Dear Prisons and Probation Ombudsman for England and Wales,

In the above report you state:

"Mr Martin Brown died on 14 February 2021, of lung cancer at HMP Swaleside.
He was 55 years old. The clinical reviewer concluded that the clinical care Mr Brown received at Swaleside was equivalent to that he could have expected to receive in the community. However, she found that the care Mr Brown received at his previous prison, HMP Exeter, was not equivalent. She made five recommendations but as none of them were related to Mr Brown’s death, we have not included them in this report..."

Request:
1. What were the five recommendation that the Clinical Reviewer made, which you did not publish in your report?
2. In order to save taxpayers money will you in future include all recommendations made in a fatal incident report? If the recommendations are disclosable in terms of an FOI then they should be placed in the report. It is not, with respect, for the PPO to decide what recommendations to publish and which to conceal - failing to reveal recommendations may conceal a developing theme that has consequences across the prison estate in other deaths that are seemingly unconnected because of the failure to publish them.

Yours faithfully,

Mark Leech FRSA