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
Louis Maniatt Ty Newydd Approved Premises Other Published 3
Ian Huntley HMP Frankland In progress
Matthew Hayward HMP Peterborough Pending inquest
Tristan Roberts HMP Exeter Pending inquest
Adrian Stanton HMP Featherstone Pending inquest
Sarah Jackson HMP/YOI Styal Pending inquest
David Fuge HMP Wymott Pending inquest
Jack Bawden HMP Chelmsford In progress
Scott Turley HMP Peterborough Pending inquest
Theophile Kaliviotis Brook House Immigration Removal Centre Pending inquest
Manuel Bello Box Tree Cottage Approved Premises Pending inquest
Lee Clay HMP Nottingham In progress
Kate Allen HMP/YOI Low Newton In progress
Steven Kempster HMP Exeter In progress
Jason Simmons HMP Exeter Pending inquest
Andrew Thompson HMP/YOI Doncaster Natural Published
Harry Edwards HMP Ranby Pending inquest
Warren Arter HMP Wandsworth Pending inquest
Andrew Cooper HMP Winchester Pending inquest
Lloyd Ramsbottom HMP Stoke Heath In progress
John Mclaren HMP Hull In progress
Thomas Haigh HMP Manchester In progress
Stanley Brown HMP Liverpool In progress
Stephen Dixon-Waterworth HMP Wealstun In progress
Martin Ryan HMP Cookham Wood In progress
Waleed Ali HMP Wandsworth Self-inflicted Published 1
Robert Wiseman Lightfoot House Approved Premises In progress
Kyle Watts Deer Park Approved Premises Pending inquest
Jeffrey Long HMP/YOI Moorland In progress
Thomas James HMP Wandsworth In progress
Jamie Evans HMP Kirkham Pending inquest
Andrew Monaghan HMP Lindholme In progress
Michael Shilton HMP Stafford Natural Published
Scott Kelly HMP/YOI Doncaster Pending inquest
Connor Bresland HMP Exeter In progress
Reginald Robinson HMP The Verne In progress
Glenn Brown Holbeck House Approved Premises Pending inquest
Jacob Blow HMP Exeter Pending inquest
George Armstrong HMP Holme House Pending inquest
Paul Miller HMP Kirklevington Grange Pending inquest
Darren Snowdon HMP Ranby In progress
John Bain HMP The Mount Pending inquest
John Casey HMP Birmingham In progress
Carl Hyde HMP Stocken Pending inquest
Jason Walker HMP Lincoln Pending inquest
John Digweed HMP Garth Pending inquest
Michael Beer HMP Cardiff Pending inquest
Khia Dawe HMP Exeter Pending inquest
David Kettle HMP Erlestoke Pending inquest
Mark Penfold HMP Highpoint Natural Published