Learning and research documents

This learning lessons bulletin highlights our learning on end of life care.

This learning lessons bulletin summarises learning from deaths in custody about the use of basic regime as part of the incentives and earned privileges scheme in prison.

Learning from PPO investigations into three recent deaths of children in custody.

This thematic report focuses on learning from our investigations into complaints about adjudications

Highlighting lessons that can be learned from complaints and fatal incidents that involve a sexual element.

Learning from PPO complaints relating to the challenges that custodial settings place on an individual’s ability to practise their religion.

This Learning Lessons Bulletin examines the lessons that can be learned about risk assessment and use of restraints for seriously ill and dying prisoners.

This first complaints Learning Lessons Bulletin examines the lessons that can be drawn from our investigations of probation complaints.

This first fatal incidents Learning Lessons Bulletin examines the lessons that can be learnt from deaths in approved premises. This is the first time we have commented collectively on deaths in this context.

This learning lessons bulletin summarises our natural cause deaths investigations from 2007 - 2010