Who’s responded to the coroner? - Preventable Deaths Tracker

People who receive Prevention of Future Deaths reports must respond to the coroner within 56 days. The Preventable Deaths Tracker is monitoring the progress being made.

Trends over time for completed responses

Top 30 addressees with responses

Over 500 addressees have responded to 100% of the reports they’ve received from coroners. Here is a snapshot of the top addressees who’ve responded to all coroners’ reports.

Reg 28 Database for completed reports

This database contains all coroners’ Prevention of Future Deaths reports (PFDs) that have published responses – i.e. completed.

Status	Date added	Date of report	Ref	Deceased name	Coroner name	Coroner area	Category	Sent to	Sent to count	Replies count	URL
completed	22/03/2022	18/03/2022	2022-0089	Emiliano Sala	Mrs Rachael Clare Griffin	Dorset	Other related deaths	Department for Transport \| Department for Culture, Media and Sport \| British Chambers of Commerce \| Institute of Directors \| Executives’ Association of Great Britain \| Confederation of British Industry \| Non-Executive Directors’ Association \| British Horseracing Authority \| England and Wales Cricket Board \| Professional Footballers’ Association \| Premier League \| English Football League \| Football Association \| UK Athletics \| UK Sport \| Lawn Tennis Association \| Jockey Club \| Rugby Football Union \| Rugby Football League \| Motorsport UK	20	22	https://www.judiciary.uk/prevention-of-future-death-reports/emiliano-sala-prevention-of-future-deaths-report/
completed	12/12/2023	08/12/2023	2023-0513	Claire Briggs	Mr Adrian John Farrow	Greater Manchester South	Alcohol, drug and medication related deaths \| Emergency services related deaths (2019 onwards)	Greater Manchester Police \| Cheshire Constabulary \| Cumbria Constabulary \| Lancashire Constabulary \| Merseyside Police \| British Transport Police \| North West Ambulance Service NHS Trust \| North West Fire Control \| Avon Fire and Rescue Services \| Avon Fire and Rescue Services \| NHS Greater Manchester Integrated Care Board \| NHS Lancashire and South Cumbria Integrated Care Board \| NHS Cheshire and Merseyside Integrated Care Board	13	13	https://www.judiciary.uk/prevention-of-future-death-reports/claire-briggs-prevention-of-future-deaths-report/
completed	28/09/2022	21/07/2022	2022-0222	Gaia Pope-Sutherland	Mrs Rachael Clare Griffin	Dorset	Mental Health related deaths	Department of Health and Social Care \| Association of British Neurologists \| Royal College of Psychiatrists \| Dorset Police \| Dorset Healthcare University NHS Foundation Trust \| NHS Dorset Integrated Care Board \| Dorset Council \| Bournemouth, Christchurch and Poole Council \| College of Policing	9	11	https://www.judiciary.uk/prevention-of-future-death-reports/gaia-pope-sutherland-prevention-of-future-deaths-report/
completed	06/06/2024	03/06/2024	2024-0296	Tcherno Bari	Mr James Bennett	Birmingham and Solihull	Suicide (from 2015)	Birmingham and Solihull Mental Health NHS Foundation Trust \| West Midlands Police \| Department of Health and Social Care \| Home Office \| College of Policing \| NHS England \| National Police Chiefs’ Council \| Association of Police and Crime Commissioners	8	8	https://www.judiciary.uk/prevention-of-future-death-reports/tcherno-bari-prevention-of-future-deaths-report/
completed	25/11/2022	21/11/2022	2022-0379	Celia Marsh	Mrs Maria Eileen Voisin	Avon	Other related deaths	Food Standards Agency \| UK Health Security Agency \| Department of Health and Social Care \| Royal College of Pathologists \| British Society for Allergy and Clinical Immunology \| British Retail Consortium \| Food and Drink Federation \| UKHospitality	8	8	https://www.judiciary.uk/prevention-of-future-death-reports/celia-marsh-prevention-of-future-deaths-report/
completed	23/05/2024	20/05/2024	2024-0276	James Furlong, Joseph Ritchie-Bennett and David Wails	Sir Adrian Fulford	Central Criminal Court	Other related deaths	Home Office \| Ministry of Justice \| Thames Valley Police \| Berkshire Healthcare NHS Foundation Trust \| Midlands Partnership University NHS Foundation Trust \| Oxford Health NHS Foundation Trust \| NHS England	7	7	https://www.judiciary.uk/prevention-of-future-death-reports/james-furlong-joseph-ritchie-bennett-and-david-wails-prevention-of-future-deaths-report/
completed	03/05/2023	12/05/2017	2023-0134	Nasar Ahmed	Ms Mary Hassell	London Inner North	Child Death (from 2015) \| Other related deaths	Department of Health and Social Care \| London Ambulance Service NHS Trust \| Barts Health NHS Trust \| British Society for Allergy and Clinical Immunology \| Bow School \| Compass Wellbeing	6	7	https://www.judiciary.uk/prevention-of-future-death-reports/nasar-ahmed-prevention-of-future-deaths-report/
completed	29/04/2024	18/04/2024	2024-0209	Alexander Reid	Mr Oliver Robert Longstaff	Yorkshire West Eastern	Hospital Death (Clinical Procedures and medical management) related deaths	Egton Medical Information Systems \| The Phoenix Partnership \| Cegedim \| British Medical Association \| Royal College of General Practitioners \| NHS England	6	6	https://www.judiciary.uk/prevention-of-future-death-reports/alexander-reid-prevention-of-future-deaths-report/
completed	14/10/2021	28/09/2021	2021-0337	Dane Chinnery, Donald Collett, Robert Huxley, Philip Logan, Dorota Rynkiewicz, Philip Seary and Mark Smith	Miss Sarah Ormond-Walshe	London South	Other related deaths \| Railway related deaths \| Road (Highways Safety) related deaths	UK Tram \| Department for Transport \| Rail Safety and Standards Board \| Transport for London \| Bombardier Transportation UK Ltd \| Transport Focus	6	8	https://www.judiciary.uk/prevention-of-future-death-reports/croydon-tram-incident-prevention-of-future-death-reports/
completed	14/05/2024	09/05/2024	2024-0255	Linda Heath	Mrs Sally Anne Robinson	East Riding of Yorkshire and Kingston-upon-Hull	Hospital Death (Clinical Procedures and medical management) related deaths	St Andrew’s Surgery Hull \| Hull University Teaching Hospitals NHS Trust \| NHS England \| Care Quality Commission \| Nursing and Midwifery Council \| City Health Care Partnership	6	6	https://www.judiciary.uk/prevention-of-future-death-reports/linda-heath-prevention-of-future-deaths-report/
completed	22/02/2024	16/02/2024	2024-0088	Sobhia Khan	Clement Goldstone	Derby and Derbyshire	Other related deaths	Ministry of Justice \| Cygnet Health Care \| Derbyshire Constabulary \| Derbyshire Healthcare NHS Foundation Trust \| Derby City Council	5	5	https://www.judiciary.uk/prevention-of-future-death-reports/sobhia-khan-prevention-of-future-deaths-report/
completed	12/08/2024	08/08/2024	2024-0438	Emma, Ellette and George Pattison	Mr Richard Travers	Surrey	Other related deaths \| Suicide (from 2015)	Surrey Police \| National Police Chiefs’ Council \| Home Office \| Department of Health and Social Care \| British Medical Association	5	5	https://www.judiciary.uk/prevention-of-future-death-reports/emma-ellette-and-george-pattison-prevention-of-future-deaths-report/
completed	27/04/2022	25/04/2022	2022-0117	Zoe Zaremba	Mr JOHN BROADBRIDGE	North Yorkshire and York	Hospital Death (Clinical Procedures and medical management) related deaths \| Mental Health related deaths \| Suicide (from 2015)	Department of Health and Social Care \| NHS Humber and North Yorkshire Integrated Care Board \| Tees, Esk and Wear Valley NHS Foundation Trust \| NHS England \| NHS England	5	6	https://www.judiciary.uk/prevention-of-future-death-reports/zoe-zaremba-prevention-of-future-deaths-report/
completed	08/08/2024	30/07/2024	2024-0421	Derryck Crocker	Mrs Samantha Goward	Norfolk	Hospital Death (Clinical Procedures and medical management) related deaths	Royal College of Emergency Medicine \| Royal Society of Medicine \| Royal College of Physicians \| Royal College of Surgeons \| Royal College of Anaesthetists	5	6	https://www.judiciary.uk/prevention-of-future-death-reports/derryck-crocker-prevention-of-future-deaths-report/
completed	22/11/2023	15/11/2023	2023-0454	Lauren Smith	Mrs Joanne Lees	The Black Country Jurisdiction	Emergency services related deaths (2019 onwards)	West Midlands Ambulance Service University NHS Foundation Trust \| Health and Care Professions Council \| University of Wolverhampton \| Care Quality Commission \| Health Services Safety Investigations Body	5	5	https://www.judiciary.uk/prevention-of-future-death-reports/lauren-smith-prevention-of-future-deaths-report/
completed	26/02/2017	13/10/2016	2016-0363	Robert Davidson	Mrs Louise Hunt	Birmingham and Solihull	Care Home Health related deaths	Care Quality Commission \| Department of Health and Social Care \| NHS England \| Jubilee Gardens Care Centre \| Aran Court Care Centre	5	5	https://www.judiciary.uk/prevention-of-future-death-reports/robert-davidson/
completed	18/07/2023	14/07/2023	2023-0244	Peter Fleming	Mr James Bennett	Birmingham and Solihull	Other related deaths \| Suicide (from 2015)	Department of Health and Social Care \| NHS England \| NHS Digital \| Birmingham and Solihull Mental Health NHS Foundation Trust \| Birmingham City Council	5	5	https://www.judiciary.uk/prevention-of-future-death-reports/peter-fleming-prevention-of-future-deaths-report/
completed	19/03/2024	13/03/2024	2024-0136	Jacob Billington	Mrs Louise Hunt	Birmingham and Solihull	Other related deaths	G4S \| Birmingham and Solihull Mental Health NHS Foundation Trust \| HM Prison and Probation Service \| West Midlands Police \| Swansea Bay University Health Board	5	5	https://www.judiciary.uk/prevention-of-future-death-reports/jacob-billington-prevention-of-future-deaths-report/
completed	28/12/2014	28/12/2014	2014-0555	Alex Kelly	Ms Patricia Harding	Kent Mid and Medway	State Custody related deaths	Ministry of Justice \| Tower Hamlets Council \| Youth Justice Board \| HM Prison Cookham Wood \| Oxleas NHS Foundation Trust	5	5	https://www.judiciary.uk/prevention-of-future-death-reports/alex-kelly/
completed	29/05/2014	29/05/2014	2014-0182	Mark Duggan	HHJ Keith Cutler CBE	London North	Police related deaths	Metropolitan Police Service \| National Crime Agency \| Independent Office for Police Conduct \| Home Office \| National Police Chiefs’ Council	5	5	https://www.judiciary.uk/prevention-of-future-death-reports/mark-duggan/
completed	29/07/2024	09/07/2024	2024-0364	Miles Hurley	Dr Karen Henderson	West Sussex, Brighton and Hove	Mental Health related deaths	National Police Chiefs’ Council \| NHS England \| Sussex Police \| Midlands Partnership University NHS Foundation Trust \| Mitie Group	5	5	https://www.judiciary.uk/prevention-of-future-death-reports/miles-hurley-prevention-of-future-deaths-report/
completed	27/03/2020	12/03/2020	2020-0066	Mitica Marin	Mr graeme Irvine	London East	Emergency services related deaths (2019 onwards)	Association of Ambulance Chief Executives \| London Ambulance Service NHS Trust \| Department of Health and Social Care \| Resuscitation Council UK \| Physio Control UK Ltd	5	5	https://www.judiciary.uk/prevention-of-future-death-reports/mitica-marin/
completed	03/02/2022	31/01/2022	2022-0031	Oskar Nash	Mr Richard Travers	Surrey	Child Death (from 2015) \| Hospital Death (Clinical Procedures and medical management) related deaths \| Mental Health related deaths \| Other related deaths \| Railway related deaths \| Suicide (from 2015)	Surrey and Borders Partnership NHS Foundation Trust \| Surrey County Council \| NHS Surrey Heartlands Integrated Care Board \| Department for Education \| Department of Health and Social Care	5	5	https://www.judiciary.uk/prevention-of-future-death-reports/oskar-nash-prevention-of-future-deaths-report/
completed	19/12/2022	14/12/2022	2022-0400	Fatima Abukar	Mr graeme Irvine	London East	Child Death (from 2015) \| Road (Highways Safety) related deaths	Metropolitan Police Service \| Transport for London \| Greater London Authority \| Home Office \| Major retailers of e-scooters	5	10	https://www.judiciary.uk/prevention-of-future-death-reports/fatima-abukar-prevention-of-future-deaths-report/
completed	19/05/2022	18/05/2022	2022-0148	Matthew Evans	Dr Karen Henderson	Surrey	Alcohol, drug and medication related deaths \| Community health care and emergency services related deaths \| Mental Health related deaths \| Suicide (from 2015)	NHS England \| Department of Health and Social Care \| Care Quality Commission \| General Medical Council \| NHS Surrey Heartlands Integrated Care Board	5	6	https://www.judiciary.uk/prevention-of-future-death-reports/matthew-evans-prevention-of-future-deaths-report/
completed	14/10/2022	13/10/2022	2022-0315	Molly Russell	Mr Andrew Walker	London North	Child Death (from 2015) \| Suicide (from 2015)	Department for Culture, Media and Sport \| Pintrest \| Meta Platforms \| Snap Inc \| Twitter International Company	5	5	https://www.judiciary.uk/prevention-of-future-death-reports/molly-russell-prevention-of-future-deaths-report/
completed	26/07/2019	12/07/2019	2019-0329	David Jukes	Miss Emma Brown	Birmingham and Solihull	Hospital Death (Clinical Procedures and medical management) related deaths \| Mental Health related deaths	Birmingham and Solihull Mental Health NHS Foundation Trust \| West Midlands Police \| NHS Birmingham and Solihull Integrated Care Board \| NHS England \| Black Country Healthcare NHS Foundation Trust	5	5	https://www.judiciary.uk/prevention-of-future-death-reports/jonothan-jukes/
completed	06/06/2024	30/05/2024	2024-0295	Katie Madden	Mr Nigel Parsley	Suffolk	Suicide (from 2015)	Department of Health and Social Care \| Norfolk and Suffolk NHS Foundation Trust \| Suffolk County Council \| NHS Norfolk and Waveney Integrated Care Board \| Suffolk Constabulary	5	5	https://www.judiciary.uk/prevention-of-future-death-reports/katie-madden-prevention-of-future-deaths-report/
completed	29/12/2023	21/12/2023	2023-0543	Amal Ahmed	Dr Séan Cummings	Milton Keynes	Road (Highways Safety) related deaths	Milton Keynes City Council \| National Highways \| Apple \| Google \| TomTom	5	5	https://www.judiciary.uk/prevention-of-future-death-reports/amal-ahmed-prevention-of-future-deaths-report/
completed	12/12/2023	08/12/2023	2023-0511	William Gray	Ms Sonia Marie Hayes	Essex	Child Death (from 2015) \| Hospital Death (Clinical Procedures and medical management) related deaths	Mid and South Essex NHS Foundation Trust \| Association of Ambulance Chief Executives \| East of England Ambulance Service NHS Trust \| Department of Health and Social Care \| Essex Partnership University NHS Foundation Trust	5	6	https://www.judiciary.uk/prevention-of-future-death-reports/william-gray-prevention-of-future-deaths-report/
completed	31/05/2024	29/05/2024	2024-0288	Elizabeth McCann	Ms Alison Patricia Mutch OBE	Greater Manchester South	Other related deaths	Ministry of Justice \| Home Office \| Greater Manchester Police \| Department of Health and Social Care \| Pennine Care NHS Foundation Trust	5	5	https://www.judiciary.uk/prevention-of-future-death-reports/elizabeth-mccann-prevention-of-future-deaths-report/
completed	08/03/2021	04/01/2021	2021-0061	Pardeep Plahe	Miss Emma Brown	Birmingham and Solihull	Community health care and emergency services related deaths	Egton Medical Information Systems \| Ashfield Surgery Sutton Coldfield \| NHS Birmingham and Solihull Integrated Care Board \| NHS England	4	4	https://www.judiciary.uk/prevention-of-future-death-reports/pardeep-plahe/
completed	09/12/2019	06/11/2019	2019-0366	Stuart Clarke	Ms Rachel Galloway	Manchester City	Hospital Death (Clinical Procedures and medical management) related deaths	NHS England \| National Institute for Health and Care Excellence \| Department of Health and Social Care \| British Cardiovascular Intervention Society	4	4	https://www.judiciary.uk/prevention-of-future-death-reports/stuart-clarke/
completed	14/08/2024	13/08/2024	2024-0451	Elizabeth Van Der Drift	Mr Ian Potter	London Inner North	Product related deaths	Office for Product Safety and Standards \| Department of Health and Social Care \| UK Cleaning Product Industry Association \| Sainsbury's	4	5	https://www.judiciary.uk/prevention-of-future-death-reports/elizabeth-van-der-drift-prevention-of-future-deaths-report/
completed	01/08/2014	01/08/2014	2014-0355	Gerald Werrett	Mrs Maria Eileen Voisin	Avon	Hospital Death (Clinical Procedures and medical management) related deaths	Department of Health and Social Care \| The British Thoracic Society \| Royal College of Anaesthetists \| College of Emergency Medicine	4	4	https://www.judiciary.uk/prevention-of-future-death-reports/gerald-werrett/
completed	12/08/2024	08/08/2024	2024-0436	Gillian Stokes	Mrs Krestina Hayes	Surrey	Hospital Death (Clinical Procedures and medical management) related deaths	Department of Health and Social Care \| Royal College of Radiologists \| Royal College of Nursing \| Ashford and St Peter’s Hospitals NHS Foundation Trust	4	4	https://www.judiciary.uk/prevention-of-future-death-reports/gillian-stokes-prevention-of-future-deaths-report/
completed	02/08/2019	23/05/2019	2019-0169	Sasha Forster	Mr David Donald William Reid	Hampshire, Portsmouth and Southampton	Suicide (from 2015)	NHS Surrey Heartlands Integrated Care Board \| NHS Frimley Integrated Care Board \| Surrey and Borders Partnership NHS Foundation Trust \| Department of Health and Social Care	4	6	https://www.judiciary.uk/prevention-of-future-death-reports/sasha-forster/
completed	08/03/2021	03/03/2021	2021-0058	Averil Hart	Mr Sean Kevan Horstead	Cambridgeshire and Peterborough	Hospital Death (Clinical Procedures and medical management) related deaths	Department of Health and Social Care \| NHS England \| General Medical Council \| NHS England	4	5	https://www.judiciary.uk/prevention-of-future-death-reports/averil-hart/
completed	28/08/2014	28/08/2014	2014-0385	Lauren Barfoot	Lorna Tagliavini	London Inner South	Other related deaths	REDACTED \| London Borough of Bexley \| Ethelbert’s Children’s Services \| Metropolitan Police Service	4	4	https://www.judiciary.uk/prevention-of-future-death-reports/lauren-barfoot/
completed	15/12/2015	15/12/2015	2015-0502	Derek Thomas	Mr Crispin Oliver	County Durham and Darlington	State Custody related deaths	HM Prison and Probation Service \| HM Prison Durham \| GEOAmey \| G4S	4	4	https://www.judiciary.uk/prevention-of-future-death-reports/derek-thomas/
completed	26/05/2016	26/05/2016	2016-0199	Peter Scott	Mrs Heidi Julia Connor	Nottinghamshire	Community health care and emergency services related deaths \| Hospital Death (Clinical Procedures and medical management) related deaths	East Midlands Ambulance Service NHS Trust \| NHS England \| NHS Derby and Derbyshire Integrated Care Board \| Department of Health and Social Care	4	4	https://www.judiciary.uk/prevention-of-future-death-reports/peter-scott/
completed	20/03/2024	15/03/2024	2024-0145	Sydney Piper	Mr graeme Irvine	London East	Alcohol, drug and medication related deaths	Metropolitan Police Service \| London Borough of Waltham Forest \| Outlook Care Ltd \| Care Quality Commission	4	4	https://www.judiciary.uk/prevention-of-future-death-reports/sydney-piper-prevention-of-future-deaths-report/
completed	28/02/2023	17/02/2023	2023-0067	Rachelle Ross	Miss CARLY ELIZABETH HENLEY	Newcastle and North Tyneside	Other related deaths	The Phoenix Partnership \| Egton Medical Information Systems \| NHS Digital \| Department of Health and Social Care	4	4	https://www.judiciary.uk/prevention-of-future-death-reports/rachelle-ross-prevention-of-future-deaths-report/
completed	18/10/2021	18/01/2021	2021-0346	Lynn Hadley	Mr Zafar Siddique	The Black Country Jurisdiction	Emergency services related deaths (2019 onwards) \| Product related deaths	Medicines and Healthcare Products Regulatory Agency \| Health and Safety Executive \| West Midlands Ambulance Service University NHS Foundation Trust \| Care Quality Commission	4	4	https://www.judiciary.uk/prevention-of-future-death-reports/lynn-hadley-prevention-of-future-deaths-report/
completed	06/09/2023	21/08/2023	2023-0303	David Celino	Mr Kevin McLoughlin	Yorkshire West Eastern	Alcohol, drug and medication related deaths \| Child Death (from 2015)	Leeds City Council \| West Yorkshire Police \| Home Office \| Department for Culture, Media and Sport	4	5	https://www.judiciary.uk/prevention-of-future-death-reports/david-celino-prevention-of-future-deaths-report/
completed	27/01/2014	27/01/2014	2014-0039	Judith Marshall	William Coverdale	North Yorkshire and York	Product related deaths	General Pharmaceutical Council \| Department of Health and Social Care \| Royal Pharmaceutical Society \| NHS England	4	4	https://www.judiciary.uk/prevention-of-future-death-reports/judith-marshall/
completed	04/01/2021	01/12/2020	2020-0267	Peter Unsworth	Miss Caroline Topping	Surrey	Hospital Death (Clinical Procedures and medical management) related deaths	NHS England \| Royal College of Physicians \| Royal College of Surgeons \| General Medical Council	4	7	https://www.judiciary.uk/prevention-of-future-death-reports/peter-unsworth/
completed	01/03/2019	04/10/2018	2018-0330	James McLaren	Mr Andrew Philip Hetherington	Sunderland	Other related deaths	Local Government Association \| Environmental Services Associations \| Chartered Institution of Wastes Management \| Health and Safety Executive	4	4	https://www.judiciary.uk/prevention-of-future-death-reports/james-mclaren/
completed	01/07/2014	01/07/2014	2014-0292	Sindy Woodhall	Ms Lisa Jeanette Hashmi	Greater Manchester North	Other related deaths	Oldham Council \| Chartered Trading Standards Institute \| Department for Business, Energy and Industrial Strategy \| Public Health England	4	4	https://www.judiciary.uk/prevention-of-future-death-reports/sindy-woodhall/
completed	09/05/2024	26/04/2024	2024-0227	Orlando Davis	Ms Penelope Schofield	West Sussex, Brighton and Hove	Child Death (from 2015)	Nursing and Midwifery Council \| Royal College of Obstetricians and Gynaecologists \| Department of Health and Social Care \| NHS Sussex Integrated Care Board	4	4	https://www.judiciary.uk/prevention-of-future-death-reports/orlando-davis-prevention-of-future-deaths-report/
