Raymond Kingsland

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Independent investigation into the
death of Mr Raymond Kingsland,
a prisoner at HMP Holme House,
on 6 February 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
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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. In June 2023, Mr Raymond Kingsland was sentenced to four years imprisonment
for sexual offences. He died of lung cancer on 6 February 2025, at HMP Holme
House. He was 74 years old. We offer our condolences to Mr Kingsland’s family
and friends.
4. The Ombudsman’s office wrote to Mr Kingsland’s brother to explain the
investigation and to ask if he had any matters he wanted us to consider. He did not
respond to our letter.
5. NHS England commissioned an independent clinical reviewer to review Mr
Kingsland’s clinical care at Holme House.
6. The clinical reviewer concluded that the clinical care Mr Kingsland received at
Holme House was of a reasonable standard and at least equivalent to that which he
could have expected to receive in the community. She made six recommendations
not related to Mr Kingsland’s death that the Head of Healthcare will wish to address.
7. The PPO investigator investigated the non-clinical issues relating to Mr Kingsland’s
care. She interviewed two members of staff from Holme House with the clinical
reviewer on 9 April 2025.
8. We did not find any non-clinical issues of concern. We make no recommendations.
9. We shared our initial report with HMPPS and the prison’s healthcare provider,
Spectrum Community Health CIC. They found no factual inaccuracies.
Adrian Usher
Prisons and Probation Ombudsman June 2025
Inquest
At the inquest, held on 27 March 2025, the coroner concluded that Mr Kingsland died from
natural causes.
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