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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 177 results

PFD Reports

177 results

Michael Pugh

Reference 2025-0378Report dated 25 Jul 2025Kent and Medway

Addressed to: His Majesty’s Prison and Probation Service

1 response identified · 1 indexed addressee

Sheldon Jeans

Reference 2025-0376Report dated 25 Jul 2025Dorset

Addressed to: Department of Health and Social Care; HMP Guys Marsh; HMPPS; Oxleas NHS Foundation Trust

4 responses identified · 4 indexed addressees

Gavin Wheale

Reference 2025-0350Report dated 10 Jul 2025Birmingham and Solihull

Addressed to: HM Prison & Probation Service

1 response identified · 1 indexed addressee

Colin Lovett

Reference 2025-0265Report dated 30 May 2025Dorset

Addressed to: Department of Health and Social Care; HMPPS

2 responses identified · 2 indexed addressees

Sarah Boyle

Reference 2025-0211Report dated 2 May 2025Cheshire

Addressed to: HMP Styal; HMPPS; Prisons, Probation and Reducing Reoffending; Ministry of Justice

1 response identified · 4 indexed addressees

Sean Higgins

Reference 2025-0133Report dated 11 Mar 2025Mid Kent and Medway

Addressed to: HMP Rochester

1 response identified · 1 indexed addressee

Isaiah Olugosi

Reference 2025-0106Report dated 24 Feb 2025West London

Addressed to: HMP Wormwood Scrubs

1 response identified · 1 indexed addressee

Anthony Binfield, David Richards and Rolandas Karbauskas

Reference 2025-0079Report dated 7 Feb 2025Nottingham City and Nottinghamshire

Addressed to: HMPPS; NHS England; Nottinghamshire Healthcare NHS Foundation Trust; Serco; Sodexo

5 responses identified · 5 indexed addressees

William Bissett

Reference 2025-0046Report dated 27 Jan 2025Liverpool and Wirral

Addressed to: HMPPS; HMP Wymott

2 responses identified · 2 indexed addressees

Nathan Shepherd

Reference 2025-0038Report dated 22 Jan 2025Manchester South

Addressed to: Ministry of Justice

1 response identified · 1 indexed addressee

Paul Gobell

Reference 2025-0047Report dated 3 Dec 2024Nottingham City and Nottinghamshire

Addressed to: HM Inspectorate of Prisons; Ministry of Justice

2 responses identified · 2 indexed addressees

Jonathon Lawlor

Reference 2024-0667Report dated 25 Nov 2024Mid Kent and Medway

Addressed to: HM Prison and Probation Service

1 response identified · 1 indexed addressee

Wayne Bayley

Reference 2024-0605Report dated 31 Oct 2024Inner North London

Addressed to: Ministry of Justice; NHS England

2 responses identified · 2 indexed addressees

Frank Ospina

Reference 2025-0338Report dated 25 Oct 2024West London

Addressed to: Home Office; Mitie; NHS England

3 responses identified · 3 indexed addressees

George Kyriacos Petrou

Reference 2024-0592Report dated 25 Oct 2024Inner North London

Addressed to: Barnet, Enfield and Haringey Mental Health NHS Trust

1 response identified · 1 indexed addressee

Mark Beresford

Reference 2024-0577Report dated 25 Oct 2024Nottingham City and Nottinghamshire

Addressed to: HMP Ranby

1 response identified · 1 indexed addressee

Stephen Sleaford

Reference 2024-0550Report dated 14 Oct 2024Leicester City and South Leicestershire

Addressed to: HM Prison and Probation Service; Ministry of Justice

1 response identified · 1 indexed addressee · Chief Coroner confirmed non-response

Oliver Davies

Reference 2024-0541Report dated 11 Oct 2024Worcestershire

Addressed to: Midlands Partnership NHS Foundation Trust

1 response identified · 1 indexed addressee

John Eyre

Reference 2024-0534Report dated 7 Oct 2024Mid Kent and Medway

Addressed to: Department of Health and Social Care

1 response identified · 1 indexed addressee

Brandon Johnson

Reference 2024-0523Report dated 1 Oct 2024Inner West London

Addressed to: HMP Wandsworth

1 response identified · 1 indexed addressee

Kevin McDonnell

Reference 2024-0433Report dated 7 Aug 2024Nottingham City and Nottinghamshire

Addressed to: HM Prison and Probation Service

1 response identified · 1 indexed addressee

Benjamin Harrison

Reference 2024-0394Report dated 19 Jul 2024Mid Kent & Medway

Addressed to: HMP Rochester; Oxleas NHS Foundation Trust

2 responses identified · 2 indexed addressees

Yasmin Adams

Reference 2024-0330Report dated 20 Jun 2024Derby and Derbyshire

Addressed to: Ministry of Justice

1 response identified · 1 indexed addressee

Paul Day

Reference 2024-0274Report dated 10 May 2024Derby and Derbyshire

Addressed to: Ministry of Justice

1 response identified · 1 indexed addressee

Mohammed Azizi

Reference 2024-0235Report dated 1 May 2024Norfolk

Addressed to: HMP Norwich

1 response identified · 1 indexed addressee

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