completed	28/07/2023	20/07/2023	2023-0269	Stephen Weatherley	Ms Jenny Goldring	London Inner South	Alcohol, drug and medication related deaths \| State Custody related deaths	HM Prison Thameside \| HM Prison and Probation Service \| Ministry of Justice \| HM Inspectorate of Prisons	4	4	https://www.judiciary.uk/prevention-of-future-death-reports/stephen-weatherley-prevention-of-future-deaths-report/
completed	06/10/2022	15/09/2022	2022-0288	Harper Denton	Mrs Emma Elizabeth Whitting	Bedfordshire and Luton	Child Death (from 2015) \| Other related deaths	Metropolitan Police Service \| College of Policing \| Department of Health and Social Care \| Home Office	4	4	https://www.judiciary.uk/prevention-of-future-death-reports/harper-denton-prevention-of-future-deaths-report/
completed	25/02/2014	25/02/2014	2014-0077	Arthur Brockett-Deakins	Mr Andrew Harris	London Inner South	Hospital Death (Clinical Procedures and medical management) related deaths	National Institute for Health and Care Excellence \| General Midwifery Council \| Medicines and Healthcare Products Regulatory Agency \| Department of Health and Social Care	4	4	https://www.judiciary.uk/prevention-of-future-death-reports/arthur-brockett-deakins/
completed	01/11/2019	17/09/2019	2019-0299	Tyla Cook	Mrs Jacqueline F Lake	Norfolk	Alcohol, drug and medication related deaths \| Child Death (from 2015) \| Mental Health related deaths	NHS Norfolk and Waveney Integrated Care Board \| Norfolk and Suffolk NHS Foundation Trust \| The Queen Elizabeth Hospital King's Lynn NHS Foundation Trust \| Norfolk County Council	4	4	https://www.judiciary.uk/prevention-of-future-death-reports/tyla-cook/
completed	08/08/2024	07/05/2024	2024-0419	David Riley	Mrs LINDA KAREN HADFIELD LEE	Warwickshire	Hospital Death (Clinical Procedures and medical management) related deaths	South Warwickshire University NHS Foundation Trust \| Department of Health and Social Care \| NHS England \| National Institute for Health and Care Excellence	4	4	https://www.judiciary.uk/prevention-of-future-death-reports/david-riley-prevention-of-future-deaths-report/
completed	02/06/2021	28/05/2021	2021-0186	Samantha Gould	Mr Nicholas Moss QC	Cambridgeshire and Peterborough	Alcohol, drug and medication related deaths \| Child Death (from 2015) \| Community health care and emergency services related deaths \| Hospital Death (Clinical Procedures and medical management) related deaths \| Mental Health related deaths \| Other related deaths \| Suicide (from 2015)	Royal Pharmaceutical Society \| General Pharmaceutical Council \| Company Chemists’ Association \| NHS England	4	4	https://www.judiciary.uk/prevention-of-future-death-reports/samantha-gould/
completed	31/07/2024	22/07/2024	2024-0390	Omar Ahmed	Mr graeme Irvine	London East	Community health care and emergency services related deaths	East London NHS Foundation Trust \| Newham Council \| Department of Health and Social Care \| Sunlight Care Group	4	4	https://www.judiciary.uk/prevention-of-future-death-reports/omar-ahmed-prevention-of-future-deaths-report/
completed	14/05/2020	17/09/2019	2019-0507	Jonathan Ball	Mr Kevin McLoughlin	Yorkshire West Eastern	Road (Highways Safety) related deaths	Road Haulage Association \| DAF Trucks Ltd \| Whitelock Development \| Traffic Commissioners for Great Britain	4	4	https://www.judiciary.uk/prevention-of-future-death-reports/jonathan-ball/
completed	25/10/2016	25/10/2016	2016-0376	Jane Reason	Mrs Louise Hunt	Birmingham and Solihull	Other related deaths	Department of Health and Social Care \| Department for Education \| NHS England \| Resuscitation Council UK	4	4	https://www.judiciary.uk/prevention-of-future-death-reports/jane-reason/
completed	31/07/2024	18/07/2024	2024-0384	Sasha Drysdale	Mr Chris Morris	Greater Manchester South	Hospital Death (Clinical Procedures and medical management) related deaths	National Institute for Health and Care Excellence \| Viatris UK Healthcare Ltd \| Britannia Pharmaceutical Ltd \| Leyden Delta Ltd	4	4	https://www.judiciary.uk/prevention-of-future-death-reports/sasha-drysdale-prevention-of-future-deaths-report/
completed	29/04/2022	26/04/2022	2022-0123	Ashleigh Timms	Mr graeme Irvine	London East	Emergency services related deaths (2019 onwards) \| Other related deaths	Sequence Care Group \| London Fire Brigade \| National Fire Chiefs Council \| British Standards Institution	4	4	https://www.judiciary.uk/prevention-of-future-death-reports/ashleigh-timms-prevention-of-future-deaths-report/
completed	20/04/2020	07/05/2020	2020-0084	Vhari Ingall and Mary Johnson	Mr David William Graham RIDLEY	Wiltshire and Swindon	Alcohol, drug and medication related deaths \| Emergency services related deaths (2019 onwards)	South Western Ambulance Service NHS Foundation Trust \| Association of Ambulance Chief Executives \| Care Quality Commission \| Department of Health and Social Care	4	6	https://www.judiciary.uk/prevention-of-future-death-reports/vhari-ingall/
completed	22/10/2021	22/10/2021	2021-0356	Anthony Clacher	Mrs Rachael Clare Griffin	Dorset	Alcohol, drug and medication related deaths \| Mental Health related deaths \| Other related deaths \| State Custody related deaths	Department of Health and Social Care \| HM Prison and Probation Service \| NHS England \| NHS Digital	4	4	https://www.judiciary.uk/prevention-of-future-death-reports/anthony-clacher-prevention-of-future-deaths-report/
completed	24/02/2023	08/02/2023	2023-0047	Stephen Wood	Mrs Rachael Clare Griffin	Dorset	Road (Highways Safety) related deaths	Department for Transport \| National Highways \| Dorset Police \| Bournemouth, Christchurch and Poole Council	4	5	https://www.judiciary.uk/prevention-of-future-death-reports/stephen-wood-prevention-of-future-deaths-report/
completed	10/03/2023	08/02/2023	2023-0085	Maxine Davison, Lee Martyn, Sophie Martyn, Stephen Washington and Kate Shepherd	Mr Ian Arrow	County of Devon, Plymouth & Torbay	Child Death (from 2015) \| Other related deaths	Home Office \| National Police Chiefs’ Council \| Chief Constables \| College of Policing	4	34	https://www.judiciary.uk/prevention-of-future-death-reports/maxine-davison-lee-martyn-sophie-martyn-stephen-washington-and-kate-shepherd-prevention-of-future-deaths-report/
completed	30/03/2021	25/03/2021	2021-0082	Azra Hussain	Miss Emma Brown	Birmingham and Solihull	Hospital Death (Clinical Procedures and medical management) related deaths \| Mental Health related deaths \| Suicide (from 2015)	Birmingham and Solihull Mental Health NHS Foundation Trust \| NHS Birmingham and Solihull Integrated Care Board \| Care Quality Commission \| Health and Safety Executive	4	4	https://www.judiciary.uk/prevention-of-future-death-reports/azra-hussain/
completed	06/03/2024	29/02/2024	2024-0115	Daniel Tucker	Mr Michael Wall	Nottinghamshire	Suicide (from 2015)	Nottinghamshire Healthcare NHS Foundation Trust \| Department of Health and Social Care \| NHS England \| Ofcom	4	4	https://www.judiciary.uk/prevention-of-future-death-reports/daniel-tucker-prevention-of-future-deaths-report/
completed	11/12/2023	05/12/2023	2023-0503	Alice Litman	Miss Sarah Clarke	West Sussex, Brighton and Hove	Suicide (from 2015)	Gender Identity Clinic \| NHS England \| Surrey and Borders Partnership NHS Foundation Trust \| Royal College of General Practitioners	4	4	https://www.judiciary.uk/prevention-of-future-death-reports/alice-litman-prevention-of-future-deaths-report/
completed	28/06/2021	23/06/2021	2021-0213	Heather Page	Mr Gordon Clow	Nottinghamshire	Community health care and emergency services related deaths \| Railway related deaths	Nottinghamshire County Council \| Derbyshire County Council \| Broxtowe Borough Council \| Erewash Borough Council	4	5	https://www.judiciary.uk/prevention-of-future-death-reports/heather-page/
completed	09/06/2020	04/05/2020	2020-0110	Barry Preston	Ms Alison Patricia Mutch OBE	Greater Manchester South	Hospital Death (Clinical Procedures and medical management) related deaths	Greater Manchester Mental Health NHS Foundation Trust \| Bolton Council \| Bolton NHS Foundation Trust \| Department of Health and Social Care	4	4	https://www.judiciary.uk/prevention-of-future-death-reports/barry-preston/
completed	22/09/2022	23/06/2022	2022-0193	Khalid Yousef	Mr James Bennett	Birmingham and Solihull	Mental Health related deaths \| Other related deaths	NHS England \| Birmingham and Solihull Mental Health NHS Foundation Trust \| Home Office \| West Midlands Police	4	8	https://www.judiciary.uk/prevention-of-future-death-reports/khalid-yousef-prevention-of-future-deaths-report/
completed	23/01/2023	17/01/2023	2023-0014	Teegan Barnard	Dr Karen Henderson	West Sussex, Brighton and Hove	Hospital Death (Clinical Procedures and medical management) related deaths	University Hospitals Sussex NHS Foundation Trust \| NHS England \| Care Quality Commission \| NHS England	4	6	https://www.judiciary.uk/prevention-of-future-death-reports/teegan-barnard-prevention-of-future-deaths-report/
completed	25/07/2016	25/07/2016	2016-0270	Patricia Cleghorn	Mrs Louise Hunt	Birmingham and Solihull	Community health care and emergency services related deaths	Birmingham and Solihull Mental Health NHS Foundation Trust \| NHS England \| Department of Health and Social Care \| Care Quality Commission	4	4	https://www.judiciary.uk/prevention-of-future-death-reports/patricia-cleghorn/
completed	04/11/2021	21/10/2021	2021-0363	Jamie O’Connor	Mrs Dianne Hocking	Leicester City and South Leicestershire	Alcohol, drug and medication related deaths \| Mental Health related deaths \| Other related deaths	Department of Health and Social Care \| General Pharmaceutical Council \| General Medical Council \| Care Quality Commission	4	4	https://www.judiciary.uk/prevention-of-future-death-reports/jamie-oconnor-prevention-of-future-deaths-report/
completed	18/05/2016	18/05/2016	2016-0194	Christopher Fields	Mr Professor John S Pollard	Greater Manchester South	Police related deaths	Greater Manchester Police \| North West Ambulance Service NHS Trust \| Department of Health and Social Care \| NHS England	4	4	https://www.judiciary.uk/prevention-of-future-death-reports/christopher-fields/
completed	03/01/2024	29/12/2023	2023-0549	Andrew Guillaume	Mrs Deborah Rachel Lakin	Warwickshire	Hospital Death (Clinical Procedures and medical management) related deaths	South Warwickshire University NHS Foundation Trust \| University Hospitals Coventry and Warwickshire NHS Trust \| Department of Health and Social Care \| NHS England	4	4	https://www.judiciary.uk/prevention-of-future-death-reports/andrew-guillaume-prevention-of-future-deaths-report/
completed	12/12/2023	08/12/2023	2023-0516	Charlene Roberts	Ms Joanne Kearsley	Greater Manchester North	Alcohol, drug and medication related deaths \| Mental Health related deaths	Royal College of Psychiatrists \| Medicines and Healthcare Products Regulatory Agency \| NHS Greater Manchester Integrated Care Board \| NHS England	4	4	https://www.judiciary.uk/prevention-of-future-death-reports/charlene-roberts-prevention-of-future-deaths-report/
completed	19/11/2020	28/09/2020	2020-0185	William McKibbin	Mr Chris Morris	Greater Manchester South	Hospital Death (Clinical Procedures and medical management) related deaths	Manchester University NHS Foundation Trust \| Department of Health and Social Care \| NHS England \| Care Quality Commission	4	4	https://www.judiciary.uk/prevention-of-future-death-reports/william-mckibbin/
completed	27/07/2016	27/07/2016	2016 – 0269	James Hedge	Mr Andrew Roger Barkley	South Wales Central	Hospital Death (Clinical Procedures and medical management) related deaths	Medicines and Healthcare Products Regulatory Agency \| Roche Diagnostics Limited \| NHS Wales \| NHS England	4	4	https://www.judiciary.uk/prevention-of-future-death-reports/james-hedge/
completed	19/01/2024	15/01/2024	2024-0020	Dennis King	Mr Darren Stewart OBE	Suffolk	Hospital Death (Clinical Procedures and medical management) related deaths	Department of Health and Social Care \| NHS England \| East of England Ambulance Service NHS Trust	3	3	https://www.judiciary.uk/prevention-of-future-death-reports/dennis-king-prevention-of-future-deaths-report/
completed	19/01/2024	12/01/2024	2024-0023	Iona Buckingham	Mr Jonathan Dixey	Northamptonshire	Child Death (from 2015) \| Hospital Death (Clinical Procedures and medical management) related deaths	Tameside and Glossop Integrated Care NHS Foundation Trust \| NHS Northamptonshire Integrated Care Board \| NHS England	3	3	https://www.judiciary.uk/prevention-of-future-death-reports/iona-buckingham-prevention-of-future-deaths-report/
completed	27/09/2022	18/07/2022	2022-0218	Graham White	Mr graeme Irvine	London East	Hospital Death (Clinical Procedures and medical management) related deaths	Barking, Havering and Redbridge University Hospitals NHS Trust \| British Association of Urological Surgeons \| Department of Health and Social Care	3	3	https://www.judiciary.uk/prevention-of-future-death-reports/graham-white-prevention-of-future-deaths-report/
completed	20/05/2024	17/05/2024	2024-0269	Jada Monoja	Mr Xavier Mooyaart	London Inner North	Suicide (from 2015)	South London and Maudsley NHS Foundation Trust \| NHS England \| Department of Health and Social Care	3	3	https://www.judiciary.uk/prevention-of-future-death-reports/jada-monoja-prevention-of-future-deaths-report/
completed	07/03/2018	12/01/2018	2018-0010	David Buttriss	Dr E. Emma Carlyon	Cornwall and the Isles of Scilly	Hospital Death (Clinical Procedures and medical management) related deaths	Cornwall Partnership NHS Foundation Trust \| Cornwall Health \| NHS England	3	3	https://www.judiciary.uk/prevention-of-future-death-reports/david-buttriss/
completed	03/11/2022	27/06/2022	2022-0344	Jessica Laverack	Miss Lorraine Harris	East Riding of Yorkshire and Kingston-upon-Hull	Alcohol, drug and medication related deaths \| Suicide (from 2015)	Home Office \| Ministry of Justice \| Department of Health and Social Care	3	4	https://www.judiciary.uk/prevention-of-future-death-reports/jessica-laverack-prevention-of-future-deaths-report/
completed	26/02/2017	25/10/2016	2016-0377	Richard Walsh	Mr Andrew Harris	London Inner South	State Custody related deaths \| Suicide (from 2015)	Ministry of Justice \| Department of Health and Social Care \| Hampshire County Council	3	4	https://www.judiciary.uk/prevention-of-future-death-reports/richard-walsh/
completed	05/01/2015	05/01/2015	2015-0099	James Fyfe	Mr Peter J Bedford	Berkshire	Hospital Death (Clinical Procedures and medical management) related deaths	Royal Berkshire NHS Foundation Trust \| Medicines and Healthcare Products Regulatory Agency \| Anetic Aid Limited	3	3	https://www.judiciary.uk/prevention-of-future-death-reports/james-fyfe/
completed	22/02/2024	19/01/2024	2024-0083	David Mitchener	Mr Jonathan D P Stevens	Surrey	Other related deaths	NaturPlus UK \| Food Standards Agency \| Department of Health and Social Care	3	3	https://www.judiciary.uk/prevention-of-future-death-reports/david-mitchener-prevention-of-future-deaths-report/
completed	27/04/2016	27/04/2016	2016-0163	Christopher Holyoake	Christina Swann	Leicester City and South Leicestershire	Hospital Death (Clinical Procedures and medical management) related deaths	NHS England \| Chief Fire Officers Association \| Reckitt Benckiser Healthcare UK Ltd	3	3	https://www.judiciary.uk/prevention-of-future-death-reports/christopher-holyoake/
completed	22/09/2022	22/06/2022	2022-0190	Connor Marron	Mr Andrew Walker	London Inner North	Railway related deaths	Thames Water \| Alexandra Palace \| Network Rail	3	3	https://www.judiciary.uk/prevention-of-future-death-reports/connor-marron-prevention-of-future-deaths-report/
completed	14/05/2024	02/05/2024	2024-0241	Evie Davies	Mrs Victoria Davies	Cheshire	Suicide (from 2015)	Spider Project Café 71 \| Cheshire and Wirral Partnership NHS Foundation Trust \| NHS Sussex Integrated Care Board	3	4	https://www.judiciary.uk/prevention-of-future-death-reports/evie-davies-prevention-of-future-deaths-report/
completed	26/08/2021	20/08/2021	2021-0277	Stanislaw Zielinski	Ms Alison Patricia Mutch OBE	Greater Manchester South	Community health care and emergency services related deaths \| Mental Health related deaths	NHS Greater Manchester Integrated Care Board \| Department of Health and Social Care \| NHS England	3	3	https://www.judiciary.uk/prevention-of-future-death-reports/stanislaw-zielinski-prevention-of-future-deaths-report/
completed	14/02/2024	15/11/2023	2024-0069	Lynda Blackmore	Mr Graeme David Hughes	South Wales Central	Emergency services related deaths (2019 onwards) \| Wales prevention of future deaths reports (2019 onwards)	Welsh Ambulance Services University NHS Trust \| Aneurin Bevan University Health Board \| Department of Health and Social Care	3	3	https://www.judiciary.uk/prevention-of-future-death-reports/lynda-blackmore-prevention-of-future-deaths-report/
completed	29/11/2023	23/11/2023	2023-0469	Philip Malone	Mr James Bennett	Birmingham and Solihull	Suicide (from 2015)	Birmingham and Solihull Mental Health NHS Foundation Trust \| NHS Birmingham and Solihull Integrated Care Board \| Department of Health and Social Care	3	3	https://www.judiciary.uk/prevention-of-future-death-reports/philip-malone-prevention-of-future-deaths-report/
completed	04/07/2024	26/06/2024	2024-0349	Michelle Moore	Mrs Samantha Marsh	Somerset	Suicide (from 2015)	Somerset NHS Foundation Trust \| National Institute for Health and Care Excellence \| NHS England	3	3	https://www.judiciary.uk/prevention-of-future-death-reports/michelle-moore-prevention-of-future-deaths-report/
completed	27/06/2024	25/06/2024	2024-0339	John Howe	Mrs Lauren Costello	Greater Manchester South	Hospital Death (Clinical Procedures and medical management) related deaths	Manchester City Council \| East Midlands Ambulance Service NHS Trust \| Manchester University NHS Foundation Trust	3	3	https://www.judiciary.uk/prevention-of-future-death-reports/john-howe-prevention-of-future-deaths-report/
completed	27/06/2024	21/06/2024	2024-0336	Terrence Taylor	Mr Keith Morton QC	Cambridgeshire and Peterborough	Care Home Health related deaths \| Product related deaths	Department of Health and Social Care \| Care Quality Commission \| British Standards Institution	3	3	https://www.judiciary.uk/prevention-of-future-death-reports/terrence-taylor-prevention-of-future-deaths-report/
completed	02/02/2015	02/02/2015	2015-0035	Darren Wright	Mrs Jacqueline F Lake	Norfolk	State Custody related deaths	SERCO Group Plc \| Virgin Care Limited \| HM Prison Norwich	3	3	https://www.judiciary.uk/prevention-of-future-death-reports/darren-wright/
completed	16/08/2019	16/08/2019	2019-0486	Martin Haines	Mr Alan R Craze	East Sussex	State Custody related deaths	Department of Health and Social Care \| NHS England \| HM Prison and Probation Service	3	3	https://www.judiciary.uk/prevention-of-future-death-reports/martin-haines/
completed	22/06/2023	12/06/2023	2023-0193	Heather Findlay	Ms Mary Hassell	London Inner North	Suicide (from 2015)	East London NHS Foundation Trust \| Metropolitan Police Service \| NHS England	3	4	https://www.judiciary.uk/prevention-of-future-death-reports/heather-findlay-prevention-of-future-deaths-report/
completed	16/08/2019	16/08/2019	2019-0491	Justin Gallagher	Mr Alan R Craze	East Sussex	State Custody related deaths	Ministry of Justice \| NHS England \| Department of Health and Social Care	3	3	https://www.judiciary.uk/prevention-of-future-death-reports/justin-gallagher/
completed	26/06/2024	19/06/2024	2024-0331	Aaron Deeley	Ms Sonia Marie Hayes	Essex	Hospital Death (Clinical Procedures and medical management) related deaths \| Suicide (from 2015)	Mid and South Essex NHS Foundation Trust \| Essex Partnership University NHS Foundation Trust \| NHS England	3	3	https://www.judiciary.uk/prevention-of-future-death-reports/aaron-deeley-prevention-of-future-deaths-report/
completed	07/03/2018	02/01/2018	2018-0003	Paul Daniels	Ms Alison Patricia Mutch OBE	Greater Manchester South	Accident at Work and Health and Safety related deaths	Health and Safety Executive \| Forestry Commission \| Arboricultural Association	3	3	https://www.judiciary.uk/prevention-of-future-death-reports/paul-daniels/
completed	28/09/2015	28/09/2015	2015-0391	Harry Pryal	Mr Alan Peter Walsh	Greater Manchester West	Hospital Death (Clinical Procedures and medical management) related deaths	Department of Health and Social Care \| NHS Greater Manchester Integrated Care Board \| Mersey Care NHS Foundation Trust	3	4	https://www.judiciary.uk/prevention-of-future-death-reports/harry-pryal/
completed	20/10/2022	04/10/2022	2022-0326	Reginald Cauthery	Ms Sarah Bourke	London Inner North	Community health care and emergency services related deaths \| Other related deaths	Home Office \| Department of Health and Social Care \| Care Quality Commission	3	6	https://www.judiciary.uk/prevention-of-future-death-reports/reginald-cauthery-prevention-of-future-deaths-report/
completed	22/09/2015	22/09/2015	2015-0384	William Harnell	Mr Andrew Cox	County of Devon, Plymouth & Torbay	Community health care and emergency services related deaths \| Hospital Death (Clinical Procedures and medical management) related deaths	University Hospitals Plymouth NHS Trust \| Department of Health and Social Care \| Cornwall Council	3	3	https://www.judiciary.uk/prevention-of-future-death-reports/william-harnell/
completed	16/09/2015	16/09/2015	2015-0380	Adil Habib	Ms Mary Hassell	London Inner North	Community health care and emergency services related deaths \| State Custody related deaths	HM Prison and Probation Service \| HM Prison Pentonville \| London Ambulance Service NHS Trust	3	4	https://www.judiciary.uk/prevention-of-future-death-reports/adil-habib/
completed	03/04/2024	19/12/2023	2024-0171	Martin Willis	Mr John Penhale Ellery	Shropshire, Telford and Wrekin	Suicide (from 2015)	HM Prison and Probation Service \| North Staffordshire Combined Healthcare NHS Trust \| Midlands Partnership University NHS Foundation Trust	3	3	https://www.judiciary.uk/prevention-of-future-death-reports/martin-willis-prevention-of-future-deaths-report/
