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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

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

Kirsten Hocking

Reference 2024-0617Report dated 11 Nov 2024West Sussex, Brighton & Hove

Addressed to: HMPPS; Probation Service; Steps2Recovery

2 responses identified · 3 indexed addressees

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

Ian Deavall

Reference 2024-0485Report dated 9 Sep 2024Greater Manchester West

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

1 response identified · 2 indexed addressees

Amanda Richardson

Reference 2024-0484Report dated 9 Sep 2024West Yorkshire (East)

Addressed to: In Mind Healthcare Group Ltd; Waterloo Manor Hospital

1 response identified · 2 indexed addressees

Craig Steadman

Reference 2024-0442Report dated 12 Aug 2024Hampshire, Portsmouth and Southampton

Addressed to: Chief Coroners Office; HMP Winchester; Practice Plus Group

1 response identified · 3 indexed addressees

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

Matthew Braben

Reference 2024-0423Report dated 1 Aug 2024West London

Addressed to: His Majesty’s Prison and Probation Service; Ministry of Justice

0 responses identified · 2 indexed addressees · Chief Coroner confirmed non-response

Russell Irvine

Reference 2024-0393Report dated 22 Jul 2024Durham & Darlington

Addressed to: Addressees are not yet indexed.

1 response identified · 0 indexed addressees

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

Yuri Hatton

Reference 2024-0608Report dated 11 Jun 2024Inner West London

Addressed to: HMPPS; HMP Wandsworth

0 responses identified · 2 indexed addressees · Chief Coroner confirmed non-response

Daniel Beckford

Reference 2024-0607Report dated 11 Jun 2024Inner West London

Addressed to: HMPPS; HMP Wandsworth

0 responses identified · 2 indexed addressees · Chief Coroner confirmed non-response

Frazer Williams

Reference 2024-0294Report dated 31 May 2024Dorset

Addressed to: Department of Health and Social Care; HMP Guys Marsh; HM Prisons and Probation Service; NHS England; Unilink Software Ltd

4 responses identified · 5 indexed addressees

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

Marlin Burrows

Reference 2024-0230Report dated 30 Apr 2024Liverpool and Wirral

Addressed to: HMP Garth

2 responses identified · 1 indexed addressee

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