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
Matthew Hayward HMP Peterborough Pending inquest
David Hancock HMP Nottingham Pending inquest
David Fuge HMP Wymott Pending inquest
Alfred Davies HMP Usk In progress
Lee Clay HMP Nottingham In progress
Kate Allen HMP/YOI Low Newton In progress
Jason Simmons HMP Exeter Pending inquest
Harry Edwards HMP Ranby Pending inquest
Aaron Metcalf HMP/YOI Moorland In progress
Daniel Childs HMP Bristol Pending inquest
Stephen Dixon-Waterworth HMP Wealstun In progress
Martin Ryan HMP Cookham Wood In progress
Robert Wiseman Lightfoot House Approved Premises In progress
Jeffrey Long HMP/YOI Moorland In progress
Jamie Evans HMP Kirkham Pending inquest
Mohamed Bah HMP Elmley Pending inquest
Connor Bresland HMP Exeter In progress
Glenn Brown Holbeck House Approved Premises Pending inquest
Darren Thomas HMP/YOI Parc In progress
Paul Pickerill HMP Garth Pending inquest
Uttam Thapa HMP Belmarsh Pending inquest
Gerald Martin HMP Wymott In progress
Arthur Warwick HMP Frankland Pending inquest
Patrick Brady HMP Ashfield Pending inquest
Stanley Richardson HMP Garth Pending inquest
Michael Dyer HMP Woodhill Pending inquest
Roger Weston HMP Channings Wood Pending inquest
Khaled Hassan HMP Northumberland Natural Published
Jordan Harvey HMP Humber Pending inquest
Peter Smith HMP Wayland Pending inquest
Colin McSweeny HMP Gartree Pending inquest
John Cox HMP Bristol Pending inquest
Dean Boness In progress
Stephen Ansbro HMP Frankland In progress
Thomas McMurray HMP Brixton Pending inquest
Paul Hoskins HMP Bedford In progress
Warren Manners HMP/YOI Parc Pending inquest
Emma Borowy HMP/YOI New Hall Pending inquest
Mark Collins HMP Berwyn Pending inquest
Jacob Blow HMP Exeter Pending inquest
Shamraze Hussain HMP/YOI Doncaster In progress
Brian Wade HMP Long Lartin Pending inquest
Thomas Brain HMP Winchester In progress
Moses Hailemichel HMP Pentonville Pending inquest
Radoslaw Czubinski HMP Hull Pending inquest
Michael Pigott HMP Birmingham In progress
Leslie Fry HMP Hewell In progress
Dean Clementson HMP Forest Bank Pending inquest
Ryan Martin HMP Winchester Pending inquest
Darren Youel HMP Dovegate In progress