completed	24/05/2021	21/05/2021	2021-0167	Dyllon Milburn	Mr Zak Golombeck	Manchester City	Community health care and emergency services related deaths \| Mental Health related deaths \| Suicide (from 2015)	Egton Medical Information Systems \| National Institute for Health and Care Excellence \| Royal College of General Practitioners	3	4	https://www.judiciary.uk/prevention-of-future-death-reports/dyllon-milburn/
completed	12/09/2019	12/09/2019	2019-0494	William Oliver	Ms Joanne Kearsley	Greater Manchester North	Emergency services related deaths (2019 onwards) \| Hospital Death (Clinical Procedures and medical management) related deaths	Department of Health and Social Care \| NHS Lancashire and South Cumbria Integrated Care Board \| North West Ambulance Service NHS Trust	3	4	https://www.judiciary.uk/prevention-of-future-death-reports/william-oliver/
completed	28/12/2023	20/12/2023	2023-0537	Gregor Lynn	Miss Caroline Margaret Jones	Cambridgeshire and Peterborough	Hospital Death (Clinical Procedures and medical management) related deaths	Department of Health and Social Care \| NHS Cambridgeshire and Peterborough Integrated Care Board \| NHS England	3	3	https://www.judiciary.uk/prevention-of-future-death-reports/gregor-lynn-prevention-of-future-deaths-report/
completed	08/01/2021	18/12/2020	2020-0298	Ruben Bousquet	Mr Andrew Harris	London Inner South	Other related deaths \| Product related deaths	Department of Health and Social Care \| Food Standards Agency \| Ministry of Housing, Communities and Local Government	3	3	https://www.judiciary.uk/prevention-of-future-death-reports/ruben-bousquet/
completed	21/09/2022	17/06/2022	2022-0187	Margaret Stringer	Mr Tim Holloway	Blackpool and Fylde	Care Home Health related deaths \| Mental Health related deaths \| Suicide (from 2015)	Lancashire and South Cumbria NHS Foundation Trust \| Blackpool Teaching Hospitals NHS Foundation Trust \| Lancashire County Council	3	3	https://www.judiciary.uk/prevention-of-future-death-reports/margaret-stringer-prevention-of-future-deaths-report/
completed	25/01/2024	21/12/2023	2024-0032	Carrianne Franks	Miss Laurinda Bower	Nottinghamshire	Hospital Death (Clinical Procedures and medical management) related deaths	NHS England \| UK Health Security Agency \| National Institute for Health and Care Excellence	3	3	https://www.judiciary.uk/prevention-of-future-death-reports/carrianne-franks-prevention-of-future-deaths-report/
completed	30/07/2020	28/05/2020	2020-0122	Michael Pender	Mr Andrew Cox	Cornwall and the Isles of Scilly	Other related deaths	Department for Transport \| Maritime and Coastguard Agency \| Royal National Lifeboat Institution	3	3	https://www.judiciary.uk/prevention-of-future-death-reports/michael-pender/
completed	30/07/2020	28/05/2020	2020-0121	Gillian Davey	Mr Andrew Cox	Cornwall and the Isles of Scilly	Other related deaths	Department for Transport \| Maritime and Coastguard Agency \| Royal National Lifeboat Institution	3	3	https://www.judiciary.uk/prevention-of-future-death-reports/gillian-davey/
completed	25/08/2017	25/08/2017	2017-0457	Sam Crick	Mr David Heming	Cambridgeshire and Peterborough	Hospital Death (Clinical Procedures and medical management) related deaths	Barking, Havering and Redbridge University Hospitals NHS Trust \| Care Quality Commission \| NHS England	3	3	https://www.judiciary.uk/prevention-of-future-death-reports/sam-crick/
completed	19/06/2015	19/06/2015	2015-0233	Elizabeth Godwin	Mr Kimberley Ian Singleton	Wiltshire and Swindon	Hospital Death (Clinical Procedures and medical management) related deaths	Royal United Hospitals Bath NHS Foundation Trust \| Avon and Wiltshire Mental Health Partnership NHS Trust \| Wiltshire Council	3	3	https://www.judiciary.uk/prevention-of-future-death-reports/elizabeth-godwin/
completed	04/04/2024	02/04/2024	2024-0175	Andrew Ewin-Ripp	Ms Nadia Persaud	London East	Other related deaths	NHS England \| Royal College of Physicians \| Royal College of General Practitioners	3	3	https://www.judiciary.uk/prevention-of-future-death-reports/andrew-ewin-ripp-prevention-of-future-deaths-report/
completed	08/09/2023	30/08/2023	2023-0313	Allison Aules	Ms Nadia Persaud	London East	Child Death (from 2015) \| Suicide (from 2015)	NHS England \| Royal College of Psychiatrists \| Department of Health and Social Care	3	5	https://www.judiciary.uk/prevention-of-future-death-reports/allison-aules-prevention-of-future-deaths-report/
completed	02/02/2021	27/01/2021	2021-0020	Michael Chahwanda	Mr Zak Golombeck	Manchester City	Child Death (from 2015)	Royal College of Paediatrics and Child Health \| Department of Health and Social Care \| National Institute for Health and Care Excellence	3	3	https://www.judiciary.uk/prevention-of-future-death-reports/michael-chahwanda/
completed	24/12/2020	16/11/2020	2020-0239	Jean Williams	Ms Rachel Galloway	Greater Manchester West	Care Home Health related deaths \| Product related deaths	NHS England \| Blackpool Teaching Hospitals NHS Foundation Trust \| Lancashire County Council	3	3	https://www.judiciary.uk/prevention-of-future-death-reports/jean-williams/
completed	29/12/2019	02/12/2019	2019-0407	Sidney Baker	Miss Rachel Raheela Syed	Greater Manchester West	Care Home Health related deaths	Rosewood Healthcare Group \| Wigan Council \| Care Quality Commission	3	3	https://www.judiciary.uk/prevention-of-future-death-reports/sidney-baker/
completed	15/04/2024	27/03/2024	2024-0183	Michaela Hall	Mr Andrew Cox	Cornwall and the Isles of Scilly	Other related deaths	Devon and Cornwall Police \| HM Prison and Probation Service \| Cornwall Council	3	3	https://www.judiciary.uk/prevention-of-future-death-reports/michaela-hall-prevention-of-future-deaths-report/
completed	19/05/2016	19/05/2016	2016-0196	Samuel Blair	Ms Mary Hassell	London Inner North	Community health care and emergency services related deaths \| Hospital Death (Clinical Procedures and medical management) related deaths	Care UK \| Welsh Ambulance Services University NHS Trust \| HM Prison and Probation Service	3	4	https://www.judiciary.uk/prevention-of-future-death-reports/rodney-blair/
completed	03/12/2017	02/08/2017	2017-0321	Thomas Wall	Miss Veronica HAMILTON-DEELEY	West Sussex, Brighton and Hove	Hospital Death (Clinical Procedures and medical management) related deaths \| Suicide (from 2015)	NHS Sussex Integrated Care Board \| Sussex Partnership NHS Foundation Trust \| The Pavilions (Surrey) Management Company Limited	3	3	https://www.judiciary.uk/prevention-of-future-death-reports/thomas-wall/
completed	21/05/2015	21/05/2015	2015-0198	Barbara Patterson	Miss CARLY ELIZABETH HENLEY	Northumberland	Community health care and emergency services related deaths	North East Ambulance Service NHS Foundation Trust \| Department of Health and Social Care \| Care Quality Commission	3	3	https://www.judiciary.uk/prevention-of-future-death-reports/barbara-patterson/
completed	20/09/2022	16/06/2022	2022-0180	Lee Caruana	Miss Emma Brown	Birmingham and Solihull	Emergency services related deaths (2019 onwards) \| Other related deaths	NHS Birmingham and Solihull Integrated Care Board \| NHS England \| Department of Health and Social Care	3	3	https://www.judiciary.uk/prevention-of-future-death-reports/lee-caruana-prevention-of-future-deaths-report/
completed	22/01/2020	03/01/2020	2020-0001	James Wheeler	Mr Chris Morris	Greater Manchester South	Care Home Health related deaths \| Community health care and emergency services related deaths	National Institute for Health and Care Excellence \| Stockport Council \| Department of Health and Social Care	3	3	https://www.judiciary.uk/prevention-of-future-death-reports/thomas-wheeler/
completed	17/06/2018	29/03/2018	2018-0097	Matthew Faulkner	Mr Geoffrey Sullivan	Hertfordshire	Alcohol, drug and medication related deaths \| Hospital Death (Clinical Procedures and medical management) related deaths \| Mental Health related deaths	East of England Ambulance Service NHS Trust \| Bedfordshire Hospitals NHS Foundation Trust \| The Princess Alexandra Hospital NHS Trust	3	4	https://www.judiciary.uk/prevention-of-future-death-reports/matthew-faulkner/
completed	15/09/2023	13/09/2023	2023-0327	Geoffrey Hoad	Mrs Jacqueline F Lake	Norfolk	Emergency services related deaths (2019 onwards) \| Hospital Death (Clinical Procedures and medical management) related deaths	East of England Ambulance Service NHS Trust \| Department of Health and Social Care \| Spire Healthcare Limited	3	5	https://www.judiciary.uk/prevention-of-future-death-reports/geoffery-hoad-prevention-of-future-deaths-report/
completed	31/12/2019	16/12/2019	2019-0433	Arnold Ward	Ms Alison Patricia Mutch OBE	Greater Manchester South	Care Home Health related deaths	Fernlea Nursing Home \| Care Quality Commission \| NHS Greater Manchester Integrated Care Board	3	3	https://www.judiciary.uk/prevention-of-future-death-reports/arnold-ward/
completed	18/09/2023	18/09/2023	2023-0336	Anthony Friend	Mr David Donald William Reid	Worcestershire	Care Home Health related deaths	Bluebird Care \| Herefordshire and Worcestershire Health and Care NHS Trust \| Divine Health Services	3	4	https://www.judiciary.uk/prevention-of-future-death-reports/anthony-friend-prevention-of-future-deaths-report/
completed	02/12/2017	27/07/2017	2017-0329	Percy Jacks	Mr Andrew Roger Barkley	South Wales Central	Community health care and emergency services related deaths	Local Health Board \| Care Quality Commission \| Welsh Government	3	4	https://www.judiciary.uk/prevention-of-future-death-reports/percy-jacks/
completed	29/09/2014	29/09/2014	2014-0575	Tiya Chauhan	Dr Fiona Jane Wilcox	London Inner West	Product related deaths	Food Standards Agency \| Department for Education \| Ofsted	3	3	https://www.judiciary.uk/prevention-of-future-death-reports/tiya-chauhan/
completed	20/03/2024	14/03/2024	2024-0143	Tobias Mannering-Jones	Ms Alison Patricia Mutch OBE	Greater Manchester South	Suicide (from 2015)	Department of Health and Social Care \| Ministry of Housing, Communities and Local Government \| NHS Greater Manchester Integrated Care Board	3	3	https://www.judiciary.uk/prevention-of-future-death-reports/tobias-mannering-jones-prevention-of-future-deaths-report/
completed	21/03/2024	08/03/2024	2024-0150	Rose Hollingworth	Mr Jonathan D P Stevens	London Inner North	Care Home Health related deaths	Home Dot Care Limited \| Islington Council \| Care Quality Commission	3	4	https://www.judiciary.uk/prevention-of-future-death-reports/rose-hollingworth-prevention-of-future-deaths-report/
completed	04/11/2022	25/08/2022	2022-0345	Charles Evans	Mrs Joanne Lees	The Black Country Jurisdiction	Care Home Health related deaths \| Other related deaths	Care Quality Commission \| City of Wolverhampton Council \| Health and Safety Executive	3	3	https://www.judiciary.uk/prevention-of-future-death-reports/charles-evans-prevention-of-future-deaths-report/
completed	19/03/2024	13/03/2024	2024-0139	Terence Sullivan	Mr David Donald William Reid	Worcestershire	Hospital Death (Clinical Procedures and medical management) related deaths	National Institute for Health and Care Excellence \| British Society of Gastroenterology \| NHS England	3	3	https://www.judiciary.uk/prevention-of-future-death-reports/terence-sullivan-prevention-of-future-deaths-report/
completed	15/09/2023	11/09/2023	2023-0328	Amanda Kramer	Mr graeme Irvine	London East	Hospital Death (Clinical Procedures and medical management) related deaths	North East London NHS Foundation Trust \| Department of Health and Social Care \| Wood Street Medical Centre	3	3	https://www.judiciary.uk/prevention-of-future-death-reports/amanda-kramer-prevention-of-future-deaths-report/
completed	10/12/2014	10/12/2014	2014-0532	Geraldine Kilborn	Mr Andrew Tweddle	County Durham and Darlington	State Custody related deaths	HM Prison and Probation Service \| Tees, Esk and Wear Valley NHS Foundation Trust \| Care UK	3	3	https://www.judiciary.uk/prevention-of-future-death-reports/geraldine-kilborn/
completed	14/07/2015	14/07/2015	2015-0276	Emma Carpenter	Stephanie Haskey	Nottinghamshire	Hospital Death (Clinical Procedures and medical management) related deaths	Department of Health and Social Care \| Department for Education \| NHS England	3	4	https://www.judiciary.uk/prevention-of-future-death-reports/emma-carpenter/
completed	09/05/2024	29/04/2024	2024-0231	Sophie Hindmarsh	Mrs Hannah Victoria Berry	Yorkshire South West	Emergency services related deaths (2019 onwards)	Department of Health and Social Care \| NHS England \| NHS West Yorkshire Integrated Care Board	3	3	https://www.judiciary.uk/prevention-of-future-death-reports/sophie-hindmarsh-prevention-of-future-deaths-report/
completed	15/07/2016	15/07/2016	2016-0256	Sydney Neil	Mrs Louise Hunt	Birmingham and Solihull	Community health care and emergency services related deaths \| Hospital Death (Clinical Procedures and medical management) related deaths	Wychall Lane Surgery \| NHS England \| NHS Birmingham and Solihull Integrated Care Board	3	3	https://www.judiciary.uk/prevention-of-future-death-reports/sydney-neil/
completed	09/05/2024	26/04/2024	2024-0226	Ellen Mercer	Mrs Heidi Julia Connor	Berkshire	Hospital Death (Clinical Procedures and medical management) related deaths	Frimley Health NHS Foundation Trust \| National Institute for Health and Care Excellence \| NHS England	3	5	https://www.judiciary.uk/prevention-of-future-death-reports/ellen-mercer-prevention-of-future-deaths-report/
completed	20/03/2015	20/03/2015	2015-0472	Kingsley Burrell	Mrs Louise Hunt	Birmingham and Solihull	Mental Health related deaths \| State Custody related deaths	Department of Health and Social Care \| Association of Ambulance Chief Executives \| National Police Chiefs’ Council	3	3	https://www.judiciary.uk/prevention-of-future-death-reports/kingsley-burrell/
completed	17/11/2019	15/10/2019	2019-0345	Derek Weaver	Mr Andrew Harris	London Inner South	Hospital Death (Clinical Procedures and medical management) related deaths	NHS England \| Department of Health and Social Care \| Guy's and St Thomas' NHS Foundation Trust	3	3	https://www.judiciary.uk/prevention-of-future-death-reports/derek-weaver/
completed	21/02/2024	09/02/2024	2024-0071	Narjit Gill	Mrs Deborah Rachel Lakin	Warwickshire	Suicide (from 2015)	Coventry and Warwickshire Partnership NHS Trust \| Department of Health and Social Care \| Warwickshire Police	3	3	https://www.judiciary.uk/prevention-of-future-death-reports/narjit-gill-prevention-of-future-deaths-report/
completed	09/05/2024	24/04/2024	2024-0224	Nicholas Harrison	Mrs kirsten heaven	Swansea and Neath Port Talbot	Mental Health related deaths \| Other related deaths \| Wales prevention of future deaths reports (2019 onwards)	Swansea Bay University Health Board \| NHS Wales \| Swansea Council	3	4	https://www.judiciary.uk/prevention-of-future-death-reports/nicholas-harrison-prevention-of-future-deaths-report/
completed	11/12/2023	28/07/2023	2023-0507	Kirsty Taylor	Mr Christopher Campbell Wilkinson	Hampshire, Portsmouth and Southampton	Suicide (from 2015)	Hampshire and Isle of Wight Healthcare NHS Foundation Trust \| NHS Hampshire and Isle of Wight Integrated Care Board \| NHS England	3	3	https://www.judiciary.uk/prevention-of-future-death-reports/kirsty-taylor-prevention-of-future-deaths-report/
completed	04/01/2021	01/12/2020	2020-0264	Anthony Slack	Ms Alison Patricia Mutch OBE	Greater Manchester South	Care Home Health related deaths \| Community health care and emergency services related deaths	Care Quality Commission \| NHS England \| NHS Greater Manchester Integrated Care Board	3	5	https://www.judiciary.uk/prevention-of-future-death-reports/anthony-slack/
completed	19/01/2019	27/09/2018	2018-0298	Julia MacPherson	Ms Sonia Marie Hayes	London South	Hospital Death (Clinical Procedures and medical management) related deaths	Care Quality Commission \| Oxleas NHS Foundation Trust \| Department of Health and Social Care	3	3	https://www.judiciary.uk/prevention-of-future-death-reports/julia-macpherson/
completed	03/07/2015	03/07/2015	2015-0252	Davina Tavener	Mr Alan Peter Walsh	Greater Manchester West	Other related deaths	Civil Aviation Authority \| European Aviation Authority \| Irish Aviation Authority	3	3	https://www.judiciary.uk/prevention-of-future-death-reports/davina-tavener/
completed	22/02/2024	15/02/2024	2024-0085	Sean Crawford	Mr Crispin Oliver	County Durham and Darlington	Alcohol, drug and medication related deaths	Department of Health and Social Care \| British National Formulary \| Medicines and Healthcare Products Regulatory Agency	3	3	https://www.judiciary.uk/prevention-of-future-death-reports/sean-crawford-prevention-of-future-deaths-report/
completed	30/03/2015	30/03/2015	2015-0126	Sabrina Stevenson	Dr Richard Ian Brittain	London Inner North	Hospital Death (Clinical Procedures and medical management) related deaths	London Ambulance Service NHS Trust \| NHS England \| College of Paramedics	3	5	https://www.judiciary.uk/prevention-of-future-death-reports/sabrina-stevenson/
completed	24/11/2014	24/11/2014	2014-0512	Gaenor Moore	Mr Martin Dominic Fleming	Surrey	Care Home Health related deaths	Invacare Rehabilitation \| Salter Labs \| Dolby Vivisol	3	3	https://www.judiciary.uk/prevention-of-future-death-reports/gaenor-moore/
completed	29/04/2024	17/04/2024	2024-0201	Jade Griffiths-Jones	Miss Emma Brown	Birmingham and Solihull	Emergency services related deaths (2019 onwards)	NHS Birmingham and Solihull Integrated Care Board \| NHS England \| Department of Health and Social Care	3	3	https://www.judiciary.uk/prevention-of-future-death-reports/jade-griffiths-jones-prevention-of-future-deaths-report/
completed	06/09/2023	16/08/2023	2023-0296	Odichukwumma Igweani	Dr Séan Cummings	Milton Keynes	Mental Health related deaths	North London NHS Foundation Trust \| NHS Bedfordshire, Luton and Milton Keynes Integrated Care Board \| Red House Surgery	3	3	https://www.judiciary.uk/prevention-of-future-death-reports/odichukwumma-igweani-prevention-of-future-deaths-report/
completed	24/01/2019	13/08/2018	2018-0229	Flora Baber	Ms Mary Hassell	London Inner North	Care Home Health related deaths \| Community health care and emergency services related deaths \| Hospital Death (Clinical Procedures and medical management) related deaths	Royal Cornwall Hospitals NHS Trust \| Compton Lodge Care Home \| Adelaide Medical Centre	3	3	https://www.judiciary.uk/prevention-of-future-death-reports/flora-baber/
completed	24/12/2020	20/11/2020	2020-0246	Jason Thompson	Dr Leslie Hamilton	County Durham and Darlington	Mental Health related deaths \| Suicide (from 2015)	Department of Health and Social Care \| Ebay UK Ltd \| Metalchem Ltd	3	3	https://www.judiciary.uk/prevention-of-future-death-reports/jason-thompson/
completed	23/11/2020	30/09/2020	2020-0189	Joseph Cheetham	Ms Alison Patricia Mutch OBE	Greater Manchester South	Community health care and emergency services related deaths \| Hospital Death (Clinical Procedures and medical management) related deaths	Department of Health and Social Care \| NHS Greater Manchester Integrated Care Board \| Health Services Safety Investigations Body	3	3	https://www.judiciary.uk/prevention-of-future-death-reports/joseph-cheetham/
completed	29/09/2022	01/06/2022	2022-0233	Esma Guzel	Dr M D Dominic Bell	East Riding of Yorkshire and Kingston-upon-Hull	Child Death (from 2015) \| Community health care and emergency services related deaths	Royal College of Paediatrics and Child Health \| Royal College of General Practitioners \| NHS England	3	3	https://www.judiciary.uk/prevention-of-future-death-reports/esma-guzel-prevention-of-future-deaths-report/
completed	24/02/2019	28/09/2018	2018-0324	Donald Berry	Ms Alison Patricia Mutch OBE	Greater Manchester South	Care Home Health related deaths	Department of Health and Social Care \| Health and Safety Executive \| Kendal Calling	3	3	https://www.judiciary.uk/prevention-of-future-death-reports/donald-berry/
completed	21/02/2024	09/02/2024	2024-0072	Kazarie Dwaah-Lyder	Ms Mary Hassell	London Inner North	Child Death (from 2015)	British Association of Paediatric Surgeons \| Royal College of Paediatrics and Child Health \| Royal College of Radiologists	3	3	https://www.judiciary.uk/prevention-of-future-death-reports/kazarie-dwaah-lyder-prevention-of-future-deaths-report/
completed	01/03/2021	21/02/2021	2021-0052	Luke Jackson	Ms Sonia Marie Hayes	Kent Mid and Medway	Child Death (from 2015) \| Hospital Death (Clinical Procedures and medical management) related deaths	Department of Health and Social Care \| Royal College of General Practitioners \| Medway NHS Foundation Trust	3	3	https://www.judiciary.uk/prevention-of-future-death-reports/luke-jackson/
completed	01/10/2024	01/10/2024	2024-0519	Ryan Campbell	Christopher Murray	Greater Manchester South	Hospital Death (Clinical Procedures and medical management) related deaths	Stockport NHS Foundation Trust \| NHS England \| Department of Health and Social Care	3	3	https://www.judiciary.uk/prevention-of-future-death-reports/ryan-campbell-prevention-of-future-deaths-report/
completed	09/08/2024	02/08/2024	2024-0429	James Capstick	Dr Nicholas Alastair Shaw	Cumbria	Care Home Health related deaths	Westmorland Court Care Home \| Care Quality Commission \| Nursing and Midwifery Council	3	3	https://www.judiciary.uk/prevention-of-future-death-reports/james-capstick-prevention-of-future-deaths-report/
completed	23/08/2019	10/06/2019	2019-0191	Beverley Shaw	Ms Joanne Kearsley	Greater Manchester North	Community health care and emergency services related deaths	Turning Point \| Hopwood House Medical Practice \| NHS Greater Manchester Integrated Care Board	3	3	https://www.judiciary.uk/prevention-of-future-death-reports/beverley-shaw/
completed	23/08/2019	17/06/2019	2019-0198	Oliver Hall	Mr Nigel Parsley	Suffolk	Emergency services related deaths (2019 onwards) \| Hospital Death (Clinical Procedures and medical management) related deaths	Association of Ambulance Chief Executives \| National Institute for Health and Care Excellence \| East of England Ambulance Service NHS Trust	3	3	https://www.judiciary.uk/prevention-of-future-death-reports/oliver-hall/
