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.
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 21: Segregation | Learning Lessons Bulletin | Mar 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 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 2023-24 | Annual report | Jul 2024 | |
| Annual report 2022-23 | 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 |
|---|---|---|---|---|---|
| Michael Dawson | HMP Lindholme | Natural | Published | — | — |
| Scarlet Witch | HMP Send | Pending inquest | — | — | |
| Ronald Beamish | HMP Chelmsford | Pending inquest | — | — | |
| Patrick McCann | HMP Forest Bank | Natural | Published | — | — |
| Thomas McMurray | HMP Brixton | Pending inquest | — | — | |
| Charles Stevens | HMP Swaleside | Other | Published | — | — |
| Georgina Vilella | HMP Send | In progress | — | — | |
| Darren Clarke | HMP The Verne | Pending inquest | — | — | |
| Warren Manners | HMP/YOI Parc | Pending inquest | — | — | |
| Colin Clapham | HMP Littlehey | In progress | — | — | |
| Jonathan Ross | HMP Highpoint | Pending inquest | — | — | |
| William Glasgow | HMP Wymott | Pending inquest | — | — | |
| Uziel Mendoza-Sillerico | HMP Lowdham Grange | Natural | Published | — | — |
| Jarmeh Eleto | HMP Rochester | In progress | — | — | |
| Jordan Harvey | HMP Humber | Pending inquest | — | — | |
| Mahir Abdulrahman | HMP Fosse Way | In progress | — | — | |
| Arthur Hodgson | HMP Northumberland | Natural | Published | — | — |
| John Wilkes | HMP Fosse Way | Pending inquest | — | — | |
| Colin McSweeny | HMP Gartree | Pending inquest | — | — | |
| Victor Rochester | HMP/YOI Parc | Pending inquest | — | — | |
| John Cox | HMP Bristol | Pending inquest | — | — | |
| Andrew Thompson | HMP/YOI Doncaster | Natural | Published | — | — |
| Dean Boness | In progress | — | — | ||
| Anthony Miles | HMP Hewell | In progress | — | — | |
| Phillip Lawson | HMP Wealstun | In progress | — | — | |
| Michael Watson | HMP/YOI Moorland | In progress | — | — | |
| Simon Webber | HMP/YOI Portland | In progress | — | — | |
| Michael Considine | HMP Littlehey | Pending inquest | — | — | |
| John Sadler | HMP Liverpool | Pending inquest | — | — | |
| Radoslaw Czubinski | HMP Hull | Pending inquest | — | — | |
| Khalif Abdi | HMP Wormwood Scrubs | Pending inquest | — | — | |
| Dalton Barnett | HMP Holme House | Pending inquest | — | — | |
| Emma Borowy | HMP/YOI New Hall | Pending inquest | — | — | |
| Darryl Rees | HMP Swansea | Pending inquest | — | — | |
| Lindsay Phair | HMP Whatton | Natural | Published | — | — |
| Max McTaggart | HMP Erlestoke | Pending inquest | — | — | |
| Thomas Lenthall | HMP The Mount | Pending inquest | — | — | |
| Clare Dupree | HMP/YOI Eastwood Park | Pending inquest | — | — | |
| John Slater | HMP Norwich | In progress | — | — | |
| Waleed Ali | HMP Wandsworth | Self-inflicted | Published | — | — |
| Lee Wilson | HMP Leeds | In progress | — | — | |
| Guy-Scott Pallemaerts | HMP The Mount | Pending inquest | — | — | |
| Edwin Withers | HMP Holme House | Pending inquest | — | — | |
| Robert Henry Royan | HMP/YOI Parc | Pending inquest | — | — | |
| Thomas Brain | HMP Winchester | In progress | — | — | |
| Klayton Smith | HMP Lowdham Grange | In progress | — | — | |
| David Glass | HMP Altcourse | Pending inquest | — | — | |
| Moses Hailemichel | HMP Pentonville | Pending inquest | — | — | |
| Rebecca McBrien | HMP/YOI New Hall | Pending inquest | — | — | |
| Ann Browning | HMP Send | Natural | Published | — | — |