Below is our database that contains the information from coroners’ Prevention of Future Deaths reports (PFD) in England and Wales, obtained from the Courts and Tribunals Judiciary Website.
To create the database, we ran a web scraper, which is available in our GitHub repository. We wrote about the web scraper in Nature, “How we learnt to stop worrying and love web scraping”.
We have also done analyses on the database to showcase:
The data below represents all available PFDs from inception (July 2013) to 22nd June 2022 (n=4001).
| date_of_report | ref | deceased_name | coroner_name | coroner_area | category | this_report_is_being_sent_to | url |
|---|---|---|---|---|---|---|---|
| 26 May 2022 | 2022-0155 | SR | James Bennett | Birmingham and Solihull | State Custody related deaths | Mental Health related deaths | Suicide (from 2015) | Ministry of Justice and Birmingham and Solihull Mental Health Trust | https://www.judiciary.uk/publications/saifur-rahman-prevention-of-future-deaths-report/ |
| 25 May 2022 | 2022-0154 | RG | Kate Sutherland | North Wales (East & Central) | Emergency services related deaths (2019 onwards) |Wales prevention of future deaths reports (2019 onwards) | Welsh Ambulance NHS Foundation Trust and Betsi Cadwaladr University Local Health Board | https://www.judiciary.uk/publications/raymond-gillespie-prevention-of-future-deaths-report/ |
| 24 May 2022 | 2022-0153 | MW | Jacqueline Lake | Norfolk | Hospital Death (Clinical Procedures and medical management) related deaths |Emergency services related deaths (2019 onwards) | Queen Elizabeth Hospital King’s Lynn NHS Foundation Trust | https://www.judiciary.uk/publications/michael-wysockyj-prevention-of-future-deaths-report/ |
| 12 May 2022 | 2022-0152 | PK | Joanne Andrews | North East Kent | Hospital Death (Clinical Procedures and medical management) related deaths | Mental Health related deaths | Other related deaths | Kent and Medway NHS Social Care Partnership Trust and Kent County Council – Adult Social Care | https://www.judiciary.uk/publications/pauline-keen-prevention-of-future-deaths-report/ |
| 19 May 2022 | 2022-0151 | SG | Tom Osborne | Milton Keynes | Hospital Death (Clinical Procedures and medical management) related deaths | Road (Highways Safety) related deaths | Milton Keyne University Hospital and Secretary of State for Transport | https://www.judiciary.uk/publications/sangeerth-girirathan-prevention-of-future-deaths-reports/ |
| 19 May 2022 | 2022-0150 | HZ | Graeme Irvine | East London | Railway related deaths | Network Rail | https://www.judiciary.uk/publications/hassan-zubair-prevention-of-future-deaths-report/ |
| 14 March 2022 | 2022-0149 | AG | Richard Travers | Surrey | Police related deaths |Other related deaths | Surrey Police and National Police Chiefs’ Council | https://www.judiciary.uk/publications/aliny-godinho-prevention-of-future-deaths-report/ |
| 18 May 2022 | 2022-0148 | ME | Karen Henderson | Surrey | Community health care | Mental Health related deaths | Suicide (from 2015) | Alcohol, drug and medication related deaths | NHS England, Department of Health, CQC, GMC, Surrey CCG, GP and Farnham Park GP Practice | https://www.judiciary.uk/publications/matthew-evans-prevention-of-future-deaths-report/ |
| 28 April 2022 | 2022-0147 | SC | Maria Voisin | Avon | Suicide (from 2015) | Mental Health related deaths |Community health care | Royal College of GPs, British Medical Association and Minister of State for Patient Safety, Suicide Prevention and Mental Health | https://www.judiciary.uk/publications/susan-carling-prevention-of-future-deaths-report/ |
| 16 May 2022 | 2022-0146 | MG | Abigail Combes | South Yorkshire (West District) | Mental Health related deaths | Suicide (from 2015) | Hospital Death (Clinical Procedures and medical management) related deaths | Other related deaths | Sheffield Health and Social Care Trust and Ministry of Justice | https://www.judiciary.uk/publications/marjorie-grayson-prevention-of-future-deaths-report/ |
| 15 May 2022 | 2022-0145 | CW | Karen Henderson | Surrey | Child Death (from 2015) |Hospital Death (Clinical Procedures and medical management) related deaths | NHS England, Department of Health, Children’s Trust – Tadworth, CQC and Sheffield Clinical Commissioning Grou | https://www.judiciary.uk/publications/connor-wellsted-prevention-of-future-deaths-report/ |
| 12 May 2022 | 2022-0144 | SD | Louise Rae | Blackpool & Fylde | Hospital Death (Clinical Procedures and medical management) related deaths | Community health care | Other related deaths | Department of Health & Social Care | https://www.judiciary.uk/publications/sarah-dunn-prevention-of-future-deaths-report/ |
| 13 May 2022 | 2022-0143 | MDaRW | Alan Walsh | Manchester West | Road (Highways Safety) related deaths | Highways Department – Salford City Council | https://www.judiciary.uk/publications/michael-draper-and-rafal-wojdyl-prevention-of-future-deaths-report/ |
| 13 May 2022 | 2022-0142 | SB | Adam Hodson | Birmingham and Solihull | Hospital Death (Clinical Procedures and medical management) related deaths | Mental Health related deaths | Alcohol, drug and medication related deaths | Other related deaths | Probation Service – Young Adults Central Team, Birmingham Women’s and Children’s NHS Foundation Trust, Change Grow Live and Forward Thinking Birmingam | https://www.judiciary.uk/publications/spencer-barr-prevention-of-future-deaths-report/ |
| 12 May 2022 | 2022-0141 | JH | Derek Winter | City of Sunderland | Hospital Death (Clinical Procedures and medical management) related deaths | Mental Health related deaths |Other related deaths | Tyne and Wear NHS Foundation Trust and Secretary of State for Health & Social Care | https://www.judiciary.uk/publications/joan-hoggett-prevention-of-future-deaths-reports/ |
| 12 May 2022 | 2022-0140 | SD | Johanna Thompson | Sefton, St Helens and Knowsley | Hospital Death (Clinical Procedures and medical management) related deaths | Mental Health related deaths | Suicide (from 2015) | NHS England and Care Quality Commission | https://www.judiciary.uk/publications/sergio-dunkley-prevention-of-future-deaths-report/ |
| 11 May 2022 | 2022-0139 | CP | Mary Hassell | Inner North London | Care Home Health related deaths | BUPA Care Services and Highgate Care Home | https://www.judiciary.uk/publications/cristofaro-priolo-prevention-of-future-deaths-report/ |
| 11 May 2022 | 2022-0138 | CF | Caroline Topping | Surrey | Mental Health related deaths | Suicide (from 2015) | Hospital Death (Clinical Procedures and medical management) related deaths | President of the Royal College of Psychiatrists and NHS England | https://www.judiciary.uk/publications/cynthia-finlay-prevention-of-future-deaths-report/ |
| 10 May 2022 | 2022-0137 | FL | Karen Henderson | Surrey | Hospital Death (Clinical Procedures and medical management) related deaths | St Peter’s Hospital | https://www.judiciary.uk/publications/freda-lennox-prevention-of-future-deaths-report/ |
| 29 April 2022 | 2022-0136 | JB | Tanyka Rawden | South Yorkshire (West) | Alcohol, drug and medication related deaths |State Custody related deaths | Practice Plu Group and Ministry of Justice | https://www.judiciary.uk/publications/jamie-bennett-prevention-of-future-deaths-reports/ |
| 9 May 2022 | 2022-0135 | RG | Dr Fiona Wilcox | Inner West London | Hospital Death (Clinical Procedures and medical management) related deaths | St George’s Hospital and NHS England & NHS Improvement | https://www.judiciary.uk/publications/raymond-griffiths-prevention-of-future-deaths-report/ |
| 9 May 2022 | 2022-0134 | MW | John Gittins | North Wales (East & Central) | Road (Highways Safety) related deaths |Wales prevention of future deaths reports (2019 onwards) | The Occupier and Highways Department – Wrexham County Borough Council | https://www.judiciary.uk/publications/michael-williams-prevention-of-future-deaths-report/ |
| 18 November 2021 | 2022-0133 | KR | Zafar Siddique | Black Country | Alcohol, drug and medication related deaths |Care Home Health related deaths | Cherish Home Care | https://www.judiciary.uk/publications/karen-redding-prevention-of-future-deaths-report/ |
| 6 May 2022 | 2022-0132 | TR | John Gittins | North Wales (East and Central) | Hospital Death (Clinical Procedures and medical management) related deaths | BCUHB | https://www.judiciary.uk/publications/trevor-reynolds-prevention-of-future-deaths-report/ |
| 27 April 2022 | 2022-0131 | RG | Jonathan Landau | South London | Emergency services related deaths (2019 onwards) |Alcohol, drug and medication related deaths | London Ambulance Services NHS Trust | https://www.judiciary.uk/publications/raphael-gill-prevention-of-future-deaths-report/ |
| 3 May 2022 | 2022-0130 | KH | Chris Morris | Manchester South | Railway related deaths | Mental Health related deaths | Hospital Death (Clinical Procedures and medical management) related deaths | Greater Manchester Mental Health NHS Foundation Trust and Secretary of State for Health and Social Care | https://www.judiciary.uk/publications/kate-hedges-prevention-of-future-deaths-report/ |
| 28 April 2022 | 2022-0129 | AS | Alison Mutch | Manchester South | Hospital Death (Clinical Procedures and medical management) related deaths | Community health care | Greater Manchester Health and Social Care Partnership and Trafford CCG | https://www.judiciary.uk/publications/alphonso-shearer-prevention-of-future-deaths-report/ |
| 28 April 2022 | 2022-0128 | LM | Alison Mutch | Manchester South | Hospital Death (Clinical Procedures and medical management) related deaths | Mental Health related deaths | Suicide (from 2015) | Alcohol, drug and medication related deaths | Department of Health and Social Care | https://www.judiciary.uk/publications/laura-medcalf-prevention-of-future-deaths-report/ |
| 28 April 2022 | 2022-0127 | VB | Alison Mutch | Manchester South | Hospital Death (Clinical Procedures and medical management) related deaths | NHS England | https://www.judiciary.uk/publications/vilem-bock-prevention-of-future-deaths-report/ |
| 22 April 2022 | 2022-0126 | JM | Lauren Costello | Manchester South | Emergency services related deaths (2019 onwards) | Secretary of State for Health and Social Care | https://www.judiciary.uk/publications/john-murphy-prevention-of-future-deaths-report/ |
| 25 April 2022 | 2022-0125 | EC | Kirsty Gomersal | County of Cumbria | Alcohol, drug and medication related deaths |Product related deaths | MHRA | https://www.judiciary.uk/publications/edward-capovila-prevention-of-future-deaths-report/ |
| 27 April 2022 | 2022-0124 | NA | James Bennett | Birmingham and Solihull | Hospital Death (Clinical Procedures and medical management) related deaths | Mental Health related deaths | Suicide (from 2015) | Birmingham and Solihull Mental Health Foundation Trust | https://www.judiciary.uk/publications/natasha-adams-prevention-of-future-deaths-report/ |
| 26 April 2022 | 2022-0123 | AT | Graeme Irvine | East London | Emergency services related deaths (2019 onwards) |Other related deaths | Sequence Care Group, London Fire Brigade, National Fire Chiefs’ Council and British Standards Institution | https://www.judiciary.uk/publications/ashleigh-timms-prevention-of-future-deaths-report/ |
| 25 April 2022 | 2022-0122 | MN | Abigail Combes | South Yorkshire (West District) | Hospital Death (Clinical Procedures and medical management) related deaths |Child Death (from 2015) | Sheffield Teaching Hospitals NHS Foundation Trust | https://www.judiciary.uk/publications/millie-rae-needham-prevention-of-future-deaths-report/ |
| 25 April 2022 | 2022-0121 | KM | Ian Brownhill | Mid Kent and Medway | Hospital Death (Clinical Procedures and medical management) related deaths | Medway NHS Foundation Trust | https://www.judiciary.uk/publications/kathryn-millard-prevention-of-future-deaths-report/ |
| 25 April 2022 | 2022-0120 | CC | Abigail Combes | South Yorkshire (West District) | Hospital Death (Clinical Procedures and medical management) related deaths |Child Death (from 2015) | Sheffield Teaching Hospitals NHS Foundation Trust | https://www.judiciary.uk/publications/cassian-curry-prevention-of-future-deaths-report/ |
| 17 February 2021 | 2022-0119 | MG | Andrew Hetherington | North Northumberland and South Northumberland | Care Home Health related deaths | Baedling Manor Care Home | https://www.judiciary.uk/publications/margaret-greenacre-prevention-of-future-deaths-report/ |
| 16 June 2021 | 2022-0118 | WR | Andrew Hetherington | North Northumberland and South Northumberland | Care Home Health related deaths | Baedling Manor Care Home | https://www.judiciary.uk/publications/william-rutherford-prevention-of-future-deaths-report/ |
| 25 April 2022 | 2022-0117 | ZZ | John Broadbridge | North Yorkshire and York including North Yorkshire Western District | Mental Health related deaths | Suicide (from 2015) |Hospital Death (Clinical Procedures and medical management) related deaths | Minister of State for Care and Mental Health, North Yorkshire CCG, Tees Esk and Wear Valleys NHS Foundation Trust and NHS England & NHS Improvement | https://www.judiciary.uk/publications/zoe-zaremba-prevention-of-future-deaths-report/ |
| 22 April 2022 | 2022-0116 | MC | Louise Hunt | Birmingham and Solihull | Hospital Death (Clinical Procedures and medical management) related deaths | Railway related deaths | Mental Health related deaths | Priory Group and Department of Health | https://www.judiciary.uk/publications/matthew-caseby-prevention-of-future-deaths-report/ |
| 22 April 2022 | 2022-0115 | TH | Lydia Brown | West London | Child Death (from 2015) |Hospital Death (Clinical Procedures and medical management) related deaths | NICE | https://www.judiciary.uk/publications/thomas-hoskin-prevention-of-future-deaths-report/ |
| 19 April 2022 | 2022-0114 | RS | Anna Crawford | Surrey | Hospital Death (Clinical Procedures and medical management) related deaths | Holy Cross Hospital | https://www.judiciary.uk/publications/richard-scott-powell-prevention-of-future-deaths-report/ |
| 19 April 2022 | 2022-0113 | GI | Nigel Meadows | Manchester City | Mental Health related deaths |Hospital Death (Clinical Procedures and medical management) related deaths | GMMH NHS Trust | https://www.judiciary.uk/publications/gemma-ingham-prevention-of-future-deaths-report/ |
| 14 April 2022 | 2022-0112 | NF | John Gittins | North Wales (East and Central) | Hospital Death (Clinical Procedures and medical management) related deaths |Care Home Health related deaths | BCUHB | https://www.judiciary.uk/publications/nora-foulkes-prevention-of-future-deaths-report/ |
| 13 April 2022 | 2022-0111 | HB | Rachel Syed | Manchester West | Police related deaths | Suicide (from 2015) | Mental Health related deaths | Greater Manchester Police and Independent Office for Police Conduct | https://www.judiciary.uk/publications/hannah-beardshaw-prevention-of-future-deaths-report/ |
| 11 April 2022 | 2022-0110 | TW | Jacqueline Lake | Norfolk | Hospital Death (Clinical Procedures and medical management) related deaths |Mental Health related deaths | Hellesdon Hospital | https://www.judiciary.uk/publications/tracy-wood-prevention-of-future-deaths-report/ |
| 7 April 2022 | 2022-0109 | LS | Andrew Cox | Cornwall and the Isles of Scilly | Other related deaths | Minister for Crime and Policing | https://www.judiciary.uk/publications/laura-smallwood-prevention-of-future-deaths-report/ |
| 8 April 2022 | 2022-0108 | SU | Professor Fiona Wilcox | Inner West London | Other related deaths |Alcohol, drug and medication related deaths | London Borough of Wandsworth | https://www.judiciary.uk/publications/saima-usman-prevention-of-future-deaths-report/ |
| 8 April 2022 | 2022-0107 | MK | Professor Fiona Wilcox | Inner West London | Child Death (from 2015) |Hospital Death (Clinical Procedures and medical management) related deaths | London North West University Healthcare NHS Trust | https://www.judiciary.uk/publications/manhareen-kaur-prevention-of-future-deaths-report/ |
| 7 April 2022 | 2022-0106 | NR | Brendan Allen | Dorset | State Custody related deaths |Alcohol, drug and medication related deaths | HMP Guys Marsh Prison | https://www.judiciary.uk/publications/nicholas-rose-prevention-of-future-deaths-report/ |
| 3 April 2022 | 2022-0105 | EP | Catherine Wood | Mid Kent and Medway | Product related deaths | Mental Health related deaths | Hospital Death (Clinical Procedures and medical management) related deaths | Suicide (from 2015) | Interweave | https://www.judiciary.uk/publications/emma-pring-prevention-of-future-deaths-report/ |
| 5 April 2022 | 2022-0104 | LM | Mary Hassell | Inner North London | Community health care| Alcohol, drug and medication related deaths | Royal College of Obstetrician and Gynaecologists | https://www.judiciary.uk/publications/lauren-murdock-prevention-of-future-deaths-report/ |
| 6 April 2022 | 2022-0103 | OL | Alison Mutch | Manchester South | Child Death (from 2015) | Hospital Death (Clinical Procedures and medical management) related deaths | Secretary of State for Health and Social Care | https://www.judiciary.uk/publications/oliver-lindsay-prevention-of-future-deaths-report/ |
| 5 April 2022 | 2022-0102 | RM | Richard Middleton | Dorset | Other related deaths | Hospital Death (Clinical Procedures and medical management) related deaths | Mental Health related deaths | Community health care | Dorset Healthcare University NHS Foundation Trust | https://www.judiciary.uk/publications/ryan-merna-prevention-of-future-deaths-report/ |
| 4 April 2022 | 2022-0101 | FN | Martin Fleming | West Yorkshire Western | Hospital Death (Clinical Procedures and medical management) related deaths | Mental Health related deaths | Railway related deaths | Suicide (from 2015) | Spire Harpenden Hospital | https://www.judiciary.uk/publications/faizan-nazar-prevention-of-future-deaths-report/ |
| 3 April 2022 | 2022-0100 | MD | Dr Sean Cummings | Bedfordshire and Luton | Hospital Death (Clinical Procedures and medical management) related deaths | Atrumed Ltd and Bedfordshire Hospitals NHS Foundation Trust | https://www.judiciary.uk/publications/mandy-dickerson-prevention-of-future-deaths-report/ |
| 5 April 2022 | 2022-0099 | BD | Jason Pegg | Hampshire, Portsmouth and Southampton | Hospital Death (Clinical Procedures and medical management) related deaths |Alcohol, drug and medication related deaths | Portsmouth Hospitals NHS Trust | https://www.judiciary.uk/publications/beatrice-dawkins-prevention-of-future-deaths-report/ |
| 20 December 2021 | 2022-0098 | MM | Sabyta Kaushal | Derby and Derbyshire | Alcohol, drug and medication related deaths | Community health care | Alvaston Medical Centre | https://www.judiciary.uk/publications/maria-mcgauran-prevention-of-future-deaths-report/ |
| 1 April 2022 | 2022-0097 | CM | Nigel Parsley | Suffolk | Alcohol, drug and medication related deaths |Other related deaths | British Standards Institute, Container Handling Equipment Manufacturers Association, Dennis Eagle Ltd and Biffa Waste Services Ltd | https://www.judiciary.uk/publications/corrie-mckeague-prevention-of-future-deaths-report/ |
| 1 April 2022 | 2022-0096 | YE | Nigel Meadows | Manchester City | Mental Health related deaths |Hospital Death (Clinical Procedures and medical management) related deaths | GMMH NHS Trust | https://www.judiciary.uk/publications/yvonne-eaves-prevention-of-future-deaths-report/ |
| 28 March 2022 | 2022-0095 | LH | Sean McGovern | Warwickshire | Mental Health related deaths | Suicide (from 2015) |Hospital Death (Clinical Procedures and medical management) related deaths | Coventry and Warwickshire Partnership NHS Trust | https://www.judiciary.uk/publications/luke-harris-jones-prevention-of-future-deaths-report/ |
| 25 March 2022 | 2022-0094 | NT | Alan Wilson | Blackpool & Fylde | Alcohol, drug and medication related deaths | Other related deaths | Community health care |Hospital Death (Clinical Procedures and medical management) related deaths | Department of Health and Social Care and British Association for Counselling and Psychotherapy | https://www.judiciary.uk/publications/natalie-turner-prevention-of-future-deaths-report/ |
| 23 March 2022 | 2022-0093 | RM | Alan Craze | East Sussex | Care Home Health related deaths | Emergency services related deaths (2019 onwards) | Association of Ambulance Chief Executives and Nursing and Midwifery Council | https://www.judiciary.uk/publications/robert-murray-prevention-of-future-deaths-report/ |
| 23 March 2022 | 2022-0092 | EC | David Reid | Worcestershire | Hospital Death (Clinical Procedures and medical management) related deaths | Mental Health related deaths |Alcohol, drug and medication related deaths | Herefordshire and Worcestershire Health and Care NHS Trust | https://www.judiciary.uk/publications/emily-caldicott-prevention-of-future-deaths-report/ |
| 7 March 2022 | 2022-0091 | JR | Stephen Eccleston | South Yorkshire (West) | Suicide (from 2015) |Mental Health related deaths | Sheffield Health and Social Care NHS Foundation Trust | https://www.judiciary.uk/publications/joshua-rennard-prevention-of-future-deaths-report/ |
| 20 March 2022 | 2022-0090 | DC | Dr Sarah-Jane Richards | South Wales Central | Wales prevention of future deaths reports (2019 onwards) | Hospital Death (Clinical Procedures and medical management) related deaths | Community health care | Other related deaths | Alcohol, drug and medication related deaths | Cwm Taf University Morgannwg Health Board | https://www.judiciary.uk/publications/donald-compton-prevention-of-future-deaths-report/ |
| 18 March 2022 | 2022-0089 | ES | Rachael Griffin | Dorset | Other related deaths | Various recipients – please see the report. | https://www.judiciary.uk/publications/emiliano-sala-prevention-of-future-deaths-report/ |
| 21 March 2022 | 2022-0088 | ZT | Ian Wade QC | Berkshire | Road (Highways Safety) related deaths | Highways England | https://www.judiciary.uk/publications/zoltan-torok-prevention-of-future-deaths-report/ |
| 18 March 2022 | 2022-0087 | GO | Mary Hassell | Inner North London | Hospital Death (Clinical Procedures and medical management) related deaths | Mental Health related deaths | East London NHS Foundation Trust | https://www.judiciary.uk/publications/gary-ottway-prevention-of-future-deaths-report/ |
| 18 March 2022 | 2022-0086 | JF | Edwin Buckett | Inner North London | Mental Health related deaths | Suicide (from 2015) | Alcohol, drug and medication related deaths | Minister for Care and Mental Health and National Inquiry into Suicide and Safety in Mental Health | https://www.judiciary.uk/publications/james-forryan-prevention-of-future-deaths-report/ |
| 18 March 2022 | 2022-0085 | RK | Heath Westerman | Cheshire | Child Death (from 2015) |Hospital Death (Clinical Procedures and medical management) related deaths | Mid Cheshire Hospitals NHS Foundation Trust | https://www.judiciary.uk/publications/remi-koduah-prevention-of-future-deaths-report/ |
| 16 March 2022 | 2022-0084 | BL | Chris Morris | Greater Manchester (South) | Hospital Death (Clinical Procedures and medical management) related deaths | Great Western Hospitals NHS Foundation Trust and General Medical Council | https://www.judiciary.uk/publications/billy-longshaw-prevention-of-future-deaths-report/ |
| 7 March 2022 | 2022-0083 | MH | Jessica Russell-Mitra | County of Surrey | Care Home Health related deaths | Community health care | Tadworth Grove Care Home and Tissue Viability Nurses | https://www.judiciary.uk/publications/michael-humphries-prevention-of-future-deaths-report/ |
| 12 March 2022 | 2022-0082 | SA | Catherine Wood | North East Kent | Child Death (from 2015) | Mental Health related deaths | Other related deaths | Hospital Death (Clinical Procedures and medical management) related deaths | Secretary of State for Health and Social Care and NHS Kent and Medway Clinical Commissioning Grou | https://www.judiciary.uk/publications/samuel-alban-stanley-prevention-of-future-deaths-report/ |
| 7 March 2022 | 2022-0081 | AH | Jessica Russell-Mitra | County of Surrey | Hospital Death (Clinical Procedures and medical management) related deaths | Frimley Park Hospital | https://www.judiciary.uk/publications/arthur-hall-prevention-of-future-deaths-report/ |
| 14 March 2022 | 2022-0080 | ML | Dr Sarah-Jane Richards | South Wales Central | Wales prevention of future deaths reports (2019 onwards) |Road (Highways Safety) related deaths | Highways Department – Powys County Council and Canal and River Trust | https://www.judiciary.uk/publications/margaret-lewis-prevention-of-future-deaths-report/ |
| 7 March 2022 | 2022-0079 | ME | Jessica Russell-Mitra | County of Surrey | Mental Health related deaths | Hospital Death (Clinical Procedures and medical management) related deaths | Railway related deaths | Surrey and Borders Partnership NHS Foundation Trust | https://www.judiciary.uk/publications/melanie-elms-prevention-of-future-deaths-report/ |
| 7 March 2022 | 2022-0078 | JD | Jessica Russell-Mitra | County of Surrey | Care Home Health related deaths | Roseland Care Home | https://www.judiciary.uk/publications/joyce-dennis-prevention-of-future-deaths-report/ |
| 7 March 2022 | 2022-0077 | JB | Jessica Russell-Mitra | County of Surrey | Emergency services related deaths (2019 onwards) | SECAMBS and NHS England | https://www.judiciary.uk/publications/josephine-barker-prevention-of-future-deaths-report/ |
| 10 March 2022 | 2022-0076 | CS | Jacqueline Devonish | Suffolk | Alcohol, drug and medication related deaths | Emergency services related deaths (2019 onwards) | Priority Dispatch Corporation | https://www.judiciary.uk/publications/colin-swain-prevention-of-future-deaths-report/ |
| 9 March 2022 | 2022-0075 | TS | Martin Fleming | West Yorkshire, Western | Child Death (from 2015) |Other related deaths | Tennant Investments, Canal and River Trust and Calderdale Council | https://www.judiciary.uk/publications/tomi-solomon-prevention-of-future-deaths-report/ |
| 8 March 2022 | 2022-0074 | CC | Jeremy Chipperfield | County Durham and Darlington | Alcohol, drug and medication related deaths |Other related deaths | Boots UK Ltd and Human Kind Charity | https://www.judiciary.uk/publications/claire-copeland-prevention-of-future-deaths-report/ |
| 29 November 2021 | 2022-0073 | JL | James Adeley | Lancashire & Blackburn with Darwen | Suicide (from 2015) | Product related deaths |Other related deaths | Secretary of State for the Home Department | https://www.judiciary.uk/publications/james-lacey-prevention-of-future-deaths-report/ |
| 7 March 2022 | 2022-0072 | JR | David Urpeth | South Yorkshire West | Suicide (from 2015) | Community health care | Other related deaths | Department for Education, Department of Health and Social Care and Department of Culture Media & Sport | https://www.judiciary.uk/publications/jack-ritchie-prevention-of-future-deaths-report/ |
| 7 March 2022 | 2022-0071 | JA | Crispin Oliver | County Durham and Darlington | Community health care |Alcohol, drug and medication related deaths | Claypath and University Medical Group, Royal Pharmaceutical Society and NICE | https://www.judiciary.uk/publications/jane-allison-prevention-of-future-deaths-report/ |
| 4 March 2022 | 2022-0070 | SD | Andre Rebello | Liverpool and Wirral | Hospital Death (Clinical Procedures and medical management) related deaths |Mental Health related deaths | Mersey Care NHS Foundation Trust | https://www.judiciary.uk/publications/sarah-louise-doyle-prevention-of-future-deaths-report/ |
| 4 March 2022 | 2022-0069 | EA | Mary Burke | West Yorkshire Western | Child Death (from 2015) |Hospital Death (Clinical Procedures and medical management) related deaths | Calderdale and Huddersfield Foundation Trust | https://www.judiciary.uk/publications/edward-akroyd-prevention-of-future-deaths-report/ |
| 16 December 2021 | 2022-0068 | DO | Carly Henley | Newcastle upon Tyne and North Tyneside | Care Home Health related deaths | Springfield Health Care Services and Care Quality Commission | https://www.judiciary.uk/publications/david-obrien-prevention-of-future-deaths-report/ |
| 3 March 2022 | 2022-0067 | AH | Derek Winter DL | City of Sunderland | Hospital Death (Clinical Procedures and medical management) related deaths | County Durham and Darlington NHS Foundation Trust | https://www.judiciary.uk/publications/alan-hodgson-prevention-of-future-deaths-report/ |
| 3 March 2022 | 2022-0066 | AK | Kevin McLoughlin | West Yorkshire (East) | Police related deaths | West Yorkshire Police | https://www.judiciary.uk/publications/andrew-kitson-prevention-of-future-deaths-report/ |
| 3 March 2022 | 2022-0065 | MR | Caroline Saunders | Gwent | Hospital Death (Clinical Procedures and medical management) related deaths |Wales prevention of future deaths reports (2019 onwards) | Aneurin Bevan University Health Board | https://www.judiciary.uk/publications/marvin-rue-prevention-of-future-deaths-report/ |
| 28 February 2022 | 2022-0064 | NH | Mary Hassell | Inner North London | Hospital Death (Clinical Procedures and medical management) related deaths | Kent and Canterbury Hospital | https://www.judiciary.uk/publications/neil-hickman-prevention-of-future-deaths-report/ |
| 28 February 2022 | 2022-0063 | MM | Mary Hassell | Inner North London | Child Death (from 2015) |Hospital Death (Clinical Procedures and medical management) related deaths | King’s College Hospital NHS Foundation Trust | https://www.judiciary.uk/publications/jonathan-stevens-prevention-of-future-deaths-report/ |
| 28 February 2022 | 2022-0062 | VG | Nadia Persaud | East London | Hospital Death (Clinical Procedures and medical management) related deaths |Alcohol, drug and medication related deaths | Royal London Hospital | https://www.judiciary.uk/publications/vijaykumar-gadhavi-prevention-of-future-deaths-report/ |
| 23 February 2022 | 2022-0061 | AG | Gemma Brannigan | Buckinghamshire | Hospital Death (Clinical Procedures and medical management) related deaths | Suicide (from 2015) | Mental Health related deaths | Oxford Health NHS Foundation Trust | https://www.judiciary.uk/publications/amanda-gibbens-prevention-of-future-deaths-report/ |
| 22 February 2022 | 2022-0060 | CO | Kate Thomas | North East Kent | Hospital Death (Clinical Procedures and medical management) related deaths |Product related deaths | East Kent Hospitals University NHS Foundation Trust | https://www.judiciary.uk/publications/christopher-osland-prevention-of-future-deaths-report/ |
| 25 February 2022 | 2022-0059 | SM | Sean Horstead | Essex | Hospital Death (Clinical Procedures and medical management) related deaths | Mental Health related deaths |Suicide (from 2015) | Essex Partnership University NHS Foundation Trust | https://www.judiciary.uk/publications/stephanie-moyce-prevention-of-future-deaths-report/ |
| 22 February 2022 | 2022-0058 | VT | Jonathan Stevens | Inner North London | Hospital Death (Clinical Procedures and medical management) related deaths | Secretary of State for Health and Social Care, Barts Health NHS Trust and NHS England | https://www.judiciary.uk/publications/van-tuyen-prevention-of-future-deaths-report/ |
| 18 February 2022 | 2022-0057 | SMB | John Broadbridge | North Yorkshire and York including North Yorkshire Western District | Road (Highways Safety) related deaths |Other related deaths | North Yorkshire County Council | https://www.judiciary.uk/publications/sasha-raven-marie-brown-prevention-of-future-deaths-report/ |
| 23 February 2022 | 2022-0056 | AB | Zak Golombeck | Manchester City | Child Death (from 2015) |Other related deaths | Secretary of State for Education | https://www.judiciary.uk/publications/adrian-balog-prevention-of-future-deaths-report/ |
| 22 February 2022 | 2022-0055 | DS | Vanessa McKinlay | Birmingham and Solihull | Care Home Health related deaths | Prime Life Limited | https://www.judiciary.uk/publications/dorothy-spiby-prevention-of-future-deaths-report/ |
| 21 February 2022 | 2022-0054 | SE | Andrew Walker | Northern District of Greater London | Other related deaths | London Borough of Brent, Network Homes Housing Association and Barnet Assist | https://www.judiciary.uk/publications/sean-ennis-prevention-of-future-deaths-report/ |
| 22 February 2022 | 2022-0053 | JS | Fiona Butler | Leicester City and South Leicestershire | Care Home Health related deaths | Mental Health related deaths |Alcohol, drug and medication related deaths | Hamilton Community Homes Ltd | https://www.judiciary.uk/publications/jane-shilton-prevention-of-future-deaths-report/ |
| 1 December 2021 | 2022-0052 | KS | Robert Simpson | West Sussex | Railway related deaths | Child Death (from 2015) | Suicide (from 2015) | Govia Thameslink Railway Ltd and and Network Rail | https://www.judiciary.uk/publications/kaja-spiewak-prevention-of-future-deaths-report/ |
| 18 February 2022 | 2022-0051 | IF | Jacqueline Lake | Norfolk | Hospital Death (Clinical Procedures and medical management) related deaths | Norfolk and Norwich University Hospital | https://www.judiciary.uk/publications/irene-fitches-prevention-of-future-deaths-report/ |
| 17 February 2022 | 2022-0050 | CL | Karin Welsh | Teesside and Hartlepool | Hospital Death (Clinical Procedures and medical management) related deaths | Department for Health and Social Care | https://www.judiciary.uk/publications/chloe-lumb-prevention-of-future-deaths-report/ |
| 15 February 2022 | 2022-0049 | TB | Jacqueline Lake | Norfolk | Hospital Death (Clinical Procedures and medical management) related deaths | Mental Health related deaths | Suicide (from 2015) | Hellesdon Hospital | https://www.judiciary.uk/publications/theo-brennan-hulme-prevention-of-future-deaths-report/ |
| 15 February 2022 | 2022-0048 | JL | Graeme Irvine | East London | Mental Health related deaths | Hospital Death (Clinical Procedures and medical management) related deaths | Other related deaths | Department of Health and Social Care, East London Foundation NHS Trust and NHS England | https://www.judiciary.uk/publications/jason-lennon-prevention-of-future-deaths-report/ |
| 16 February 2022 | 2022-0047 | DF | Philip Barlow | Cambridgeshire and Peterborough | Child Death (from 2015) | Mental Health related deaths | Suicide (from 2015) | Hospital Death (Clinical Procedures and medical management) related deaths | Other related deaths | Cambridgeshire and Peterborough NHS Foundation Trust and Cambridgeshire County Council | https://www.judiciary.uk/publications/daniel-france-prevention-of-future-deaths-report/ |
| 15 February 2022 | 2022-0046 | DC | Geoffrey Sullivan | Hertfordshire | Hospital Death (Clinical Procedures and medical management) related deaths | East & North Hertfordshire NHS Trust | https://www.judiciary.uk/publications/david-clark-prevention-of-future-deaths-report/ |
| 14 February 2022 | 2022-0045 | NB | Bina Patel | Mid Kent & Medway | Care Home Health related deaths | Ashley Gardens Care Centre | https://www.judiciary.uk/publications/norman-barnes-prevention-of-future-deaths-report/ |
