PPO Fatal Incident

Liam Cronin

Other non-natural Report published

HMP Ranby (Post-release)

Recommendations

No specific recommendations were made in this investigation report.
Full Report Text
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Independent investigation into
A report by the Prisons and Probation Ombudsman
the death of Mr Liam Cronin,
on 2 July 2023,
following his release from
HMP Ranby
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, 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
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Summary
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. Since 6 September 2021, the PPO has been investigating post-release deaths that
occur within 14 days of the person’s release from prison.
3. 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.
4. Mr Liam Cronin died of mixed drug toxicity on 2 July 2023, following his release
from HMP Ranby on 30 June 2023. He was 34 years old. We offer our condolences
to Mr Cronin’s family and friends.
5. Mr Cronin had an extensive offending history linked to his drug use. In prison, he
used drugs and engaged with the substance misuse team. He told staff that, if
necessary, he would seek the services of a drug rehabilitation service in the
community. His prison offender manager and community offender manager worked
with Mr Cronin to address his needs for release. They secured accommodation for
him so he would not be homeless and arranged for the police to accompany him to
his first appointments on his release from prison, to keep him safe.
6. On 2 July, Mr Cronin was found unresponsive at his ex-partner’s home. Ambulance
paramedics confirmed that Mr Cronin had died.
7. We did not find any issues of concern relating to Mr Cronin’s death.
Prisons and Probation Ombudsman 1
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The Investigation Process
8. HMPPS notified us of Mr Cronin’s death on 6 July 2023.
9. The PPO investigator obtained copies of relevant extracts from Mr Cronin’s prison
and probation records.
10. We informed HM Coroner for Derby of the investigation. He gave us the results of
the post-mortem examination. We have sent the Coroner a copy of this report.
11. The Ombudsman’s family liaison officer contacted Mr Cronin’s mother to explain the
investigation and to ask if she had any matters she wanted us to consider. Mr
Cronin’s mother wanted to know why Mr Cronin was released without a probation
officer being present to meet him. Mr Cronin’s mother’s question has been
addressed in this report.
12. Mr Cronin’s family received a copy of the initial report. They did not make any
comments.
13. The initial report was shared with HM Prison and Probation Service (HMPPS).
HMPPS did not find any factual inaccuracies.
2 Prisons and Probation Ombudsman
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Background Information
HMP Ranby
14. HMP Ranby is a category C prison which holds over 1,000 male remand and
sentenced prisoners. It is managed by HMPPS.
Probation Service
15. The Probation Service works with all individuals subject to custodial and community
sentences. During a person’s imprisonment, they oversee their sentence plan to
assist in rehabilitation, as well as prepare reports to advise the Parole Board and
have links with local partnerships to whom, where appropriate, they refer people for
resettlement services. Post-release, the Probation Service supervise people
throughout their licence period and post-sentence supervision.
Prisons and Probation Ombudsman 3
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Key Events
16. On 10 November 2022, Mr Liam Cronin was convicted of burglary, theft, drug
possession and fraud and was sentenced to one year and four months in prison. He
was sent to HMP Nottingham.
17. Mr Cronin had a history of drug misuse. He used cannabis, crack cocaine, heroin
and amphetamines regularly, which led to a chaotic lifestyle and repeat offending.
18. On 24 October 2022, the substance misuse team at Nottingham completed a full
assessment. Mr Cronin said that he wanted to stop using drugs. He said he wanted
to complete work in relation to his substance misuse and would participate in group
work, and complete in cell workbooks.
19. Mr Cronin’s prison offender manager (POM) contacted Mr Cronin on 17 November
and said her role was to support his external community offender manager (COM).
Mr Cronin told her that he wanted to work towards being drug free and was happy
to receive assistance to achieve this. He said he had stopped using drugs since
arriving in prison. Healthcare staff explained the use of naloxone (used to reverse or
reduce the effects of opioids), and Mr Cronin completed naloxone training.
HMP Ranby
20. On 7 December, Mr Cronin was transferred to HMP Ranby.
21. Mr Cronin referred himself to the substance misuse service as he said he did not
want to use drugs in prison. He said he wanted to learn better ways of coping in the
community as he spent between £20 and £200 daily on heroin and crack cocaine.
22. The substance misuse team met Mr Cronin on 12 December, for an initial
assessment. Mr Cronin said that, in the community, he would disengage with
services and return to drug use and crime to fund his habits. The team offered Mr
Cronin one to one support, which he declined. He said that he did not want to
complete any workbooks and that he preferred group work. The substance misuse
team arranged for Mr Cronin to join the relapse prevention group which aims to
teach users strategies to minimise the risks of relapsing back into drug use.
23. Mr Cronin told his POM that the substance misuse team had issued him with a
relapse prevention workbook which he had not completed. Mr Cronin said that he
wished to reconnect with a rehabilitation service in Derby when released.
24. On 30 March 2023, prison staff reported that Mr Cronin appeared to be under the
influence of drugs. A member of the substance misuse team spoke to Mr Cronin
and he admitted smoking psychoactive substances (PS). He said that he would
smoke it again if it was available. The substance misuse team worker discussed the
