 23 Jun 2023West Yorkshire (Eastern)

Addressed to: HM Prison Wakefield; Ministry of Justice; NHS England

0 responses identified · 3 indexed addressees

Ezra Tamiem

Reference 2022-0220Report dated 19 Jul 2022Bedfordshire and Luton

Addressed to: HMP Bedford; HMPPS

0 responses identified · 2 indexed addressees

Lee Thrumble

Reference 2021-0304Report dated 10 Sep 2021Mid Kent and Medway

Addressed to: Department of Health and Social Care

0 responses identified · 1 indexed addressee

Serena Nicolle

Reference 2021-0212Report dated 22 Jun 2021Surrey

Addressed to: Ministry of Justice

0 responses identified · 1 indexed addressee

Alvin Black

Reference 2021-0130Report dated 30 Apr 2021Cambridgeshire and Peterborough

Addressed to: Minister of State for Prisons and Probation and Cambridge University Hospitals NHS Foundation Trust

0 responses identified · 1 indexed addressee

Brett Marrs

Reference 2020-0179Report dated 23 Sep 2020Lancashire and Blackburn with Darwen

Addressed to: HMP Wymott

0 responses identified · 1 indexed addressee

Carlington Spencer

Reference 2020-0167Report dated 28 Aug 2020Lincolnshire

Addressed to: Morton Hall Immigration Removal Centre; Nottingham Healthcare NHS Foundation Trust

0 responses identified · 2 indexed addressees

Andrew Jones

Reference 2020-0103Report dated 20 Apr 2020Lancashire and Blackburn with Darwin

Addressed to: National Offender Management

0 responses identified · 1 indexed addressee

Daniel Akam

Reference 2019-0461Report dated 10 Dec 2019South Yorkshire (East)

Addressed to: Advisory Panel on Deaths in Custody; HM Inspector of Prisons; HMP Lindholme; National Offender Management Service; Prison Officers Association; The Chief Coroner

0 responses identified · 6 indexed addressees

Gareth Warburton

Reference 2019-0411Report dated 4 Dec 2019Worcestershire

Addressed to: HMP Hewell

0 responses identified · 1 indexed addressee

Darren Williams

Reference 2019-0375Report dated 6 Nov 2019Milton Keynes

Addressed to: HMP Woodhill

0 responses identified · 1 indexed addressee

Harold Uzomechina

Reference 2019-0351Report dated 21 Oct 2019London (West)

Addressed to: HMP Wormwood Scrubs

0 responses identified · 1 indexed addressee

Mark Jarvis

Reference 2019-0304Report dated 19 Sep 2019Suffolk

Addressed to: NHS England; SystemOne TPP Ltd

0 responses identified · 2 indexed addressees

Amir Siman-Tov

Reference 2019-0302Report dated 28 Aug 2019London (West)

Addressed to: CNWL NHS Trust; Hillingdon Hospital NHS Trust; Home Office; Langley Health Centre; Mitie

0 responses identified · 5 indexed addressees

Darren McGuin

Reference 2019-0221Report dated 26 Jun 2019South Yorkshire (East)

Addressed to: MOJ

0 responses identified · 1 indexed addressee

Bernard O’Flynn

Reference 2019-0488Report dated 8 May 2019London Inner (South)

Addressed to: Oxleas NHS Trust

0 responses identified · 1 indexed addressee

Tarek Chowdhury

Reference 2019-0131Report dated 2 Apr 2019London (West)

Addressed to: HM Prison & Probation Service; Home Office; NHS England

0 responses identified · 2 indexed addressees

Meirion James

Reference 2019-0460Report dated 4 Mar 2019Pembrokeshire & Camarthenshire

Addressed to: Dyfed Powys Police; Hywel Dda Health Board; National Police Chief’s Council

0 responses identified · 3 indexed addressees

Christopher Moss

Reference 2019-0066Report dated 26 Feb 2019Staffordshire South

Addressed to: MOJ

0 responses identified · 1 indexed addressee

Andrew Carr

Reference 2019-0038Report dated 31 Jan 2019Birmingham and Solihull

Addressed to: G4S; HM Prisons and Probation; MOJ

0 responses identified · 3 indexed addressees

John Mayhew

Reference 2018-0381Report dated 11 Dec 2018County Durham and Darlington

Addressed to: HM Inspector of Prisons; Independent Advisory Panel on Deaths in Custody; National Offender Management Service

0 responses identified · 3 indexed addressees

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