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.

Incidents

6,563 records

Darren Salituri

Guernsey Prison

Investigation: In progress0 recommendations indexed

PPO entry published 19 February 2026

Isaiah Olugosi

HMP Wormwood Scrubs

Self-inflictedInvestigation: Report published7 recommendations indexed

PPO entry published 24 August 2026

Alfred Davies

HMP Usk

Investigation: In progress0 recommendations indexed

PPO entry published 14 May 2026

Aftab Alam

HMP Manchester

Investigation: Pending inquest outcome0 recommendations indexed

PPO entry published 27 February 2026

Tony Marks

HMP Brixton

Investigation: Pending inquest outcome0 recommendations indexed

PPO entry published 26 September 2024

Oliver Crossley

HMP Berwyn

Investigation: In progress0 recommendations indexed

PPO entry published 27 August 2026

Shaun Hill

HMP Stocken

Investigation: Pending inquest outcome0 recommendations indexed

PPO entry published 11 June 2025

Roger Dodds

HMP Whatton

Investigation: In progress0 recommendations indexed

PPO entry published 27 August 2026

Kevin Lees

HMP Sudbury

Investigation: Pending inquest outcome0 recommendations indexed

PPO entry published 3 April 2025

Laura Sharman

HMP/YOI Drake Hall

Investigation: In progress0 recommendations indexed

PPO entry published 14 May 2026

Philip Brindle

HMP Wymott

Investigation: Pending inquest outcome0 recommendations indexed

PPO entry published 7 January 2026

Keith Whitworth

HMP Frankland

Investigation: Pending inquest outcome0 recommendations indexed

PPO entry published 20 March 2025

David Fuge

HMP Wymott

Natural causesInvestigation: Report published1 recommendation indexed

PPO entry published 21 August 2026

Stefan Adi

HMP Maidstone

Investigation: Pending inquest outcome0 recommendations indexed

PPO entry published 30 October 2025

Pascal Blasio

HMP Rochester

Investigation: In progress0 recommendations indexed

PPO entry published 19 March 2026

Theophile Kaliviotis

Brook House Immigration Removal Centre

Investigation: Pending inquest outcome0 recommendations indexed

PPO entry published 7 November 2024

Trevor Wiggan

HMP Garth

Investigation: Pending inquest outcome0 recommendations indexed

PPO entry published 20 March 2025

Brian Myers

HMP Garth

Investigation: In progress0 recommendations indexed

PPO entry published 13 May 2026

Dean Sykes

HMP Lindholme

Investigation: Pending inquest outcome0 recommendations indexed

PPO entry published 7 January 2026

Michael Smith

HMP Stocken

Investigation: In progress0 recommendations indexed

PPO entry published 17 September 2026

Martin McDermott

HMP Gartree

Investigation: In progress0 recommendations indexed

PPO entry published 25 June 2026

Stella McNulty

HMP Send

Investigation: In progress0 recommendations indexed

PPO entry published 12 February 2026

John Murtagh

HMP Birmingham

Investigation: In progress0 recommendations indexed

PPO entry published 7 January 2026

Mark Fletcher

HMP Full Sutton

Investigation: Pending inquest outcome0 recommendations indexed

PPO entry published 5 June 2025

Bradley Gower

HMP Chelmsford

Investigation: In progress0 recommendations indexed

PPO entry published 3 September 2026

Michael Dyer

HMP Woodhill

Investigation: Pending inquest outcome0 recommendations indexed

PPO entry published 3 July 2025

John Palmer

HMP/YOI Doncaster

Investigation: In progress0 recommendations indexed

PPO entry published 7 January 2026

Justin Lewis

HMP/YOI Parc

Investigation: Pending inquest outcome0 recommendations indexed

PPO entry published 8 May 2025

Liam Wood

HMP Hewell

Investigation: Pending inquest outcome0 recommendations indexed

PPO entry published 7 January 2026

John Phillips

HMP Isle of Wight

Investigation: Pending inquest outcome0 recommendations indexed

PPO entry published 11 August 2026

Bogdan-Ionut Puscasu

HMP Isle of Wight

Investigation: Pending inquest outcome0 recommendations indexed

PPO entry published 22 August 2024

Daniel See

HMP Wymott

Investigation: In progress0 recommendations indexed

PPO entry published 13 May 2026

Parth Shahi

HMP Exeter

Investigation: In progress0 recommendations indexed

PPO entry published 25 June 2026

Warsami Ibrahim

HMP Wakefield

Investigation: In progress0 recommendations indexed

PPO entry published 27 August 2026

Alistair McKenzie

HMP Norwich

Investigation: Pending inquest outcome0 recommendations indexed

PPO entry published 20 August 2026

Johnathon Maarschalk

HMP Lincoln

Investigation: Pending inquest outcome0 recommendations indexed

PPO entry published 14 May 2026

Robert Henry Royan

HMP/YOI Parc

Investigation: Pending inquest outcome0 recommendations indexed

PPO entry published 3 July 2024

John Shannon

HMP Bure

Investigation: In progress0 recommendations indexed

PPO entry published 2 April 2026

Rocky Price

HMP Highpoint

Investigation: In progress0 recommendations indexed

PPO entry published 16 July 2026

Ashley Nolan

Lawson House Approved Premises

Investigation: In progress0 recommendations indexed

PPO entry published 14 May 2026

Andrew Cooper

HMP Winchester

Investigation: Pending inquest outcome0 recommendations indexed

PPO entry published 20 February 2025

Raymond Auty

HMP/YOI Moorland

Investigation: In progress0 recommendations indexed

PPO entry published 17 September 2026

Davidson Charles

HMP Erlestoke

Investigation: Pending inquest outcome0 recommendations indexed

PPO entry published 22 August 2024

Morgan Sullivan

HMP Wandsworth

Investigation: Pending inquest outcome0 recommendations indexed

PPO entry published 3 April 2025

Ahmed Said

HMP Wandsworth

Investigation: In progress0 recommendations indexed

PPO entry published 9 April 2026

David Loch

HMP Lowdham Grange

Other non-naturalInvestigation: Report published0 recommendations indexed

PPO entry published 21 August 2026

David Glass

HMP Altcourse

Self-inflictedInvestigation: Report published2 recommendations indexed

PPO entry published 2 October 2026

Steven Watson

HMP Highpoint

Investigation: Pending inquest outcome0 recommendations indexed

PPO entry published 10 October 2024

Lynda Hanbury

HMP/YOI Styal

Investigation: In progress0 recommendations indexed

PPO entry published 1 October 2026

David Griffiths

HMP Brixton

Investigation: Pending inquest outcome0 recommendations indexed

PPO entry published 11 September 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