Source · Deaths in custody

PPO Fatal Incident Reports

6,563 incidents 5,801 published 1,698 recommendations 1,676 self-inflicted 3,427 natural causes

Deaths in custody investigated by the Prisons and Probation Ombudsman. Among the incidents indexed here, 26% are recorded as self-inflicted. Source: PPO.

Theme: healthcare · Remove

Incidents

204 records

Brian Fletcher

HMP Hewell

Natural causesInvestigation: Report published5 recommendations indexed

PPO entry published 10 July 2026

Michael Dawson

HMP Lindholme

Natural causesInvestigation: Report published4 recommendations indexed

PPO entry published 1 May 2026

Peter Brook

HMP Leeds

Natural causesInvestigation: Report published1 recommendation indexed

PPO entry published 24 March 2026

Ann Browning

HMP Send

Natural causesInvestigation: Report published1 recommendation indexed

PPO entry published 23 June 2026

David Marsh

HMP Lincoln

Natural causesInvestigation: Report published2 recommendations indexed

PPO entry published 13 May 2026

Mark Waterman

HMP Swansea

Natural causesInvestigation: Report published2 recommendations indexed

PPO entry published 27 April 2026

Peter Williams

HMP Littlehey

Natural causesInvestigation: Report published2 recommendations indexed

PPO entry published 13 May 2026

Fay Newman

HMP/YOI Downview

Natural causesInvestigation: Report published2 recommendations indexed

PPO entry published 10 June 2026

Gordon Suckley

HMP Channings Wood

Natural causesInvestigation: Report published1 recommendation indexed

PPO entry published 21 August 2026

David Morris

HMP Frankland

Natural causesInvestigation: Report published3 recommendations indexed

PPO entry published 17 April 2026

Peter Magloire

HMP Wormwood Scrubs

Self-inflictedInvestigation: Report published3 recommendations indexed

PPO entry published 25 February 2026

Andrew Clark

HMP Norwich

Natural causesInvestigation: Report published2 recommendations indexed

PPO entry published 24 March 2026

George Haldenby

HMP The Verne

Natural causesInvestigation: Report published3 recommendations indexed

PPO entry published 16 July 2026

Brian James

HMP Elmley

Natural causesInvestigation: Report published1 recommendation indexed

PPO entry published 28 July 2026

Paul Greatbanks

HMP Stocken

Natural causesInvestigation: Report published2 recommendations indexed

PPO entry published 2 October 2026

Adam Diesa-Green

HMP Lowdham Grange

Other non-naturalInvestigation: Report published1 recommendation indexed

PPO entry published 10 June 2026

Daniel Brown

HMP/YOI High Down

Natural causesInvestigation: Report published3 recommendations indexed

PPO entry published 13 May 2026

Kenneth Cox

HMP Norwich

Natural causesInvestigation: Report published2 recommendations indexed

PPO entry published 3 July 2026

Dean Collins

HMP Birmingham

Natural causesInvestigation: Report published2 recommendations indexed

PPO entry published 17 April 2026

Kenneth Kesans

HMP Usk

Natural causesInvestigation: Report published2 recommendations indexed

PPO entry published 2 July 2026

Kevin Golby

HMP Five Wells

UnascertainedInvestigation: Report published1 recommendation indexed

PPO entry published 7 April 2026

Uziel Mendoza-Sillerico

HMP Lowdham Grange

Natural causesInvestigation: Report published10 recommendations indexed

PPO entry published 9 June 2026

Thomas Ruggiero

HMP Swaleside

Self-inflictedInvestigation: Report published5 recommendations indexed

PPO entry published 27 March 2026

Simon Ludlow

HMP The Mount

Other non-naturalInvestigation: Report published2 recommendations indexed

PPO entry published 24 July 2026

Jake O’Brien

HMP Forest Bank

Self-inflictedInvestigation: Report published12 recommendations indexed

PPO entry published 10 July 2026

Surendra Patel

HMP Hewell

Natural causesInvestigation: Report published4 recommendations indexed

PPO entry published 16 April 2026

David Fuge

HMP Wymott

Natural causesInvestigation: Report published1 recommendation indexed

