Source · Deaths in custody
PPO Fatal Incident Reports
6,395 incidents
5,660 published
1,165 recommendations
1,632 self-inflicted
3,362 natural causes
Deaths in custody investigated by the Prisons and Probation Ombudsman. 26% of deaths are self-inflicted. Source: PPO.
Top recommendation themes
Learning & thematic publications
| Title | Type | Date | Source |
|---|---|---|---|
| PPO response to JSC Inquiry into Children and Young Adults in the Secure Estate | Consultation response | Jun 2026 | |
| Fatal Incident Investigations Learning Lessons Bulletin Issue 21: Segregation | Learning Lessons Bulletin | Mar 2026 | |
| Fatal Incident Investigations Learning Lessons Bulletin Issue 22: Self-inflicted deaths in reception prisons | Learning Lessons Bulletin | Mar 2026 | |
| Fatal Incident Investigations Learning Lessons Bulletin Issue 20: Epilepsy | Learning Lessons Bulletin | Nov 2025 | |
| Annual Report 2024 to 2025 | Annual report | Jul 2025 | |
| Policy into Practice: Handling of prisoners’ property | Policy into Practice | Mar 2025 | |
| Policy into Practice: Handling of property complaints | Policy into Practice | Mar 2025 | |
| Complaints Investigations Learning Lessons Bulletin Issue 11: Property complaints | Learning Lessons Bulletin | Mar 2025 | |
| PPO response to JSC Tackling Drugs in Prison Inquiry | Consultation response | Feb 2025 | |
| PPO response to JHAC Inquiry into Prison Culture | Consultation response | Feb 2025 | |
| PPO response to JSC inquiry into Rehabilitation and Resettlement | Consultation response | Feb 2025 | |
| Policy into Practice: Emergency Response | Policy into Practice | Jan 2025 | |
| PPO response to the Independent Sentencing Review 2024/25 call for evidence | Consultation response | Jan 2025 | |
| Fatal Incident Investigations Learning Lessons Bulletin Issue 19: Post-release death investigations 2 | Learning Lessons Bulletin | Jul 2024 | |
| Annual Report 2023-24 | Annual report | Jul 2024 | |
| Annual report 2022-23 | Annual report | Jul 2024 | |
| Policy into practice: Use of force | Policy into Practice | Feb 2024 | |
| PPO response to the inquiry into prison population and capacity | Consultation response | Nov 2023 | |
| Fatal Incident Investigations Learning Lessons Bulletin Issue 18: Self-inflicted deaths of IPP prisoners | Learning Lessons Bulletin | Sep 2023 | |
| Investigating deaths after release from prison – a pilot evaluation | Learning Lessons Bulletin | Jan 2023 | |
| Fatal Incident Investigations Learning Lessons Bulletin Issue 17: Post-release death investigations | Learning Lessons Bulletin | Jan 2023 | |
| PPO response to the inquiry into the Prison Operational Workforce | Consultation response | Jan 2023 | |
| Annual Report 2021-22 | Annual report | Oct 2022 | |
| Policy into Practice: Use of restraints on escort | Policy into Practice | Sep 2022 | |
| PPO Response to the Inquiry into IPP sentences | Consultation response | Jan 2022 | |
| Fatal Incident Investigations Learning Lessons Bulletin Issue 16: Second wave COVID-19 related deaths | Learning Lessons Bulletin | Dec 2021 | |
| Annual Report 2020-21 | Annual report | Sep 2021 | |
| PPO responses to the Inquiry into Women in Prison | Consultation response | Aug 2021 | |
| Fatal Incident Investigations Learning Lessons Bulletin Issue 15: COVID-19 PPO fatal incident investigations | Learning Lessons Bulletin | Feb 2021 | |
