PPO - Learning Lessons Bulletin - Transgender Prisoners
This learning lessons bulletin explores the care and management of transgender individuals while in prison. It draws on recommendations from PPO investigations into deaths in custody, as well as their complaint investigations, and outlines six lessons that can be learnt from past cases.
Equality and Human Rights Commision - Non natural deaths following prison and police custody
The deaths of people in the immediate aftermath of state detention have received considerably less attention than the deaths of those who die in custody. This research was commissioned by the Equality and Human Rights Commission (EHRC) in October 2015 with the aim of contributing to the understanding of the size and extent of the problem.
CQC - Learning, candour and accountability report
This report describes what CQC found when it reviewed how NHS trusts identify, investigate and learn from the deaths of people under their care. It concludes that many carers and families do not experience the NHS as being open and transparent and that opportunities are missed to learn across the system from deaths that may have been prevented
We publish all our documentation, including minutes from our meetings, as freely downloadable pdf files.
- EHRC non-natural-deaths following prison and police custody Download this
- Charlie Taylor Report - Review of the Youth Justice system Download this
- PPO-Learning-Lessons-Bulletin_Transgender-prisoners_Final_WEB_Jan-17 Download this