Source · Deaths in custody

PPO Fatal Incident Reports

6,563 incidents 5,801 published 1,698 recommendations 1,676 self-inflicted 3,427 natural causes

Deaths in custody investigated by the Prisons and Probation Ombudsman. Among the incidents indexed here, 26% are recorded as self-inflicted. Source: PPO.

Theme: mental_health · Remove

Incidents

92 records

Steven Davidson

HMP Chelmsford

Self-inflictedInvestigation: Report published2 recommendations indexed

PPO entry published 17 July 2026

Alexander Muzyczka

HMP Leeds

Self-inflictedInvestigation: Report published2 recommendations indexed

PPO entry published 27 February 2026

Mohammed Amir

HMP Wayland

Other non-naturalInvestigation: Report published1 recommendation indexed

PPO entry published 24 March 2026

Roy Sinclair

HMP Woodhill

Self-inflictedInvestigation: Report published2 recommendations indexed

PPO entry published 17 July 2026

Myles Filose

HMP Winchester

Natural causesInvestigation: Report published1 recommendation indexed

PPO entry published 26 June 2026

Nigel Keenan

HMP Haverigg

Self-inflictedInvestigation: Report published2 recommendations indexed

PPO entry published 11 September 2026

John Richards

HMP Aylesbury

Other non-naturalInvestigation: Report published2 recommendations indexed

PPO entry published 24 March 2026

James Glendenning

HMP Manchester

Natural causesInvestigation: Report published2 recommendations indexed

PPO entry published 2 October 2026

Uziel Mendoza-Sillerico

HMP Lowdham Grange

Natural causesInvestigation: Report published10 recommendations indexed

PPO entry published 9 June 2026

Jake O’Brien

HMP Forest Bank

Self-inflictedInvestigation: Report published12 recommendations indexed

PPO entry published 10 July 2026

Surendra Patel

HMP Hewell

Natural causesInvestigation: Report published4 recommendations indexed

PPO entry published 16 April 2026

Paul Smyth

HMP Altcourse

Self-inflictedInvestigation: Report published4 recommendations indexed

PPO entry published 10 July 2026

Kien Vuong

HMP Leeds

Self-inflictedInvestigation: Report published4 recommendations indexed

PPO entry published 24 April 2026

Thomas Griffiths

HMP/YOI Portland

Other non-naturalInvestigation: Report published2 recommendations indexed

PPO entry published 17 July 2026

Garrick Pierson

HMP Bullingdon

Self-inflictedInvestigation: Report published3 recommendations indexed

PPO entry published 9 July 2026

Colin Storey

HMP Northumberland

Self-inflictedInvestigation: Report published3 recommendations indexed

PPO entry published 24 April 2026

Imran Khan

HMP Isle of Wight

Self-inflictedInvestigation: Report published10 recommendations indexed

PPO entry published 20 March 2026

Frazer Williams

HMP Guys Marsh

Self-inflictedInvestigation: Report published9 recommendations indexed

PPO entry published 20 March 2026

Isaiah Olugosi

HMP Wormwood Scrubs

Self-inflictedInvestigation: Report published7 recommendations indexed

PPO entry published 24 August 2026

James Lawson

HMP Channings Wood

Self-inflictedInvestigation: Report published3 recommendations indexed

PPO entry published 26 June 2026

Norman Loseby

HMP Isle of Wight

Self-inflictedInvestigation: Report published6 recommendations indexed

PPO entry published 25 June 2026

Baby C

HMP/YOI Foston Hall

Natural causesInvestigation: Report published8 recommendations indexed

PPO entry published 29 September 2026

Patrick Driver

HMP ElmleyDate of death 5 October 2025

Self-inflictedInvestigation: Report published1 recommendation indexed

PPO entry published 16 October 2026

Clive Cocking

HMP WymottDate of death 22 October 2024

Self-inflictedInvestigation: Report published3 recommendations indexed

PPO entry published 5 October 2026

Lewis Brown

HMP BirminghamDate of death 27 May 2024

Self-inflictedInvestigation: Report published3 recommendations indexed

PPO entry published 4 April 2025

Brian Burrows

HMP LeedsDate of death 15 May 2024

Self-inflictedInvestigation: Report published3 recommendations indexed

PPO entry published 12 September 2025

Sean Higgins

HMP RochesterDate of death 7 February 2024

