Terrence Rox

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Independent investigation into
the death of Mr Terrence Rox,
a prisoner at HMP Peterborough,
on 20 October 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, 2026
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 July 2017, Mr Terrence Rox was sentenced to 20 years imprisonment for
attempting to cause grievous bodily harm with intent. He died in hospital of
pneumonia on 20 October 2025, while a prisoner at HMP Peterborough. He was 60
years old. We offer our condolences to Mr Rox’s family and friends.
4. The Ombudsman’s office wrote to Mr Rox’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 Rox’s
clinical care at HMP Peterborough.
6. The clinical reviewer concluded that the clinical care Mr Rox received at
Peterborough was of a reasonable standard and equivalent to that which he could
have expected to receive in the community. The clinical reviewer made one
recommendation not related to Mr Rox’s death that the Head of Healthcare will wish
to address.
7. The PPO investigator investigated the non-clinical issues relating to Mr Rox’s care.
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,
Northamptonshire Healthcare NHS Foundation Trust. They found no factual
inaccuracies.
Adrian Usher April 2026
Prisons and Probation Ombudsman
Inquest
At the inquest, held on 15 May 2026, the Coroner concluded that Mr Rox 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