Source · Custody & deaths investigations

Article 2 Investigations

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.

19 investigations 213 learning points

19 investigations

Investigations

19 matching investigations

PL — HMP Stocken

Incident 29 Jul 2019 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

AR — HMP Norwich

Incident 25 Oct 2018 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

Mr Midland — HMP Featherstone

Incident 28 Apr 2016 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

CR — HMP Swansea

Incident 3 Dec 2015 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

HM — HMP High Down

Incident 30 Oct 2015 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

SR — HMP Durham

Incident 16 Apr 2015 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

DM — Southampton Magistrates’ Court

Incident 16 Mar 2015 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

AD — HMP Bristol

Incident 26 Jun 2014 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

Mr Everest — HMP Altcourse

Incident 22 Feb 2014 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

TA — HMP Chelmsford

Incident 1 Jul 2013 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

WA — HMP Ranby

Incident 18 Feb 2012 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

Mr Adakite — HMP Birmingham

Incident 16 Jun 2011 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

Mr Atlantic — HMP Pentonville

Incident 24 Aug 2010 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

AC — HMP Brixton

Incident 4 Jun 2010 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

Mr Quartz — HMP Doncaster

Incident 2 Dec 2008 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

Mr North — HMP Whitemoor

Incident 6 Sep 2008 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

AB — HMP Bedford

Incident 24 Jun 2008 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

AA — HMP & YOI Holloway

Incident 2 May 2004 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

JL — HMYOI Feltham

Incident 19 Aug 2002 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.

Investigations by year

2000–present

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Article 2 investigations by year
Year	Investigations
2002	1
2004	1
2008	3
2010	2
2011	1
2012	1
2013	1
2014	2
2015	4
2016	1
2018	1
2019	1

Serious Self-Harm

Serious Assault

Attempted Suicide

Life-Threatening Incident

Most investigated establishments

All-time totals · trend line = year-by-year investigations

Establishment	Total	Trend
HMP High Down	1
HMP Stocken	1
HMP Chelmsford	1
HMYOI Feltham	1
HMP & YOI Holloway	1
HMP Bedford	1
HMP Featherstone	1
HMP Bristol	1
HMP Pentonville	1
HMP Durham	1

Indexed incidents by year

These are the incident counts used in each establishment's trend line. Zero means no indexed incident for that year. The figures are counts, not population risk rates.

HMP High Down

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Indexed incidents by year — HMP High Down
Year	Indexed incidents
2002	0
2004	0
2008	0
2010	0
2013	0
2014	0
2015	1
2016	0
2019	0

HMP Stocken

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Indexed incidents by year — HMP Stocken
Year	Indexed incidents
2002	0
2004	0
2008	0
2010	0
2013	0
2014	0
2015	0
2016	0
2019	1

HMP Chelmsford

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Indexed incidents by year — HMP Chelmsford
Year	Indexed incidents
2002	0
2004	0
2008	0
2010	0
2013	1
2014	0
2015	0
2016	0
2019	0

HMYOI Feltham

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Indexed incidents by year — HMYOI Feltham
Year	Indexed incidents
2002	1
2004	0
2008	0
2010	0
2013	0
2014	0
2015	0
2016	0
2019	0

HMP & YOI Holloway

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Indexed incidents by year — HMP & YOI Holloway
Year	Indexed incidents
2002	0
2004	1
2008	0
2010	0
2013	0
2014	0
2015	0
2016	0
2019	0

HMP Bedford

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Indexed incidents by year — HMP Bedford
Year	Indexed incidents
2002	0
2004	0
2008	1
2010	0
2013	0
2014	0
2015	0
2016	0
2019	0

HMP Featherstone

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Indexed incidents by year — HMP Featherstone
Year	Indexed incidents
2002	0
2004	0
2008	0
2010	0
2013	0
2014	0
2015	0
2016	1
2019	0

HMP Bristol

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Indexed incidents by year — HMP Bristol
Year	Indexed incidents
2002	0
2004	0
2008	0
2010	0
2013	0
2014	1
2015	0
2016	0
2019	0

HMP Pentonville

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Indexed incidents by year — HMP Pentonville
Year	Indexed incidents
2002	0
2004	0
2008	0
2010	1
2013	0
2014	0
2015	0
2016	0
2019	0

HMP Durham

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Indexed incidents by year — HMP Durham
Year	Indexed incidents
2002	0
2004	0
2008	0
2010	0
2013	0
2014	0
2015	1
2016	0
2019	0