Source · Deaths in custody

PPO Fatal Incident Reports

6,395 incidents 5,660 published 1,165 recommendations 1,632 self-inflicted 3,362 natural causes

Deaths in custody investigated by the Prisons and Probation Ombudsman. 26% of deaths are self-inflicted. Source: PPO.

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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 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 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 2023-24 Annual report Jul 2024 PDF
Annual report 2022-23 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

43 records
Name Establishment Cause Status Date of death Recs
Raymond Connor HMP Whatton Natural Published 22 Feb 2025 2
Christopher Walton HMP Ranby Natural Published 6 Feb 2025 7
Edward Lomas HMP Pentonville Self-inflicted Published 22 May 2024 4
Brian Burrows HMP Leeds Self-inflicted Published 15 May 2024 3
Igor Vujkovic HMP Maidstone Natural Published 11 May 2024 4
Rana Khan HMP Wandsworth Natural Published 5 Apr 2024 4
Edward Hands HMP Bedford Other Published 16 Feb 2024 4
Sean Higgins HMP Rochester Self-inflicted Published 7 Feb 2024 6
Daniel Fielding HMP Liverpool Self-inflicted Published 19 Jan 2024 6
Lawrence Johnson HMP Frankland Natural Published 13 Jan 2024 3
Christopher Baptiste HMP Swaleside Other Published 31 Oct 2023 4
Rajwinder Singh HMP Wandsworth Self-inflicted Published 25 Jun 2023 6
Steven Blake HMP Haverigg Self-inflicted Published 28 Apr 2023 2
Christopher Corkill Isle of Man Self-inflicted Published 24 Feb 2023 15
Joseph Davies HMP Northumberland Self-inflicted Published 12 Feb 2023 1
Roy King HMP Littlehey Self-inflicted Published 30 Jan 2023 5
Paul Paget HMP Swaleside Natural Published 17 Jan 2023 3
Ryan Harding HMP/YOI Parc Other Published 8 Jan 2023 3
Akash Akeel HMP Leeds Self-inflicted Published 31 Dec 2022 2
Oliver Davies HMP Hewell Self-inflicted Published 31 Dec 2022 3
Jamie Andrews HMP Bristol Natural Published 4 Dec 2022 2
Ian Kettles HMP Bristol Self-inflicted Published 11 Nov 2022 4
Jason Kennedy HMP/YOI High Down Other Published 9 Nov 2022 4
Colin Lovett HMP The Verne Self-inflicted Published 29 Oct 2022 4
John Warry HMP Stafford Natural Published 25 Sep 2022 10
Christopher Keeling HMP/YOI Doncaster Self-inflicted Published 18 Sep 2022 3
Marlon Burrows HMP Garth Other Published 16 Aug 2022 6
Rebecca Parkinson HMP/YOI Styal Other Published 31 Jul 2022 2
Emlyn Francis HMP Dovegate Natural Published 18 Jul 2022 3
Nathaniel Humphreys HMP Littlehey Self-inflicted Published 11 Jul 2022 2
Kayleigh Melhuish HMP/YOI Eastwood Park Self-inflicted Published 7 Jul 2022 8
Michael Fox HMP Humber Other Published 15 Mar 2022 1
Graham Taylor HMP Dartmoor Self-inflicted Published 17 Dec 2021 1
William Roalfe HMP Channings Wood Natural Published 20 Nov 2021 9
Daniel Ayers HMP Winchester Self-inflicted Published 25 Jul 2021 14
Daniel Beckford HMP Wandsworth Self-inflicted Published 23 Jun 2021 6
Shahrooz Ghassemian HMP Wandsworth Self-inflicted Published 21 Jun 2021 10
George Petrou HMP Pentonville Self-inflicted Published 1 Mar 2021 7
Peter Tauroza HMP Wandsworth Self-inflicted Published 6 Mar 2020 8
Brandon Johnson HMP Wandsworth Other Published 12 Sep 2019 5
Daniel Short Glogan House Approved Premises Other Published 14 Aug 2019 8
Jonathan McCarthy HMP Onley Natural Published 12 Aug 2018 2
Aaron Nunes HMP/YOI Parc Natural Published 21 Feb 2016 25