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 Wakefield | HMP Wakefield | Natural | Published | 13 Sep 2013 | — |
| Individual at Channings Wood | HMP Channings Wood | Natural | Published | 9 Sep 2013 | — |
| Individual at Whitemoor | HMP Whitemoor | Self-inflicted | Published | 9 Sep 2013 | — |
| Individual at Ranby | HMP Ranby | Natural | Published | 5 Sep 2013 | — |
| Individual at Leyhill | HMP Leyhill | Natural | Published | 5 Sep 2013 | — |
| Individual at Lowdham Grange | HMP Lowdham Grange | Natural | Published | 5 Sep 2013 | — |
| Individual at Preston | HMP Preston | Natural | Published | 4 Sep 2013 | — |
| Individual at Isle of Wight | HMP Isle of Wight | Natural | Published | 3 Sep 2013 | — |
| Individual at Long Lartin | HMP Long Lartin | Natural | Published | 31 Aug 2013 | — |
| Individual at Parc | HMP Parc | Natural | Published | 28 Aug 2013 | — |
| Individual at Norfolk Park | Norfolk Park | Natural | Published | 27 Aug 2013 | — |
| Individual at Northumberland | HMP Northumberland | Self-inflicted | Published | 25 Aug 2013 | — |
| Individual at Winchester | HMP Winchester | Natural | Published | 21 Aug 2013 | — |
| Individual at Usk and Prescoed | HMP Usk and Prescoed | Natural | Published | 13 Aug 2013 | — |
| Individual at Portland | HMP Portland | Self-inflicted | Published | 13 Aug 2013 | — |
| Individual at Highpoint | HMP Highpoint | Natural | Published | 11 Aug 2013 | — |
| Individual at North Sea Camp | HMP North Sea Camp | Natural | Published | 11 Aug 2013 | — |
| Individual at Wealstun | HMP Wealstun | Self-inflicted | Published | 6 Aug 2013 | — |
| Individual at Bure | HMP Bure | Natural | Published | 4 Aug 2013 | — |
| Individual at Chelmsford | HMP Chelmsford | Self-inflicted | Published | 3 Aug 2013 | — |
| Individual at Bullingdon | HMP Bullingdon | Self-inflicted | Published | 2 Aug 2013 | — |
| Individual at Dorchester | HMP Dorchester | Natural | Published | 2 Aug 2013 | — |
| Individual at Isle of Wight | HMP Isle of Wight | Natural | Published | 31 Jul 2013 | — |
| Individual at Exeter | HMP Exeter | Natural | Published | 31 Jul 2013 | — |
| Individual at Plas-Y-Wern | Plas-Y-Wern | Other | Published | 30 Jul 2013 | — |
| Individual at Leeds | HMP Leeds | Self-inflicted | Published | 29 Jul 2013 | — |
| Individual at Durham | HMP Durham | Natural | Published | 28 Jul 2013 | — |
| Individual at Downview | HMP Downview | Self-inflicted | Published | 27 Jul 2013 | — |
| Individual at Pennine House | IRC Pennine House | Natural | Published | 26 Jul 2013 | — |
| Individual at Holme House | HMP Holme House | Natural | Published | 24 Jul 2013 | — |
| Individual at Norfolk Park | Norfolk Park | Other | Published | 23 Jul 2013 | — |
| Individual at Norwich | HMP Norwich | Natural | Published | 23 Jul 2013 | — |
| Individual at Leeds | HMP Leeds | Natural | Published | 23 Jul 2013 | — |
| Individual at Chelmsford | HMP Chelmsford | Self-inflicted | Published | 22 Jul 2013 | — |
| Individual at Manor Lodge | Manor Lodge | Natural | Published | 21 Jul 2013 | — |
| Individual at Wormwood Scrubs | HMP Wormwood Scrubs | Self-inflicted | Published | 19 Jul 2013 | — |
| Individual at Full Sutton | HMP Full Sutton | Natural | Published | 18 Jul 2013 | — |
| Individual at Coldingley | HMP Coldingley | Natural | Published | 18 Jul 2013 | — |
| Individual at Parc | HMP Parc | Natural | Published | 18 Jul 2013 | — |
| Individual at Cardiff | HMP Cardiff | Natural | Published | 10 Jul 2013 | — |
| Individual at Maidstone | HMP Maidstone | Self-inflicted | Published | 10 Jul 2013 | — |
| Individual at Nottingham | HMP Nottingham | Natural | Published | 10 Jul 2013 | — |
| Individual at Winchester | HMP Winchester | Natural | Published | 8 Jul 2013 | — |
| Individual at Northumberland | HMP Northumberland | Natural | Published | 4 Jul 2013 | — |
| Individual at Long Lartin | HMP Long Lartin | Self-inflicted | Published | 3 Jul 2013 | — |
| Individual at Preston | HMP Preston | Natural | Published | 2 Jul 2013 | — |
| Individual at Woodhill | HMP Woodhill | Natural | Published | 2 Jul 2013 | — |
| Individual at Wymott | HMP Wymott | Self-inflicted | Published | 30 Jun 2013 | — |
| Individual at Blantyre House | HMP Blantyre House | Self-inflicted | Published | 28 Jun 2013 | — |
| Individual at Dovegate | HMP Dovegate | Self-inflicted | Published | 25 Jun 2013 | — |