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Other & emergent pillar
Clinical protocol implementation gaps in custodial healthcare provision
172
Reports tagged with this theme
Sub-theme count: 0
PFD reports
172 reports
Thomas Ruggiero
24 Mar 2026· Kent and Medway
State Custody
Thomas Ruggiero
24 Mar 2026· Kent and Medway
State Custody
Ronald Meikle
24 Mar 2026· Milton Keynes
State Custody
Surendrakumar Patel
10 Mar 2026· Worcestershire
Community Health and Emergency Services
Sheila Creegan
10 Mar 2026· East London
Hospital Death (Clinical Procedures and medical management)
Jennine Romeo
10 Mar 2026· City of London
Hospital Death (Clinical Procedures and medical management)
Alan Tomlinson
6 Mar 2026· Gwent
Hospital Death (Clinical Procedures and medical management)
Rickie Poon
4 Jan 2026· Inner North London
State Custody
Thomas Morrell
17 Nov 2025· Newcastle and North Tyneside
Hospital Death (Clinical Procedures and medical management)
Paul Appleby
21 Oct 2025· Northamptonshire
Community health care and emergency services
John Rust
20 Oct 2025· Birmingham and Solihull
Hospital Death (Clinical Procedures and medical management)
Jamie Funnell
13 Oct 2025· East Sussex
State Custody related deaths | Alcoholdrug and medication
Steven Hart
24 Sep 2025· Bedfordshire and Luton
State Custody related deaths | Suicide (from 2015)
Michael Pugh
25 Jul 2025· Kent and Medway
State Custody related deaths | Suicide (from 2015)
Gavin Wheale
10 Jul 2025· Birmingham and Solihull
Alcoholdrug and medication related deaths | State Custody
George Emmett
8 Jul 2025· Buckinghamshire
State Custody related deaths | Alcoholdrug and medication
Patrick Coffey
7 Jul 2025· Berkshire
Hospital Death (Clinical Procedures and medical management)
Daniel Hatchett
4 Jul 2025· of East London
Suicide (from 2015)
Colin Lovett
30 May 2025· of Dorset.
Alcoholdrug and medication related deaths | State Custody
Marina Waldron
21 May 2025· Gwent
Hospital Death (Clinical Procedures and medical management) related deaths | Wales prevention of future deaths reports (2019 onwards)
Sean Higgins
11 Mar 2025· of Mid Kent and Medway
State Custody related deaths | Mental Health related deaths | Suicide (from 2015)
Nicholas Gedge
11 Mar 2025· of West Yorkshire (Eastern).
Police related deaths | Alcoholdrug and medication
David Tighe
9 Jan 2025· of Oxfordshire
Hospital Death (Clinical Procedures and medical management)
Thomas Burroughs
12 Dec 2024· of Essex
Hospital Death (Clinical Procedures and medical management)
Huw Erasmus
12 Dec 2024· of Gwent.
Wales prevention of future deaths reports (2019 onwards) | Hospital Death (Clinical Procedures and medical management)
Kayleigh Melhuish
4 Dec 2024· Avon
State Custody related deaths | Suicide (from 2015) | Mental Health
Jonathon Lawlor
25 Nov 2024· Mid Kent and Medway
State Custody related deaths | Alcoholdrug and medication
Wayne Bayley
31 Oct 2024· Inner London North
State Custody
Mark Beresford
25 Oct 2024· of Nottingham City and Nottinghamshire
State Custody related deaths | Mental Health
George Kyriacos Petrou
25 Oct 2024· of Inner North London.
Mental Health related deaths | State Custody
Stephen Sleaford
14 Oct 2024· of Leicester City and South Leicestershire.
State Custody
Oliver Davies
11 Oct 2024· Worcestershire
Mental Health related deaths | State Custody related deaths | Suicide (from 2015)
John Eyre
7 Oct 2024· Mid Kent and Medway
State Custody related deaths | Hospital Death (Clinical Procedures and medical management)
Brandon Johnson
1 Oct 2024· of Inner West London
State Custody
Ian Deavall
9 Sep 2024· Manchester
State Custody
Terence Clark
30 Aug 2024· of East London
Hospital Death (Clinical Procedures and medical management)
Susan Pollitt
31 Jul 2024· Manchester North
Hospital Death (Clinical Procedures and medical management)
Russell Irvine
22 Jul 2024· Durham & Darlington
State Custody related deaths | Suicide (from 2015)