completed	08/08/2024	31/07/2024	2024-0416	Susan Pollitt	Ms Joanne Kearsley	Greater Manchester North	Hospital Death (Clinical Procedures and medical management) related deaths	Department of Health and Social Care \| General Medical Council \| Faculty of Physician Associates	3	4	https://www.judiciary.uk/prevention-of-future-death-reports/susan-pollitt-prevention-of-future-deaths-report/
completed	14/05/2020	19/06/2019	2019-0508	Aram Mustafa	Mrs Louise Hunt	Birmingham and Solihull	Suicide (from 2015)	Urban Housing Services \| G4S \| Home Office	3	3	https://www.judiciary.uk/prevention-of-future-death-reports/wilson-parkes/
completed	25/08/2019	24/06/2019	2019-0213	Priscilla Tropp	Mr Andrew Walker	London North	Other related deaths	Department for Transport \| Govia Thameslink Railway \| Office of Rail and Road	3	5	https://www.judiciary.uk/prevention-of-future-death-reports/priscilla-tropp/
completed	10/10/2024	09/10/2024	2024-0537	Nigel Hammond	Mr Nigel Parsley	Suffolk	Mental Health related deaths \| Suicide (from 2015)	Department of Health and Social Care \| Norfolk and Suffolk NHS Foundation Trust \| Suffolk County Council	3	3	https://www.judiciary.uk/prevention-of-future-death-reports/nigel-hammond-prevention-of-future-deaths-report/
completed	01/08/2024	16/07/2024	2024-0407	Jessica de Souza	Miss Caroline Topping	Surrey	Mental Health related deaths \| Suicide (from 2015)	National Institute for Health and Care Excellence \| Royal Pharmaceutical Society \| BMJ Group	3	3	https://www.judiciary.uk/prevention-of-future-death-reports/jessica-de-souza-prevention-of-future-deaths-report/
completed	14/10/2021	28/09/2021	2021-0335	Richard Boateng	Mr Jonathan Landau	London South	Community health care and emergency services related deaths \| Emergency services related deaths (2019 onwards) \| Police related deaths	NHS England \| London Ambulance Service NHS Trust \| College of Policing	3	3	https://www.judiciary.uk/prevention-of-future-death-reports/richard-boateng-prevention-of-future-deaths-report/
completed	16/12/2021	03/12/2021	2021-0419	Terence Talbot	Ms Sonia Marie Hayes	Kent Mid and Medway	Alcohol, drug and medication related deaths \| Hospital Death (Clinical Procedures and medical management) related deaths \| Mental Health related deaths \| Other related deaths	Kent and Medway NHS and Social Care Partnership Trust \| Maidstone and Tunbridge Wells NHS Trust \| Department for Work and Pensions	3	3	https://www.judiciary.uk/prevention-of-future-death-reports/terence-talbot-prevention-of-future-deaths-report/
completed	31/01/2022	27/01/2022	2022-0026	Adam Stone	Miss Emma Brown	Birmingham and Solihull	Alcohol, drug and medication related deaths \| Emergency services related deaths (2019 onwards) \| Mental Health related deaths	College of Paramedics \| Association of Ambulance Chief Executives \| NHS England	3	4	https://www.judiciary.uk/prevention-of-future-death-reports/adam-stone-prevention-of-future-deaths-report/
completed	25/10/2022	24/10/2022	2022-0332	Bradleigh Barnes	Mrs Rachael Clare Griffin	Dorset	State Custody related deaths \| Suicide (from 2015)	NHS England \| Oxleas NHS Foundation Trust \| HM Prison and Probation Service	3	4	https://www.judiciary.uk/prevention-of-future-death-reports/bradleigh-barnes-prevention-of-future-deaths-report/
completed	05/10/2021	23/09/2021	2021-0320	Hamish Howitt	Ms Fiona King	West Sussex, Brighton and Hove	Police related deaths	Home Office \| National Police Chiefs’ Council \| Avon and Somerset Police	3	3	https://www.judiciary.uk/prevention-of-future-death-reports/hamish-howitt-prevention-of-future-deaths-report/
completed	03/10/2017	28/09/2017	2017-0233	Gillian O’Keefe	Angela Hodes	London Inner West	Community health care and emergency services related deaths \| Hospital Death (Clinical Procedures and medical management) related deaths \| Mental Health related deaths	Cricket Green Medical Practice \| South West London and St George’s Mental Health NHS Trust \| Department of Health and Social Care	3	3	https://www.judiciary.uk/prevention-of-future-death-reports/gillian-okeefe/
completed	05/05/2021	30/04/2021	2021-0134	Rohan Singh	Mr graeme Irvine	London East	Alcohol, drug and medication related deaths \| Hospital Death (Clinical Procedures and medical management) related deaths \| Mental Health related deaths \| Police related deaths	Department of Health and Social Care \| North London NHS Foundation Trust \| Metropolitan Police Service	3	3	https://www.judiciary.uk/prevention-of-future-death-reports/rohan-singh/
completed	16/01/2023	11/01/2023	2023-0013	Leroy Hamilton	Mrs Louise Hunt	Birmingham and Solihull	Other related deaths	West Midlands Police \| Birmingham and Solihull Mental Health NHS Foundation Trust \| Department of Health and Social Care	3	3	https://www.judiciary.uk/prevention-of-future-death-reports/leroy-hamilton-prevention-of-future-deaths-report/
completed	17/10/2024	17/10/2024	2024-0560	Wilfred Fitchett, Jevon Hirst, Hugo Morris and Harvey Owen	Ms Kate Robertson	North West Wales	Road (Highways Safety) related deaths \| Wales prevention of future deaths reports (2019 onwards)	Department for Transport \| Cyngor Gwynedd Council \| Clough Williams-Ellis Trust	3	3	https://www.judiciary.uk/prevention-of-future-death-reports/wilfred-fitchett-jevon-hirst-hugo-morris-and-harvey-owen-prevention-of-future-deaths-report/
completed	14/02/2024	03/05/2023	2024-0062	Sienna Barber	Ms Joanne Kearsley	Greater Manchester North	Child Death (from 2015) \| Hospital Death (Clinical Procedures and medical management) related deaths	Department of Health and Social Care \| Royal College of Paediatrics and Child Health \| National Institute for Health and Care Excellence	3	4	https://www.judiciary.uk/prevention-of-future-death-reports/sienna-barber-prevention-of-future-deaths-report/
completed	08/08/2024	23/07/2024	2024-0417	Nathan Scantlebury	Mrs Charlotte Keighley	Cheshire	Hospital Death (Clinical Procedures and medical management) related deaths \| Suicide (from 2015)	Department of Health and Social Care \| Department for Education \| NHS England	3	3	https://www.judiciary.uk/prevention-of-future-death-reports/nathan-scantlebury-prevention-of-future-deaths-report/
completed	17/09/2024	13/09/2024	2024-0494	Paul Batchelor	Ms Susan Ridge	Surrey	Care Home Health related deaths \| Product related deaths	Care Quality Commission \| Medicines and Healthcare Products Regulatory Agency \| The Red House (Ashtead) Limited	3	3	https://www.judiciary.uk/prevention-of-future-death-reports/paul-batchelor-prevention-of-future-deaths-report/
completed	29/12/2015	29/12/2015	2015-0446	Imran Douglas	Mr Andrew Harris	London Inner South	State Custody related deaths	HM Prison and Probation Service \| Tower Hamlets Council \| General Medical Council	3	3	https://www.judiciary.uk/prevention-of-future-death-reports/imran-douglas/
completed	10/09/2024	06/09/2024	2024-0483	John Howlett	Ms Alison Patricia Mutch OBE	Greater Manchester South	Care Home Health related deaths \| Hospital Death (Clinical Procedures and medical management) related deaths	Department of Health and Social Care \| Care Quality Commission \| The Lakes Care Centre	3	3	https://www.judiciary.uk/prevention-of-future-death-reports/john-howlett-prevention-of-future-deaths-report/
completed	24/02/2023	13/02/2023	2023-0055	Hannah Warren	Mr Edward Ramsay	Swansea and Neath Port Talbot	Other related deaths	Home Office \| College of Policing \| National Police Chiefs’ Council	3	3	https://www.judiciary.uk/prevention-of-future-death-reports/hannah-warren-prevention-of-future-deaths-report/
completed	18/09/2024	18/09/2024	2024-0498	Helen Kerr	Miss Caroline Topping	Surrey	Mental Health related deaths \| Suicide (from 2015)	Surrey County Council \| Surrey Police \| Surrey and Borders Partnership NHS Foundation Trust	3	3	https://www.judiciary.uk/prevention-of-future-death-reports/helen-kerr-prevention-of-future-deaths-report/
completed	06/12/2013	06/12/2013	2013-0356	Millie Elizabeth Thompson	Mr Professor John S Pollard	Greater Manchester South	Other related deaths	Department for Education \| Department of Health and Social Care \| Welsh Ambulance Services University NHS Trust	3	3	https://www.judiciary.uk/prevention-of-future-death-reports/millie-elizabeth-thompson/
completed	17/10/2019	16/05/2019	2019-0267	Daniel Davey	Mr Darren Michael Salter	Oxfordshire	State Custody related deaths	HM Prison and Probation Service \| Care UK \| St George’s University Hospitals NHS Foundation Trust	3	3	https://www.judiciary.uk/prevention-of-future-death-reports/daniel-davey/
completed	10/03/2023	27/02/2023	2023-0079	Sophie Williams	Mr John C Taylor	London North	Alcohol, drug and medication related deaths	North London NHS Foundation Trust \| NHS England \| Tavistock and Portman NHS Foundation Trust	3	3	https://www.judiciary.uk/prevention-of-future-death-reports/sophie-williams-prevention-of-future-deaths-report/
completed	19/12/2023	12/12/2023	2023-0524	Ruth Perry	Mrs Heidi Julia Connor	Berkshire	Suicide (from 2015)	Ofsted \| Department for Education \| Reading Borough Council	3	3	https://www.judiciary.uk/prevention-of-future-death-reports/ruth-perry-prevention-of-future-deaths-report/
completed	26/05/2019	07/02/2019	2019-0039	Stephen Kennedy	Mrs Louise Hunt	Birmingham and Solihull	Hospital Death (Clinical Procedures and medical management) related deaths \| Mental Health related deaths \| Suicide (from 2015)	Birmingham and Solihull Mental Health NHS Foundation Trust \| Department of Health and Social Care \| NHS Birmingham and Solihull Integrated Care Board	3	3	https://www.judiciary.uk/prevention-of-future-death-reports/stephen-kennedy/
completed	06/11/2023	31/01/2023	2023-0421	Evelyn Burcham	Mrs Samantha Marsh	Somerset	Care Home Health related deaths	Health and Safety Executive \| Department of Health and Social Care \| Care Quality Commission	3	4	https://www.judiciary.uk/prevention-of-future-death-reports/evelyn-burcham-prevention-of-future-deaths-report/
completed	08/12/2015	08/12/2015		Madhumita Mandal	Ms Selena R Lynch	London South	Community health care and emergency services related deaths	Croydon Health Services NHS Trust \| NHS South West London Integrated Care Board \| Virgin Care	3	3	https://www.judiciary.uk/prevention-of-future-death-reports/madhumita-mandal/
completed	21/08/2024	16/08/2024	2024-0462	Daniel Klosi	Ms Mary Hassell	London Inner North	Child Death (from 2015) \| Hospital Death (Clinical Procedures and medical management) related deaths	Royal Free London NHS Foundation Trust \| Royal College of Paediatrics and Child Health \| Royal College of Emergency Medicine	3	4	https://www.judiciary.uk/prevention-of-future-death-reports/daniel-klosi-prevention-of-future-deaths-report/
completed	12/02/2017	15/12/2016	2016-0447	Francis Lea	Mrs lydia brown	Leicester City and South Leicestershire	Community health care and emergency services related deaths	Northfields Surgery \| Hazelmere Medical Centre \| NHS Leicester, Leicestershire and Rutland Integrated Care Board	3	3	https://www.judiciary.uk/prevention-of-future-death-reports/francis-lea/
completed	19/02/2017	18/01/2017	2017-0026	Teresa Dennett	Mrs Heidi Julia Connor	Nottinghamshire	Hospital Death (Clinical Procedures and medical management) related deaths	Nottingham University Hospitals NHS Trust \| Sheffield Health and Social Care NHS Foundation Trust \| NHS England	3	3	https://www.judiciary.uk/prevention-of-future-death-reports/teresa-dennett/
completed	12/08/2024	12/08/2024	2024-0443	David Thompson	Ms Joanne Kearsley	Greater Manchester North	Mental Health related deaths	Priory Group Limited \| NHS Greater Manchester Integrated Care Board \| Pennine Care NHS Foundation Trust	3	3	https://www.judiciary.uk/prevention-of-future-death-reports/david-thompson-prevention-of-future-deaths-report/
completed	24/09/2024	24/09/2024	2024-0510	George Coulthard	Ms Alison Patricia Mutch OBE	Greater Manchester South	Hospital Death (Clinical Procedures and medical management) related deaths	Care Quality Commission \| Department of Health and Social Care \| NHS Greater Manchester Integrated Care Board	3	3	https://www.judiciary.uk/prevention-of-future-death-reports/george-coulthard-prevention-of-future-deaths-report/
completed	10/01/2022	05/01/2022	2022-0003	Richard Sanders	Ms Katy Skerrett	Gloucestershire	Other related deaths	British Diving Safety Group \| University Hospitals Sussex NHS Foundation Trust \| National Diving and Activity Centre	3	3	https://www.judiciary.uk/prevention-of-future-death-reports/richard-sanders-prevention-of-future-deaths-report/
completed	15/07/2020	20/01/2016	2016-0600	Faiza Ahmed	Ms Mary Hassell	London Inner North	Emergency services related deaths (2019 onwards) \| Mental Health related deaths	Metropolitan Police Service \| London Ambulance Service NHS Trust \| Department for Work and Pensions	3	3	https://www.judiciary.uk/prevention-of-future-death-reports/faiza-ahmed/
completed	09/09/2019	30/05/2019	2019-0256	Geoffrey Duke	Margaret Jones	Staffordshire and Stoke-on-Trent	Community health care and emergency services related deaths \| Hospital Death (Clinical Procedures and medical management) related deaths	University Hospitals Birmingham NHS Foundation Trust \| University Hospitals of Derby and Burton NHS Foundation Trust \| Darwin Medical Practice	3	3	https://www.judiciary.uk/prevention-of-future-death-reports/geoffrey-duke/
completed	13/02/2023	02/02/2023	2023-0039	Jason Williams	Mrs Rachael Clare Griffin	Dorset	Alcohol, drug and medication related deaths \| State Custody related deaths	HM Prison and Probation Service \| NHS England \| HM Prison Guys Marsh	3	3	https://www.judiciary.uk/prevention-of-future-death-reports/jason-williams-prevention-of-future-deaths-report/
completed	09/12/2015	09/12/2015	2015-0474	Jake Robinson	Ms Joanne Kearsley	Greater Manchester South	Hospital Death (Clinical Procedures and medical management) related deaths \| Suicide (from 2015)	NHS England \| Greater Manchester Mental Health NHS Foundation Trust \| Bodmin Road Health Centre	3	3	https://www.judiciary.uk/prevention-of-future-death-reports/jake-robinson/
completed	09/09/2019	19/07/2019	2019-0244	Cherylee Shennan	Mr James Newman	Lancashire and Blackburn with Darwen	Other related deaths	Lancashire Constabulary \| Ministry of Justice \| HM Prison and Probation Service	3	3	https://www.judiciary.uk/prevention-of-future-death-reports/cherylee-shennan/
completed	31/07/2024	12/07/2024	2024-0377	Judith Obholzer	Ms Ellie Oakley	London Inner West	Suicide (from 2015)	NHS England \| Department of Health and Social Care \| South West London and St George’s Mental Health NHS Trust	3	3	https://www.judiciary.uk/prevention-of-future-death-reports/judith-obholzer-prevention-of-future-deaths-report/
completed	04/07/2024	04/07/2024	2024-0360	David Morris	Mr graeme Irvine	London East	Hospital Death (Clinical Procedures and medical management) related deaths	Barking, Havering and Redbridge University Hospitals NHS Trust \| Department of Health and Social Care \| Medicines and Healthcare Products Regulatory Agency	3	3	https://www.judiciary.uk/prevention-of-future-death-reports/david-morris-prevention-of-future-deaths-report/
completed	05/03/2017	21/02/2017	2017-0049	Jack Portland	Mr Crispin Giles Butler	Buckinghamshire	Hospital Death (Clinical Procedures and medical management) related deaths \| State Custody related deaths	HM Prison Woodhill \| Central and North West London NHS Foundation Trust \| Oxford University Hospitals NHS Foundation Trust	3	3	https://www.judiciary.uk/prevention-of-future-death-reports/jack-portland/
completed	11/02/2018	07/12/2017	2017-0356	Violet Nelson	Mr Peter J Bedford	Berkshire	Hospital Death (Clinical Procedures and medical management) related deaths	NHS England \| Royal College of General Practitioners \| Society of Radiographers	3	3	https://www.judiciary.uk/prevention-of-future-death-reports/violet-nelson/
completed	30/12/2013	01/10/2013	2013-0247	Michael Joseph Hirrell	Mrs lydia brown	Leicester City and South Leicestershire	Product related deaths	Npower \| Energy UK \| Ofgem	3	3	https://www.judiciary.uk/prevention-of-future-death-reports/hirrell-2013-0247/
completed	24/05/2021	18/05/2021	2021-0160	Bruce Houghton	Ms Joanne Kearsley	Greater Manchester North	Alcohol, drug and medication related deaths \| Community health care and emergency services related deaths	Department of Health and Social Care \| NHS Greater Manchester Integrated Care Board \| Uplands Medical Practice	3	3	https://www.judiciary.uk/prevention-of-future-death-reports/bruce-houghton/
completed	21/12/2018	21/12/2018	2018-0404	Richard Whale	Ms Alison Patricia Mutch OBE	Greater Manchester South	Other related deaths	Trafford Council \| Manchester United Football Club \| Department for Culture, Media and Sport	3	3	https://www.judiciary.uk/prevention-of-future-death-reports/richard-whale/
completed	05/03/2017	14/02/2017	2017-0046	Wendy Telfer	Mrs lydia brown	County of Devon, Plymouth & Torbay	Hospital Death (Clinical Procedures and medical management) related deaths	Royal Devon University Healthcare NHS Foundation Trust \| Devon Partnership NHS Trust \| NHS Devon Integrated Care Board	3	3	https://www.judiciary.uk/prevention-of-future-death-reports/wendy-telfer/
completed	15/02/2016	15/02/2016	2016-0059	Adam Withers	Ms Alison Brydie Hewitt	Surrey	Hospital Death (Clinical Procedures and medical management) related deaths	Surrey and Borders Partnership NHS Foundation Trust \| Department of Health and Social Care \| NHS England	3	3	https://www.judiciary.uk/prevention-of-future-death-reports/adam-withers/
completed	19/05/2023	12/05/2023	2023-0160	Tamsin Dolamore	Mr Andrew Cox	Cornwall and the Isles of Scilly	Other related deaths	Devon and Cornwall Police \| Association of Police and Crime Commissioners \| Network Rail	3	6	https://www.judiciary.uk/prevention-of-future-death-reports/tamsin-dolamore-prevention-of-future-deaths-report/
completed	29/04/2021	28/04/2021	2021-0123	Paul Sartori	Ms Nadia Persaud	London East	Hospital Death (Clinical Procedures and medical management) related deaths	Royal College of Emergency Medicine \| Barts Health NHS Trust \| North East London NHS Foundation Trust	3	3	https://www.judiciary.uk/prevention-of-future-death-reports/paul-sartori/
completed	28/12/2018	28/12/2018	2018-0411	Gregory Rewkowski	Ms Joanne Kearsley	Greater Manchester North	Community health care and emergency services related deaths	Greater Manchester Police \| Pennine Care NHS Foundation Trust \| North West Ambulance Service NHS Trust	3	3	https://www.judiciary.uk/prevention-of-future-death-reports/gregory-rewkowski/
completed	22/10/2024	22/10/2024	2024-0565	Peter Parker	Mr Aled Wyn Gruffydd	Swansea and Neath Port Talbot	Emergency services related deaths (2019 onwards) \| Other related deaths \| Wales prevention of future deaths reports (2019 onwards)	Swansea Bay University Health Board \| Welsh Ambulance Services University NHS Trust \| Welsh Parliament	3	3	https://www.judiciary.uk/prevention-of-future-death-reports/peter-parker-prevention-of-future-deaths-report/
completed	29/04/2021	26/04/2021	2021-0120	Alan Massam	Ms Alison Patricia Mutch OBE	Greater Manchester South	Care Home Health related deaths \| Community health care and emergency services related deaths \| Hospital Death (Clinical Procedures and medical management) related deaths \| Mental Health related deaths	Department of Health and Social Care \| NHS Greater Manchester Integrated Care Board \| Care Quality Commission	3	3	https://www.judiciary.uk/prevention-of-future-death-reports/alan-massam/
completed	27/11/2017	04/10/2017	2017-0293	Sofia Legg	Mr Tony Williams	Somerset	Hospital Death (Clinical Procedures and medical management) related deaths \| Suicide (from 2015)	CAMHS \| NHS Derby and Derbyshire Integrated Care Board \| Somerset County Council	3	4	https://www.judiciary.uk/prevention-of-future-death-reports/sofia-legg/
completed	17/06/2018	17/04/2018	2018-0107	Matthew Wilmot	Mr Ian Geoffrey Pears	Bedfordshire and Luton	Other related deaths	M & S Water Services \| B & D Civil Engineering Limited	2	2	https://www.judiciary.uk/prevention-of-future-death-reports/matthew-wilmot/
completed	08/12/2023	05/12/2023	2023-0499	Samuel Jones	Mrs Rachael Clare Griffin	Dorset	State Custody related deaths	HM Prison and Probation Service \| NHS England	2	3	https://www.judiciary.uk/prevention-of-future-death-reports/samuel-jones-prevention-of-future-deaths-report/
completed	25/09/2017	20/07/2017	2017-0216	Nina Maggs	Mr David William Graham RIDLEY	Wiltshire and Swindon	Road (Highways Safety) related deaths	Swindon Borough Council \| Department for Transport	2	2	https://www.judiciary.uk/prevention-of-future-death-reports/nina-maggs/
completed	17/06/2018	12/04/2018	2018-0102	Patricia Heslop	Derek Winters	Sunderland	Care Home Health related deaths	Department of Health and Social Care \| HC One	2	2	https://www.judiciary.uk/prevention-of-future-death-reports/patricia-heslop/
completed	16/02/2015	16/02/2015	2015-0050	Richard Westgate	Mr Sheriff S Payne	Dorset	Other related deaths	British Airways \| Civil Aviation Authority	2	2	https://www.judiciary.uk/prevention-of-future-death-reports/richard-westgate/
completed	30/10/2023	16/10/2023	2023-0386	Claire Twinn	Mr graeme Irvine	London East	Other related deaths	Oxford Health NHS Foundation Trust \| Department of Health and Social Care	2	2	https://www.judiciary.uk/prevention-of-future-death-reports/claire-twinn-prevention-of-future-deaths-report/
completed	28/06/2021	21/06/2021	2021-0209	Rodney Dixon	Mr James Healy-Pratt	East Sussex	Community health care and emergency services related deaths \| Hospital Death (Clinical Procedures and medical management) related deaths \| Mental Health related deaths \| Suicide (from 2015)	Sussex Partnership NHS Foundation Trust \| East Sussex County Council	2	2	https://www.judiciary.uk/prevention-of-future-death-reports/rodney-dixon/
completed	04/01/2023	20/12/2022	2022-0407	Alexander Braund	Miss Laurinda Bower	Nottinghamshire	State Custody related deaths	HM Prison Nottingham \| Nottinghamshire Healthcare NHS Foundation Trust	2	3	https://www.judiciary.uk/prevention-of-future-death-reports/alexander-braund-prevention-of-future-deaths-report/