Self-inflictedInvestigation: Report published6 recommendations indexed

PPO entry published 7 March 2025

Patryk Gladysz

HMP WandsworthDate of death 19 January 2024

Self-inflictedInvestigation: Report published3 recommendations indexed

PPO entry published 1 August 2025

Melvin Grant

HMP BedfordDate of death 21 November 2023

Self-inflictedInvestigation: Report published3 recommendations indexed

PPO entry published 28 October 2025

Davey Price

HMP Forest BankDate of death 27 October 2023

Self-inflictedInvestigation: Report published3 recommendations indexed

PPO entry published 1 November 2024

Piotr Zmijewski

HMP MaidstoneDate of death 9 September 2023

Self-inflictedInvestigation: Report published3 recommendations indexed

PPO entry published 17 April 2025

Davina Canning

HMP HewellDate of death 29 July 2023

Self-inflictedInvestigation: Report published3 recommendations indexed

PPO entry published 25 April 2025

Lee Kenyon

HMP AltcourseDate of death 24 June 2023

Self-inflictedInvestigation: Report published2 recommendations indexed

PPO entry published 20 December 2024

Steven Hart

HMP BedfordDate of death 29 March 2023

Self-inflictedInvestigation: Report published4 recommendations indexed

PPO entry published 18 July 2025

Rolandas Karbauskas

HMP Lowdham GrangeDate of death 25 March 2023

Self-inflictedInvestigation: Report published6 recommendations indexed

PPO entry published 7 February 2025

Glen Adrian

HMP DurhamDate of death 8 March 2023

Self-inflictedInvestigation: Report published3 recommendations indexed

PPO entry published 29 November 2024

Haydar Jefferies

HMP ColdingleyDate of death 5 March 2023

Self-inflictedInvestigation: Report published2 recommendations indexed

PPO entry published 24 October 2025

Christopher Corkill

Isle of ManDate of death 24 February 2023

Self-inflictedInvestigation: Report published15 recommendations indexed

PPO entry published 25 July 2024

Reece Godward

HMP LeedsDate of death 23 February 2023

Self-inflictedInvestigation: Report published2 recommendations indexed

PPO entry published 25 October 2024

Mohammed Eumda

HMP ChelmsfordDate of death 30 January 2023

Self-inflictedInvestigation: Report published2 recommendations indexed

PPO entry published 25 October 2024

Milad Fathy

HMP LeedsDate of death 29 January 2023

Self-inflictedInvestigation: Report published1 recommendation indexed

PPO entry published 26 June 2025

Lawrence Dugbazah

HMP LittleheyDate of death 6 January 2023

Natural causesInvestigation: Report published3 recommendations indexed

PPO entry published 16 August 2024

Weighman, Daniel

HMP ChelmsfordDate of death 6 January 2023

Self-inflictedInvestigation: Report published3 recommendations indexed

PPO entry published 2 May 2024

Akash Akeel

HMP LeedsDate of death 31 December 2022

Self-inflictedInvestigation: Report published2 recommendations indexed

PPO entry published 6 February 2025

Thomas Goldring

HMP WinchesterDate of death 29 December 2022

Self-inflictedInvestigation: Report published4 recommendations indexed

PPO entry published 19 December 2025

Uddin, Mohammed Sayeef

HMP HighpointDate of death 28 December 2022

Self-inflictedInvestigation: Report published4 recommendations indexed

PPO entry published 21 May 2024

Benjamin Donnelly

HMP CardiffDate of death 20 December 2022

Self-inflictedInvestigation: Report published1 recommendation indexed

PPO entry published 14 July 2025

Mark Mason

HMP DurhamDate of death 8 December 2022

Self-inflictedInvestigation: Report published2 recommendations indexed

PPO entry published 3 October 2025

Anderson, Craig

Isle of Man PrisonDate of death 25 November 2022

Self-inflictedInvestigation: Report published15 recommendations indexed

PPO entry published 29 April 2024

Shaine Tester

HMP GartreeDate of death 1 November 2022

Self-inflictedInvestigation: Report published2 recommendations indexed

PPO entry published 8 July 2024

Top recommendation themes

healthcare (299) safeguarding (238) emergency_response (158) record_keeping (140) communication (130) policy (125) mental_health (115) safety (106) training (91) medication (80)

