Terence Paget

OFFICIAL - FOR PUBLIC RELEASE
Independent investigation into
A report by the Prisons and Probation Ombudsman
the death of Mr Terence Paget,
a prisoner at HMP Littlehey,
on 19 October 2022
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, 2026
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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 HM Prison and Probation Service 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 23 November 2017, Mr Terence Paget was sentenced to ten years in prison for
sexual offences. He died in hospital of oesophageal squamous cell carcinoma on
19 October 2022, while a prisoner at HMP Littlehey. He was 68 years old. We offer
our condolences to Mr Paget’s family and friends.
4. We wrote to Mr Paget’s next of kin to explain the investigation and to ask if they had
any matters they wanted us to consider. They did not respond.
5. NHS England commissioned an independent clinical reviewer to review Mr Paget’s
clinical care at HMP Littlehey.
6. The clinical reviewer concluded that the clinical care Mr Paget received at Littlehey
was of a reasonable standard and equivalent to that which he could have expected
to receive in the community. He found that healthcare staff managed Mr Paget with
compassion and that he received responsive nursing care. The clinical reviewer
identified as good practice that a specialist palliative care nurse at Littlehey
accompanied Mr Paget to his hospital outpatient appointments.
7. The PPO investigator investigated the non-clinical issues relating to Mr Paget’s
care.
8. We did not find any non-clinical issues of concern. We make no recommendations.
9. We shared the initial report with HM Prison and Probation Service (HMPPS). They
did not identify any factual inaccuracies.
10. The inquest into Mr Paget’s death concluded on 11 May 2023, returning a verdict of
natural causes.
Adrian Usher June 2024
Prisons and Probation Ombudsman
Prisons and Probation Ombudsman 1
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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