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.

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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

140 records
Name Establishment Cause Status Date of death Recs
Glody Muyeki HMP Aylesbury Other Published 15 May 2023 2
Simon Lightfoot HMP Dovegate Self-inflicted Published 29 Apr 2023 1
Joseph Louis HMP Wormwood Scrubs Natural Published 26 Apr 2023 4
Kevin Smith HMP/YOI Doncaster Self-inflicted Published 22 Apr 2023 2
William McKee HMP Channings Wood Natural Published 22 Apr 2023 1
Dean Graham HMP Northumberland Natural Published 11 Apr 2023 3
Alan Hines HMP Oakwood Natural Published 7 Apr 2023 1
Colin Hudson HMP/YOI High Down Natural Published 5 Apr 2023 2
William Evans HMP Ashfield Natural Published 13 Mar 2023 1
David Bentley HMP/YOI High Down Natural Published 10 Mar 2023 1
Glen Adrian HMP Durham Self-inflicted Published 8 Mar 2023 3
Shafaq Khan HMP Hindley Natural Published 28 Feb 2023 2
Christopher Corkill Isle of Man Self-inflicted Published 24 Feb 2023 15
John Hartshorne HMP Stafford Natural Published 14 Feb 2023 1
Andrew Hadwin HMP Durham Natural Published 2 Feb 2023 4
Anthony Mitchell HMP Dartmoor Natural Published 30 Jan 2023 2
Paul Paget HMP Swaleside Natural Published 17 Jan 2023 3
Lawrence Dugbazah HMP Littlehey Natural Published 6 Jan 2023 3
Marc Uzzell HMP Bristol Natural Published 28 Dec 2022 4
James Trewick HMP Northumberland Natural Published 17 Dec 2022 1
Wayne Franks HMP Wakefield Natural Published 5 Dec 2022 1
Jason Kennedy HMP/YOI High Down Other Published 9 Nov 2022 4
Russell Irvine HMP Durham Self-inflicted Published 7 Nov 2022 5
Ewan Homer HMP Stafford Natural Published 6 Nov 2022 3
Shaine Tester HMP Gartree Self-inflicted Published 1 Nov 2022 2
Colin Lovett HMP The Verne Self-inflicted Published 29 Oct 2022 4
John Warry HMP Stafford Natural Published 25 Sep 2022 10
Christopher Keeling HMP/YOI Doncaster Self-inflicted Published 18 Sep 2022 3
Steven Haldane HMP Stafford Natural Published 29 Aug 2022 2
Sebastian Mularz HMP Hull Natural Published 17 Aug 2022 6
Marlon Burrows HMP Garth Other Published 16 Aug 2022 6
Sion Evans HMP/YOI Parc Self-inflicted Published 12 Aug 2022 5
Emlyn Francis HMP Dovegate Natural Published 18 Jul 2022 3
Shehu Balogun HMP Liverpool Other Published 12 Jul 2022 1
Leon Cadman HMP Peterborough Natural Published 12 Jul 2022 4
Michael Higginbottom HMP Stafford Natural Published 5 Jun 2022 4
Charleston Cullen HMP Nottingham Natural Published 25 May 2022 3
Wayne Bayley HMP Pentonville Other Published 17 May 2022 7
Thomas Cole HMP Northumberland Natural Published 13 May 2022 2
Jeremie Simmons HMP Wakefield Self-inflicted Published 4 May 2022 6
Thomas Simmons HMP Humber Natural Published 20 Apr 2022 3
Lewis Petryszyn HMP/YOI Parc Other Published 15 Apr 2022 4
Mervyn Tedbury HMP Isle of Wight Natural Published 3 Apr 2022 3
Mehrban Hussain HMP Wormwood Scrubs Natural Published 1 Apr 2022 5
Gordon Dunn HMP The Verne Natural Published 31 Mar 2022 5
Brian Johncock HMP Lewes Natural Published 15 Feb 2022 5
John Creevy HMP Garth Natural Published 25 Jan 2022 2
Christopher Reed HMP Isle of Wight Natural Published 24 Jan 2022 4
Ian Davies HMP Bristol Self-inflicted Published 6 Dec 2021 7
Diana Grant HMP Bronzefield Self-inflicted Published 20 Nov 2021 6