Kunwar Patton

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Independent investigation into
the death of Mr Kunwar Patton,
a prisoner at HMP Liverpool,
on 11 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
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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 24 September 2018, Mr Kunwar Patton was convicted of sexual offences and
sentenced to eight years in prison.
4. Mr Patton died on 11 September 2024, while a prisoner at HMP Liverpool. His
cause of death was myocardial infarction (heart attack) and coronary artery
atheroma (build-up of fatty material causing a narrowing of the coronary arteries),
with hyperlipidaemia (high level of cholesterol or triglycerides in the blood), chronic
kidney disease stage 4, hypertension (high blood pressure) and type 2 diabetes
contributing factors. Mr Patton was 57 years old. We offer our condolences to his
family and friends.
5. The Ombudsman’s office wrote to Mr Patton’s wife to explain the investigation and
to ask if she had any matters she wanted us to consider. Mr Patton’s daughter
asked a question about the healthcare Mr Patton received in prison, which has
been addressed in the clinical review.
6. We also shared the initial report with Mr Patton’s family. They did not make any
comments.
7. We shared the initial report with HM Prison and Probation Service (HMPPS).
HMPPS did not find any factual inaccuracies.
8. NHS England commissioned an independent clinical reviewer to review Mr Patton’s
clinical care at HMP Liverpool.
9. The clinical reviewer concluded that the clinical care Mr Patton received at Liverpool
was equivalent to that which he could have expected to receive in the community.
She identified kind, respectful, and compassionate interactions between healthcare
and custodial teams and Mr Patton. She made no recommendations.
10. The PPO investigator investigated the non-clinical issues relating to Mr Patton’s
care.
11. We did not find any non-clinical issues of concern. We make no recommendations.
Inquest
12. The inquest into Mr Patton’s death concluded on the 25 September 2024. The
coroner confirmed that Mr Patton died of natural causes.
Prisons and Probation Ombudsman 1
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OFFICIAL - FOR PUBLIC RELEASE
Adrian Usher October 2025
Prisons and Probation Ombudsman
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
OFFICIAL - FOR PUBLIC RELEASE