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
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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
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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 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

Date of Death 20 October 2023
Report Published 11 July 2025
Age 81+
Gender
Responsible Body HMP Durham
Recommendations
0
Inquest Date 13 June 2024

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