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.
Top recommendation themes
Learning & thematic publications
| Title | Type | Date | Source |
|---|---|---|---|
| Annual Report 2025 to 2026 | Annual report | Jul 2026 | |
| 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 21: Segregation | Learning Lessons Bulletin | Mar 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 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 inquiry into Rehabilitation and Resettlement | Consultation response | Feb 2025 | |
| PPO response to JHAC Inquiry into Prison Culture | Consultation response | Feb 2025 | |
| PPO response to JSC Tackling Drugs in Prison Inquiry | 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 | |
| Fatal Incident Investigations Learning Lessons Bulletin Issue 17: Post-release death investigations | Learning Lessons Bulletin | Jan 2023 | |
| Investigating deaths after release from prison – a pilot evaluation | 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 |
Incidents
| Name | Establishment | Cause | Status | Date of death | Recs |
|---|---|---|---|---|---|
| Steven Davidson | HMP Chelmsford | Self-inflicted | Published | — | 2 |
| Alexander Muzyczka | HMP Leeds | Self-inflicted | Published | — | 2 |
| Mohammed Amir | HMP Wayland | Other | Published | — | 1 |
| Roy Sinclair | HMP Woodhill | Self-inflicted | Published | — | 2 |
| Myles Filose | HMP Winchester | Natural | Published | — | 1 |
| John Richards | HMP Aylesbury | Other | Published | — | 2 |
| Uziel Mendoza-Sillerico | HMP Lowdham Grange | Natural | Published | — | 10 |
| Jake O’Brien | HMP Forest Bank | Self-inflicted | Published | — | 12 |
| Surendra Patel | HMP Hewell | Natural | Published | — | 4 |
| Paul Smyth | HMP Altcourse | Self-inflicted | Published | — | 4 |
| Kien Vuong | HMP Leeds | Self-inflicted | Published | — | 4 |
| Thomas Griffiths | HMP/YOI Portland | Other | Published | — | 2 |
| Garrick Pierson | HMP Bullingdon | Self-inflicted | Published | — | 3 |
| Colin Storey | HMP Northumberland | Self-inflicted | Published | — | 3 |
| Imran Khan | HMP Isle of Wight | Self-inflicted | Published | — | 10 |
| Frazer Williams | HMP Guys Marsh | Self-inflicted | Published | — | 9 |
| James Lawson | HMP Channings Wood | Self-inflicted | Published | — | 3 |
| Norman Loseby | HMP Isle of Wight | Self-inflicted | Published | — | 6 |
| Lewis Brown | HMP Birmingham | Self-inflicted | Published | 27 May 2024 | 3 |
| Brian Burrows | HMP Leeds | Self-inflicted | Published | 15 May 2024 | 3 |
| Sean Higgins | HMP Rochester | Self-inflicted | Published | 7 Feb 2024 | 6 |
| Patryk Gladysz | HMP Wandsworth | Self-inflicted | Published | 19 Jan 2024 | 3 |
| Melvin Grant | HMP Bedford | Self-inflicted | Published | 21 Nov 2023 | 3 |
| Davey Price | HMP Forest Bank | Self-inflicted | Published | 27 Oct 2023 | 3 |
| Piotr Zmijewski | HMP Maidstone | Self-inflicted | Published | 9 Sep 2023 | 3 |
| Davina Canning | HMP Hewell | Self-inflicted | Published | 29 Jul 2023 | 3 |
| Lee Kenyon | HMP Altcourse | Self-inflicted | Published | 24 Jun 2023 | 2 |
| Steven Hart | HMP Bedford | Self-inflicted | Published | 29 Mar 2023 | 4 |
| Rolandas Karbauskas | HMP Lowdham Grange | Self-inflicted | Published | 25 Mar 2023 | 6 |
| Glen Adrian | HMP Durham | Self-inflicted | Published | 8 Mar 2023 | 3 |
| Haydar Jefferies | HMP Coldingley | Self-inflicted | Published | 5 Mar 2023 | 2 |
| Christopher Corkill | Isle of Man | Self-inflicted | Published | 24 Feb 2023 | 15 |
| Reece Godward | HMP Leeds | Self-inflicted | Published | 23 Feb 2023 | 2 |
| Mohammed Eumda | HMP Chelmsford | Self-inflicted | Published | 30 Jan 2023 | 2 |
| Milad Fathy | HMP Leeds | Self-inflicted | Published | 29 Jan 2023 | 1 |
| Lawrence Dugbazah | HMP Littlehey | Natural | Published | 6 Jan 2023 | 3 |
| Weighman, Daniel | HMP Chelmsford | Self-inflicted | Published | 6 Jan 2023 | 3 |
| Akash Akeel | HMP Leeds | Self-inflicted | Published | 31 Dec 2022 | 2 |
| Thomas Goldring | HMP Winchester | Self-inflicted | Published | 29 Dec 2022 | 4 |
| Uddin, Mohammed Sayeef | HMP Highpoint | Self-inflicted | Published | 28 Dec 2022 | 4 |
| Benjamin Donnelly | HMP Cardiff | Self-inflicted | Published | 20 Dec 2022 | 1 |
| Mark Mason | HMP Durham | Self-inflicted | Published | 8 Dec 2022 | 2 |
| Shaine Tester | HMP Gartree | Self-inflicted | Published | 1 Nov 2022 | 2 |
| Kevin McDonnel | HMP Nottingham | Self-inflicted | Published | 29 Sep 2022 | 2 |
| Anthony O’Connell | HMP Swaleside | Self-inflicted | Published | 18 Sep 2022 | 9 |
| Shane Davies | HMP Cardiff | Self-inflicted | Published | 28 Aug 2022 | 1 |
| Sion Evans | HMP/YOI Parc | Self-inflicted | Published | 12 Aug 2022 | 5 |
| Max Marchant | HMP The Mount | Other | Published | 25 Jul 2022 | 13 |
| Kayleigh Melhuish | HMP/YOI Eastwood Park | Self-inflicted | Published | 7 Jul 2022 | 8 |
| Marc Skelly | HMP Lindholme | Self-inflicted | Published | 22 Jun 2022 | 4 |
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