completed	22/02/2023	07/02/2023	2023-0046	Ania Sohail	Ms Catherine McKenna	Greater Manchester North	Alcohol, drug and medication related deaths \| Suicide (from 2015)	Department of Health and Social Care \| Greater Manchester Mental Health NHS Foundation Trust	2	2	https://www.judiciary.uk/prevention-of-future-death-reports/ania-sohail-prevention-of-future-deaths-report/
completed	21/11/2022	16/11/2022	2022-0365	Awaab Ishak	Ms Joanne Kearsley	Greater Manchester North	Child Death (from 2015) \| Other related deaths	Ministry of Housing, Communities and Local Government \| Department of Health and Social Care	2	4	https://www.judiciary.uk/prevention-of-future-death-reports/awaab-ishak-prevention-of-future-deaths-report/
completed	11/12/2023	05/12/2023	2023-0500	Patricia Walton	Mrs Dianne Hocking	Leicester City and South Leicestershire	Hospital Death (Clinical Procedures and medical management) related deaths	University Hospitals of Leicester NHS Trust \| NHS England	2	2	https://www.judiciary.uk/prevention-of-future-death-reports/patricia-walton-prevention-of-future-deaths-report/
completed	26/01/2016	26/01/2016	2016-026	Rio Andrew	Ms Selena R Lynch	London South	Child Death (from 2015) \| Community health care and emergency services related deaths	Department of Health and Social Care \| Lifeskills	2	2	https://www.judiciary.uk/prevention-of-future-death-reports/rio-andrews/
completed	04/01/2023	21/12/2022	2022-0409	Donald Hooker	Miss Lorraine Harris	East Riding of Yorkshire and Kingston-upon-Hull	Road (Highways Safety) related deaths	Department for Transport \| Transport Research Laboratory	2	3	https://www.judiciary.uk/prevention-of-future-death-reports/donald-hooker-prevention-of-future-deaths-report/
completed	23/11/2020	25/09/2020	2020-0188	Susan Warby	Mr Nigel Parsley	Suffolk	Hospital Death (Clinical Procedures and medical management) related deaths	Department of Health and Social Care \| Medicines and Healthcare Products Regulatory Agency	2	2	https://www.judiciary.uk/prevention-of-future-death-reports/susan-warby/
completed	04/05/2021	30/04/2021	2021-0128	Jade Rayner	Ms Alison Patricia Mutch OBE	Greater Manchester South	Alcohol, drug and medication related deaths \| Community health care and emergency services related deaths \| Mental Health related deaths \| Police related deaths	Greater Manchester Police \| NHS Greater Manchester Integrated Care Board	2	2	https://www.judiciary.uk/prevention-of-future-death-reports/jade-rayner/
completed	12/07/2016	12/07/2016	2016-0247	Steven Billington	Jennifer Leaming	Greater Manchester West	Other related deaths	Home Office \| Ministry of Housing, Communities and Local Government	2	2	https://www.judiciary.uk/prevention-of-future-death-reports/steven-billington/
completed	27/11/2017	12/10/2017	2017-0303	Lesley Hanson	Mr Philip Spinney	South Wales Central	Community health care and emergency services related deaths	Cardiff Council \| Chief Medical Officer for Wales	2	2	https://www.judiciary.uk/prevention-of-future-death-reports/lesley-hanson/
completed	01/11/2023	20/10/2023	2023-0401	Jill Brice	Mr Gareth jones	West Sussex, Brighton and Hove	Other related deaths	Ministry of Housing, Communities and Local Government \| Care Quality Commission	2	2	https://www.judiciary.uk/prevention-of-future-death-reports/jill-brice-prevention-of-future-deaths-report/
completed	30/09/2022	04/08/2022	2022-0245	Stanislav Mucha	Ms Joanne Kearsley	Greater Manchester North	Mental Health related deaths	Royal College of Psychiatrists \| Department of Health and Social Care	2	3	https://www.judiciary.uk/prevention-of-future-death-reports/stanislav-mucha-prevention-of-future-deaths-report/
completed	04/01/2023	22/12/2022	2022-0411	Allah Ismail	Mr Nigel Meadows	Manchester City	Child Death (from 2015) \| Other related deaths	Healthcare Quality Improvement Partnership \| British Thoracic Society	2	2	https://www.judiciary.uk/prevention-of-future-death-reports/allah-ismail-prevention-of-future-deaths-report/
completed	20/04/2015	20/04/2015	2015-0146	Daniel Hodgin	Mr John Penhale Ellery	Shropshire, Telford and Wrekin	Other related deaths	Shropshire Council \| Senior Lawyer Professional Support	2	2	https://www.judiciary.uk/prevention-of-future-death-reports/daniel-hodgin/
completed	22/09/2023	19/09/2023	2023-0337	Stephen Cassidy	Dr Simon Fox QC	Avon	Alcohol, drug and medication related deaths \| Care Home Health related deaths	Digital \| North Bristol NHS Trust	2	2	https://www.judiciary.uk/prevention-of-future-death-reports/stephen-cassidy-prevention-of-future-deaths-report/
completed	21/11/2022	15/11/2022	2022-0364	Robert Kelly	Mr Tom Osborne	Milton Keynes	Suicide (from 2015)	Milton Keynes University Hospital NHS Foundation Trust \| West London NHS Trust	2	2	https://www.judiciary.uk/prevention-of-future-death-reports/ronald-kelly-prevention-of-future-deaths-report/
completed	09/02/2015	09/02/2015	2015-0046	Margaret Clarke	Ms Nicola Jane Mundy	Yorkshire South East	Other related deaths	Doncaster Council \| Health and Safety Executive	2	2	https://www.judiciary.uk/prevention-of-future-death-reports/margaret-clarke/
completed	02/12/2017	27/07/2017	2017-0328	Sheila Gaskin	Mr Andrew Roger Barkley	South Wales Central	Hospital Death (Clinical Procedures and medical management) related deaths	Welsh Government \| Care Quality Commission	2	2	https://www.judiciary.uk/prevention-of-future-death-reports/sheila-gaskin/
completed	26/09/2023	22/09/2023	2023-0346	Sebastian Daniels	Mr Robert Simpson	Hampshire, Portsmouth and Southampton	Alcohol, drug and medication related deaths	Hampshire Hospitals NHS Foundation Trust \| Hampshire and Isle of Wight Healthcare NHS Foundation Trust	2	2	https://www.judiciary.uk/prevention-of-future-death-reports/sebastian-daniels-prevention-of-future-deaths-report/
completed	08/06/2016	08/06/2016	2016-0216	Stephen Hunt	Mr Nigel Meadows	Manchester City	Community health care and emergency services related deaths \| Other related deaths	Home Office \| Chief Fire Officers Association	2	2	https://www.judiciary.uk/prevention-of-future-death-reports/stephen-hunt/
completed	14/06/2021	14/06/2021	2021-0202	Ian Hall	Ms Alison Patricia Mutch OBE	Greater Manchester South	Alcohol, drug and medication related deaths \| Community health care and emergency services related deaths \| Other related deaths	Medicines and Healthcare Products Regulatory Agency \| NHS Derby and Derbyshire Integrated Care Board	2	2	https://www.judiciary.uk/prevention-of-future-death-reports/ian-hall/
completed	13/06/2016	13/06/2016	2016-0220	Kevin Dermott	Mr Nicholas Leslie Rheinberg	Cheshire	Mental Health related deaths \| Suicide (from 2015)	NHS England \| Department of Health and Social Care	2	3	https://www.judiciary.uk/prevention-of-future-death-reports/kevin-dermott/
completed	03/12/2017	27/07/2017	2017-0318	Maureen Colclough	Mrs Jean Harkin	Cheshire	Care Home Health related deaths	Care Quality Commission \| Care Agency	2	2	https://www.judiciary.uk/prevention-of-future-death-reports/maureen-colclough/
completed	19/12/2023	08/12/2023	2023-0526	Catherine Jones	Mr John Gittins	North Wales (East & Central)	Hospital Death (Clinical Procedures and medical management) related deaths	Betsi Cadwaladr University Health Board \| Welsh Government	2	2	https://www.judiciary.uk/prevention-of-future-death-reports/catherine-jones-prevention-of-future-deaths-report/
completed	27/09/2022	13/07/2022	2022-0209	Daniel Clements	Mr Kevin McLoughlin	Yorkshire West Western	Mental Health related deaths \| Suicide (from 2015)	Department of Health and Social Care \| South West Yorkshire Partnership NHS Foundation Trust	2	2	https://www.judiciary.uk/prevention-of-future-death-reports/daniel-clements-prevention-of-future-deaths-report/
completed	28/06/2021	17/06/2021	2021-0207	Leonard Pritchard	Mr Adam Hodson	Birmingham and Solihull	Hospital Death (Clinical Procedures and medical management) related deaths	University Hospitals Birmingham NHS Foundation Trust \| NHS England	2	2	https://www.judiciary.uk/prevention-of-future-death-reports/leonard-pritchard/
completed	16/06/2018	28/03/2018	2018-0088	Anthony Paine	Mr André Rebello OBE	Liverpool and the Wirral	Mental Health related deaths \| State Custody related deaths	Ministry of Justice \| HM Prison and Probation Service	2	2	https://www.judiciary.uk/prevention-of-future-death-reports/anthony-paine/
completed	31/10/2023	20/10/2023	2023-0397	Thomas Doyle	Mr graeme Irvine	London East	Hospital Death (Clinical Procedures and medical management) related deaths	Barking, Havering and Redbridge University Hospitals NHS Trust \| Department of Health and Social Care	2	2	https://www.judiciary.uk/prevention-of-future-death-reports/thomas-doyle-prevention-of-future-deaths-report/
completed	28/04/2015	28/04/2015	2015-0165	Greg Revell	Mrs lydia brown	Leicester City and South Leicestershire	Hospital Death (Clinical Procedures and medical management) related deaths \| State Custody related deaths	HM Prison Fosse Way \| Leicestershire Partnership NHS Trust	2	2	https://www.judiciary.uk/prevention-of-future-death-reports/greg-revell/
completed	05/06/2020	27/04/2020	2020-0106	Evelyn Ross	Ms Alison Patricia Mutch OBE	Greater Manchester South	Hospital Death (Clinical Procedures and medical management) related deaths \| Other related deaths	Manchester University NHS Foundation Trust \| Department of Health and Social Care	2	2	https://www.judiciary.uk/prevention-of-future-death-reports/evelyn-ross/
completed	22/07/2017	22/07/2017	2017-0341	Linda Baranowski	Mr Geoffrey Sullivan	Hertfordshire	Other related deaths \| Product related deaths	Hertfordshire County Council \| Food Standards Agency	2	2	https://www.judiciary.uk/prevention-of-future-death-reports/linda-baranowski/
completed	24/02/2023	10/02/2023	2023-0051	Sandra Lomax	Ms Alison Patricia Mutch OBE	Greater Manchester South	Hospital Death (Clinical Procedures and medical management) related deaths	NHS Greater Manchester Integrated Care Board \| NHS England	2	2	https://www.judiciary.uk/prevention-of-future-death-reports/sandra-lomax-prevention-of-future-deaths-report/
completed	02/12/2017	21/07/2017	2017-0334	James Harris	Miss Emma Brown	Birmingham and Solihull	Care Home Health related deaths	Care Quality Commission \| Care First Class UK Limited	2	2	https://www.judiciary.uk/prevention-of-future-death-reports/james-harris/
completed	30/10/2023	09/10/2023	2023-0378	Sandra Curran	Ms Alison Patricia Mutch OBE	Greater Manchester South	Other related deaths	Foreign, Commonwealth and Development Office \| ABTA – The Travel Association	2	2	https://www.judiciary.uk/prevention-of-future-death-reports/sandra-curran-prevention-of-future-deaths-report/
completed	01/12/2020	08/10/2020	2020-0201	May Miller	Ms Jacqueline P Devonish	Suffolk	Care Home Health related deaths \| Mental Health related deaths	Suffolk Safeguarding Partnership \| The Limes Sheltered Housing	2	2	https://www.judiciary.uk/prevention-of-future-death-reports/may-miller/
completed	30/09/2022	06/08/2022	2022-0246	Ernest Bacon	Ms Alison Patricia Mutch OBE	Greater Manchester South	Hospital Death (Clinical Procedures and medical management) related deaths	Department of Health and Social Care \| Tameside and Glossop Integrated Care NHS Foundation Trust	2	2	https://www.judiciary.uk/prevention-of-future-death-reports/ernest-bacon-prevention-of-future-deaths-report/
completed	04/01/2023	13/12/2022	2022-0414	Akeem Rhoden	Miss Rachel Elisabeth Knight	South Wales Central	Other related deaths \| Wales prevention of future deaths reports (2019 onwards)	Cyngor Sir Powys County Council \| Rhondda Cynon Taf County Borough Council	2	2	https://www.judiciary.uk/prevention-of-future-death-reports/akeem-rhoden-prevention-of-future-deaths-report/
completed	30/10/2023	10/10/2023	2023-0380	Alex Dews	Ms Abigail Combes	Yorkshire South West	Other related deaths	Department of Health and Social Care \| Department for Education	2	3	https://www.judiciary.uk/prevention-of-future-death-reports/alex-dews-prevention-of-future-deaths-report/
completed	13/02/2015	13/02/2015	2015-0055	Christopher Taylor	Mrs Maria Eileen Voisin	Avon	Community health care and emergency services related deaths	Avon and Somerset Police \| Sainsbury's	2	2	https://www.judiciary.uk/prevention-of-future-death-reports/christopher-taylor/
completed	30/03/2021	26/03/2021	2021-0084	Lee Marsden	Mr Matthew A Cox	Greater Manchester North	Police related deaths \| Road (Highways Safety) related deaths	National Highways \| Merseyside Police	2	2	https://www.judiciary.uk/prevention-of-future-death-reports/lee-marsden/
completed	30/10/2023	11/10/2023	2023-0383	Sarah Holmes	Miss Janine Richards	County Durham and Darlington	Suicide (from 2015)	Tees, Esk and Wear Valley NHS Foundation Trust \| Care Quality Commission	2	5	https://www.judiciary.uk/prevention-of-future-death-reports/sarah-holmes-prevention-of-future-deaths-report/
completed	15/01/2016	15/01/2016	2016-0022	Jasmine Lapsley	Ms Nicola Jones	North West Wales	Community health care and emergency services related deaths	Welsh Ambulance Services University NHS Trust \| Welsh Parliament	2	2	https://www.judiciary.uk/prevention-of-future-death-reports/jasmine-lapsley/
completed	26/10/2020	17/08/2020	2020-0161	Ian Allen	Mrs Louise Hunt	Birmingham and Solihull	Alcohol, drug and medication related deaths \| Care Home Health related deaths	Birmingham and Solihull Mental Health NHS Foundation Trust \| Department of Health and Social Care	2	2	https://www.judiciary.uk/prevention-of-future-death-reports/ian-allen/
completed	24/01/2023	20/01/2023	2023-0020	Dorothy Jones	Ms Caroline Saunders	Gwent	Emergency services related deaths (2019 onwards) \| Wales prevention of future deaths reports (2019 onwards)	Welsh Ambulance Services University NHS Trust \| Department of Health and Social Care	2	2	https://www.judiciary.uk/prevention-of-future-death-reports/dorothy-jones-prevention-of-future-deaths-report/
completed	21/10/2020	11/08/2020	2020-0156	Sylvia Scully	Mr Chris Morris	Greater Manchester South	Hospital Death (Clinical Procedures and medical management) related deaths	Royal College of Radiologists \| Tameside and Glossop Integrated Care NHS Foundation Trust	2	2	https://www.judiciary.uk/prevention-of-future-death-reports/sylvia-scully/
completed	23/01/2023	19/01/2023	2023-0018	Derek Larkin	Mr Stephen John Nicholls	Dorset	Care Home Health related deaths	Dorset Council \| NHS Dorset Integrated Care Board	2	2	https://www.judiciary.uk/prevention-of-future-death-reports/derek-larkin-prevention-of-future-deaths-report/
completed	09/01/2023	30/12/2022	2023-0005	Gavin Pedleham	Miss Caroline Topping	Surrey	Alcohol, drug and medication related deaths	Medicines and Healthcare Products Regulatory Agency \| Home Office	2	3	https://www.judiciary.uk/prevention-of-future-death-reports/gavin-pedleham-prevention-of-future-deaths-report/
completed	19/10/2020	07/08/2020	2020-0152	Jan Klempar	Mr Andrew Cox	Cornwall and the Isles of Scilly	Other related deaths	Royal National Lifeboat Institution \| Maritime and Coastguard Agency	2	2	https://www.judiciary.uk/prevention-of-future-death-reports/jan-klempar/
completed	27/09/2022	17/07/2022	2022-0215	Rebecca Flint	Mr Adrian John Farrow	Greater Manchester South	Mental Health related deaths \| Suicide (from 2015)	Department of Health and Social Care \| NHS Greater Manchester Integrated Care Board	2	2	https://www.judiciary.uk/prevention-of-future-death-reports/rebecca-flint-prevention-of-future-deaths-report/
completed	19/10/2020	07/08/2020	2020-0153	Anthony Williamson	Mr Andrew Cox	Cornwall and the Isles of Scilly	Other related deaths	Royal National Lifeboat Institution \| Maritime and Coastguard Agency	2	2	https://www.judiciary.uk/prevention-of-future-death-reports/anthony-williamson/
completed	22/11/2023	17/11/2023	2023-0457	Raymond Eggleton	Mr David William Graham RIDLEY	Wiltshire and Swindon	Hospital Death (Clinical Procedures and medical management) related deaths	Great Western Hospitals NHS Foundation Trust \| Department of Health and Social Care	2	2	https://www.judiciary.uk/prevention-of-future-death-reports/raymond-eggleton-prevention-of-future-deaths-report/
completed	23/02/2024	15/06/2018	2024-0094	Darren Carrington	Miss Veronica HAMILTON-DEELEY	West Sussex, Brighton and Hove	Alcohol, drug and medication related deaths	North Laine Medical Centre \| NHS Sussex Integrated Care Board	2	3	https://www.judiciary.uk/prevention-of-future-death-reports/darren-carrington-prevention-of-future-deaths-report/
completed	26/07/2016	26/07/2016	2016-0276	Leslie Matthews	Mr Crispin Oliver	County Durham and Darlington	Hospital Death (Clinical Procedures and medical management) related deaths \| Other related deaths	County Durham and Darlington NHS Foundation Trust \| Medicines and Healthcare Products Regulatory Agency	2	2	https://www.judiciary.uk/prevention-of-future-death-reports/leslie-matthews/
completed	01/10/2020	27/07/2020	2020-0145	Samuel Garner	Ms Alison Patricia Mutch OBE	Greater Manchester South	Care Home Health related deaths	Department of Health and Social Care \| NHS Greater Manchester Integrated Care Board	2	2	https://www.judiciary.uk/prevention-of-future-death-reports/samuel-garner/
completed	04/05/2021	29/04/2021	2021-0125	Darren Adams	Miss Lorraine Harris	Yorkshire South East	Mental Health related deaths \| Other related deaths \| State Custody related deaths \| Suicide (from 2015)	Practice Plus Group \| Resuscitation Council UK	2	2	https://www.judiciary.uk/prevention-of-future-death-reports/darren-adams/
completed	28/11/2023	22/11/2023	2023-0462	Kathleen Booth	Miss Emma Serrano	Staffordshire and Stoke-on-Trent	Hospital Death (Clinical Procedures and medical management) related deaths	NHS England \| University Hospitals of North Midlands NHS Trust	2	2	https://www.judiciary.uk/prevention-of-future-death-reports/kathleen-booth-prevention-of-future-deaths-report/
completed	22/11/2023	19/09/2023	2023-0456	Mark Bennett	Mr Stephen George Eccleston	Yorkshire South West	Emergency services related deaths (2019 onwards)	Yorkshire Ambulance Service NHS Trust \| Association of Ambulance Chief Executives	2	2	https://www.judiciary.uk/prevention-of-future-death-reports/mark-bennett-prevention-of-future-deaths-report/
completed	23/02/2016	23/02/2016	2016-0070	Lisa Day	Ms Mary Hassell	London Inner North	Community health care and emergency services related deaths	Central and North West London NHS Foundation Trust \| Welsh Ambulance Services University NHS Trust	2	2	https://www.judiciary.uk/prevention-of-future-death-reports/lisa-day/
completed	28/11/2023	22/11/2023	2023-0463	David Lewsey	Mr Andrew Cox	Cornwall and the Isles of Scilly	Hospital Death (Clinical Procedures and medical management) related deaths	Old Bridge Surgery \| National Institute for Health and Care Excellence	2	3	https://www.judiciary.uk/prevention-of-future-death-reports/david-lewsey-prevention-of-future-deaths-report/
completed	01/12/2023	27/11/2023	2023-0477	Jennifer Whinney	Ms Melanie Lee	London Inner North	Child Death (from 2015) \| Hospital Death (Clinical Procedures and medical management) related deaths	Barts Health NHS Trust \| Barking, Havering and Redbridge University Hospitals NHS Trust	2	3	https://www.judiciary.uk/prevention-of-future-death-reports/jennifer-whinney-prevention-of-future-deaths-report/
completed	01/10/2020	16/07/2020	2020-0143	Kobi Wright	Mrs Jacqueline F Lake	Norfolk	Child Death (from 2015) \| Hospital Death (Clinical Procedures and medical management) related deaths	James Paget University Hospitals NHS Foundation Trust \| RadcliffesLeBrasseur LLP	2	2	https://www.judiciary.uk/prevention-of-future-death-reports/kobi-wright/
completed	01/10/2020	13/07/2020	2020-0140	John Cheetham	Ms Alison Patricia Mutch OBE	Greater Manchester South	Emergency services related deaths (2019 onwards) \| Hospital Death (Clinical Procedures and medical management) related deaths	Department of Health and Social Care \| NHS Greater Manchester Integrated Care Board	2	2	https://www.judiciary.uk/prevention-of-future-death-reports/john-cheetham/
completed	15/07/2021	09/07/2021	2021-0243	Alan Griffin	Ms Mary Hassell	London Inner North	Other related deaths \| Suicide (from 2015)	Church of England \| Catholic Standards Safeguarding Agency	2	3	https://www.judiciary.uk/prevention-of-future-death-reports/alan-griffin/
completed	09/10/2020	06/07/2020	2020-0148	Prince Fosu	Chinyere Inyama	London West	State Custody related deaths	Central and North West London NHS Foundation Trust \| Independent Monitoring Board	2	2	https://www.judiciary.uk/prevention-of-future-death-reports/prince-fosu/
completed	09/01/2023	06/01/2023	2023-0007	Kyriacos Athanasis	Ms Catherine Judith Wood	Norfolk	Hospital Death (Clinical Procedures and medical management) related deaths	Department of Health and Social Care \| NHS Norfolk and Waveney Integrated Care Board	2	2	https://www.judiciary.uk/prevention-of-future-death-reports/kyriacos-athanasis-prevention-of-future-deaths-report/
completed	16/04/2021	16/04/2021	2021-0112	Roy Evans	Mr Peter Brunton	Ceredigion	Accident at Work and Health and Safety related deaths \| Other related deaths \| Road (Highways Safety) related deaths \| Wales prevention of future deaths reports (2019 onwards)	Cyngor Sir Ceredigion County Council \| Bucher Municipal Ltd	2	2	https://www.judiciary.uk/prevention-of-future-death-reports/roy-evans/
completed	08/07/2018	07/06/2018	2018-0173	Marcus Hance	Guy Davies	Cornwall and the Isles of Scilly	Hospital Death (Clinical Procedures and medical management) related deaths	NHS Cornwall and Isles of Scilly Integrated Care Board \| Cornwall Partnership NHS Foundation Trust	2	2	https://www.judiciary.uk/prevention-of-future-death-reports/marcus-hance/
completed	04/03/2015	04/03/2015	2015-0077	Kimberley Parsons	Dr Peter Harrowing	Avon	Suicide (from 2015)	Avon and Wiltshire Mental Health Partnership NHS Trust \| Care Quality Commission	2	3	https://www.judiciary.uk/prevention-of-future-death-reports/kimberley-parsons/
completed	23/04/2021	19/04/2021	2021-0115	Peter Hussey	Margaret Jones	Staffordshire and Stoke-on-Trent	Hospital Death (Clinical Procedures and medical management) related deaths \| Product related deaths	GBUK Enteral \| NHS England	2	4	https://www.judiciary.uk/prevention-of-future-death-reports/peter-hussey/
