PPO Fatal Incident
Alan Hutchinson
Natural causes
Report published
HMP Isle of Wight (Prison)
Recommendations
No specific recommendations were made in this investigation report.
Full Report Text
OFFICIAL - FOR PUBLIC RELEASE Independent investigation into the death of Mr Alan Hutchinson, a prisoner at HMP Isle of Wight, on 21 October 2022 A report by the Prisons and Probation Ombudsman Third Floor, 10 South Colonnade Email: mail@ppo.gov.uk T l 020 7633 4100 Canary Wharf, London E14 4PU Web: www.ppo.gov.uk OFFICIAL - FOR PUBLIC RELEASE OFFICIAL - FOR PUBLIC RELEASE © Crown copyright, 2026 This report is licensed under the terms of the Open Government Licence v3.0. To view this licence, visit nationalarchives.gov.uk/doc/open-government-licence/version/3 Where we have identified any third-party copyright information you will need to obtain permission from the copyright holders concerned. OFFICIAL - FOR PUBLIC RELEASE OFFICIAL - FOR PUBLIC RELEASE Summary 1. The Prisons and Probation Ombudsman aims to make a significant contribution to safer, fairer custody and community supervision. One of the most important ways in which we work towards that aim is by carrying out independent investigations into deaths, due to any cause, of prisoners, young people in detention, residents of approved premises and detainees in immigration centres. 2. If my office is to best assist His Majesty’s Prison and Probation Service (HMPPS) in ensuring the standard of care received by those within service remit is appropriate, our recommendations should be focused, evidenced and viable. This is especially the case if there is evidence of systemic failure. 3. Mr Alan Hutchinson died from pneumonia on 21 October 2022 at HMP Isle of Wight. He was 75 years old. We offer our condolences to Mr Hutchinson’s family and friends. 4. The clinical reviewer concluded that the care Mr Hutchinson received at Isle of Wight was equivalent to that which he could have expected to receive in the community. She commented that the prison healthcare team demonstrated clear compassion, empathy and kindness towards Mr Hutchinson with a respectful approach to supporting his personal wishes about his medical treatment. 5. We found no non-clinical issues of concern. We make no recommendations. Prisons and Probation Ombudsman 1 OFFICIAL - FOR PUBLIC RELEASE OFFICIAL - FOR PUBLIC RELEASE The Investigation Process 6. HMPPS notified us of Mr Hutchinson’s death on 21 October 2022. 7. NHS England commissioned an independent clinical reviewer to review Mr Hutchinson’s clinical care at HMP Isle of Wight. 8. The PPO investigator investigated the non-clinical issues relating to Mr Hutchinson’s care, including Mr Hutchinson’s location, the security arrangements for his hospital escorts, liaison with his family and whether compassionate release was considered. 9. The PPO family liaison officer wrote to Mr Hutchinson’s next of kin, his son, to explain the investigation and to ask if he had any matters he wanted us to consider. He raised no issues but asked for a copy of our report. 10. Mr Hutchinson’s son received a copy of the draft report. He did not make any comments. 11. The initial report was shared with HM Prison and Probation Service (HMPPS). HMPPS pointed out one factual inaccuracy, a misspelling, and this report has been amended accordingly. Previous deaths at HMP Isle of Wight 12. Mr Hutchinson was the 16th prisoner to die at Isle of Wight since October 2020. Of the previous deaths, 13 were from natural causes and two were self-inflicted. 2 Prisons and Probation Ombudsman OFFICIAL - FOR PUBLIC RELEASE OFFICIAL - FOR PUBLIC RELEASE Key Events 13. On 9 April 2010, Mr Alan Hutchinson was sentenced to life imprisonment for attempted murder. 14. On 2 February 2013, Mr Hutchinson was moved to HMP Isle of Wight. 15. On 18 June 2017, Mr Hutchinson had a heart attack and was taken to hospital in an air ambulance. At hospital, a doctor diagnosed Mr Hutchinson with ischaemic heart disease (a disease where the heart's blood supply is blocked or interrupted by a build-up of fatty substances in the coronary arteries which supply blood to the heart). The doctor operated on Mr Hutchinson and gave him two stents (tube- shaped devices placed in the coronary arteries to keep the arteries open in the treatment of heart disease). When Mr Hutchinson was well enough, he returned to the prison. 16. On 2 November 2018, a doctor diagnosed Mr Hutchinson with left ventricular failure (when the left ventricle, the heart's main pumping power source, is gradually weakened). Mr Hutchinson remained in the prison and was given medication to manage his condition. 17. On 9 January 2019, a doctor diagnosed Mr Hutchinson with a diaphragmatic hernia (a condition where organs in the abdomen move through a hole in the stomach muscle - surgery is required to place the organs back into the correct position). The doctor told Mr Hutchinson that he was too weak for this surgery due to his heart failure. No formal prognosis was given at this stage. However, Mr Hutchinson was told he would not survive this condition without the surgery. 18. Over the next two years, prison healthcare staff offered Mr Hutchinson a palliative cell in the prison’s healthcare unit. Mr Hutchinson repeatedly declined these offers as he wanted to remain on his wing where he felt he had the support of his peers and prison staff. 19. On 24 March 2021, Mr Hutchinson signed a Do Not Attempt Cardiopulmonary Resuscitation (DNACPR) order, as he had decided that he did not want to be resuscitated if his heart or breathing stopped. 20. On 16 December, Mr Hutchinson was given a prognosis of approximately one to two years. Over the next year, Mr Hutchinson remained in the same cell and was closely monitored by prison healthcare staff. 21. On 1 July 2022, Mr Hutchinson agreed to move to the end-of-life cell in the prison’s healthcare unit so he could receive more specialist care. 22. In the early hours of 1 October, Mr Hutchinson reported severe pain in his arm and stomach. The prison GP carried out an electrocardiogram (ECG, a test to check the heart’s rhythm) which showed a probable heart attack. The prison called for an ambulance, but Mr Hutchinson refused to go to hospital. Healthcare staff gave him pain relief and monitored him closely. 23. At approximately 11.00am, when his pain had become unmanageable, Mr Hutchinson agreed to go to hospital. He remained in hospital for the next few days, Prisons and Probation Ombudsman 3 OFFICIAL - FOR PUBLIC RELEASE OFFICIAL - FOR PUBLIC RELEASE where he was treated for a heart attack. He was discharged back to the prison on 5 October. 24. On 18 October, a GP saw Mr Hutchinson and concluded that his health was rapidly deteriorating. Mr Hutchinson remained in the end-of-life cell, where nursing staff continued to monitor him closely, assist him with daily living and keep him comfortable with pain relief. 25. Mr Hutchinson died on the morning of 20 October. A GP recorded his time of death as 6.37am. Post-mortem report 26. The post-mortem report concluded that Mr Hutchinson died from pneumonia. Severe cardiac failure due to ischaemic heart disease was listed as a contributory factor. Adrian Usher August 2023 Prisons and Probation Ombudsman Inquest At the inquest, held on 5 September 2025, the Coroner concluded that Mr Hutchinson died from natural causes. 4 Prisons and Probation Ombudsman OFFICIAL - FOR PUBLIC RELEASE OFFICIAL - FOR PUBLIC RELEASE Third Floor, 10 South Colonnade Email: mail@ppo.gov.uk T l 020 7633 4100 Canary Wharf, London E14 4PU Web: www.ppo.gov.uk OFFICIAL - FOR PUBLIC RELEASE
Case Details
Recommendations
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