Andrew Lancaster-Madeley

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Independent investigation into
the death of Mr Andrew
Lancaster-Madeley,
a prisoner at HMP Isle of Wight,
on 29 July 2023
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
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OFFICIAL - FOR PUBLIC RELEASE
© Crown copyright, 2025
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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. On 14 March 2018, Mr Andrew Lancaster-Madeley was sentenced to 14 years in
prison for sexual offences.
4. Mr Lancaster-Madeley died in hospital from multiple organ failure on 29 July 2023,
while a prisoner at HMP Isle of Wight. This was caused by carcinomatosis (a
condition where the cancer cells from the original tumour spread to form tumours
throughout the body) which was in turn caused by small cell cancer which had
probably spread from the lungs. He also had severe chronic obstructive pulmonary
disease and hypertension (high blood pressure). He was 60 years old. We offer our
condolences to Mr Lancaster-Madeley’s family and friends.
5. The PPO family liaison officer wrote to Mr Lancaster-Madeley’s next of kin to
explain the investigation and to ask if they had any matters they wanted us to
consider. They did not respond.
6. NHS England commissioned an independent clinical reviewer to review Mr
Lancaster-Madeley’s clinical care at HMP Isle of Wight.
7. The clinical reviewer concluded that the clinical care Mr Lancaster-Madeley
received at HMP Isle of Wight was of a good standard and was at least equivalent
to that which he could have expected to receive in the community. She found that a
member of the nursing team had visited Mr Lancaster-Madeley in hospital and
highlighted this as an area of good practice.
8. The clinical reviewer made one recommendation not related to Mr Lancaster-
Madeley’s death which the Head of Healthcare will want to address.
9. The PPO investigator investigated the non-clinical issues relating to Mr Lancaster-
Madeley’s care.
10. The initial report was shared with HM Prison and Probation Service (HMPPS).
HMPPS did not find any factual inaccuracies.
11. We did not find any non-clinical issues of concern and we make no
recommendations.
Adrian Usher May 2024
Prisons and Probation Ombudsman
12. At an inquest held on 18 November 2025, the Coroner concluded that Mr
Lancaster-Madeley died of natural causes.
Prisons and Probation Ombudsman 1
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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