completed	26/07/2016	26/07/2016	2016 – 0268	Lee Grimes	Mrs Rachael Clare Griffin	Greater Manchester West	Community health care and emergency services related deaths	Next Stage \| Mersey Care NHS Foundation Trust	2	2	https://www.judiciary.uk/prevention-of-future-death-reports/lee-grimes/
completed	09/01/2023	30/12/2022	2023-0003	Jordan Pry	Mr Richard Travers	Surrey	Road (Highways Safety) related deaths	Department for Transport \| National Highways	2	3	https://www.judiciary.uk/prevention-of-future-death-reports/jordan-pry-prevention-of-future-deaths-report/
completed	02/02/2016	05/02/2016	2016-0036	Samantha MacDonald	Jennifer Leaming	Greater Manchester West	Other related deaths \| Suicide (from 2015)	Campus Living Villages \| Department for Education	2	2	https://www.judiciary.uk/prevention-of-future-death-reports/samantha-macdonald/
completed	18/02/2015	18/02/2015	2015-0060	Keri Holdsworth	C W Malcolm Donnelly	Teesside and Hartlepool	Road (Highways Safety) related deaths	National Highways \| Hartlepool Borough Council	2	2	https://www.judiciary.uk/prevention-of-future-death-reports/keri-holdsworth/
completed	06/11/2023	20/10/2023	2023-0419	Trevor Bailey	Ms Mary Hassell	London Inner North	Other related deaths	London North West University Healthcare NHS Trust \| Church Lane Surgery	2	3	https://www.judiciary.uk/prevention-of-future-death-reports/69872-2/
completed	31/01/2023	31/01/2023	2023-0035	Nathan Forrester	Mr Andrew Harris	London Inner South	Alcohol, drug and medication related deaths \| State Custody related deaths	HM Prison and Probation Service \| NHS England	2	2	https://www.judiciary.uk/prevention-of-future-death-reports/nathan-forrester-prevention-of-future-deaths-report/
completed	25/03/2015	25/03/2015	2015-0121	Bryan Whitby	Ms Joanne Kearsley	Greater Manchester South	Hospital Death (Clinical Procedures and medical management) related deaths	Manchester University NHS Foundation Trust \| Davyhulme Medical Centre	2	2	https://www.judiciary.uk/prevention-of-future-death-reports/bryan-whitby/
completed	23/03/2015	23/03/2015	2015-0103	Joseph Allison	Mr Ian Wade KC	London East	Product related deaths	Handicare Accessibility Ltd \| British Healthcare Trades Association	2	2	https://www.judiciary.uk/prevention-of-future-death-reports/joseph-allison/
completed	23/03/2015	23/03/2015	2015-0115	James Bateley	Ms Penelope Schofield	West Sussex, Brighton and Hove	Hospital Death (Clinical Procedures and medical management) related deaths	Sussex Community NHS Foundation Trust \| NHS Sussex Integrated Care Board	2	2	https://www.judiciary.uk/prevention-of-future-death-reports/james-bateley/
completed	18/02/2015	18/02/2015	2015-0058	Henry Powell	Mrs lydia brown	Leicester City and South Leicestershire	Hospital Death (Clinical Procedures and medical management) related deaths	University Hospitals of Leicester NHS Trust \| Leicestershire Partnership NHS Trust	2	2	https://www.judiciary.uk/prevention-of-future-death-reports/henry-powell/
completed	31/10/2023	25/10/2023	2023-0396	Myra Maxfield	Miss Emma Serrano	Staffordshire and Stoke-on-Trent	Hospital Death (Clinical Procedures and medical management) related deaths	NHS England \| University Hospitals of North Midlands NHS Trust	2	2	https://www.judiciary.uk/prevention-of-future-death-reports/myra-maxfield-prevention-of-future-deaths-report/
completed	08/12/2023	30/11/2023	2023-0493	Donna Donnellan	Ms Joanne Kearsley	Greater Manchester North	Other related deaths	Northern Care Alliance NHS Foundation Trust \| Pennine Care NHS Foundation Trust	2	2	https://www.judiciary.uk/prevention-of-future-death-reports/donna-donnellan-prevention-of-future-deaths-report/
completed	27/11/2020	24/09/2020	2020-0196	Zak Farmer	Mrs Caroline Beasley-Murray OBE	Essex	Community health care and emergency services related deaths \| Mental Health related deaths	Essex Partnership University NHS Foundation Trust \| Castle Rock Group	2	2	https://www.judiciary.uk/prevention-of-future-death-reports/zak-farmer/
completed	19/11/2020	23/09/2020	2020-0182	Andres Roberts	Mr Colin Phillips	Swansea and Neath Port Talbot	Emergency services related deaths (2019 onwards) \| Wales prevention of future deaths reports (2019 onwards)	Welsh Ambulance Services University NHS Trust \| Department of Health and Social Care	2	2	https://www.judiciary.uk/prevention-of-future-death-reports/andres-roberts/
completed	13/04/2021	09/04/2021	2021-0100	Mina Topley-Bird	Mr James Edward Thompson	County Durham and Darlington	Hospital Death (Clinical Procedures and medical management) related deaths \| Mental Health related deaths \| Suicide (from 2015)	Department of Health and Social Care \| Tees, Esk and Wear Valley NHS Foundation Trust	2	2	https://www.judiciary.uk/prevention-of-future-death-reports/mina-topley-bird/
completed	06/11/2023	03/11/2023	2023-0427	Adam Johnson	Mrs Tanyka Samantha Rawden	Yorkshire South West	Other related deaths	Ice Hockey UK \| English Ice Hockey	2	4	https://www.judiciary.uk/prevention-of-future-death-reports/adam-johnson-prevention-of-future-deaths-report/
completed	19/11/2020	18/09/2020	2020-0177	Macloud Nyeruke	Mr Kevin McLoughlin	Yorkshire West Eastern	Accident at Work and Health and Safety related deaths \| Other related deaths	Leeds Teaching Hospitals NHS Trust \| Reed Specialist Recruitment Limited	2	3	https://www.judiciary.uk/prevention-of-future-death-reports/macloud-nyeruke/
completed	01/12/2023	27/11/2023	2023-0479	Gracie Spinks	Mr Matthew Kewley	Derby and Derbyshire	Other related deaths	Derbyshire Constabulary \| Home Office	2	2	https://www.judiciary.uk/prevention-of-future-death-reports/gracie-spinks-prevention-of-future-deaths-report/
completed	15/07/2016	15/07/2016	2016-0253	James Kane	Mr Andrew Tweddle	County Durham and Darlington	Hospital Death (Clinical Procedures and medical management) related deaths	County Durham and Darlington NHS Foundation Trust \| Department of Health and Social Care	2	2	https://www.judiciary.uk/prevention-of-future-death-reports/james-kane/
completed	13/11/2023	08/11/2023	2023-0433	Leya Adris	Miss Emma Brown	Birmingham and Solihull	Alcohol, drug and medication related deaths \| Care Home Health related deaths	Birmingham and Solihull Mental Health NHS Foundation Trust \| NHS Birmingham and Solihull Integrated Care Board	2	2	https://www.judiciary.uk/prevention-of-future-death-reports/leya-adris-prevention-of-future-deaths-report/
completed	17/03/2015	17/03/2015	2015-0106	Alasdair Penny	Mr Michael J C Burgess CVO, OBE	West Sussex, Brighton and Hove	Suicide (from 2015)	West Sussex County Council \| Sussex Police	2	2	https://www.judiciary.uk/prevention-of-future-death-reports/alasdair-penny/
completed	14/07/2017	14/07/2017	2017-0449	Sabrina Walsh	Mr James Healy-Pratt	East Sussex	Hospital Death (Clinical Procedures and medical management) related deaths	Department of Health and Social Care \| Sussex Partnership NHS Foundation Trust	2	2	https://www.judiciary.uk/prevention-of-future-death-reports/sabrina-walsh/
completed	13/04/2021	13/04/2021	2021-0102	Anthony Wilkinson	Ms Abigail Combes	Yorkshire South West	Community health care and emergency services related deaths \| Hospital Death (Clinical Procedures and medical management) related deaths \| Other related deaths	Care Quality Commission \| South West Yorkshire Partnership NHS Foundation Trust	2	3	https://www.judiciary.uk/prevention-of-future-death-reports/anthony-wilkinson/
completed	09/07/2021	07/07/2021	2021-0233	Kishorkumar Patel and Kofi Aning	Ms Nadia Persaud	London East	Hospital Death (Clinical Procedures and medical management) related deaths	Royal College of Anaesthetists \| Faculty of Intensive Care Medicine	2	4	https://www.judiciary.uk/prevention-of-future-death-reports/kishorkumar-patel-and-kofi-aning/
completed	14/11/2023	10/11/2023	2023-0441	Christopher Allum	Mrs Laura May Bradford	East Sussex	Suicide (from 2015)	Langford Centre \| NHS England	2	2	https://www.judiciary.uk/prevention-of-future-death-reports/christopher-allum-prevention-of-future-deaths-report/
completed	09/07/2021	08/07/2021	2021-0235	Maria Stancliffe-Cook	Mrs Maria Eileen Voisin	Avon	Hospital Death (Clinical Procedures and medical management) related deaths \| Mental Health related deaths \| Suicide (from 2015)	Avon and Wiltshire Mental Health Partnership NHS Trust \| Department of Health and Social Care	2	2	https://www.judiciary.uk/prevention-of-future-death-reports/maria-stancliffe-cook/
completed	10/06/2020	15/05/2020	2020-0112	Lynda Pedersen	Ms Patricia Harding	Kent Central and South East	Hospital Death (Clinical Procedures and medical management) related deaths	East Kent Hospitals University NHS Foundation Trust \| NHS England	2	2	https://www.judiciary.uk/prevention-of-future-death-reports/lynda-pedersen/
completed	28/11/2022	25/11/2022	2022-0381	Philip Battle	Mr André Rebello OBE	Liverpool and the Wirral	Suicide (from 2015)	North West Ambulance Service NHS Trust \| Association of Police and Crime Commissioners	2	2	https://www.judiciary.uk/prevention-of-future-death-reports/philip-battle-prevention-of-future-deaths-report/
completed	23/04/2021	19/04/2021	2021-0114	Stephen Oakes	Margaret Jones	Staffordshire and Stoke-on-Trent	Hospital Death (Clinical Procedures and medical management) related deaths \| Product related deaths	GBUK Enteral \| NHS England	2	4	https://www.judiciary.uk/prevention-of-future-death-reports/stephen-oakes/
completed	25/07/2016	25/07/2016	2016-0264	Yogalakshmi Sinnaiah	Mr David Clark Horsley	Hampshire, Portsmouth and Southampton	Road (Highways Safety) related deaths	Hampshire County Council \| Department for Transport	2	2	https://www.judiciary.uk/prevention-of-future-death-reports/yogalakshmi-sinnaiah-2/
completed	28/09/2022	22/07/2022	2022-0224	Michael Shuttleworth	Mr Oliver Robert Longstaff	Yorkshire West Eastern	Road (Highways Safety) related deaths	UPS \| Mercedes-Benz	2	2	https://www.judiciary.uk/prevention-of-future-death-reports/michael-shuttleworth-prevention-of-future-deaths-report/
completed	04/01/2023	28/12/2022	2022-0416	Emma Powell	Mr John Gittins	North Wales (East & Central)	Other related deaths \| Wales prevention of future deaths reports (2019 onwards)	Prime Minister’s Office \| Tesco PLC	2	2	https://www.judiciary.uk/prevention-of-future-death-reports/emma-powell-prevention-of-future-deaths-report/
completed	13/04/2021	13/04/2021	2021-0101	Ann Coles	Miss Caroline Topping	Surrey	Accident at Work and Health and Safety related deaths \| Hospital Death (Clinical Procedures and medical management) related deaths	Royal College of Physicians \| Royal College of General Practitioners	2	3	https://www.judiciary.uk/prevention-of-future-death-reports/ann-coles/
completed	09/05/2023	05/05/2023	2023-0147	Joshua Asprey	Michael Spencer	East Sussex	Mental Health related deaths	Royal Pharmaceutical Society \| National Institute for Health and Care Excellence	2	2	https://www.judiciary.uk/prevention-of-future-death-reports/joshua-asprey-prevention-of-future-deaths-report/
completed	01/10/2017	24/08/2017	2017-0244	Jonathan Meaney	Ms Mary Hassell	London Inner North	Hospital Death (Clinical Procedures and medical management) related deaths	North London NHS Foundation Trust \| Royal Free London NHS Foundation Trust	2	2	https://www.judiciary.uk/prevention-of-future-death-reports/jonathan-meaney/
completed	16/02/2021	12/02/2021	2021-0043	Philippa Day	Mr Gordon Clow	Nottinghamshire	Alcohol, drug and medication related deaths \| Mental Health related deaths \| Other related deaths	Department for Work and Pensions \| Capita Business Services Ltd	2	2	https://www.judiciary.uk/prevention-of-future-death-reports/philippa-day/
completed	07/01/2021	17/12/2020	2020-0289	Philip Taylor	Ms Alison Patricia Mutch OBE	Greater Manchester South	Care Home Health related deaths \| Community health care and emergency services related deaths	Care Quality Commission \| Department of Health and Social Care	2	3	https://www.judiciary.uk/prevention-of-future-death-reports/philip-taylor/
completed	05/05/2023	28/04/2023	2023-0143	Winbourne Charles	Mr graeme Irvine	London East	Suicide (from 2015)	North East London NHS Foundation Trust \| Department of Health and Social Care	2	3	https://www.judiciary.uk/prevention-of-future-death-reports/winbourne-charles-prevention-of-future-deaths-report/
completed	26/09/2023	03/07/2023	2023-0348	Andre Moura	Ms Alison Patricia Mutch OBE	Greater Manchester South	Alcohol, drug and medication related deaths	National Police Chiefs’ Council \| College of Policing	2	2	https://www.judiciary.uk/prevention-of-future-death-reports/andre-moura-prevention-of-future-deaths-report/
completed	10/10/2022	30/09/2022	2022-0306	Shahan Aman	Mr graeme Irvine	London East	Hospital Death (Clinical Procedures and medical management) related deaths	Barts Health NHS Trust \| Department of Health and Social Care	2	2	https://www.judiciary.uk/prevention-of-future-death-reports/shahan-aman-prevention-of-future-deaths-report/
completed	05/05/2023	27/04/2023	2023-0144	Caroline Forte	Ms Penelope Schofield	West Sussex, Brighton and Hove	Suicide (from 2015)	Royal College of Psychiatrists \| Sussex Partnership NHS Foundation Trust	2	4	https://www.judiciary.uk/prevention-of-future-death-reports/caroline-forte-prevention-of-future-deaths-report/
completed	28/10/2015	28/10/2015	2015-0453	Kevin Forster	Mr Andrew Tweddle	County Durham and Darlington	Alcohol, drug and medication related deaths \| State Custody related deaths	HM Prison and Probation Service \| G4S	2	2	https://www.judiciary.uk/prevention-of-future-death-reports/kevin-forster/
completed	16/02/2021	12/02/2021	2021-0042	Lucy Colgate	Miss Caroline Topping	Surrey	Other related deaths	Association of British Neurologists \| Royal College of Paediatrics and Child Health	2	2	https://www.judiciary.uk/prevention-of-future-death-reports/lucy-colgate/
completed	18/05/2021	12/05/2021	2021-0153	Mary Mellor	Dr Jason Wells	Greater Manchester South	Hospital Death (Clinical Procedures and medical management) related deaths	Medica Reporting Ltd \| Liverpool Heart and Chest Hospital NHS Foundation Trust	2	2	https://www.judiciary.uk/prevention-of-future-death-reports/mary-mellor/
completed	03/05/2023	25/04/2023	2023-0135	John Roberts	Guy Davies	Cornwall and the Isles of Scilly	Hospital Death (Clinical Procedures and medical management) related deaths	Royal Cornwall Hospitals NHS Trust \| National Institute for Health and Care Excellence	2	2	https://www.judiciary.uk/prevention-of-future-death-reports/john-roberts-prevention-of-future-deaths-report/
completed	07/01/2021	15/12/2020	2020-0287	Eddie Coffey	Mr Jonathan D P Stevens	Hertfordshire	Child Death (from 2015) \| Hospital Death (Clinical Procedures and medical management) related deaths	East and North Hertfordshire NHS Trust \| Department of Health and Social Care	2	2	https://www.judiciary.uk/prevention-of-future-death-reports/eddie-coffey/
completed	07/08/2015	07/08/2015	2015-0315	James Adams	Dr E. Emma Carlyon	Cornwall and the Isles of Scilly	Hospital Death (Clinical Procedures and medical management) related deaths	Department of Health and Social Care \| NHS England	2	2	https://www.judiciary.uk/prevention-of-future-death-reports/james-adams/
completed	10/07/2023	07/07/2023	2023-0233	David Lyth	Mrs Charlotte Keighley	Cheshire	Accident at Work and Health and Safety related deaths	3D Trans \| Health and Safety Executive	2	2	https://www.judiciary.uk/prevention-of-future-death-reports/david-lyth-prevention-of-future-deaths-report/
completed	27/01/2021	11/11/2020	2021-0018	Chelsie Greatorex	Mr graeme Irvine	London East	Alcohol, drug and medication related deaths \| Police related deaths	Home Office \| Metropolitan Police Service	2	2	https://www.judiciary.uk/prevention-of-future-death-reports/chelsie-violet/
completed	31/03/2021	08/12/2020	2021-0091	Ann Stillwell	Mr graeme Irvine	London East	Care Home Health related deaths	Department of Health and Social Care \| NHS North East London Integrated Care Board	2	2	https://www.judiciary.uk/prevention-of-future-death-reports/ann-stillwell/
completed	06/01/2021	09/12/2020	2020-0280	Leslie Harris	Ms Alison Patricia Mutch OBE	Greater Manchester South	Hospital Death (Clinical Procedures and medical management) related deaths	Public Health England \| NHS England	2	2	https://www.judiciary.uk/prevention-of-future-death-reports/leslie-harris/
completed	06/01/2021	09/12/2020	2020-0283	Thomas Rawnsley	Ms Abigail Combes	Yorkshire South West	Community health care and emergency services related deaths \| Emergency services related deaths (2019 onwards) \| Other related deaths	Yorkshire Ambulance Service NHS Trust \| NHS England	2	2	https://www.judiciary.uk/prevention-of-future-death-reports/thomas-rawnsley/
completed	02/06/2021	28/05/2021	2021-0184	Samantha Gould and Christine Gould	Mr Nicholas Moss QC	Cambridgeshire and Peterborough	Alcohol, drug and medication related deaths \| Child Death (from 2015) \| Community health care and emergency services related deaths \| Hospital Death (Clinical Procedures and medical management) related deaths \| Mental Health related deaths \| Other related deaths \| Police related deaths \| Railway related deaths \| Suicide (from 2015)	Cambridgeshire County Council \| National Police Chiefs’ Council	2	3	https://www.judiciary.uk/prevention-of-future-death-reports/samantha-gould-and-christine-gould/
completed	14/03/2018	18/01/2018	2018-0021	Paul Hanton	Ms Penelope Schofield	West Sussex, Brighton and Hove	Hospital Death (Clinical Procedures and medical management) related deaths	Sussex Partnership NHS Foundation Trust \| Sussex Police	2	2	https://www.judiciary.uk/prevention-of-future-death-reports/paul-hanton/
completed	21/07/2023	17/07/2023	2023-0251	Jane Wadsworth	Ms Alison Patricia Mutch OBE	Greater Manchester South	Hospital Death (Clinical Procedures and medical management) related deaths	Tameside and Glossop Integrated Care NHS Foundation Trust \| NHS England	2	2	https://www.judiciary.uk/prevention-of-future-death-reports/jane-wadsworth-prevention-of-future-deaths-report/
completed	24/05/2021	12/05/2021	2021-0162	Steven Oscroft	Mr Gordon Clow	Nottinghamshire	Other related deaths \| Road (Highways Safety) related deaths	Paul Wainwright Construction Services Ltd \| Driver and Vehicle Licensing Agency	2	2	https://www.judiciary.uk/prevention-of-future-death-reports/steven-oscroft/
completed	18/07/2023	10/07/2023	2023-0235	Harold Wilberforce	Mr Edward Steele	East Riding of Yorkshire and Kingston-upon-Hull	Other related deaths	Orchard 2000 Pharmacy \| General Pharmaceutical Council	2	3	https://www.judiciary.uk/prevention-of-future-death-reports/harold-wilberforce-prevention-of-future-deaths-report/
completed	07/11/2017	21/08/2017	2017-0259	Roger Hamer	Mr Peter Sigee	Greater Manchester North	Road (Highways Safety) related deaths	Bury Council \| Department for Transport	2	2	https://www.judiciary.uk/prevention-of-future-death-reports/roger-hamer/
completed	08/11/2023	13/07/2023	2023-0431	Mackenzie Cooper	Miss Laurinda Bower	Nottinghamshire	Other related deaths \| Product related deaths	Central England Co-operative \| Department of Health and Social Care	2	2	https://www.judiciary.uk/prevention-of-future-death-reports/mackenzie-cooper-prevention-of-future-deaths-report/
completed	18/07/2023	12/07/2023	2023-0238	Luke Ashton	Mr Ivan Cartwright	Leicester City and South Leicestershire	Other related deaths \| Suicide (from 2015)	Gambling Commission \| Department for Culture, Media and Sport	2	3	https://www.judiciary.uk/prevention-of-future-death-reports/luke-ashton-prevention-of-future-deaths-report/
completed	03/05/2023	24/04/2023	2023-0133	Samuel Howes	Mr John C Taylor	London South	Child Death (from 2015) \| Railway related deaths \| Suicide (from 2015)	Department of Health and Social Care \| NHS England	2	2	https://www.judiciary.uk/prevention-of-future-death-reports/samuel-howes-prevention-of-future-deaths-report/
completed	18/07/2023	12/07/2023	2023-0241	Mohammed Hussain	Mrs Louise Hunt	Birmingham and Solihull	Other related deaths	Department of Health and Social Care \| Birmingham and Solihull Mental Health NHS Foundation Trust	2	2	https://www.judiciary.uk/prevention-of-future-death-reports/mohammed-hussain-prevention-of-future-deaths-report/
completed	18/07/2023	11/07/2023	2023-0237	Mustafa Nadeem	Mr James Bennett	Birmingham and Solihull	Child Death (from 2015) \| Road (Highways Safety) related deaths	West Midlands Combined Authority \| Collaborative Mobility UK	2	3	https://www.judiciary.uk/prevention-of-future-death-reports/mustafa-nadeem-prevention-of-future-deaths-report/
completed	21/04/2016	21/04/2016	2016-0150	Mary Walker	Ms Alison Patricia Mutch OBE	Greater Manchester West	Community health care and emergency services related deaths	Belong Village \| Care Quality Commission	2	2	https://www.judiciary.uk/prevention-of-future-death-reports/mary-walker/
completed	04/08/2015	04/08/2015	2015-0307	Jeffrey Warren	Dr Bridget Dolan QC	West Sussex, Brighton and Hove	Other related deaths	Crawley Borough Council \| West Sussex County Council	2	2	https://www.judiciary.uk/prevention-of-future-death-reports/jeffrey-warren/
completed	21/07/2023	14/07/2023	2023-0247	Emily Corfield	Ms Kate Robertson	North Wales (East & Central)	Alcohol, drug and medication related deaths	Adferiad Recovery \| Betsi Cadwaladr University Health Board	2	3	https://www.judiciary.uk/prevention-of-future-death-reports/emily-corfield-prevention-of-future-deaths-report/
completed	21/10/2015	21/10/2015	2015-0412	Dorothy Cooper	Ms Nicola Jane Mundy	Yorkshire South East	Hospital Death (Clinical Procedures and medical management) related deaths	Mid Yorkshire Teaching NHS Trust \| Leeds Teaching Hospitals NHS Trust	2	3	https://www.judiciary.uk/prevention-of-future-death-reports/dorothy-cooper/
completed	18/05/2021	17/05/2021	2021-0155	Stephen Thurm	Christopher Murray	Greater Manchester South	Hospital Death (Clinical Procedures and medical management) related deaths \| Mental Health related deaths \| Suicide (from 2015)	Greater Manchester Mental Health NHS Foundation Trust \| NHS England	2	2	https://www.judiciary.uk/prevention-of-future-death-reports/stephen-thurm/
