PPO Fatal Incident
Gerald Sherwin
Natural causes
Report published
HMP Elmley (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 Gerald Sherwin, a prisoner at HMP Elmley, on 25 September 2024 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, 2025 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 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. In July 2024, Mr Gerald Sherwin was charged with sexual offences and remanded into custody. He died in hospital of pneumonia and congestive cardiac failure on 25 September 2024, while a prisoner at HMP Elmley. He was 72 years old. We offer our condolences to his family and friends. 4. The Ombudsman’s office wrote to Mr Sherwin’s next of kin, his brother, to explain the investigation and to ask if he had any matters he wanted us to consider. He asked why he was not informed of Mr Sherwin’s imprisonment at Elmley, given that he was in poor health. Elmley told us that they would only contact a prisoner’s next of kin if he became seriously ill. They also said that Mr Sherwin did not provide his next of kin’s contact details and they had to contact the police for assistance in contacting him once Mr Sherwin became seriously unwell. Mr Sherwin’s brother also had concerns about his medical treatment at Elmley. 5. NHS England commissioned an independent clinical reviewer to review Mr Sherwin’s clinical care at Elmley. 6. The clinical reviewer concluded that the clinical care Mr Sherwin received at HMP Elmley was of a good quality and equivalent to that which he could have expected to receive in the community. He found that Mr Sherwin received appropriate care for his various medical conditions and healthcare staff recognised and acted on Mr Sherwin’s episodes of clinical deterioration quickly. The clinical reviewer did not make any recommendations. 7. The PPO investigator investigated the non-clinical issues relating to Mr Sherwin’s care. We did not identify any non-clinical issues of concern and we make no recommendations. 8. The initial report was shared with HM Prison and Probation Service (HMPPS). HMPPS did not find any factual inaccuracies. 9. Mr Sherwin’s family received a copy of the draft report. They raised an issue that does not impact on the factual accuracy of this report and has been addressed through separate correspondence. 10. At an inquest on 28 May 2025, the Coroner concluded that Mr Sherwin died of natural causes. Adrian Usher April 2025 Prisons and Probation Ombudsman Prisons and Probation Ombudsman 1 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
0