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47 learning and research documents

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

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

Complaints Investigations Learning Lessons Bulletin Issue 8: Complaints from young people in custody

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This learning lessons bulletin explores learning from investigations into complaints from those under the age of 21.

Complaints and Fatal Incident Investigations Learning Lessons Bulletin Issue 3: Transgender prisoners

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This learning lessons bulletin explores the care and management of transgender individuals while in prison.

Fatal Incident Investigations Learning Lessons Bulletin Issue 12: Homicides – further lessons

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This learning lessons bulletin examines the lessons to be learned from the Ombudsman’s investigations into the killing of one prisoner by another.

Fatal Incident Investigations Learning Lessons Bulletin Issue 11: Dementia

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This Learning Lessons Bulletin explores the experience of prisoners with dementia, and the challenges facing prisons in providing them with appropriate care and support.

Complaints Investigations Learning Lessons Bulletin Issue 7: Use of force – further lessons

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This Learning Lessons Bulletin examines the use of force on prisoners by prison staff.

Fatal Incident Investigations Learning Lessons Bulletin Issue 10: Early days and weeks in custody

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This Learning Lessons Bulletin examines the self-inflicted deaths of prisoners within the first month of custody.

Complaints Investigations Learning Lessons Bulletin Issue 6: Legal mail: Rule 39

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This Learning Lessons Bulletin examines complaints about the way prisons handle legal and confidential letters.

Fatal Incident Investigations Learning Lessons Bulletin Issue 9: New Psychoactive Substances

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This Learning Lessons Bulletin examines deaths of prisoners where the use of ‘NPS’ type drugs was suspected.

Fatal Incident Investigations Learning Lessons Bulletin Issue 8: Segregation

Published:
This Learning Lessons Bulletin examines learning from investigations into the self inflicted deaths of prisoners being held in segregation conditions at the time of death.