completed	25/10/2022	21/10/2022	2022-0330	Daniel O’Sullivan	Mr christopher paul williams	London Inner South	Alcohol, drug and medication related deaths \| Suicide (from 2015)	Department of Health and Social Care \| Central and North West London NHS Foundation Trust	2	2	https://www.judiciary.uk/prevention-of-future-death-reports/daniel-osullivan-prevention-of-future-deaths-report/
completed	07/04/2016	07/04/2016	2016-0138	Matthew Sargent	Mr Geraint Williams	Worcestershire	Hospital Death (Clinical Procedures and medical management) related deaths	Government Legal Department \| Herefordshire and Worcestershire Health and Care NHS Trust	2	2	https://www.judiciary.uk/prevention-of-future-death-reports/matthew-sargent/
completed	25/10/2022	20/10/2022	2022-0329	Clifford Rose	Mr Tom Osborne	Milton Keynes	Care Home Health related deaths	Central and North West London NHS Foundation Trust \| Milton Keynes City Council	2	2	https://www.judiciary.uk/prevention-of-future-death-reports/clifford-rose-prevention-of-future-deaths-report/
completed	24/05/2021	19/05/2021	2021-0163	Richard Burgess	Derek Winters	Sunderland	Hospital Death (Clinical Procedures and medical management) related deaths \| Mental Health related deaths	Cumbria, Northumberland, Tyne and Wear NHS Foundation Trust \| Department of Health and Social Care	2	2	https://www.judiciary.uk/prevention-of-future-death-reports/richard-burgess/
completed	05/04/2016	05/04/2016	2016-0136	Mark Seward	R .David Crawford Clarke	Warwickshire	Accident at Work and Health and Safety related deaths	Construction Plant Hire Association \| AGD Equipment Limited	2	2	https://www.judiciary.uk/prevention-of-future-death-reports/mark-seward/
completed	24/05/2021	21/05/2021	2021-0166	Martin Gibbons	Ms Alison Patricia Mutch OBE	Greater Manchester South	Hospital Death (Clinical Procedures and medical management) related deaths \| Mental Health related deaths \| Suicide (from 2015)	Department of Health and Social Care \| NHS Greater Manchester Integrated Care Board	2	2	https://www.judiciary.uk/prevention-of-future-death-reports/martin-gibbons/
completed	12/06/2023	05/06/2023	2023-0186	Jonathan Cole	Miss Sophie Cartwright KC	Derby and Derbyshire	Other related deaths	Ministry of Defence \| Nottinghamshire Healthcare NHS Foundation Trust	2	2	https://www.judiciary.uk/prevention-of-future-death-reports/jonathan-cole-prevention-of-future-deaths-report/
completed	16/10/2015	16/10/2015	2015-0376	Caroline Robey	Mrs lydia brown	Leicester City and South Leicestershire	Community health care and emergency services related deaths	East Midlands Ambulance Service NHS Trust \| NHS England	2	2	https://www.judiciary.uk/prevention-of-future-death-reports/caroline-robey/
completed	26/01/2021	19/01/2021	2021-0014	Anya Buckley	Mr Kevin McLoughlin	Yorkshire West Eastern	Alcohol, drug and medication related deaths	Leeds City Council \| Festival Republic	2	2	https://www.judiciary.uk/prevention-of-future-death-reports/anya-buckley/
completed	26/01/2021	19/01/2021	2021-0013	Alexandru Murgeanu and Jason Mercer	David Urpeath	Yorkshire South West	Other related deaths \| Road (Highways Safety) related deaths	National Highways \| Department for Transport	2	2	https://www.judiciary.uk/prevention-of-future-death-reports/alexandru-murgeanu-and-jason-mercer/
completed	04/02/2021	02/02/2021	2021-0022	Cyril Cheetham	Mr Andrew Michael Bridgman	Greater Manchester South	Community health care and emergency services related deaths \| Other related deaths	Department of Health and Social Care \| NHS Greater Manchester Integrated Care Board	2	2	https://www.judiciary.uk/prevention-of-future-death-reports/cyril-cheetham/
completed	12/02/2018	18/12/2017	2017-0383	Anne Morris	Mr christopher paul williams	London Inner South	Hospital Death (Clinical Procedures and medical management) related deaths	Oxleas NHS Foundation Trust \| Priory Group Limited	2	2	https://www.judiciary.uk/prevention-of-future-death-reports/anne-morris/
completed	11/02/2018	18/12/2017	2017-0370	Daniel Watson	Mr John Gittins	North Wales (East & Central)	Community health care and emergency services related deaths \| Mental Health related deaths	Betsi Cadwaladr University Health Board \| Wrexham County Borough Council	2	2	https://www.judiciary.uk/prevention-of-future-death-reports/daniel-watson/
completed	09/05/2024	22/05/2023	2024-0238	Michael Bray	Mr Peter Taheri	Suffolk	Emergency services related deaths (2019 onwards) \| Suicide (from 2015)	Department of Health and Social Care \| East of England Ambulance Service NHS Trust	2	2	https://www.judiciary.uk/prevention-of-future-death-reports/michael-bray-prevention-of-future-deaths-report/
completed	20/10/2022	17/10/2022	2022-0323	Seth Thind	Mr Christopher Campbell Wilkinson	Hampshire, Portsmouth and Southampton	Suicide (from 2015)	National Highways \| Hampshire County Council	2	2	https://www.judiciary.uk/prevention-of-future-death-reports/seth-thind-prevention-of-future-deaths-report/
completed	25/10/2022	24/10/2022	2022-0333	Glendys Roberts	Katie Sutherland	North West Wales	Emergency services related deaths (2019 onwards) \| Wales prevention of future deaths reports (2019 onwards)	Welsh Ambulance Services University NHS Trust \| Betsi Cadwaladr University Health Board	2	2	https://www.judiciary.uk/prevention-of-future-death-reports/glenys-roberts-prevention-of-future-deaths-report/
completed	08/01/2021	21/12/2020	2020-0292	Evadney Dawkins	Mr graeme Irvine	London East	Hospital Death (Clinical Procedures and medical management) related deaths	Department of Health and Social Care \| Barts Health NHS Trust	2	2	https://www.judiciary.uk/prevention-of-future-death-reports/evadney-dawkins/
completed	29/03/2016	29/03/2016	2016-0132	Adam Miles	David Urpeath	Yorkshire South West	Other related deaths	Hilton Hotel \| Canal and River Trust	2	2	https://www.judiciary.uk/prevention-of-future-death-reports/adam-miles/
completed	07/07/2023	28/06/2023	2023-0216	Hilary Thomas	Mrs Louise Hunt	Birmingham and Solihull	Hospital Death (Clinical Procedures and medical management) related deaths	Department of Health and Social Care \| University Hospitals Birmingham NHS Foundation Trust	2	2	https://www.judiciary.uk/prevention-of-future-death-reports/hilary-thomas-prevention-of-future-deaths-report/
completed	15/02/2021	11/02/2021	2021-0038	Ruth Jones	Ms Alison Patricia Mutch OBE	Greater Manchester South	Care Home Health related deaths	Care Quality Commission \| Department of Health and Social Care	2	2	https://www.judiciary.uk/prevention-of-future-death-reports/ruth-jones/
completed	07/07/2023	27/06/2023	2023-0218	Rachel Garrett	Ms Penelope Schofield	West Sussex, Brighton and Hove	Mental Health related deaths \| Suicide (from 2015)	NHS England \| NHS Sussex Integrated Care Board	2	2	https://www.judiciary.uk/prevention-of-future-death-reports/rachel-garrett-prevention-of-future-deaths-report/
completed	08/01/2021	21/12/2020	2020-0293	Brian Easey	Dr Bridget Dolan QC	West Sussex, Brighton and Hove	Other related deaths	Lambeth Council \| West Sussex County Council	2	2	https://www.judiciary.uk/prevention-of-future-death-reports/brian-easey/
completed	22/10/2015	22/10/2015	2015-0411	Richard Laco	Ms Mary Hassell	London Inner North	Accident at Work and Health and Safety related deaths	CMF Limited \| Laing O’Rourke	2	2	https://www.judiciary.uk/prevention-of-future-death-reports/richard-laco/
completed	03/07/2023	26/06/2023	2023-0211	Keith Nielsen	Miss Anna Crawford	Surrey	Emergency services related deaths (2019 onwards)	South East Coast Ambulance Service NHS Foundation Trust \| Department of Health and Social Care	2	2	https://www.judiciary.uk/prevention-of-future-death-reports/keith-nielsen-prevention-of-future-deaths-report/
completed	03/07/2023	26/06/2023	2023-0212	Ginger Wright	Miss Anna Crawford	Surrey	Alcohol, drug and medication related deaths \| Emergency services related deaths (2019 onwards) \| Suicide (from 2015)	South East Coast Ambulance Service NHS Foundation Trust \| Department of Health and Social Care	2	2	https://www.judiciary.uk/prevention-of-future-death-reports/ginger-wright-prevention-of-future-deaths-report/
completed	07/03/2018	04/01/2018	2018-0004	Dylan Hill	Mrs Tanyka Samantha Rawden	Yorkshire South West	Hospital Death (Clinical Procedures and medical management) related deaths \| Other related deaths	Department of Health and Social Care \| Food Standards Agency	2	3	https://www.judiciary.uk/prevention-of-future-death-reports/dylan-hill/
completed	23/06/2023	22/06/2023	2023-0206	Lucy Walles	Mrs Heidi Julia Connor	Berkshire	Suicide (from 2015)	Reading Borough Council \| Berkshire Healthcare NHS Foundation Trust	2	2	https://www.judiciary.uk/prevention-of-future-death-reports/lucy-walles-prevention-of-future-deaths-report/
completed	08/01/2021	23/12/2020	2020-0301	Clive Oxley	Mr Oliver Robert Longstaff	County Durham and Darlington	Railway related deaths	LNER \| Network Rail	2	2	https://www.judiciary.uk/prevention-of-future-death-reports/clive-oxley/
completed	17/05/2023	15/05/2023	2023-0151	Raymond Lee	Ms Alison Patricia Mutch OBE	Greater Manchester South	Hospital Death (Clinical Procedures and medical management) related deaths	NHS England \| National Institute for Health and Care Excellence	2	2	https://www.judiciary.uk/prevention-of-future-death-reports/raymond-lee-prevention-of-future-deaths-report/
completed	08/01/2021	23/12/2020	2020-0300	James Taylor	Ms Nadia Persaud	London East	Community health care and emergency services related deaths \| Mental Health related deaths \| Suicide (from 2015)	NHS North East London Integrated Care Board \| Royal College of General Practitioners	2	2	https://www.judiciary.uk/prevention-of-future-death-reports/james-taylor/
completed	09/07/2021	29/12/2020	2021-0228	Marion Clode	Mrs Karen Dilks	Newcastle and North Tyneside	Other related deaths	Swinhoe Farm \| Department for Environment, Food and Rural Affairs	2	3	https://www.judiciary.uk/prevention-of-future-death-reports/marion-clode/
completed	15/02/2021	11/02/2021	2021-0037	Carole Mitchell	Ms Alison Patricia Mutch OBE	Greater Manchester South	Alcohol, drug and medication related deaths \| Mental Health related deaths \| Suicide (from 2015)	Department of Health and Social Care \| NHS Greater Manchester Integrated Care Board	2	2	https://www.judiciary.uk/prevention-of-future-death-reports/carole-mitchell/
completed	07/09/2023	18/08/2023	2023-0308	William Nichols	Ms Leila Benyounes	Gateshead and South Tyneside	Hospital Death (Clinical Procedures and medical management) related deaths	The Newcastle upon Tyne Hospitals NHS Foundation Trust \| Gateshead Health NHS Foundation Trust	2	2	https://www.judiciary.uk/prevention-of-future-death-reports/william-nichols-prevention-of-future-deaths-report/
completed	08/03/2021	02/03/2021	2021-0056	Martin Sullivan	Mr Andrew Michael Bridgman	Greater Manchester South	Emergency services related deaths (2019 onwards)	NHS England \| NHS Greater Manchester Integrated Care Board	2	2	https://www.judiciary.uk/prevention-of-future-death-reports/martin-sullivan/
completed	25/11/2015	25/11/2015	2015-0469	Thomas Collins	Mr Professor John S Pollard	Greater Manchester South	Community health care and emergency services related deaths	North West Ambulance Service NHS Trust \| Haughton Thornley Medical Centres	2	2	https://www.judiciary.uk/prevention-of-future-death-reports/thomas-collins/
completed	07/09/2023	18/08/2023	2023-0311	Louis Thorold	Mr Simon Milburn	Cambridgeshire and Peterborough	Child Death (from 2015) \| Road (Highways Safety) related deaths	Department for Transport \| Cambridgeshire County Council	2	3	https://www.judiciary.uk/prevention-of-future-death-reports/louis-thorold-prevention-of-future-deaths-report/
completed	22/03/2023	15/03/2023	2023-0094	Jai Singh	Miss Emma Brown	Birmingham and Solihull	State Custody related deaths \| Suicide (from 2015)	Birmingham and Solihull Mental Health NHS Foundation Trust \| NHS England	2	3	https://www.judiciary.uk/prevention-of-future-death-reports/jai-singh-prevention-of-future-deaths-report/
completed	07/11/2022	04/11/2022	2022-0354	Peter Ross	Mr graeme Irvine	London East	Hospital Death (Clinical Procedures and medical management) related deaths	Barking, Havering and Redbridge University Hospitals NHS Trust \| Department of Health and Social Care	2	2	https://www.judiciary.uk/prevention-of-future-death-reports/peter-ross-prevention-of-future-deaths-report/
completed	24/12/2020	19/11/2020	2020-0245	Yo Li	Miss Anna Crawford	Surrey	Child Death (from 2015) \| Hospital Death (Clinical Procedures and medical management) related deaths	NHS England \| British Association of Perinatal Medicine	2	2	https://www.judiciary.uk/prevention-of-future-death-reports/yo-li/
completed	12/05/2016	12/05/2016	2016-0491	Constance Pridmore	Paul O'Donnell	Cumbria	Hospital Death (Clinical Procedures and medical management) related deaths	University Hospitals of Morecambe Bay NHS Foundation Trust \| Department of Health and Social Care	2	2	https://www.judiciary.uk/prevention-of-future-death-reports/constance-pridmore/
completed	16/01/2023	02/09/2022	2023-0010	Jennifer Wong	Mr Darren Michael Salter	Oxfordshire	Road (Highways Safety) related deaths	Department for Transport \| Oxfordshire County Council	2	2	https://www.judiciary.uk/prevention-of-future-death-reports/jennifer-wong-prevention-of-future-deaths-report/
completed	08/09/2023	31/08/2023	2023-0314	Nicholas Ledger	Mr Adam Smith	London Inner North	Suicide (from 2015)	College of Policing \| Metropolitan Police Service	2	2	https://www.judiciary.uk/prevention-of-future-death-reports/nicholas-ledger-prevention-of-future-deaths-report/
completed	08/09/2023	01/09/2023	2023-0316	Harold Pedley	Mr Alan Wilson	Blackpool and Fylde	Hospital Death (Clinical Procedures and medical management) related deaths	Department of Health and Social Care \| NHS Lancashire and South Cumbria Integrated Care Board	2	2	https://www.judiciary.uk/prevention-of-future-death-reports/harold-pedley-prevention-of-future-deaths-report/
completed	09/11/2022	08/11/2022	2022-0355	Liridon Saliuka	Mr Philip Barlow	London Inner South	State Custody related deaths \| Suicide (from 2015)	HM Prison Belmarsh \| Oxleas NHS Foundation Trust	2	2	https://www.judiciary.uk/prevention-of-future-death-reports/liridon-saliuka-prevention-of-future-deaths-report/
completed	24/12/2020	16/11/2020	2020-0244	Daniel Bancroft	Simon Ward	Cumbria	Road (Highways Safety) related deaths	National Highways \| Cumbria County Council	2	2	https://www.judiciary.uk/prevention-of-future-death-reports/daniel-bancroft/
completed	14/12/2015	14/12/2015		William Maskell	Dr Elizabeth A Earland	County of Devon, Plymouth & Torbay	Alcohol, drug and medication related deaths	University of Exeter \| Devon Partnership NHS Trust	2	2	https://www.judiciary.uk/prevention-of-future-death-reports/william-maskell/
completed	04/05/2021	07/05/2021	2021-0127	Helen Spicer	Guy Davies	Cornwall and the Isles of Scilly	Alcohol, drug and medication related deaths \| Community health care and emergency services related deaths	Advisory Council on the Misuse of Drugs \| Department of Health and Social Care	2	2	https://www.judiciary.uk/prevention-of-future-death-reports/helen-spicer/
completed	12/02/2018	28/11/2017	2017-0377	Harold Chapman	Dr Julian Rupert Laurence Morris	London Inner South	Hospital Death (Clinical Procedures and medical management) related deaths	Barts Health NHS Trust \| Guy's and St Thomas' NHS Foundation Trust	2	4	https://www.judiciary.uk/prevention-of-future-death-reports/harold-chapman/
completed	13/11/2023	19/09/2023	2023-0438	Lauren Bridges	Mr Andrew Michael Bridgman	Greater Manchester South	Mental Health related deaths	Department of Health and Social Care \| NHS England	2	3	https://www.judiciary.uk/prevention-of-future-death-reports/lauren-bridges-prevention-of-future-deaths-report/
completed	25/09/2017	13/09/2017	2017-0215	Bronwyn Williams	Ms Mary Hassell	London Inner North	Hospital Death (Clinical Procedures and medical management) related deaths	Kindandental \| Homerton Healthcare NHS Foundation Trust	2	2	https://www.judiciary.uk/prevention-of-future-death-reports/bronwyn-williams/
completed	07/05/2021	07/05/2021	2021-0142	Glenn Macmartin	Mr Ian Arrow	County of Devon, Plymouth & Torbay	Care Home Health related deaths \| Hospital Death (Clinical Procedures and medical management) related deaths \| Mental Health related deaths	Care Quality Commission \| Devon Partnership NHS Trust	2	3	https://www.judiciary.uk/prevention-of-future-death-reports/glenn-macmartin/
completed	22/09/2023	18/09/2023	2023-0342	Amarjit Singh	Ms Mary Hassell	London Inner North	State Custody related deaths	HM Prison Pentonville \| Practice Plus Group	2	2	https://www.judiciary.uk/prevention-of-future-death-reports/amarjit-singh-prevention-of-future-deaths-report/
completed	27/02/2023	20/02/2023	2023-0065	David Strachan	Katie Sutherland	North Wales (East & Central)	Emergency services related deaths (2019 onwards) \| Wales prevention of future deaths reports (2019 onwards)	Betsi Cadwaladr University Health Board \| Welsh Ambulance Services University NHS Trust	2	2	https://www.judiciary.uk/prevention-of-future-death-reports/david-strachan-prevention-of-future-deaths-report/
completed	28/02/2023	22/02/2023	2023-0069	James Parsons	Guy Davies	Cornwall and the Isles of Scilly	Alcohol, drug and medication related deaths	Cornwall Council \| Porthleven Harbour and Dock Company	2	3	https://www.judiciary.uk/prevention-of-future-death-reports/james-parsons-prevention-of-future-deaths-report/
completed	22/09/2023	17/09/2023	2023-0338	Kimberley Sampson and Samantha Mulcahy	Ms Catherine Judith Wood	Kent Central and South East	Hospital Death (Clinical Procedures and medical management) related deaths	Royal College of Obstetricians and Gynaecologists \| NHS England	2	2	https://www.judiciary.uk/prevention-of-future-death-reports/kimberley-sampson-and-samantha-mulcahy-prevention-of-future-deaths-report/
completed	08/09/2023	04/09/2023	2023-0318	Talia Phillips	Mr Stephen Covell	Cornwall and the Isles of Scilly	Alcohol, drug and medication related deaths \| Road (Highways Safety) related deaths	National Institute for Health and Care Excellence \| British National Formulary	2	2	https://www.judiciary.uk/prevention-of-future-death-reports/talia-phillips-prevention-of-future-deaths-report/
completed	02/06/2016	02/06/2016	2016-0208	Jessica Birkhead	John Tomalin	County of Devon, Plymouth & Torbay	Mental Health related deaths	Seaton and Colyton Medical Practice \| NHS Devon Integrated Care Board	2	2	https://www.judiciary.uk/prevention-of-future-death-reports/jessica-birkhead/
completed	14/06/2021	10/06/2021	2021-0199	Clive Rivers	Ms Alison Patricia Mutch OBE	Greater Manchester South	Care Home Health related deaths \| Community health care and emergency services related deaths \| Hospital Death (Clinical Procedures and medical management) related deaths \| Other related deaths	NHS England \| Department of Health and Social Care	2	2	https://www.judiciary.uk/prevention-of-future-death-reports/clive-rivers/
completed	17/06/2018	05/03/2018	2018-0100	Mike Fell	Ms Sarah Bourke	London Inner North	Hospital Death (Clinical Procedures and medical management) related deaths	Royal College of Anaesthetists \| Barts Health NHS Trust	2	2	https://www.judiciary.uk/prevention-of-future-death-reports/mike-fell/
completed	27/05/2016	27/05/2016	2016-0202	Keenan Walsh	Dr Elizabeth A Earland	County of Devon, Plymouth & Torbay	Child Death (from 2015)	Devon County Council \| North Devon Council	2	2	https://www.judiciary.uk/prevention-of-future-death-reports/keenan-walsh/
completed	12/03/2021	10/03/2021	2021-0068	Edward Bilbey	Dr Robert Hunter	Derby and Derbyshire	Child Death (from 2015) \| Other related deaths	England Boxing \| Department for Culture, Media and Sport	2	3	https://www.judiciary.uk/prevention-of-future-death-reports/edward-bilbey/
completed	11/11/2022	10/11/2022	2022-0358	Samuel Pearson	Mr Jonathan Landau	London South	Alcohol, drug and medication related deaths	Oxleas NHS Foundation Trust \| Clarion Housing Group	2	3	https://www.judiciary.uk/prevention-of-future-death-reports/samuel-pearson-prevention-of-future-deaths-report/
completed	21/11/2022	09/11/2022	2022-0362	Maria Whale	Dr Sarah-Jane Richards	South Wales Central	Emergency services related deaths (2019 onwards) \| Wales prevention of future deaths reports (2019 onwards)	Cardiff and Vale University Health Board \| Welsh Ambulance Services University NHS Trust	2	2	https://www.judiciary.uk/prevention-of-future-death-reports/maria-whale-prevention-of-future-deaths-report/
completed	14/12/2015	14/12/2015		Daniel Byrne	Mr Tom Osborne	Milton Keynes	Hospital Death (Clinical Procedures and medical management) related deaths \| State Custody related deaths	Central and North West London NHS Foundation Trust \| HM Prison and Probation Service	2	2	https://www.judiciary.uk/prevention-of-future-death-reports/daniel-byrne-2/
completed	22/09/2023	15/09/2023	2023-0339	Riya Hirani	Ms Mary Hassell	London Inner North	Child Death (from 2015)	Department of Health and Social Care \| NHS England	2	2	https://www.judiciary.uk/prevention-of-future-death-reports/riya-hirani-prevention-of-future-deaths-report/
completed	02/06/2021	28/05/2021	2021-0185	Christine Gould	Mr Nicholas Moss QC	Cambridgeshire and Peterborough	Child Death (from 2015) \| Police related deaths \| Railway related deaths \| Suicide (from 2015)	British Transport Police \| Network Rail	2	2	https://www.judiciary.uk/prevention-of-future-death-reports/christine-gould/
completed	20/04/2023	15/04/2023	2023-0118	Sara Jones	Mr Duncan Ritchie	Staffordshire and Stoke-on-Trent	Road (Highways Safety) related deaths	University Hospitals of North Midlands NHS Trust \| Betsi Cadwaladr University Health Board	2	3	https://www.judiciary.uk/prevention-of-future-death-reports/sara-jones-prevention-of-future-deaths-report/
