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.
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 22: Self-inflicted deaths in reception prisons | Learning Lessons Bulletin | Mar 2026 | |
| Fatal Incident Investigations Learning Lessons Bulletin Issue 21: Segregation | 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 2022-23 | Annual report | Jul 2024 | |
| Annual Report 2023-24 | 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 |
|---|---|---|---|---|---|
| Individual at Gloucester | HMP Gloucester | Natural | Published | 2 Jun 2005 | — |
| Individual at Withington Road | Withington Road | Natural | Published | 1 Jun 2005 | — |
| Individual at Lowdham Grange | HMP Lowdham Grange | Natural | Published | 31 May 2005 | — |
| Individual at Parc | HMP Parc | Natural | Published | 30 May 2005 | — |
| Individual at Ealing | Ealing | Self-inflicted | Published | 29 May 2005 | — |
| Individual at Wormwood Scrubs | HMP Wormwood Scrubs | Natural | Published | 28 May 2005 | — |
| Individual at Wandsworth | HMP Wandsworth | Natural | Published | 21 May 2005 | — |
| Individual at Kirkham | HMP Kirkham | Natural | Published | 20 May 2005 | — |
| Individual at Rye Hill | HMP Rye Hill | Natural | Published | 17 May 2005 | — |
| Individual at Leicester | HMP Leicester | Self-inflicted | Published | 17 May 2005 | — |
| Individual at Swansea | HMP Swansea | Self-inflicted | Published | 15 May 2005 | — |
| Individual at Forest Bank | HMP Forest Bank | Other | Published | 11 May 2005 | — |
| Individual at Guys Marsh | HMP Guys Marsh | Natural | Published | 9 May 2005 | — |
| Individual at Wandsworth | HMP Wandsworth | Self-inflicted | Published | 8 May 2005 | — |
| Individual at St Johns | St Johns | Other | Published | 4 May 2005 | — |
| Individual at Linden Bank | Linden Bank | Self-inflicted | Published | 29 Apr 2005 | — |
| Individual at Frankland | HMP Frankland | Natural | Published | 28 Apr 2005 | — |
| Individual at Gloucester | HMP Gloucester | Self-inflicted | Published | 28 Apr 2005 | — |
| Individual at Lewes | HMP Lewes | Natural | Published | 27 Apr 2005 | — |
| Individual at Chorlton | Chorlton | Other | Published | 22 Apr 2005 | — |
| Individual at Wakefield | HMP Wakefield | Natural | Published | 19 Apr 2005 | — |
| Individual at Brixton | HMP Brixton | Self-inflicted | Published | 19 Apr 2005 | — |
| Individual at Swaleside | HMP Swaleside | Natural | Published | 17 Apr 2005 | — |
| Individual at Rye Hill | HMP Rye Hill | Homicide | Published | 13 Apr 2005 | — |
| Individual at St Leonards | St Leonards | Self-inflicted | Published | 11 Apr 2005 | — |
| Individual at Braley House | Braley House | Self-inflicted | Published | 2 Apr 2005 | — |
| Individual at Usk and Prescoed | HMP Usk and Prescoed | Natural | Published | 2 Apr 2005 | — |
| Individual at Lowdham Grange | HMP Lowdham Grange | Self-inflicted | Published | 27 Mar 2005 | — |
| Individual at Woodhill | HMP Woodhill | Natural | Published | 25 Mar 2005 | — |
| Individual at Rye Hill | HMP Rye Hill | Self-inflicted | Published | 24 Mar 2005 | — |
| Individual at Wakefield | HMP Wakefield | Self-inflicted | Published | 20 Mar 2005 | — |
| Individual at Liverpool | HMP Liverpool | Other | Published | 20 Mar 2005 | — |
| Individual at Chelmsford | HMP Chelmsford | Self-inflicted | Published | 20 Mar 2005 | — |
| Individual at Leeds | HMP Leeds | Self-inflicted | Published | 19 Mar 2005 | — |
| Individual at Hull | HMP Hull | Other | Published | 18 Mar 2005 | — |
| Individual at Oakington | IRC Oakington | Natural | Published | 14 Mar 2005 | — |
| Individual at Full Sutton | HMP Full Sutton | Self-inflicted | Published | 13 Mar 2005 | — |
| Individual at Elmley | HMP Elmley | Natural | Published | 12 Mar 2005 | — |
| Individual at Leeds | HMP Leeds | Natural | Published | 11 Mar 2005 | — |
| Individual at Manchester | HMP Manchester | Natural | Published | 9 Mar 2005 | — |
| Individual at Wandsworth | HMP Wandsworth | Natural | Published | 9 Mar 2005 | — |
| Individual at Preston | HMP Preston | Self-inflicted | Published | 9 Mar 2005 | — |
| Individual at Bullingdon | HMP Bullingdon | Natural | Published | 8 Mar 2005 | — |
| Individual at Holloway | HMP Holloway | Other | Published | 8 Mar 2005 | — |
| Individual at Holme House | HMP Holme House | Self-inflicted | Published | 5 Mar 2005 | — |
| Individual at Pentonville | HMP Pentonville | Natural | Published | 2 Mar 2005 | — |
| Individual at Wymott | HMP Wymott | Natural | Published | 1 Mar 2005 | — |
| Individual at Acklington | HMP Acklington | Natural | Published | 26 Feb 2005 | — |
| Individual at Frankland | HMP Frankland | Natural | Published | 25 Feb 2005 | — |
| Individual at Gloucester | HMP Gloucester | Self-inflicted | Published | 21 Feb 2005 | — |