PFD · Category
State Custody related deaths
357 reports
57 areas
Earliest: Aug 2013
Latest: 8 Apr 2026
76% response rate (above 63% average). 59% of classified responses show concrete action taken. Reports rose 40% from 25 (2023) to 35 (2024).
AI Classification
Action Taken
59%
Action Planned
27%
Noted
13%
Disputed
1%
PFD Reports
| Ref | Deceased | Date | Coroner area | Addressees | Responses identified |
|---|---|---|---|---|---|
| 2021-0143 | Corin Bonaparte | 7 May 2021 | Exeter and Greater Devon | HMP Dartmoor | 1/1 |
| 2021-0139 | Richard Ormond | 5 May 2021 | Worcestershire | HMP Long Lartin | 2/1 |
| 2021-0130 | Alvin Black | 30 Apr 2021 | Cambridgeshire and Peterborough | Minister of State for Prisons… | 0/1 |
| 2021-0125 | Darren Adams | 29 Apr 2021 | South Yorkshire (East) | Practice Plus Group and Resus… | 2/1 |
| 2021-0118 | Guy Paget | 23 Apr 2021 | West Yorkshire (East) | HMP Leeds | 1/1 |
| 2021-0041 | Michael Dent-Jones | 12 Feb 2021 | Surrey | HMPS | 1/1 |
| 2021-0035 | Michael Dobson | 11 Feb 2021 | Staffordshire South | HMP Dovegate | 1/1 |
| 2021-0032 | Jason O’Rourke | 10 Feb 2021 | Inner South London | HMP Belmarsh and HMPS | 1/1 |
| 2020-0261 | Lee Davies | 9 Oct 2020 | Shropshire, Telford & Wrekin | Midlands Partnership NHS Foun… | 1/1 |
| 2020-0195 | Wesley Rowlands | 5 Oct 2020 | Lancashire and Blackburn with Darwen | HMP Garth | 1/1 |
| 2020-0179 | Brett Marrs | 23 Sep 2020 | Lancashire and Blackburn with Darwen | HMP Wymott | 0/1 |
| 2020-0167 | Carlington Spencer | 28 Aug 2020 | Lincolnshire | Morton Hall Immigration Remov… Nottingham Healthcare NHS Fou… | 0/2 |
| 2020-0148 | Prince Fosu | 6 Jul 2020 | West London | Central & North West London N… Independent Monitoring Board | 2/2 |
| 2020-0104 | Dean George | 24 Apr 2020 | Swansea and Neath Port Talbot | Department of Health and Soci… Minister for Health +1 | 1/3 |
| 2020-0103 | Andrew Jones | 20 Apr 2020 | Lancashire and Blackburn with Darwin | National Offender Management | 0/1 |
| 2020-0074 | Lewis Francis | 23 Mar 2020 | Exeter and Greater Devon | Avon and Somerset Police Cornwall Partnership NHS Foun… +9 | 2/11 |
| 2020-0064 | Ian Weeks | 12 Mar 2020 | South Wales Central | Cardiff and Vale NHS Trust | 1/1 |
| 2020-0065 | Robert Brown | 9 Mar 2020 | Staffordshire (south) | National Offender Management … | 1/1 |
| 2020-0056 | Carl Newman | 6 Mar 2020 | Liverpool and the Wirral | HMPPS | 1/1 |
| 2020-0041 | Andrew Goldstraw | 21 Feb 2020 | Hampshire (Central) | Central and North West London… Government legal department +2 | 1/4 |
| 2020-0010 | Marlon Watson | 14 Jan 2020 | Staffordshire (South) | HMP Dovegate | 2/1 |
| 2019-0445 | Tomasz Nowasad | 20 Dec 2019 | Manchester (City) | Greater Manchester mental Hea… HM Prison and Probation Servi… | 2/2 |
| 2019-0461 | Daniel Akam | 10 Dec 2019 | South Yorkshire (East) | Advisory Panel on Deaths in C… HM Inspector of Prisons +4 | 0/6 |
| 2019-0411 | Gareth Warburton | 4 Dec 2019 | Worcestershire | HMP Hewell | 0/1 |
| 2019-0409 | Luke Jones | 3 Dec 2019 | North Wales (East and Central) | Government Legal Department HMP Berwyn +1 | 1/3 |