Source · Deaths in custody

PPO Fatal Incident Reports

6,401 incidents 5,674 published 1,165 recommendations 1,633 self-inflicted 3,373 natural causes

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

Learning & thematic publications

74 cross-establishment publications

Learning Lessons Bulletins (50), thematic reviews (2), consultation responses (11), Policy into Practice (5) and annual reports (6): the systemic patterns the Ombudsman draws from many investigations.

TitleTypeDateSource
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 22: Self-inflicted deaths in reception prisons Learning Lessons Bulletin Mar 2026 PDF
Fatal Incident Investigations Learning Lessons Bulletin Issue 21: Segregation 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 Tackling Drugs in Prison Inquiry Consultation response Feb 2025 PDF
PPO response to JHAC Inquiry into Prison Culture Consultation response Feb 2025 PDF
PPO response to JSC inquiry into Rehabilitation and Resettlement 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
Investigating deaths after release from prison – a pilot evaluation Learning Lessons Bulletin Jan 2023 PDF
Fatal Incident Investigations Learning Lessons Bulletin Issue 17: Post-release death investigations 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
Complaints Investigations Learning Lessons Bulletin Issue 10: COVID-19 PPO Complaints Learning Lessons Bulletin Dec 2020 PDF

Incidents

6,401 records
Name Establishment Cause Status Date of death Recs
Individual at Parc HMP Parc Natural Published 11 Jun 2006
Individual at Rye Hill HMP Rye Hill Self-inflicted Published 10 Jun 2006
Individual at Bristol HMP Bristol Natural Published 10 Jun 2006
Individual at Liverpool HMP Liverpool Natural Published 8 Jun 2006
Individual at Preston HMP Preston Natural Published 3 Jun 2006
Individual at Frankland HMP Frankland Natural Published 2 Jun 2006
Individual at Birmingham HMP Birmingham Natural Published 1 Jun 2006
Individual at Ranby HMP Ranby Other Published 31 May 2006
Individual at Bristol HMP Bristol Other Published 27 May 2006
Individual at Brixton HMP Brixton Self-inflicted Published 27 May 2006
Individual at Birmingham HMP Birmingham Other Published 24 May 2006
Individual at Stocken HMP Stocken Natural Published 23 May 2006
Individual at Bullingdon HMP Bullingdon Natural Published 20 May 2006
Individual at Preston HMP Preston Self-inflicted Published 19 May 2006
Individual at Preston HMP Preston Natural Published 13 May 2006
Individual at Wymott HMP Wymott Natural Published 13 May 2006
Individual at Lincoln HMP Lincoln Self-inflicted Published 12 May 2006
Individual at North Sea Camp HMP North Sea Camp Natural Published 12 May 2006
Individual at Ascot House Ascot House Natural Published 11 May 2006
Individual at Styal HMP Styal Self-inflicted Published 10 May 2006
Individual at Gartree HMP Gartree Natural Published 10 May 2006
Individual at Leeds HMP Leeds Self-inflicted Published 10 May 2006
Individual at Leeds HMP Leeds Self-inflicted Published 9 May 2006
Individual at Wormwood Scrubs HMP Wormwood Scrubs Other Published 5 May 2006
Individual at Liverpool HMP Liverpool Self-inflicted Published 2 May 2006
Individual at New Hall HMP New Hall Self-inflicted Published 1 May 2006
Individual at Peterborough HMP Peterborough Natural Published 1 May 2006
Individual at Bedford HMP Bedford Self-inflicted Published 1 May 2006
Individual at Brixton HMP Brixton Self-inflicted Published 28 Apr 2006
Individual at Wymott HMP Wymott Natural Published 27 Apr 2006
Individual at Shepton Mallet HMP Shepton Mallet Natural Published 25 Apr 2006
Individual at High Down HMP High Down Self-inflicted Published 21 Apr 2006
Individual at Leeds HMP Leeds Self-inflicted Published 19 Apr 2006
Individual at Channings Wood HMP Channings Wood Self-inflicted Published 13 Apr 2006
Individual at Hull HMP Hull Natural Published 11 Apr 2006
Individual at Holme House HMP Holme House Self-inflicted Published 6 Apr 2006
Individual at Belmarsh HMP Belmarsh Natural Published 1 Apr 2006
Individual at New Hall HMP New Hall Natural Published 31 Mar 2006
Individual at Blakenhurst HMP Blakenhurst Self-inflicted Published 31 Mar 2006
Individual at Parc HMP Parc Self-inflicted Published 29 Mar 2006
Individual at Leeds HMP Leeds Self-inflicted Published 23 Mar 2006
Individual at Preston HMP Preston Natural Published 22 Mar 2006
Individual at Isle of Wight HMP Isle of Wight Natural Published 16 Mar 2006
Individual at Hull HMP Hull Self-inflicted Published 12 Mar 2006
Individual at Birmingham HMP Birmingham Natural Published 9 Mar 2006
Individual at Leeds HMP Leeds Natural Published 4 Mar 2006
Individual at Lincoln HMP Lincoln Self-inflicted Published 25 Feb 2006
Individual at Chelmsford HMP Chelmsford Natural Published 25 Feb 2006
Individual at Frankland HMP Frankland Natural Published 24 Feb 2006
Individual at Wormwood Scrubs HMP Wormwood Scrubs Self-inflicted Published 19 Feb 2006