PPO Fatal Incident

John Allen

Natural causes Report published

HMP Bure (Prison)

Recommendations

No recommendations are indexed for this report. This does not establish that the published report contains none; check the original report.
Full Report Text
OFFICIAL - FOR PUBLIC RELEASE
Independent investigation into
A report by the Prisons and Probation Ombudsman
the death of Mr John Allen,
a prisoner at HMP Bure,
on 3 May 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
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
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 8 January 2020, Mr John Allen was sentenced to life imprisonment for sexual
offences. He died in hospital of metastatic anal cancer on 3 May 2025, while a
prisoner at HMP Bure. He was 83 years old. We offer our condolences to Mr Allen’s
family and friends.
4. The Ombudsman’s office wrote to Mr Allen’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.
5. NHS England commissioned an independent clinical reviewer to review Mr Allen’s
clinical care at HMP Bure. The clinical reviewer’s report was attached as Annex 1.
6. The clinical reviewer concluded that the clinical care Mr Allen received at Bure was
of a good standard and at least equivalent to what he could have expected to
receive in the community. She found that Mr Allen’s medical records contained
evidence of excellent individualised end of life care planning. The clinical reviewer
made recommendations not related to Mr Allen’s death that the Head of Healthcare
will wish to address.
7. The PPO investigator investigated the non-clinical issues relating to Mr Allen’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) and
Healthcare. HMPPS and Practice Plus Group did not find any factual inaccuracies.
10. At the inquest held on 12 December 2025, the coroner concluded that Mr John
Allen died of natural causes.
Adrian Usher
Prisons and Probation Ombudsman October 2025
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

PPO entry published 30 April 2026
Age 81+
Gender
Responsible Body HMP Bure
Recommendations
0

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