HM Inspectorate of Probation

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First report 15 Jan 2018•Latest report 15 Jan 2018

Reports, concerns and published responses

Reports over time

Reports naming this recipient by issue year.

* 2026 is projected from reports observed to 7 Sep 2026.

Reports
1

Naming this recipient

Published responses
0%

Found for named reports

Concerns addressed
0

Across all linked responses

Stated actions
0

Described in responses

Concerns and recipient responses

Statements from HM Inspectorate of Probation linked to the concerns in each report. Select any concern, action or position to view the source wording.

  1. Milton Keynes

    AI-generated summary

    Antony Richard COUGHTREY · Prevention of Future Deaths report

    This summary was generated using AI from the published report. Please read the original report for the complete account.

    Report summary

    Antony Richard Coughtrey, who had been returned to prison after breaching his licence, died by suicide after hanging himself. The concerns included the absence of an internal Probation Service investigation or similar Serious Incident Review and an alleged failure to refer him back to the Parole Board after the licence breach.

    Read the report on judiciary.uk

    Source evidence

    How this individual concern was interpreted

    PFD Monitor created a concise, searchable interpretation from the report wording shown below. The report was sent to HM Inspectorate of Probation; that does not assign responsibility.

    PFD Monitor interpretation

    Lack of internal investigation or Serious Incident Review following a prisoner death

    Wider context from the report

    “1. that following a death of a prisoner who had been released on licence following a life sentence, there was no internal investigation by the Probation Service or any inquiry resembling a Serious Incident Review. They seem to have led to an air of complacency as to the Probation Service’s role in managing Mr Coughtrey ”
    Open source report

    Source evidence

    How this individual concern was interpreted

    PFD Monitor created a concise, searchable interpretation from the report wording shown below. The report was sent to HM Inspectorate of Probation; that does not assign responsibility.

    PFD Monitor interpretation

    Failure of the procedure for referring prisoners back to the Parole Board after clear licence-condition breaches

    Wider context from the report

    “2. I also felt there was a failure in the procedure for referring a prisoner back to the Parole Board when there had been a clear breach of the Conditions of Licence set out by the Parole Board. ”
    Open source report
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Information checked against published PFD reports and official responses · Data reviewed 7 Sep 2026 · About data quality and limitations

Data last updated 7 September 2026