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Learning and research documents

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47 learning and research documents

Learning Lessons Bulletin Issue 19: Post-release death investigations 2

Published:
This learning lessons bulletin summarises the learning from PPO investigations into the deaths of those who died within 14 days of release from prison.

Learning Lessons Bulletin Issue 18: Self-inflicted deaths of IPP prisoners

Published:
This learning lessons bulletin has been prompted by the worrying increase in self-inflicted deaths of prisoners serving Imprisonment for Public Protection (IPP) sentences in 2022. The PPO have continued to see self-inflicted deaths of IPP prisoners in 2023.

Investigating deaths after release from prison – a pilot evaluation

Published:
This report presents the findings from the Prisons and Probation Ombudsman’s (PPO) evaluation of its post-release death investigations pilot.

Learning Lessons Bulletin Issue 17: Post-release death investigations

Published:
This learning lessons bulletin summarises the learning from PPO investigations into the deaths of those who died within 14 days of release from prison.

Learning Lessons Bulletin Issue 16: Second wave COVID-19 related deaths

Published:
This learning lessons bulletin summarises our findings from the second wave of COVID-19 related deaths in prisons.1 It covers deaths notified to us and investigations started between 8 October 2020 and 20 April 2021.

Learning Lessons Bulletin Issue 15: COVID-19 PPO fatal incident investigations

Published:
In March 2020, COVID-19 was declared a pandemic and brought substantial changes to how prisons, Approved Premises (APs) and immigration removal centres (IRCs) were able to function.

Learning Lessons Bulletin Issue 10: COVID-19 PPO Complaints

Published:
In March 2020, the imposition of the national lockdown in response to the COVID-19 global pandemic brought substantial changes to how prisons, probation services and immigration removal centres (IRCs) were able to function.

Learning Lessons Bulletin Issue 9: Complaints about discrimination

Published:
This bulletin contributes to an emerging conversation about how prisons can better engage with and resolve prisoners’ complaints about discrimination.

Learning Lessons Bulletin Issue 14: Approved Premises – Substance misuse

Published:
This bulletin provides learning from our investigations into the deaths of Approved Premises residents where abuse of drugs or alcohol was involved.

Learning Lessons Bulletin Issue 13: Self-inflicted deaths among female prisoners

Published:
This bulletin was prompted by the recent dramatic and depressing rise in self-inflicted deaths of women in prison.