Pursuing excellent health and care for people in contact with the UK criminal justice system

Post-release death investigations

Learning Lessons Bulletin Issue 19

This learning lessons bulletin summarises the learning from Prisons and Probation Ombudsman (PPO) investigations into the deaths of those who died within 14 days of release from prison.

Prison leavers often have multiple and chronic co-morbidities or risk factors, including substance misuse and mental health issues.