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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

Darren Docherty

Reference 2024-0197Report dated 14 Apr 2024Staffordshire and Stoke on Trent

Addressed to: HMP Stoke Health; Local Authority for Stoke on Trent

1 response identified · 2 indexed addressees · Chief Coroner confirmed non-response

Alan Davies

Reference 2024-0160Report dated 21 Mar 2024South Wales Central

Addressed to: Cardiff and Vale University Health Board; HMP Cardiff; Ministry for Justice; Swansea Bay University Health Board

3 responses identified · 4 indexed addressees

Matthew Price

Reference 2024-0102Report dated 22 Feb 2024West Yorkshire (Eastern)

Addressed to: Ministry of Justice

1 response identified · 1 indexed addressee

Mark Pryor

Reference 2024-0063Report dated 6 Feb 2024Derby and Derbyshire

Addressed to: Department of Health and Social Care; HCRG Care Services Ltd; Ministry of Justice

2 responses identified · 3 indexed addressees · Chief Coroner confirmed non-response

Abdullah Popalzai

Reference 2024-0066Report dated 5 Feb 2024Inner North London

Addressed to: NHS England

1 response identified · 1 indexed addressee

Kane Boyce

Reference 2024-0034Report dated 17 Jan 2024Nottingham and Nottinghamshire

Addressed to: HM Prison and Probation Service; Sodexo

2 responses identified · 2 indexed addressees

Trevor Monerville

Reference 2024-0025Report dated 16 Jan 2024East Sussex

Addressed to: HM Prison and Probation Service; Practice Plus Group

2 responses identified · 2 indexed addressees

Stephen Coster

Reference 2024-0146Report dated 4 Jan 2024East Sussex

Addressed to: HM Prison and Probation Service

1 response identified · 1 indexed addressee

Wyndham Thomas

Reference 2023-0547Report dated 21 Dec 2023Nottingham City and Nottinghamshire

Addressed to: HM Prison and Probation Services

1 response identified · 1 indexed addressee

Samuel Jones

Reference 2023-0499Report dated 5 Dec 2023Dorset

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

3 responses identified · 3 indexed addressees

John Singleton

Reference 2024-0126Report dated 16 Nov 2023Cheshire

Addressed to: NHS England

1 response identified · 1 indexed addressee

John Pace

Reference 2023-0447Report dated 13 Nov 2023Essex

Addressed to: Castle Rock Group; Forward Trust

1 response identified · 2 indexed addressees

Jonathan McCarthy

Reference 2023-0402Report dated 24 Oct 2023Northampton

Addressed to: Ministry of Justice; NHS England; Practice Plus Group; Serco

1 response identified · 4 indexed addressees

Manoel Santos

Reference 2023-0361Report dated 3 Oct 2023Inner South London

Addressed to: HMP Belmarsh; HM Prison and Probation Service; Home Office; Ministry of Justice; Practice Plus Group

3 responses identified · 5 indexed addressees

Stewart Stanley

Reference 2023-0341Report dated 19 Sep 2023Exeter and Greater Devon

Addressed to: Exeter Prison

1 response identified · 1 indexed addressee

Amarjit Singh

Reference 2023-0342Report dated 18 Sep 2023Inner North London

Addressed to: HM Prison Pentonville; Practice Plus Group

2 responses identified · 2 indexed addressees

Kristopher Tilbury

Reference 2023-0331DeceasedReport dated 8 Sep 2023Hertfordshire

Addressed to: HMP The Mount; Ministry of Justice

0 responses identified · 2 indexed addressees

Haik Nikolyan

Reference 2023-0340Report dated 15 Aug 2023Buckinghamshire

Addressed to: Prison and Probation Service

1 response identified · 1 indexed addressee

Stephen Weatherley

Reference 2023-0269Report dated 20 Jul 2023Inner South London

Addressed to: HM Inspectorate of Prisons; HM Prison and Probation Service; HMP Thameside; Ministry of Justice

4 responses identified · 4 indexed addressees

Sean Heeney

Reference 2023-0250DeceasedReport dated 14 Jul 2023Northamptonshire

Addressed to: HM Prison and Probation Service

1 response identified · 1 indexed addressee

Christopher Smith

Reference 2023-0420Report dated 7 Jul 2023Nottingham City and Nottinghamshire

Addressed to: Nottinghamshire Healthcare NHS Foundation Trust

1 response identified · 1 indexed addressee

Liam Bentley

Reference 2023-0227Report dated 3 Jul 2023Mid Kent and Medway

Addressed to: HM Prison and Probation Services

1 response identified · 1 indexed addressee

Stephen Beadman

Reference 2023-0210Report dated 23 Jun 2023West Yorkshire (Eastern)

Addressed to: HM Prison Wakefield; Ministry of Justice; NHS England

0 responses identified · 3 indexed addressees

Matthew Harris

Reference 2023-0299Report dated 21 Jun 2023Worcestershire

Addressed to: Dyfed-Powys Police

2 responses identified · 1 indexed addressee

Anthony Smith

Reference 2023-0187Report dated 7 Jun 2023Lancashire and Blackburn with Darwen

Addressed to: HM Prison and Probation Service

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