Yuri Hatton
11 Jun 2024· of Inner West London.
State Custody
Susan Edwards
4 Jun 2024· Worcestershire
Hospital Death (Clinical Procedures and medical management)
Jada Monoja
17 May 2024· Inner North London
Suicide (from 2015)
Paul Day
10 May 2024· Derby and Derbyshire
Alcoholdrug and medication related deaths | State Custody
Mohammed Azizi
1 May 2024· Norfolk
State Custody
Marlin Burrows
30 Apr 2024· Liverpool and Wirral
State Custody
William Stockil
29 Apr 2024· West Sussex, Brighton and Hove
Hospital Death (Clinical Procedures and medical management)
Matthew Terrill
27 Mar 2024· South Yorkshire West
Alcoholdrug and medication
Finlay Finlayson
22 Mar 2024· East Sussex
Other
Jacob Billington
13 Mar 2024· Birmingham and Solihull
Other
Giuseppe Tabone and Andrew Evans
12 Mar 2024· East Sussex
Alcoholdrug and medication
Lee Hughes
4 Mar 2024· Inner West London
Alcoholdrug and medication
Michael Pegg
26 Jan 2024· Worcestershire
Hospital Death (Clinical Procedures and medical management)
Kane Boyce
17 Jan 2024· Nottingham and Nottinghamshire
State Custody related deaths | Alcoholdrug and medication
Trevor Monerville
16 Jan 2024· East Sussex
State Custody
Stephen Coster
4 Jan 2024· East Sussex
State Custody
Martin Willis
19 Dec 2023· Shropshire, Telford and Wrekin
Suicide (from 2015)
Vivienne Greener
18 Dec 2023· North Wales East and Central
Emergency services related deaths (2019 onwards) | Hospital Death (Clinical Procedures and medical management)
Terence Hines
15 Dec 2023· Worcestershire
Hospital Death (Clinical Procedures and medical management)
Olivia Russell
14 Dec 2023· Cheshire
Suicide (from 2015)
John Lee
6 Dec 2023· Surrey
Hospital Death (Clinical Procedures and medical management)
John Singleton
16 Nov 2023· Cheshire
Suicide (from 2015) | State Custody
Ocean-Leigh Hayes
15 Nov 2023· South Wales Central
Child Death (from 2015)
John Pace
13 Nov 2023· Essex
State Custody related deaths | Alcoholdrugs medication
Irene White
7 Nov 2023· Somerset
Care Home Health
Sasha Mishabi
1 Nov 2023· Birmingham and Solihull
Hospital Death (Clinical Procedures and medical management)
Jonathan McCarthy
24 Oct 2023· Northampton
State Custody
Michelle Whitehead
4 Oct 2023· Nottingham City and Nottinghamshire
Hospital Death (Clinical Procedures and medical management)
Jack Zarrop
2 Oct 2023· West London
Suicide (from 2015)
Stewart Stanley
19 Sep 2023· Exeter and Greater Devon
State Custody related deaths | Suicide (from 2015)
Amarjit Singh
18 Sep 2023· Inner North London
State Custody
Haik Nikolyan
15 Aug 2023· Buckinghamshire
State Custody related deaths | Suicide (from 2015)
Stephen Weatherley
20 Jul 2023· Inner South London
Alcoholdrugs medication related deaths | State Custody
Mohammed Hussain
12 Jul 2023· Birmingham and Solihull
Other
John James
11 Jul 2023· East London
Hospital Death (Clinical Procedures and medical management)
Christopher Smith
7 Jul 2023· Nottingham City and Nottinghamshire
State Custody related deaths | Hospital Death (Clinical Procedures and medical management)
Liam Bentley
3 Jul 2023· Mid Kent and Medway
State Custody related deaths | Suicide (from 2015)
Akash Bhudia
18 May 2023· East London
Other
Jodie McCann
20 Apr 2023· Nottinghamshire
Hospital Death (Clinical Procedures and medical management)
Keith Hodson
18 Apr 2023· Herefordshire
Hospital Death (Clinical Procedures and medical management)
Raniya Khan
15 Feb 2023· Berkshire
Child Death (from 2015) | Hospital Death (Clinical Procedures and medical management)
George Kearsey
9 Feb 2023· East London
Hospital Death (Clinical Procedures and medical management)
Nathan Forrester
31 Jan 2023· Inner South London
Alcoholdrugs medication related deaths | State Custody
John Henderson
17 Jan 2023· Mid Kent and Medway
State Custody
Ann Daghlian
25 Nov 2022· North Wales East and Central
Hospital Death (Clinical Procedures and medical management)
Liridon Saliuka
8 Nov 2022· Inner South London
State Custody related deaths | Suicide (from 2015)
