PPO Fatal Incident
Raymond Catchpole
Natural causes
Report published
HMP Durham (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 Raymond Catchpole, a prisoner at HMP Durham, on 20 October 2023 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. On 8 September 2023, Mr Raymond Catchpole was remanded in custody for sex offences. 4. Mr Catchpole died in hospital on 20 October 2023, while a prisoner at HMP Durham. He died of heart failure caused by hypoactive delirium (drowsiness and lethargy) which in turn was caused by acute kidney injury. He also had anaemia (a lack of red blood cells) which contributed to but did not cause his death. He was 82 years old. We offer our condolences to Mr Catchpole’s family and friends. 5. The PPO family liaison officer wrote to Mr Catchpole’s next of kin to explain the investigation and to ask if he had any matters he wanted us to consider. He did not respond to our letter. 6. NHS England commissioned an independent clinical reviewer to review Mr Catchpole’s clinical care at HMP Durham. 7. The clinical reviewer concluded that the clinical care Mr Catchpole received at Durham was equivalent to that which he could have expected to receive in the community. He found that Mr Catchpole received responsive nursing care, where his specialist needs were met, and his comfort maintained. 8. The PPO investigator investigated the non-clinical issues relating to Mr Catchpole’s care. We did not find any non-clinical issues of concern and make no recommendations. 9. The initial report was shared with HM Prison and Probation Service (HMPPS). HMPPS pointed out a factual inaccuracy within the clinical review report, which has been amended accordingly. Adrian Usher March 2024 Prisons and Probation Ombudsman 10. The inquest into Mr Catchpole’s death was held on 13 June 2024 and a verdict of natural causes was recorded. The coroner concluded that Mr Catchpole’s death was due to heart failure. Mr Catchpole also had anaemia, acute kidney injury and hypoactive delirium. 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