PFD · Category
State Custody related deaths
357 reports
57 areas
Earliest: Aug 2013
Latest: 8 Apr 2026
76% response rate (above 63% average). 59% of classified responses show concrete action taken. Reports rose 40% from 25 (2023) to 35 (2024).
AI Classification
Action Taken
59%
Action Planned
27%
Noted
13%
Disputed
1%
PFD Reports
| Ref | Deceased | Date | Coroner area | Addressees | Responses identified |
|---|---|---|---|---|---|
| 2017-0021 | Margaret Atkinson | 30 Jan 2017 | County Durham and Darlington | G4S National Offender Management … +1 | 1/3 |
| 2016-0453 | Mark Lilliott | 16 Dec 2016 | Liverpool and Wirral | HMP Liverpool | 0/1 |
| 2016-0480 | Simon Turvey | 13 Dec 2016 | Milton Keynes | National Offender Management … Prison and Probation Ombudsman | 0/2 |
| 2016-0437 | Tedros Kahssay | 6 Dec 2016 | London Inner (North) | Care UK HMP Pentonville +1 | 1/3 |
| 2016-0430 | Matthew Russell | 27 Nov 2016 | Surrey | Central and North West London… HMP High Down +1 | 1/3 |
| 2016-0377 | Richard Walsh | 25 Oct 2016 | London Inner (South) | DAC Beachcroft LLP Department of Health and Soci… +4 | 4/6 |
| — | Michelle Barnes | 24 Oct 2016 | County Durham and Darlington | NOMS, Prison Service, Equalit… | 0/1 |
| 2016-0360 | Roy Hoey | 13 Oct 2016 | Liverpool and Wirral | National Offender Management … | 1/1 |
| 2016-0356 | Wayne Cornlouer | 12 Oct 2016 | Dorset | HMP Portland | 1/1 |
| 2016-0461 | Calam Atour | 12 Oct 2016 | Wiltshire and Swindon | National Offender Management … | 0/1 |
| 2016-0346 | Haydn Burton | 4 Oct 2016 | Hampshire (Central) | HM Prison Service Samaritans | 1/2 |
| 2016-0335 | Liam Lambert | 20 Sep 2016 | Leicester City and Leicestershire South | HMP YOI Glen Parva Secretary of State for Justice +1 | 1/3 |
| 2016-0320 | Warren Sampson | 6 Sep 2016 | Essex | Care UK Family Solicitors +1 | 1/3 |
| 2016-0314 | Peter Lawrence | 30 Aug 2016 | Cambridgeshire and Peterborough | National Offender Management … | 0/1 |
| 2016-wp25358 | Stephen St Clair | 12 Aug 2016 | Isle of Wight | Ministry of Justice National Offender Management … | 0/2 |
| — | Thomas Jordan | 10 Aug 2016 | West Yorkshire (East) | Her Majesty's Prison, Leeds The Leeds Teaching Hospitals … | 0/2 |
| 2016-0287 | Thomas Jordan | 10 Aug 2016 | Yorkshire West (East) | Head of Healthcare, HMP Leeds Medical Director, Leeds Teach… | 1/2 |
| 2016-wp25340 | Terence Adams | 26 Jul 2016 | London Inner (North) | Care UK HMP Pentonville | 1/2 |
| — | Olawale Adelusi | 22 Jul 2016 | London (West) | METROPOLITAN POLICE SERVICE | 0/1 |
| 2016-0245 | Michael Williams | 11 Jul 2016 | Leicester City and Leicestershire South | HMP Leicester | 1/1 |
| 2016-0238 | John Betteridge | 30 Jun 2016 | County Durham and Darlington | G4S National Offender Management … +2 | 0/4 |
| 2016-0485 | Beverley Devanney | 24 Jun 2016 | West Yorkshire (West) | West Yorkshire Police | 0/1 |
| 2016-0225 | Anthony Fraser | 8 Jun 2016 | South Yorkshire (East) | HMP Lindholme | 1/1 |
| 2016-0210 | Steven Trudgill | 6 Jun 2016 | Suffolk | Ministry of Justice | 0/1 |
| 2016-0209 | Adetokunbo Ajakaiye | 27 May 2016 | South Yorkshire (East) | Ministry of Justice NHS England | 0/2 |