| 11 February 2022 | 2022-0044 | MM | Anna Morris | Greater Manchester South | Mental Health related deaths | Suicide (from 2015) | Other related deaths | Alcohol, drug and medication related deaths | Secretary of State for Health and Social Care and Greater Manchester Health and Social Care Partnershi | https://www.judiciary.uk/publications/matthew-mcmanus-prevention-of-future-deaths-report/ |
| 10 February 2022 | 2022-0043 | DHaIS | Geoffrey Sullivan | Hertfordshire | Care Home Health related deaths | Secretary of State for Levelling Up, Housing and Communities | https://www.judiciary.uk/publications/daphne-holloway-and-ivy-spriggs-prevention-of-future-deaths-report/ |
| 10 February 2022 | 2022-0042 | SS | Yvonne Blake | Norfolk | Hospital Death (Clinical Procedures and medical management) related deaths |Mental Health related deaths | Hellesdon Hospital | https://www.judiciary.uk/publications/sheila-steggles-prevention-of-future-deaths-report/ |
| 10 February 2022 | 2022-0041 | JS | Graham Danbury | Hertfordshire | Hospital Death (Clinical Procedures and medical management) related deaths |Alcohol, drug and medication related deaths | NHS England | https://www.judiciary.uk/publications/john-skinner-prevention-of-future-deaths-report/ |
| 3 February 2022 | 2022-0040 | MJ | Alison Mutch | Manchester South | Hospital Death (Clinical Procedures and medical management) related deaths |Other related deaths | Secretary of State for Health and Social Care | https://www.judiciary.uk/publications/mark-jones-prevention-of-future-deaths-report/ |
| 8 February 2022 | 2022-0039 | BS | Michelle Brown | Essex | Mental Health related deaths | Alcohol, drug and medication related deaths | Hospital Death (Clinical Procedures and medical management) related deaths |Product related deaths | Essex Partnership University Trust and NHS England | https://www.judiciary.uk/publications/benjamin-stroud-prevention-of-future-deaths-report/ |
| 4 February 2022 | 2022-0038 | JB | Chris Morris | Greater Manchester South | Mental Health related deaths | Suicide (from 2015) | Hospital Death (Clinical Procedures and medical management) related deaths | Other related deaths | Secretary of State for Health and Social Care | https://www.judiciary.uk/publications/joy-burgess-prevention-of-future-deaths-report/ |
| 4 February 2022 | 2022-0037 | SG | Graeme Hughes | South Wales Central | Emergency services related deaths (2019 onwards) | Mental Health related deaths | Alcohol, drug and medication related deaths | Wales prevention of future deaths reports (2019 onwards) | Welsh Ambulance NHS Trust | https://www.judiciary.uk/publications/sarah-gilbert-jones-prevention-of-future-deaths-report/ |
| 5 November 2018 | 2022-0036 | Henrietta Hill QC | London Inner South | Community health care | Suicide (from 2015) | Broadgate General Practice and General Medical Council | https://www.judiciary.uk/publications/prevention-of-future-deaths-report/ | |
| 3 February 2022 | 2022-0035 | SC | Craig Smith | Cumbria | Road (Highways Safety) related deaths | Other related deaths | National Highways and Cumbria County Council | https://www.judiciary.uk/publications/stephen-cloudsdale-prevention-of-future-deaths-report/ |
| 31 January 2022 | 2022-0034 | ER | Katie Sutherland | North West Wales | Care Home Health related deaths | Wales prevention of future deaths reports (2019 onwards)|Other related deaths | Minister for Health and Social Services and Gwynedd Council | https://www.judiciary.uk/publications/eirlys-roberts-prevention-of-future-deaths-report/ |
| 2 February 2022 | 2022-0033 | CC | Rachael Griffin | Dorset | Mental Health related deaths | Suicide (from 2015) | Police related deaths | Other related deaths | Alcohol, drug and medication related deaths | Dorset Council and Dorset Police | https://www.judiciary.uk/publications/carol-cole-prevention-of-future-deaths-report/ |
| 1 February 2022 | 2022-0032 | JC | Guy Davies | Cornwall & the Isles of Scilly | Child Death (from 2015) | Suicide (from 2015) |Other related deaths | Youth Justice Board for England and Wales | https://www.judiciary.uk/publications/jake-cahill-prevention-of-future-deaths-report/ |
| 31 January 2022 | 2022-0031 | ON | Richard Travers | Surrey | Child Death (from 2015) | Mental Health related deaths | Railway related deaths | Suicide (from 2015) | Other related deaths | Hospital Death (Clinical Procedures and medical management) related deaths | Surrey and Borders Partnership NHS Foundation Trust, Surrey County Council, Surrey Heartlands CCG, National Child Safeguarding Review Panel, SoS for Education and SoS for Health and Social Care | https://www.judiciary.uk/publications/oskar-nash-prevention-of-future-deaths-report/ |
| 26 January 2022 | 2022-0030 | KK | Lydia Brown | West London | State Custody related deaths | Mental Health related deaths | Suicide (from 2015) | Other related deaths | Home Office | https://www.judiciary.uk/publications/ketheeswaren-kunarathnam-prevention-of-future-deaths-report/ |
| 28 January 2022 | 2022-0029 | JT | Robert Simpson | West Sussex | Hospital Death (Clinical Procedures and medical management) related deaths | Police related deaths | Alcohol, drug and medication related deaths | Mental Health related deaths | Sussex Police and Sussex Partnership NHS Trust | https://www.judiciary.uk/publications/jack-taylor-prevention-of-future-deaths-report/ |
| 3 February 2022 | 2022-0028 | HS | Deborah Archer | Plymouth, Torbay and South Devon | Road (Highways Safety) related deaths | Plymouth Highways – Plymouth City Council | https://www.judiciary.uk/publications/harry-simmons-prevention-of-future-deaths-report/ |
| 28 January 2022 | 2022-0027 | BY | Caroline Saunders | Gwent | Emergency services related deaths (2019 onwards) |Wales prevention of future deaths reports (2019 onwards) | Wales Ambulance Service NHS Trust | https://www.judiciary.uk/publications/barbara-young-prevention-of-future-deaths-report/ |
| 27 January 2022 | 2022-0026 | AS | Emma Brown | Birmingham and Solihull | Emergency services related deaths (2019 onwards) | Alcohol, drug and medication related deaths | Mental Health related deaths | The College of Paramedics, The Association of Ambulance Chief Executives, NHS Pathways and Advanced Medical Priority Dispatch | https://www.judiciary.uk/publications/adam-stone-prevention-of-future-deaths-report/ |
| 31 January 2022 | 2022-0025 | CM | Heidi Connor | Berkshire | Care Home Health related deaths | Four Seasons Healthcare and Care Quality Commission | https://www.judiciary.uk/publications/colm-mccabe-prevention-of-future-deaths-report/ |
| 28 January 2022 | 2022-0024 | MA | Kevin McLoughlin | West Yorkshire (East) | Care Home Health related deaths | Quality and Exemplar Healthcare, Copperfields Nursing Home and Secretary of State for Health and Social Care | https://www.judiciary.uk/publications/mark-athias-prevention-of-future-deaths-report/ |
| 27 January 2022 | 2022-0023 | FK | Zak Golombeck | Manchester City | Mental Health related deaths | Other related deaths |Suicide (from 2015) | Universities and Colleges Admissions Service (UCAS) | https://www.judiciary.uk/publications/finnian-kitson-prevention-of-future-deaths-report/ |
| 27 January 2022 | 2022-0022 | MH | Michelle Brown | Essex | Care Home Health related deaths | Holmes Care Group Limited | https://www.judiciary.uk/publications/maria-howell-prevention-of-future-deaths-report/ |
| 25 January 2022 | 2022-0021 | AR | Jacqueline Lake | Norfolk | Accident at Work and Health and Safety related deaths |Other related deaths | Great Yarmouth Borough Council and Caister-On-Sea Parish Council | https://www.judiciary.uk/publications/anthony-rode-prevention-of-future-deaths-report/ |
| 24 January 2022 | 2022-0020 | IH | Patricia Harding | Mid Kent and Medway | State Custody related deaths |Mental Health related deaths | HMP Swaleside | https://www.judiciary.uk/publications/idris-habib-prevention-of-future-deaths-report/ |
| 20 January 2022 | 2022-0019 | NP | Sean McGovern | Warwickshire | Police related deaths | Warwickshire Police | https://www.judiciary.uk/publications/neil-parkes-prevention-of-future-deaths-report/ |
| 22 January 2022 | 2022-0018 | TM | Nicholas Rheinberg | Lancashire and Blackburn with Darwen | State Custody related deaths | HMP Preston and HMPPS | https://www.judiciary.uk/publications/thomas-moffett-prevention-of-future-deaths-report/ |
| 21 January 2022 | 2022-0017 | AWGKDWaJT | HH Judge Munro QC | East London | Police related deaths | Other related deaths | Product related deaths | Alcohol, drug and medication related deaths | Metropolitan Police Service, National Police Chiefs’ Council, College of Policing and DCMS | https://www.judiciary.uk/publications/anthony-walgate-gabriel-kovari-daniel-whitworth-and-jack-taylor-prevention-of-future-deaths-report/ |
| 19 January 2022 | 2022-0016 | MW | Elizabeth Didcock | Nottinghamshire | Hospital Death (Clinical Procedures and medical management) related deaths | Alcohol, drug and medication related deaths | Mental Health related deaths | Nottinghamshire Healthcare NHS Foundation Trust | https://www.judiciary.uk/publications/michelle-whitehead-prevention-of-future-deaths-report/ |
| 16 January 2022 | 2022-0015 | LW | Emma Whitting | Bedfordshire and Luton | Child Death (from 2015) | Alcohol, drug and medication related deaths |Mental Health related deaths | Hospital Death (Clinical Procedures and medical management) related deaths | ELFT and NHS England and NHS Improvement | https://www.judiciary.uk/publications/luke-wilden-prevention-of-future-deaths-report/ |
| 18 January 2022 | 2022-0014 | TR | Laurinder Bower | Nottingham City and Nottinghamshire | Other related deaths | Minister of State for Prisons and Probation | https://www.judiciary.uk/publications/terance-radford-prevention-of-future-deaths-report/ |
| 14 January 2022 | 2022-0013 | AS | Jean Harkin | Northamptonshire | Child Death (from 2015) |Emergency services related deaths (2019 onwards) | East Midlands Ambulance Service | https://www.judiciary.uk/publications/alfie-stone-prevention-of-future-deaths-report/ |
| 18 January 2022 | 2022-0012 | CB | Andrew Cox | Cornwall and the Isles of Scilly | Child Death (from 2015) |Hospital Death (Clinical Procedures and medical management) related deaths | National Institute for Health & Care Excellence | https://www.judiciary.uk/publications/coco-bradford-prevention-of-future-deaths-report/ |
| 13 January 2022 | 2022-0011 | DB | Robert Cohen | Cumbria | Suicide (from 2015) |Hospital Death (Clinical Procedures and medical management) related deaths | North Cumbria Integrated Care NHS Foundation Trust and EMIS Grou | https://www.judiciary.uk/publications/darran-busby-prevention-of-future-deaths-report/ |
| 14 January 2022 | 2022-0010 | BW | Caroline Saunders | Gwent | Wales prevention of future deaths reports (2019 onwards) | Community health care | Hospital Death (Clinical Procedures and medical management) related deaths | Aneurin Bevan University Health Board and Richmond Clinic | https://www.judiciary.uk/publications/brian-wareham-prevention-of-future-deaths-report/ |
| 14 January 2022 | 2022-0009 | JG | Michelle Brown | Essex | Mental Health related deaths | Suicide (from 2015) | Hospital Death (Clinical Procedures and medical management) related deaths |Other related deaths | NHS England and Essex Partnership University Trust | https://www.judiciary.uk/publications/jan-goodliffe-prevention-of-future-deaths-report/ |
| 11 January 2022 | 2022-0008 | RW | Myfanwy Buckeridge | Avon | Care Home Health related deaths | Blenheim House Care Home | https://www.judiciary.uk/publications/reginald-weston-prevention-of-future-deaths-report/ |
| 10 January 2022 | 2022-0007 | BE | Derek Winter | City of Sunderland | Accident at Work and Health and Safety related deaths | EKO-INVEST, POM-EKO and EURO-EKO | https://www.judiciary.uk/publications/brendan-eccles-prevention-of-future-deaths-report/ |
| 7 January 2022 | 2022-0006 | SS | Graeme Irvine | East London | Hospital Death (Clinical Procedures and medical management) related deaths | Royal London Hospital, Department of Health and Social Care, Royal College of Surgeons and Royal College of Anaesthetists | https://www.judiciary.uk/publications/surekha-shivalkar-prevention-of-future-deaths-report/ |
| 31 December 2021 | 2022-0005 | MM | Philip Holden | Lancashire and Blackburn with Darwen | Hospital Death (Clinical Procedures and medical management) related deaths | Suicide (from 2015) | Mental Health related deaths | Lancashire and South Cumbria NHS Foundation Trust | https://www.judiciary.uk/publications/maziellie-mackenzie-prevention-of-future-deaths-report/ |
| 23 December 2021 | 2022-0004 | MT | Graeme Irvine | East London | Hospital Death (Clinical Procedures and medical management) related deaths | Department of Health and Social Care and Royal London Hospital | https://www.judiciary.uk/publications/margaret-toye-prevention-of-future-deaths-report/ |
| 5 January 2022 | 2022-0003 | RS | Katy Skerrett | Gloucestershire | Other related deaths | British Diving Safety Group C/O Royal National Lifeboat Institution, Diving Medical Committee – St Richard’s Hospital and National Diving and Activity Centre | https://www.judiciary.uk/publications/richard-sanders-prevention-of-future-deaths-report/ |
| 5 January 2022 | 2022-0002 | JE | Sean Cummings | Bedfordshire and Luton | Mental Health related deaths | Hospital Death (Clinical Procedures and medical management) related deaths | Other related deaths | Community health care | Association of Directors of Adult Social Services, Royal College of Psychiatrists, Secretary of State for Health and Social Care, East London NHS Foundation Trust and Health and Housing – Central Bedfordshire | https://www.judiciary.uk/publications/james-emmerson-prevention-of-future-deaths-report/ |
| 5 January 2022 | 2022-0001 | IM | Caroline Saunders | Gwent | State Custody related deaths | Suicide (from 2015) |Wales prevention of future deaths reports (2019 onwards) | Ministry of Justice and HM Prison Usk | https://www.judiciary.uk/publications/ian-miller-prevention-of-future-deaths-report/ |
| 31 December 2021 | 2021-0435 | JT | Alison Mutch | Greater Manchester South | Hospital Death (Clinical Procedures and medical management) related deaths |Child Death (from 2015) | Secretary of State for Health and Social Care | https://www.judiciary.uk/publications/jos-tartese-joy-prevention-of-future-deaths-report/ |
| 31 December 2021 | 2021-0434 | YM | Alison Mutch | Greater Manchester South | Other related deaths | Product related deaths | Secretary of State for Education | https://www.judiciary.uk/publications/yousef-makki-prevention-of-future-deaths-report/ |
| 17 December 2021 | 2021-0433 | NL | Joanne Kearsley | Manchester North | Hospital Death (Clinical Procedures and medical management) related deaths | Mental Health related deaths | Other related deaths | Various recipients – please see the report. | https://www.judiciary.uk/publications/nichola-lomax-prevention-of-future-deaths-report/ |
| 23 December 2021 | 2021-0432 | WDABPSaCC | Laurinder Bower | Nottingham City and Nottinghamshire | Hospital Death (Clinical Procedures and medical management) related deaths | Nottingham University Hospitals NHS Trust | https://www.judiciary.uk/publications/william-doleman-anita-burkey-peter-sellars-and-carol-cole-prevention-of-future-deaths-report/ |
| 21 December 2021 | 2021-0431 | LC | Alan Wilson | Blackpool & Fylde | Community health care | Hospital Death (Clinical Procedures and medical management) related deaths | Department of Health and Social Care | https://www.judiciary.uk/publications/louise-cooper-prevention-of-future-deaths-report/ |
| 23 December 2021 | 2021-0430 | SJ | Catherine McKenna | Manchester North | Community health care | Croft Shifa Health Centre | https://www.judiciary.uk/publications/sameena-javed-prevention-of-future-deaths-report/ |
| 24 December 2021 | 2021-0429 | GB | John Hobson | West Yorkshire (Eastern) | Railway related deaths | Suicide (from 2015) | Mental Health related deaths | Network Rail | https://www.judiciary.uk/publications/gregory-barber-prevention-of-future-deaths-report/ |
| 23 December 2021 | 2021-0428 | DE | Martin Fleming | West Yorkshire Western | Care Home Health related deaths | Aden Nursing Home | https://www.judiciary.uk/publications/dilys-etchells-prevention-of-future-deaths-report/ |
| 22 December 2021 | 2021-0427 | MC | Andrew Harris | London Inner South | Suicide (from 2015) |Other related deaths | HM Prison and Probation Service | https://www.judiciary.uk/publications/mark-castley-prevention-of-future-deaths-report/ |
| 22 December 2021 | 2021-0426 | KN | Stephen Nicholls | Dorset | State Custody related deaths | Alcohol, drug and medication related deaths | HMP Guy’s Marsh and Prisons and Probation Service | https://www.judiciary.uk/publications/kyle-nel-prevention-of-future-deaths-report/ |
| 17 December 2021 | 2021-0425 | ZM | Mary Hassell | Inner North London | Hospital Death (Clinical Procedures and medical management) related deaths |Child Death (from 2015) | Homerton University Hospital NHS Trust | https://www.judiciary.uk/publications/ziggy-mitchell-stagg-prevention-of-future-deaths-report/ |
| 21 December 2021 | 2021-0424 | EW | Rachel Knight | South Wales Central | Hospital Death (Clinical Procedures and medical management) related deaths | Wales prevention of future deaths reports (2019 onwards) | Cwm Taf Morgannwg University Health Board | https://www.judiciary.uk/publications/eva-wheeler-prevention-of-future-deaths-report/ |
| 21 December 2021 | 2021-0423 | ST | David Reid | Worcestershire | State Custody related deaths |Mental Health related deaths | HMP Birmingham | https://www.judiciary.uk/publications/saul-thomas-prevention-of-future-deaths-report/ |
| 20 December 2021 | 2021-0422 | OW | Dr James Adeley | Lancashire & Blackburn with Darwen | Child Death (from 2015) | Mental Health related deaths | Other related deaths | OFSTED | https://www.judiciary.uk/publications/oliver-weston-prevention-of-future-deaths-report/ |
| 14 December 2021 | 2021-0421 | HR | Tom Osborne | Milton Keynes | Police related deaths | Mental Health related deaths |Hospital Death (Clinical Procedures and medical management) related deaths | CNWL and Chief Constable | https://www.judiciary.uk/publications/hedley-robinson-prevention-of-future-deaths-report/ |
| 17 December 2021 | 2021-0420 | JW | Catherine Cundy | Manchester West | Hospital Death (Clinical Procedures and medical management) related deaths | Royal Bolton Hospital | https://www.judiciary.uk/publications/joan-wright-prevention-of-future-deaths-report/ |
| 3 December 2021 | 2021-0419 | TT | Sonia Hayes | Mid Kent and Medway | Mental Health related deaths | Hospital Death (Clinical Procedures and medical management) related deaths | Other related deaths |Alcohol, drug and medication related deaths | Kent & Medway Social Care Partnership Trust, Maidstone & Tunbridge Wells NHS Foundation Trust and Secretary of State for Work and Pensions | https://www.judiciary.uk/publications/terence-talbot-prevention-of-future-deaths-report/ |
| 13 December 2021 | 2021-0418 | HM | Nadia Persaud | East London | Hospital Death (Clinical Procedures and medical management) related deaths | Resuscitation Council UK and Royal College of Obstetrics & Gynaecology | https://www.judiciary.uk/publications/hurrun-maksur-prevention-of-future-deaths-report/ |
| 15 December 2021 | 2021-0417 | MB | Nicholas Rheinberg | Lancashire and Blackburn with Darwen | State Custody related deaths | HMP Lancaster Farms | https://www.judiciary.uk/publications/martin-brown-prevention-of-future-deaths-report/ |
| 8 December 2021 | 2021-0416 | RB | Dr Elizabeth Didcock | Nottinghamshire | Care Home Health related deaths | Suicide (from 2015) | Mental Health related deaths | Heathcotes Group and Care Quality Commission | https://www.judiciary.uk/publications/rebecca-begg-prevention-of-future-deaths-report/ |
| 10 December 2021 | 2021-0415 | EC | Karin Welsh | Newcastle | Hospital Death (Clinical Procedures and medical management) related deaths |Product related deaths | Sunderland Royal Hospital, The Jackloc Company Ltd and Department for Health and Social Care | https://www.judiciary.uk/publications/edward-cockburn-prevention-of-future-deaths-reports/ |
| 9 December 2021 | 2021-0414 | JM | Penelope Schofield | West Sussex | Road (Highways Safety) related deaths |Other related deaths | Secretary of State for Transport | https://www.judiciary.uk/publications/james-mckeough-prevention-of-future-deaths-report/ |
| 7 December 2021 | 2021-0413 | JB | Katie Sutherland | North West Wales | Accident at Work and Health and Safety related deaths | Service Personnel related deaths | Product related deaths | Wales prevention of future deaths reports (2019 onwards) | Secretary of State for Defence | https://www.judiciary.uk/publications/jonathan-bayliss-prevention-of-future-deaths-report/ |
| 3 December 2021 | 2021-0412 | AT | Kevin McLoughlin | West Yorkshire (Eastern) | Community health care and emergency services related deaths |Hospital Death (Clinical Procedures and medical management) related deaths | One Medical Group, Leed Teaching Hospital and Secretary of State for Health | https://www.judiciary.uk/publications/alexander-theodossiadis-prevention-of-future-deaths-reports/ |
| 7 December 2021 | 2021-0411 | AF | Jason Wells | Manchester South | Police related deaths |Mental Health related deaths | Suicide (from 2015) | Mitie Care and Custody Ltd and Greater Manchester Police | https://www.judiciary.uk/publications/anthony-fitzpatrick-prevention-of-future-deaths-report/ |
| 2 December 2021 | 2021-0410 | K | Mary Hassell | Inner North London | Other related deaths | Swiss Cottage Special School | https://www.judiciary.uk/publications/khadija-ahmed-prevention-of-future-deaths-report/ |
| 6 December 2021 | 2021-0409 | RH | Sean McGovern | Warwickshire | Hospital Death (Clinical Procedures and medical management) related deaths |Suicide (from 2015) | Coventry and Warwickshire Partnership Trust | https://www.judiciary.uk/publications/robert-hammond-prevention-of-future-deaths-report/ |
| 26 November 2021 | 2021-0408 | FT | Karen Henderson | Surrey | Other related deaths|Suicide (from 2015) | Secretary of State for Education | https://www.judiciary.uk/publications/frances-thomas-prevention-of-future-deaths-report/ |
| 6 December 2021 | 2021-0407 | AT | Brendan Allen | Dorset | Service Personnel related deaths | Mental Health related deaths | Suicide (from 2015) | Secretary of State for Defence | https://www.judiciary.uk/publications/alexander-tostevin-prevention-of-future-deaths-report/ |
| 25 November 2021 | 2021-0406 | MMaJI | Alan Wilson | Blackpool & Fylde | Mental Health related deaths | Hospital Death (Clinical Procedures and medical management) related deaths |Child Death (from 2015) | Alcohol, drug and medication related deaths | Suicide (from 2015) | Community health care | Other related deaths | Minister for Care and Mental Health, Department of Health & Social Care | https://www.judiciary.uk/publications/marshall-metcalfe-and-jane-ireland-prevention-of-future-deaths-report/ |
| 30 November 2021 | 2021-0405 | CH | Janine Wolstenholme | West Yorkshire (Eastern) | State Custody related deaths |Suicide (from 2015) | HMP Wakefield and Minister of State for Prisons and Probation | https://www.judiciary.uk/publications/connor-hoult-prevention-of-future-deaths-report/ |
| 22 November 2021 | 2021-0404 | BB | Jonathan Stevens | Inner North London | Mental Health related deaths | Product related deaths | Suicide (from 2015) | DCMS, Home Office and Joint Select Committee for the Draft Online Safety Bill | https://www.judiciary.uk/publications/berenice-bell-prevention-of-future-deaths-report/ |
| 26 November 2021 | 2021-0403 | JM | Heidi Connor | Berkshire | Child Death (from 2015) |Other related deaths | Environment Agency and National Trust | https://www.judiciary.uk/publications/jordan-mhlanga-veira-prevention-of-future-deaths-report/ |
| 26 November 2021 | 2021-0402 | FC | Rachael Griffin | Dorset | Mental Health related deaths | Hospital Death (Clinical Procedures and medical management) related deaths | Police related deaths |Alcohol, drug and medication related deaths | Secretary of State for Health and Social Care, Minister for Crime and Policing, NHS England, National Police Chiefs’ Council and Yeovil District Hospital | https://www.judiciary.uk/publications/felicity-clough-prevention-of-future-deaths-report/ |
| 26 November 2021 | 2021-0401 | GW | Andre Rebello | Liverpool and Wirral | Police related deaths | National Police Chiefs’ Council | https://www.judiciary.uk/publications/gary-williams-prevention-of-future-deaths-report/ |
| 25 November 2021 | 2021-0400 | NS | Karen Dilks | Newcastle upon Tyne | Other related deaths |Product related deaths | Bounce Til I Die | https://www.judiciary.uk/publications/neil-stewart-prevention-of-future-deaths-report/ |
| 25 November 2021 | 2021-0399 | SH | Heidi Connor | Berkshire | Hospital Death (Clinical Procedures and medical management) related deaths | Suicide (from 2015) | Alcohol, drug and medication related deaths | Product related deaths | John Radcliffe Hospital | https://www.judiciary.uk/publications/saif-hussain-prevention-of-future-deaths-report/ |
| 25 November 2021 | 2021-0398 | JR | Heidi Connor | Berkshire | Service Personnel related deaths | Mental Health related deaths | Suicide (from 2015) | Army Headquarters | https://www.judiciary.uk/publications/joel-robinson-prevention-of-future-deaths-report/ |
| 23 November 2021 | 2021-0397 | DD | Dr Nicholas Shaw | Cumbria | Alcohol, drug and medication related deaths | Product related deaths | Mental Health related deaths | Other related deaths |Community health care | Greater Manchester Mental Health NHS Foundation Trust and Humankind | https://www.judiciary.uk/publications/darrell-devlin-prevention-of-future-deaths-report/ |
| 25 November 2021 | 2021-0396 | MD | Chris Morris | Manchester South | Mental Health related deaths | Hospital Death (Clinical Procedures and medical management) related deaths | Suicide (from 2015) | Secretary of State for Health and Social Care | https://www.judiciary.uk/publications/malcolm-dixon-prevention-of-future-deaths-report/ |
| 22 November 2021 | 2021-0395 | MJ | Christopher Morris | Manchester South | Alcohol, drug and medication related deaths | Community health care | Trafford Clinical Commissioning Group and Greater Manchester Health & Social Care Partnershi | https://www.judiciary.uk/publications/michelle-jeffries-prevention-of-future-deaths-report/ |
| 22 November 2021 | 2021-0394 | BH | Alan Wilson | Blackpool and Fylde | Hospital Death (Clinical Procedures and medical management) related deaths | Department of Health and Social Care | https://www.judiciary.uk/publications/barrie-housby-prevention-of-future-deaths-report/ |
| 19 November 2021 | 2021-0393 | MA | Caroline Saunders | Gwent | Wales prevention of future deaths reports (2019 onwards) |Other related deaths | Home Office | https://www.judiciary.uk/publications/mustafa-abdelkarim-prevention-of-future-deaths-report/ |
| 18 November 2021 | 2021-0392 | RDJHSHEUaJU | Penelope Schofield | West Sussex | Product related deaths |Other related deaths | Civil Aviation Authority | https://www.judiciary.uk/publications/grand-canyon-prevention-of-future-deaths-report/ |
| 7 May 2021 | 2021-0391 | OH | Laurinder Bower | Nottingham City and Nottinghamshire | Community health care |Other related deaths | Nottingham and Nottinghamshire Clinical Commissioning Grou | https://www.judiciary.uk/publications/owen-hinds-prevention-of-future-deaths-report/ |
| 19 November 2021 | 2021-0390 | RE | David Regan | South Wales Central | State Custody related deaths |Wales prevention of future deaths reports (2019 onwards) | HM Prison Cardiff | https://www.judiciary.uk/publications/robert-ellery-prevention-of-future-deaths-report/ |
| 16 November 2021 | 2021-0389 | JM | Mary Hassell | Inner North London | Police related deaths |Mental Health related deaths | Police Service of Northern Ireland Belfast | https://www.judiciary.uk/publications/joseph-martin-prevention-of-future-deaths-report/ |
| 5 November 2021 | 2021-0388 | KM | Andrew Harris | London Inner South | Police related deaths | Other related deaths | Community health care | University of Gloucestershire, University of Durham, Metropolitan Police Service and Mayor of London | https://www.judiciary.uk/publications/katrina-makunova-prevention-of-future-deaths-report/ |
| 17 November 2021 | 2021-0387 | TS | Louise Hunt | Birmingham and Solihull | Police related deaths |Other related deaths | West Midlands Police and College of Policing | https://www.judiciary.uk/publications/trevor-smith-prevention-of-future-deaths-report/ |
| 17 November 2021 | 2021-0386 | VH | Nigel Parsley | Suffolk | Other related deaths | Service Personnel related deaths | Ministry of Defence | https://www.judiciary.uk/publications/victoria-harrild-jones-prevention-of-future-deaths-report/ |
| 16 November 2021 | 2021-0385 | SR | Dr Anthony Howard | West Yorkshire Western | Hospital Death (Clinical Procedures and medical management) related deaths | Alcohol, drug and medication related deaths | Bradford Teaching Hospitals NHS Trust | https://www.judiciary.uk/publications/sharon-robinson-prevention-of-future-deaths-report/ |
| 3 August 2021 | 2021-0384 | AB | Joanne Lees | Black Country | Accident at Work and Health and Safety related deaths | Wayne Clarey Roofing & Cladding Ltd and Health & Safety Executive | https://www.judiciary.uk/publications/adam-brunskill-prevention-of-future-deaths-report/ |
| 1 November 2021 | 2021-0383 | SM | Sarah Murphy | Stoke-on-Trent and North Staffordshire Coroner’s Court | Emergency services related deaths (2019 onwards) | Hospital Death (Clinical Procedures and medical management) related deaths | Alcohol, drug and medication related deaths | Royal Stoke University Hospital and NHS England | https://www.judiciary.uk/publications/shaun-mansell-prevention-of-future-deaths-report/ |
| 11 November 2021 | 2021-0382 | EB | Andrew Cox | Cornwall and Isles of Scilly | Mental Health related deaths |Community health care | Hospital Death (Clinical Procedures and medical management) related deaths | Cornwall Council and KCCG | https://www.judiciary.uk/publications/emma-burbury-prevention-of-future-deaths-report/ |
| 10 November 2021 | 2021-0381 | DH | Dr Sarah-Jane Richards | South Wales Central | Mental Health related deaths | Suicide (from 2015) | Wales prevention of future deaths reports (2019 onwards) | University of South Wales | https://www.judiciary.uk/publications/daniel-hall-prevention-of-future-deaths-report/ |
| 10 November 2021 | 2021-0380 | PE | Crispin Oliver | County Durham and Darlington | Alcohol, drug and medication related deaths | Free the Way | https://www.judiciary.uk/publications/philip-ellis-prevention-of-future-deaths-report/ |
| 9 November 2021 | 2021-0379 | MD | Crispin Butler | Buckinghamshire | Child Death (from 2015) |Hospital Death (Clinical Procedures and medical management) related deaths | NICE | https://www.judiciary.uk/publications/mollie-dimmock-prevention-of-future-deaths-report/ |
| 10 November 2021 | 2021-0378 | MF | Katie Sutherland | North West Wales | Suicide (from 2015) | Other related deaths |Wales prevention of future deaths reports (2019 onwards) | Cardiff University | https://www.judiciary.uk/publications/mared-foulkes-prevention-of-future-deaths-report/ |
| 9 November 2021 | 2021-0377 | EB | Lorna Skinner QC | Cambridgeshire and Peterborough | Hospital Death (Clinical Procedures and medical management) related deaths | Community health care | Alcohol, drug and medication related deaths | North West Anglia NHS Foundation Trust, Cambridgeshire and Peterborough Clinical Commissioning Group and Department for Health and Social Care | https://www.judiciary.uk/publications/ethel-beaumont-prevention-of-future-deaths-report/ |
| 4 November 2021 | 2021-0376 | CH | Scott Matthewson | Mid Kent and Medway | State Custody related deaths | Minister of State for Prisons and Probation, Ministry of Justice | https://www.judiciary.uk/publications/christian-hinkley-prevention-of-future-deaths-report/ |
| 9 November 2021 | 2021-0375 | SM | John Gittins | North Wales (East and Central) | Hospital Death (Clinical Procedures and medical management) related deaths |Wales prevention of future deaths reports (2019 onwards) | BCUHB | https://www.judiciary.uk/publications/susan-merton-prevention-of-future-deaths-report/ |
| 4 November 2021 | 2021-0374 | RW | David Regan | South Wales Central | Hospital Death (Clinical Procedures and medical management) related deaths |Wales prevention of future deaths reports (2019 onwards) | Cwm Taf University Health Board | https://www.judiciary.uk/publications/robert-wright-prevention-of-future-deaths-report/ |
| 3 August 2021 | 2021-0373 | CRL | Darren Salter | Oxfordshire | Service Personnel related deaths | Alcohol, drug and medication related deaths | Other related deaths | Ministry of Defence | https://www.judiciary.uk/publications/cpl-ryan-lovatt-prevention-of-future-deaths-report/ |
| 3 November 2021 | 2021-0372 | SE | Caroline Saunders | Gwent | Other related deaths |Wales prevention of future deaths reports (2019 onwards) | Civil Aviation Authority and British Gliding Association | https://www.judiciary.uk/publications/steven-evans-prevention-of-future-deaths-report/ |
| 3 November 2021 | 2021-0371 | RR | Nicholas Lane | Worcestershire | Hospital Death (Clinical Procedures and medical management) related deaths | Worcestershire Acute Hospitals NHS Trust | https://www.judiciary.uk/publications/rhian-rose-prevention-of-future-deaths-report/ |
| 3 November 2021 | 2021-0370 | AO | Heidi Connor | Berkshire | Hospital Death (Clinical Procedures and medical management) related deaths | Frimley Park Hospital and Secretary of State for Health and Social Care | https://www.judiciary.uk/publications/angela-odonnell-prevention-of-future-deaths-report/ |
| 25 October 2021 | 2021-0369 | AH | Alison Mutch | Greater Manchester South | Hospital Death (Clinical Procedures and medical management) related deaths | Stockport NHS Trust | https://www.judiciary.uk/publications/alan-hunter-prevention-of-future-deaths-report/ |
| 25 October 2021 | 2021-0368 | MK | Alison Mutch | Greater Manchester South | Hospital Death (Clinical Procedures and medical management) related deaths | Secretary of State for Health and Social Care | https://www.judiciary.uk/publications/margaret-kinsey-prevention-of-future-deaths-report/ |
| 22 October 2021 | 2021-0367 | SR | Alison Mutch | Greater Manchester South | Hospital Death (Clinical Procedures and medical management) related deaths | Community health care | Tameside CCG and Secretary of State for Health and Social Care | https://www.judiciary.uk/publications/serena-roberts-prevention-of-future-deaths-report/ |
