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.

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 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 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 2023-24 Annual report Jul 2024 PDF
Annual report 2022-23 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

6,395 records
Name Establishment Cause Status Date of death Recs
Patrick Brady HMP Ashfield Pending inquest
Carl Hyde HMP Stocken Pending inquest
Khaled Hassan HMP Northumberland Pending inquest
Nicholas Robinson HMP Oakwood Pending inquest
Liam Watson-Hunter HMP Holme House In progress
Myles Filose HMP Winchester Natural Published
Claire Taylor HMP/YOI Eastwood Park Pending inquest
Mason King HMP Channings Wood In progress
Thomas Haigh HMP Manchester In progress
Michael Smith HMP Norwich Pending inquest
Steven Watson HMP Highpoint Pending inquest
Philip Walton HMP Stafford Natural Published
Michael Dyer HMP Woodhill Pending inquest
Zacaria Gauji HMP Leeds Pending inquest
Lee Draper HMP Swansea In progress
Amie Keeling HMP/YOI Foston Hall In progress
Bobby Kennedy Penrose Drive Approved Premises Pending inquest
Ronald Beamish HMP Chelmsford Pending inquest
Thomas Mobbs HMP Lindholme In progress
Lee Peacock HMP Long Lartin Pending inquest
Patryk Skupinski HMP Gartree Other Published
Trevor Wiggan HMP Garth Pending inquest
Aaron Rowley HMP Holme House In progress
Wayne Miller HMP Frankland Pending inquest
David Brooks HMP Rye Hill In progress
Robbie Northridge HMP Lowdham Grange Pending inquest
Kasim Hussain HMP Preston In progress
Dean Taylor HMP Stoke Heath Pending inquest
Paul Wildman HMP Altcourse Pending inquest
Errol Craig HMP Leeds In progress
Peter Cooper HMP Fosse Way In progress
Emma Kent HMP/YOI Foston Hall Pending inquest
Dean Waters HMP Long Lartin In progress
Bernard Stevens HMP Isle of Wight Pending inquest
Ben Foley HMP Exeter Self-inflicted Published
Philip Eldridge HMP The Verne Pending inquest
Brian Haines HMP Five Wells In progress
David McVicker HMP Channings Wood Pending inquest
Andrew Savage HMP Channings Wood In progress
Paul Thompson HMP Norwich Pending inquest
Alfred Grimble HMP Norwich In progress
Nathaniel Peter HMP Thameside Pending inquest
Adrian O’Reilly HMP Littlehey In progress
Khia Dawe HMP Exeter Pending inquest
Kenneth Pickering HMP Lincoln In progress
Emmett Morrison HMP Long Lartin Self-inflicted Published
Richard Scaife HMP Isle of Wight In progress
Chay Bignell HMP Swaleside Pending inquest
Shannon Woodhall HMP/YOI Eastwood Park In progress
Michael Hobbs HMP Thameside In progress