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: record_keeping · Remove

Incidents

117 records

John Chapman

HMP Gartree

Natural causesInvestigation: Report published2 recommendations indexed

PPO entry published 13 May 2026

Alexander Muzyczka

HMP Leeds

Self-inflictedInvestigation: Report published2 recommendations indexed

PPO entry published 27 February 2026

Mohammed Shabir

HMP Leeds

Natural causesInvestigation: Report published1 recommendation indexed

PPO entry published 24 June 2026

Steven Ison

Bowling Green Approved Premises

Self-inflictedInvestigation: Report published3 recommendations indexed

PPO entry published 27 April 2026

Christopher Roberts

HMP Isle of Wight

Natural causesInvestigation: Report published2 recommendations indexed

PPO entry published 13 May 2026

Christopher Stephens

HMP Guys Marsh

Other non-naturalInvestigation: Report published2 recommendations indexed

PPO entry published 7 July 2026

Graham Stridgeon

HMP Wymott

Natural causesInvestigation: Report published2 recommendations indexed

PPO entry published 10 June 2026

Johnpaul Digweed

HMP Garth

Self-inflictedInvestigation: Report published4 recommendations indexed

PPO entry published 28 August 2026

Peter Hopkins

HMP/YOI Doncaster

Natural causesInvestigation: Report published4 recommendations indexed

PPO entry published 27 March 2026

Colin Storr

HMP Durham

Self-inflictedInvestigation: Report published4 recommendations indexed

PPO entry published 1 May 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

Lee Jackson

HMP Bristol

Self-inflictedInvestigation: Report published2 recommendations indexed

PPO entry published 28 July 2026

Kien Vuong

HMP Leeds

Self-inflictedInvestigation: Report published4 recommendations indexed

PPO entry published 24 April 2026

Jeffrey Long

HMP/YOI Moorland

Natural causesInvestigation: Report published11 recommendations indexed

PPO entry published 14 August 2026

Nezam Ghalate

HMP Manchester

Self-inflictedInvestigation: Report published3 recommendations indexed

PPO entry published 26 June 2026

John Phillips

HMP Dartmoor

Self-inflictedInvestigation: Report published2 recommendations indexed

PPO entry published 17 July 2026

Luke Ashcroft

HMP Lincoln

Self-inflictedInvestigation: Report published3 recommendations indexed

PPO entry published 20 March 2026

Imran Khan

HMP Isle of Wight

Self-inflictedInvestigation: Report published10 recommendations indexed

PPO entry published 20 March 2026

Michael Marsh

HMP Exeter

Self-inflictedInvestigation: Report published6 recommendations indexed

PPO entry published 28 May 2026

Henry Benoi-Davies

HMP Nottingham

Natural causesInvestigation: Report published5 recommendations indexed

PPO entry published 18 June 2026

Alec Henney

HMP Isle of Wight

Natural causesInvestigation: Report published1 recommendation indexed

PPO entry published 12 August 2026

Baby C

HMP/YOI Foston Hall

Natural causesInvestigation: Report published8 recommendations indexed

PPO entry published 29 September 2026

Michael Pugh

HMP SwalesideDate of death 29 June 2024

Self-inflictedInvestigation: Report published3 recommendations indexed

PPO entry published 1 August 2025

Raymond Moyle

HMP HullDate of death 20 June 2024

Natural causesInvestigation: Report published2 recommendations indexed

PPO entry published 26 June 2025

David Baxter

HMP WealstunDate of death 26 May 2024

Natural causesInvestigation: Report published5 recommendations indexed

PPO entry published 5 February 2025

Edward Lomas

HMP PentonvilleDate of death 22 May 2024

Self-inflictedInvestigation: Report published4 recommendations indexed

PPO entry published 4 April 2025

Brian Burrows

HMP LeedsDate of death 15 May 2024

Self-inflictedInvestigation: Report published3 recommendations indexed

PPO entry published 12 September 2025

Graham Daggett

HMP LincolnDate of death 3 April 2024

Natural causesInvestigation: Report published1 recommendation indexed

PPO entry published 7 February 2025

Taklus Hussain

HMP LittleheyDate of death 8 March 2024

Natural causesInvestigation: Report published2 recommendations indexed

PPO entry published 20 December 2024

Edward Hands

HMP BedfordDate of death 16 February 2024

Other non-naturalInvestigation: Report published4 recommendations indexed

PPO entry published 13 February 2026

Kevin Kane

HMP GrendonDate of death 29 January 2024

Self-inflictedInvestigation: Report published3 recommendations indexed

PPO entry published 8 August 2025

Daniel Fielding

HMP LiverpoolDate of death 19 January 2024

Self-inflictedInvestigation: Report published6 recommendations indexed

PPO entry published 25 July 2025

Nathan Shepherd

Ascot House Approved PremisesDate of death 16 January 2024

Self-inflictedInvestigation: Report published3 recommendations indexed

PPO entry published 4 April 2025

Lawrence Johnson

HMP FranklandDate of death 13 January 2024

Natural causesInvestigation: Report published3 recommendations indexed

PPO entry published 11 April 2025

Darren Boamah

HMP Wormwood ScrubsDate of death 3 January 2024

Natural causesInvestigation: Report published2 recommendations indexed

PPO entry published 27 June 2025

John Rigby

HMP WymottDate of death 17 December 2023

Natural causesInvestigation: Report published4 recommendations indexed

PPO entry published 8 August 2025

Christopher Baptiste

HMP SwalesideDate of death 31 October 2023

Other non-naturalInvestigation: Report published4 recommendations indexed

PPO entry published 6 February 2025

Lucas Kidd

HMP RanbyDate of death 19 October 2023

Other non-naturalInvestigation: Report published2 recommendations indexed

PPO entry published 17 January 2025

Ricky Crosher

HMP Lowdham GrangeDate of death 11 October 2023

Self-inflictedInvestigation: Report published3 recommendations indexed

PPO entry published 3 December 2025

Giles Harvey

HMP DovegateDate of death 9 October 2023

Self-inflictedInvestigation: Report published1 recommendation indexed

PPO entry published 17 July 2025

Piotr Zmijewski

HMP MaidstoneDate of death 9 September 2023

Self-inflictedInvestigation: Report published3 recommendations indexed

PPO entry published 17 April 2025

Amer Fareed

HMP/YOI High DownDate of death 8 August 2023

Other non-naturalInvestigation: Report published1 recommendation indexed

PPO entry published 22 July 2025

Raymond Cartwright

HMP RisleyDate of death 6 August 2023

Natural causesInvestigation: Report published2 recommendations indexed

PPO entry published 22 November 2024

Liam Darby

HMP ErlestokeDate of death 21 July 2023

Other non-naturalInvestigation: Report published1 recommendation indexed

PPO entry published 4 July 2025

Anthony Kwan

HMP Channings WoodDate of death 8 July 2023

Natural causesInvestigation: Report published3 recommendations indexed

PPO entry published 28 August 2025

Mark Conway

HMP Isle of WightDate of death 25 June 2023

Natural causesInvestigation: Report published4 recommendations indexed

PPO entry published 5 December 2025

Rajwinder Singh

HMP WandsworthDate of death 25 June 2023

Self-inflictedInvestigation: Report published6 recommendations indexed

PPO entry published 8 August 2025

Filmon Brhane

HMP MaidstoneDate of death 12 June 2023

Self-inflictedInvestigation: Report published8 recommendations indexed

PPO entry published 19 September 2025

Amy Cross

HMP/YOI Eastwood ParkDate of death 10 June 2023

Other non-naturalInvestigation: Report published2 recommendations indexed

PPO entry published 28 October 2025

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