| 29 October 2021 | 2021-0366 | JB | Professor Catherine Mason | Leicester City and South Leicestershire | Hospital Death (Clinical Procedures and medical management) related deaths | Community health care | Department of Health and Social Care | https://www.judiciary.uk/publications/jane-bruce-prevention-of-future-deaths-report/ |
| 1 November 2021 | 2021-0365 | NB | Kevin McLoughlin | West Yorkshire (East) | Hospital Death (Clinical Procedures and medical management) related deaths | Mental Health related deaths| Suicide (from 2015) | Leeds and York Partnership NHS Foundation Trust | https://www.judiciary.uk/publications/neil-bastock-prevention-of-future-deaths-report/ |
| 29 October 2021 | 2021-0364 | LK | Mary Hassell | Inner North London | Alcohol, drug and medication related deaths |Other related deaths | Clarion Housing Grou | https://www.judiciary.uk/publications/lorraine-karat-prevention-of-future-deaths-report/ |
| 21 October 2021 | 2021-0363 | JO | Dianne Hocking | Leicester City and South Leicestershire | Alcohol, drug and medication related deaths | Mental Health related deaths | Other related deaths | Secretary of State for Health and Social Care, General Pharmaceutical Council, National Health Service, General Medical Council and Care Quality Commission | https://www.judiciary.uk/publications/jamie-oconnor-prevention-of-future-deaths-report/ |
| 3 November 2021 | 2021-0362 | SJaJMUK | HH Judge Lucraft QC. Recorder of London. Sitting as a Nominated Judge | Various recipients – please see the report. | https://www.judiciary.uk/publications/fishmongers-hall-inquests-prevention-of-future-deaths-report/ | ||
| 26 October 2021 | 2021-0361 | CC | Rebecca Ollivere | Birmingham and Solihull | Hospital Death (Clinical Procedures and medical management) related deaths |Alcohol, drug and medication related deaths | University Hospitals Birmingham NHS Foundation Trust | https://www.judiciary.uk/publications/christopher-collinson-prevention-of-future-deaths-report/ |
| 28 June 2021 | 2021-0360 | NS | Veronica Hamilton-Deeley | Brighton and Hove | Mental Health related deaths | NHS Brighton and Hove CCG, Brighton and Hove City Council, Sussex Partnership Foundation Trust, Change Grow Live (Surrey and Borders NHS Trust) and Minister of State for Patient Safety, Suicide Prevention and Mental Health | https://www.judiciary.uk/publications/nicholas-spooner-prevention-of-future-deaths-report/ |
| 26 October 2021 | 2021-0359 | KH | John Gittins | North Wales (East and Central) | Hospital Death (Clinical Procedures and medical management) related deaths | Suicide (from 2015) |Wales prevention of future deaths reports (2019 onwards) | BCUHB | https://www.judiciary.uk/publications/kyle-hurst-prevention-of-future-deaths-report/ |
| 22 October 2021 | 2021-0358 | DP | Jon Heath | North Yorkshire Western District | Care Home Health related deaths |Other related deaths | Abbeyfields the Dales Ltd and North Yorkshire County Council | https://www.judiciary.uk/publications/dorothy-pegg-prevention-of-future-deaths-report/ |
| 21 October 2021 | 2021-0357 | DW | Nadia Persaud | East London | Mental Health related deaths | Hospital Death (Clinical Procedures and medical management) related deaths |Suicide (from 2015) | North East London Foundation Trust | https://www.judiciary.uk/publications/david-walker-prevention-of-future-deaths-report/ |
| 22 October 2021 | 2021-0356 | AC | Rachael Griffin | Dorset | State Custody related deaths | Mental Health related deaths | Alcohol, drug and medication related deaths |Other related deaths | Secretary of State for Health and Social Care, Prison and Probation, NHS England and NHS Digital | https://www.judiciary.uk/publications/anthony-clacher-prevention-of-future-deaths-report/ |
| 21 October 2021 | 2021-0355 | RF | Kevin McLoughlin | West Yorkshire Eastern | Other related deaths | Suicide (from 2015) |State Custody related deaths | David Ake & Co Solicitors | https://www.judiciary.uk/publications/richard-franks-prevention-of-future-deaths-report/ |
| 16 October 2021 | 2021-0354 | SR | Emma Serrano | Stoke-on-Trent & North Staffordshire Coroner’s Court | Hospital Death (Clinical Procedures and medical management) related deaths | Mental Health related deaths | Suicide (from 2015) |Child Death (from 2015) | North Staffordshire Combined Healthcare and NHS England | https://www.judiciary.uk/publications/sky-rollings-prevention-of-future-deaths-report/ |
| 20 October 2021 | 2021-0353 | JB | Jacqueline Lake | Norfolk | Hospital Death (Clinical Procedures and medical management) related deaths | Mental Health related deaths | Suicide (from 2015) |Child Death (from 2015) | Hellesdon Hospital | https://www.judiciary.uk/publications/jane-bush-prevention-of-future-deaths-report/ |
| 20 October 2021 | 2021-0352 | PH | Tom Osborne | Milton Keynes | Child Death (from 2015) | Hospital Death (Clinical Procedures and medical management) related deaths |Product related deaths | Milton Keyne University Hospital and Royal College of Obstetrician and Gynaecologists | https://www.judiciary.uk/publications/poppy-harris-prevention-of-future-deaths-reports/ |
| 20 October 2021 | 2021-0351 | HD | Anna Crawford | Surrey | Care Home Health related deaths | Community health care | Other related deaths | The Avenues Trust Grou | https://www.judiciary.uk/publications/henry-doll-prevention-of-future-deaths-report/ |
| 19 October 2021 | 2021-0350 | DC | Alison Mutch | Greater Manchester South | Police related deaths |Mental Health related deaths | National Police Chiefs’ Council, Home Office, College of Policing and Victims Commissioner for England | https://www.judiciary.uk/publications/donna-constantine-prevention-of-future-deaths-report/ |
| 15 October 2021 | 2021-0349 | DL | Nigel Meadows | Manchester City | Hospital Death (Clinical Procedures and medical management) related deaths | Community health care and emergency services related deaths | Mental Health related deaths | Suicide (from 2015) |Other related deaths | Prestwich Hospital and The Droylsden Road Family GP Practice | https://www.judiciary.uk/publications/darren-lawrence-prevention-of-future-deaths-report/ |
| 18 October 2021 | 2021-0348 | MS | Julie Robertson | Manchester North | Hospital Death (Clinical Procedures and medical management) related deaths | The Northern Care Alliance NHS Trust | https://www.judiciary.uk/publications/mohammed-salam-prevention-of-future-deaths-report/ |
| 16 September 2021 | 2021-0347 | TB | Zafar Siddique | Black Country | Care Home Health related deaths |Hospital Death (Clinical Procedures and medical management) related deaths | Manor Court Healthcare on behalf of Anson Court Residential Home and Walsall Manor Hospital | https://www.judiciary.uk/publications/tripta-bhanote-prevention-of-future-deaths-report/ |
| 18 January 2021 | 2021-0346 | LH | Zafar Siddique | Black Country Area | Emergency services related deaths (2019 onwards) |Product related deaths | Medicines and Healthcare Products Regulatory Agency, Health and Safety Executive, West Midlands Ambulance Service and Care Quality Commission | https://www.judiciary.uk/publications/lynn-hadley-prevention-of-future-deaths-report/ |
| 15 October 2021 | 2021-0345 | HS | Sean McGovern | Warwickshire | Hospital Death (Clinical Procedures and medical management) related deaths | Warwick Hospital | https://www.judiciary.uk/publications/harbans-singh-prevention-of-future-deaths-report/ |
| 14 October 2021 | 2021-0344 | AT | Kevin McLoughlin | West Yorkshire (East) | Hospital Death (Clinical Procedures and medical management) related deaths | Suicide (from 2015) | Mental Health related deaths |Police related deaths | Leeds and York Partnership NHS Foundation Trust | https://www.judiciary.uk/publications/alexandra-tolley-prevention-of-future-deaths-report/ |
| 14 October 2021 | 2021-0343 | KD | Andrew Cox | Cornwall and Isles of Scilly | Mental Health related deaths | Hospital Death (Clinical Procedures and medical management) related deaths |Suicide (from 2015) | Cornwall Partnership (Foundation) Trust | https://www.judiciary.uk/publications/kirsty-doodes-prevention-of-future-deaths-report/ |
| 14 October 2021 | 2021-0342 | LJ | Graeme Irvine | East London | Hospital Death (Clinical Procedures and medical management) related deaths |Child Death (from 2015) | Queen’s Hospital and Department of Health and Social Care | https://www.judiciary.uk/publications/louie-johnston-prevention-of-future-deaths-report/ |
| 12 October 2021 | 2021-0341 | HO | Graeme Irvine | East London | Community health care | Other related deaths | Product related deaths | London Borough of Redbridge and Department of Health and Social Care | https://www.judiciary.uk/publications/helena-opuku-prevention-of-future-deaths-report/ |
| 12 October 2021 | 2021-0340 | VB | Graeme Irvine | East London | Hospital Death (Clinical Procedures and medical management) related deaths | Queen’s Hospital and Department of Health and Social Care | https://www.judiciary.uk/publications/vivien-brunning-prevention-of-future-deaths-report/ |
| 14 October 2021 | 2021-0339 | MH | Gordon Clow | Nottinghamshire | Care Home Health related deaths | My Care Ltd and My The Orchards Ltd | https://www.judiciary.uk/publications/murray-hyslop-prevention-of-future-deaths-report/ |
| 14 October 2021 | 2021-0338 | PB | Gordon Clow | Nottinghamshire | Hospital Death (Clinical Procedures and medical management) related deaths |Mental Health related deaths | Nottinghamshire Healthcare NHS Foundation Trust | https://www.judiciary.uk/publications/paul-barton-prevention-of-future-deaths-report/ |
| 28 September 2021 | 2021-0337 | DCDCRHPLDRPSaMS | Sarah Ormond-Walshe | South London | Railway related deaths | Road (Highways Safety) related deaths | Other related deaths | UKTram, Department for Transport, Light Rail Safety and Standard Board, Transport for London, Bombardier Transportation UK Ltd and Transport Focus | https://www.judiciary.uk/publications/croydon-tram-incident-prevention-of-future-death-reports/ |
| 1 October 2021 | 2021-0336 | SV | Jonathan Landau | South London | Care Home Health related deaths | Care Quality Commission and St John’s Nursing Home | https://www.judiciary.uk/publications/stephen-verrall-prevention-of-future-deaths-report/ |
| 28 September 2021 | 2021-0335 | RB | Jonathan Landau | South London | Community health care and emergency services related deaths | Emergency services related deaths (2019 onwards) |Police related deaths | NHS England, London Ambulance Service and College of Policing | https://www.judiciary.uk/publications/richard-boateng-prevention-of-future-deaths-report/ |
| 5 October 2021 | 2021-0334 | CD | Dr Nicholas Shaw | Cumbria | Other related deaths | Community health care | Adult Safeguarding, Cumbria County Council | https://www.judiciary.uk/publications/charlotte-duffield-prevention-of-future-deaths-report/ |
| 6 October 2021 | 2021-0333 | MJ | Mary Hassell | Inner North London | Hospital Death (Clinical Procedures and medical management) related deaths |Other related deaths | MedPure Healthcare | https://www.judiciary.uk/publications/michael-jaggs-prevention-of-future-deaths-report/ |
| 30 September 2021 | 2021-0332 | SC | Dr Julian Morris | Inner London South | State Custody related deaths | Mental Health related deaths | Suicide (from 2015) | Lord Chancellor and Secretary of State for Justice, Secretary of State for Health and Social Care, HMP Belmarsh and Oxleas NHS Foundation Trust | https://www.judiciary.uk/publications/stephen-cope-prevention-of-future-deaths-report/ |
| 5 October 2021 | 2021-0331 | AF | Kevin McLoughlin | West Yorkshire (East) | Product related deaths |Other related deaths | Bailey Trailers Ltd | https://www.judiciary.uk/publications/aaron-fretwell-prevention-of-future-deaths-report/ |
| 4 October 2021 | 2021-0330 | LB | Emma Whitting | Bedfordshire and Luton | Police related deaths | Emergency services related deaths (2019 onwards) |Mental Health related deaths | Chief Constable of Bedfordshire, Chief Executive of EEAST, Chair of National Police Chiefs’ Council and Chair of Association of Ambulance Chief Executives | https://www.judiciary.uk/publications/leon-briggs-prevention-of-future-deaths-report/ |
| 4 October 2021 | 2021-0329 | JL | Nigel Meadows | Manchester City | Hospital Death (Clinical Procedures and medical management) related deaths |Mental Health related deaths | Greater Manchester Mental Health NHS Trust, Prestwich Hospital | https://www.judiciary.uk/publications/jude-lloyd-prevention-of-future-deaths-report/ |
| 4 October 2021 | 2021-0328 | CS | Patricia Harding | Mid Kent and Medway | State Custody related deaths |Child Death (from 2015) | HMYOI Cookham Wood | https://www.judiciary.uk/publications/caden-stewart-prevention-of-future-deaths-report/ |
| 4 October 2021 | 2021-0327 | HR | Karen Henderson | West Sussex | Child Death (from 2015) |Other related deaths | NHS England, Health Education England, NHS Digital and SECAMB | https://www.judiciary.uk/publications/hannah-royle-prevention-of-future-deaths-report/ |
| 1 October 2021 | 2021-0326 | SB | Andrew Haigh | Staffordshire South | Hospital Death (Clinical Procedures and medical management) related deaths | Secretary of State for Health and Social Care | https://www.judiciary.uk/publications/stephen-barton-prevention-of-future-deaths-report/ |
| 27 September 2021 | 2021-0325 | RW | Nadia Persaud | East London | Hospital Death (Clinical Procedures and medical management) related deaths | Emergency services related deaths (2019 onwards) | Mental Health related deaths | Patient Transport UK Ltd | https://www.judiciary.uk/publications/robert-walaszkowski-prevention-of-future-deaths-report/ |
| 27 September 2021 | 2021-0324 | AS | Nigel Meadows | Manchester City | Suicide (from 2015) | Mental Health related deaths | Hospital Death (Clinical Procedures and medical management) related deaths | Product related deaths | Prestwich Hospital | https://www.judiciary.uk/publications/antony-schofield-prevention-of-future-deaths-report/ |
| 29 September 2021 | 2021-0323 | MF | Martin Fleming | West Yorkshire Western | Child Death (from 2015) |Other related deaths | Harden & Bingley Park Ltd | https://www.judiciary.uk/publications/mohammad-farhan-prevention-of-future-deaths-report/ |
| 29 September 2021 | 2021-0322 | ML | Kevin McLoughlin | West Yorkshire (East) | Hospital Death (Clinical Procedures and medical management) related deaths | Product related deaths | Philips Respironics, Secretary of State for Health and Social Care and Mid Yorkshire Hospitals NHS Trust | https://www.judiciary.uk/publications/mary-land-prevention-of-future-deaths-report/ |
| 24 September 2021 | 2021-0321 | CW | Nicola Mundy | South Yorkshire (East) | Hospital Death (Clinical Procedures and medical management) related deaths |Child Death (from 2015) | Doncaster and Bassetlaw NHS Foundation Trust and Healthcare Safety Investigation Branch | https://www.judiciary.uk/publications/clay-wankiewicz-prevention-of-future-deaths-report/ |
| 23 September 2021 | 2021-0320 | HH | Fiona King | West Sussex | Police related deaths | Home Office, National Police Chiefs’ Council, College for Policing and Avon and Somerset Police | https://www.judiciary.uk/publications/hamish-howitt-prevention-of-future-deaths-report/ |
| 23 September 2021 | 2021-0319 | AP | Michelle Brown | Essex | Police related deaths |Mental Health related deaths | Essex Police and National Police Chiefs’ Council | https://www.judiciary.uk/publications/anthony-preston-prevention-of-future-deaths-report/ |
| 21 September 2021 | 2021-0318 | CT | James Thompson | County Durham and Darlington | State Custody related deaths |Suicide (from 2015) | HMP Durham | https://www.judiciary.uk/publications/charlie-todd-prevention-of-future-deaths-report/ |
| 15 September 2021 | 2021-0317 | CE | Ian Pears | West Yorkshire Western | Suicide (from 2015) | Calderdale Council | https://www.judiciary.uk/publications/chloe-english-prevention-of-future-deaths-report/ |
| 16 September 2021 | 2021-0316 | MZ | Ian Pears | West Yorkshire Western | Child Death (from 2015) | Department of Health and NHS England | https://www.judiciary.uk/publications/maya-zab-prevention-of-future-deaths-report/ |
| 17 September 2021 | 2021-0315 | FM | Andrew Cox | Cornwall and Isles of Scilly | Child Death (from 2015) | Other related deaths |Police related deaths | The Dog Legislation Office, Devon and Cornwall Police Constabulary | https://www.judiciary.uk/publications/frankie-macritchie-prevention-of-future-deaths-report/ |
| 20 September 2021 | 2021-0314 | UTH | Andre Rebello | Liverpool and Wirral | Hospital Death (Clinical Procedures and medical management) related deaths | Mental Health related deaths |Emergency services related deaths (2019 onwards) | Cheshire Wirral Partnership, Wirral University Teaching Hospital and North West Ambulance Service | https://www.judiciary.uk/publications/uyapo-theodore-hayunga-macha-prevention-of-future-deaths-report/ |
| 17 September 2021 | 2021-0313 | HM | Peter Nieto | Derby and Derbyshire | Road (Highways Safety) related deaths |Other related deaths | Department for Transport | https://www.judiciary.uk/publications/heike-mojay-sinclare-prevention-of-future-deaths-report/ |
| 21 May 2021 | 2021-0312 | MR | Laurinder Bower | Nottingham and Nottinghamshire | Hospital Death (Clinical Procedures and medical management) related deaths |Emergency services related deaths (2019 onwards) | East Midland Ambulance Service, Nottingham University Hospitals, Sherwood Forest Hospitals, Clinical Commissioning Group and NHS England | https://www.judiciary.uk/publications/morris-reddington-prevention-of-future-deaths-reports/ |
| 17 September 2021 | 2021-0311 | CB | David Reid | Worcestershire | State Custody related deaths |Mental Health related deaths | HMP Hewell and Practice Plus Grou | https://www.judiciary.uk/publications/colin-blackburn-prevention-of-future-deaths-report/ |
| 22 July 2021 | 2021-0310 | JD | Sarah Watson | West Yorkshire Eastern | Care Home Health related deaths | Sunnyside Nursing Home and Care Quality Commission | https://www.judiciary.uk/publications/john-dickinson-prevention-of-future-deaths-report/ |
| 15 September 2021 | 2021-0309 | DR | Emma Serrano | Stoke-on-Trent & North Staffordshire Coroner’s Court | Hospital Death (Clinical Procedures and medical management) related deaths | Royal Stoke University Hospital | https://www.judiciary.uk/publications/diana-reay-prevention-of-future-deaths-report/ |
| 16 September 2021 | 2021-0308 | EL | Graeme Irvine | East London | Care Home Health related deaths | Cherry Orchard Nursing Home | https://www.judiciary.uk/publications/eldine-lashley-prevention-of-future-deaths-report/ |
| 16 September 2021 | 2021-0307 | IE | Anna Morris | Manchester South | Hospital Death (Clinical Procedures and medical management) related deaths | Community health care |Other related deaths | Tameside and Glossop Integrated Care NHS Foundation Trust and Tameside Metropolitan Borough Council | https://www.judiciary.uk/publications/irene-esaw-prevention-of-future-deaths-report/ |
| 14 September 2021 | 2021-0306 | SS | Caroline Saunders | Gwent | Community health care | Mental Health related deaths | Suicide (from 2015) |Wales prevention of future deaths reports (2019 onwards) | The Medical Centre | https://www.judiciary.uk/publications/siwan-smith-prevention-of-future-deaths-report/ |
| 10 September 2021 | 2021-0305 | BW | Lydia Brown | West London | Road (Highways Safety) related deaths | Community health care |Other related deaths | Secretary of State for Transport, General Medical Council, DVLA and GP | https://www.judiciary.uk/publications/billy-warwick-jones-prevention-of-future-deaths-report/ |
| 10 September 2021 | 2021-0304 | LT | Scott Matthewson | Mid Kent and Medway | State Custody related deaths | Suicide (from 2015) |Mental Health related deaths | Secretary of State for Health | https://www.judiciary.uk/publications/lee-thrumble-prevention-of-future-deaths-report/ |
| 9 September 2021 | 2021-0303 | KA | Kevin McLoughlin | West Yorkshire (East) | Accident at Work and Health and Safety related deaths | Hirst Electrical Plant Hire Services UK Ltd | https://www.judiciary.uk/publications/kenneth-audsley-prevention-of-future-deaths-report/ |
| 10 September 2021 | 2021-0302 | BM | Christopher Murray | Manchester South | Community health care |Other related deaths | Jigsaw Homes Tameside | https://www.judiciary.uk/publications/prevention-of-future-deaths-report-barry-martin/ |
| 9 September 2021 | 2021-0301 | JS | Nigel Parsley | Suffolk | Hospital Death (Clinical Procedures and medical management) related deaths | Department of Health and Social Care and Hellesdon Hospital | https://www.judiciary.uk/publications/joshua-sahota-prevention-of-future-deaths-report/ |
| 1 September 2021 | 2021-0300 | WB | Debbie Rookes | Dorset | Product related deaths | Secretary of State for Health and Social Care | https://www.judiciary.uk/publications/william-buchanan-prevention-of-future-deaths-report/ |
| 2 July 2021 | 2021-0299 | BM | Tom Osborne | Milton Keynes | Mental Health related deaths | Suicide (from 2015)| Hospital Death (Clinical Procedures and medical management) related deaths | Secretary of State for Health and Social Care | https://www.judiciary.uk/publications/brooke-martin-prevention-of-future-deaths-report/ |
| 7 September 2021 | 2021-0298 | MJ | Chris Morris | Manchester South | Community health care | NICE | https://www.judiciary.uk/publications/maureen-johnson-prevention-of-future-deaths-report/ |
| 6 September 2021 | 2021-0297 | JD | Jeremy Chipperfield | County Durham and Darlington | Other related deaths | Durham County Council | https://www.judiciary.uk/publications/joseph-dent-prevention-of-future-deaths-report/ |
| 7 September 2021 | 2021-0296 | RP | Alison Mutch | Greater Manchester South | Hospital Death (Clinical Procedures and medical management) related deaths | NHS England | https://www.judiciary.uk/publications/roger-phelps-prevention-of-future-deaths-report/ |
| 6 September 2021 | 2021-0295 | GL | Sean Cummings | Milton Keynes | Hospital Death (Clinical Procedures and medical management) related deaths | Milton Keynes University Hospital, Chief Medical Officer and Royal College of Anaesthetists | https://www.judiciary.uk/publications/glenda-logsdail-prevention-of-future-deaths-report/ |
| 6 September 2021 | 2021-0294 | MH | Alison Mutch | Greater Manchester South | Community health care |Hospital Death (Clinical Procedures and medical management) related deaths | NHS England and Secretary of State for Health and Social Care | https://www.judiciary.uk/publications/mark-holden-prevention-of-future-deaths-report/ |
| 6 September 2021 | 2021-0293 | BP | Alison Mutch | Greater Manchester South | Community health care | Suicide (from 2015) |Mental Health related deaths | Stockport Clinical Commissioning Group and NHS England | https://www.judiciary.uk/publications/bituin-pimlott-prevention-of-future-deaths-report/ |
| 2 September 2021 | 2021-0292 | HB | Emma Serrano | Stoke-on-Trent & North Staffordshire Coroner’s Court | Hospital Death (Clinical Procedures and medical management) related deaths | Haywood Hospital and NHS England | https://www.judiciary.uk/publications/harold-blackshaw-prevention-of-future-deaths-report/ |
| 1 September 2021 | 2021-0291 | JH | Jonathan Landau | South London | Hospital Death (Clinical Procedures and medical management) related deaths | Croydon Health Services NHS Trust | https://www.judiciary.uk/publications/john-humphries-prevention-of-future-deaths-report/ |
| 1 September 2021 | 2021-0290 | HW | Jonathan Landau | South London | Hospital Death (Clinical Procedures and medical management) related deaths | Princess Royal University Hospital | https://www.judiciary.uk/publications/hazel-wiltshire-prevention-of-future-deaths-report/ |
| 20 August 2021 | 2021-0289 | TP | Tim Deeming | Suffolk | Road (Highways Safety) related deaths | Suffolk Highways and National Highways | https://www.judiciary.uk/publications/thomas-pickering-prevention-of-future-deaths-report/ |
| 27 August 2021 | 2021-0288 | AG | Adam Hodson | Birmingham and Solihull | Hospital Death (Clinical Procedures and medical management) related deaths |Product related deaths | Philips Electronics UK Ltd | https://www.judiciary.uk/publications/ann-geraghty-prevention-of-future-deaths-report/ |
| 27 August 2021 | 2021-0287 | FS | Alison Mutch | Greater Manchester South | Hospital Death (Clinical Procedures and medical management) related deaths | Mental Health related deaths | Community health care | Secretary of State for Health and Social Care and Greater Manchester Health and Social Care Partnershi | https://www.judiciary.uk/publications/fadhia-seguleh-prevention-of-future-deaths-report/ |
| 26 August 2021 | 2021-0286 | CD | Catherine Mason | Leicester City and South Leicestershire | Hospital Death (Clinical Procedures and medical management) related deaths |Mental Health related deaths | NHS Quality, Safety and Investigations | https://www.judiciary.uk/publications/cherry-dunn-prevention-of-future-deaths-report/ |
| 26 August 2021 | 2021-0285 | EI | Alison Mutch | Greater Manchester South | Alcohol, drug and medication related deaths |Community health care | Stockport Clinical Commissioning Grou | https://www.judiciary.uk/publications/elaine-inns-prevention-of-future-deaths-report/ |
| 26 August 2021 | 2021-0284 | JG | Alison Mutch | Greater Manchester South | Care Home Health related deaths |Other related deaths | Secretary of State for Department of Communities, Housing and Local Government | https://www.judiciary.uk/publications/james-golds-prevention-of-future-deaths-report/ |
| 24 August 2021 | 2021-0283 | PH | Adam Hodson | Birmingham and Solihull | Care Home Health related deaths | Bromford Lane Nursing Home | https://www.judiciary.uk/publications/peter-harte-prevention-of-future-deaths-report/ |
| 12 March 2021 | 2021-0282 | LP | Gilva Tisshaw | City of Brighton and Hove | Road (Highways Safety) related deaths |Other related deaths | East Sussex County Council | https://www.judiciary.uk/publications/lesley-powell-prevention-of-future-deaths-report/ |
| 18 May 2021 | 2021-0281 | TS | Nicola Mundy | South Yorkshire East | Suicide (from 2015) | Mental Health related deaths | Other related deaths |Alcohol, drug and medication related deaths | National Probation Service | https://www.judiciary.uk/publications/todd-salter-prevention-of-future-deaths-report/ |
| 18 August 2021 | 2021-0280 | SK | Lorraine Harris | South Yorkshire (East) | Mental Health related deaths |Care Home Health related deaths | Instastop Ltd | https://www.judiciary.uk/publications/steven-kirkham-prevention-of-future-deaths-report/ |
| 23 August 2021 | 2021-0279 | ML | Alison Mutch | Greater Manchester South | Community health care |Hospital Death (Clinical Procedures and medical management) related deaths | NHS England and Secretary of State for Health | https://www.judiciary.uk/publications/maurice-leech/ |
| 23 August 2021 | 2021-0278 | NR | Alison Mutch | Greater Manchester South | Hospital Death (Clinical Procedures and medical management) related deaths | Community health care | Greater Manchester Health and Social Care Partnership and NHS England | https://www.judiciary.uk/publications/norma-rushworth-prevention-of-future-deaths-report/ |
| 20 August 2021 | 2021-0277 | SZ | Alison Mutch | Greater Manchester South | Mental Health related deaths | Community health care | Tameside Clinical Commissioning Group, Secretary of State for Health and NHS England | https://www.judiciary.uk/publications/stanislaw-zielinski-prevention-of-future-deaths-report/ |
| 20 August 2021 | 2021-0276 | SM | Anna Crawford | Surrey | Emergency services related deaths (2019 onwards) | Other related deaths | Mayday Grou | https://www.judiciary.uk/publications/sheldon-marshall/ |
| 2 August 2021 | 2021-0275 | ML | Lorraine Harris | West Yorkshire (East) | Hospital Death (Clinical Procedures and medical management) related deaths | Pinderfields General Hospital | https://www.judiciary.uk/publications/mary-lincoln-prevention-of-future-deaths-report/ |
| 17 August 2021 | 2021-0274 | RS | Nigel Parsley | Suffolk | Care Home Health related deaths | Department of Health and Social Care | https://www.judiciary.uk/publications/roland-stannard-prevention-of-future-deaths-report/ |
| 17 August 2021 | 2021-0273 | SR | Michelle Brown | Essex | Railway related deaths | Mental Health related deaths | Hospital Death (Clinical Procedures and medical management) related deaths | Suicide (from 2015) | EPUT and NHS England | https://www.judiciary.uk/publications/steven-regoli-prevention-of-future-deaths-report/ |
| 16 August 2021 | 2021-0272 | KM | Lydia Brown | West London | Alcohol, drug and medication related deaths |Care Home Health related deaths |Suicide (from 2015) | Grassy Meadow Care Centre | https://www.judiciary.uk/publications/kumbulani-mtombeni-prevention-of-future-deaths-report/ |
| 13 August 2021 | 2021-0271 | ST | Graeme Irvine | East London | Hospital Death (Clinical Procedures and medical management) related deaths |Suicide (from 2015) |Mental Health related deaths | Department of Health and Social Care and St Pancras Hospital | https://www.judiciary.uk/publications/stuart-tokam-prevention-of-future-deaths-report/ |
| 11 August 2021 | 2021-0270 | HS | Ian Brownhill | North East Kent | Alcohol, drug and medication related deaths | Other related deaths | Mental Health related deaths | Hospital Death (Clinical Procedures and medical management) related deaths | The Forward Trust, Kent and Medway NHS and Social Care Partnership Trust, East Kent Hospital University NHS Foundation Trust and Kent County Council – Adult Services | https://www.judiciary.uk/publications/hadley-savory-prevention-of-future-deaths-report/ |
| 3 August 2021 | 2021-0269 | PA | Robert Simpson | West Sussex | Other related deaths | Product related deaths |Emergency services related deaths (2019 onwards) | British Medical Association and Sussex Clinical Commissioning Groups | https://www.judiciary.uk/publications/pauline-allison-prevention-of-future-deaths-report/ |
| 11 August 2021 | 2021-0268 | AF | Margaret Jones | Stoke-on-Trent and North Staffordshire Coroner’s Court | Other related deaths |Alcohol, drug and medication related deaths | WISH and HSE | https://www.judiciary.uk/publications/adam-forrester-prevention-of-future-deaths-report/ |
| 10 August 2021 | 2021-0267 | AP | Dr Shirley Radcliffe | Inner West London | Hospital Death (Clinical Procedures and medical management) related deaths |Child Death (from 2015) | Secretary of State for Health & Social Care | https://www.judiciary.uk/publications/alice-pettersson-prevention-of-future-deaths-report/ |
| 8 August 2021 | 2021-0266 | SC | Sonia Hayes | Mid Kent and Medway | Emergency services related deaths (2019 onwards) | South East Coast Ambulance Service | https://www.judiciary.uk/publications/steve-cooke-prevention-of-future-deaths-report/ |
| 9 August 2021 | 2021-0265 | TT | Yvonne Blake | Norfolk | Hospital Death (Clinical Procedures and medical management) related deaths |Mental Health related deaths | Queen Elizabeth Hospital and Hellesdon Hospital | https://www.judiciary.uk/publications/terence-tuttle-prevention-of-future-deaths-report/ |
| 17 July 2021 | 2021-0264 | RP | Emma Serrano | Stoke-on-Trent & North Staffordshire Coroner’s Court | Hospital Death (Clinical Procedures and medical management) related deaths | Mental Health related deaths |Suicide (from 2015) | NHS England and North Staffordshire Combined Healthcare Trust | https://www.judiciary.uk/publications/rebecca-pykett-prevention-of-future-deaths-report/ |
| 3 August 2021 | 2021-0263 | ED | Andrew Harris | London Inner South | Police related deaths |Other related deaths | Home Office, Metropolitan Police Service, Ministry of Justice, HM Courts and Tribunals Service and Department of Work and Pensions | https://www.judiciary.uk/publications/emma-day-prevention-of-future-deaths-report/ |
| 2 June 2021 | 2021-0262 | GH | Joanne Lees | Black Country | Hospital Death (Clinical Procedures and medical management) related deaths | National Institute for Health and Care Excellence | https://www.judiciary.uk/publications/geoffrey-hill-prevention-of-future-deaths-report/ |
| 30 July 2021 | 2021-0261 | AD | Andrew Haigh | Staffordshire South | Police related deaths | Suicide (from 2015) | Mental Health related deaths | Alcohol, drug and medication related deaths | Staffordshire Police | https://www.judiciary.uk/publications/amanda-dunn/ |
| 29 July 2021 | 2021-0260 | JN | Caroline Jones | Cambridgeshire and Peterborough | Mental Health related deaths | Suicide (from 2015) | Hospital Death (Clinical Procedures and medical management) related deaths | Department of Health and Social Care, Public Health England and Royal College of Psychiatrists | https://www.judiciary.uk/publications/james-nowshadi-prevention-of-future-deaths-report/ |
| 28 July 2021 | 2021-0259 | JO | Dr Elizabeth Didcock | Nottinghamshire | Hospital Death (Clinical Procedures and medical management) related deaths |Child Death (from 2015) | Doncaster and Bassetlaw Teaching Hospitals NHS Foundation Trust and CQC | https://www.judiciary.uk/publications/jacob-owczarek-prevention-of-future-deaths-report/ |
| 18 June 2021 | 2021-0258 | AC | Philip Barlow | Northamptonshire | Product related deaths |Alcohol, drug and medication related deaths | MHRA | https://www.judiciary.uk/publications/andrew-cook/ |
| 15 July 2021 | 2021-0257 | HH | Veronica Hamilton-Deeley | Brighton & Hove | Hospital Death (Clinical Procedures and medical management) related deaths | Sussex Partnership Foundation NHS Trust and Deputy Chief Nurse | https://www.judiciary.uk/publications/henry-holcombe-prevention-of-future-deaths-report/ |
| 28 July 2021 | 2021-0256 | CW | Nicholas Rheinberg | Exeter and Greater Devon | State Custody related deaths | HMP Exeter | https://www.judiciary.uk/publications/carl-walters-prevention-of-future-deaths-report/ |
| 16 July 2021 | 2021-0255 | CD | Mary Hassell | Inner North London | Hospital Death (Clinical Procedures and medical management) related deaths | NHS England and NHS Improvement and Medicines and Healthcare products Regulatory Agency | https://www.judiciary.uk/publications/chimezie-daniels-prevention-of-future-deaths-report/ |
| 12 July 2021 | 2021-0254 | SW | Mary Hassell | Inner North London | Hospital Death (Clinical Procedures and medical management) related deaths | Royal Free Hospital | https://www.judiciary.uk/publications/stephen-walker/ |
| 26 July 2021 | 2021-0253 | AR | David Lewis | North Wales (East & Central) | Care Home Health related deaths | Gwern Alyn House Residential Home | https://www.judiciary.uk/publications/albert-rowlands/ |
