Source · Deaths in custody

PPO Fatal Incident Reports

6,470 incidents 5,745 published 1,502 recommendations 1,653 self-inflicted 3,404 natural causes

Deaths in custody investigated by the Prisons and Probation Ombudsman. 26% of deaths are self-inflicted. Source: PPO.

Learning & thematic publications

75 cross-establishment publications

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

TitleTypeDateSource
Annual Report 2025 to 2026 Annual report Jul 2026 PDF
PPO response to JSC Inquiry into Children and Young Adults in the Secure Estate  Consultation response Jun 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
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
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
Complaints Investigations Learning Lessons Bulletin Issue 11: Property complaints Learning Lessons Bulletin Mar 2025 PDF
PPO response to JSC inquiry into Rehabilitation and Resettlement Consultation response Feb 2025 PDF
PPO response to JHAC Inquiry into Prison Culture Consultation response Feb 2025 PDF
PPO response to JSC Tackling Drugs in Prison Inquiry Consultation response Feb 2025 PDF
Policy into Practice: Emergency Response Policy into Practice Jan 2025 PDF
PPO response to the Independent Sentencing Review 2024/25 call for evidence Consultation response Jan 2025 PDF
Fatal Incident Investigations Learning Lessons Bulletin Issue 19: Post-release death investigations 2 Learning Lessons Bulletin Jul 2024 PDF
Annual report 2022-23 Annual report Jul 2024 PDF
Annual Report 2023-24 Annual report Jul 2024 PDF
Policy into practice: Use of force Policy into Practice Feb 2024 PDF
PPO response to the inquiry into prison population and capacity Consultation response Nov 2023 PDF
Fatal Incident Investigations Learning Lessons Bulletin Issue 18: Self-inflicted deaths of IPP prisoners Learning Lessons Bulletin Sep 2023 PDF
Fatal Incident Investigations Learning Lessons Bulletin Issue 17: Post-release death investigations Learning Lessons Bulletin Jan 2023 PDF
Investigating deaths after release from prison – a pilot evaluation Learning Lessons Bulletin Jan 2023 PDF
PPO response to the inquiry into the Prison Operational Workforce Consultation response Jan 2023 PDF
Annual Report 2021-22 Annual report Oct 2022 PDF
Policy into Practice: Use of restraints on escort Policy into Practice Sep 2022 PDF
PPO Response to the Inquiry into IPP sentences Consultation response Jan 2022 PDF
Fatal Incident Investigations Learning Lessons Bulletin Issue 16: Second wave COVID-19 related deaths Learning Lessons Bulletin Dec 2021 PDF
Annual Report 2020-21 Annual report Sep 2021 PDF
PPO responses to the Inquiry into Women in Prison Consultation response Aug 2021 PDF
Fatal Incident Investigations Learning Lessons Bulletin Issue 15: COVID-19 PPO fatal incident investigations Learning Lessons Bulletin Feb 2021 PDF

Incidents

6,470 records
Name Establishment Cause Status Date of death Recs
Liam Watson-Hunter HMP Holme House In progress
Billy Payne HMP Belmarsh In progress
David Clairmonte HMP Full Sutton Pending inquest
David McVicker HMP Channings Wood Pending inquest
Michael Dyer HMP Woodhill Pending inquest
Zacaria Gauji HMP Leeds Pending inquest
Lee Draper HMP Swansea In progress
Thomas James HMP Wandsworth In progress
Leon Austin HMP/YOI Doncaster Pending inquest
Simon Webber HMP/YOI Portland In progress
Bobby Kennedy Penrose Drive Approved Premises Pending inquest
Andrew Cooper HMP Winchester Pending inquest
Thomas Mobbs HMP Lindholme In progress
Colin Clapham HMP Littlehey In progress
Alan Fowler HMP Isle of Wight In progress
Wayne Miller HMP Frankland Pending inquest
Aaron Rowley HMP Holme House In progress
Michael Shilton HMP Stafford Natural Published
Dean Waters HMP Long Lartin Pending inquest
Waleed Ali HMP Wandsworth Self-inflicted Published 1
Paul Wildman HMP Altcourse Pending inquest
Kasim Hussain HMP Preston In progress
Errol Craig HMP Leeds In progress
Adrian Stanton HMP Featherstone Pending inquest
Peter Cooper HMP Fosse Way In progress
Bernard Stevens HMP Isle of Wight Pending inquest
Brian Haines HMP Five Wells In progress
Dean Taylor HMP Stoke Heath Pending inquest
Alfred Grimble HMP Norwich In progress
Louis Maniatt Ty Newydd Approved Premises Other Published 3
Adrian O’Reilly HMP Littlehey In progress
Matthew Bryant HMP Channings Wood In progress
Kenneth Pickering HMP Lincoln In progress
Francis Berry HMP Altcourse In progress
Carl Jewitt HMP Bedford In progress
Jacob Blow HMP Exeter Pending inquest
Shannon Woodhall HMP/YOI Eastwood Park In progress
Christopher Hennigan HMP Manchester In progress
Chay Bignell HMP Swaleside Pending inquest
Richard Scaife HMP Isle of Wight Pending inquest
Lyndon Jones HMP/YOI Parc In progress
Toby Greenwell HMP Humber Pending inquest
George Richards HMP Lincoln Pending inquest
Baby C HMP/YOI Foston Hall Pending inquest
Eldhose John HMP Bullingdon Pending inquest
Mark Fletcher HMP Full Sutton Pending inquest
Arsi Norain HMP Morton Hall Pending inquest
Terence McGlen HMP Northumberland In progress
Malcolm Pyke HMP Durham In progress
Christian Bell HMP Fosse Way Pending inquest