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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

Corin Bonaparte

Reference 2021-0143Report dated 7 May 2021Exeter and Greater Devon

Addressed to: HMP Dartmoor

1 response identified · 1 indexed addressee

Richard Ormond

Reference 2021-0139Report dated 5 May 2021Worcestershire

Addressed to: HMP Long Lartin

2 responses identified · 1 indexed addressee

Alvin Black

Reference 2021-0130Report dated 30 Apr 2021Cambridgeshire and Peterborough

Addressed to: Minister of State for Prisons and Probation and Cambridge University Hospitals NHS Foundation Trust

0 responses identified · 1 indexed addressee

Darren Adams

Reference 2021-0125Report dated 29 Apr 2021South Yorkshire (East)

Addressed to: Practice Plus Group and Resuscitation Council UK

2 responses identified · 1 indexed addressee

Guy Paget

Reference 2021-0118Report dated 23 Apr 2021West Yorkshire (East)

Addressed to: HMP Leeds

1 response identified · 1 indexed addressee

Michael Dent-Jones

Reference 2021-0041Report dated 12 Feb 2021Surrey

Addressed to: HMPS

1 response identified · 1 indexed addressee

Michael Dobson

Reference 2021-0035Report dated 11 Feb 2021Staffordshire South

Addressed to: HMP Dovegate

1 response identified · 1 indexed addressee

Jason O’Rourke

Reference 2021-0032Report dated 10 Feb 2021Inner South London

Addressed to: HMP Belmarsh and HMPS

1 response identified · 1 indexed addressee

Lee Davies

Reference 2020-0261Report dated 9 Oct 2020Shropshire, Telford & Wrekin

Addressed to: Midlands Partnership NHS Foundation Trust

1 response identified · 1 indexed addressee

Wesley Rowlands

Reference 2020-0195Report dated 5 Oct 2020Lancashire and Blackburn with Darwen

Addressed to: HMP Garth

1 response identified · 1 indexed addressee

Brett Marrs

Reference 2020-0179Report dated 23 Sep 2020Lancashire and Blackburn with Darwen

Addressed to: HMP Wymott

0 responses identified · 1 indexed addressee

Carlington Spencer

Reference 2020-0167Report dated 28 Aug 2020Lincolnshire

Addressed to: Morton Hall Immigration Removal Centre; Nottingham Healthcare NHS Foundation Trust

0 responses identified · 2 indexed addressees

Prince Fosu

Reference 2020-0148Report dated 6 Jul 2020West London

Addressed to: Central & North West London NHS Foundation Trust; Independent Monitoring Board

2 responses identified · 2 indexed addressees

Dean George

Reference 2020-0104Report dated 24 Apr 2020Swansea and Neath Port Talbot

Addressed to: Department of Health and Social Care; Minister for Health; Welsh Assembly

1 response identified · 3 indexed addressees

Andrew Jones

Reference 2020-0103Report dated 20 Apr 2020Lancashire and Blackburn with Darwin

Addressed to: National Offender Management

0 responses identified · 1 indexed addressee

Lewis Francis

Reference 2020-0074Report dated 23 Mar 2020Exeter and Greater Devon

Addressed to: Avon and Somerset Police; Cornwall Partnership NHS Foundation Trust; Cygnet Healthcare; Devon and Cornwall Police; Devon Partnership NHS Trust; Elysium Healthcare; Gloucestershire Police; Livewell Southwest; Prison and Probation service; Somerset Partnership NHS Foundation Trust; Wiltshire Police

2 responses identified · 11 indexed addressees

Ian Weeks

Reference 2020-0064Report dated 12 Mar 2020South Wales Central

Addressed to: Cardiff and Vale NHS Trust

1 response identified · 1 indexed addressee

Robert Brown

Reference 2020-0065Report dated 9 Mar 2020Staffordshire (south)

Addressed to: National Offender Management Service

1 response identified · 1 indexed addressee

Carl Newman

Reference 2020-0056Report dated 6 Mar 2020Liverpool and the Wirral

Addressed to: HMPPS

1 response identified · 1 indexed addressee

Andrew Goldstraw

Reference 2020-0041Report dated 21 Feb 2020Hampshire (Central)

Addressed to: Central and North West London NHS Foundation Trust; Government legal department; HM Prison; NHS

1 response identified · 4 indexed addressees

Marlon Watson

Reference 2020-0010Report dated 14 Jan 2020Staffordshire (South)

Addressed to: HMP Dovegate

2 responses identified · 1 indexed addressee

Tomasz Nowasad

Reference 2019-0445Report dated 20 Dec 2019Manchester (City)

Addressed to: Greater Manchester mental Health NHS Trust; HM Prison and Probation Service

2 responses identified · 2 indexed addressees

Daniel Akam

Reference 2019-0461Report dated 10 Dec 2019South Yorkshire (East)

Addressed to: Advisory Panel on Deaths in Custody; HM Inspector of Prisons; HMP Lindholme; National Offender Management Service; Prison Officers Association; The Chief Coroner

0 responses identified · 6 indexed addressees

Gareth Warburton

Reference 2019-0411Report dated 4 Dec 2019Worcestershire

Addressed to: HMP Hewell

0 responses identified · 1 indexed addressee

Luke Jones

Reference 2019-0409Report dated 3 Dec 2019North Wales (East and Central)

Addressed to: Government Legal Department; HMP Berwyn; MOJ

1 response identified · 3 indexed addressees

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