| 21 July 2021 | 2021-0252 | OS | Yvonne Blake | Norfolk | Road (Highways Safety) related deaths |Child Death (from 2015) | Norfolk County Council | https://www.judiciary.uk/publications/oscar-seaman-prevention-of-future-deaths-report/ |
| 20 July 2021 | 2021-0251 | SL | Debbie Rookes | County of Dorset | Road (Highways Safety) related deaths |Other related deaths | Secretary of State for Transport | https://www.judiciary.uk/publications/sarah-lewis/ |
| 20 July 2021 | 2021-0250 | BK | Jacqueline Lake | Norfolk | Hospital Death (Clinical Procedures and medical management) related deaths |Care Home Health related deaths | Jeesal Residential Care Services and Norfolk and Norwich University Hospital | https://www.judiciary.uk/publications/ben-king-prevention-of-future-deaths-report/ |
| 20 July 2021 | 2021-0249 | VD | Derek Winter DL | City of Sunderland | Child Death (from 2015) | Secretary of State for Health and Social Care | https://www.judiciary.uk/publications/vinnie-dodds-prevention-of-future-deaths-report/ |
| 13 July 2021 | 2021-0248 | AO | Andrew Harris | London Inner South | Hospital Death (Clinical Procedures and medical management) related deaths | University Hospital Lewisham | https://www.judiciary.uk/publications/abiodun-oritogun-prevention-of-future-deaths-report/ |
| 16 July 2021 | 2021-0247 | SR | Colin Phillips | Swansea and Neath Port Talbot | Road (Highways Safety) related deaths |Wales prevention of future deaths reports (2019 onwards) | Welsh Government and South Wales Trunk Road Agent | https://www.judiciary.uk/publications/suzanne-regan-prevention-of-future-deaths-report/ |
| 16 July 2021 | 2021-0246 | BJ | David Lewis | Liverpool and Wirral | Hospital Death (Clinical Procedures and medical management) related deaths | NICE and Liverpool Heart and Chest Hospital | https://www.judiciary.uk/publications/brian-jackson-prevention-of-future-deaths-report/ |
| 16 July 2021 | 2021-0245 | JD | John Hobson | West Yorkshire (Eastern) | Alcohol, drug and medication related deaths |State Custody related deaths | Ministry of Justice | https://www.judiciary.uk/publications/joanna-daly-prevention-of-future-deaths-report/ |
| 15 July 2021 | 2021-0244 | CB | Aled Gruffydd | Swansea, Neath & Port Talbot | Hospital Death (Clinical Procedures and medical management) related deaths | Wales prevention of future deaths reports (2019 onwards) | Swansea Bay University Health Board | https://www.judiciary.uk/publications/catherine-best/ |
| 9 July 2021 | 2021-0243 | AG | Mary Hassell | Inner North London | Suicide (from 2015) |Other related deaths | Church of England and Catholic Standard Safeguarding Agency | https://www.judiciary.uk/publications/alan-griffin/ |
| 14 July 2021 | 2021-0242 | RR | John Gittins | North Wales (East and Central) | Hospital Death (Clinical Procedures and medical management) related deaths |Wales prevention of future deaths reports (2019 onwards) | BCUHB | https://www.judiciary.uk/publications/rhian-roberts/ |
| 15 July 2021 | 2021-0241 | FR | Sonia Hayes | Mid Kent and Medway | Hospital Death (Clinical Procedures and medical management) related deaths | Kent and Medway Social Care Partnership Trust | https://www.judiciary.uk/publications/fred-reynolds/ |
| 11 July 2021 | 2021-0240 | JM | Sonia Hayes | Mid Kent and Medway | Hospital Death (Clinical Procedures and medical management) related deaths | Medway NHS Foundation Trust | https://www.judiciary.uk/publications/johanna-moreland/ |
| 13 July 2021 | 2021-0239 | VW | Caroline Saunders | Gwent | Hospital Death (Clinical Procedures and medical management) related deaths |Wales prevention of future deaths reports (2019 onwards) | Aneurin Bevan University Health Board | https://www.judiciary.uk/publications/valmai-west/ |
| 13 July 2021 | 2021-0238 | JK | Simon Milburn | Cambridgeshire & Peterborough | Hospital Death (Clinical Procedures and medical management) related deaths |Mental Health related deaths | Department for Health and Social Care | https://www.judiciary.uk/publications/jonathan-kingsman/ |
| 11 July 2021 | 2021-0237 | ERM | Sonia Hayes | Mid Kent and Medway | Child Death (from 2015) | Mental Health related deaths | Railway related deaths |Suicide (from 2015) | North East London NHS Foundation Trust – Child & Adult Mental Health Services | https://www.judiciary.uk/publications/eleanor-rose-murphy-richards/ |
| 8 July 2021 | 2021-0236 | BC | Carly Henley | Newcastle Upon Tyne and North Tyneside | Hospital Death (Clinical Procedures and medical management) related deaths | Northumbria Health Care Trust | https://www.judiciary.uk/publications/benjamin-clark/ |
| 8 July 2021 | 2021-0235 | MS | Maria Voisin | Avon | Mental Health related deaths | Hospital Death (Clinical Procedures and medical management) related deaths | Suicide (from 2015) | Avon and Wiltshire Mental Health Partnership NHS Trust and Minister for Patient Safety, Suicide Prevention and Mental Health | https://www.judiciary.uk/publications/maria-stancliffe-cook/ |
| 9 July 2021 | 2021-0234 | AM | Graeme Irvine | East London | Community health care |Alcohol, drug and medication related deaths | Other related deaths | Newbury Park Health Centre | https://www.judiciary.uk/publications/anita-mandalia/ |
| 7 July 2021 | 2021-0233 | KPaKA | Nadia Persaud | East London | Hospital Death (Clinical Procedures and medical management) related deaths | Royal College of Anaesthetists and Faculty of Intensive Care Medicine | https://www.judiciary.uk/publications/kishorkumar-patel-and-kofi-aning/ |
| 8 July 2021 | 2021-0232 | NA | Nadia Persaud | East London | Emergency services related deaths (2019 onwards) | London Ambulance Service NHS Trust and London’s Air Ambulance | https://www.judiciary.uk/publications/nadeem-ahmed/ |
| 6 July 2021 | 2021-0231 | LP | Paul Cooper | Lincolnshire | Police related deaths | Suicide (from 2015) |Mental Health related deaths | Chief Constable of Lincolnshire | https://www.judiciary.uk/publications/levi-petitt/ |
| 7 July 2021 | 2021-0230 | DS | Sean McGovern | Warwickshire | Care Home Health related deaths | Clifton Court Nursing Home | https://www.judiciary.uk/publications/dorothy-seekings/ |
| 7 July 2021 | 2021-0229 | BR | Abigail Combes | South Yorkshire (West District) | Hospital Death (Clinical Procedures and medical management) related deaths | Sheffield Teaching Hospitals NHS Foundation Trust | https://www.judiciary.uk/publications/brian-rochell/ |
| 29 December 2020 | 2021-0228 | MC | Karen Dilks | Newcastle and North Tyneside | Other related deaths | Swinhoe Farm and Department of Environment, Food and Rural Affairs | https://www.judiciary.uk/publications/marion-clode/ |
| 2 July 2021 | 2021-0227 | HB | Richard Brittain | Inner London North | Community health care |Other related deaths | Minister of State for Building Safety, Fire and Communities | https://www.judiciary.uk/publications/henry-boddy/ |
| 2 July 2021 | 2021-0226 | KR | Richard Brittain | Inner London North | State Custody related deaths | HMP Pentonville | https://www.judiciary.uk/publications/khairul-rahman/ |
| 2 July 2021 | 2021-0225 | SS | Graeme Irvine | East London | Community health care|Other related deaths | Hainault Surgery and SMA Medical Practice | https://www.judiciary.uk/publications/samantha-singh/ |
| 5 May 2021 | 2021-0224 | SB | Joanne Lees | Black Country | Hospital Death (Clinical Procedures and medical management) related deaths | Alcohol, drug and medication related deaths | Mental Health related deaths | Community health care | Other related deaths | Sandwell and West Birmingham Hospital Trust | https://www.judiciary.uk/publications/sarah-brady/ |
| 30 June 2021 | 2021-0223 | JP | Ian Arrow | Plymouth Torbay and South Devon | Other related deaths | Community health care | Devon County Council – Adult Social Care | https://www.judiciary.uk/publications/joan-prescott/ |
| 29 June 2021 | 2021-0222 | KL | Alison McCormick | Hertfordshire | Hospital Death (Clinical Procedures and medical management) related deaths | Other related deaths | Police related deaths | Mental Health related deaths | National Probation Service, Hertfordshire Partnership University NHS Foundation Trust and Hertfordshire Constabulary | https://www.judiciary.uk/publications/katie-locke/ |
| 28 June 2021 | 2021-0221 | FH | Sean Horstead | Essex | Hospital Death (Clinical Procedures and medical management) related deaths | Community health care | Mental Health related deaths |Alcohol, drug and medication related deaths | Essex Partnership University NHS Foundation Trust and Clinical Commissioning Grou | https://www.judiciary.uk/publications/fiona-humberstone/ |
| 23 June 2021 | 2021-0220 | HB | Peter Nieto | Derby and Derbyshire | Community health care |Suicide (from 2015) | Linden Medical Group – Stapleford Care Centre and NHS Nottingham and Nottinghamshire Clinical Commissioning Grou | https://www.judiciary.uk/publications/hazel-binks/ |
| 23 June 2021 | 2021-0219 | NR | Lorraine Harris | West Yorkshire Eastern | Community health care |Other related deaths | Adult Social Care – Leeds City Council | https://www.judiciary.uk/publications/netlyn-robinson/ |
| 24 June 2021 | 2021-0218 | AG | Simon Nelson | Manchester West | Alcohol, drug and medication related deaths | SoS – Dept. for Health | https://www.judiciary.uk/publications/amy-ganner/ |
| 23 June 2021 | 2021-0217 | WB | James Hargan | West Yorkshire Eastern | State Custody related deaths | HMP Leeds | https://www.judiciary.uk/publications/wayne-boughen/ |
| 24 May 2021 | 2021-0216 | AU | Maria Voisin | Avon | Other related deaths | Child Death (from 2015) | SoS for Education | https://www.judiciary.uk/publications/anastasia-uglow/ |
| 18 June 2021 | 2021-0215 | LH | Julie Robertson | Manchester North | Hospital Death (Clinical Procedures and medical management) related deaths | The Northern Care Alliance NHS Trust | https://www.judiciary.uk/publications/leslie-horsfield/ |
| 20 June 2021 | 2021-0214 | AB | Robert Simpson | West Sussex | Hospital Death (Clinical Procedures and medical management) related deaths | Western Sussex Hospitals, NICE, Joint Advisory Group on GI Endoscopy, British Society of Gastroenterology and Association of Coloproctology of Great Britain and Ireland | https://www.judiciary.uk/publications/anne-bradley/ |
| 23 June 2021 | 2021-0213 | HP | Gordon Clow | Nottinghamshire | Mental Health related deaths | Railway related deaths | Community health care | Nottinghamshire County Council, Derbyshire County Council, Broxtowe Borough Council and Erewash Borough Council | https://www.judiciary.uk/publications/heather-page/ |
| 22 June 2021 | 2021-0212 | SN | Anna Crawford | Surrey | State Custody related deaths | Alex Chalk MP – Ministry of Justice | https://www.judiciary.uk/publications/serena-nicolle/ |
| 21 June 2021 | 2021-0211 | EW | Ian Arrow | Plymouth Torbay and South Devon | Hospital Death (Clinical Procedures and medical management) related deaths | University Hospitals Plymouth NHS Trust | https://www.judiciary.uk/publications/elsie-woodfield/ |
| 21 June 2021 | 2021-0210 | JV | Mary Burke | West Yorkshire Western Division | Community health care | Wilsden Medical Practice | https://www.judiciary.uk/publications/judith-varley/ |
| 21 June 2021 | 2021-0209 | RD | James Healy-Pratt | East Sussex | Hospital Death (Clinical Procedures and medical management) related deaths | Mental Health related deaths | Suicide (from 2015) | Community health care | Sussex Partnership NHS Foundation Trust and East Sussex County Council | https://www.judiciary.uk/publications/rodney-dixon/ |
| 18 June 2021 | 2021-0208 | LM | Lauren Costello | Manchester South | Hospital Death (Clinical Procedures and medical management) related deaths | Stockport NHS Foundation Trust | https://www.judiciary.uk/publications/lesley-mawby/ |
| 17 June 2021 | 2021-0207 | LP | Adam Hodson | Birmingham and Solihull | Hospital Death (Clinical Procedures and medical management) related deaths | University Hospitals Birmingham NHS Trust and NHS England | https://www.judiciary.uk/publications/leonard-pritchard/ |
| 17 June 2021 | 2021-0206 | DR | Derek Winter DL | City of Sunderland | Hospital Death (Clinical Procedures and medical management) related deaths | Mental Health related deaths | Suicide (from 2015) | Tyne and Wear NHS Foundation Trust | https://www.judiciary.uk/publications/daniel-rennoldson/ |
| 16 June 2021 | 2021-0205 | ZHaTA | Emma Serrano | Stoke-on-Trent & North Staffordshire Coroner’s Court | Community health care | Other related deaths | Child Death (from 2015) | Stoke-on-Trent City Council | https://www.judiciary.uk/publications/zainab-hashim-and-tafaoul-abdulkarim/ |
| 31 March 2021 | 2021-0204 | NW | Alison Hewitt | City of London | Hospital Death (Clinical Procedures and medical management) related deaths |Product related deaths | Public Health England, National Institute for Cardiovascular Outcomes Research, Society for Cardiothoracic Surgery and College of Clinical Perfusion Scientists | https://www.judiciary.uk/publications/nicholas-winterton/ |
| 9 June 2021 | 2021-0203 | MB | Ian Arrow | Plymouth Torbay and South Devon | Community health care | Mental Health related deaths | Suicide (from 2015) | Devon Partnership Trust and Devon County Council | https://www.judiciary.uk/publications/marc-bennett/ |
| 14 June 2021 | 2021-0202 | IH | Alison Mutch | Greater Manchester South | Community health care | Other related deaths |Alcohol, drug and medication related deaths | Medicines and Healthcare Products Regulatory Agency and NHS Stockport Clinical Commissioning Grou | https://www.judiciary.uk/publications/ian-hall/ |
| 11 June 2021 | 2021-0201 | BM | Alison Mutch | Greater Manchester South | Community health care | Tameside Clinical Commissioning Grou | https://www.judiciary.uk/publications/brian-mottram/ |
| 9 June 2021 | 2021-0200 | DD | Mary Burke | West Yorkshire Western Division | Hospital Death (Clinical Procedures and medical management) related deaths | Mental Health related deaths | Suicide (from 2015) | Mid Yorkshire Hospitals NHS Trust and South West Yorkshire Partnership NHS Trust | https://www.judiciary.uk/publications/denton-duhaney/ |
| 10 June 2021 | 2021-0199 | CR | Alison Mutch | Manchester South | Hospital Death (Clinical Procedures and medical management) related deaths | Community health care | Other related deaths |Care Home Health related deaths | NHS England and Secretary of State of Health | https://www.judiciary.uk/publications/clive-rivers/ |
| 10 June 2021 | 2021-0198 | EM | Chris Morris | Manchester South | Product related deaths | Other related deaths |Suicide (from 2015) | Secretary of State for the Home Department | https://www.judiciary.uk/publications/emiel-malinski/ |
| 9 June 2021 | 2021-0197 | NO | Jason Pegg | Hampshire, Portsmouth and Southhampton | Other related deaths |Product related deaths | British Kite Surfing Association | https://www.judiciary.uk/publications/nicholas-obrien/ |
| 8 June 2021 | 2021-0196 | DS | Alison Mutch | Greater Manchester South | Community health care |Other related deaths | Stockport Metropolitan Borough Council | https://www.judiciary.uk/publications/darrell-spear/ |
| 7 June 2021 | 2021-0195 | SR | Dr Anthony Howard | West Yorkshire Western Division | Hospital Death (Clinical Procedures and medical management) related deaths | Bradford Royal Infirmary | https://www.judiciary.uk/publications/susan-roberts/ |
| 4 June 2021 | 2021-0194 | AB | Mary Hassell | Inner North London | Community health care | Hospital Death (Clinical Procedures and medical management) related deaths | Mental Health related deaths | Other related deaths | Lord Chancellor and Secretary of State for Justice | https://www.judiciary.uk/publications/angela-best/ |
| 4 June 2021 | 2021-0193 | PS | Penelope Schofield | West Sussex | Road (Highways Safety) related deaths | Community health care |Other related deaths | West Sussex County Council | https://www.judiciary.uk/publications/pathushan-sutharsan/ |
| 4 June 2021 | 2021-0192 | DO | Veronica Hamilton-Deeley | City of Brighton and Hove | Police related deaths |Road (Highways Safety) related deaths | Sussex Police and National Police Chiefs’ Council | https://www.judiciary.uk/publications/david-ormesher/ |
| 4 June 2021 | 2021-0191 | GH | David Reid | Worcestershire | State Custody related deaths |Suicide (from 2015) | HMP Long Lartin | https://www.judiciary.uk/publications/geoffrey-hutton/ |
| 2 June 2021 | 2021-0190 | SA | Alison Mutch | Greater Manchester South | Community health care |Alcohol, drug and medication related deaths | Stockport Clinical Commissioning Grou | https://www.judiciary.uk/publications/steven-allen/ |
| 2 June 2021 | 2021-0189 | MC | Tom Osborne | Milton Keynes | State Custody related deaths |Mental Health related deaths |Suicide (from 2015) | Lord Chancellor | https://www.judiciary.uk/publications/mark-culverhouse/ |
| 2 June 2021 | 2021-0188 | CJ | Bina Patel | Mid Kent and Medway | Care Home Health related deaths | Avery Healthcare, Elvy Court Nursing Home | https://www.judiciary.uk/publications/catherine-jux/ |
| 1 June 2021 | 2021-0187 | KW | Samantha Marsh | Hampshire, Portsmouth and Southampton | Child Death (from 2015) | Care Home Health related deaths |Suicide (from 2015) | A2Dominion of The Point | https://www.judiciary.uk/publications/kesia-waller/ |
| 28 May 2021 | 2021-0186 | SG | Nicholas Moss QC | Cambridgeshire and Peterborough | Child Death (from 2015) | Suicide (from 2015) | Alcohol, drug and medication related deaths | Community health care | Mental Health related deaths | Other related deaths | Hospital Death (Clinical Procedures and medical management) related deaths | Royal Pharmaceutical Society, General Pharmaceutical Council, Company Chemists’ Association and NHS England | https://www.judiciary.uk/publications/samantha-gould/ |
| 28 May 2021 | 2021-0185 | CG | Nicholas Moss QC | Cambridgeshire and Peterborough | Police related deaths | Railway related deaths | Suicide (from 2015) | Child Death (from 2015) | British Transport Police and Network Rail | https://www.judiciary.uk/publications/christine-gould/ |
| 28 May 2021 | 2021-0184 | SGaCG | Nicholas Moss QC | Cambridgeshire and Peterborough | Community health care | Mental Health related deaths | Suicide (from 2015) | Railway related deaths | Alcohol, drug and medication related deaths | Other related deaths | Police related deaths | Hospital Death (Clinical Procedures and medical management) related deaths | Child Death (from 2015) | Cambridgeshire and Peterborough Foundation Trust, Cambridgeshire County Council and National Police Chiefs’ Council | https://www.judiciary.uk/publications/samantha-gould-and-christine-gould/ |
| 28 May 2021 | 2021-0183 | AF | Catherine McKenna | Manchester North | Hospital Death (Clinical Procedures and medical management) related deaths | Mental Health related deaths | Suicide (from 2015) |Alcohol, drug and medication related deaths | Pennine Care NHS Foundation Trust | https://www.judiciary.uk/publications/angela-frost/ |
| 28 May 2021 | 2021-0182 | PC | Jacqueline Lake | Norfolk | Emergency services related deaths (2019 onwards) | Premier Rescue Ambulance Services | https://www.judiciary.uk/publications/peggy-copeman/ |
| 27 May 2021 | 2021-0181 | ZP | Joanne Kearsley | Manchester North | Police related deaths | Greater Manchester Police and National Police Chiefs Council | https://www.judiciary.uk/publications/zeyna-partington/ |
| 22 April 2021 | 2021-0180 | KH | Tom Osborne | Milton Keynes | Mental Health related deaths | Suicide (from 2015) | Minister of State for Prisons | https://www.judiciary.uk/publications/kelly-hewitt/ |
| 25 May 2021 | 2021-0179 | JD | Ian Brownhill | Mid Kent and Medway | State Custody related deaths | Mental Health related deaths | Suicide (from 2015) | HMP Elmley and Director General – Prisons | https://www.judiciary.uk/publications/james-devenny/ |
| 14 April 2021 | 2021-0178 | AC | Joanne Kearsley | Manchester North | Care Home Health related deaths | Rochcare | https://www.judiciary.uk/publications/amy-chiverall/ |
| 25 May 2021 | 2021-0177 | MM | Alan Blunsdon | North West Kent | Police related deaths | Suicide (from 2015) | Child Death (from 2015) | Kent Police | https://www.judiciary.uk/publications/matthew-mackell/ |
| 25 May 2021 | 2021-0176 | RT | Guy Davies | Cornwall and the Isles of Scilly | Road (Highways Safety) related deaths | Cornwall Council and CORMAC | https://www.judiciary.uk/publications/ryan-taylor/ |
| 25 May 2021 | 2021-0175 | CT | Paul Smith | Lincolnshire | Road (Highways Safety) related deaths | DVLA | https://www.judiciary.uk/publications/christopher-taylor-2/ |
| 12 February 2021 | 2021-0174 | AH | Gemma Brannigan | Oxfordshire | Hospital Death (Clinical Procedures and medical management) related deaths | Oxford University Hospitals NHS Foundation Trust | https://www.judiciary.uk/publications/anne-harper/ |
| 19 February 2021 | 2021-0173 | DL | Darren Salter | Oxfordshire | Road (Highways Safety) related deaths | Oxfordshire County Council | https://www.judiciary.uk/publications/david-lewis/ |
| 15 December 2020 | 2021-0172 | DF | Darren Salter | Oxfordshire | Child Death (from 2015) |Hospital Death (Clinical Procedures and medical management) related deaths | OUH NHS Foundation Trust | https://www.judiciary.uk/publications/don-fernandes/ |
| 10 February 2021 | 2021-0171 | LT | Sonia Hayes | Oxfordshire | Hospital Death (Clinical Procedures and medical management) related deaths | Mental Health related deaths |Suicide (from 2015) | Oxford Health NHS Trust | https://www.judiciary.uk/publications/lisa-thompson/ |
| 24 May 2021 | 2021-0170 | KS | Timothy Brennand | Manchester West | Care Home Health related deaths | Hospital Death (Clinical Procedures and medical management) related deaths | Community health care | Shannon Court Care Centre, NHS Bolton CCG and Bolton Council Commissioning Services | https://www.judiciary.uk/publications/kenneth-smith/ |
| 28 May 2021 | 2021-0169 | KF | Veronica Hamilton-Deeley | City of Brighton and Hove | Hospital Death (Clinical Procedures and medical management) related deaths | Alcohol, drug and medication related deaths | Mental Health related deaths | Police related deaths | Community health care | Brighton and Hove Health and Adult Social Care, Brighton and Hove CCG, Brighton and Hove Director of Housing, Sussex Police and Brighton and Hove Safer Communities Team | https://www.judiciary.uk/publications/kevin-fitton/ |
| 24 May 2021 | 2021-0168 | RB | Alison Mutch | Manchester South | Hospital Death (Clinical Procedures and medical management) related deaths |Alcohol, drug and medication related deaths | Tameside & Glossop Integrated Care NHS Foundation Trust | https://www.judiciary.uk/publications/roger-ballard/ |
| 21 May 2021 | 2021-0167 | DM | Zak Golombeck | Manchester City | Community health care | Mental Health related deaths | Suicide (from 2015) | EMIS Health | NICE | Royal College of GPs | https://www.judiciary.uk/publications/dyllon-milburn/ |
| 21 May 2021 | 2021-0166 | MG | Alison Mutch | Manchester South | Hospital Death (Clinical Procedures and medical management) related deaths | Mental Health related deaths | Suicide (from 2015) | Secretary of State for Health and Greater Manchester Health and Social Care Partnershi | https://www.judiciary.uk/publications/martin-gibbons/ |
| 20 May 2021 | 2021-0165 | WB | Brendan Allen | County of Dorset | Community health care | Road (Highways Safety) related deaths | Other related deaths | BCP Council | https://www.judiciary.uk/publications/wilfred-breakell/ |
| 20 May 2021 | 2021-0164 | NC | Nadia Persaud | East London | Hospital Death (Clinical Procedures and medical management) related deaths | Mental Health related deaths |Suicide (from 2015) | North East London Foundation Trust | https://www.judiciary.uk/publications/neil-challinor-mooney/ |
| 19 May 2021 | 2021-0163 | RB | Derek Winter | Sunderland | Hospital Death (Clinical Procedures and medical management) related deaths |Mental Health related deaths | Cumbria, Northumberland, Tyne and Wear NHS Foundation Trust and Secretary of State for Health and Social Care | https://www.judiciary.uk/publications/richard-burgess/ |
| 12 May 2021 | 2021-0162 | SO | Gordon Clow | Nottingham City and Nottinghamshire | Other related deaths | Road (Highways Safety) related deaths | Paul Wainwright Construction Services Ltd and DVLA | https://www.judiciary.uk/publications/steven-oscroft/ |
| 19 May 2021 | 2021-0161 | LK | Joanne Kearsley | Manchester North | Community health care | Other related deaths | Care Home Health related deaths |Alcohol, drug and medication related deaths | Adullam Homes Housing Association | https://www.judiciary.uk/publications/liam-kenyon/ |
| 18 May 2021 | 2021-0160 | BH | Joanne Kearsley | Manchester North | Community health care | Alcohol, drug and medication related deaths | Secretary of State for Health, Manchester Health and Social Care Partnership and the Uplands Medical Practice | https://www.judiciary.uk/publications/bruce-houghton/ |
| 18 May 2021 | 2021-0159 | CE | Jason Pegg | Hampshire, Portsmouth and Southampton | Railway related deaths |Alcohol, drug and medication related deaths | Network Rail | https://www.judiciary.uk/publications/callum-evans/ |
| 17 May 2021 | 2021-0158 | LL | Caroline Saunders | Gwent | Road (Highways Safety) related deaths |Wales prevention of future deaths reports (2019 onwards) | Blaenau Gwent County Borough Council | https://www.judiciary.uk/publications/lynne-lawrence/ |
| 18 May 2021 | 2021-0157 | JS | Graeme Irvine | East London | Hospital Death (Clinical Procedures and medical management) related deaths | Queen’s Hospital | https://www.judiciary.uk/publications/juliet-saunders/ |
| 17 May 2021 | 2021-0156 | LS | Lorna Skinner QC | Cambridgeshire and Peterborough | Hospital Death (Clinical Procedures and medical management) related deaths |Child Death (from 2015) | National Institute for Clinical Excellence and British Association of Perinatal Medicine | https://www.judiciary.uk/publications/lola-sheldrake/ |
| 17 May 2021 | 2021-0155 | ST | Christopher Murray | Manchester South | Hospital Death (Clinical Procedures and medical management) related deaths | Mental Health related deaths |Suicide (from 2015) | Greater Manchester Mental Health and NHS England | https://www.judiciary.uk/publications/stephen-thurm/ |
| 21 April 2021 | 2021-0154 | VV | Paul Cooper | Lincolnshire | Hospital Death (Clinical Procedures and medical management) related deaths | United Lincolnshire Hospital Trust | https://www.judiciary.uk/publications/vilmantas-venskutonis/ |
| 12 May 2021 | 2021-0153 | MM | Jason Wells | Manchester South | Hospital Death (Clinical Procedures and medical management) related deaths | Medica Reporting Ltd and Liverpool Heart and Chest Hospital | https://www.judiciary.uk/publications/mary-mellor/ |
| 11 May 2021 | 2021-0152 | CO | Alan Wilson | Blackpool and Fylde | Hospital Death (Clinical Procedures and medical management) related deaths |Community health care | Blackpool Teaching Hospital NHS Foundation Trust, NHS Blackpool and NHS Fylde and Wyre Clinical Commissioning Groups | https://www.judiciary.uk/publications/coral-odonnell/ |
| 11 May 2021 | 2021-0151 | PR | Jacqueline Devonish | Suffolk | Other related deaths |Police related deaths | Brittania Jinky Jersey Ltd, Brittania Hotel Group Ltd, Norfolk and Suffolk Constabulary and National Police Chief Council | https://www.judiciary.uk/publications/paul-reynolds-2/ |
| 11 May 2021 | 2021-0150 | CS | Penelope Schofield | West Sussex | Mental Health related deaths |Hospital Death (Clinical Procedures and medical management) related deaths | NHS England | https://www.judiciary.uk/publications/charlotte-swift/ |
| 10 May 2021 | 2021-0149 | JL | Veronica Hamilton-Deeley | City of Brighton and Hove | Hospital Death (Clinical Procedures and medical management) related deaths | Nuffield Hospital | https://www.judiciary.uk/publications/john-lott/ |
| 10 May 2021 | 2021-0148 | PL | Penelope Schofield | West Sussex | Mental Health related deaths | Alcohol, drug and medication related deaths | Emergency services related deaths (2019 onwards) | Hospital Death (Clinical Procedures and medical management) related deaths | Community health care and emergency services related deaths | Other related deaths | NHS England | https://www.judiciary.uk/publications/parys-lapper/ |
| 9 May 2021 | 2021-0147 | EH | Andre Rebello | Liverpool and Wirral | Child Death (from 2015) |Hospital Death (Clinical Procedures and medical management) related deaths | Southport and Ormskirk Hospital NHS Trust, Southport and Formby District General Hospital | https://www.judiciary.uk/publications/eva-hayden/ |
| 7 May 2021 | 2021-0146 | MW | Mary Hassell | Inner North London | Community health care |Hospital Death (Clinical Procedures and medical management) related deaths | Lower Clapton Group Practice | https://www.judiciary.uk/publications/macaulay-wilson/ |
| 7 May 2021 | 2021-0145 | SA | Nadia Persaud | East London | Hospital Death (Clinical Procedures and medical management) related deaths |Other related deaths | Public Health England | https://www.judiciary.uk/publications/stacey-alexander-harriss/ |
| 7 May 2021 | 2021-0144 | JS | Yvonne Blake | Norfolk | Hospital Death (Clinical Procedures and medical management) related deaths | Norfolk and Norwich University Hospital NHS Foundation Trust | https://www.judiciary.uk/publications/john-slope/ |
| 7 May 2021 | 2021-0143 | CB | Nicholas Rheinberg | Exeter and Greater Devon | State Custody related deaths |Mental Health related deaths | HMP Dartmoor | https://www.judiciary.uk/publications/corin-bonaparte/ |
| 7 May 2021 | 2021-0142 | GM | Ian Arrow | Plymouth Torbay and South Devon | Hospital Death (Clinical Procedures and medical management) related deaths | Care Home Health related deaths |Mental Health related deaths | Care Quality Commission, Devon Partnership Trust and Plymouth Safeguarding Adult Partnershi | https://www.judiciary.uk/publications/glenn-macmartin/ |
| 7 May 2021 | 2021-0141 | AS | Sarah Murphy | Stoke-on-Trent & North Staffordshire Coroner’s Court | Hospital Death (Clinical Procedures and medical management) related deaths |Child Death (from 2015) | Royal Stoke University Hospital and Birmingham Children’s Hospital | https://www.judiciary.uk/publications/alex-shaw/ |
| 5 May 2021 | 2021-0140 | SG | Professor Paul Marks | County of the East Riding of Yorkshire and City of Kingston-Upon-Hull | Police related deaths | Product related deaths |Product related deaths | SoS for the Home Department and Minister of State for Crime and Policing | https://www.judiciary.uk/publications/shane-gilmer/ |
| 5 May 2021 | 2021-0139 | RO | David Reid | Worcestershire | State Custody related deaths |Alcohol, drug and medication related deaths | HMP Long Lartin | https://www.judiciary.uk/publications/richard-ormond/ |
| 5 May 2021 | 2021-0138 | SM | Adam Hodson | Birmingham and Solihull | Care Home Health related deaths | Options for Care Ltd | https://www.judiciary.uk/publications/stephen-maguire/ |
| 5 May 2021 | 2021-0137 | LB | Abigail Combes | South Yorkshire (West District) | Hospital Death (Clinical Procedures and medical management) related deaths | Sheffield Teaching Hospitals NHS Foundation Trust | https://www.judiciary.uk/publications/laura-booth/ |
| 5 May 2021 | 2021-0136 | HB | Anna Loxton | Surrey | Hospital Death (Clinical Procedures and medical management) related deaths | Mental Health related deaths | Suicide (from 2015) | Sussex Partnership NHS Foundation Trust | https://www.judiciary.uk/publications/hannah-bampfylde/ |
| 24 April 2021 | 2021-0135 | AJ | Alison Mutch | Greater Manchester South | Hospital Death (Clinical Procedures and medical management) related deaths | Greater Manchester Health and Social Care Partnership and NHS England | https://www.judiciary.uk/publications/alfred-jones/ |
| 30 April 2021 | 2021-0134 | RS | Graeme Irvine | East London | Hospital Death (Clinical Procedures and medical management) related deaths| Alcohol, drug and medication related deaths | Police related deaths|Mental Health related deaths | Dept. of Health and Social Care, Camden and Islington NHS Foundation Trust and Metropolitan Police Service | https://www.judiciary.uk/publications/rohan-singh/ |
| 4 May 2021 | 2021-0133 | WS | John Ellery | Shropshire, Telford and Wrekin | Hospital Death (Clinical Procedures and medical management) related deaths | Shrewsbury and Telford Hospital Trust | https://www.judiciary.uk/publications/william-simons/ |
| 29 January 2020 | 2021-0132 | TA | Graeme Irvine | East London | Hospital Death (Clinical Procedures and medical management) related deaths Community health care | Mental Health related deaths | Police related deaths | Other related deaths | Product related deaths | Camden and Islington NHS Foundation Trust, Dept. of Health and Social Care, SoS for the Home Department, Metropolitan Police Service, AMHP and Royal Mail | https://www.judiciary.uk/publications/thiago-araujo/ |
| 30 April 2021 | 2021-0131 | EB | Kevin McLoughlin | West Yorkshire (East) | Child Death (from 2015) |Other related deaths | Yorkshire Hydropower Ltd, Foresight Group, Wakefield Metropolitan District Council and The Canal and River Trust | https://www.judiciary.uk/publications/elliot-burton/ |
| 30 April 2021 | 2021-0130 | AB | Sean Horstead | Cambridgeshire and Peterborough | State Custody related deaths |Hospital Death (Clinical Procedures and medical management) related deaths | Minister of State for Prisons and Probation and Cambridge University Hospitals NHS Foundation Trust | https://www.judiciary.uk/publications/alvin-black/ |
| 30 April 2021 | 2021-0129 | AM | Sean McGovern | Warwickshire | Other related deaths | Christian Congregation of Jehova’s Witnesses | https://www.judiciary.uk/publications/ann-mowbray/ |
| 30 April 2021 | 2021-0128 | JR | Alison Mutch | Greater Manchester South | Police related deaths | Alcohol, drug and medication related deaths | Mental Health related deaths |Community health care | Greater Manchester Police and Greater Manchester Health and Social Care Partnershi | https://www.judiciary.uk/publications/jade-rayner/ |
| 7 May 2021 | 2021-0127 | HS | Guy Davies | Cornwall and the Isles of Scilly | Alcohol, drug and medication related deaths | Community health care | Chair of the Advisory Council on the Misuse of Drugs and Minister of State for Mental Health, Suicide Prevention and Patient Safety | https://www.judiciary.uk/publications/helen-spicer/ |
| 30 April 2021 | 2021-0126 | JL | Chris Morris | Greater Manchester (South) | Mental Health related deaths | Suicide (from 2015) | Community health care and emergency services related deaths | Hospital Death (Clinical Procedures and medical management) related deaths | SoS for Health and Social Care | https://www.judiciary.uk/publications/joanna-leven/ |