completed	18/10/2023	01/11/2022	2023-0365	Rowan Thompson	Ms Joanne Kearsley	Greater Manchester North	Hospital Death (Clinical Procedures and medical management) related deaths	Greater Manchester Mental Health NHS Foundation Trust \| NHS England	2	2	https://www.judiciary.uk/prevention-of-future-death-reports/rowan-thompson-prevention-of-future-deaths-report/
completed	22/02/2021	18/02/2021	2021-0046	Kevin Clarke	Mr Andrew Harris	London Inner South	Emergency services related deaths (2019 onwards) \| Police related deaths	Metropolitan Police Service \| London Ambulance Service NHS Trust	2	2	https://www.judiciary.uk/prevention-of-future-death-reports/kevin-clarke/
completed	28/07/2023	21/07/2023	2023-0265	Marion Nickson	Ms Alison Patricia Mutch OBE	Greater Manchester South	Hospital Death (Clinical Procedures and medical management) related deaths	NHS England \| Care Quality Commission	2	2	https://www.judiciary.uk/prevention-of-future-death-reports/marion-nickson-prevention-of-future-deaths-report/
completed	19/12/2022	28/10/2022	2022-0398	Jade Hutchings	Ms Penelope Schofield	West Sussex, Brighton and Hove	Alcohol, drug and medication related deaths \| Suicide (from 2015)	Sussex Police \| Association of Police and Crime Commissioners	2	3	https://www.judiciary.uk/prevention-of-future-death-reports/jade-hutchings-prevention-of-future-deaths-report/
completed	28/07/2023	21/07/2023	2023-0264	Thomas Barton	Ms Alison Patricia Mutch OBE	Greater Manchester South	Hospital Death (Clinical Procedures and medical management) related deaths	Department of Health and Social Care \| NHS Greater Manchester Integrated Care Board	2	2	https://www.judiciary.uk/prevention-of-future-death-reports/thomas-barton-prevention-of-future-deaths-report/
completed	06/10/2017	08/09/2017	2017-0225	Terence Ryan	Mr Alan Peter Walsh	Greater Manchester West	Community health care and emergency services related deaths \| Hospital Death (Clinical Procedures and medical management) related deaths	Wrightington, Wigan and Leigh Teaching Hospitals NHS Foundation Trust \| Grasmere Surgery	2	2	https://www.judiciary.uk/prevention-of-future-death-reports/terence-ryan/
completed	20/03/2018	26/01/2018	2018-0026	Joan Betteridge	Mrs Karen Harrold	Hampshire, Portsmouth and Southampton	Community health care and emergency services related deaths \| Hospital Death (Clinical Procedures and medical management) related deaths	Hampshire Hospitals NHS Foundation Trust \| Park and Francis Surgery	2	2	https://www.judiciary.uk/prevention-of-future-death-reports/joan-betteridge/
completed	07/06/2018	25/01/2018	2018-0034	Sharon Grierson	Mr DAVID LLEWELYN ROBERTS	Cumbria	Hospital Death (Clinical Procedures and medical management) related deaths	North Cumbria Integrated Care NHS Foundation Trust \| Department of Health and Social Care	2	2	https://www.judiciary.uk/prevention-of-future-death-reports/sharon-grierson/
completed	27/04/2023	20/04/2023	2023-0128	Joseph Maunick	Mr Peter Taheri	Suffolk	Hospital Death (Clinical Procedures and medical management) related deaths	Department of Health and Social Care \| NHS England	2	2	https://www.judiciary.uk/prevention-of-future-death-reports/joseph-maunick-prevention-of-future-deaths-report/
completed	28/07/2023	19/07/2023	2023-0268	Kenneth Rippon	Miss Janine Richards	County Durham and Darlington	Mental Health related deaths	Tees, Esk and Wear Valley NHS Foundation Trust \| Care Quality Commission	2	3	https://www.judiciary.uk/prevention-of-future-death-reports/kenneth-rippon-prevention-of-future-deaths-report/
completed	21/07/2023	19/07/2023	2023-0257	Bernhard Marek	Ms Alison Patricia Mutch OBE	Greater Manchester South	Emergency services related deaths (2019 onwards)	Department of Health and Social Care \| NHS Greater Manchester Integrated Care Board	2	2	https://www.judiciary.uk/prevention-of-future-death-reports/bernhard-marek-prevention-of-future-deaths-report/
completed	18/05/2021	11/05/2021	2021-0152	Coral O’Donnell	Mr Alan Wilson	Blackpool and Fylde	Community health care and emergency services related deaths \| Hospital Death (Clinical Procedures and medical management) related deaths	Blackpool Teaching Hospitals NHS Foundation Trust \| NHS Lancashire and South Cumbria Integrated Care Board	2	3	https://www.judiciary.uk/prevention-of-future-death-reports/coral-odonnell/
completed	16/07/2015	16/07/2015	2015-0281	Stanley Oliver	Mr Alan Peter Walsh	Greater Manchester West	Hospital Death (Clinical Procedures and medical management) related deaths	Department of Health and Social Care \| Northern Care Alliance NHS Foundation Trust	2	2	https://www.judiciary.uk/prevention-of-future-death-reports/stanley-oliver/
completed	16/07/2015	16/07/2015	2015-0289	Isabella Drew	Ms Nicola Jane Mundy	Yorkshire South East	Child Death (from 2015) \| Hospital Death (Clinical Procedures and medical management) related deaths	Department of Health and Social Care \| NHS England	2	2	https://www.judiciary.uk/prevention-of-future-death-reports/isabella-drew/
completed	04/01/2021	03/12/2020	2020-0268	Andrew Westlake	Mr James Edward Thompson	County Durham and Darlington	Mental Health related deaths \| Other related deaths	Jet2.com Ltd \| Civil Aviation Authority	2	2	https://www.judiciary.uk/prevention-of-future-death-reports/andrew-westlake/
completed	25/06/2024	17/08/2023	2024-0326	Luke Brooks	Ms Joanne Kearsley	Greater Manchester North	Other related deaths	Department of Health and Social Care \| Ministry of Housing, Communities and Local Government	2	3	https://www.judiciary.uk/prevention-of-future-death-reports/luke-brooks-prevention-of-future-deaths-report/
completed	27/03/2023	23/03/2023	2023-0103	Benjamin Nelson-Roux	Mr Jonathan Richard Heath	North Yorkshire and York	Child Death (from 2015) \| Other related deaths	North Yorkshire Council \| Department of Health and Social Care	2	2	https://www.judiciary.uk/prevention-of-future-death-reports/benjamin-nelson-roux-prevention-of-future-deaths-report/
completed	29/12/2020	24/11/2020	2020-0251	David Ball	Miss Emma Serrano	Derby and Derbyshire	Alcohol, drug and medication related deaths \| Community health care and emergency services related deaths \| Mental Health related deaths \| Suicide (from 2015)	NHS England \| NHS Digital	2	2	https://www.judiciary.uk/prevention-of-future-death-reports/david-ball/
completed	11/05/2016	11/05/2016	2016-0178	Gillian Taylor	Mr Andrew Roger Barkley	South Wales Central	Mental Health related deaths \| Suicide (from 2015)	Powys Teaching Health Board \| Department of Health and Social Care	2	3	https://www.judiciary.uk/prevention-of-future-death-reports/gillian-taylor/
completed	03/12/2017	09/08/2017	2017-0316	Sean Plumstead	Mr Grahame Antony Short	Hampshire, Portsmouth and Southampton	State Custody related deaths	HM Prison and Probation Service \| Carillion	2	4	https://www.judiciary.uk/prevention-of-future-death-reports/sean-plumstead/
completed	05/10/2022	12/09/2022	2022-0279	Delina Etienne	Mr graeme Irvine	London East	Hospital Death (Clinical Procedures and medical management) related deaths	East London NHS Foundation Trust \| Department of Health and Social Care	2	2	https://www.judiciary.uk/prevention-of-future-death-reports/deline-etienne-prevention-of-future-deaths-report/
completed	06/09/2023	09/08/2023	2023-0289	Rohan Godhania	Mr Tom Osborne	Milton Keynes	Child Death (from 2015) \| Other related deaths	NHS England \| Food Standards Agency	2	3	https://www.judiciary.uk/prevention-of-future-death-reports/rohan-godhania-prevention-of-future-deaths-report/
completed	30/03/2021	01/12/2020	2021-0088	Brandon-Robert Collins-Hayward	Mrs Rachael Clare Griffin	Dorset	Child Death (from 2015) \| Hospital Death (Clinical Procedures and medical management) related deaths	Royal College of Obstetricians and Gynaecologists \| Royal College of Paediatrics and Child Health	2	2	https://www.judiciary.uk/prevention-of-future-death-reports/brandon-robert-collins-hayward/
completed	23/03/2016	23/03/2016	2016-0120	Alan Dimbleby	Mr Richard Travers	Surrey	Accident at Work and Health and Safety related deaths	Health and Safety Executive \| Bateman Engineering Ltd	2	2	https://www.judiciary.uk/prevention-of-future-death-reports/alan-dimbleby/
completed	12/11/2015	12/11/2015	2015-0503	Matthew Groom	Ms Mary Hassell	London Inner North	Hospital Death (Clinical Procedures and medical management) related deaths	North London NHS Foundation Trust \| Whittington Health NHS Trust	2	2	https://www.judiciary.uk/prevention-of-future-death-reports/matthew-groom/
completed	30/12/2020	27/11/2020	2020-0256	Geoffrey Banks	Margaret Jones	Staffordshire and Stoke-on-Trent	Alcohol, drug and medication related deaths \| Community health care and emergency services related deaths	City and County Healthcare Group \| Stoke on Trent City Council	2	2	https://www.judiciary.uk/prevention-of-future-death-reports/geoffrey-banks/
completed	07/11/2022	03/11/2022	2022-0352	Raneem Oudeh and Khaola Saleem	Mrs Louise Hunt	Birmingham and Solihull	Emergency services related deaths (2019 onwards) \| Police related deaths	West Midlands Police \| Home Office	2	6	https://www.judiciary.uk/prevention-of-future-death-reports/raneem-oudeh-and-khaola-saleem-prevention-of-future-deaths-report/
completed	14/04/2023	31/03/2023	2023-0112	Veronica Jenkins	Miss Anna Crawford	Surrey	Emergency services related deaths (2019 onwards)	South East Coast Ambulance Service NHS Foundation Trust \| Department of Health and Social Care	2	2	https://www.judiciary.uk/prevention-of-future-death-reports/veronica-jenkins-prevention-of-future-deaths-report/
completed	27/02/2018	27/11/2017	2017-0423	Jason Basalat	Mr Tom Osborne	Milton Keynes	State Custody related deaths	Northamptonshire Police \| HM Courts and Tribunals Service	2	2	https://www.judiciary.uk/prevention-of-future-death-reports/jason-basalat/
completed	04/08/2023	26/07/2023	2023-0277	Finley May	Mr Paul Vernon Marks	East Riding of Yorkshire and Kingston-upon-Hull	Child Death (from 2015) \| Hospital Death (Clinical Procedures and medical management) related deaths	Royal College of Obstetricians and Gynaecologists \| NHS England	2	2	https://www.judiciary.uk/prevention-of-future-death-reports/finley-may-prevention-of-future-deaths-report/
completed	04/08/2023	25/07/2023	2023-0279	Paul Keating	Mr Oliver Robert Longstaff	Yorkshire West Eastern	Other related deaths	Leeds City Council \| Home Office	2	2	https://www.judiciary.uk/prevention-of-future-death-reports/paul-keating-prevention-of-future-deaths-report/
completed	10/08/2023	08/08/2023	2023-0288	Reginald Bourn	Miss Caroline Topping	Surrey	Hospital Death (Clinical Procedures and medical management) related deaths	NHS England \| National Institute for Health and Care Excellence	2	3	https://www.judiciary.uk/prevention-of-future-death-reports/reginald-bourn-prevention-of-future-deaths-report/
completed	25/06/2024	14/06/2024	2024-0320	Amina Ismail	Mr Andrew Michael Bridgman	Greater Manchester South	Suicide (from 2015)	Department of Health and Social Care \| NHS England	2	2	https://www.judiciary.uk/prevention-of-future-death-reports/amina-ismail-prevention-of-future-deaths-report/
completed	19/02/2017	14/11/2016	2016-0414	David Knight	Dr E. Emma Carlyon	Cornwall and the Isles of Scilly	Hospital Death (Clinical Procedures and medical management) related deaths \| Mental Health related deaths \| Suicide (from 2015)	Department of Health and Social Care \| NHS England	2	2	https://www.judiciary.uk/prevention-of-future-death-reports/david-knight/
completed	13/05/2019	12/12/2018	2018-0385	Neil Swaisland	Mr Tom Osborne	Milton Keynes	Hospital Death (Clinical Procedures and medical management) related deaths \| Suicide (from 2015)	Milton Keynes City Council \| NHS Bedfordshire, Luton and Milton Keynes Integrated Care Board	2	2	https://www.judiciary.uk/prevention-of-future-death-reports/neil-swaisland/
completed	13/05/2019	12/12/2018	2018-0384	Benjamin Williamson	Mr Andrew Cox	Cornwall and the Isles of Scilly	Alcohol, drug and medication related deaths \| Suicide (from 2015)	NHS Cornwall and Isles of Scilly Integrated Care Board \| Addaction	2	2	https://www.judiciary.uk/prevention-of-future-death-reports/benjamin-williamson/
completed	07/10/2022	10/05/2017	2022-0305	Cedric Skyers	Mr Andrew Harris	London Inner South	Other related deaths	Bupa \| Care Quality Commission	2	3	https://www.judiciary.uk/prevention-of-future-death-reports/cedric-skyers-prevention-of-future-deaths-report/
completed	09/09/2021	06/09/2021	2021-0293	Bituin Pimlott	Ms Alison Patricia Mutch OBE	Greater Manchester South	Community health care and emergency services related deaths \| Mental Health related deaths \| Suicide (from 2015)	NHS Greater Manchester Integrated Care Board \| NHS England	2	2	https://www.judiciary.uk/prevention-of-future-death-reports/bituin-pimlott-prevention-of-future-deaths-report/
completed	09/08/2024	10/06/2024	2024-0434	Sailor Court	Mr Sebastian Hugh Joseph Naughton	London South	Child Death (from 2015) \| Suicide (from 2015)	NHS England \| Department of Health and Social Care	2	2	https://www.judiciary.uk/prevention-of-future-death-reports/sailor-court-prevention-of-future-deaths-report/
completed	09/09/2021	06/09/2021	2021-0295	Glenda Logsdail	Dr Séan Cummings	Milton Keynes	Hospital Death (Clinical Procedures and medical management) related deaths	Milton Keynes University Hospital NHS Foundation Trust \| Royal College of Anaesthetists	2	4	https://www.judiciary.uk/prevention-of-future-death-reports/glenda-logsdail-prevention-of-future-deaths-report/
completed	25/07/2014	25/07/2014	2014-0341	Donna Kirkland	Mr Jason Pegg	Coventry	Hospital Death (Clinical Procedures and medical management) related deaths	Department of Health and Social Care \| Coventry and Warwickshire Partnership NHS Trust	2	2	https://www.judiciary.uk/prevention-of-future-death-reports/donna-kirkland/
completed	14/06/2024	06/06/2024	2024-0310	Anoush Summers	Mr Edwin Buckett	London Inner North	Other related deaths	Hackney Council \| Supreme Care Services Limited	2	2	https://www.judiciary.uk/prevention-of-future-death-reports/anoush-summers-prevention-of-future-deaths-report/
completed	14/06/2024	06/06/2024	2024-0309	Dominic Chapman	Mr David Donald William Reid	Worcestershire	Other related deaths	Department for Culture, Media and Sport \| Ultra Events Ltd	2	3	https://www.judiciary.uk/prevention-of-future-death-reports/dominic-chapman-prevention-of-future-deaths-report/
completed	10/05/2019	30/11/2018	2018-0375	Thomas Nicol	Mr Geoffrey Sullivan	Hertfordshire	State Custody related deaths \| Suicide (from 2015)	Ministry of Justice \| NHS England	2	2	https://www.judiciary.uk/prevention-of-future-death-reports/thomas-nicol/
completed	30/07/2024	04/06/2024	2024-0367	Andrew Naylor	Miss Janine Richards	County Durham and Darlington	Alcohol, drug and medication related deaths	County Durham and Darlington NHS Foundation Trust \| Tees, Esk and Wear Valley NHS Foundation Trust	2	2	https://www.judiciary.uk/prevention-of-future-death-reports/andrew-naylor-prevention-of-future-deaths-report/
completed	12/05/2014	12/05/2014	2014-0224	Courtney Mills	Mr David Clark Horsley	Hampshire, Portsmouth and Southampton	Hospital Death (Clinical Procedures and medical management) related deaths	Portsmouth Hospitals University NHS Trust \| Waterside Medical Centre	2	2	https://www.judiciary.uk/prevention-of-future-death-reports/jordan-mills/
completed	06/06/2024	31/05/2024	2024-0293	Glennis Connelly	Mr Andrew Roger Barkley	Staffordshire and Stoke-on-Trent	Alcohol, drug and medication related deaths	University Hospitals of Derby and Burton NHS Foundation Trust \| Department of Health and Social Care	2	2	https://www.judiciary.uk/prevention-of-future-death-reports/glennis-connelly-prevention-of-future-deaths-report/
completed	15/05/2014	15/05/2014	2014-0232	Gary Bradshaw	Mr Professor John S Pollard	Greater Manchester South	Hospital Death (Clinical Procedures and medical management) related deaths	Stockport NHS Foundation Trust \| Department of Health and Social Care	2	2	https://www.judiciary.uk/prevention-of-future-death-reports/gary-bradshaw/
completed	19/05/2014	19/05/2014	2014-0230	Peter Franklin	Ms Patricia Harding	Kent Mid and Medway	Hospital Death (Clinical Procedures and medical management) related deaths	Kent and Medway NHS and Social Care Partnership Trust \| Maidstone and Tunbridge Wells NHS Trust	2	2	https://www.judiciary.uk/prevention-of-future-death-reports/peter-franklin/
completed	08/03/2022	07/03/2022	2022-0071	Jane Allison	Mr Crispin Oliver	County Durham and Darlington	Alcohol, drug and medication related deaths \| Community health care and emergency services related deaths	Royal Pharmaceutical Society \| National Institute for Health and Care Excellence	2	2	https://www.judiciary.uk/prevention-of-future-death-reports/jane-allison-prevention-of-future-deaths-report/
completed	07/06/2024	06/06/2024	2024-0307	Robert Fray	Mr James Bennett	Birmingham and Solihull	Emergency services related deaths (2019 onwards)	West Midlands Ambulance Service University NHS Foundation Trust \| NHS England	2	2	https://www.judiciary.uk/prevention-of-future-death-reports/robert-fray-prevention-of-future-deaths-report/
completed	30/07/2024	08/07/2024	2024-0375	Michael Huggon	Dr Nicholas Alastair Shaw	Cumbria	Community health care and emergency services related deaths	Cumbria Health \| Carlisle Healthcare	2	2	https://www.judiciary.uk/prevention-of-future-death-reports/michael-huggon-prevention-of-future-deaths-report/
completed	21/12/2018	21/12/2018	2018-0401	Diane Greenslade	Miss Wendy James	Gwent	Community health care and emergency services related deaths	Welsh Ambulance Services University NHS Trust \| Aneurin Bevan University Health Board	2	2	https://www.judiciary.uk/prevention-of-future-death-reports/diane-greenslade/
completed	04/07/2024	04/07/2024	2024-0359	Michael Walton	Miss Georgina Nolan	Newcastle and North Tyneside	Hospital Death (Clinical Procedures and medical management) related deaths	Department of Health and Social Care \| NHS England	2	2	https://www.judiciary.uk/prevention-of-future-death-reports/michael-walton-prevention-of-future-deaths-report/
completed	06/09/2019	29/07/2019	2019-0259	Alex Blake	Mr Andrew Harris	London Inner South	Alcohol, drug and medication related deaths \| Hospital Death (Clinical Procedures and medical management) related deaths	Nursing and Midwifery Council \| NHS Professionals Limited	2	2	https://www.judiciary.uk/prevention-of-future-death-reports/alex-blake/
completed	23/09/2021	16/09/2021	2021-0316	Maya Zab	Mr Ian Geoffrey Pears	Yorkshire West Western	Child Death (from 2015)	Department of Health and Social Care \| NHS England	2	2	https://www.judiciary.uk/prevention-of-future-death-reports/maya-zab-prevention-of-future-deaths-report/
completed	18/10/2019	31/07/2019	2019-0281	Fern-Marie Choya	Ms Mary Hassell	London Inner North	Emergency services related deaths (2019 onwards) \| Hospital Death (Clinical Procedures and medical management) related deaths	London Ambulance Service NHS Trust \| Whittington Health NHS Trust	2	2	https://www.judiciary.uk/prevention-of-future-death-reports/fern-marie-choya/
completed	04/07/2024	02/07/2024	2024-0352	James Cockburn	Ms Alison Patricia Mutch OBE	Greater Manchester South	Hospital Death (Clinical Procedures and medical management) related deaths	NHS Greater Manchester Integrated Care Board \| NHS England	2	2	https://www.judiciary.uk/prevention-of-future-death-reports/james-cockburn-prevention-of-future-deaths-report/
completed	20/12/2018	20/12/2018	2018-0398	Maria Hryniw	Ms Alison Patricia Mutch OBE	Greater Manchester South	Hospital Death (Clinical Procedures and medical management) related deaths	Department of Health and Social Care \| Care Quality Commission	2	2	https://www.judiciary.uk/prevention-of-future-death-reports/maria-hryniw/
completed	17/05/2019	19/12/2018	2018-0396	Kirsty Walker	Miss Anna Crawford	Surrey	Hospital Death (Clinical Procedures and medical management) related deaths	Department of Health and Social Care \| NHS England	2	2	https://www.judiciary.uk/prevention-of-future-death-reports/kirsty-walker/
completed	17/09/2021	09/09/2021	2021-0301	Joshua Sahota	Mr Nigel Parsley	Suffolk	Hospital Death (Clinical Procedures and medical management) related deaths	Department of Health and Social Care \| Norfolk and Suffolk NHS Foundation Trust	2	2	https://www.judiciary.uk/prevention-of-future-death-reports/joshua-sahota-prevention-of-future-deaths-report/
completed	18/10/2019	09/08/2019	2019-0274	Reece Lapina-Amarelle	Mr Alan R Craze	East Sussex	Mental Health related deaths \| Suicide (from 2015)	Department of Health and Social Care \| NHS England	2	2	https://www.judiciary.uk/prevention-of-future-death-reports/reece-lapina-amarelle/
completed	27/06/2024	25/06/2024	2024-0341	Isobel Stapleton	Mr David Regan	South Wales Central	Suicide (from 2015) \| Wales prevention of future deaths reports (2019 onwards)	Cwm Taf Morgannwg University Health Board \| Welsh Government	2	2	https://www.judiciary.uk/prevention-of-future-death-reports/isobel-stapleton-prevention-of-future-deaths-report/
completed	18/10/2019	12/08/2019	2019-0273	Karen Burns	Mrs Louise Hunt	Birmingham and Solihull	Emergency services related deaths (2019 onwards) \| Suicide (from 2015)	West Midlands Police \| Home Office	2	3	https://www.judiciary.uk/prevention-of-future-death-reports/karen-burns/
completed	14/02/2022	11/02/2022	2022-0044	Matthew McManus	Ms Anna Morris	Greater Manchester South	Alcohol, drug and medication related deaths \| Mental Health related deaths \| Other related deaths \| Suicide (from 2015)	Department of Health and Social Care \| NHS Greater Manchester Integrated Care Board	2	2	https://www.judiciary.uk/prevention-of-future-death-reports/matthew-mcmanus-prevention-of-future-deaths-report/
completed	20/08/2024	20/06/2024	2024-0461	Susan Williams	Mr Mr P J Bennett	Carmarthenshire and Pembrokeshire	Hospital Death (Clinical Procedures and medical management) related deaths \| Wales prevention of future deaths reports (2019 onwards)	Hywel Dda University Health Board \| NHS Wales	2	2	https://www.judiciary.uk/prevention-of-future-death-reports/susan-williams-prevention-of-future-deaths-report-2/

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