Document type (learning): Learning lessons bulletin
Complaints Investigations Learning Lessons Bulletin Issue 11: Property complaints
The first in a series of publications on property, this bulletin summarises learning from PPO investigations into property complaints received from prisoners over the last five years.
Fatal Incident Investigations Learning Lessons Bulletin Issue 19: Post-release death investigations 2
This learning lessons bulletin summarises the learning from PPO investigations into the deaths of those who died within 14 days of release from prison.
Fatal Incident Investigations Learning Lessons Bulletin Issue 18: Self-inflicted deaths of IPP prisoners
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
This report presents the findings from the Prisons and Probation Ombudsman’s (PPO) evaluation of its post-release death investigations pilot.
Fatal Incident Investigations Learning Lessons Bulletin Issue 17: Post-release death investigations
This learning lessons bulletin summarises the learning from PPO investigations into the deaths of those who died within 14 days of release from prison.
Fatal Incident Investigations Learning Lessons Bulletin Issue 16: Second wave COVID-19 related deaths
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.
Fatal Incident Investigations Learning Lessons Bulletin Issue 15: COVID-19 PPO fatal incident investigations
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.
Complaints Investigations Learning Lessons Bulletin Issue 10: COVID-19 PPO Complaints
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.
Complaints Investigations Learning Lessons Bulletin Issue 9: Complaints about discrimination
This bulletin contributes to an emerging conversation about how prisons can better engage with and resolve prisoners’ complaints about discrimination.
Fatal Incident Investigations Learning Lessons Bulletin Issue 14: Approved Premises – Substance misuse
This bulletin provides learning from our investigations into the deaths of Approved Premises residents where abuse of drugs or alcohol was involved.