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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).

357 results

PFD Reports

357 results

Margaret Atkinson

Reference 2017-0021Report dated 30 Jan 2017County Durham and Darlington

Addressed to: G4S; National Offender Management Service; Tees, Esk and Wear Valley NHS Trust

1 response identified · 3 indexed addressees

Mark Lilliott

Reference 2016-0453Report dated 16 Dec 2016Liverpool and Wirral

Addressed to: HMP Liverpool

0 responses identified · 1 indexed addressee

Simon Turvey

Reference 2016-0480Report dated 13 Dec 2016Milton Keynes

Addressed to: National Offender Management Service; Prison and Probation Ombudsman

0 responses identified · 1 indexed addressee

Tedros Kahssay

Reference 2016-0437Report dated 6 Dec 2016London Inner (North)

Addressed to: Care UK; HMP Pentonville; National Offender Management Service

1 response identified · 3 indexed addressees

Matthew Russell

Reference 2016-0430Report dated 27 Nov 2016Surrey

Addressed to: Central and North West London NHS Trust; HMP High Down; Ministry of Justice

1 response identified · 3 indexed addressees

Richard Walsh

Reference 2016-0377Report dated 25 Oct 2016London Inner (South)

Addressed to: DAC Beachcroft LLP; Department of Health and Social Care; Hampshire County Council; Home Office; Ministry of Justice; Virgin Health Care Limited

4 responses identified · 6 indexed addressees

Michelle Barnes

Report dated 24 Oct 2016County Durham and Darlington

Addressed to: NOMS, Prison Service, Equality Rights and Decency Group

0 responses identified · 1 indexed addressee

Roy Hoey

Reference 2016-0360Report dated 13 Oct 2016Liverpool and Wirral

Addressed to: National Offender Management Service

1 response identified · 1 indexed addressee

Wayne Cornlouer

Reference 2016-0356Report dated 12 Oct 2016Dorset

Addressed to: HMP Portland

1 response identified · 1 indexed addressee

Calam Atour

Reference 2016-0461Report dated 12 Oct 2016Wiltshire and Swindon

Addressed to: National Offender Management Service

0 responses identified · 1 indexed addressee

Haydn Burton

Reference 2016-0346Report dated 4 Oct 2016Hampshire (Central)

Addressed to: HM Prison Service; Samaritans

1 response identified · 2 indexed addressees

Liam Lambert

Reference 2016-0335Report dated 20 Sep 2016Leicester City and Leicestershire South

Addressed to: HMP YOI Glen Parva; Secretary of State for Justice; National Offender Management Service

1 response identified · 3 indexed addressees

Warren Sampson

Reference 2016-0320Report dated 6 Sep 2016Essex

Addressed to: Care UK; Family Solicitors; HMP

1 response identified · 3 indexed addressees

Peter Lawrence

Reference 2016-0314Report dated 30 Aug 2016Cambridgeshire and Peterborough

Addressed to: National Offender Management Service

0 responses identified · 1 indexed addressee

Stephen St Clair

Reference 2016-wp25358Report dated 12 Aug 2016Isle of Wight

Addressed to: Ministry of Justice; National Offender Management Service

0 responses identified · 2 indexed addressees

Thomas Jordan

Report dated 10 Aug 2016West Yorkshire (East)

Addressed to: Her Majesty's Prison, Leeds; The Leeds Teaching Hospitals NHS Trust

0 responses identified · 2 indexed addressees

Thomas Jordan

Reference 2016-0287Report dated 10 Aug 2016Yorkshire West (East)

Addressed to: Head of Healthcare, HMP Leeds; Medical Director, Leeds Teaching Hospitals, NHS Trust

1 response identified · 2 indexed addressees

Terence Adams

Reference 2016-wp25340Report dated 26 Jul 2016London Inner (North)

Addressed to: Care UK; HMP Pentonville

1 response identified · 2 indexed addressees

Olawale Adelusi

Report dated 22 Jul 2016London (West)

Addressed to: METROPOLITAN POLICE SERVICE

0 responses identified · 1 indexed addressee

Michael Williams

Reference 2016-0245Report dated 11 Jul 2016Leicester City and Leicestershire South

Addressed to: HMP Leicester

1 response identified · 1 indexed addressee

John Betteridge

Reference 2016-0238Report dated 30 Jun 2016County Durham and Darlington

Addressed to: G4S; National Offender Management Service; NHS England; Spectrum Community Health

0 responses identified · 4 indexed addressees

Beverley Devanney

Reference 2016-0485Report dated 24 Jun 2016West Yorkshire (West)

Addressed to: West Yorkshire Police

0 responses identified · 1 indexed addressee

Anthony Fraser

Reference 2016-0225Report dated 8 Jun 2016South Yorkshire (East)

Addressed to: HMP Lindholme

1 response identified · 1 indexed addressee

Steven Trudgill

Reference 2016-0210Report dated 6 Jun 2016Suffolk

Addressed to: Ministry of Justice

0 responses identified · 1 indexed addressee

Adetokunbo Ajakaiye

Reference 2016-0209Report dated 27 May 2016South Yorkshire (East)

Addressed to: Ministry of Justice; NHS England

0 responses identified · 2 indexed addressees

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