| 29 April 2021 | 2021-0125 | DA | Lorraine Harris | South Yorkshire (East) | State Custody related deaths | Mental Health related deaths | Suicide (from 2015) | Other related deaths | Practice Plus Group and Resuscitation Council UK | https://www.judiciary.uk/publications/darren-adams/ |
| 10 February 2021 | 2021-0122 | EB | Joanne Lees | Black Country | Care Home Health related deaths | Castlehill Specialist Care Centre and Care Quality Commission | https://www.judiciary.uk/publications/eric-bird/ |
| 28 April 2021 | 2021-0124 | SK | Sean Horstead | Cambridgeshire & Peterborough | Mental Health related deaths | Hospital Death (Clinical Procedures and medical management) related deaths | Community health care |Suicide (from 2015) | NHS Norfolk and Waveney CCG | https://www.judiciary.uk/publications/sean-kay/ |
| 28 April 2021 | 2021-0123 | PS | Nadia Persaud | East London | Hospital Death (Clinical Procedures and medical management) related deaths | Royal College of Emergency Medicine, Barts Health NHS Trust and North East London Foundation Trust | https://www.judiciary.uk/publications/paul-sartori/ |
| 27 April 2021 | 2021-0121 | CS | Stephen Covell | Cornwall and Isles of Scilly | Road (Highways Safety) related deaths | CORMAC – Cornwall Council – Highways Department | https://www.judiciary.uk/publications/caitlin-swan/ |
| 26 April 2021 | 2021-0120 | AM | Alison Mutch | Manchester South | Care Home Health related deaths | Hospital Death (Clinical Procedures and medical management) related deaths | Community health care |Mental Health related deaths | SoS of Health and Social Care, Greater Manchester Health and Social Care Partnership and Care Quality Commission | https://www.judiciary.uk/publications/alan-massam/ |
| 23 April 2021 | 2021-0119 | DR | Scott Matthewson | Mid Kent and Medway | Hospital Death (Clinical Procedures and medical management) related deaths | Medway Maritime Hospital | https://www.judiciary.uk/publications/derek-russell/ |
| 23 April 2021 | 2021-0118 | GP | Kevin McLoughlin | West Yorkshire (East) | State Custody related deaths | HMP Leeds | https://www.judiciary.uk/publications/guy-paget/ |
| 21 April 2021 | 2021-0117 | MG | Caroline Topping | Surrey | Hospital Death (Clinical Procedures and medical management) related deaths | Mental Health related deaths | Community health care | Railway related deaths |Suicide (from 2015) | Surrey and Borders Partnershi | https://www.judiciary.uk/publications/mary-gwanyama/ |
| 21 April 2021 | 2021-0116 | SA | Andrew Haigh | Staffordshire South | Alcohol, drug and medication related deaths | Mental Health related deaths | Hospital Death (Clinical Procedures and medical management) related deaths | St George’s Hospital | https://www.judiciary.uk/publications/susan-adams/ |
| 19 April 2021 | 2021-0115 | PH | Margaret Jones | Stoke-on-Trent & North Staffordshire Coroner’s Court | Hospital Death (Clinical Procedures and medical management) related deaths |Product related deaths | Enteral (GB) UK, University Hospital of North Midlands, Nursing Times, NHS England and ISO Standards Agency | https://www.judiciary.uk/publications/peter-hussey/ |
| 19 April 2021 | 2021-0114 | SO | Margaret Jones | Stoke-on-Trent & North Staffordshire Coroner’s Court | Hospital Death (Clinical Procedures and medical management) related deaths |Product related deaths | Enteral (GB) UK, University Hospital of North Midlands, Nursing Times, NHS England and ISO Standards Agency | https://www.judiciary.uk/publications/stephen-oakes/ |
| 20 April 2021 | 2021-0113 | EK | Philip Barlow | Inner South London | Child Death (from 2015) | Community health care | Other related deaths | Department for Environment, Food and Rural Affairs, Department of Transport, Department of Health and Social Care, Mayor of London, London Borough of Lewisham, General Medical Council, Health Education England, Nursing and Midwifery Council, Royal College of Physicians, Royal College of Paediatrics and Child Health, Royal College of General Practitioners, NICE and British Thoracic Society | https://www.judiciary.uk/publications/ella-kissi-debrah/ |
| 16 April 2021 | 2021-0112 | RE | Peter Brunton | County of Ceredigion | Accident at Work and Health and Safety related deaths | Road (Highways Safety) related deaths | Other related deaths |Wales prevention of future deaths reports (2019 onwards) | Ceredigion County Council and Bucher Municipal Ltd | https://www.judiciary.uk/publications/roy-evans/ |
| 16 April 2021 | 2021-0111 | YS | Andrew Harris | London Inner South | Hospital Death (Clinical Procedures and medical management) related deaths | University Hospital Lewisham | https://www.judiciary.uk/publications/yusuf-seyit/ |
| 15 April 2021 | 2021-0104 | DB | Martin Fleming | West Yorkshire (Western) | Road (Highways Safety) related deaths | Roads and Highways – Kirklees Council | https://www.judiciary.uk/publications/danielle-broadhead/ |
| 15 April 2021 | 2021-0110 | AS | Chris Morris | Manchester South | Community health care |Other related deaths | SoS for Health and Social Care | https://www.judiciary.uk/publications/ailsa-stewart/ |
| 15 April 2021 | 2021-0109 | SHM | Adrian Farrow | 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 | https://www.judiciary.uk/publications/saima-hussain-mann/ |
| 14 April 2021 | 2021-0108 | RDaSM | Kevin McLoughlin | West Yorkshire (East) | Other related deaths | Dept. for Business, Energy and Industrial Strategy | https://www.judiciary.uk/publications/richard-dyson-and-simon-midgley/ |
| 13 April 2021 | 2021-0107 | GD | Edwin Buckett | Inner North London | Hospital Death (Clinical Procedures and medical management) related deaths | Moorfields Eye Hospital NHS Foundation Trust | https://www.judiciary.uk/publications/gary-day/ |
| 13 April 2021 | 2021-0106 | HB | John Gittins | North Wales (East and Central) | Mental Health related deaths | Community health care | Suicide (from 2015) |Wales prevention of future deaths reports (2019 onwards) | BCUHB and Wrexham County Borough Council | https://www.judiciary.uk/publications/hannah-browning/ |
| 9 April 2021 | 2021-0105 | JW | Veronica Hamilton-Deeley | City of Brighton & Hove | Hospital Death (Clinical Procedures and medical management) related deaths | University Hospitals Sussex NHS Foundation Trust | https://www.judiciary.uk/publications/janet-willcock/ |
| 13 April 2021 | 2021-0103 | NC | Caroline Topping | County of Surrey | Other related deaths | SoS for Health and Social Care and Home Secretary | https://www.judiciary.uk/publications/natasha-crabb/ |
| 13 April 2021 | 2021-0102 | AW | Abigail Combes | South Yorkshire (West District) | Community health care | Hospital Death (Clinical Procedures and medical management) related deaths | Other related deaths | Stars Social Support Ltd, Care Quality Commission and South West Yorkshire Partnership NHS Foundation Trust | https://www.judiciary.uk/publications/anthony-wilkinson/ |
| 13 April 2021 | 2021-0101 | AC | Caroline Topping | County of Surrey | Alcohol, drug and medication related deaths |Hospital Death (Clinical Procedures and medical management) related deaths | Royal College of Physicians and Royal College of GPs | https://www.judiciary.uk/publications/ann-coles/ |
| 7 April 2021 and 9 April 2021 | 2021-0100 | MT | James Thompson | County Durham and Darlington | Hospital Death (Clinical Procedures and medical management) related deaths | Mental Health related deaths |Suicide (from 2015) | SoS for Health and Social Care and West Park Hospital | https://www.judiciary.uk/publications/mina-topley-bird/ |
| 28 March 2021 | 2021-0099 | BS | Dr Sean Cummings | London (West) | Community health care | Hospital Death (Clinical Procedures and medical management) related deaths | Mental Health related deaths | Other related deaths | Central and North West London NHS Foundation Trust and NHS England | https://www.judiciary.uk/publications/bathsheba-shepherd/ |
| 6 April 2021 | 2021-0098 | PB | Julie Goulding | Sefton, St. Helens and Knowsley | Care Home Health related deaths | Widnes Hall Care Home and Care Quality Commission | https://www.judiciary.uk/publications/john-brumfitt/ |
| 4 April 2021 | 2021-0097 | IT | Nicholas Rheinberg | Lancashire and Blackburn with Darwen | Hospital Death (Clinical Procedures and medical management) related deaths |Alcohol, drug and medication related deaths | NHS England | https://www.judiciary.uk/publications/imre-thomas/ |
| 30 March 2021 | 2021-0096 | MZ | John Broadbridge | North Yorkshire, Western District | Other related deaths | Craven District Council, Yorkshire Dales National Park and Yorkshire Water | https://www.judiciary.uk/publications/mohammed-zeb/ |
| 31 March 2021 | 2021-0095 | SC | Catharine Palmer | West Sussex | Hospital Death (Clinical Procedures and medical management) related deaths | Mental Health related deaths |Suicide (from 2015) | Brighton and Sussex University Hospitals NHS Trust | https://www.judiciary.uk/publications/steven-costello/ |
| 29 March 2021 | 2021-0094 | RM | Crispin Butler | Buckinghamshire | Hospital Death (Clinical Procedures and medical management) related deaths |Suicide (from 2015) | Oxford Health NHS Foundation Trust | https://www.judiciary.uk/publications/roy-morris/ |
| 31 March 2021 | 2021-0093 | JC | Louise Hunt | Birmingham and Solihull | Hospital Death (Clinical Procedures and medical management) related deaths | Sandwell and West Birmingham Hospitals NHS Trust, Birmingham Medical School, Aston Medical School, Secretary of State for Health, General Medical Council and UK Foundation Programme | https://www.judiciary.uk/publications/joan-coley/ |
| 30 October 2020 | 2021-0092 | MRC | Nadia Persaud | East London | Hospital Death (Clinical Procedures and medical management) related deaths | Royal London Hospital | https://www.judiciary.uk/publications/michael-robert-collins/ |
| 8 December 2020 | 2021-0091 | AS | Graeme Irvine | East London | Care Home Health related deaths | Department of Health and Social Care and Havering Clinical Commissioning Grou | https://www.judiciary.uk/publications/ann-stillwell/ |
| 26 March 2021 | 2021-0090 | RJ | David Reid | Worcestershire | Care Home Health related deaths | Holmleigh Care Homes Ltd and Care Quality Commission | https://www.judiciary.uk/publications/rachel-johnston/ |
| 29 March 2021 | 2021-0089 | RP | James Bennett | Birmingham and Solihull | Care Home Health related deaths | Cole Valley Care Ltd | https://www.judiciary.uk/publications/raymond-powell/ |
| 1 December 2020 | 2021-0088 | BC | Rachael Griffin | Dorset | Hospital Death (Clinical Procedures and medical management) related deaths |Child Death (from 2015) | Royal College of Obstetricians and Gynaecologists, Royal College of Paediatrics and Child Health and National Institute of Clinical Excellence | https://www.judiciary.uk/publications/brandon-robert-collins-hayward/ |
| 28 March 2021 | 2021-0087 | NR | Dr Sean Cummings | Milton Keynes | Hospital Death (Clinical Procedures and medical management) related deaths | Milton Keynes University Hospital | https://www.judiciary.uk/publications/nicholas-rousseau/ |
| 10 December 2020 | 2021-0086 | RA | Caroline Saunders | Gwent | Mental Health related deaths | Alcohol, drug and medication related deaths | Community health care | Suicide (from 2015) |Wales prevention of future deaths reports (2019 onwards) | Aneurin Bevan University Health Board | https://www.judiciary.uk/publications/rory-attwood/ |
| 26 March 2021 | 2021-0085 | CF | Stephen Hugh Glossop Covell | Plymouth Torbay and South Devon | Care Home Health related deaths | Hart Care Nursing and Residential Home | https://www.judiciary.uk/publications/clara-freeman/ |
| 26 March 2021 | 2021-0084 | LM | Matthew Cox | Manchester North | Road (Highways Safety) related deaths |Police related deaths | Highways England and North West Motorway Police Grou | https://www.judiciary.uk/publications/lee-marsden/ |
| 25 March 2021 | 2021-0083 | SF | Gordon Clow | Nottingham City and Nottinghamshire | Mental Health related deaths | Alcohol, drug and medication related deaths | Community health care | Hospital Death (Clinical Procedures and medical management) related deaths |Other related deaths | GP, Change Grow Live, Nottinghamshire Healthcare NHS Foundation Trust and Nottinghamshire County Council | https://www.judiciary.uk/publications/sean-fegan/ |
| 25 March 2021 | 2021-0082 | AH | 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, Care Commissioning Group for Birmingham and Solihull, Care Quality Commission and Health and Safety Executive | https://www.judiciary.uk/publications/azra-hussain/ |
| 25 March 2021 | 2021-0081 | SF | Derek Winter DL | City of Sunderland | Hospital Death (Clinical Procedures and medical management) related deaths |Child Death (from 2015) | Secretary of State for Health and Social Care | https://www.judiciary.uk/publications/sheldon-farnell/ |
| 7 January 2021 | 2021-0080 | JB | Caroline Saunders | Gwent | Other related deaths | Specsavers UK | https://www.judiciary.uk/publications/john-berrow/ |
| 16 February 2021 | 2021-0079 | AJ | Caroline Saunders | Gwent | Hospital Death (Clinical Procedures and medical management) related deaths | Aneurin Bevan University Health Board | https://www.judiciary.uk/publications/alan-jones-2/ |
| 15 March 2021 | 2021-0075 | JP | Emma Serrano | Stoke-on-Trent & North Staffordshire Coroner’s Court | Hospital Death (Clinical Procedures and medical management) related deaths | NHS England | https://www.judiciary.uk/publications/jamie-poole/ |
| 15 March 2021 | 2021-0078 | JH | Penelope Schofield | West Sussex | Hospital Death (Clinical Procedures and medical management) related deaths | Community health care | Mental Health related deaths |Railway related deaths | Sussex Partnership NHS Foundation Trust and Horsham District Council | https://www.judiciary.uk/publications/james-herbertson/ |
| 17 March 2021 | 2021-0077 | BO | Mary Hassell | Inner North London | Hospital Death (Clinical Procedures and medical management) related deaths |Mental Health related deaths | St Pancras Hospital | https://www.judiciary.uk/publications/ben-ohara/ |
| 15 March 2021 | 2021-0076 | TS | Veronica Hamilton-Deeley | City of Brighton and Hove | Hospital Death (Clinical Procedures and medical management) related deaths |Mental Health related deaths |Suicide (from 2015) | Sussex Partnership NHS Foundation Trust | https://www.judiciary.uk/publications/timothy-steele/ |
| 15 March 2021 | 2021-0074 | JR | Alison Mutch | Greater Manchester South | Alcohol, drug and medication related deaths |Police related deaths | Home Secretary and National Police Chiefs Council | https://www.judiciary.uk/publications/joe-robinson/ |
| 19 February 2021 | 2021-0073 | LG | Zafar Siddique | Black Country | Hospital Death (Clinical Procedures and medical management) related deaths | Dept. of Health and Social Care, Black Country Partnership NHS Foundation Trust and CQC | https://www.judiciary.uk/publications/lisa-grant/ |
| 12 March 2021 | 2021-0072 | ER | Caroline Saunders | Gwent | Hospital Death (Clinical Procedures and medical management) related deaths | Aneurin Bevan University Health board | https://www.judiciary.uk/publications/elizabeth-robinson/ |
| 11 March 2021 | 2021-0071 | ED | Dr Anthony Howard | West Yorkshire, Western Division | Hospital Death (Clinical Procedures and medical management) related deaths | South West Yorkshire Partnershi | https://www.judiciary.uk/publications/emma-dorman/ |
| 8 March 2021 | 2021-0070 | RG | Kate Thomas | Mid Kent and Medway | Hospital Death (Clinical Procedures and medical management) related deaths | Medway Maritime Hospital | https://www.judiciary.uk/publications/rodney-gates/ |
| 19 February 2021 | 2021-0069 | BB | Veronica Hamilton-Deeley | City of Brighton and Hove | Hospital Death (Clinical Procedures and medical management) related deaths | Brighton Sussex University NHS Hospital Trust, West Sussex NHS Hospital Trust and Medico-Legal | https://www.judiciary.uk/publications/brian-button/ |
| 10 March 2021 | 2021-0068 | EB | Robert Hunter | Derby and Derbyshire | Child Death (from 2015) |Other related deaths | England Boxing and SoS for DCMS | https://www.judiciary.uk/publications/edward-bilbey/ |
| 8 March 2021 | 2021-0067 | YC | Caroline Sarah Sumeray | Isle of Wight | Road (Highways Safety) related deaths | Other related deaths | Highways – Isle of Wight Council and Ringway Island Roads Ltd | https://www.judiciary.uk/publications/yvonne-copland/ |
| 8 March 2021 | 2021-0066 | JR | Alan Wilson | Blackpool and Fylde | Care Home Health related deaths | Riverside Rest Home | https://www.judiciary.uk/publications/joan-rutter/ |
| 1 March 2021 | 2021-0065 | SF | Robert Hunter | Derby and Derbyshire | Care Home Health related deaths | New Lodge Nursing Home | https://www.judiciary.uk/publications/shirley-froggett/ |
| 4 March 2021 | 2021-0064 | PS | Mary Hassell | Inner North London | Hospital Death (Clinical Procedures and medical management) related deaths | Mental Health related deaths |Alcohol, drug and medication related deaths | Weymouth Street Hospital | https://www.judiciary.uk/publications/paula-speirs/ |
| 4 March 2021 | 2021-0063 | GW | Mary Hassell | Inner North London | Hospital Death (Clinical Procedures and medical management) related deaths | Mental Health related deaths |Suicide (from 2015) | St Pancras Hospital | https://www.judiciary.uk/publications/grazyna-walczak/ |
| 3 March 2021 | 2021-0062 | ZA | Tom Stoate | Bedfordshire and Luton | Road (Highways Safety) related deaths |Other related deaths | Highways England | https://www.judiciary.uk/publications/zahid-ahmed/ |
| 4 January 2021 | 2021-0061 | PP | Emma Brown | Birmingham and Solihull | Community health care | EMIS, Ashfield Surgery Sutton Coldfield, CCG and NHS England | https://www.judiciary.uk/publications/pardeep-plahe/ |
| 3 March 2021 | 2021-0060 | HM | Andre Rebello | Liverpool and Wirral | Hospital Death (Clinical Procedures and medical management) related deaths | Whiston Hospital | https://www.judiciary.uk/publications/helen-mclean/ |
| 3 March 2021 | 2021-0059 | SS | Graeme Irvine | East London | Hospital Death (Clinical Procedures and medical management) related deaths | Mental Health related deaths |Suicide (from 2015) | Dept. of Health and Social Care and North East London NHS Foundation Trust | https://www.judiciary.uk/publications/steven-stout/ |
| 3 March 2021 | 2021-0058 | AH | Sean Horstead | Cambridgeshire and Peterborough | Hospital Death (Clinical Procedures and medical management) related deaths | SoS for Health and Social Care, NHS England, General Medical Council, Academy of Medical Medical Royal Colleges and Health Education England | https://www.judiciary.uk/publications/averil-hart/ |
| 2 March 2021 | 2021-0057 | FM | Dr James Adeley | Lancashire and Blackburn with Darwen | Hospital Death (Clinical Procedures and medical management) related deaths | East Lancashire Hospitals NHS Trust | https://www.judiciary.uk/publications/frank-medley/ |
| 2 March 2021 | 2021-0056 | MS | Andrew Bridgman | Manchester South | Emergency services related deaths (2019 onwards) | NHS England and NHS Stockport Clinical Commissioning Grou | https://www.judiciary.uk/publications/martin-sullivan/ |
| 26 February 2021 | 2021-0055 | JA | Andrew Harris | London Inner South | Alcohol, drug and medication related deaths | Police related deaths | City of London Police, Metropolitan Police Service, College of Policing Units and Mayor of London | https://www.judiciary.uk/publications/joseph-agnew/ |
| 24 February 2021 | 2021-0054 | DB | Graeme Hughes | South Wales Central | Road (Highways Safety) related deaths |Other related deaths | DHL Supply Chain UKI | https://www.judiciary.uk/publications/david-blinman/ |
| 25 February 2021 | 2021-0053 | AB | Jason Pegg | Hampshire, Portsmouth and Southampton | Community health care |Road (Highways Safety) related deaths | Emsworth Surgery | https://www.judiciary.uk/publications/andrew-biddlecombe/ |
| 21 February 2021 | 2021-0052 | LJ | Sonia Hayes | Mid Kent and Medway | Hospital Death (Clinical Procedures and medical management) related deaths | Child Death (from 2015) | Dept. of Health, Royal College of GPs and Medway NHS Foundation Trust | https://www.judiciary.uk/publications/luke-jackson/ |
| 12 February 2021 | 2021-0051 | MD | Sarah Murphy | Stoke-on-Trent & North Staffordshire Coroner’s Court | Hospital Death (Clinical Procedures and medical management) related deaths |Alcohol, drug and medication related deaths | Royal Stoke University Hospital | https://www.judiciary.uk/publications/michele-duckworth/ |
| 22 February 2021 | 2021-0050 | SS | Samantha Marsh | Hampshire, Portsmouth and Southampton | Hospital Death (Clinical Procedures and medical management) related deaths | Mental Health related deaths | Alcohol, drug and medication related deaths | Southern Health NHS Foundation Trust of Tatchbury Mount, GMC and NICE | https://www.judiciary.uk/publications/sarah-smith/ |
| 22 February 2021 | 2021-0049 | CE | Mary Hassell | Inner North London | Hospital Death (Clinical Procedures and medical management) related deaths | Whittington Hospital | https://www.judiciary.uk/publications/cecilia-edwards/ |
| 22 February 2021 | 2021-0048 | JF | Mary Hassell | Inner North London | Suicide (from 2015) | Mental Health related deaths |Emergency services related deaths (2019 onwards) | London Fire Brigade | https://www.judiciary.uk/publications/jaden-francois-espirit/ |
| 19 February 2021 | 2021-0047 | LC | Veronica Hamilton-Deeley | Brighton and Hove | Emergency services related deaths (2019 onwards) |Alcohol, drug and medication related deaths | South East Coast Ambulance Service and Medical Directors | https://www.judiciary.uk/publications/lisa-codling/ |
| 18 February 2021 | 2021-0046 | KC | Andrew Harris | London Inner South | Police related deaths | Emergency services related deaths (2019 onwards) | Metropolitan Police Service and London Ambulance Service | https://www.judiciary.uk/publications/kevin-clarke/ |
| 17 February 2021 | 2021-0045 | KC | Andrew Cox | Cornwall and the Isles of Scilly | Alcohol, drug and medication related deaths |Other related deaths | Primary Medical Services and Integrated Care – Care Quality Commission and Minister of State for Patient Safety | https://www.judiciary.uk/publications/katie-corrigan/ |
| 16 February 2021 | 2021-0044 | RB | Kevin McLoughlin | West Yorkshire (E) | Hospital Death (Clinical Procedures and medical management) related deaths | Leeds Teaching Hospital NHS Trust | https://www.judiciary.uk/publications/ruby-baggaley/ |
| 12 February 2021 | 2021-0043 | PD | Gordon Clow | Nottingham and Nottinghamshire | Mental Health related deaths | Alcohol, drug and medication related deaths |Other related deaths | The Department of Work and Pensions and Capita Business Services Ltd | https://www.judiciary.uk/publications/philippa-day/ |
| 12 February 2021 | 2021-0042 | LC | Caroline Topping | Surrey | Other related deaths | President of Association of British Neurologists, Chief Executive of Epilepsy Action and President of the Royal College of Paediatrics and Child Health | https://www.judiciary.uk/publications/lucy-colgate/ |
| 12 February 2021 | 2021-0041 | MD | Anna Crawford | Surrey | Alcohol, drug and medication related deaths | State Custody related deaths | Community health care |Suicide (from 2015) | HMPS | https://www.judiciary.uk/publications/michael-dent-jones/ |
| 12 February 2021 | 2021-0040 | GM | Dr James Adeley | Lancashire & Blackburn with Darwen | Hospital Death (Clinical Procedures and medical management) related deaths | Emergency services related deaths (2019 onwards) | East Lancashire Hospitals NHS Trust and Care Quality Commission | https://www.judiciary.uk/publications/gillian-mckinlay/ |
| 11 February 2021 | 2021-0039 | RH | Alison Mutch | Greater Manchester South | Police related deaths | Mental Health related deaths |Suicide (from 2015) | Greater Manchester Police | https://www.judiciary.uk/publications/robert-hardy/ |
| 11 February 2021 | 2021-0038 | RJ | Alison Mutch | Greater Manchester South | Care Home Health related deaths | CQC and Dept. of Health and Social Care | https://www.judiciary.uk/publications/ruth-jones/ |
| 11 February 2021 | 2021-0037 | CM | Alison Mutch | Greater Manchester South | Mental Health related deaths | Suicide (from 2015) | Alcohol, drug and medication related deaths | Dept. of Health and Greater Manchester Health and Social Care Partnershi | https://www.judiciary.uk/publications/carole-mitchell/ |
| 11 February 2021 | 2021-0036 | JG | Alison Mutch | Greater Manchester South | Emergency Services related deaths |Other related deaths | NHS England | https://www.judiciary.uk/publications/jack-goodwin/ |
| 11 February 2021 | 2021-0035 | MD | Andrew Haigh | Staffordshire South | State Custody related deaths | Mental Health related deaths |Suicide (from 2015) | HMP Dovegate | https://www.judiciary.uk/publications/michael-dobson/ |
| 11 February 2021 | 2021-0034 | VB | Dr Fiona Wilcox | Inner West London | Hospital Death (Clinical Procedures and medical management) related deaths |Mental Health related deaths |Suicide (from 2015) | Acute Mental Health Services, West London NHS Trust | https://www.judiciary.uk/publications/valeria-biggs/ |
| 10 February 2021 | 2021-0033 | LG | Mary Hassell | Inner North London | Child Death (from 2015) | Community health care | Children’s Services, Haringey Council | https://www.judiciary.uk/publications/lily-mai-george/ |
| 10 February 2021 | 2021-0032 | JO | Henrietta Hill QC | Inner South London | State Custody related deaths | Mental Health related deaths |Suicide (from 2015) | HMP Belmarsh and HMPS | https://www.judiciary.uk/publications/jason-orourke/ |
| 8 February 2021 | 2021-0031 | JP | Dr Simon Fox QC | Avon | Community health care | Alcohol, drug and medication related deaths |Other related deaths | Long Furlong Medical Centre | https://www.judiciary.uk/publications/jerome-peat/ |
| 5 February 2021 | 2021-0030 | JO | Mary Hassell | Inner North London | Care Home Health related deaths | Care Outlook Ltd | https://www.judiciary.uk/publications/joseph-oneill/ |
| 8 February 2021 | 2021-0029 | RK | Lydia Brown | West London | Child Death (from 2015) |Hospital Death (Clinical Procedures and medical management) related deaths | The Portland Hospital | https://www.judiciary.uk/publications/raphael-kolbe/ |
| 3 February 2021 | 2021-0028 | MM | Matthew Cox | Manchester North | Hospital Death (Clinical Procedures and medical management) related deaths | The Northern Care Alliance NHS Trust | https://www.judiciary.uk/publications/monica-mccormick/ |
| 3 February 2021 | 2021-0027 | DM | Professor Fiona Wilcox | Inner West London | Alcohol, drug and medication related deaths | St John’s College, Oxford University | https://www.judiciary.uk/publications/daniel-mervis/ |
| 29 January 2021 | 2021-0026 | AG | Lydia Brown | West London | Health and Safety related deaths | Other related deaths | Marble Ideas Ltd | https://www.judiciary.uk/publications/allan-gunnell/ |
| 3 February 2021 | 2021-0025 | CS | Sonia Hayes | Mid Kent and Medway | Hospital Death (Clinical Procedures and medical management) related deaths | Medway NHS Foundation Trust | Adult Safeguarding Kent County Council | https://www.judiciary.uk/publications/christopher-smith-2/ |
| 2 February 2021 | 2021-0024 | MY | Yvonne Blake | Norfolk | Care Home Health related deaths |Hospital Death (Clinical Procedures and medical management) related deaths | Adult Social Services, Norfolk County Council and Norfolk and Norwich University Hospital | https://www.judiciary.uk/publications/michael-yemm/ |
| 1 February 2021 | 2021-0023 | BT | Sonia Hayes | Mid Kent and Medway | Hospital Death (Clinical Procedures and medical management) related deaths | Medway NHS Foundation Trust | https://www.judiciary.uk/publications/betty-tadman/ |
| 2 February 2021 | 2021-0022 | CC | Andrew Bridgman | South Manchester | Community health care |Other related deaths | Department of Health and Social Care and NHS Stockport Clinical Commissioning Grou | https://www.judiciary.uk/publications/cyril-cheetham/ |
| 27 January 2021 and 1 March 2021 | 2021-0021 | AL | Andrew Cox | Cornwall and the Isles of Scilly | Road (Highways Safety) related deaths | Highway Authority, Cornwall Council and Land Owner | https://www.judiciary.uk/publications/aaron-lauder/ |
| 27 January 2021 | 2021-0020 | MC | Zak Golombeck | Manchester City Area | Child Death (from 2015) | The Royal College of Paediatrics and Child Health, Department of Health and Social Care and The National Institute for Health and Care Excellence | https://www.judiciary.uk/publications/michael-chahwanda/ |
| 27 January 2021 | 2021-0019 | NB | Andrew Bridgman | Manchester City Area | Community health care; Hospital Death (Clinical Procedures and medical management) related deaths;Alcohol, drug and medication related deaths | Central Manchester NHS Foundation Trust and Manchester University NHS Foundation Trust | https://www.judiciary.uk/publications/norma-bradbury/ |
| 11 November 2020 | 2021-0018 | CG | Graeme Irvine | East London | Police related deaths |Alcohol, drug and medication related deaths | Home Office and Metropolitan Police Service | https://www.judiciary.uk/publications/chelsie-violet/ |
| 16 January 2021 | 2021-0017 | NL | Dr Elizabeth Didcock | Nottinghamshire | Care Home Health related deaths | Jubilee Court Nursing Home and Care Quality Commission | https://www.judiciary.uk/publications/norma-lockton/ |
| 20 January 2021 | 2021-0016 | PS | Kevin McLoughlin | West Yorkshire (East) | Community health care |Other related deaths | Secretary of State for Housing, Communities and Local Government | https://www.judiciary.uk/publications/philip-sheridan/ |
| 18 January 2021 | 2021-0015 | MW | Brendan Allen | County of Dorset | Suicide (from 2015) | Product related deaths | National Rifle Association and National Small Bore Rifle Association | https://www.judiciary.uk/publications/michael-woods/ |
| 19 January 2021 | 2021-0014 | AB | Kevin McLoughlin | West Yorkshire (Eastern) | Alcohol, drug and medication related deaths | Leeds City Council, Festival Republic Ltd and Live Nation Entertainment PLC | https://www.judiciary.uk/publications/anya-buckley/ |
| 19 January 2021 | 2021-0013 | AMaJM | David Urpeth | South Yorkshire West | Other related deaths |Road (Highways Safety) related deaths | Highways England and Secretary of State for Transport | https://www.judiciary.uk/publications/alexandru-murgeanu-and-jason-mercer/ |
| 15 January 2021 | 2021-0012 | KL | Andrew Haigh | Staffordshire South | Alcohol, drug and medication related deaths |Other related deaths | Director General of Prisons and NHS England Health and Justice Regional Team Chair | https://www.judiciary.uk/publications/kevin-lovatt/ |
| 14 January 2021 | 2021-0011 | KB | Anna Loxton | Surrey | Emergency Services related deaths | NHS Pathways | https://www.judiciary.uk/publications/karl-bolam/ |
| 18 December 2020 | 2021-0010 | JS | James Healy-Pratt | East Sussex | Mental Health related deaths | Alcohol, drug and medication related deaths | NHS England | https://www.judiciary.uk/publications/jennifer-spencer/ |
| 12 January 2021 | 2021-0009 | CC | Richard Middleton | Dorset | Alcohol, drug and medication related deaths |Police related deaths | Dorset Police | https://www.judiciary.uk/publications/cheralyn-clulow/ |
| 11 January 2021 | 2021-0008 | NE | Catherine McKenna | Manchester North | Community health care |Other related deaths | Turning Point | https://www.judiciary.uk/publications/natalie-edgington/ |
| 10 February 2020 | 2021-0007 | JH | Abigail Combes | South Yorkshire (West) | Hospital Death (Clinical Procedures and medical management) related deaths | Sheffield Teaching Hospitals NHS Foundation Trust | https://www.judiciary.uk/publications/joan-howard/ |
| 8 January 2021 | 2021-0006 | EP | ME Hassell | Inner North London | Care Home Health related deaths |Other related deaths | Peabody Trust | https://www.judiciary.uk/publications/elizabeth-pamment/ |
| 11 December 2020 | 2021-0005 | SR | ME Hassell | Inner North London | Hospital Death (Clinical Procedures and medical management) related deaths | Whipps Cross Hospital | https://www.judiciary.uk/publications/shyama-rampadaruth/ |
| 10 December 2020 | 2021-0004 | MG | Andrew Bridgman | South Manchester | Care Home Health related deaths | Able Care and Support Services Ltd | https://www.judiciary.uk/publications/marion-glover/ |
| 5 January 2021 | 2021-0003 | AJ | Jason Pegg | Hampshire, Portsmouth and Southampton | Care Home Health related deaths | Hampshire County Council and Oakridge House Residential Home | https://www.judiciary.uk/publications/arthur-johnson/ |
| 4 January 2021 | 2021-0002 | LG | Richard Travers | County of Surrey | Product related deaths |Suicide (from 2015) | Secretary of State for Health and Social Care and eBay UK Ltd | https://www.judiciary.uk/publications/linda-gillchrest/ |
| 5 January 2021 | 2021-0001 | HH | Edwin Buckett | Inner North London | Hospital Death (Clinical Procedures and medical management) related deaths | Royal Free Hospital | https://www.judiciary.uk/publications/hariharan-harichandra/ |
| 18 September 2020 | 2020-0304 | PO | Jonathan Stevens | Inner North London | Other related deaths | Hospital Death (Clinical Procedures and medical management) related deaths | Community health care |Product related deaths | East End Homes, East London NHS Foundation Trust and St Paul’s Way Medical Centre | https://www.judiciary.uk/publications/pauline-oakley/ |
| 2 December 2020 | 2020-0303 | HC | Tom Leeper | Coventry and Warwickshire | Road (Highways Safety) related deaths | Other related deaths | GRS Recovery | https://www.judiciary.uk/publications/holly-chevassut/ |
| 30 December 2020 | 2020-0302 | SC | Emma Serrano | Stoke-on-Trent and North Staffordshire Coroner’s Court | Community health care | Mental Health related deaths |Suicide (from 2015) | NHS England | https://www.judiciary.uk/publications/steven-cooke/ |
| 23 December 2020 | 2020-0301 | CO | Oliver Longstaff | County Durham and Darlington | Railway related deaths | LNER and Network Rail | https://www.judiciary.uk/publications/clive-oxley/ |
| 21 December 2020 and 23 December 2020 | 2020-0300 | JT | Nadia Persaud | East London | Community health care | Mental Health related deaths |Suicide (from 2015) | Continuing Care, Redbridge Clinical Commissioning Group and Royal College of General Practitioners | https://www.judiciary.uk/publications/james-taylor/ |
| 18 December 2020 | 2020-0299 | KG | Nadia Persaud | East London | Hospital Death (Clinical Procedures and medical management) related deaths | Community health care | Other related deaths | Royal Brompton Hospital | https://www.judiciary.uk/publications/kalila-griffiths/ |