Bradleigh Barnes
24 Oct 2022· Dorset
State Custody related deaths | Suicide (from 2015)
Ezra Tamiem
19 Jul 2022· Bedfordshire and Luton
State Custody related deaths | Suicide (from 2015)
Cassian Curry
29 Apr 2022· South Yorkshire (West District)
Hospital Death (Clinical Procedures and medical management) related deaths | Child Death (from 2015)
Nicholas Rose
26 Apr 2022· Dorset
State Custody related deaths | Alcoholdrug and medication
Neil Hickman
3 Mar 2022· Inner North London
Hospital Death (Clinical Procedures and medical management)
Idris Habib
26 Jan 2022· Mid Kent and Medway
State Custody related deaths | Mental Health
Thomas Moffett
25 Jan 2022· Lancashire and Blackburn with Darwen
State Custody
Saul Thomas
22 Dec 2021· Worcestershire
State Custody related deaths | Mental Health
Anthony Clacher
22 Oct 2021· Dorset
State Custody related deaths | Mental Health related deaths | Alcoholdrug and medication related deaths | Other
Robert Walaszkowski
5 Oct 2021· East London
Hospital Death (Clinical Procedures and medical management) related deaths | Emergency services related deaths (2019 onwards) | Mental Health
Carl Walters
3 Aug 2021· Exeter and Greater Devon
State Custody
Joanna Daly
22 Jul 2021· West Yorkshire (Eastern)
Alcoholdrug and medication related deaths | State Custody
Khairul Rahman
9 Jul 2021· Inner London North
State Custody
Susan Roberts
14 Jun 2021· West Yorkshire Western Division
Hospital Death (Clinical Procedures and medical management)
Guy Paget
23 Apr 2021· West Yorkshire (East)
State Custody
Betty Tadman
4 Feb 2021· Mid Kent and Medway
Hospital Death (Clinical Procedures and medical management)
Theo Young
18 May 2020· Surrey
Hospital Death (clinical procedures and medical management) related deaths; Child death (from 2015)
Colin North
8 Feb 2020· Birmingham and Solihull
Other
Daniel Akam
16 Jan 2020· South Yorkshire (Eastern)
Mental Health related deaths; State Custody related deaths; Suicide (from 2015)
Colin Beaumont
6 Jan 2020· Warwickshire
Hospital Death (Clinical Procedures and medical management)
Darren Williams
13 Dec 2019· Milton Keynes
State Custody related deaths; Suicide (from 2015)
Robert Ginn
13 Dec 2019· Inner London North
tate Custody
Amy Allan
13 Nov 2019· Inner London North
Child Death (from 2015); Hospital Death (Clinical Procedures and medical management)
Neville McNair
5 Nov 2019· East Sussex
Hospital Death (Clinical Procedures and medical management) related deaths; State Custody
Amir Siman-Tov
5 Nov 2019· West London
State Custody
Sam Grant
18 Oct 2019· Milton Keynes
Hospital Death (Clinical Procedures and medical management) related deaths; Child Death (from 2015)
Marcus McGuire
23 Aug 2019· Birmingham and Solihull
State Custody related deaths; Mental Health
John Wright
15 Aug 2019· Oxfordshire
State Custody related deaths;
Michael Folley
18 Jul 2019· Central Hampshire
State Custody
Kelvin Speakman
9 Jun 2019· Worcestershire
State Custody
Andrew Carr
26 May 2019· Birmingham and Solihull
Alcoholdrug and medication related deaths; State Custody
Ricardo Holgate
24 May 2019· Birmingham and Solihull
State Custody
Jerome Jones
10 May 2019· Shropshire and Telford and Wrekin
State Custody
Thomas Nicol
10 May 2019· Hertfordshire
State Custody related deaths; Suicide (from 2015)
Michael Hopkins
1 Mar 2019· West Yorkshire (Western)
Hospital Death (Clinical Procedures and medical management)
Thomas McAuley
17 Feb 2019· Inner London South
State Custody
Michael Berry
8 Jul 2018· Bedfordshire and Luton
State Custody
Mike Fell
17 Jun 2018· Inner London North
Hospital Death (Clinical Procedures and medical management)
Margaret Clark
8 Jun 2018· Lancashire and Blackburn with Darwen
Hospital Death (Clinical Procedures and medical management)
John O’Meara
7 Mar 2018· West London
State Custody
Christopher Talbot
27 Feb 2018· Preston and West Lancashire
State Custody
Lindsey Hassall
27 Feb 2018· Manchester
