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 |
|---|---|---|---|---|---|
| John Chapman | HMP Gartree | Natural | Published | — | 2 |
| Alexander Muzyczka | HMP Leeds | Self-inflicted | Published | — | 2 |
| Mohammed Shabir | HMP Leeds | Natural | Published | — | 1 |
| Steven Ison | Bowling Green Approved Premises | Self-inflicted | Published | — | 3 |
| Christopher Roberts | HMP Isle of Wight | Natural | Published | — | 2 |
| Christopher Stephens | HMP Guys Marsh | Other | Published | — | 2 |
| Graham Stridgeon | HMP Wymott | Natural | Published | — | 2 |
| Peter Hopkins | HMP/YOI Doncaster | Natural | Published | — | 4 |
| Colin Storr | HMP Durham | Self-inflicted | Published | — | 4 |
| Uziel Mendoza-Sillerico | HMP Lowdham Grange | Natural | Published | — | 10 |
| Thomas Ruggiero | HMP Swaleside | Self-inflicted | Published | — | 5 |
| Lee Jackson | HMP Bristol | Self-inflicted | Published | — | 2 |
| Kien Vuong | HMP Leeds | Self-inflicted | Published | — | 4 |
| Nezam Ghalate | HMP Manchester | Self-inflicted | Published | — | 3 |
| John Phillips | HMP Dartmoor | Self-inflicted | Published | — | 2 |
| Luke Ashcroft | HMP Lincoln | Self-inflicted | Published | — | 3 |
| Imran Khan | HMP Isle of Wight | Self-inflicted | Published | — | 10 |
| Michael Marsh | HMP Exeter | Self-inflicted | Published | — | 6 |
| Henry Benoi-Davies | HMP Nottingham | Natural | Published | — | 5 |
| Michael Pugh | HMP Swaleside | Self-inflicted | Published | 29 Jun 2024 | 3 |
| Raymond Moyle | HMP Hull | Natural | Published | 20 Jun 2024 | 2 |
| David Baxter | HMP Wealstun | Natural | Published | 26 May 2024 | 5 |
| Edward Lomas | HMP Pentonville | Self-inflicted | Published | 22 May 2024 | 4 |
| Brian Burrows | HMP Leeds | Self-inflicted | Published | 15 May 2024 | 3 |
| Graham Daggett | HMP Lincoln | Natural | Published | 3 Apr 2024 | 1 |
| Taklus Hussain | HMP Littlehey | Natural | Published | 8 Mar 2024 | 2 |
| Edward Hands | HMP Bedford | Other | Published | 16 Feb 2024 | 4 |
| Kevin Kane | HMP Grendon | Self-inflicted | Published | 29 Jan 2024 | 3 |
| Daniel Fielding | HMP Liverpool | Self-inflicted | Published | 19 Jan 2024 | 6 |
| Nathan Shepherd | Ascot House Approved Premises | Self-inflicted | Published | 16 Jan 2024 | 3 |
| Lawrence Johnson | HMP Frankland | Natural | Published | 13 Jan 2024 | 3 |
| Darren Boamah | HMP Wormwood Scrubs | Natural | Published | 3 Jan 2024 | 2 |
| John Rigby | HMP Wymott | Natural | Published | 17 Dec 2023 | 4 |
| Christopher Baptiste | HMP Swaleside | Other | Published | 31 Oct 2023 | 4 |
| Lucas Kidd | HMP Ranby | Other | Published | 19 Oct 2023 | 2 |
| Ricky Crosher | HMP Lowdham Grange | Self-inflicted | Published | 11 Oct 2023 | 3 |
| Giles Harvey | HMP Dovegate | Self-inflicted | Published | 9 Oct 2023 | 1 |
| Piotr Zmijewski | HMP Maidstone | Self-inflicted | Published | 9 Sep 2023 | 3 |
| Amer Fareed | HMP/YOI High Down | Other | Published | 8 Aug 2023 | 1 |
| Raymond Cartwright | HMP Risley | Natural | Published | 6 Aug 2023 | 2 |
| Liam Darby | HMP Erlestoke | Other | Published | 21 Jul 2023 | 1 |
| Anthony Kwan | HMP Channings Wood | Natural | Published | 8 Jul 2023 | 3 |
| Mark Conway | HMP Isle of Wight | Natural | Published | 25 Jun 2023 | 4 |
| Rajwinder Singh | HMP Wandsworth | Self-inflicted | Published | 25 Jun 2023 | 6 |
| Filmon Brhane | HMP Maidstone | Self-inflicted | Published | 12 Jun 2023 | 8 |
| Amy Cross | HMP/YOI Eastwood Park | Other | Published | 10 Jun 2023 | 2 |
| Joseph Louis | HMP Wormwood Scrubs | Natural | Published | 26 Apr 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 |
| Anthony Binfield | HMP Lowdham Grange | Self-inflicted | Published | 6 Mar 2023 | 4 |
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