PPO entry published 21 August 2026

Andrew Neal

HMP Wayland

Self-inflictedInvestigation: Report published5 recommendations indexed

PPO entry published 14 July 2026

Philip Eldridge

HMP The Verne

Natural causesInvestigation: Report published1 recommendation indexed

PPO entry published 24 July 2026

Jeffrey Long

HMP/YOI Moorland

Natural causesInvestigation: Report published11 recommendations indexed

PPO entry published 14 August 2026

Reginald Northrop

HMP The Verne

Natural causesInvestigation: Report published2 recommendations indexed

PPO entry published 12 August 2026

Colin Storey

HMP Northumberland

Self-inflictedInvestigation: Report published3 recommendations indexed

PPO entry published 24 April 2026

Lee Martin

HMP Winchester

Natural causesInvestigation: Report published2 recommendations indexed

PPO entry published 27 March 2026

John McGovern

HMP The Verne

Natural causesInvestigation: Report published3 recommendations indexed

PPO entry published 20 February 2026

Stephen McDermott

HMP Isle of Wight

Natural causesInvestigation: Report published1 recommendation indexed

PPO entry published 18 May 2026

Taylor Atkinson

HMP/YOI Eastwood Park

Self-inflictedInvestigation: Report published6 recommendations indexed

PPO entry published 29 May 2026

Henry Benoi-Davies

HMP Nottingham

Natural causesInvestigation: Report published5 recommendations indexed

PPO entry published 18 June 2026

Daniel Bates

HMP Northumberland

Other non-naturalInvestigation: Report published2 recommendations indexed

PPO entry published 10 July 2026

Michael Quinn

HMP Berwyn

Natural causesInvestigation: Report published6 recommendations indexed

PPO entry published 7 July 2026

Keith Saunders

HMP Peterborough

Natural causesInvestigation: Report published2 recommendations indexed

PPO entry published 17 July 2026

Benjamin Harrison

HMP Rochester

Other non-naturalInvestigation: Report published5 recommendations indexed

PPO entry published 17 July 2026

Baby C

HMP/YOI Foston Hall

Natural causesInvestigation: Report published8 recommendations indexed

PPO entry published 29 September 2026

Stephen Nuth

HMP PentonvilleDate of death 24 September 2025

Self-inflictedInvestigation: Report published3 recommendations indexed

PPO entry published 9 September 2026

Nigel Malt

HMP GartreeDate of death 29 April 2025

Natural causesInvestigation: Report published1 recommendation indexed

PPO entry published 29 October 2025

Peter Long

HMP OakwoodDate of death 10 March 2025

Natural causesInvestigation: Report published1 recommendation indexed

PPO entry published 21 November 2025

Glen Candler

HMP WakefieldDate of death 6 March 2025

Natural causesInvestigation: Report published1 recommendation indexed

PPO entry published 14 July 2025

Moses Hailemichel

HMP PentonvilleDate of death 3 March 2025

Self-inflictedInvestigation: Report published4 recommendations indexed

PPO entry published 4 September 2026

Christopher Tatton

HMP Rye HillDate of death 28 February 2025

Natural causesInvestigation: Report published1 recommendation indexed

PPO entry published 9 January 2026

Raymond Connor

HMP WhattonDate of death 22 February 2025

Natural causesInvestigation: Report published2 recommendations indexed

PPO entry published 3 September 2025

Piran Khan

HMP WakefieldDate of death 21 February 2025

Natural causesInvestigation: Report published1 recommendation indexed

PPO entry published 15 October 2026

Top recommendation themes

healthcare (299) safeguarding (238) emergency_response (158) record_keeping (140) communication (130) policy (125) mental_health (115) safety (106) training (91) medication (80)

Learning & thematic publications

112 cross-establishment publications

Learning Lessons Bulletins (50), thematic reviews (2), consultation responses (11), Policy into Practice (5), annual reports (7) and FOI responses from the Ombudsman's disclosure log (37): the systemic patterns the Ombudsman draws from many investigations.

