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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

Justin Gallagher

Reference 2019-0491Report dated 16 Aug 2019East Sussex

Addressed to: Department of Health and Social Care; MOJ; NHS England

3 responses identified · 3 indexed addressees

Martin Haines

Reference 2019-0486Report dated 16 Aug 2019East Sussex

Addressed to: Department of Health and Social Care; HM Prisons and Probation Service; NHS England

3 responses identified · 3 indexed addressees

William Vickers

Reference 2019-0255Report dated 26 Jul 2019Milton Keynes

Addressed to: HMP Woodhill; South Central Ambulance Services

2 responses identified · 1 indexed addressee

Marcus McGuire

Reference 2019-0209Report dated 23 Jun 2019Birmingham and Solihull

Addressed to: HMP Birmingham, MOJ, G45

2 responses identified · 1 indexed addressee

Ryan Trimmer

Reference 2019-0215Report dated 21 Jun 2019East Sussex

Addressed to: HMP Lewes; HM Prison and Probation Service

1 response identified · 1 indexed addressee

John Wright

Reference 2019-0175Report dated 21 Mar 2019Oxfordshire

Addressed to: Healthcare Care UK; HM Prison and Probation Service

2 responses identified · 2 indexed addressees

Matthew Hamilton

Reference 2019-0050Report dated 14 Feb 2019County Durham and Darlington

Addressed to: HMP Durham

1 response identified · 1 indexed addressee

Branko Zdravkovic

Reference 2019-0047Report dated 13 Feb 2019Dorset

Addressed to: Home Office

1 response identified · 1 indexed addressee

Nicky Reilly

Reference 2019-0014Report dated 4 Jan 2019Manchester (North)

Addressed to: Greater Manchester Mental Health & Social Care Trust; HM Prisons and Probation Service

2 responses identified · 2 indexed addressees

Nicola Lawrence

Reference 2018-0318Report dated 23 Oct 2018West Yorkshire (East)

Addressed to: National Offender Management Service

1 response identified · 1 indexed addressee

Dean Barrell

Report dated 11 Oct 2018East Sussex

Addressed to: Prison and Probation Service

1 response identified · 1 indexed addressee

Stephen Tidey

Reference 2018-0140Report dated 8 May 2018Surrey

Addressed to: Surrey & Borders Partnership NHS Trust; Surrey County Council; Surrey Police

2 responses identified · 3 indexed addressees

Paul James

Reference 2018-0254Report dated 27 Apr 2018Mid Kent & Medway

Addressed to: HMP Elmley; THE SECRETARY OF STATE FOR JUSTICE

1 response identified · 1 indexed addressee

John Chapman

Reference 2018-0007Report dated 11 Jan 2018Lancashire

Addressed to: HMP Wymott

2 responses identified · 1 indexed addressee

John O’Meara

Reference 2018-0012Report dated 10 Jan 2018London (West)

Addressed to: HMP Wormwood Scrubs

1 response identified · 1 indexed addressee

Jason Basalat

Reference 2017-0423Report dated 27 Nov 2017Milton Keynes

Addressed to: HM Courts and Tribunals Service; Northamptonshire Police

2 responses identified · 2 indexed addressees

Sam Molyneux

Reference 2017-0340Report dated 13 Sep 2017Liverpool & Wirral

Addressed to: HM Prison & Probation Service

1 response identified · 1 indexed addressee

Sean Plumstead

Reference 2017-0316Report dated 9 Aug 2017Hampshire (Central)

Addressed to: Carillion; HM Prison and Probation Services; HM Prison Winchester

3 responses identified · 3 indexed addressees

Edwin O’Donnell

Reference 2017-0258Report dated 13 Jul 2017Liverpool & Wirral

Addressed to: HM Prison and Probation Services

1 response identified · 1 indexed addressee

Jack Portland

Reference 2017-0049Report dated 21 Feb 2017Buckinghamshire

Addressed to: Central and North West Hospital NHS Trust; HMP Woodhill; Oxford Health NHS Trust

2 responses identified · 2 indexed addressees

Richard Walsh

Reference 2016-0377Report dated 25 Oct 2016London Inner (South)

Addressed to: DAC Beachcroft LLP; Department of Health and Social Care; Hampshire County Council; Home Office; Ministry of Justice; Virgin Health Care Limited

4 responses identified · 6 indexed addressees

Roy Hoey

Reference 2016-0360Report dated 13 Oct 2016Liverpool and Wirral

Addressed to: National Offender Management Service

1 response identified · 1 indexed addressee

Wayne Cornlouer

Reference 2016-0356Report dated 12 Oct 2016Dorset

Addressed to: HMP Portland

1 response identified · 1 indexed addressee

Michael Williams

Reference 2016-0245Report dated 11 Jul 2016Leicester City and Leicestershire South

Addressed to: HMP Leicester

1 response identified · 1 indexed addressee

Anthony Fraser

Reference 2016-0225Report dated 8 Jun 2016South Yorkshire (East)

Addressed to: HMP Lindholme

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