Community health care and emergency services related deaths; Hospital Death (Clinical Procedures and medical management)
Robert Richards
15 Feb 2018· Inner London West
State Custody related deaths; Hospital Death (Clinical Procedures and medical management)
Jonathan Palmer
4 Aug 2017· Inner London West
State Custody
Olaseni Lewis
28 Jul 2017· South London
Hospital Death (Clinical Procedures and medical management) related deaths; Police
John Jaundoo
16 May 2017· Liverpool and Wirral
Other
Jack Portland
5 Mar 2017· Buckinghamshire
Hospital Death (Clinical Procedures and medical management) related deaths; State Custody
Margaret Atkinson
19 Feb 2017· County Durham and Darlington
State Custody
Tedros Kahssay
6 Dec 2016· Inner London North
State Custody related deaths; Suicide (from 2015)
Warren Sampson
6 Sep 2016· Essex
State Custody
Thomas Jordan
10 Aug 2016· West Yorkshire (Eastern)
State Custody
Thomas Jordan
10 Aug 2016· West Yorkshire (Eastern)
Hospital Death (Clinical Procedures and medical management) related deaths; State Custody
Terence Adams
26 Jul 2016· Inner London North
Hospital Death (Clinical Procedures and medical management) related deaths; State Custody
Anthony Fraser
8 Jun 2016· South Yorkshire (Eastern)
State Custody
Clarice Hilton
2 Jun 2016· Manchester
Hospital Death (Clinical Procedures and medical management)
Jack Susianta
6 May 2016· Inner London North
Child Death (from 2015); Hospital Death (Clinical Procedures and medical management)
Steven May
16 Mar 2016· Nottinghamshire
State Custody
Derek Thomas
15 Dec 2015· County Durham and Darlington
State Custody
Dean Boland
25 Nov 2015· Birmingham and Solihull
State Custody
Dorothy Cooper
21 Oct 2015· South Yorkshire (Eastern)
Hospital Death (Clinical Procedures and medical management)
Adil Habib
16 Sep 2015· Inner London North
State Custody related deaths | Community health care and emergency services
Craig Chappell
8 Aug 2015· East Riding and Hull
State Custody
Carl Smith
24 Jul 2015· Exeter and Greater Devon
Alcoholdrug and medication related deaths | State Custody
Luke Myers
20 Jul 2015· Liverpool and Wirral
State Custody
Douglas Birch
13 Jul 2015· Mid Kent and Medway
State Custody
Doreen Wood
29 Apr 2015· Nottinghamshire
Community health care and emergency services
Laurence Boyens
22 Apr 2015· Inner London South
State Custody
Bruce Longden
21 Apr 2015· Brighton and Hove
Hospital Death (Clinical Procedures and medical management)
Keith Murphy
25 Mar 2015· Surrey
State Custody related deaths; Hospital Death (Clinical Procedures and medical management)
Thor Dalhaug
6 Mar 2015· Central Lincolnshire
Hospital Death (Clinical Procedures and medical management) related deaths; Child Death (from 2015)
Paul Hardy
4 Feb 2015· Nottinghamshire
State Custody
Paul Moroney
4 Feb 2015· Manchester
Hospital Death (Clinical Procedures and medical management)
Darren Wright
2 Feb 2015· Greater Norfolk
State Custody
Garry Gilbey
10 Dec 2014· Portsmouth and South East Hampshire
State Custody
Peter Mackie
5 Dec 2014· Buckinghamshire
State Custody
Cherylin Norrell-Goldsmith
27 Oct 2014· Surrey
State Custody
Brian Dalrymple
18 Sep 2014· West London
Other
Rosalind Adshead
9 Sep 2014· Manchester
Hospital Death (Clinical Procedures and medical management)
Yohannes Kidane
3 Sep 2014· Birmingham and Solihull
State Custody
David O’Garro
16 Jun 2014· Inner London North
State Custody
Matthew Purser
30 May 2014· Swansea and Neath Port Talbot
State Custody
Lisa Webb
9 May 2014· Inner London South
Community health care and emergency services
Christopher Shapley
11 Mar 2014· Cardiff and the Vale of Glamorgan
State Custody
Wayne Broad
17 Jan 2014· North London
Hospital Death (Clinical Procedures and medical management)
Zeeyad Hamadi
13 Jan 2014· County Durham and Darlington
State Custody
Adrian Johnson
20 Dec 2013· Inner London South
State Custody
Kirk Duboise
6 Dec 2013· County Durham and Darlington
State Custody DeathThis is being sent to:
Anthony Brian Flynn
14 Nov 2013· Manchester
State Custody Death