| 18 December 2020 | 2020-0298 | RB | Andrew Harris | London Inner South | Product related deaths |Other related deaths | Secretary of State for Health and Social Care, Food Standards Agency and Secretary of State for Housing, Communities and Local Government | https://www.judiciary.uk/publications/ruben-bousquet/ |
| 11 December 2020 | 2020-0297 | CL | Dr Julian Morris | Inner London South | Hospital Death (Clinical Procedures and medical management) related deaths | Mental Health related deaths |Suicide (from 2015) | Oxleas NHS Trust | https://www.judiciary.uk/publications/claire-lilley/ |
| 22 December 2020 | 2020-0296 | TM | Alan Wilson | Blackpool and Fylde | Care Home Health related deaths | Mental Health related deaths |Suicide (from 2015) | Belgravia Care Home Ltd | https://www.judiciary.uk/publications/tina-murray/ |
| 22 December 2020 | 2020-0295 | DH | John Ellery | Shropshire, Telford and Wrekin | Road (Highways Safety) related deaths | Highways England National Traffic Operations Centre | https://www.judiciary.uk/publications/daniel-hughes/ |
| 21 December 2020 | 2020-0294 | JB | Alison Mutch | Greater Manchester South | Hospital Death (Clinical Procedures and medical management) related deaths | Tameside General Hospital | https://www.judiciary.uk/publications/joseph-brindley/ |
| 21 December 2020 | 2020-0293 | BE | Bridget Dolan | West Sussex | Other related deaths | Lambeth Borough Council and West Sussex County Council | https://www.judiciary.uk/publications/brian-easey/ |
| 21 December 2020 | 2020-0292 | ED | Graeme Irvine | East London | Hospital Death (Clinical Procedures and medical management) related deaths | Department of Health and Social Care and Royal London Hospital | https://www.judiciary.uk/publications/evadney-dawkins/ |
| 24 September 2020 | 2020-0291 | EB | Joanne Lees | Black Country | Community health care |Other related deaths | Tettenhall Medical Practice | https://www.judiciary.uk/publications/eileen-brindley/ |
| 17 December 2020 | 2020-0290 | AG | Jacqueline Devonish | Suffolk | Hospital Death (Clinical Procedures and medical management) related deaths | Mental Health related deaths |Suicide (from 2015) | West Suffolk Hospital and The Wedgewood Unit, Norfolk and Suffolk Foundation Trust | https://www.judiciary.uk/publications/andrew-gibbins/ |
| 17 December 2020 | 2020-0289 | PT | Alison Mutch | Greater Manchester South | Care Home Health related deaths |Community health care and emergency services related deaths | CQC, Department of Health and Social Care and CCG | https://www.judiciary.uk/publications/philip-taylor/ |
| 6 October 2020 | 2020-0288 | EG | David Urpeth | South Yorkshire West | Police related deaths |Suicide (from 2015) | South Yorkshire Police HQ | https://www.judiciary.uk/publications/emily-greene/ |
| 15 December 2020 | 2020-0287 | EC | Jonathan Stevens | Hertfordshire | Hospital Death (Clinical Procedures and medical management) related deaths |Child Death (from 2015) | East and North Hertfordshire NHS Trust and Secretary of State for Health and Social Care | https://www.judiciary.uk/publications/eddie-coffey/ |
| 16 December 2020 | 2020-0286 | PD | Dr Nicholas Shaw | County of Cumbria | Community health care and emergency services related deaths |Other related deaths | Covid-19 Pandemic Response Service and NHS Pathways | https://www.judiciary.uk/publications/patricia-douglas/ |
| 15 December 2020 | 2020-0285 | RG | Jason Pegg | Hampshire, Portsmouth and Southampton | Hospital Death (Clinical Procedures and medical management) related deaths | University Hospital Southampton NHS Foundation Trust | https://www.judiciary.uk/publications/robert-goodman/ |
| 14 December 2020 | 2020-0284 | CS | Penelope Schofield | West Sussex | Hospital Death (Clinical Procedures and medical management) related deaths | Suicide (from 2015) |Mental Health related deaths | Sussex Partnership NHS Foundation Trust | https://www.judiciary.uk/publications/christopher-swain/ |
| 9 December 2020 | 2020-0283 | TR | Abigail Combes | South Yorkshire (West District) | Emergency Services related deaths | Community health care| Other related deaths | Yorkshire Ambulance Service and NHS England Improvement | https://www.judiciary.uk/publications/thomas-rawnsley/ |
| 11 December 2020 | 2020-0282 | KS | Delroy Henry | Coventry | Hospital Death (Clinical Procedures and medical management) related deaths |Mental Health related deaths | Chief Executive and Mental Health lead for Coventry and Warwickshire Partnership NHS Trust | https://www.judiciary.uk/publications/katy-samuels/ |
| 14 December 2020 | 2020-0281 | ET | Joanne Lees | Black Country | Emergency Services related deaths | West Midlands Ambulance Service | https://www.judiciary.uk/publications/elsie-taylor/ |
| 9 December 2020 | 2020-0280 | LH | Alison Mutch | Manchester South | Hospital Death (Clinical Procedures and medical management) related deaths | Public Health England and NHS England | https://www.judiciary.uk/publications/leslie-harris/ |
| 9 December 2020 | 2020-0279 | KS | Anna Crawford | Surrey | Hospital Death (Clinical Procedures and medical management) related deaths | Suicide (from 2015) | Mental Health related deaths |Alcohol, drug and medication related deaths | Surrey and Borders Partnership NHS Foundation Trust | https://www.judiciary.uk/publications/kimberley-smith/ |
| 4 December 2020 | 2020-0278 | RT | Joanne Andrews | North East Kent | Community health care and emergency services related deaths |Other related deaths | NHS Digital | https://www.judiciary.uk/publications/ronald-tilley/ |
| 10 December 2020 | 2020-0277 | EM | Derek Winter | Sunderland | Care Home Health related deaths | Alexandra View Care Home | https://www.judiciary.uk/publications/edward-mallaby/ |
| 9 December 2020 | 2020-0276 | SM | Colin Phillips | Swansea and Neath Port Talbot | Suicide (from 2015) | Mental Health, Suicide Prevention and Patient Safety and MHRA | https://www.judiciary.uk/publications/samuel-morgan/ |
| 7 December 2019 | 2020-0275 | MF | Nigel Parsley | Suffolk | Alcohol, drug and medication related deaths |Other related deaths | Public Health England, General Pharmaceutical Council and Haverhill Pharmacy | https://www.judiciary.uk/publications/matthew-fitten/ |
| 7 December 2020 | 2020-0274 | KBRSACACaMC | Geraint Williams | Cornwall and Isles of Scilly | Product related deaths | Secretary of State for Dept. of Business, Energy and Industrial Strategy and Office for Product Safety and Standards | https://www.judiciary.uk/publications/kevin-branton-richard-smith-audrey-cook-alfred-cook-and-maureen-cook/ |
| 6 November 2020 | 2020-0273 | CM | Paul Cooper | Lincolnshire | Suicide (from 2015) | United Lincolnshire Hospitals Trust | https://www.judiciary.uk/publications/christopher-murfet/ |
| 4 December 2020 | 2020-0272 | RC | Tom Osborne | Milton Keynes | Community health care | Suicide (from 2015) | Mental Health related deaths | Milton Keynes Council and Social Services | https://www.judiciary.uk/publications/roy-curtis/ |
| 3 December 2020 | 2020-0271 | WI | Sonia Hayes | North East Kent | Railway related deaths | London and South Eastern Railway | https://www.judiciary.uk/publications/william-israel/ |
| 24 November 2020 | 2020-0270 | AS | Hassan Shah | Northampton | Hospital Death (Clinical Procedures and medical management) related deaths | Community health care | CAMIS and Secretary of State for Health and Social Care | https://www.judiciary.uk/publications/ann-schuetz/ |
| 2 December 2020 | 2020-0269 | IO | Graeme Irvine | East London | Hospital Death (Clinical Procedures and medical management) related deaths | Department of Health and Social Care and Royal London Hospital | https://www.judiciary.uk/publications/ivan-oneill/ |
| 3 December 2020 | 2020-0268 | AW | James Thompson | County Durham and Darlington | Mental Health related deaths |Other related deaths | Jet2.com Ltd and Civil Aviation Authority | https://www.judiciary.uk/publications/andrew-westlake/ |
| 1 December 2020 | 2020-0267 | PU | Caroline Topping | Surrey | Hospital Death (Clinical Procedures and medical management) related deaths | NHS Improvement, Royal College of Physicians, Royal College of Surgeons, General Medical Council and St. Peter’s Hospital | https://www.judiciary.uk/publications/peter-unsworth/ |
| 19 November 2020 | 2020-0266 | JT | Caroline Saunders | Gwent | Alcohol, drug and medication related deaths | Gwent Police | https://www.judiciary.uk/publications/john-tucker/ |
| 26 November 2020 | 2020-0265 | LE | Dr Nicholas Shaw | County of Cumbria | Suicide (from 2015) | Mental Health related deaths |Product related deaths | Secretary of State for Health and Social Care | https://www.judiciary.uk/publications/lee-elliott/ |
| 1 December 2020 | 2020-0264 | AS | Alison Mutch | Greater Manchester South | Care Home Health related deaths |Community health care and emergency services related deaths | Care Quality Commission, Vicarage Residential Care Home, PH England, NHS England and Greater Manchester Health and Social Care Partnershi | https://www.judiciary.uk/publications/anthony-slack/ |
| 1 December 2020 | 2020-0263 | VJ | Alison Mutch | Greater Manchester South | Child Death (from 2015) | Community health care | Secretary of State for Health and Social Care | https://www.judiciary.uk/publications/violet-jackman/ |
| 1 December 2020 | 2020-0262 | IY | Emma Whitting | Bedfordshire and Luton | Road (Highways Safety) related deaths, Community health care and emergency services related deaths and Other related deaths | Luton Borough Council | https://www.judiciary.uk/publications/ibrahima-yahaia/ |
| 9 October 2020 | 2020-0261 | LD | Joanne Lees | Shropshire, Telford & Wrekin | Mental health related deaths; Alcohol, drug and medication related deaths; State custody related deaths | Midlands Partnership NHS Foundation Trust | https://www.judiciary.uk/publications/lee-davies-2/ |
| 31 January 2020 | 2020-0260 | RB | James Bennett | Birmingham and Solihull | Other related deaths | British Association of Aesthetic & Plastic Surgeons, British Association of Plastic, Reconstructive & Aesthetic Surgeons and National Institute for Care Excellence | https://www.judiciary.uk/publications/renee-brooks/ |
| 13 July 2020 | 2020-0259 | LA | Caroline Beasley-Murray | Essex | Mental Health related deaths |Railway related deaths | Highways Agency Essex County Council | https://www.judiciary.uk/publications/luiz-anjos/ |
| 26 November 2020 | 2020-0258 | NB | Andrew Walker | North London | Suicide; Other related deaths | Department of Health and Social Care | https://www.judiciary.uk/publications/neville-bardoliwala/ |
| 26 November 2020 | 2020-0257 | JJ | Andrew Walker | North London | Emergency services related deaths; Other related deaths | Ministry for Housing and Local Government | https://www.judiciary.uk/publications/john-jennings/ |
| 27 November 2020 | 2020-0256 | GB | Margaret Jones | Stoke-on-Trent & North Staffordshire | Alcohol, drug and medication related deaths; Community healthcare related deaths | City and County Healthcare Group; Adult Safeguarding Civic Centre | https://www.judiciary.uk/publications/geoffrey-banks/ |
| 26 November 2020 | 2020-0255 | AM | Mary Hassell | Inner North London | Suicide; Mental health related deaths | Metropolitan Police | https://www.judiciary.uk/publications/agnes-marchessou/ |
| 26 November 2020 | 2020-0254 | ES | Sean McGovern | Warwickshire | Community healthcare related deaths; Hospital death (Clinical procedures and medical management) related deaths | Warwick Hospital | https://www.judiciary.uk/publications/eleanor-sherman/ |
| 23 November 2020 | 2020-0253 | CR | Crispin Oliver | County Durham and Darlington | Mental health related deaths; Alcohol, drug and medication related deaths | Royal Pharmaceutical Society and Advisory Council on the Misuse of Drugs – Home Office | https://www.judiciary.uk/publications/claire-richards/ |
| 25 November 2020 | 2020-0252 | TB | Nadia Persaud | East London | Mental health related deaths; Community healthcare related deaths | North East London Foundation Trust | https://www.judiciary.uk/publications/trinder-birdi/ |
| 24 November 2020 | 2020-0251 | DB | Emma Serrano | Derby and Derbyshire | Suicide; Mental health related deaths; Alcohol, drug and medication related deaths; Community healthcare related deaths | NHS England; NHS Digital | https://www.judiciary.uk/publications/david-ball/ |
| 24 November 2020 | 2020-0250 | SK | Caroline Beasley-Murray | Essex | Suicide; Mental health related deaths; Emergency services related deaths | EFAS; Essex Police; EPUT | https://www.judiciary.uk/publications/sharon-kelly/ |
| 24 November 2020 | 2020-0249 | CS | Caroline Beasley-Murray | Essex | Accident at Work and Health and Safety related deaths | SE Galvanisers; PCRSteel Ltd. | https://www.judiciary.uk/publications/christopher-sparks/ |
| 23 November 2020 | 2020-0248 | EW | Catharine Palmer | Brighton and Hove | Mental health related deaths; Emergency services related deaths | Sussex Partnership Foundation NHS Trust; Brighton and Hove City Council | https://www.judiciary.uk/publications/elena-wells/ |
| 19 November 2020 | 2020-0247 | PH | Sonia Hayes | North East Kent | Suicide; Mental health related deaths; Service Personnel related deaths | Woolwich Station Medical Centre; Ministry of Defence | https://www.judiciary.uk/publications/paul-hills/ |
| 20 November 2020 | 2020-0246 | JT | Leslie Hamilton | County Durham and Darlington | Suicide (from 2015) |Mental Health related deaths | Secretary of State for Health and Social Care, Ebay UK Ltd and Metalchem Ltd | https://www.judiciary.uk/publications/jason-thompson/ |
| 19 November 2020 | 2020-0245 | YL | Anna Crawford | Surrey | Child Death (from 2015) |Hospital Death (Clinical Procedures and medical management) related deaths | NHS Improvement and British Association of Perinatal Medicine | https://www.judiciary.uk/publications/yo-li/ |
| 16 November 2020 | 2020-0244 | DB | Simon Ward | Cumbria | Road (Highways Safety) related deaths | Highways England Co. Ltd and Cumbria County Council (Highways) | https://www.judiciary.uk/publications/daniel-bancroft/ |
| 18 November 2020 | 2020-0243 | KH | Sonia Hayes | Mid Kent and Medway | Hospital Death (Clinical Procedures and medical management) related deaths | Maidstone and Tunbridge Wells NHS Foundation Trust | https://www.judiciary.uk/publications/katherine-hogan/ |
| 18 November 2020 | 2020-0242 | AG | Alison Mutch | Greater Manchester South | Police related deaths |Child Death (from 2015) | Community health care | Greater Manchester Police, Trafford Metropolitan Borough Council, Greater Manchester Mental Health NHS Foundation Trust, Pennine Care NHS Foundation Trust, Crown Prosecution Service, Greater Manchester Health and Social Care Partnership, Home Office and Department of Health and Social Care | https://www.judiciary.uk/publications/alfie-gildea/ |
| 16 November 2020 | 2020-0241 | DW | Bina Patel | Mid Kent and Medway | Road (Highways Safety) related deaths | Highways Department Kent County Council and TARMAC A CRH Company | https://www.judiciary.uk/publications/daniel-waite/ |
| 18 November 2020 | 2020-0240 | MT | Tim Holloway | Blackpool and Fylde | Alcohol, drug and medication related deaths | Clinical Commissioning Grou | https://www.judiciary.uk/publications/michelle-turner/ |
| 16 November 2020 | 2020-0239 | JW | Rachel Galloway | Manchester (West) | Care Home Health related deaths | Product related deaths | NHS England, Blackpool Teaching Hospitals, Lancashire County Council and Mobility 2000 Ltd | https://www.judiciary.uk/publications/jean-williams/ |
| 17 November 2020 | 2020-0238 | SG | Andrew Haigh | Staffordshire (South) | Other related deaths | Staffordshire Fire and Rescue Service HQ | https://www.judiciary.uk/publications/sylvia-griffiths/ |
| 17 November 2020 | 2020-0237 | NB | Andrew Haigh | Staffordshire (South) | Other related deaths | Staffordshire Fire and Rescue Service HQ | https://www.judiciary.uk/publications/neil-barre/ |
| 17 November 2020 | 2020-0236 | RHKUTUaOU | Andrew Haigh | Staffordshire South | Other related deaths | Housing of Vulnerable People (Building Safety) | https://www.judiciary.uk/publications/riley-holt-keegan-unitt-tilly-rose-unitt-and-olly-unitt/ |
| 10 November 2020 | 2020-0235 | EB | Carly Elizabeth Henley | Newcastle upon Tyne and North Tyneside | Police related deaths | Mental Health related deaths | Community health care related deaths | Other related deaths | Northumbria Police, Newcastle City Council, St. Nicholas Hospital and House of Commons | https://www.judiciary.uk/publications/ewan-brown/ |
| 12 November 2020 | 2020-0234 | IB | Graeme Irvine | East London | Suicide (from 2015) |Police related deaths | Home Office and Metropolitan Police | https://www.judiciary.uk/publications/imane-bouasbia/ |
| 11 November 2020 | 2020-0233 | MS | Jacqueline Lake | Norfolk | Hospital Death (Clinical Procedures and medical management) related deaths | Queen Elizabeth Hospital | https://www.judiciary.uk/publications/margaret-sales/ |
| 12 November 2020 | 2020-0232 | AB | Graeme Irvine | East London | Hospital Death (Clinical Procedures and medical management) related deaths | Royal London Hospital and Department of Health and Social Care | https://www.judiciary.uk/publications/amarbai-bhudia/ |
| 11 November 2020 | 2020-0231 | CS | Stephen Eccleston | South Yorkshire (West) | Hospital Death (Clinical Procedures and medical management) related deaths | Barnsley Hospital NHS Foundation Trust | https://www.judiciary.uk/publications/carolyne-senior/ |
| 11 November 2020 | 2020-0230 | XP | Tom Leeper | Coventry | Suicide (from 2015) |Railway related deaths | Coventry University | https://www.judiciary.uk/publications/xuanze-piao/ |
| 10 November 2020 | 2020-0229 | LC | Kevin McLoughlin | West Yorkshire | Hospital Death (Clinical Procedures and medical management) related deaths | Mid Yorkshire Hospitals NHS Trust | https://www.judiciary.uk/publications/leslie-clewarth/ |
| 9 November 2020 | 2020-0227 | JH | Alison Mutch | Greater Manchester South | Care Home Health related deaths | Secretary of State for Health and Social Care | https://www.judiciary.uk/publications/joseph-hargreaves/ |
| 9 November 2020 | 2020-0226 | JW | Chris Morris | Manchester South | Child death | Secretary of State for Housing, Communities and Local Government | https://www.judiciary.uk/publications/joey-walker/ |
| 6 November 2020 | 2020-0225 | SB | Nadia Persaud | East London | Hospital Death (Clinical Procedures and medical management) related deaths | Queen’s Hospital | https://www.judiciary.uk/publications/stanley-babbs/ |
| 5 November 2020 | 2020-0223 | AS | Caroline Beasley-Murray | Essex | Hospital Death (Clinical Procedures and medical management) related deaths | Other related deaths | Princess Alexandra Hospital | https://www.judiciary.uk/publications/ann-smith/ |
| 5 November 2020 | 2020-0224 | LD | Anna Crawford | Surrey | Hospital Death (Clinical Procedures and medical management) related deaths | Community healthcare | Surrey and Sussex Healthcare NHS Trust | https://www.judiciary.uk/publications/linda-doherty/ |
| 27 October 2020 | 2020-0222 | MB | Joanne Andrews | North East Kent | Suicide; Mental health related deaths | The Priory Grou | https://www.judiciary.uk/publications/martin-barrett/ |
| 3 November 2020 | 2020-0221 | CM | Caroline Beasley-Murray | Essex | Hospital death (Clinical procedures and medical management) related deaths | Barts and Whipps Trust | https://www.judiciary.uk/publications/clara-moniatis/ |
| 29 October 2020 | 2020-0220 | SG | Jacqueline Lake | Norfolk | Hospital death (Clinical procedures and medical management) related deaths; Emergency services related deaths | Norfolk and Norwich University Hospital | https://www.judiciary.uk/publications/sarah-gibbs/ |
| 28 October 2020 | 2020-0219 | DS | Andrew Cox | Cornwall and the Isles of Scilly | Suicide; Mental health related deaths | Devon and Cornwall Constabulary | https://www.judiciary.uk/publications/darrell-sharples/ |
| 27 October 2020 | 2020-0218 | RP | Tom Osborne | Milton Keynes | Child death; Community healthcare related deaths | Milton Keynes University Hospital | https://www.judiciary.uk/publications/reggie-jay-payne/ |
| 21 October 2020 | 2020-0217 | RW | Andrew Cox | Cornwall and the Isles of Scilly | Hospital death (Clinical procedures and medical management) related deaths | Royal Cornwall Hospital | https://www.judiciary.uk/publications/raymond-woodhouse/ |
| 14 October 2020 | 2020-0216 | AA | Andrew Cox | Cornwall and the Isles of Scilly | Other related deaths | Care Quality Commission | https://www.judiciary.uk/publications/avis-addison/ |
| 23 October 2020 | 2020-0215 | SO | Catherine McKenna | Manchester North | Mental heath related deaths; Other related deaths | Pennine Care NHS Foundation Trust | https://www.judiciary.uk/publications/sean-owen/ |
| 23 October 2020 | 2020-0214 | BP | Ian Arrow | Plymouth, Torbay and South Devon | Mental heath related deaths; Other related deaths | Devon Partnership NHS Trust | https://www.judiciary.uk/publications/benjamin-popovach/ |
| 22 October 2020 | 2020-0213 | KJW | Nigel Parsley | Suffolk | Community healthcare related deaths; Hospital death (Clinical procedures and medical management) related deaths | West Suffolk Hospital | https://www.judiciary.uk/publications/karen-jane-winn/ |
| 21 October 2020 | 2020-0212 | RW | Graeme Irvine | East London | Community healthcare related deaths | Public Health England; The Barking, Havering and Redbridge University NHS Trust; Clinisys UK; Maylands Health Care | https://www.judiciary.uk/publications/roger-wood/ |
| 30 September 2020 | 2020-0211 | MG | James Bennett | Birmingham and Solihull | Road (Highways safety) related deaths | Department for Transport; DVSA | https://www.judiciary.uk/publications/mollie-gifford/ |
| 19 October 2020 | 2020-0210 | DO | Tim Holloway | Blackpool & Fylde | Hospital death (Clinical procedures and medical management) related deaths | Blackpool Teaching Hospitals NHS Foundation Trust | https://www.judiciary.uk/publications/douglas-owens/ |
| 15 October 2020 | 2020-0209 | WT | Crispin Oliver | County Durham and Darlington | Road (Highways safety) related deaths | Department for Transport | https://www.judiciary.uk/publications/william-turner/ |
| 21 October 2020 | 2020-0208 | SH | Tom Osborne | Milton Keynes | Community healthcare related deaths; Mental health related deaths | NHS England | https://www.judiciary.uk/publications/sian-hewitt/ |
| 15 October 2020 | 2020-0207 | TK | Lincoln Brookes | Essex | Suicide; Mental health related deaths; Community healthcare related deaths | Essex Partnership University NHS Foundation Trust | https://www.judiciary.uk/publications/thomas-king/ |
| 9 October 2020 | 2020-0206 | NP | Laurinda Bower | Nottingham City and Nottinghamshire | Child death; Hospital death (Clinical procedure and medical management) related deaths | Royal College of Obstetrics and Gynaecology; Royal College of Nursing and Midwifery | https://www.judiciary.uk/publications/noah-poole/ |
| 14 October 2020 | 2020-0205 | EC | Emma Serrano | Derby and Derbyshire | Hospital death (Clinical procedure and medical management) related deaths | University Hospital of Derby and Burton; NHS England | https://www.judiciary.uk/publications/edward-cowey/ |
| 12 October 2020 | 2020-0204 | PK | Nigel Parsley | Suffolk | Suicide; Mental health related deaths; | Department of Health and Social Care | https://www.judiciary.uk/publications/piotr-kierzkowski/ |
| 9 October 2020 | 2020-0203 | BG | Colin Phillips | Swansea and Neath Port Talbot | Road (Highways safety) related deaths; Wales prevention of future death reports | South Wales Police | https://www.judiciary.uk/publications/brian-griffiths/ |
| 9 October 2020 | 2020-0202 | WA | Laurinda Bower | Nottingham City and Nottinghamshire | Child death; Hospital deaths (Clinical procedure and medical management) related deaths | Nottingham University Hospitals NHS Trust | https://www.judiciary.uk/publications/wynter-andrews/ |
| 8 October 2020 | 2020-0201 | MM | Jacqueline Devonish | Suffolk | Care home health related deaths; Mental health related deaths | Suffolk Safeguarding Partnership; The Limes Sheltered Housing | https://www.judiciary.uk/publications/may-miller/ |
| 7 October 2020 | 2020-0200 | AJ | Alison Mutch | Greater Manchester South | Hospital death (Clinical procedures and medical management) related deaths | Manchester University NHS Foundation Trust | https://www.judiciary.uk/publications/alison-jeanes/ |
| 25 September 2020 | 2020-0199 | MD | Elizabeth Didcock | Nottinghamshire and Nottingham | Hospital death (Clinical procedures and medical management) related deaths | Sherwood Forest Hospitals NHS Foundation Trust | https://www.judiciary.uk/publications/marian-day/ |
| 5 October 2020 | 2020-0198 | JS | Alison Mutch | Greater Manchester South | Hospital death (Clinical procedures and medical management) related deaths | Greater Manchester Health & Social Care Partnership; Healthcare Safety Investigation Branch | https://www.judiciary.uk/publications/joan-sanderson/ |
| 5 October 2020 | 2020-0197 | FG | James Thompson | County Durham and Darlington | Road (Highways safety) related deaths | Durham County Council | https://www.judiciary.uk/publications/frazer-golden/ |
| 24 September 2020 | 2020-0196 | ZF | Caroline Beasley-Murray | Essex | Mental health related deaths; Community healthcare related deaths | EPUT; The Castle Rock Grou | https://www.judiciary.uk/publications/zak-farmer/ |
| 5 October 2020 | 2020-0195 | WR | Nicholas Rheinberg | Lancashire and Blackburn with Darwen | State custody related deaths | HMP Garth | https://www.judiciary.uk/publications/wesley-rowlands/ |
| 1 October 2020 | 2020-0194 | DM | Crispin Oliver | West Yorkshire (Western) | Other related deaths | Calderdale Council | https://www.judiciary.uk/publications/daphne-mckenna/ |
| 2 October 2020 | 2020-0193 | BM | Alison Mutch | Greater Manchester South | Hospital death (Clinical procedure and medical management) related deaths; Community healthcare related deaths | NHS Stockport Clinical Commissioning Grou | https://www.judiciary.uk/publications/brian-murphy/ |
| 2 October 2020 | 2020-0192 | CN | Alison Mutch | Greater Manchester South | Care home health related deaths; Other related deaths | Care Quality Commission; Meade Close Care Home; Trafford Metropolitan Borough Council; NHS Trafford Clinical Commissioning Grou | https://www.judiciary.uk/publications/christine-neild/ |
| 30 September 2020 | 2020-0191 | ML | Margaret Jones | Stoke-on-Trent & North Staffordshire Coroner’s Court | Care home health related deaths; Community healthcare related deaths | Midlands Partnership NHS Foundation Trust; Beechdene Residential Home; Leek Health Centre | https://www.judiciary.uk/publications/mavis-lawrence/ |
| 9 September 2020 | 2020-0190 | AR | Caroline Saunders | Gwent | Emergency services related deaths; Wales prevention of future deaths reports | Welsh Ambulance Services NHS Trust; Aneurin Bevan University Health Board | https://www.judiciary.uk/publications/alyn-rees/ |
| 30 September 2020 | 2020-0189 | JC | Alison Mutch | Greater Manchester South | Community healthcare related deaths; Hospital death (Clinical procedures and medical management) related deaths | Department of Health and Social Care; Greater Manchester Health & Social Care Partnership; The Healthcare Safety Investigation Branch | https://www.judiciary.uk/publications/joseph-cheetham/ |
| 25 September 2020 | 2020-0188 | SW | Nigel Parsley | Suffolk | Hospital death (Clinical procedures and medical management) related deaths | Department of Health and Social Care; Medicines and Healthcare Products Regulatory Agency | https://www.judiciary.uk/publications/susan-warby/ |
| 29 September 2020 | 2020-0187 | SF | Caroline Beasley-Murray | Essex | Alcohol, drug and medication related deaths; Emergency services related deaths | Emergency Call Prioritisation Advisory Group; Association of Ambulance Chief Executives; AACE’s National Directors of Operations Group; National Association of Ambulance Medical Directors | https://www.judiciary.uk/publications/sarah-ferneyhough/ |
| 28 September 2020 | 2020-0186 | JP | Lincoln Brookes | Essex | Hospital death (Clinical procedures and medical management) related deaths | East Suffolk and North Essex NHS Foundation Trust | https://www.judiciary.uk/publications/june-parlour/ |
| 28 September 2020 | 2020-0185 | WM | Chris Morris | Greater Manchester South | Hospital death (Clinical procedures and medical management) related deaths | Manchester University Hospitals NHS Foundation Trust; Department of Health and Social Care; NHS England; Care Quality Commission | https://www.judiciary.uk/publications/william-mckibbin/ |
| 25 September 2020 | 2020-0184 | VG | Nadia Persaud | East London | Other related deaths | Home Office | https://www.judiciary.uk/publications/valdotas-gerbutavicius/ |
| 24 September 2020 | 2020-0183 | JW | Kevin McLoughlin | West Yorkshire (East) | Community healthcare related deaths | Health and Communities Wakefield | https://www.judiciary.uk/publications/june-winterbottom/ |
| 23 September 2020 | 2020-0182 | AR | Colin Phillips | Swansea and Neath Port Talbot | Emergency services related deaths; Wales Prevention of Future Death Reports | Welsh Ambulance Services NHS Trust; Department for Health and Social Care | https://www.judiciary.uk/publications/andres-roberts/ |
| 23 September 2020 | 2020-0181 | CF | Emma Serrano | Derby and Derbyshire | Community healthcare related deaths | Clinical Commissioning Groups; NHS England; Primary Care Support England | https://www.judiciary.uk/publications/christine-forbes/ |
| 23 September 2020 | 2020-0180 | JJ | Nadia Persaud | East London | Care home health related deaths | Disclosure and Barring Service | https://www.judiciary.uk/publications/jane-jowers/ |
| 23 September 2020 | 2020-0179 | BM | Nicholas Rheinberg | Lancashire and Blackburn with Darwen | State custody related deaths | HMP Wymott | https://www.judiciary.uk/publications/brett-marrs/ |
| 21 September 2020 | 2020-0178 | PR | Ian Arrow | Plymouth, Torbay and South Devon | Hospital death (Clinical procedures and medical management) related deaths | Derriford Hospital | https://www.judiciary.uk/publications/paul-reynolds/ |
| 18 September 2020 | 2020-0177 | MN | Kevin McLoughlin | West Yorkshire (East) | Accident at Work and Health and Safety related deaths; Other related deaths | Leeds Teaching Hospitals NHS Trust; Reed Nursing Trust | https://www.judiciary.uk/publications/macloud-nyeruke/ |
| 14 September 2020 | 2020-0176 | YL | Sonia Hayes | Central and South East Kent | Other related deaths | Kent County Council; Ashford Borough Council | https://www.judiciary.uk/publications/yugal-limbu/ |
| 18 September 2020 | 2020-0175 | JN | Kevin McLoughlin | West Yorkshire (East) | Suicide; Other related deaths | Department of Health and Social Care | https://www.judiciary.uk/publications/joseph-nihill/ |
| 14 September 2020 | 2020-0174 | IN | Alan Wilson | Blackpool & Fylde | Child death; Other related deaths | Department of Health and Social Care | https://www.judiciary.uk/publications/isaac-newton/ |
| 9 September 2020 | 2020-0173 | FT | Caroline Beasley-Murray | Essex | Child death; Hospital death (Clinical procedures and medical management) related deaths | Mid and South Essex NHS Foundation Trust | https://www.judiciary.uk/publications/frederick-terry/ |
| 8 September 2020 | 2020-0172 | LP | Veronica Hamilton-Deeley | Brighton and Hove | Hospital death (Clinical procedures and medical management) related deaths | Western Sussex Hospital Trust | https://www.judiciary.uk/publications/linda-phillipson/ |
| 8 September 2020 | 2020-0171 | PH | Chris Morris | Greater Manchester South | Care Home health related deaths; Hospital death (Clinical procedures and medical management) related deaths | Borough Care | https://www.judiciary.uk/publications/peter-howarth/ |
| 3 September 2020 | 2020-0170 | LP | James Thompson | County Durham & Darlington | Community healthcare deaths | Department for Health and Social Care | https://www.judiciary.uk/publications/laura-parsons/ |
| 7 September 2020 | 2020-0169 | EI | Nadia Persaud | East London | Road (Highways Safety) related safety | Havering Highways | https://www.judiciary.uk/publications/ellie-isaacs/ |
| 4 September 2020 | 2020-0168 | ZK | Adrian Farrow | South Manchester | Hospital Death (Clinical procedures and medical management) related deaths | National Institute for Health and Care Excellence | https://www.judiciary.uk/publications/zoe-knight/ |
| 28 August 2020 | 2020-0167 | CS | Timothy Brennand | Lincolnshire | State Custody related deaths | Morton Hall Immigration Removal Centre; Nottingham Healthcare NHS Foundation Trust | https://www.judiciary.uk/publications/carlington-spencer/ |
| 25 August 2020 | 2020-0166 | DC | M E Hassell | Inner North London | Alcohol, drug and medication related deaths; Other related deaths | Camden Council; First Response Grou | https://www.judiciary.uk/publications/daniel-coleman/ |
| 27 August 2020 | 2020-0165 | DJC | Alan Wilson | Blackpool & Fylde | Care Home health related deaths | Rossendale Nursing Home | https://www.judiciary.uk/publications/dereck-john-chapman/ |
| 26 August 2020 | 2020-0164 | TN | Timothy Brennand | Lincolnshire | Alcohol, drug and medication related deaths; Community healthcare related deaths; Mental health related deaths | South Lincolnshire Clinical Commissioning Group; Lincolnshire County Council; We Are With You charity; Lincolnshire Partnership NHS Foundation Trust | https://www.judiciary.uk/publications/toby-nieland/ |
| 18 August 2020 | 2020-0163 | VS | Oliver Longstaff | County Durham and Darlington | Suicide; Community healthcare related deaths | NICE; South London and Maudsley NHS Foundation Trust; Oxleas NHS Foundation Trust; Informa Healthcare; Tees, Esk and Wear Valleys NHS Foundation Trust | https://www.judiciary.uk/publications/viktor-scott-brown/ |
| 21 August 2020 | 2020-0162 | MK | M E Hassell | Inner North London | Hospital death (Clinical procedure and medical management) related deaths | Royal Free Hospital | https://www.judiciary.uk/publications/malyun-karama/ |
| 17 August 2020 | 2020-0161 | IA | Louise Hunt | Birmingham and Solihull | Care Home health deaths; Alcohol, drug and medication related deaths | Birmingham and Solihull Mental Health Foundation Trust; Department for Health and Social Care | https://www.judiciary.uk/publications/ian-allen/ |
| 11 August 2020 | 2020-0160 | MB | Graeme Irvine | East London | Other related deaths | Barts Health NHS Trust; London Borough of Tower Hamlets; Three Sisters Care Ltd; | https://www.judiciary.uk/publications/moses-boardman/ |