dangers associated with smoking PS and drug addiction and arranged for Mr
Cronin to attend the substance misuse recovery support review meeting for
additional support.
4 Prisons and Probation Ombudsman
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Pre-release planning
25. On 4 May, his COM met Mr Cronin at Ranby to discuss the arrangements for his
release and his risk management plan. They discussed his previous chaotic lifestyle
which had led to his arrest. They agreed timings for his release and agreed that two
police officers would meet Mr Cronin at 9.00am, to accompany him to his probation
appointment and then to his accommodation. He noted that Mr Cronin was happy
with the high levels of support.
26. On 22 May, a substance misuse worker conducted a telephone consultation for a
substance misuse recovery support review. He repeated warnings about using
substances in prison and after release. Mr Cronin said that he had reduced his use
of PS to two or three times a week at night when locked in his cell. The substance
misuse worker explained the risks of using PS whether it was in prison or the
community, as there was no antidote. He concluded that on release, Mr Cronin
would need to voluntarily attend a drug advisory service.
27. Three weeks before his release, healthcare staff referred Mr Cronin to a community
treatment provider (which they noted would be confirmed once Mr Cronin had
confirmation of his release address). Accommodation was arranged with Green
Pastures (a social enterprise that provides housing to the homeless) in Derby to
provide Mr Cronin with a home and support when released.
28. On 20, 28 and 30 June, the substance misuse team met with Mr Cronin in
preparation for his release. They discussed measures to help him resist urges to
use PS, as this had become his drug of choice. The substance misuse team
confirmed Mr Cronin’s release date with the nearest community drug advisory
service so that he could obtain support following his release.
29. On 30 June, a substance misuse nurse saw Mr Cronin shortly before his release
and issued him with a naloxone kit to take with him. Mr Cronin said crack and
heroin were his drugs of choice outside prison. The nurse discussed with him how
to keep safe as he was at higher risk of overdose and reminded him about the
community support that had been put in place for him.
Post-release
30. At 8:46am on 30 June, Mr Cronin was released from Ranby. The police officers did
not arrive at Ranby until 9.40am, by which time, Mr Cronin had already left.
31. Mr Cronin’s licence conditions required him to report to his probation officer at the
Derby Probation office at 2.00pm. He arrived for his appointment as planned and
apologised for not following the agreed plan. His probation officer explained the
terms of Mr Cronin’s licence and completed an induction. He scheduled Mr Cronin’s
next probation appointment for 11.00am on 7 July.
32. Mr Cronin reported to Green Pastures as agreed. However, he was assessed on
arrival as being heavily under the influence of drugs and alcohol. Mr Cronin
admitted that he had used alcohol and PS, and as a result, he was refused
admission to the hostel. (One of the criteria to secure accommodation at Green
Pastures was for residents to remain drug free.)
Prisons and Probation Ombudsman 5
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33. That day, Mr Cronin was involved in a fight in the street, and he was stabbed in his
back. Mr Cronin received first aid, but he refused further medical treatment.
Circumstances of Mr Cronin’s death
34. On 1 July, Mr Cronin saw his grandmother and he complained of pain in his lower
back from the stab wound. Later that evening, he went to stay with his ex-partner at
her home address.
35. When Mr Cronin’s ex-partner awoke at 2:00pm on 2 July, she found Mr Cronin
unresponsive in the toilet, surrounded by drug paraphernalia. Paramedics attended
and confirmed that Mr Cronin had died.
Post-mortem report
36. The post-mortem report concluded that Mr Cronin died of mixed drug toxicity.
37. The report noted that there was a stab wound to the right lower back/upper buttock
region, which had not completely penetrated through his gluteus maximus
(buttocks) muscle. There was no injury to the underlying bone, no major blood
vessel had been damaged and there was no significant haemorrhaging in the
wound.
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Findings
Substance misuse
38. Mr Cronin had a history of substance misuse. Although he claimed to only use
drugs in the community, there was evidence of his continued drug use in prison.
The substance misuse team at Ranby had frequent meetings with Mr Cronin and
emphasised the dangers of his continued drug use and offered him support. Mr
Cronin was appropriately referred to community drug services ahead of his release
and he was appropriately given a naloxone kit and harm reduction information on
the day of his release.
Good practice
39. Despite having no confirmation of the release address, the substance misuse
worker completed referrals to two local community drug services, so they were
aware of Mr Cronin’s release.
40. Probation staff also took account of Mr Cronin’s previous chaotic lifestyle and put
support measures in place and arranged for two police officers to accompany him to
his probation appointment and accommodation following release, to ensure he
received immediate support on release. (Although it is a shame that the officers
were late arriving, and Mr Cronin had not waited for them.)
Adrian Usher
Prisons and Probation Ombudsman January 2024
Inquest
The inquest, held on 30 May 2025, concluded that Mr Cronin’s death was drug related.
Prisons and Probation Ombudsman 7
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Third Floor, 10 South Colonnade Email: mail@ppo.gov.uk T l 020 7633 4100
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Case Details

Date of Death 2 July 2023
Report Published 14 July 2025
Age 31-40
Gender
Responsible Body HMP Ranby
Recommendations
0
Inquest Date 30 May 2025

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