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.

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 22: Self-inflicted deaths in reception prisons Learning Lessons Bulletin Mar 2026 PDF
Fatal Incident Investigations Learning Lessons Bulletin Issue 21: Segregation 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 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
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

6,401 records
Name Establishment Cause Status Date of death Recs
Individual at Usk and Prescoed HMP Usk and Prescoed Natural Published 1 Apr 2013
Individual at Whatton HMP Whatton Natural Published 30 Mar 2013
Individual at Stoke Heath HMP Stoke Heath Self-inflicted Published 25 Mar 2013
Individual at Durham HMP Durham Self-inflicted Published 24 Mar 2013
Individual at Downview HMP Downview Natural Published 22 Mar 2013
Individual at High Down HMP High Down Natural Published 19 Mar 2013
Individual at Stocken HMP Stocken Natural Published 17 Mar 2013
Individual at Highpoint HMP Highpoint Other Published 16 Mar 2013
Individual at New Hall HMP New Hall Natural Published 14 Mar 2013
Individual at Leicester HMP Leicester Natural Published 12 Mar 2013
Individual at Parc HMP Parc Natural Published 11 Mar 2013
Individual at Wandsworth HMP Wandsworth Natural Published 7 Mar 2013
Individual at Lincoln HMP Lincoln Self-inflicted Published 6 Mar 2013
Individual at Featherstone HMP Featherstone Natural Published 6 Mar 2013
Individual at Risley HMP Risley Natural Published 3 Mar 2013
Individual at Isle of Wight HMP Isle of Wight Natural Published 2 Mar 2013
Individual at Altcourse HMP Altcourse Natural Published 27 Feb 2013
Individual at Dovegate HMP Dovegate Self-inflicted Published 26 Feb 2013
Individual at Parc HMP Parc Natural Published 25 Feb 2013
Individual at Holme House HMP Holme House Natural Published 24 Feb 2013
Individual at Wakefield HMP Wakefield Natural Published 24 Feb 2013
Individual at Winchester HMP Winchester Natural Published 23 Feb 2013
Individual at Leeds HMP Leeds Natural Published 21 Feb 2013
Individual at Parc HMP Parc Natural Published 20 Feb 2013
Individual at Channings Wood HMP Channings Wood Natural Published 19 Feb 2013
Individual at Hull HMP Hull Natural Published 15 Feb 2013
Individual at Long Lartin HMP Long Lartin Homicide Published 14 Feb 2013
Individual at Channings Wood HMP Channings Wood Natural Published 13 Feb 2013
Individual at Durham HMP Durham Self-inflicted Published 13 Feb 2013
Individual at Risley HMP Risley Natural Published 12 Feb 2013
Individual at Frankland HMP Frankland Natural Published 11 Feb 2013
Individual at Highpoint HMP Highpoint Natural Published 10 Feb 2013
Individual at Harmondsworth IRC Harmondsworth Natural Published 10 Feb 2013
Individual at Ford HMP Ford Other Published 9 Feb 2013
Individual at Oakwood HMP Oakwood Natural Published 6 Feb 2013
Individual at Wymott HMP Wymott Natural Published 6 Feb 2013
Individual at Frankland HMP Frankland Natural Published 6 Feb 2013
Individual at Bristol HMP Bristol Self-inflicted Published 4 Feb 2013
Individual at Liverpool HMP Liverpool Self-inflicted Published 4 Feb 2013
Individual at Bullingdon HMP Bullingdon Natural Published 31 Jan 2013
Individual at Hewell HMP Hewell Homicide Published 31 Jan 2013
Individual at Lewes HMP Lewes Natural Published 28 Jan 2013
Individual at Norwich HMP Norwich Self-inflicted Published 27 Jan 2013
Individual at Lincoln HMP Lincoln Natural Published 27 Jan 2013
Individual at St Leonards St Leonards Self-inflicted Published 26 Jan 2013
Individual at Holme House HMP Holme House Natural Published 22 Jan 2013
Individual at Gloucester HMP Gloucester Self-inflicted Published 20 Jan 2013
Individual at Wormwood Scrubs HMP Wormwood Scrubs Self-inflicted Published 19 Jan 2013
Individual at Bronzefield HMP Bronzefield Natural Published 17 Jan 2013
Individual at Wymott HMP Wymott Natural Published 17 Jan 2013