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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

Rickie Poon

Reference 2026-0194Inner North London

Addressed to: HM Prison Pentonville; Practice Plus Group

2 responses identified · 2 indexed addressees

Jonathan Thornton

Reference 2026-0200Report dated 8 Apr 2026Nottingham and Nottinghamshire

Addressed to: HMP Nottingham; Ministry of Justice; Northampton Healthcare NHS Foundation Trust; Nottingham Healthcare NHS Foundation Trust; Nottinghamshire Healthcare NHS Foundation Trust

3 responses identified · 5 indexed addressees

Mark Smith

Reference 2026-0205Report dated 7 Apr 2026Inner South London

Addressed to: Chief Executive Officer, Practice Plus Group, 3rd Floor, 5 Lloyd’s Avenue, London EC3N 3AE 2. Chief Executive Lewisham and Greenwich NHS Trust, University Hospital Lewisham, Lewisham High Street, London SE13 76LH 3. The Director at HMP Thameside, Griffin Manor Way, London, SW28 0FJ. 4. Director General/Chief Executive HM Prison and Probation Service (HMPPS), 102 Petty France, London, SW1H 9AJ. 1CORONER I am Jenny Goldring assistant coroner, for the coroner area of Inner London South 2CORONER’S L; Serco

3 responses identified · 2 indexed addressees

Thomas Ruggiero

Reference 2026-0172Report dated 24 Mar 2026Ian Potter

Addressed to: HMP Swaleside

1 response identified · 1 indexed addressee

Thomas Ruggiero

Reference 2026-0171Report dated 24 Mar 2026Ian Potter

Addressed to: Oxlease NHS Foundation Trust

1 response identified · 1 indexed addressee

Luke Ashcroft

Reference 2026-0159Report dated 20 Mar 2026Lincolnshire

Addressed to: HMP Lincoln; Ministry of Justice

2 responses identified · 2 indexed addressees

Rajwinder Singh

Reference 2026-0100Report dated 19 Feb 2026Inner West London

Addressed to: HMP Wandsworth; NHS England; Oxleas

3 responses identified · 3 indexed addressees

Edward Hands

Reference 2026-0097Report dated 17 Feb 2026Bedfordshire and Luton

Addressed to: HMP Bedford; Ministry of Justice; Northamptonshire Healthcare Foundation Trust

3 responses identified · 3 indexed addressees

Josh Tarrant (3)

Reference 2026-0077Report dated 9 Feb 2026Mid Kent & Medway

Addressed to: HMP Elmley

1 response identified · 1 indexed addressee

Josh Tarrant (1)

Reference 2026-0075Report dated 9 Feb 2026Mid Kent & Medway

Addressed to: NHS England

2 responses identified · 1 indexed addressee

Emmett Morrison

Reference 2026-0071Report dated 6 Feb 2026Worcestershire

Addressed to: Prison, Probation and Reducing Offending; Probation and Reducing Offending, Ministry of

1 response identified · 2 indexed addressees

Anthony Binfield

Reference 2025-0080Report dated 17 Dec 2025Nottingham City and Nottinghamshire

Addressed to: HMP Lowdham Grange

1 response identified · 1 indexed addressee

Aminata Coulibaly

Reference 2025-0596Report dated 26 Nov 2025Essex

Addressed to: Chief Constable of Essex Police

1 response identified · 1 indexed addressee

Diana Grant

Reference 2025-0594Report dated 24 Nov 2025Surrey

Addressed to: [REDACTED] CEO, NHS England; [REDACTED] The Secretary of State for the Department of Health and Social Care

2 responses identified · 2 indexed addressees

Steven Ruddick

Reference 2025-0591Report dated 18 Nov 2025County Durham and Darlington

Addressed to: GeoAmey; HM Prison Service

1 response identified · 1 indexed addressee

Steven Davidson

Reference 2025-0536Report dated 21 Oct 2025Essex

Addressed to: HCRG Care Group

1 response identified · 1 indexed addressee

Scott Berry

Reference 2026-0038Report dated 20 Oct 2025City of Kingston Upon Hull and the County of the East Riding of Yorkshire

Addressed to: HM Prison & Probation Service; Minister of State for Prisons, Parole and Probation

1 response identified · 2 indexed addressees

Declan Carr

Reference 2025-0541Report dated 20 Oct 2025East Riding of Yorkshire and City of Kingston Upon Hull

Addressed to: NHS England

1 response identified · 1 indexed addressee

Jamie Funnell

Reference 2025-0508Report dated 13 Oct 2025East Sussex

Addressed to: Practice Plus Group

1 response identified · 1 indexed addressee

Richard Hunt

Reference 2025-0498Report dated 8 Oct 2025Rutland and North Leicestershire

Addressed to: His Majesty’s Prison & Probation Service; Crown Premises Fire & Safety Inspectorate; Governor HMP Stocken

3 responses identified · 3 indexed addressees

Steven Hart

Reference 2025-0487Report dated 24 Sep 2025Bedfordshire and Luton

Addressed to: Governor [REDACTED], HM Chief Inspector of Prisons [REDACTED], CEO of HMPPS [REDACTED]

1 response identified · 1 indexed addressee

Martin Collins

Reference 2025-0497Report dated 17 Sep 2025Suffolk

Addressed to: Minister of State for Prisons, Probation and Reducing Reoffending

1 response identified · 1 indexed addressee

Masood Hamid

Reference 2025-0434Report dated 20 Aug 2025Manchester North

Addressed to: Chief Constable Greater Manchester Police; Chief Executive North West Ambulance Service; Chief Executive Oldham Borough Council; Chief Executive Pennine Care NHS Foundation Trust

4 responses identified · 4 indexed addressees

Azroy Dawes-Clarke

Reference 2025-0391Report dated 29 Jul 2025Kent and Medway

Addressed to: His Majesty’s Prison and Probation Service

1 response identified · 1 indexed addressee

Azroy Dawes-Clarke

Reference 2025-0389Report dated 29 Jul 2025Kent and Medway

Addressed to: HMP Elmley; Oxleas NHS Foundation Trust; South East Coast Ambulance Service

3 responses identified · 3 indexed addressees

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