PPO Fatal Incident

Harold Nicholson

Natural causes Report published

HMP Northumberland (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 Harold Nicholson, a prisoner
at HMP Northumberland,
on 27 November 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
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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.
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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 23 April 2024, Mr Harold Nicholson was sentenced to 18 years in prison for
sexual offences. He died of sepsis caused by bronchopneumonia on 27 November
2024, at HMP Northumberland. He was 75 years old. We offer our condolences to
Mr Nicholson’s family and friends.
4. The Ombudsman’s office wrote to Mr Nicholson’s family to explain the investigation
and to ask if they had any matters they wanted us to consider. Mr Nicholson’s
family asked about the clinical care Mr Nicholson received in prison and asked for a
copy of our report. The family’s questions have been addressed in the clinical
review and in separate correspondence.
5. NHS England commissioned an independent clinical reviewer to review Mr
Nicholson’s clinical care at HMP Northumberland.
6. The clinical reviewer concluded that the clinical care Mr Nicholson received at
Northumberland was of a good standard and equivalent to what he could have
expected to receive in the community. She found that Mr Nicholson’s medical
records contained evidence of excellent individualised end of life care engagement.
The clinical reviewer made recommendations not related to Mr Nicholson’s death
that the Head of Healthcare will wish to address.
7. The PPO investigator investigated the non-clinical issues relating to Mr Nicholson’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).
HMPPS and Healthcare (Spectrum Community Health CIC) did not find any factual
inaccuracies.
10. At the inquest held on 20 May 2025, the coroner concluded that Mr Harold
Nicholson died of natural causes.
Adrian Usher May 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

Date of Death 27 November 2024
Report Published 11 July 2025
Age 71-80
Gender
Responsible Body HMP Northumberland
Recommendations
0
Inquest Date 20 May 2025

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