State Custody related deaths

PFD Category
Reports: 357 Areas: 57 Earliest: Aug 2013 Latest: 8 Apr 2026

74% response rate (above 63% average). 58% of classified responses show concrete action taken. Reports rose 40% from 25 (2023) to 35 (2024).

Response Status
Responded 263 No Response 11 Historic 80 Pending 2
AI Classification
Action Taken 58%
Action Planned 27%
Noted 14%
Disputed 0%
Based on 401 classified responses
Reports by Quarter
Clear
PFD Reports
2 results
Jonathan Thornton
Response Pending
2026-0200 8 Apr 2026 Nottingham and Nottinghamshire
HMP Nottingham Ministry of Justice Northampton Healthcare NHS Foundation T… +2 more
Concerns summary (AI summary) Information sharing barriers between the Community Forensic Team and prison healthcare, as well as between prison healthcare and operational prison staff, were identified as concerns. The limited and broad categorisation of alerts on NOMIS/DPS was also raised as an issue.
Mark Smith
Response Pending
2026-0205 7 Apr 2026 Inner South London
1. Chief Executive Officer, Practice Pl… Chief Executive Officer, Practice Plus … 2. Chief Executive Lewisham and Greenwi… +3 more
Concerns summary (AI summary) The report identifies concerns about the potential for incorrect medication dosages to be prescribed or administered, the risk of patients being discharged back to prison from QEH without an MDT meeting, and healthcare staff being unable to access a prisoner's cell at night.