Source · Custody & deaths investigations

Article 2 Investigations

19 investigations 213 learning points

Independent investigations into deaths, near-deaths, serious self-harm and serious assaults in prison custody, commissioned by the Secretary of State for Justice under Article 2 of the European Convention on Human Rights.

Investigations by year

2000–present
Serious Self-Harm
8
Serious Assault
5
Attempted Suicide
4
Life-Threatening Incident
2

Most investigated establishments

All-time totals · trend line = year-by-year investigations
EstablishmentTotalTrend
HMP High Down 1
HMP Stocken 1
HMP Chelmsford 1
HMP & YOI Holloway 1
HMYOI Feltham 1
HMP Bedford 1
HMP Featherstone 1
HMP Bristol 1
HMP Pentonville 1
HMP Durham 1

19 investigations

Investigations

Click to view full report & HMPPS response
29 Jul 2019 HMP Stocken PL — HMP Stocken Life-Threatening Incident · Barbara Stow 5 learning points
The report of the independent investigation conducted by Barbara Stow into the life-threatening incident involving ‘PL’ at HMP Stocken on 29 July 2019 is published here.  Also published are the responses to the investig…
Report · HMPPS Response · IAPDC page
25 Oct 2018 HMP Norwich AR — HMP Norwich Serious Self-Harm · Mark Boother 4 learning points
The report of the independent investigation conducted by Mark Boother into the incident of life-threatening self-harm involving ‘AR’ at HMP Norwich on 25 October 2018 is published here.  Also published is the response t…
Report · HMPPS Response · IAPDC page
28 Apr 2016 HMP Featherstone Mr Midland — HMP Featherstone Life-Threatening Incident · Dr Deborah Brooke 3 learning points
Independent investigation into a life-threatening incident  involving ‘Mr Midland’1at HMP Featherstone on 28 April 2016 The report of the independent investigation conducted by Dr Deborah Brooke into the life-threatenin…
Report · HMPPS Response · IAPDC page
3 Dec 2015 HMP Swansea CR — HMP Swansea Serious Self-Harm · Barbara Stow 14 learning points
Independent investigation into an incident of life-threatening self-harm involving ‘CR’1at HMP Swansea on 3 December 2015 The report of the independent investigation conducted by Barbara Stow into the incident of life-t…
Report · HMPPS Response · IAPDC page
30 Oct 2015 HMP High Down HM — HMP High Down Serious Assault · Andy Smith 3 learning points
Independent investigation into an incident of serious assault involving ‘HM’1at HMP High Down on 30 October 2015 The report of the independent investigation conducted by Andy Smith into the serious assault on ‘HM’ at HM…
Report · HMPPS Response · IAPDC page
16 Apr 2015 HMP Durham SR — HMP Durham Serious Assault · Andy Smith 8 learning points
The report of the independent investigation conducted by Andy Smith into the serious assault on ‘SR’ at HMP Durham on 16 April 2015 is published here.  Also published is the response to the investigation from His Majest…
Report · HMPPS Response · IAPDC page
16 Mar 2015 Southampton Magistrates’ Court DM — Southampton Magistrates’ Court Serious Self-Harm · Barbara Stow 15 learning points
Independent investigation into an incident of life-threatening self-harm involving ‘DM’1at Southampton Magistrates’ Court on 16 March 2015 The report of the independent investigation conducted by Barbara Stow into an in…
Report · HMPPS Response · IAPDC page
26 Jun 2014 HMP Bristol AD — HMP Bristol Serious Assault · Rob Allen 1 learning points
The report of the independent investigation conducted by Rob Allen into the serious assault on ‘AD’ at HMP Bristol on 26 June 2014 is published here. Allegations about the actions of the senior manager in HM Prison and …
Report · HMPPS Response · IAPDC page
22 Feb 2014 HMP Altcourse Mr Everest — HMP Altcourse Serious Self-Harm · Professor Jenny Shaw 20 learning points
