Source · Deaths in custody
PPO Fatal Incident Reports
6,401 incidents
5,674 published
1,165 recommendations
1,633 self-inflicted
3,373 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 22: Self-inflicted deaths in reception prisons | Learning Lessons Bulletin | Mar 2026 | |
| Fatal Incident Investigations Learning Lessons Bulletin Issue 21: Segregation | 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 2022-23 | Annual report | Jul 2024 | |
| Annual Report 2023-24 | 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 |
|---|---|---|---|---|---|
| Individual at Preston | HMP Preston | Natural | Published | 10 Mar 2018 | — |
| Individual at Wakefield | HMP Wakefield | Natural | Published | 8 Mar 2018 | — |
| Individual at Birmingham | HMP Birmingham | Self-inflicted | Published | 5 Mar 2018 | — |
| Individual at Dovegate | HMP Dovegate | Natural | Published | 4 Mar 2018 | — |
| Individual at Preston | HMP Preston | Natural | Published | 4 Mar 2018 | — |
| Individual at Birmingham | HMP Birmingham | Natural | Published | 3 Mar 2018 | — |
| Individual at Holme House | HMP Holme House | Natural | Published | 2 Mar 2018 | — |
| Individual at Wandsworth | HMP Wandsworth | Other | Published | 28 Feb 2018 | — |
| Individual at Humber | HMP Humber | Other | Published | 28 Feb 2018 | — |
| Individual at Frankland | HMP Frankland | Natural | Published | 26 Feb 2018 | — |
| Individual at Bristol | HMP Bristol | Natural | Published | 26 Feb 2018 | — |
| Individual at Pentonville | HMP Pentonville | Self-inflicted | Published | 26 Feb 2018 | — |
| Individual at Moorland Closed | HMP Moorland Closed | Natural | Published | 26 Feb 2018 | — |
| Individual at Manchester | HMP Manchester | Self-inflicted | Published | 25 Feb 2018 | — |
| Weatherley, Stephen | HMP Thameside | Other | Published | 24 Feb 2018 | — |
| Individual at Lindholme | HMP Lindholme | Other | Published | 24 Feb 2018 | — |
| Individual at Wormwood Scrubs | HMP Wormwood Scrubs | Self-inflicted | Published | 23 Feb 2018 | — |
| Individual at Belmarsh | HMP Belmarsh | Natural | Published | 22 Feb 2018 | — |
| Individual at Lindholme | HMP Lindholme | Other | Published | 22 Feb 2018 | — |
| Individual at Whatton | HMP Whatton | Natural | Published | 21 Feb 2018 | — |
| Individual at Durham | HMP Durham | Other | Published | 19 Feb 2018 | — |
| Anthony Paine | HMP Liverpool | Self-inflicted | Published | 19 Feb 2018 | 5 |
| Individual at Durham | HMP Durham | Self-inflicted | Published | 16 Feb 2018 | — |
| Individual at Stafford | HMP Stafford | Natural | Published | 16 Feb 2018 | — |
| Individual at Bunbury House | Bunbury House | Other | Published | 14 Feb 2018 | — |
| Individual at Norwich | HMP Norwich | Natural | Published | 12 Feb 2018 | — |
| Individual at Ashfield | HMP Ashfield | Natural | Published | 10 Feb 2018 | — |
| Individual at Hull | HMP Hull | Natural | Published | 9 Feb 2018 | — |
| Individual at Pentonville | HMP Pentonville | Natural | Published | 7 Feb 2018 | — |
| Individual at Nottingham | HMP Nottingham | Self-inflicted | Published | 7 Feb 2018 | — |
| Individual at Wakefield | HMP Wakefield | Natural | Published | 7 Feb 2018 | — |
| Individual at Southwell House | Southwell House | Natural | Published | 7 Feb 2018 | — |
| Individual at Braley House | Braley House | Self-inflicted | Published | 6 Feb 2018 | — |
| Individual at Norwich | HMP Norwich | Self-inflicted | Published | 5 Feb 2018 | — |
| Individual at Long Lartin | HMP Long Lartin | Self-inflicted | Published | 5 Feb 2018 | — |
| Individual at Belmarsh | HMP Belmarsh | Natural | Published | 5 Feb 2018 | — |
| Individual at Stafford | HMP Stafford | Natural | Published | 5 Feb 2018 | — |
| Nicola Birchall | HMP/YOI Styal | Other | Published | 4 Feb 2018 | 4 |
| Individual at Humber | HMP Humber | Natural | Published | 3 Feb 2018 | — |
| Individual at Wakefield | HMP Wakefield | Natural | Published | 1 Feb 2018 | — |
| Saleh, Khader | HMP Wormwood Scrubs | Homicide | Published | 31 Jan 2018 | — |
| Individual at Eastwood Park | HMP Eastwood Park | Natural | Published | 28 Jan 2018 | — |
| Individual at Channings Wood | HMP Channings Wood | Other | Published | 28 Jan 2018 | — |
| Individual at Hewell | HMP Hewell | Homicide | Published | 23 Jan 2018 | — |
| Individual at Exeter | HMP Exeter | Natural | Published | 23 Jan 2018 | — |
| Individual at Parc | HMP Parc | Natural | Published | 22 Jan 2018 | — |
| Individual at Dovegate | HMP Dovegate | Natural | Published | 20 Jan 2018 | — |
| Individual at Haverigg | HMP Haverigg | Self-inflicted | Published | 20 Jan 2018 | — |
| Individual at Holme House | HMP Holme House | Natural | Published | 18 Jan 2018 | — |
| Individual at Rye Hill | HMP Rye Hill | Natural | Published | 17 Jan 2018 | — |