| 14 August 2020 | 2020-0159 | BE | Penelope Schofield | West Sussex | Hospital death (Clinical procedures and medical management) related deaths; Product related deaths | NHS England; Public Health England | https://www.judiciary.uk/publications/brenda-elmer/ |
| 6 August 2020 | 2020-0158 | TR | Graeme Irvine | East London | Alcohol, drug and medication related deaths; Community healthcare related deaths | Rush Green Medical Centre | https://www.judiciary.uk/publications/theresa-robertson/ |
| 4 June 2020 | 2020-0157 | GT | Alison Mutch | Greater Manchester South | Community healthcare related deaths, Hospital death (Clinical procedures and medical management) related deaths | NHS Trafford Clinical Commissioning Grou | https://www.judiciary.uk/publications/george-townsend/ |
| 11 August 2020 | 2020-0156 | SS | 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 | https://www.judiciary.uk/publications/sylvia-scully/ |
| 23 April 2020 | 2020-0155 | PF | Gordon Clow | Nottinghamshire & Nottingham | Mental health related deaths; Suicide; Community healthcare related deaths | Bassetlaw; Mansfield and Ashfield; Newark and Sherwood; Nottingham North and East; Nottingham West; Rushcliffe; Nottingham City Clinical Commissioning Groups | https://www.judiciary.uk/publications/patricia-ferguson/ |
| 10 August 2020 | 2020-0154 | FC | Emma Brown | Birmingham & Solihull | Suicide; Community healthcare related deaths | University Hospitals Birmingham NHS Foundation Trust | https://www.judiciary.uk/publications/francis-cooney/ |
| 7 August 2020 | 2020-0153 | AW | Andrew Cox | Cornwall & Isles of Scilly | Other related deaths | Royal National Lifeboat Institution; Maritime Coastguard Agency | https://www.judiciary.uk/publications/anthony-williamson/ |
| 7 August 2020 | 2020-0152 | JK | Andrew Cox | Cornwall & Isles of Scilly | Other related deaths | Royal National Lifeboat Institution; Maritime Coastguard Agency | https://www.judiciary.uk/publications/jan-klempar/ |
| 5 August 2020 | 2020-0151 | AC | Tom Osborne | Milton Keynes | Alcohol, drug and medication related deaths; Other related deaths | Medicines and Healthcare Products Regulatory Agency | https://www.judiciary.uk/publications/alana-cutland/ |
| 5 August 2020 | 2020-0150 | RK | Tom Osborne | Milton Keynes | Emergency Services related deaths | South Central Ambulance Service | https://www.judiciary.uk/publications/richard-king/ |
| 4 August 2020 | 2020-0149 | PR | Yvonne Blake | Norfolk | Alcohol, drug and medication related deaths; Hospital death (clinical procedures and medical management) related deaths | James Paget University Hospital | https://www.judiciary.uk/publications/pauline-russell/ |
| 6 July 2020 | 2020-0148 | PF | Chinyere Inyama | West London | State Custody related deaths | Central & North West London NHS Foundation Trust; Independent Monitoring Board | https://www.judiciary.uk/publications/prince-fosu/ |
| 31 July 2020 | 2020-0147 | AH | Christopher Morris | Manchester South | Alcohol, drug and medication related deaths; Community healthcare related deaths | Department for Health and Social Care; NHS England | https://www.judiciary.uk/publications/amy-hogan/ |
| 30 July 2020 | 2020-0146 | RC | Alison Mutch | Manchester South | Hospital Death (Clinical procedures and medical management) related deaths | Department of Health and Social Care; Greater Manchester Health and Social Care Partnershi | https://www.judiciary.uk/publications/reginald-collins/ |
| 27/07/2020 | 2020-0145 | SG | Alison Mutch | Greater Manchester South | Care home health related deaths; Hospital death (Clinical procedures and medical management) related deaths | Department of Health and Social Care; Greater Manchester Health and Social Care Partnershi | https://www.judiciary.uk/publications/samuel-garner/ |
| 17 July 2020 | 2020-0144 | JM | Emma Whitting | Bedfordshire and Luton | Alcohol, drug and medication related deaths | Secretary of State; Department for Digital, Culture, Media and Sport | https://www.judiciary.uk/publications/jerrelle-mckenzie/ |
| 16 July 2020 | 2020-0143 | KW | Jacqueline Lake | Norfolk | Hospital death (Clinical procedures and medical management related deaths; Child death | James Paget University Hospital | https://www.judiciary.uk/publications/kobi-wright/ |
| 2 March 2020 | 2020-0142 | SB | Samantha Marsh | Hampshire (Central) | Mental Health related deaths; Alcohol, drug and medication related deaths | Berkshire Healthcare NHS Foundation Trust | https://www.judiciary.uk/publications/sophie-boothe/ |
| 10 July 2020 | 2020-0141 | GP | Andrew Haigh | Staffordshire South | Mental Health related deaths | Stafford and Surrounds Clinical Commissioning Group; Midlands and Lancashire Commissioning Support Unit | https://www.judiciary.uk/publications/gwilym-price/ |
| 13 July 2020 | 2020-0140 | JC | Alison Mutch | Greater Manchester South | Hospital Death (Clinical Procedures and medical management) related deaths; Emergency services related deaths | Department of Health and Social Care; Greater Manchester Health and Social Care Partnershi | https://www.judiciary.uk/publications/john-cheetham/ |
| 10 July 2020 | 2020-0139 | BK | Oliver Longstaff | County Durham and Darlington | Road (Highways safety) related deaths | Durham County Council Highways Section | https://www.judiciary.uk/publications/bartosz-kusiak/ |
| 1 July 2020 | 2020-0138 | JM | Alison Mutch | Manchester South | Emergency Services related deaths; Other related deaths | Department for Health and Social Care | https://www.judiciary.uk/publications/joan-mcindoe/ |
| 7 February 2020 | 2020-0137 | MM | Robert Simpson | West Sussex | Police related deaths; Suicide | Sussex Police | https://www.judiciary.uk/publications/mark-mallinson/ |
| 10 October 2019 | 2020-0136 | LD | Kally Cheema | Cumbria | Mental Health related deaths; Alcohol, drug and medication related deaths | North Cumbria University Hospitals NHS Trust | https://www.judiciary.uk/publications/liane-davenport/ |
| 24 March 2020 | 2020-0135 | DH | Rachel Syed | Manchester West | Mental Health related deaths; Community healthcare related deaths; Suicide | North West Boroughs Healthcare NHS Foundation Trust | https://www.judiciary.uk/publications/danny-holt-scapens/ |
| 26 June 2020 | 2020-0134 | GE | Andrew Harris | Inner South London | Mental Health related deaths; Community healthcare related deaths; Suicide | Oxleas NHS Foundation Trust | https://www.judiciary.uk/publications/gary-etherington/ |
| 22 June 2020 | 2020-0133 | BH | Séan Cummings | West London | Hospital death (Clinical procedures and medical management) related deaths; Child death | St. George’s University Hospitals NHS Foundation Trust | https://www.judiciary.uk/publications/bethan-harris/ |
| 25 June 2020 | 2020-0132 | WR | David Ridley | Wiltshire and Swindon | Hospital death (Clinical procedures and medical management) related deaths | The Great Western Hospital NHS Foundation Trust | https://www.judiciary.uk/publications/winifred-mary-redfearn/ |
| 15 June 2020 | 2020-0131 | GM | Anita Bhardwaj | Liverpool and the Wirral | Road (Highways Safety) related deaths | Liverpool City Council; Merseyside Police | https://www.judiciary.uk/publications/grant-macdonald/ |
| 17 December 2018 | 2020-0130 | BC | Maria Voisin | Avon | Other related deaths | Suspension Bridge Trustees | https://www.judiciary.uk/publications/bertram-crawford/ |
| 30/01/2020 | 2020-0129 | JO | Maria Voisin | Avon | Community healthcare related deaths | Department for Health and Social Care; Royal College of Obstetricians and Gynaecologists | https://www.judiciary.uk/publications/julie-oconnor/ |
| 16 June 2020 | 2020-0128 | JW | Emma Whitting | Bedfordshire and Luton Coroner | Road (Highways Safety) related deaths | Department for Transport | https://www.judiciary.uk/publications/joan-williams/ |
| 3 June 2020 | 2020-0127 | AW | Nicholas Shaw | Cumbria | Hospital Death (Clinical Procedures and Medical Management) related deaths | North Cumbria Integrated Care Trust | https://www.judiciary.uk/publications/allan-watt/ |
| 8 June 2020 | 2020-0126 | MH | Penelope Schofield | West Sussex | Care home health related deaths; Other related deaths | Pelham House, West Sussex | https://www.judiciary.uk/publications/mildred-horrex/ |
| 9 June 2020 | 2020-0125 | ML | Anna Crawford | Surrey | Road (Highways Safety) related deaths | Senior Highway Engineer for Surrey | https://www.judiciary.uk/publications/mitica-ladunca/ |
| 27 January 2020 | 2020-0124 | ST | Mary Hassell | Inner North London | Emergency services related deaths; Community healthcare related deaths; Other related deaths | Winchmore Hill Practice; Enfield Clinical Commissioning Group; Bausch & Lomb UK Ltd; Medicines & Healthcare Products Regulatory Agency; London Central & West Unscheduled Care Collaborative; Advanced Health & Care Ltd; London Ambulance Service NHS Trust; Association of Ambulance Chief Executives; NHS Digital; NHS England & NHS Improvement; National Institute for Health & Care Excellence; Department of Health & Social Care | https://www.judiciary.uk/publications/shante-turay-thomas/ |
| 28 May 2020 | 2020-0122 | MP | Andrew Cox | Cornwall and the Isles of Scilly | Other related deaths | Department for Transport; Maritime and Coastguard Agency; Royal National Lifeboat Institute | https://www.judiciary.uk/publications/michael-pender/ |
| 28 May 2020 | 2020-0121 | GD | Andrew Cox | Cornwall and the Isles of Scilly | Other related deaths | Department for Transport; Maritime and Coastguard Agency; Royal National Lifeboat Institute | https://www.judiciary.uk/publications/gillian-davey/ |
| 27 December 2019 | 2020-0120 | EB | Gordon Clow | Nottinghamshire and Nottingham | Other related deaths | Nottinghamshire County Council | https://www.judiciary.uk/publications/enid-baber/ |
| 28 February 2020 | 2020-0123 | PC | Geoffrey Sullivan | Hertfordshire | Alcohol, drug and medication related deaths; Other related deaths | NHS England | https://www.judiciary.uk/publications/peter-cole/ |
| 20 January 2016 | 2016-0600 | FA | Mary Hassell | Inner North London | Emergency Services related deaths; Mental Health related deaths | Metropolitan Police; London Ambulance Service NHS Trust; The Department for Work and Pensions | https://www.judiciary.uk/publications/faiza-ahmed/ |
| 24 July 2015 | 2015-0475 | MS | Elizabeth Emma Carlyon | Cornwall and the Isle of Scilly | Community healthcare related deaths; Other related deaths | Cornwall Council; Pluss Work Choice; Devon and Cornwall Police Adult Safeguarding Team | https://www.judiciary.uk/publications/miriam-smith-cox/ |
| 10 February 2020 | 2020-0119 | SY | Emma Whitting | Bedfordshire and Luton Coroner Service | Hospital Death (Clinical Procedures and medical management) related deaths | Bedford Hospital NHS Trust | https://www.judiciary.uk/publications/sarah-young/ |
| 24 September 2019 | 2020-0118 | IM | Tom Osborne | Milton Keynes | Mental Health related deaths; Community healthcare related deaths | Central Northwest London NHS Foundation Trust | https://www.judiciary.uk/publications/iain-macinnes/ |
| 17 December 2019 | 2019-0510 | JF | Jacqueline Devonish | Suffolk | Road (Highways Safety) related deaths | Transport and Rural Affairs at Suffolk County Council | https://www.judiciary.uk/publications/jamie-finlay/ |
| 5 February 2020 | 2020-0116 | AB | Kevin McLoughlin | West Yorkshire (East) | Child Death (from 2015); Other related deaths | Leeds Teaching Hospitals NHS Trust | https://www.judiciary.uk/publications/adam-bojelian/ |
| 29 May 2020 | 2020-0115 | FS | Jonathan Stevens | London; Inner North London | Railway related deaths | The Office of Rail & Road; Transport for London; Train Services, DLR | https://www.judiciary.uk/publications/flora-shen/ |
| 29 May 2020 | 2020-0114 | OB | London; London Inner South | Community healthcare related deaths | London Ambulance Service; London Borough of Lewisham; Sydenham Green Group General Practice; Lewisham & Greenwich NHS Trust | https://www.judiciary.uk/publications/omarian-brooks/ | |
| 28 May 2020 | 2020-0113 | LB | Robert Sowersby | Avon | Hospital Death (Clinical Procedures and medical management) related deaths; Other related deaths | North Bristol NHS Trust | https://www.judiciary.uk/publications/lesley-brass/ |
| 15 May 2020 | 2020-0112 | LP | Patricia Harding | Central and South East Kent | Hospital Death (Clinical Procedures and medical management) related deaths | East Kent University Hospital NHS Trust; NHS England NHS Improvements | https://www.judiciary.uk/publications/lynda-pedersen/ |
| 12 May 2020 | 2020-0111 | HH | Professor Catherine Mason | Leicester City and South Leicestershire | Community healthcare related deaths; Child Death | Department of Health and Social Care | https://www.judiciary.uk/publications/harrison-hassall/ |
| 4 May 2020 | 2020-0110 | BP | Alison Mutch | Manchester; Greater Manchester South | Hospital Death (Clinical Procedures and medical management) related deaths | Greater Manchester Mental Health NHS Foundation Trust (GMMH); Bolton Council; Royal Bolton Hospital; Department for Health and Social Care | https://www.judiciary.uk/publications/barry-preston/ |
| 12 February 2020 | 2020-0109 | DE | Paul Cooper | Lincolnshire | Care Home Health related deaths; Other related deaths | Glenholme Holdingham Grange Care Home | https://www.judiciary.uk/publications/donald-elliott/ |
| 1 May 2020 | 2020-0108 | BC | Jame Thompson | Bedfordshire and Luton | Other related deaths | TUI UK & Ireland, Wigmore House, Wigmore Place, Wigmore, Luton, Bedforshire, LU2 9TN | https://www.judiciary.uk/publications/barrie-copeland/ |
| 27 April 2020 | 2020-0106 | ER | Alison Mutch | Greater Manchester South | Hospital Death (Clinical Procedures and medical management) related deaths; Other related deaths | Manchester University Foundation Trust (MFT); Department of Health and Social Care | https://www.judiciary.uk/publications/evelyn-ross/ |
| 24 April 2020 | 2020-0105 | MB | Alison Mutch | Greater Manchester South | Care Home Health related deaths; Mental Health related deaths; Other related deaths | Care Quality Commission (CQC); Department of State for Social Care | https://www.judiciary.uk/publications/mary-brady/ |
| 24 April 2020 | 2020-0104 | DG | Colin Phillips | Swansea and Neath Port Talbot | Alcohol, drug and medication related deaths; State Custody related deaths; Suicide; Wales prevention of future deaths reports | Department of Health | https://www.judiciary.uk/publications/dean-george/ |
| 20 April 2020 | 2020-0103 | AJ | Dr Jame Adeley | Lancashire and Blackburn with Darwin | Alcohol, drug and medication related deaths; State custody related deaths; Mental Health related deaths | National Offender Management | https://www.judiciary.uk/publications/andrew-jones/ |
| 23 April 2020 | 2020-0102 | GF | Adrian Farrow | Manchester South | Hospital Death (Clinical procedures and medical management) related deaths; Mental Health related deaths | Tameside and Glossop Integrated Care NHS Foundation Trust; Pennine Care NHS Foundation Trust | https://www.judiciary.uk/publications/gordon-fenton/ |
| 15 July 2019 | 2019-0509 | LL | Richard Travers | Surrey | Other related deaths | Surrey Police; The National Police Chief’s Council; The Home Secretary; Department of Health; British Medical Association | https://www.judiciary.uk/publications/lucy-lee/ |
| 15 July 2019 | 2019-0509A | CL | Richard Travers | Surrey | Other related deaths | Surrey Police; The National Police Chief’s Council; The Home Secretary; Department of Health; British Medical Association | https://www.judiciary.uk/publications/christine-lee/ |
| 22 April 2020 | 2020-0101 | SP | Jason Wells | Manchester South | Mental Health related deaths; Suicide (from 2015); Community health care related deaths | Greater Manchester Medicines Management Group; NHS Stockport Clinical Commission Grou | https://www.judiciary.uk/publications/sam-pringle/ |
| 22 April 2020 | 2020-0100 | DK | Jason Wells | Manchester South | Other related deaths; Hospital Death (Clinical Procedures and medical management) related deaths | Stockport NHS Foundation Trust | https://www.judiciary.uk/publications/david-kerr/ |
| 22 April 2020 | 2020-0099 | AC | Jason Wells | Manchester South | Hospital Death (Clinical Procedures and medical management) related deaths | Pennine Care NHS Foundation Trust | https://www.judiciary.uk/publications/allan-cunliffe/ |
| 22 April 2020 | 2020-0098 | NB | Chri Morris | Manchester South | Care home health related deaths | Lynmere Nursing home | https://www.judiciary.uk/publications/norman-baxter/ |
| 15 April 2020 | 2020-0097 | MT | Timothy Brennand | Lincolnshire | Road (Highways Safety) related deaths | Lincolnshire County Council Highways Department | https://www.judiciary.uk/publications/millie-taylor-noonan/ |
| 17 April 2020 | 2020-0096 | AH | Paul Smith | Lincolnshire | Other related deaths; Accident at work and Health and Safety related deaths | Department of Transport; Health and Safety Executive | https://www.judiciary.uk/publications/ashley-holden/ |
| 20 April 2020 | 2020-0095 | WW | Alison Mutch | Manchester South | Alcohol, drug and medication related deaths; Community health care related deaths | Tameside and Glossop Clinical Commissioning Group; Greater Manchester Health and Social Care Partnershi | https://www.judiciary.uk/publications/wendy-wilkes/ |
| 20 April 2020 | 2020-0094 | TY | Karen Henderson | Surrey | Hospital Death (clinical procedures and medical management) related deaths; Child death (from 2015) | HSIB; Department of Health; NHS England; East Surrey Hospital | https://www.judiciary.uk/publications/theo-young/ |
| 15 April 2020 | 2020-0093 | PM | S Ormond-Walshe | London (South) | Community health care related deaths | GP Surgery Parkway Health Centre | https://www.judiciary.uk/publications/patricia-mcadam/ |
| 16 May 2019 | 2019-0504 | NA | M E Voisin | Avon | Mental Health related deaths; Suicide (from 2015) | Avon and Wiltshire NHS Mental Health Trust; The Student Health Service; Department of Health; Minister of Suicide Prevention | https://www.judiciary.uk/publications/natasha-abrahart/ |
| 9 April 2020 | 2020-0092 | AB | Mary Burke | West Yorkshire (west) | Hospital Death (clinical Procedures and medical management) related deaths | Bradford teaching hospitals NHS Trust | https://www.judiciary.uk/publications/allison-bird/ |
| 1 April 2020 | 2020-0091 | JP | HG Mark Bricknell | Herefordshire | Hospital Death (clinical Procedures and medical management) related deaths | Wye Valley NHS Trust | https://www.judiciary.uk/publications/jake-perry/ |
| 19 June 2019 | 2019-0508 | AM | Louise Hunt | Birmingham and Solihull | Suicide (from 2015) | Urban Housing Services; G4S; The Home Office | https://www.judiciary.uk/publications/wilson-parkes/ |
| 17 September 2019 | 2019-0507 | JB | Kevin McLoughlin | West Yorkshire (East) | Road (Highways Safety) related deaths | Road Haulage Association; DAF Trucks Ltd; Whitelock Development; Office of the Traffic Commissioner | https://www.judiciary.uk/publications/jonathan-ball/ |
| 22 October 2019 | 2019-0506 | LF | Rachel Galloway | Manchester West | Hospital Death (Clinical Procedures and medical management) related deaths; Mental Health related deaths; Suicide (from 2015); | North West Boroughs Healthcare NHS Foundation Trust | https://www.judiciary.uk/publications/lauren-finch/ |
| 28 October 2019 | 2019-0505 | TS | Tom Osborne | Milton Keynes | Hospital death (Clinical Procedures and medical management) related deaths | Milton Keynes Hospital | https://www.judiciary.uk/publications/thomas-smyth/ |
| 6 April 2020 | 2020-0090 | DK | Nigel Parsley | Suffolk | Community Health care | Adult and Community Services Suffolk County Council; Norfolk and Suffolk NHS Foundation Trust | https://www.judiciary.uk/publications/darren-king/ |
| 3 April 2020 | 2020-0089 | AW | Caroline Topping | Surrey | Hospital Death (Clinical Procedures and medical management) related deaths | Royal College Emergency Medicine; General Medical Council; College and Society of Radiographers | https://www.judiciary.uk/publications/andrew-wing/ |
| 12 December 2019 | 2019-0503 | RR | Emma Serrano | Derby and Derbyshire | Suicide (from 2015) | Bristol University | https://www.judiciary.uk/publications/raees-rauf/ |
| 27 February 2020 | 2020-0088 | KC | Emma Serrano | Derby and Derbyshire | Care Home Health related deaths | Normanton Village View Nursing Home; CQC; Rushcliffe Care; | https://www.judiciary.uk/publications/kenneth-clarke/ |
| 6 February 2020 | 2020-0087 | MC | Geraint Williams | Cornwall and the Isle of Scilly | Alcohol, drug and medication related deaths; Police related deaths | The College of Policing; The Home Secretary | https://www.judiciary.uk/publications/marc-cole/ |
| 3 April 2020 | 2020-0086 | ED | Joanne Lees | Black Country | Care Home Health related deaths; Other related deaths | Oak Court House, Wolverhampton City Council | https://www.judiciary.uk/publications/edna-davenport/ |
| 2 April 2020 | 2020-0085 | AL | Jacqueline Lake | Norfolk | Child Death (from 2015); Other related deaths | British Standards Institution | https://www.judiciary.uk/publications/ava-may-littleboy/ |
| 7 May 2020 and 19 January 2021 | 2020-0084 | VI | David Ridley | Wiltshire and Swindon | Emergency services related deaths (2019 onwards); Alcohol, drug and medication related deaths | South Western Ambulance Trust, Association of Ambulance Chief Executives, CQC National Customer Service Centre and Secretary of State for Health and Social Care | https://www.judiciary.uk/publications/vhari-ingall/ |
| 7 May 2020 | 2020-0084A | MJ | David Ridley | Wiltshire and Swindon | Emergency services related deaths (2019 onwards); Alcohol, drug and medication related deaths | South Western Ambulance Trust, Association of Ambulance Chief Executives and CQC National Customer Service Centre | https://www.judiciary.uk/publications/mary-johnson-2/ |
| 31 March 2020 | 2020-0083 | MB | Peter Nieto | Derby and Derbyshire | Other related deaths | The British Hang Gliding and Paragliding Association Ltd | https://www.judiciary.uk/publications/michael-bostock/ |
| 30 March 2020 | 2020-0082 | JA | Caroline Topping | Surrey | Railway related deaths; Child death (from 2015) | Network Rail; South Western Railway; Department for Education | https://www.judiciary.uk/publications/jordan-aira/ |
| 30 March 2020 | 2020-0081 | KB | Caroline Topping | Surrey | Mental Health related deaths; Other related deaths; Emergency Services related deaths (2019 onwards) | Surrey Constabulary; South East Ambulance Service | https://www.judiciary.uk/publications/karen-bingham/ |
| 11 March 2020 | 2020-0080 | JM | Zafar Siddique | Black Country | Hospital Death (Clinical Procedures and medical management) related deaths | Black Country Pathological Service; Walsall Manor Hospital | https://www.judiciary.uk/publications/jennifer-mckoy/ |
| 25 March 2020 | 2020-0079 | DH | Jacqueline Lake | Norfolk | Road (Highways Safety) related deaths | Driver and Vehicle Standards Agency | https://www.judiciary.uk/publications/dudley-howe/ |
| 25 March 2020 | 2020-0078 | JM | Veronica Hamilton-Deeley | Brighton and Hove | Alcohol, drugs and medication related deaths | CCG | https://www.judiciary.uk/publications/joseph-mochan/ |
| 24 March 2020 | 2020-0077 | SD | Andrew Walker | London (North) | Suicide (from 2015); Alcohol, drug and medication related deaths | Department of Health and Social Care | https://www.judiciary.uk/publications/simon-delahunty/ |
| 24 March 2020 | 2020-0076 | KS | Geoffrey Sullivan | Hertfordshire | Suicide (from 2015); Other related deaths | Hertfordshire Constabulary | https://www.judiciary.uk/publications/kelly-sutton/ |
| 24 March 2020 | 2020-0075 | SP | Andrew Walker | London (North) | Child Death (from 2015); Road (Highways Safety) related deaths | Barnet Council | https://www.judiciary.uk/publications/sonny-parmar/ |
| 23 March 2020 | 2020-0074 | LF | Nichola Rheinberg | Exeter and Greater Devon | Mental Health related deaths; Suicide (from 2015); State Custody related deaths | Devon Partnership NHS Trust; Devon and Cornwall Police; Avon and Somerset Police; Wiltshire Police; Gloucestershire Police; Prison and Probation service | https://www.judiciary.uk/publications/lewis-francis/ |
| 20 March 2020 | 2020-0073 | JG | ME Hassell | London Inner North | Care Home Health related deaths | Care UK; University College Hospital | https://www.judiciary.uk/publications/john-gregory/ |
| 15 January 2020 | 2020-0072 | DM | Rachel Syed | Manchester West | Mental Health related deaths; Suicide (from 2015) | Greater Manchester Mental Health NHS Trust | https://www.judiciary.uk/publications/daniel-moran/ |
| 16 March 2020 | 2020-0071 | JA | Penelope Schofield | West Sussex | Mental Health related deaths; Suicide (from 2015); Community Healthcare related deaths | Sussex Partnership NHS Foundation Trust | https://www.judiciary.uk/publications/john-ashley/ |
| 11 March 2020 | 2020-0070 | RG | ME Hassell | London Inner North | Child death (from 2015); Other related deaths | NHS England; Royal College of Nursing | https://www.judiciary.uk/publications/rifky-grossberger/ |
| 12 March 2020 | 2020-0069 | JP | Matthew Cox | Manchester North | Alcohol, Drugs and medication related deaths; Mental health related deaths; other related deaths | Greater Manchester Police; NWAS | https://www.judiciary.uk/publications/jason-pendlebury/ |
| 21 February 2020 | 2020-0068 | BJ | Jacqueline Devonish | London South | Alcohol, drug and medication related deaths; Mental Health related deaths; Community health care related death; Suicide (from 2015) | Oxleas NHS Foundation; ADAPT | https://www.judiciary.uk/publications/billy-jenkins/ |
| 21 February 2020 | 2020-0067 | AL | Jacqueline Devonish | London South | Community Healthcare related deaths | Central London Community Healthcare NHS Trust; | https://www.judiciary.uk/publications/anita-loi/ |
| 12 March 2020 | 2020-0066 | MM | Graeme Irvine | London East | Emergency services related deaths (2019 onwards) | The AACE; London Ambulance Service; Department of Health and Social Care; Resuscitation Council; Physio-Control UK Ltd | https://www.judiciary.uk/publications/mitica-marin/ |
| 9 March 2020 | 2020-0065 | RB | Andrew Haigh | Staffordshire (south) | Alcohol, drug and medication related deaths; State Custody related deaths; | National Offender Management Service | https://www.judiciary.uk/publications/robert-brown/ |
| 12 March 2020 | 2020-0064 | IW | Geraint Williams | South Wale Central | State Custody related deaths; Suicide (from 2015); Wales prevention of future deaths reports (2019 onwards) | Cardiff and Vale NHS Trust | https://www.judiciary.uk/publications/ian-weeks/ |
| 20 August 2019 | 2019-0500 | TJ | Darren Salter | Oxfordshire | Hospital Death (Clinical Procedures and medical management) related deaths | NHS England | https://www.judiciary.uk/publications/thelma-joyce/ |
| 6 September 2019 | 2019-0499 | SQ | Zafar Siddique | Black Country | Mental Health related deaths; Community Healthcare; Care Home related deaths | Department of Health and Social Care; Solihull Mental Health Trust; Camino Healthcare; CQC | https://www.judiciary.uk/publications/shannon-quinn/ |
| 4 March 2020 | 2020-0063 | JO | Nadia Persaud | East London | Accident at work and Health and Safety related deaths; | Tradomi S.L. Transporte | https://www.judiciary.uk/publications/jose-orlando/ |
| 28 January 2020 | 2020-0062 | SS | Philip Barlow | Northamptonshire | Hospital death (Clinical Procedures and medical management) related deaths | Kettering General Hospital NHS Foundation Trust | https://www.judiciary.uk/publications/susan-sterland/ |
| 6 March 2020 | 2020-0061 | DM | Richard Brittain | Inner North London | Alcohol, drug and medication related deaths; | Public Health England; NHS England | https://www.judiciary.uk/publications/darren-molloy-herat/ |
| 9 March 2020 | 2020-0060 | DG | Sarah-Jane Richards | South Wale Central | Hospital Death (Clinical Procedures and medical management) related deaths; Wales prevention of future deaths reports (2019 onwards) | Cwm Taf Morgannwg University Health Board | https://www.judiciary.uk/publications/darren-goddard/ |
| 9 March 2020 | 2020-0059 | RC | David Reid | Worcestershire | Hospital death (Clinical Procedures and medical management) related deaths; Mental Health related deaths; | Worcestershire Health and Care NHS Trust | https://www.judiciary.uk/publications/roy-campbell/ |
| 9 March 2020 | 2020-0058 | RH | Fiona Wilcox | London Inner (West) | Alcohol, drug and medication related deaths; Hospital Death (Clinical Procedures and medical management) related deaths; Mental Health related deaths; Suicide (from 2015) | Springfield Hospital; NHS East Leicestershire and Rutland CGC; NHS England | https://www.judiciary.uk/publications/rebecca-hursey/ |
| 9 March 2020 | 2020-0057 | AH | John Gittins | North Wale (East and Central) | Hospital Deaths (Clinical Procedures and medical management) related deaths; Wales prevention of future deaths reports (2019 onwards) | Betsi Cadwaladr University Health Board | https://www.judiciary.uk/publications/arthur-hughes/ |
| 6 March 2020 | 2020-0056 | CN | Andre Rebello | Liverpool and the Wirral | State custody related deaths; Suicide (from 2015) | HMPPS | https://www.judiciary.uk/publications/carl-newman/ |
| 10 February 2020 | 2020-0055 | KA | Andrew Harris | London Inner South | Railway related deaths; Suicide (from 2015); Mental Health related deaths | South London and Maudsley NHS Foundation; Metropolitan Police service | https://www.judiciary.uk/publications/kerry-aldridge/ |
| 7 February 2020 | 2020-0054 | AA | Andrew Harris | London Inner South | Hospital Death (Clinical Procedures and medical management) related deaths; Mental Health related deaths | Queen Elizabeth Hospital | https://www.judiciary.uk/publications/adrian-ashford/ |
| 3 March 2020 | 2020-0053 | EP | Abigail Combes | South Yorkshire (West) | Hospital Death (Clinical Procedures and medical management) related deaths; | Crown Care | https://www.judiciary.uk/publications/eileen-pollard/ |
| 3 March 2020 | 2020-0052 | LC | Nadia Persaud | East London | Community Healthcare related deaths; Mental Health related deaths; Suicide (from 2015) | Goodmayes Hospital Foundation Trust | https://www.judiciary.uk/publications/lee-carpenter/ |
| 3 March 2020 | 2020-0051 | KO | Brendan Allen | Dorset | Other related deaths; | Crime, Policing and Fire Service; National Police Chief’s Council; College of Policing | https://www.judiciary.uk/publications/katrina-ohara/ |
| 3 March 2020 | 2020-0050 | ST | Alison Mutch | Manchester South | Alcohol, drug and medication related deaths; Mental Health related deaths; Suicide (from 2015) | Department of Health | https://www.judiciary.uk/publications/shaun-turner/ |
| 2 March 2020 | 2020-0049 | GW | Kevin McLoughlin | West Yorkshire (East) | Accident at work and Health and Safety related deaths; | Nuttall Ltd; JV Ltd | https://www.judiciary.uk/publications/gary-webster/ |
| 2 March 2020 | 2020-0048 | IE | Nadia Persuad | East London | Hospital Death (Clinical Procedures and medical management) related deaths | Barts NHS Trust | https://www.judiciary.uk/publications/ibiyemi-ereoah/ |
| 28 February 2020 | 2020-0047 | IW | Rachel Syed | Manchester West | Alcohol, drug and medication related deaths; hospital Death (Clinical procedures and medical management) related deaths | The Royal Bolton Hospital; Wellsky; EMIS | https://www.judiciary.uk/publications/irene-whittingham/ |
| 28 February 2020 | 2020-0046 | LC | Graeme Hughes | South Wale Central | Hospital Death (Clinical Procedures and medical management) related deaths; Wales prevention of future deaths reports (2019 onwards) | Cardiff and Vale University Health Board | https://www.judiciary.uk/publications/lewys-crawford/ |
| 27 February 2020 | 2020-0045 | MA | Hassan Shah | Northampton | Hospital death (Clinical Procedures and medical management) related deaths | Department of Health and Social Care | https://www.judiciary.uk/publications/mohan-acharya/ |
| 26 February 2020 | 2020-0044 | JP | Geoffrey Sullivan | Hertfordshire | Child death (from 2015); Hospital death (Clinical procedures and medical management) related deaths; | Watford General Hospital | https://www.judiciary.uk/publications/jack-postle/ |
| 25 February 2020 | 2020-0043 | TR | Veronica Hamilton-Deeley | Brighton and Hove | Community Healthcare; Mental Health related deaths; Suicide (from 2015); Police related deaths | Sussex Police | https://www.judiciary.uk/publications/thomas-reilly/ |
| 20 February 2020 | 2020-0042 | JJ | Rachel Knight | South Wale Central | Alcohol, drug and medication related deaths; Police related deaths; Wales prevention of future deaths report (2019 onwards) | NICE | https://www.judiciary.uk/publications/jon-james/ |
| 21 February 2020 | 2020-0041 | AG | Simon Burge | Hampshire (Central) | Alcohol, drug and medication related deaths; State custody related deaths; Suicide (from 2015) | Central and North West London NHS Foundation Trust; HM Prison; NHS | https://www.judiciary.uk/publications/andrew-goldstraw/ |
| 14 February 2020 | 2020-0040 | MS | Dianne Hocking | Leicester City and South Leicestershire | Child Death (from 2015); Other related deaths | Staffordshire, Shropshire and Black Country New born and Maternity Network | https://www.judiciary.uk/publications/marley-slack/ |
| 24 February 2020 | 2020-0039 | JL | Yvonne Blake | Norfolk | Care Home Health related deaths | Select Healthcare | https://www.judiciary.uk/publications/jake-lee/ |
| 25 February 2020 | 2020-0038 | ER | Alison Mutch | Greater Manchester South | Alcohol, drug and medication related deaths; | Care Quality Commission | https://www.judiciary.uk/publications/elaine-renshaw/ |
| 25 February 2020 | 2020-0037 | BH | Alison Mutch | Greater Manchester South | Emergency services related deaths (2019 onwards); Hospital death (clinical procedures and medical management) related deaths | NICE | https://www.judiciary.uk/publications/beryl-holland/ |
| 24 February 2020 | 2020-0036 | MN | Nichola Shaw | Cumbria | Alcohol, drugs and medication related deaths | Medicines and Healthcare Products Regulatory Agency | https://www.judiciary.uk/publications/mary-nelson/ |
| 18 February 2020 | 2020-0035 | ZJ | Joanne Lees | Black Country | Child death (from 2015); Hospital death (Clinical procedures and medical management) related deaths | Walsall Healthcare NHS Trust | https://www.judiciary.uk/publications/zachary-johnson/ |
| 18 February 2020 | 2020-0034 | HA | Caroline Beasley-Murray | Essex | Other related deaths | Tendering District Council | https://www.judiciary.uk/publications/haider-ali/ |
| 18 February 2020 | 2020-0034A | MS | Caroline Beasley-Murray | Essex | Child death (from 2015); Other related deaths | Tendering District Council | https://www.judiciary.uk/publications/malika-shamas/ |
