State Custody related deaths

PFD Category
Reports: 348 Areas: 57 Earliest: Aug 2013 Latest: 19 Feb 2026

74% response rate (above 62% average). 73% of classified responses show concrete action taken. Reports rose 40% from 25 (2023) to 35 (2024).

Response Status
Responded 256 No Response 3 Historic 73 Pending 7
AI Classification
Action Taken 73%
Action Planned 15%
Noted 6%
Disputed 7%
Based on 88 classified responses
Reports by Quarter
Clear
PFD Reports
7 results
Rajwinder Singh
Response Pending
2026-0100 19 Feb 2026 Inner West London
HMP Wandsworth Oxleas NHS England
Concerns summary HMP Wandsworth lacks mandatory ACCT refresher training for prison officers and equivalent training for agency healthcare staff, and offers no training in risk formulation.
Edward Hands
Response Pending
2026-0097 17 Feb 2026 Bedfordshire and Luton
HMP Bedford Ministry of Justice Northamptonshire Healthcare Foundation …
Concerns summary Confusion and differing policies between prison and healthcare staff regarding prisoners under the influence led to inadequate observation, failed recognition of clinical deterioration, and delayed medical assessment.
Josh Tarrant (1)
Response Pending
2026-0075 9 Feb 2026 Mid Kent & Medway
NHS England
Concerns summary Healthcare and prison staff lacked training to identify Acute Behavioural Disturbance (ABD), risking physiological collapse and death for individuals subjected to prolonged restraint.
Josh Tarrant (2)
Response Pending
2026-0076 9 Feb 2026 Mid Kent & Medway
Prisons Probation and Reducing Reoffending
Concerns summary Healthcare and prison staff lacked training to identify Acute Behavioural Disturbance (ABD), risking physiological collapse and death for individuals subjected to prolonged restraint.
Josh Tarrant (3)
Response Pending
2026-0077 9 Feb 2026 Mid Kent & Medway
HMP Elmley
Concerns summary Healthcare and prison staff lacked training to identify Acute Behavioural Disturbance (ABD), risking physiological collapse and death for individuals subjected to prolonged restraint.
Gareth Chumber-Kelly
Response Pending
2026-0073 9 Feb 2026 North London
HMPPS HMP Pentonville Serco +1 more
Concerns summary Inefficient prison reception processes lead to lost critical prisoner information, and suicide/self-harm training for staff was suspended despite high rates of suicidal ideation and ligature deaths.
Emmett Morrison
Response Pending
2026-0071 6 Feb 2026 Worcestershire
Prison Probation and Reducing Offending
Concerns summary HMP Long Lartin suffered from a continued influx of illicit drugs. There were also systemic failures in the ACCT process, with no support actions recorded for a prisoner with a history of self-harm.