Independent investigation into an incident of life-threatening self-harm involving ‘Mr Everest’1at HMP Altcourse on 22 February 2014 The report of the independent investigation conducted by Professor Jenny Shaw into the…
Report · HMPPS Response · IAPDC page
1 Jul 2013 HMP Chelmsford TA — HMP Chelmsford Serious Self-Harm · Barbara Stow 11 learning points
The report of the independent investigation conducted by Barbara Stow into the  incident of life-threatening self-harm involving ‘TA’1at HMP Chelmsford on 1 July 2013 is published here. Also published are the responses …
Report · HMPPS Response · IAPDC page
18 Feb 2012 HMP Ranby WA — HMP Ranby Serious Self-Harm · Barbara Stow 8 learning points
The independent investigation conducted by Barbara Stow into the life-threatening self-harm of WA at HMP Ranby on 18 February 2012 is published. Also published are the responses to the investigation from those responsib…
Report · HMPPS Response · IAPDC page
16 Jun 2011 HMP Birmingham Mr Adakite — HMP Birmingham Serious Assault · Andy Smith 18 learning points
The independent investigation conducted by Andy Smith into the serious assault on ‘Mr Adakite’ at HMP Birmingham on 16 June 2011 is published.  Also published are the responses to the investigation from those responsibl…
Report · HMPPS Response · IAPDC page
24 Aug 2010 HMP Pentonville Mr Atlantic — HMP Pentonville Serious Self-Harm · Simon Draycott 23 learning points
The independent investigation conducted by Simon Draycott into the circumstances surrounding the incident at HMP Pentonville on 24 August 2010 that led to Mr Atlantic sustaining serious injuries is published.  Also publ…
Report · HMPPS Response · IAPDC page
4 Jun 2010 HMP Brixton AC — HMP Brixton Attempted Suicide · Rob Allen 16 learning points
The independent investigation conducted by Rob Allen into the life-threatening attempted suicide of AC at HMP Brixton on 4 June 2010 is published.  Also published are the responses to the investigation from NHS England …
Report · HMPPS Response · IAPDC page
2 Dec 2008 HMP Doncaster Mr Quartz — HMP Doncaster Attempted Suicide · Professor Jenny Shaw 11 learning points
The independent investigation conducted by Professor Jenny Shaw into the life-threatening attempted suicide of Mr Quartz at HMP Doncaster on 2 December 2008 is published. Also published is the National Offender Manageme…
Report · HMPPS Response · IAPDC page
6 Sep 2008 HMP Whitemoor Mr North — HMP Whitemoor Serious Assault · Kevin Bradford 10 learning points
The independent investigation conducted by Kevin Bradford into the serious assault on ‘Mr North’ at HMP Whitemoor on 6 September 2008 is published.  Also published is the HM Prison and Probation Service (HMPPS) response…
Report · HMPPS Response · IAPDC page
24 Jun 2008 HMP Bedford AB — HMP Bedford Attempted Suicide · Rob Allen 23 learning points
The independent investigation conducted by Rob Allen into the life-threatening attempted suicide of AB at HMP Bedford on 24 June 2008 is published. Also published is The National Offender Management Service response to …
Report · HMPPS Response · IAPDC page
2 May 2004 HMP & YOI Holloway AA — HMP & YOI Holloway Attempted Suicide 14 learning points
Ana was 21 years old when she attempted suicide on 2 May 2004 at HMP & YOI Holloway.  She was discovered by staff suspended by a ligature in a shower room. Ana was taken to hospital where her condition stabilised but su…
Report · HMPPS Response · IAPDC page
19 Aug 2002 HMYOI Feltham JL — HMYOI Feltham Serious Self-Harm · Selena Lynch 6 learning points
The National Offender Management Service (NOMS) response to the independent investigation conducted by Selena Lynch into the life-threatening self-harm of JL at HMYOI Feltham on 19 August 2002 is published. JL was reman…
Report · HMPPS Response · IAPDC page

Data from Independent Advisory Panel on Deaths in Custody. Individual case investigations commissioned under Article 2 ECHR.