Title	Type	Date	Source
The number of complaints received by the PPO from 1 January 2023 onwards by people held in immigration removal centres and in short-term holding facilities	FOI response	Jul 2026	PDF
Annual Report 2025 to 2026	Annual report	Jul 2026	PDF
To provide information on prisons in the United Kingdom with forty or more self-inflicted deaths in the last ten years, alongside their total	FOI response	Jul 2026	PDF
The three English prisons with the highest number of self-inflicted deaths between 2016 to 2026 (excluding HMP Leeds), with annual breakdowns	FOI response	Jul 2026	PDF
The total number of prison deaths that occurred while the individual was located in a segregation unit per calendar from 2021 to 2025	FOI response	Jul 2026	PDF
The number of drug-related deaths in prisons in England and Wales from 2010 to 2025	FOI response	Jul 2026	PDF
A breakdown of the epilepsy deaths in Welsh prisons from the PPO’s Learning Lessons Bulletin on epilepsy deaths	FOI response	Jul 2026	PDF
The number of people held in prison, either serving a sentence or on remand, who have died by suicide between 2016 to 2026, broken down by each prison in Yorkshire	FOI response	Jul 2026	PDF
PPO response to JSC Inquiry into Children and Young Adults in the Secure Estate	Consultation response	Jun 2026	PDF
The number of upheld complaints made to the Prisons and Probation Ombudsman (PPO) about accommodation from 2024 to 2025.	FOI response	Apr 2026	PDF
Fatal Incident Investigations Learning Lessons Bulletin Issue 21: Segregation	Learning Lessons Bulletin	Mar 2026	PDF
Fatal Incident Investigations Learning Lessons Bulletin Issue 22: Self-inflicted deaths in reception prisons	Learning Lessons Bulletin	Mar 2026	PDF
HMP Elmley prisoner deaths by year from 2010 to 2025	FOI response	Feb 2026	PDF
Complaints to the PPO about inadequate access to sanitary products since 2020	FOI response	Feb 2026	PDF
The number of health-related deaths in prison	FOI response	Feb 2026	PDF
How many complaints did IPCI receive from prisoners during 2024?	FOI response	Feb 2026	PDF
How many complaints has the PPO received regarding lost property by HMP Peterborough	FOI response	Feb 2026	PDF
Fatal Incident Investigations Learning Lessons Bulletin Issue 20: Epilepsy	Learning Lessons Bulletin	Nov 2025	PDF
Annual Report 2024 to 2025	Annual report	Jul 2025	PDF
The number of deaths linked to drug taking in prisons in England and Wales between 2020 to 2024	FOI response	Jun 2025	PDF
How many prisoner deaths has the PPO been notified of each year, or started investigating, where there is a suspicion the death was drug-related?	FOI response	Jun 2025	PDF
The number of prisoners who died where no care plan was in place as found in PPO fatal incident investigations (1 February 2023 to 16 September 2023)	FOI response	Jun 2025	PDF
Provide a list of deaths by suicide in English prisons since 2022	FOI response	Jun 2025	PDF
The PPO response time for all cases in last three and current financial year	FOI response	Jun 2025	PDF
The number of self-inflicted deaths recorded in prisons from 2019 to 2024	FOI response	Jun 2025	PDF
The number of individuals in prisons, young offender institutions and approved premises in England and Wales and/or within 14 days of being released from prison were at the time of their deaths subject to an IPP	FOI response	Jun 2025	PDF
To confirm when the Prisons and Probation Ombudsman’s (PPO) Yarl’s Wood special investigation report was completed	FOI response	Jun 2025	PDF
To provide the total number of Prevention of Future Deaths (PFDs or Regulation 28 letters)	FOI response	Jun 2025	PDF
Policy into Practice: Handling of prisoners’ property	Policy into Practice	Mar 2025	PDF
Policy into Practice: Handling of property complaints	Policy into Practice	Mar 2025	PDF