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 Wymott HMP Wymott Natural Published 19 Feb 2005
Individual at Wandsworth HMP Wandsworth Self-inflicted Published 18 Feb 2005
Individual at Wandsworth HMP Wandsworth Self-inflicted Published 14 Feb 2005
Individual at Woodhill HMP Woodhill Natural Published 13 Feb 2005
Individual at Exeter HMP Exeter Natural Published 13 Feb 2005
Individual at Brinsford HMP Brinsford Self-inflicted Published 12 Feb 2005
Individual at Littlehey HMP Littlehey Natural Published 10 Feb 2005
Individual at Altcourse HMP Altcourse Self-inflicted Published 4 Feb 2005
Individual at Wymott HMP Wymott Self-inflicted Published 3 Feb 2005
Individual at New Hall HMP New Hall Self-inflicted Published 2 Feb 2005
Individual at Littlehey HMP Littlehey Natural Published 30 Jan 2005
Individual at Dovegate HMP Dovegate Natural Published 23 Jan 2005
Individual at Stoke Heath HMP Stoke Heath Self-inflicted Published 22 Jan 2005
Individual at Leeds HMP Leeds Natural Published 21 Jan 2005
Individual at Lancaster Farms HMP Lancaster Farms Self-inflicted Published 20 Jan 2005
Individual at Exeter HMP Exeter Self-inflicted Published 19 Jan 2005
Individual at Trent House Trent House Other Published 14 Jan 2005
Individual at Wymott HMP Wymott Natural Published 14 Jan 2005
Individual at Littlehey HMP Littlehey Natural Published 11 Jan 2005
Individual at Isle of Wight HMP Isle of Wight Natural Published 10 Jan 2005
Individual at Swaleside HMP Swaleside Self-inflicted Published 10 Jan 2005
Individual at Acklington HMP Acklington Natural Published 9 Jan 2005
Individual at Belmarsh HMP Belmarsh Other Published 3 Jan 2005
Individual at Acklington HMP Acklington Natural Published 29 Dec 2004
Individual at Bullingdon HMP Bullingdon Self-inflicted Published 29 Dec 2004
Individual at Garth HMP Garth Natural Published 29 Dec 2004
Individual at Bedford HMP Bedford Self-inflicted Published 27 Dec 2004
Individual at Wymott HMP Wymott Natural Published 21 Dec 2004
Individual at Bullingdon HMP Bullingdon Natural Published 14 Dec 2004
Individual at Liverpool HMP Liverpool Self-inflicted Published 13 Dec 2004
Individual at Hull HMP Hull Natural Published 13 Dec 2004
Individual at Dovegate HMP Dovegate Natural Published 10 Dec 2004
Individual at Liverpool HMP Liverpool Natural Published 6 Dec 2004
Individual at Norwich HMP Norwich Natural Published 30 Nov 2004
Individual at Frankland HMP Frankland Natural Published 29 Nov 2004
Individual at Maidstone HMP Maidstone Natural Published 27 Nov 2004
Individual at Wormwood Scrubs HMP Wormwood Scrubs Self-inflicted Published 23 Nov 2004
Individual at Lindholme HMP Lindholme Natural Published 22 Nov 2004
Individual at Rye Hill HMP Rye Hill Natural Published 21 Nov 2004
Individual at Durham HMP Durham Natural Published 19 Nov 2004
Individual at Ranby HMP Ranby Natural Published 19 Nov 2004
Individual at Lincoln HMP Lincoln Self-inflicted Published 17 Nov 2004
Individual at Bristol HMP Bristol Natural Published 15 Nov 2004
Individual at Downview HMP Downview Natural Published 13 Nov 2004
Individual at Abingdon Road Abingdon Road Natural Published 13 Nov 2004
Individual at Manchester HMP Manchester Self-inflicted Published 11 Nov 2004
Individual at The Verne HMP The Verne Self-inflicted Published 9 Nov 2004
Individual at Frankland HMP Frankland Natural Published 7 Nov 2004
Individual at Swansea HMP Swansea Self-inflicted Published 1 Nov 2004
Individual at Belmarsh HMP Belmarsh Natural Published 29 Oct 2004