Anthony Bullett

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Independent investigation into
the death of Mr Anthony Bullett,
a prisoner at HMP/YOI Norwich,
on 9 November 2025
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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© 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
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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 9 October 2024, Mr Anthony Bullett was sentenced to 16 months in prison for
breaching a sexual harm prevention order. On 14 August 2025, he was released
from prison but was recalled to prison on 20 August for further breaches. He died of
multiorgan failure caused by rapid cognitive impairment on 9 November 2025, at
HMP Norwich. He was 77 years old. We offer our condolences to Mr Bullett’s family
and friends.
4. The Ombudsman’s office wrote to Mr Bullett’s next of kin to explain the investigation
and to ask if they had any matters they wanted us to consider. They had no
questions but asked for a copy of our report.
5. NHS England commissioned an independent clinical reviewer to review Mr Bullett’s
clinical care at HMP Norwich. The clinical reviewer’s report is attached as Annex 1.
6. The clinical reviewer concluded that the clinical care Mr Bullett received at Norwich
was of a good standard and equivalent to what he could have expected to receive
in the community. She found that appropriate care plans were in place to support
his health, including an individual end‑of‑life care plan, and that Mr Bullett received
compassionate and dignified end‑of‑life care. The clinical reviewer made
recommendations not related to Mr Bullett’s death that the Head of Healthcare will
wish to address.
7. The PPO investigator investigated the non-clinical issues relating to Mr Bullett’s
care.
8. We did not find any non-clinical issues of concern. We make no recommendations.
9. The initial report was shared with HM Prison and Probation Service (HMPPS).
Health Care Resourcing Group (HCRG) raised a factual inaccuracy in the clinical
review. The investigator passed these on to the clinical reviewer who amended their
report which is annexed to this report.
10. We also shared the initial report with Mr Bullett’s family. They did not make any
comments.
Adrian Usher
Prisons and Probation Ombudsman June 2026
Prisons and Probation Ombudsman 1
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Inquest
At the inquest held on 17 July 2026, the Coroner concluded that Mr Bullett died of natural
causes.
2 Prisons and Probation Ombudsman
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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
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