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
Nicholas Braham HMP Dovegate In progress
Garry Robshaw HMP Hull In progress
Jermaine Robinson HMP Woodhill Pending inquest
Shaun Hill HMP Stocken Pending inquest
Alan Byrne HMP Liverpool In progress
Stefan Adi HMP Maidstone Pending inquest
Philip Brindle HMP Wymott Pending inquest
Aftab Alam HMP Manchester In progress
Anthony Shackell HMP Bullingdon In progress
Lewis Young HMP Wealstun In progress
Lee Martin HMP Winchester Natural Published 2
Lloyd Twells HMP Nottingham In progress
Pascal Blasio HMP Rochester In progress
Kenneth Murphy HMP Haverigg Pending inquest
Davidson Charles HMP Erlestoke Pending inquest
John Palmer HMP/YOI Doncaster In progress
Liam Wood HMP Hewell In progress
Claire Taylor HMP/YOI Eastwood Park Pending inquest
Anthony Rowbotham HMP Durham Pending inquest
Carl Mason HMP Liverpool Pending inquest
Amie Keeling HMP/YOI Foston Hall In progress
Daniel Childs HMP Bristol Pending inquest
Ryan Martin HMP Winchester Pending inquest
Ivor Manton HMP Chelmsford In progress
Liam Watson-Hunter HMP Holme House In progress
David Clairmonte HMP Full Sutton Pending inquest
Sidique Govinden HMP Wandsworth Pending inquest
Christopher Anderson HMP Dovegate Pending inquest
Pavlo Lapshyn HMP Wakefield Pending inquest
Bobby Kennedy Penrose Drive Approved Premises Pending inquest
Thomas Mobbs HMP Lindholme In progress
Anthony Copeland HMP Forest Bank Pending inquest
Aaron Rowley HMP Holme House In progress
Dean Waters HMP Long Lartin Pending inquest
Kasim Hussain HMP Preston In progress
Errol Craig HMP Leeds In progress
Peter Cooper HMP Fosse Way In progress
Brian Haines HMP Five Wells In progress
Alfred Grimble HMP Norwich In progress
Adrian O’Reilly HMP Littlehey In progress
Kenneth Pickering HMP Lincoln In progress
Carl Jewitt HMP Bedford In progress
Shannon Woodhall HMP/YOI Eastwood Park In progress
David Brooks HMP Rye Hill Pending inquest
Lyndon Jones HMP/YOI Parc In progress
George Richards HMP Lincoln Pending inquest
Carlos Velez HMP Belmarsh Pending inquest
Terence McGlen HMP Northumberland In progress
Malcolm Pyke HMP Durham In progress
Stanley Brown HMP Liverpool In progress