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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

Ian Brown

Reference 2016-0200Report dated 26 May 2016Milton Keynes

Addressed to: HMP Woodhill; Minister for Prisons

1 response identified · 2 indexed addressees

Sheldon Woodford

Reference 2016-0189Report dated 16 May 2016Hampshire Central

Addressed to: HMP Winchester

0 responses identified · 1 indexed addressee

Ronnie Olliffe

Reference 2016-0224Report dated 15 May 2016Mid Kent and Medway

Addressed to: HMP Rochester

1 response identified · 1 indexed addressee

Ahmedreza Fathi

Reference 2016-0173Report dated 5 May 2016Leicester City and Leicestershire South

Addressed to: Leicestershire Partnership NHS Trust; Northamptonshire Healthcare NHS Foundation Trust; East Midlands Ambulance Service NHS Trust; HMP Gartree

2 responses identified · 2 indexed addressees

Shalane Blackwood

Reference 2016-0179Report dated 3 May 2016Nottinghamshire

Addressed to: HMP Nottingham; National Offender Management Service; NHS England; Nottingham Healthcare NHS Trust

0 responses identified · 4 indexed addressees

Derrick Rose-Fowler

Reference 2016-0153Report dated 21 Apr 2016Shropshire, Telford and Wrekin

Addressed to: HMP Stoke Heath; Ministry of Justice

0 responses identified · 2 indexed addressees

Luke Ayres

Reference 2016-0148Report dated 15 Apr 2016Birmingham and Solihull

Addressed to: Birmingham and Solihull Mental Health NHS Foundation Trust

1 response identified · 1 indexed addressee

Steven May

Reference 2016-0109Report dated 16 Mar 2016Nottinghamshire

Addressed to: NHS England; HMP Ranby; National Offender Management Service; Nottinghamshire Healthcare NHS Foundation Trust; The Care Quality Commission; The Prisons and Probation Ombudsman; Secretary of State for Health; Secretary of State for Justice

2 responses identified · 8 indexed addressees

Lee Rushton

Report dated 19 Jan 2016Liverpool and Wirral

Addressed to: 102 Petty France; SW1H 9AJ; The Secretary of State for Justice

1 response identified · 3 indexed addressees

Imran Douglas

Reference 2015-0446Report dated 29 Dec 2015London Inner (South)

Addressed to: General Medical Council; London Borough of Tower Hamlets; National Offender Management Service

1 response identified · 3 indexed addressees

Derek Thomas

Reference 2015-0502Report dated 15 Dec 2015County Durham and Darlington

Addressed to: CARE UK; G4S; GEOAmey; HMP Durham; National Offender Management Service

4 responses identified · 5 indexed addressees

Daniel Byrne

Report dated 14 Dec 2015Milton Keynes

Addressed to: Ms Claire Murdoch, Chief Executive, Central and; Northwest London NHS Trust

2 responses identified · 2 indexed addressees

Dean Boland

Reference 2015-0486Report dated 25 Nov 2015Birmingham and Solihull

Addressed to: Birmingham Community Healthcare NHS Trust; Birmingham Prison; National Offender Management Service

1 response identified · 3 indexed addressees

Thomas Black

Reference 2015-0467Report dated 24 Nov 2015Gwent

Addressed to: HMP Usk

0 responses identified · 1 indexed addressee

Richard Green

Reference 2015-0456Report dated 2 Nov 2015Cumbria

Addressed to: Ministry of Justice; National Offender Management Service

1 response identified · 2 indexed addressees

Kevin Forster

Reference 2015-0453Report dated 28 Oct 2015County Durham and Darlington

Addressed to: G4S; National Offender Management Service

2 responses identified · 2 indexed addressees

Carl Foot

Reference 2015-0447Report dated 26 Oct 2015London Inner (North)

Addressed to: HMP Pentonville

0 responses identified · 1 indexed addressee

Samuel Gale

Reference 2015-0454Report dated 23 Oct 2015South Yorkshire (East)

Addressed to: HMP and YOI Doncaster

2 responses identified · 1 indexed addressee

Liam Smith

Reference 2015-0382Report dated 18 Sep 2015Worcestershire

Addressed to: Governor HMP Hewell; Worcestershire Health and Care Trust

1 response identified · 2 indexed addressees

Adil  Habib

Reference 2015-0380Report dated 16 Sep 2015London Inner (North)

Addressed to: HMP Pentonville; London Ambulance Service NHS Trust; National Offender Management Service

2 responses identified · 2 indexed addressees

Ian Emsley

Report dated 8 Sep 2015Exeter and Great Devon

Addressed to: HMP Exeter; HMP Portland

0 responses identified · 2 indexed addressees

Andrew Frere

Report dated 8 Sep 2015South Yorkshire (East)

Addressed to: Equalities, Rights and Decency Group, The Ministry Of Justice

0 responses identified · 1 indexed addressee

Craig Chappell

Report dated 8 Sep 2015East Riding and Kingston Upon-Hull

Addressed to: HMP HUMBER (EVERTHORPE SITE)

0 responses identified · 1 indexed addressee

Rubel Ahmed

Reference 2015-0308Report dated 5 Aug 2015Lincolnshire (Central)

Addressed to: Home Office; Ministry of Justice

1 response identified · 2 indexed addressees

Carl Smith

Reference 2015-0298Report dated 24 Jul 2015Exeter and Greater Devon

Addressed to: Dorset Health Care University NHS Foundation Trust; HMP Exeter

1 response identified · 2 indexed addressees

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