Learning & thematic publications

112 cross-establishment publications

Learning Lessons Bulletins (50), thematic reviews (2), consultation responses (11), Policy into Practice (5), annual reports (7) and FOI responses from the Ombudsman's disclosure log (37): the systemic patterns the Ombudsman draws from many investigations.

Title	Type	Date	Source
The number of complaints received by the PPO from 1 January 2023 onwards by people held in immigration removal centres and in short-term holding facilities	FOI response	Jul 2026	PDF
Annual Report 2025 to 2026	Annual report	Jul 2026	PDF
To provide information on prisons in the United Kingdom with forty or more self-inflicted deaths in the last ten years, alongside their total	FOI response	Jul 2026	PDF
The three English prisons with the highest number of self-inflicted deaths between 2016 to 2026 (excluding HMP Leeds), with annual breakdowns	FOI response	Jul 2026	PDF
The total number of prison deaths that occurred while the individual was located in a segregation unit per calendar from 2021 to 2025	FOI response	Jul 2026	PDF
The number of drug-related deaths in prisons in England and Wales from 2010 to 2025	FOI response	Jul 2026	PDF
A breakdown of the epilepsy deaths in Welsh prisons from the PPO’s Learning Lessons Bulletin on epilepsy deaths	FOI response	Jul 2026	PDF
The number of people held in prison, either serving a sentence or on remand, who have died by suicide between 2016 to 2026, broken down by each prison in Yorkshire	FOI response	Jul 2026	PDF
PPO response to JSC Inquiry into Children and Young Adults in the Secure Estate	Consultation response	Jun 2026	PDF
The number of upheld complaints made to the Prisons and Probation Ombudsman (PPO) about accommodation from 2024 to 2025.	FOI response	Apr 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
HMP Elmley prisoner deaths by year from 2010 to 2025	FOI response	Feb 2026	PDF
Complaints to the PPO about inadequate access to sanitary products since 2020	FOI response	Feb 2026	PDF
The number of health-related deaths in prison	FOI response	Feb 2026	PDF
How many complaints did IPCI receive from prisoners during 2024?	FOI response	Feb 2026	PDF
How many complaints has the PPO received regarding lost property by HMP Peterborough	FOI response	Feb 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
The number of deaths linked to drug taking in prisons in England and Wales between 2020 to 2024	FOI response	Jun 2025	PDF
How many prisoner deaths has the PPO been notified of each year, or started investigating, where there is a suspicion the death was drug-related?	FOI response	Jun 2025	PDF
The number of prisoners who died where no care plan was in place as found in PPO fatal incident investigations (1 February 2023 to 16 September 2023)	FOI response	Jun 2025	PDF
Provide a list of deaths by suicide in English prisons since 2022	FOI response	Jun 2025	PDF
The PPO response time for all cases in last three and current financial year	FOI response	Jun 2025	PDF
The number of self-inflicted deaths recorded in prisons from 2019 to 2024	FOI response	Jun 2025	PDF
The number of individuals in prisons, young offender institutions and approved premises in England and Wales and/or within 14 days of being released from prison were at the time of their deaths subject to an IPP	FOI response	Jun 2025	PDF
To confirm when the Prisons and Probation Ombudsman’s (PPO) Yarl’s Wood special investigation report was completed	FOI response	Jun 2025	PDF
To provide the total number of Prevention of Future Deaths (PFDs or Regulation 28 letters)	FOI response	Jun 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