Prisoner death investigations: improving safety in prisons and societies, 2019-2020

This is qualitative data collection of semi-structured interviews conducted between December 2019-October 2020 within a study that examined how the Prisons and Probation Ombudsman (seek to) effect change in prisons following prisoner suicides and how death investigations could have more impact on prison policy and practice. The study ran from 2019-2021. Internationally, prisoner mortality rates are up to 50% above those in the community. Although prisoner deaths are frequent and have significant implications across a broad range of stakeholder groups, these harms are rarely acknowledged. We address this by examining how the PPO (seek to) effect change in prisons following prisoner suicides and how death investigations could have more impact on prison policy and practice from semi-structured interviews with multisectoral stakeholders. Within this project, 46 semi-structured interviews were undertaken with multisectoral stakeholders: 17 PPO staff (who work across England and Wales from a base in London), 8 prison Governing Governors (representing 8 prisons), 11 regional SCGLs (representing all but two regions nationally) and 9 Coroners (who represent 9 of the 92 separate coroners’ jurisdictions in England and Wales) and bereaved family members (n=1). These professional groups have received limited consideration in previous research despite International laws, e.g. Article 2 of the European Convention on Human Rights, requiring that all deaths in state detention are independently investigated. In England and Wales, prisoner deaths are externally investigated by at least the police, PPO and Coroner. These police, ombudsman and coroner investigations can be very disruptive and cause uncertainty and anxiety for all involved. The research demonstrates how the harms of prisoner deaths and investigations are broadly unacknowledged and radiate widely. We sought to stimulate both i) more substantive support for all those caught up in prison suicides and death investigations and ii) reconsideration of how prisoner deaths are investigated. For data storage and analysis purposes, the participants were divided into four categories: 1) Prison and Probation Ombudsman staff (PPO); 2) Governing Governors (Governors); 3) Safer Custody Group Leads (SCGLs); 4) Coroners (coroners); 5) bereaved family members (prisoner family). Because of the sensitivity of this research 3 SCGL transcripts have been omitted due to the participants still being identifiable following transcript anonymisation. Further information about the project and links to publications are available on the University of Nottingham SafeSoc project webpage https://www.safesoc.co.uk