| Complaints Investigations Learning Lessons Bulletin Issue 10: COVID-19 PPO Complaints | Learning Lessons Bulletin | Dec 2020 |
Incidents
| Name | Establishment | Cause | Status | Date of death | Recs |
|---|---|---|---|---|---|
| James Rutherford | HMP Humber | In progress | — | — | |
| Carl Hyde | HMP Stocken | Pending inquest | — | — | |
| Mark Collins | HMP Berwyn | Pending inquest | — | — | |
| Daniel Childs | HMP Bristol | Pending inquest | — | — | |
| Kian Parmee | HMP Swansea | Pending inquest | — | — | |
| Martin Ramus | HMP Exeter | Pending inquest | — | — | |
| James Goulding | HMP Featherstone | Pending inquest | — | — | |
| Aaron House | HMP Cookham Wood | In progress | — | — | |
| Marlon Kelly | HMP Swaleside | Pending inquest | — | — | |
| Michael Maharaj | HMP Brixton | Pending inquest | — | — | |
| Douglas Sirrell | HMP Hewell | In progress | — | — | |
| Brian White | HMP Featherstone | Pending inquest | — | — | |
| Jordan Donnell | HMP Holme House | Pending inquest | — | — | |
| Bernard Grainger | HMP Hull | In progress | — | — | |
| Christopher Sanderson | HMP Hull | In progress | — | — | |
| Barry Kelly | HMP Kirklevington Grange | In progress | — | — | |
| Kenneth Grubb | HMP Five Wells | In progress | — | — | |
| Takauda Zinyoro | HMP Stocken | In progress | — | — | |
| Shareen Akhtar | HMP/YOI Foston Hall | In progress | — | — | |
| Sidique Govinden | HMP Wandsworth | Pending inquest | — | — | |
| Daniel Alexander | HMP Long Lartin | Pending inquest | — | — | |
| el Waleed Mohamed | HMP Thameside | Pending inquest | — | — | |
| Alex Graham | HMP Thameside | In progress | — | — | |
| Nicholas Robinson | HMP Oakwood | Pending inquest | — | — | |
| Anthony Chetham | HMP Millsike | Pending inquest | — | — | |
| Michael Dyer | HMP Woodhill | Pending inquest | — | — | |
| Paul Pickerill | HMP Garth | Pending inquest | — | — | |
| Simon Dunn | HMP Garth | Self-inflicted | Published | — | — |
| Paul Hoskins | HMP Bedford | In progress | — | — | |
| Steven Cleverley | HMP The Verne | In progress | — | — | |
| Victor Fisher | HMP Stoke Heath | In progress | — | — | |
| Matthew Bouldin | HMP Fosse Way | In progress | — | — | |
| David Clairmonte | HMP Full Sutton | Pending inquest | — | — | |
| Tony Collins | HMP Rochester | Pending inquest | — | — | |
| Charles Pratt | HMP Leeds | Pending inquest | — | — | |
| Luke Kelsall | HMP/YOI Portland | Pending inquest | — | — | |
| Jason Hayward | HMP Birmingham | In progress | — | — | |
| Roger Robinson | Guernsey Prison | In progress | — | — | |
| Darren Salituri | Guernsey Prison | In progress | — | — | |
| Andrew Eggington | HMP Altcourse | Pending inquest | — | — | |
| Alfred Davies | HMP Usk | In progress | — | — | |
| Jordan Tams | HMP Deerbolt | In progress | — | — | |
| Stephen Hughes | HMP Northumberland | In progress | — | — | |
| Scott Napier | HMP Swaleside | In progress | — | — | |
| Toby Smith | HMP Onley | In progress | — | — | |
| Laura Sharman | HMP/YOI Drake Hall | In progress | — | — | |
| Lewis Goulding | HMP Stoke Heath | Pending inquest | — | — | |
| Malcolm MacDougal | HMP Full Sutton | Pending inquest | — | — | |
| Nicholas Braham | HMP Dovegate | In progress | — | — | |
| Anthony Bullett | HMP Norwich | Pending inquest | — | — |