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 |
|---|---|---|---|---|---|
| 2016-0200 | Ian Brown | 26 May 2016 | Milton Keynes | HMP Woodhill Minister for Prisons | 1/2 |
| 2016-0189 | Sheldon Woodford | 16 May 2016 | Hampshire Central | HMP Winchester | 0/1 |
| 2016-0224 | Ronnie Olliffe | 15 May 2016 | Mid Kent and Medway | HMP Rochester | 1/1 |
| 2016-0173 | Ahmedreza Fathi | 5 May 2016 | Leicester City and Leicestershire South | Leicestershire Partnership NH… Northamptonshire Healthcare N… +2 | 2/4 |
| 2016-0179 | Shalane Blackwood | 3 May 2016 | Nottinghamshire | HMP Nottingham National Offender Management … +2 | 0/4 |
| 2016-0153 | Derrick Rose-Fowler | 21 Apr 2016 | Shropshire, Telford and Wrekin | HMP Stoke Heath Ministry of Justice | 0/2 |
| 2016-0148 | Luke Ayres | 15 Apr 2016 | Birmingham and Solihull | Birmingham and Solihull Menta… | 1/1 |
| 2016-0109 | Steven May | 16 Mar 2016 | Nottinghamshire | NHS England HMP Ranby +6 | 2/8 |
| — | Lee Rushton | 19 Jan 2016 | Liverpool and Wirral | 102 Petty France SW1H 9AJ +1 | 0/3 |
| 2015-0446 | Imran Douglas | 29 Dec 2015 | London Inner (South) | General Medical Council London Borough of Tower Hamle… +1 | 1/3 |
| 2015-0502 | Derek Thomas | 15 Dec 2015 | County Durham and Darlington | CARE UK G4S +3 | 4/5 |
| — | Daniel Byrne | 14 Dec 2015 | Milton Keynes | Ms Claire Murdoch, Chief Exec… Northwest London NHS Trust | 0/2 |
| 2015-0486 | Dean Boland | 25 Nov 2015 | Birmingham and Solihull | Birmingham Community Healthca… Birmingham Prison +1 | 1/3 |
| 2015-0467 | Thomas Black | 24 Nov 2015 | Gwent | HMP Usk | 0/1 |
| 2015-0456 | Richard Green | 2 Nov 2015 | Cumbria | Ministry of Justice National Offender Management … | 1/2 |
| 2015-0453 | Kevin Forster | 28 Oct 2015 | County Durham and Darlington | G4S National Offender Management … | 2/2 |
| 2015-0447 | Carl Foot | 26 Oct 2015 | London Inner (North) | HMP Pentonville | 0/1 |
| 2015-0454 | Samuel Gale | 23 Oct 2015 | South Yorkshire (East) | HMP and YOI Doncaster | 2/1 |
| 2015-0382 | Liam Smith | 18 Sep 2015 | Worcestershire | Governor HMP Hewell Worcestershire Health and Car… | 1/2 |
| 2015-0380 | Adil Habib | 16 Sep 2015 | London Inner (North) | HMP Pentonville London Ambulance Service NHS … +1 | 2/3 |
| — | Ian Emsley | 8 Sep 2015 | Exeter and Great Devon | HMP Exeter HMP Portland | 0/2 |
| — | Andrew Frere | 8 Sep 2015 | South Yorkshire (East) | Equalities, Rights and Decenc… | 0/1 |
| — | Craig Chappell | 8 Sep 2015 | East Riding and Kingston Upon-Hull | HMP HUMBER (EVERTHORPE SITE) | 0/1 |
| 2015-0308 | Rubel Ahmed | 5 Aug 2015 | Lincolnshire (Central) | Home Office Ministry of Justice | 1/2 |
| 2015-0298 | Carl Smith | 24 Jul 2015 | Exeter and Greater Devon | Dorset Health Care University… HMP Exeter | 1/2 |