| 17 February 2020 | 2020-0033 | JAL | Rachel Griffin | Dorset | Road (Highways Safety) related deaths; Alcohol, drug and medication related deaths | Bournemouth, Christchurch and Poole Council; Department for Transport | https://www.judiciary.uk/publications/anthony-lewis/ |
| 17 February 2020 | 2020-0033A | LM | Rachael Griffin | Dorset | Road (Highways Safety) related deaths; Alcohol, drug and medication related deaths | Bournemouth, Christchurch and Poole Council; Department for Transport | https://www.judiciary.uk/publications/lorraine-molyneaux/ |
| 7 February 2020 | 2020-0032 | BL | David Pojur | North Wale (East and Central) | Child Death (from 2015); Other related deaths; Wales prevention of future deaths reports (2019 onwards) | The Scout Association | https://www.judiciary.uk/publications/benjamin-leonard/ |
| 18 February 2020 | 2020-0031 | WM | Christopher Morris | Manchester South | Alcohol, Drug and medication related deaths; Hospital death (Clinical procedures and medical management) related deaths; mental health related deaths | The Priory Grou | https://www.judiciary.uk/publications/wayne-millett/ |
| 18 February 2020 | 2020-0030 | LC | Andrew Haigh | Staffordshire South | Road (Highways Safety) related deaths | Commissioner for Highways | https://www.judiciary.uk/publications/liam-clark/ |
| 17 February 2020 | 2020-0029 | LS | Mary Hassell | London Inner (North) | Road (Highways Safety) related deaths; alcohol, drug and medication related deaths | Transport for London; Tower Hamlets Council | https://www.judiciary.uk/publications/liam-seager/ |
| 13 February 2020 | 2020-0028 | ME | Mary Hassell | London Inner (North) | Other related deaths | High Commissioner for Saint Lucia to the UK | https://www.judiciary.uk/publications/martin-ellis/ |
| 17 February 2020 | 2020-0027 | JG | Caroline Beasley-Murray | Essex | Suicide (from 2015); Mental Health related deaths; alcohol, drug and medication related deaths | NHS England | https://www.judiciary.uk/publications/joseph-gingell/ |
| 11 February 2020 | 2020-0026 | GA | Bridget Dolan QC | West Sussex | Suicide (from 2015); Mental Health related deaths; Community health care related deaths | Sussex Community NHS Foundation Trust | https://www.judiciary.uk/publications/gemma-azhar/ |
| 20 January 2020 | 2020-0025 | SS | Andrew Bridgman | Manchester (South) | Community health care related deaths; Mental Health related deaths; Suicide (from 2015) | Pennine Care NHS Trust | https://www.judiciary.uk/publications/samantha-savage-greene/ |
| 28 January 2020 | 2020-0024 | BF | Brendan Allen | Dorset | Road (Highways Safety) related deaths | BCP Council | https://www.judiciary.uk/publications/beryl-fricker/ |
| 6 February 2020 | 2020-0023 | DC | Neil Cronin | Lancashire & Blackburn with Darwen | Mental Health related deaths; Community health care related deaths | Lancashire Care NHS Trust | https://www.judiciary.uk/publications/david-clark/ |
| 5 February 2020 | 2020-0022 | PS | John Ellery | Shropshire, Telford & Wrekin | Hospital Death (Clinical Procedures and medical management) related deaths | SATH; UNMH | https://www.judiciary.uk/publications/peter-smith/ |
| 4 February 2020 | 2020-0021 | MB | Emma Serrano | Derby and Derbyshire | Hospital Death (Clinical Procedures and medical management) related deaths | University Hospital of Derby and Burton; NHS England | https://www.judiciary.uk/publications/maureen-brown/ |
| 4 February 2020 | 2020-0020 | GG | Emma Serrano | Derby and Derbyshire | Emergency services related deaths (2019 onwards); Hospital Death (Clinical Procedures and medical management) related deaths | East Midlands Ambulance Service; Chesterfield Royal Hospital; Royal Derby Hospital | https://www.judiciary.uk/publications/gordon-gillott/ |
| 31 January 2020 | 2020-0019 | AW | Sean McGovern | Warwickshire | Emergency services related deaths (2019 onwards) | West Midlands Ambulance Service | https://www.judiciary.uk/publications/ashley-walker/ |
| 8 January 2020 | 2020-0018 | AC | Andre Rebello | Liverpool and Wirral | Emergency services related deaths (2019 onwards); Road (Highways Safety) related deaths | National Police Chief’s Council | https://www.judiciary.uk/publications/anthony-carroll/ |
| 21 January 2020 | 2020-0017 | JD | David Reid | Worcestershire | Alcohol, drug and medication related deaths; Emergency services related deaths (2019 onwards); Mental Health related deaths | West Midlands Police | https://www.judiciary.uk/publications/jason-devoti/ |
| 19 January 2020 | 2020-0016 | MW | Alan Wilson | Blackpool & Fylde | Other related deaths | Landlord | https://www.judiciary.uk/publications/matthew-willoughby/ |
| 20 January 2020 | 2020-0015 | AM | Heidi Connor | Berkshire | Emergency services related deaths (2019 onwards); Road (Highways Safety) related deaths | JRCALC | https://www.judiciary.uk/publications/aston-mclean/ |
| 17 January 2020 | 2020-0014 | JJ | Tanyka Rawden | Rutland and North Leicestershire | Product related deaths | Cadent Gas Ltd; Scotia Gas Network; Gas Safe Network; Institution of Gas Engineers | https://www.judiciary.uk/publications/janet-jasper/ |
| 17 January 2020 | 2020-0013 | SK | Edward Morgan | Manchester (North) | Child Death (from 2015); Community health care and emergency services related deaths; Product related deaths | Bury Council | https://www.judiciary.uk/publications/shneur-kaye/ |
| 17 January 2020 | 2020-0012 | PS | Joanne Lees | Shropshire, Telford & Wrekin | Hospital Death (Clinical Procedures and medical management) related deaths | Shrewburys and Telford Hospital NHS Trust | https://www.judiciary.uk/publications/peter-sudlow/ |
| 14 January 2020 | 2020-0011 | JL | Russell Caller | London Inner (West) | Hospital Death (Clinical Procedures and medical management) related deaths | St Georges University Hospital NHS Trust; NMC | https://www.judiciary.uk/publications/john-long/ |
| 14 January 2020 | 2020-0010 | MW | Andrew Haigh | Staffordshire (South) | State Custody related deaths; Suicide (from 2015) | HMP Dovegate | https://www.judiciary.uk/publications/marlon-watson/ |
| 22 January 2020 | 2020-0009 | GS | Derek Winter | Sunderland | Road (Highways Safety) related deaths | Sunderland City Council | https://www.judiciary.uk/publications/gary-sloan/ |
| 20 January 2020 | 2020-0008 | DL | Graeme Hughes | South Wale Central | Suicide (from 2015); Wales prevention of future deaths reports (2019 onwards) | South Wales Police; College of Policing | https://www.judiciary.uk/publications/deborah-lamont/ |
| 10 January 2020 | 2020-0007 | MW | Oliver Longstaff | West Yorkshire (West) | Suicide (from 2015) | Kirklees Council; Highways England | https://www.judiciary.uk/publications/muhammed-wajid/ |
| 14 January 2020 | 2020-0006 | MP | Joanne Lees | Black Country | Community health care related deaths | Walsall Healthcare NHS Trust | https://www.judiciary.uk/publications/madhavbhai-patel/ |
| 10 January 2020 | 2020-0005 | MN | Oliver Longstaff | West Yorkshire (West) | Mental Health related deaths; Suicide (from 2015) | Bradford District Care NHS Trust | https://www.judiciary.uk/publications/miles-naylor/ |
| 13 Jannuary 2020 | 2020-0004 | AL | Caroline Sumeray | Isle of Wight | Hospital Death (Clinical Procedures and medical management) related deaths | National Trust for the Isle of Wight; Public Health for the Isle of Wight | https://www.judiciary.uk/publications/annette-lewis/ |
| 9 January 2020 | 2020-0003 | CN | Louise Hunt | Birmingham and Solihull | Other related deaths | Incarace; ORCi | https://www.judiciary.uk/publications/colin-north/ |
| 7 January 2020 | 2020-0002 | AS | Jeremy Chipperfield | County Durham and Darlington | Hospital Death (Clinical Procedures and medical management) related deaths | County Durham and Darlington NHS Trust | https://www.judiciary.uk/publications/agnes-sansom/ |
| 3 January 2020 | 2020-0001 | JW | Chri Morris | Manchester (South) | Care Home Health related deaths; Community health care related deaths | NICE; Stockport Borough Council; Department of Health and Social Care | https://www.judiciary.uk/publications/thomas-wheeler/ |
| 16 September 2019 | 2019-0465 | BB | Jacqueline Devonish | Northamptonshire | Hospital Death (Clinical Procedures and medical management) related deaths; Mental Health related deaths | General Council | https://www.judiciary.uk/publications/blaithin-buckley/ |
| 25 November 2019 | 2019-0464 | GW | Caroline Saunders | Gwent | Road (Highways Safety) related deaths | Newport County Council | https://www.judiciary.uk/publications/gareth-williams/ |
| 12 November 2019 | 2019-0463 | JS | Caroline Saunders | Gwent | Road (Highways Safety) related deaths | Monmouth County Council | https://www.judiciary.uk/publications/jamie-staley/ |
| 21 September 2019 | 2019-0462 | RB | Martin Fleming | West Yorkshire (West) | Alcohol, drug and medication related deaths | Oasis Recovery Communites; Treatment Direct Limited | https://www.judiciary.uk/publications/ricky-barcock/ |
| 10 December 2019 | 2019-0461 | DA | Georgina Gibbs | South Yorkshire (East) | Mental Health related deaths; State Custody related deaths; Suicide (from 2015) | HMP Lindholme; HM Inspector of Prisons; NOMS; Advisory Panel on Deaths in Custody; Prison Officers Association | https://www.judiciary.uk/publications/daniel-akam/ |
| 20 December 2019 | 2019-0445 | TN | Nigel Meadows | Manchester (City) | State Custody related deaths; Suicide (from 2015) | HM Prison and Probation Service; Greater Manchester mental Health NHS Trust | https://www.judiciary.uk/publications/tomasz-nowasad/ |
| 31 December 2019 | 2019-0457 | JO | Caroline Sumeray | Isle of Wight | Mental Health related deaths; | National Trust on the Isle of Wight; Public Health, Suicide Prevention Grou | https://www.judiciary.uk/publications/joanna-orpin/ |
| 31 December 2019 | 2019-0456 | JB | Peter Nieto | Derby & Derbyshire | Community health care related deaths; Mental Health related deaths; Suicide (from 2015) | Department of Education | https://www.judiciary.uk/publications/jacob-bates/ |
| 30 December 2019 | 2019-0455 | MW | Adrian Farrow | Manchester (South) | Alcohol, drug and medication related deaths; Hospital Death (Clinical Procedures and medical management) related deaths; Mental Health related deaths | Department of Health and Social Care; NICE; Greater Manchester Mental Health and Social Care | https://www.judiciary.uk/publications/maureen-waterfall/ |
| 24 December 2019 | 2019-0454 | JT | Alison Mutch | Manchester (South) | Care Home Health related deaths | Department of Health and Social Care | https://www.judiciary.uk/publications/julie-taylor/ |
| 24 December 2019 | 2019-0453 | IO | Yvonne Blake | Norfolk | Hospital Death (Clinical Procedures and medical management) related deaths | James Paget University Hospital NHS Trust; GMC | https://www.judiciary.uk/publications/ifeoma-onwuka/ |
| 24 December 2019 | 2019-0452 | KW | Andrew Haigh | Staffordshire (South) | Care Home Health related deaths | Hunters Lodge Care Home | https://www.judiciary.uk/publications/keith-whetton/ |
| 23 December 2019 | 2019-0451 | KH | Nigel Meadows | Manchester (City) | Alcohol, drug and medication related deaths; Mental Health related deaths; Suicide (from 2015) | Manchester Mental Health NHS Trust; Pennine Care Mental Health Trust | https://www.judiciary.uk/publications/kieran-hubbard/ |
| 20 December 2019 | 2019–0450 | DF | Rachel Galloway | Manchester (West) | Alcohol, drug and medication related deaths; Community health care related deaths; Mental Health related deaths | TRU | https://www.judiciary.uk/publications/david-fowler/ |
| 19 December 2019 | 2019-0449 | CB | Sean McGovern | Warwickshire | Hospital Death (Clinical Procedures and medical management) related deaths | Warwick Hospital | https://www.judiciary.uk/publications/colin-beaumont/ |
| 20 December 2019 | 2019-0448 | MR | Andrew Cousins | Blackpool & Fylde | Hospital Death (Clinical Procedures and medical management) related deaths | Blackpool Victoria Hospital | https://www.judiciary.uk/publications/matthews-rogers/ |
| 25 September 2019 | 2019-0447 | WM | Samantha Marsh | Hampshire | Emergency services related deaths (2019 onwards); Suicide (from 2015); Mental Health related deaths | BT; Hampshire Constabulary; South Hampshire Ambulance Service | https://www.judiciary.uk/publications/william-moody/ |
| 20 December 2019 | 2019-0446 | KH | ME Hassell | London Inner (North) | Hospital Death (Clinical Procedures and medical management) related deaths | Barts Health | https://www.judiciary.uk/publications/keith-hill/ |
| 19 December 2019 | 2019-0444 | DC | Nadia Persaud | London (East) | Hospital Death (Clinical Procedures and medical management) related deaths | Barking, Havering & Redbridge University Hospitals NHS Trust | https://www.judiciary.uk/publications/doris-clark/ |
| 20 December 2019 | 2019-0443 | SB | Joanna Lees | North Wale (East and Central) | Emergency services related deaths (2019 onwards); Wales prevention of future deaths reports (2019 onwards) | Welsh Ambulance Service NHS Trust | https://www.judiciary.uk/publications/samantha-brousas/ |
| 16 December 2019 | 2019-0442 | AS | Simon Fox QC | Avon | Child Death (from 2015); Community health care (Including primary care, GP) related deaths; Hospital Death (Clinical Procedures and medical management) related deaths | University Hospitals Bristol; Torbay and South Devon NHS Trust | https://www.judiciary.uk/publications/alice-sloman/ |
| 18 December 2019 | 2019-0441 | SR | Jame Healy-Pratt | West Sussex | Hospital Death (Clinical Procedures and medical management) related deaths | NHS England | https://www.judiciary.uk/publications/suzanne-roberts/ |
| 17 December 2019 | 2019-0400 | BL | Fiona Wilcox | London Inner (West) | Care Home Health related deaths | Glebelands Care Team | https://www.judiciary.uk/publications/barry-liffen/ |
| 17 December 2019 | 2019-0439 | EM | Fiona Malek | London Inner (West) | Accident at Work and Health and Safety related deaths | HSE | https://www.judiciary.uk/publications/eugeniusz-malek/ |
| 16 December 2019 | 2019-0438 | HC | Fiona Wilcox | London Inner (West) | Other related deaths | The Peligoni Club | https://www.judiciary.uk/publications/henry-campbell-byatt/ |
| 18 December 2019 | 2019-0437 | KS | Jame Healy-Pratt | West Sussex | Hospital Death (Clinical Procedures and medical management) related deaths; Mental Health related deaths | NHS England | https://www.judiciary.uk/publications/katherine-stamp/ |
| 17 December 2019 | 2019-0436 | CR | Alan Walsh | Manchester (West) | Hospital Death (Clinical Procedures and medical management) related deaths | Greater Manchester Stroke Operational Delivery Network; Salford Royal Hospital | https://www.judiciary.uk/publications/constance-robinson/ |
| 1 November 2019 | 2019-0458 | JH | Louise Hunt | Birmingham and Solihull | Service Personnel related deaths | MOD | https://www.judiciary.uk/publications/joshua-hoole/ |
| 17 December 2019 | 2019-0435 | MA | Sarah-Jane Richards | South Wale Central | Road (Highways Safety) related deaths; Wales prevention of future deaths reports (2019 onwards) | Cardiff Council | https://www.judiciary.uk/publications/mark-anderson/ |
| 17 December 2019 | 2019-0434 | LM | Alison Mutch | Manchester (South) | Community health care and related deaths | Department of Health and Social Care; Stockport Borough Council | https://www.judiciary.uk/publications/lewis-mendelson/ |
| 16 December 2019 | 2019-0433 | AW | Alison Mutch | Manchester (South) | Care Home Health related deaths | Fernlea Nursing Home, CQC, Stockport CCG | https://www.judiciary.uk/publications/arnold-ward/ |
| 16 December 2019 | 2019-0432 | CM | Alison Mutch | Manchester (South) | Community health care (Including primary care, GP) related deaths; Alcohol, drug and medication related deaths | Stockport CCG | https://www.judiciary.uk/publications/clive-miles/ |
| 16 December 2019 | 2019-0431 | SN | Alison Mutch | Manchester (South) | Hospital Death (Clinical Procedures and medical management) related deaths | Tameside and Glossop Integrated Care NHS Trust | https://www.judiciary.uk/publications/shirley-nightingale/ |
| 17 December 2019 | 2019-0430 | TJ | Sonia Hayes | Kent (Central and South East) | Care Home Health related deaths | Charing Healthcare | https://www.judiciary.uk/publications/terence-james/ |
| 16 December 2019 | 2019-0429 | JM | Alison Mutch | Manchester (South) | Hospital Death (Clinical Procedures and medical management) related deaths | Department of Health and Social Care; NHS England | https://www.judiciary.uk/publications/joyce-marchant/ |
| 13 December 2019 | 2019-0428 | SM | Alison Mutch | Manchester (South) | Community health care services related deaths; Hospital Death (Clinical Procedures and medical management) related deaths; Suicide (from 2015) | Department of Health and Social Care; Tameside and Glossop CCG; Pennine Care NHS Trust | https://www.judiciary.uk/publications/steven-marsland/ |
| 17 December 2019 | 2019-0427 | IS | Anna Crawford | Surrey | Care Home Health related deaths | Barchester Healthcare | https://www.judiciary.uk/publications/iris-skinner/ |
| 6 December 2019 | 2019-0426 | SA | Zafar Siddique | Black Country | Community health care related deaths; Suicide (from 2015); Hospital Death (Clinical Procedures and medical management) related deaths | Sandwell Council; Black Country Partnership NHS Trust | https://www.judiciary.uk/publications/safoora-alam/ |
| 16 December 2019 | 2019–0425 | LD | John Hobson | West Yorkshire (East) | Hospital Death (Clinical Procedures and medical management) related deaths; Suicide (from 2015) | The Leeds and York Partnership NHS Trust | https://www.judiciary.uk/publications/layla-dobson/ |
| 13 December 2019 | 2019-0424 | CM | Alison Mutch | Manchester (South) | Alcohol, drug and medication related deaths; Community health care (Including primary care, GP) related deaths | Trafford CCG | https://www.judiciary.uk/publications/catherine-mcnamara/ |
| 12 December 2019 | 2019-0423 | PF | Yvonne Blake | Norfolk | Hospital Death (Clinical Procedures and medical management) related deaths | Norfolk & Suffolk NHS Trust | https://www.judiciary.uk/publications/peter-frosdick/ |
| 10 December 2019 | 2019-0422 | FG | Veronica Hamilton-Deeley | Brighton and Hove | Hospital Death (Clinical Procedures and medical management) related deaths | Brighton and Sussex University Hospital NHS Trust | https://www.judiciary.uk/publications/frances-gibb/ |
| 10 December 2019 | 2019-0421 | BD | Rachael Griffin | Dorset | Alcohol, drug and medication related deaths | Royal Pharmaceutical Society | https://www.judiciary.uk/publications/brenda-drew/ |
| 6 December 2019 | 2019-0420 | MW | Terence Carney | Gateshead & South Tyneside | Alcohol, drug and medication related deaths; Emergency services related deaths (2019 onwards) | North East Ambulance Service NHS Trust; Northumbria Police Service; Cumbria, Northumberland, Tyne & Wear NHS Trust | https://www.judiciary.uk/publications/maureen-wharton/ |
| 4 December 2019 | 2019-0419 | JD | Kevin McLoughlin | West Yorkshire (East) | Suicide (from 2015); Alcohol, drug and medication related deaths | Kirklees Council | https://www.judiciary.uk/publications/jessica-duckworth/ |
| 5 December 2019 | 2019-0418 | DW | Timothy Brennand | Lincolnshire | Road (Highways Safety) related deaths | Lincolnshire County Council | https://www.judiciary.uk/publications/darren-wilson/ |
| 5 December 2019 | 2019-0417 | GM | Jacqueline Devonish | Suffolk | Alcohol, drug and medication related deaths; Mental Health related deaths | MHRA; 1st For Health International; StockXS Limited | https://www.judiciary.uk/publications/gemma-macdonald/ |
| 6 December 2019 | 2019-0416 | YN | Louise Hunt | Birmimgham and Solihull | Service Personnel related deaths | MOD; Capita | https://www.judiciary.uk/publications/youngson-nkhoma/ |
| 6 December 2019 | 2019-0416A | KI | Louise Hunt | Birmimgham and Solihull | Service Personnel related deaths | MOD; Capita | https://www.judiciary.uk/publications/kamil-iddrisu/ |
| 20 September 2019 | 2019-0415 | KB | Nadia Persaud | London (East) | Hospital Death (Clinical Procedures and medical management) related deaths; Suicide (from 2015) | Goodmayes Hospital NHS Trust | https://www.judiciary.uk/publications/karis-braithwaite/ |
| 3 December 2019 | 2019-0414 | CL | Patricia Harding | Kent (Central and South East) | Suicide (from 2015); Mental Health related deaths | Department of Digital, Culture, Media and Sport | https://www.judiciary.uk/publications/callie-lewis/ |
| 3 December 2019 | 2019-0413 | DM | Jeremy Chipperfield | County Durham and Darlington | Road (Highways Safety) related deaths | Durham County Council | https://www.judiciary.uk/publications/david-moore/ |
| 29 November 2019 | 2019-0412 | CD | Geraint Williams | South Wale Central | Hospital Death (Clinical Procedures and medical management) related deaths; Suicide (from 2015); Wales prevention of future deaths reports (2019 onwards) | Cwm Taf Health Board | https://www.judiciary.uk/publications/connor-davies/ |
| 4 December 2019 | 2019-0411 | GW | David Reid | Worcestershire | State Custody related deaths | HMP Hewell | https://www.judiciary.uk/publications/gareth-warburton/ |
| 28 November 2019 | 2019-0410 | CL | Sarah Bourke | London Innner (North) | Care Home Health related deaths | Creative Support Limited | https://www.judiciary.uk/publications/christina-lawal/ |
| 3 December 2019 | 2019-0409 | LJ | John Gittins | North Wale (East and Central) | Alcohol, drug and medication related deaths; State Custody related deaths; Wales prevention of future deaths reports (2019 onwards) | HMP Berwyn; MOJ | https://www.judiciary.uk/publications/luke-jones/ |
| 29 November 2019 | 2019-0408 | LC | Kevin McLoughlin | West Yorkshire (East) | Hospital Death (Clinical Procedures and medical management) related deaths | GMC; Department of Health and Social Care | https://www.judiciary.uk/publications/leah-cambridge/ |
| 2 December 2019 | 2019-0407 | SB | Rachel Syed | Manchester (West) | Care Home Health related deaths | Rosewood Healthcare Group; Wigan Life Centre; CQC | https://www.judiciary.uk/publications/sidney-baker/ |
| 29 November 2019 | 2019-0406 | BM | Peter Sigee | Manchester (North) | Hospital Death (Clinical Procedures and medical management) related deaths | NICE | https://www.judiciary.uk/publications/brenda-mcwilliams/ |
| 2 December 2019 | 2019-0405 | AS | John Ellery | Shropshire, Telford & Wrekin | Child Death (from 2015) | Shropshire Safeguarding Partnership; CAFCASS | https://www.judiciary.uk/publications/archie-spriggs/ |
| 29 November 2019 | 2019-0404 | SB | Louise Hunt | Birmingham and Solihull | Road (Highways Safety) related deaths | S & J Transport; Scania; Road Haulage Association; Department of Transport | https://www.judiciary.uk/publications/suzanna-bull/ |
| 28 November 2019 | 2019-0403 | TW | Nichola Rheinberg | Wiltshire and Swindon | Hospital Death (Clinical Procedures and medical management) related deaths; Mental Health related deaths | NICE; Avon and Wiltshire Mental Health NHS Trust | https://www.judiciary.uk/publications/thomas-wedrychowski/ |
| 29 October 2019 | 2019-0402 | CG | Nichola Shaw | Cumbria | Hospital Death (Clinical Procedures and medical management) related deaths; Mental Health related deaths | Cumbria, Northumberland, Tyne and Wear NHS Trust | https://www.judiciary.uk/publications/charlotte-grace/ |
| 25 November 2019 | 2019-0401 | TB | David Regan | South Wale Central | Hospital Death (Clinical Procedures and medical management) related deaths; Wales prevention of future deaths reports (2019 onwards) | Cwm Taf University Health Board | https://www.judiciary.uk/publications/thomas-browne/ |
| 27 November 2019 | 2019-0400A | AH | Christopher Briggs | Manchester (South) | Care Home Health related deaths | Borough Care Limited | https://www.judiciary.uk/publications/andrew-hogg/ |
| 22 November 2019 | 2019-0399 | JA | Edwin Buckett | London Inner (North) | Other related deaths | London Borough of Tower Hamlets | https://www.judiciary.uk/publications/jonathan-adebanjo/ |
| 19 November 2019 | 2019-0398 | SD | Maria Voisin | Avon | Suicide (from 2015); State Custody related deaths | HM Prison and Probation Service | https://www.judiciary.uk/publications/shaun-dewey/ |
| 22 November 2019 | 2019-0396 | MM | Margaret Jones | Staffordshire (South) | Other related deaths | Department of Health and Social Care; NICE; Public Health England; British Medical Association; CQC; Trent and Dove Social Housing | https://www.judiciary.uk/publications/maureen-milton/ |
| 20 November 2019 | 2019-0395 | GL | Joanne Kearsley | Manchester (North) | Alcohol, drug and medication related deaths; Suicide (from 2015) | Jigsaw Homes Group; HM Prison and Probation Service | https://www.judiciary.uk/publications/gary-leyland/ |
| 20 November 2019 | 2019-0394 | NY | ME Hassell | London Inner (North) | Hospital Death (Clinical Procedures and medical management) related deaths; Mental Health related deaths | Camden & Islington NHS Trust; Metropolitan Police Service | https://www.judiciary.uk/publications/nimo-younis/ |
| 19 November 2019 | 2019-0393 | KC | Alison Mutch | Manchester (South) | Child Death (from 2015); Suicide (from 2015) | College of Policing; Department of Education; Department of Health and Social Care | https://www.judiciary.uk/publications/katie-croft/ |
| 19 November 2019 | 2019-0392 | HB | Paul Cooper | Lincolnshire | Alcohol, drug and medication related deaths; Emergency services related deaths (2019 onwards) | East Midlands Ambulance Service; CAT | https://www.judiciary.uk/publications/helen-barker/ |
| 19 November 2019 | 2019-0391 | JF | Heidi Connor | Berkshire | Railway related deaths | South Western Railways; The Office of Rail and Road | https://www.judiciary.uk/publications/james-fennell/ |
| 15 November 2019 | 2019-0390 | FS | Jonathan Landau | London (South) | Hospital Death (Clinical Procedures and medical management) related deaths | Greenbrook Healthcare; Bromley CCG | https://www.judiciary.uk/publications/francesca-sio/ |
| 19 November 2019 | 2019-0389 | AW | Jame Bennett | Birmingham and Solihull | Hospital Death (Clinical Procedures and medical management) related deaths | Midlands Partnership NHS Trust | https://www.judiciary.uk/publications/andrew-wells/ |
| 13 November 2019 | 2019-0388 | DM | Sonia Hayes | Mid Kent and Medway | Community health care related deaths | Medway Community Healthcare | https://www.judiciary.uk/publications/dorothy-macey/ |
| 18 November 2019 | 2019-0387 | DH | Nigel Parsley | Suffolk | Alcohol, drug and medication related deaths | Department of Health and Social Care | https://www.judiciary.uk/publications/deborah-headspeath/ |
| 18 November 2019 | 2019-0386 | AG | Catherine McKenna | Manchester (North) | Community health care related deaths; Alcohol, drug and medication related deaths | The Village Medical Centre | https://www.judiciary.uk/publications/alex-grady/ |
| 15 November 2019 | 2019-0385 | MH | Emma Brown | Birmingham and Solihull | Care Home Health related deaths | Friendship Care and Housing Limited | https://www.judiciary.uk/publications/mary-hoare/ |
| 18 November 2019 | 2019-0384 | EL | Jame Bennett | Birmimgham and Solihull | Emergency services related deaths (2019 onwards) | West Midlands Ambulance Service | https://www.judiciary.uk/publications/emma-langley/ |
| 15 November 2019 | 2019-0383 | AS | Alison Mutch | Manchester (South) | Hospital Death (Clinical Procedures and medical management) related deaths | Department of Health and Social Care | https://www.judiciary.uk/publications/averil-skoric/ |
| 8 November 2019 | 2019-0382 | AH | Simon Fox | Avon | Hospital Death (Clinical Procedures and medical management) related deaths | Spire Bristol Hospital | https://www.judiciary.uk/publications/antonis-hannides/ |
| 14 November 2019 | 2019-0381 | SN | Kevin McLoughlin | West Yorkshire (East) | Hospital Death (Clinical Procedures and medical management) related deaths; Child Death (from 2015) | Hull University Teaching Hospitals NHS Trust | https://www.judiciary.uk/publications/serena-nicholas/ |
| 5 November 2019 | 2019-0380 | NM | Fiona King | East Sussex | Hospital Death (Clinical Procedures and medical management) related deaths; State Custody related deaths | NHS England and NHS Improvement; HM Prison and Probation Service | https://www.judiciary.uk/publications/neville-mcnair/ |
| 12 November 2019 | 2019-0379 | CS | Peter Sigee | Cheshire | Road (Highways Safety) related deaths | Highways England | https://www.judiciary.uk/publications/costel-stancu/ |
| 8 November 2019 | 2019-0378 | SS | Peter Sigee | Cheshire | Community health related deaths | Rope Green Medical Centre | https://www.judiciary.uk/publications/sam-spooner/ |
| 6 November 2019 | 2019-0377 | HL | Catherine McKenna | Manchester (North) | Hospital Death (Clinical Procedures and medical management) related deaths | Heywood Health; Pennine Care NHS Trust; Rochdale Adult Care | https://www.judiciary.uk/publications/hazel-lewis/ |
| 7 November 2019 | 2019-0376 | PC | John Gitins | North Wale (East and Central) | Hospital Death (Clinical Procedures and medical management) related deaths; Wales prevention of future deaths reports (2019 onwards) | BCUHB | https://www.judiciary.uk/publications/peter-connelly/ |
| 3 November 2019 | 2019-0373 | RB | Emma Whitting | Bedfordshire and Luton | Accident at Work and Health and Safety related deaths | PLASA; Unusual Rigging Ltd | https://www.judiciary.uk/publications/russell-bowry/ |
| 23 December 2019 | 2019-0492 | AW | Christopher Wilkinson | Hampshire (Central) | Road (Highways Safety) related deaths | Hampshire County Council; Southampton County Council | https://www.judiciary.uk/publications/adam-wilcox/ |
| 13 December 2019 | 2019-0490 | HP | Crispin Butler | Buckinghamshire | Community health care related deaths | Carewatch | https://www.judiciary.uk/publications/heather-planner/ |
| 6 November 2019 | 2019-0375 | DW | Tom Osborne | Milton Keynes | State Custody related deaths; Suicide (from 2015) | HMP Woodhill | https://www.judiciary.uk/publications/darren-williams/ |
| 6 November 2019 | 2019-0374 | SS | David Urpeth | South Yorkshire (West) | Community health care related deaths; Hospital Death (Clinical Procedures and medical management) related deaths | Upwell Street Surgery; Royal Hallamshire Hospital; NHS Digital; CCG | https://www.judiciary.uk/publications/sandra-scott/ |
| 30 October 2019 | 2019-0372 | RG | ME Hassell | London Inner (North) | tate Custody related deaths | Care UK; HMP Pentonville | https://www.judiciary.uk/publications/robert-ginn/ |
| 28 October 2019 | 2019-0371 | JL | Graeme Irvine | London Inner (North) | Suicide (from 2015) | University of the Arts London; UCAS | https://www.judiciary.uk/publications/julius-little/ |
| 1 November 2019 | 2019-0370 | HS | Jean Harkin | Cheshire | Road (Highways Safety) related deaths; Child Death (from 2015) | Cheshire East Highways Department; Cheshire East Council | https://www.judiciary.uk/publications/hajra-sidat/ |
| 1 November 2019 | 2019-0370A | SS | Jean Harkin | Cheshire | Road (Highways Safety) related deaths | Cheshire East Highways Department; Cheshire East Council | https://www.judiciary.uk/publications/salma-sidat/ |
| 1 November 2019 | 2019-0370A | LS | Jean Harkin | Cheshire | Road (Highways Safety) related deaths | Cheshire East Highways Department; Cheshire East Council | https://www.judiciary.uk/publications/liyakat-sidat/ |
| 13 December 2019 | 2019-0483 | SH | Nadia Persaud | London (East) | Hospital Death (Clinical Procedures and medical management) related deaths; Mental Health related deaths | North East London Hospital Trust | https://www.judiciary.uk/publications/samantha-higgins/ |
| 14 November 2019 | 2019-0369 | JF | Caroline Beasley-Murray | Essex | Community health care related deaths; Alcohol, drug and medication related deaths | Mid Essex CCG Trust; NHS England; Department of Health and Social Care; Fern House Surgery | https://www.judiciary.uk/publications/joanna-flynn/ |
| 13 November 2019 | 2019-0368 | EJ | Margaret Jones | Staffordshire (South) | Other related deaths | Merlin Entertainment Limited; Drayton Manor Theme Park | https://www.judiciary.uk/publications/evha-jannath/ |
| 12 November 2019 | 2019-0367 | PM | Aled Gruffydd | Swansea Neath & Port Talbot | Hospital Death (Clinical Procedures and medical management) related deaths; Wales prevention of future deaths reports (2019 onwards) | ABMU Health Board | https://www.judiciary.uk/publications/pamela-moran/ |
| 6 November 2019 | 2019-0366 | SC | Rachel Galloway | Manchester City | Hospital Death (Clinical Procedures and medical management) related deaths | NHS England; NICE, Department of Health and Social Care; British Cardiovascular | https://www.judiciary.uk/publications/stuart-clarke/ |
| 7 November 2019 | 2019-0365 | CJ | Rachel Galloway | Manchester City | Hospital Death (Clinical Procedures and medical management) related deaths | Manchester University NHS Foundation Trust | https://www.judiciary.uk/publications/charlotte-jacobs/ |
| 5 November 2019 | 2019-0364 | CB | Joanne Kearsley | Manchester (North) | Hospital Death (Clinical Procedures and medical management) related deaths | Northern Care Alliance; Oldham CCG; Royal College of Nursing; Royal College of Pathologists | https://www.judiciary.uk/publications/christopher-byron/ |
| 30 October 2019 | 2019-0363 | PH | Karen Dilks | Newcastle upon Tyne | Emergency services related deaths (2019 onwards) | North East Ambulance Service | https://www.judiciary.uk/publications/philip-hayes/ |
| 9 December 2019 | 2019-0485 | JW | Robert Simpson | West Sussex | Community health care related deaths; Emergency services related deaths (2019 onwards) | Worthing Homes; South East Coast Ambulance Service; NHS Pathways | https://www.judiciary.uk/publications/john-wells/ |
| 30 October 2019 | 2019-0362 | DK | David Reid | Worcestershire | State Custody related deaths; Suicide (from 2015) | HMP Long Lartin | https://www.judiciary.uk/publications/david-kirsch/ |
| 25 October 2019 | 2019-0361 | JW | Veronica Hamilton-Deeley | Brighton and Hove | Hospital Death (Clinical Procedures and medical management) related deaths | Brighton and Sussex University Hospital NHS Trust | https://www.judiciary.uk/publications/jean-waghorn/ |
| 27 November 2019 | 2019-0484 | GR | Joanne Andrews | West Sussex | Suicide (from 2015) | Sussex Partnership NHS Trust | https://www.judiciary.uk/publications/george-rogers/ |
| 26 November 2019 | 2019-0496 | DP | Yvonne Blake | Norfolk | Hospital Death (Clinical Procedures and medical management) related deaths | Norfolk and Norwich University Hospital | https://www.judiciary.uk/publications/david-potts/ |
| 26 November 2019 | 2019-0495 | TO | Samantha Marsh | Hampshire | State Custody related deaths | HM Prison and Probation Service | https://www.judiciary.uk/publications/trevor-oakley/ |
| 8 October 2019 | 2019-0360 | MC | Claire Welch | Cheshire | Hospital Death (Clinical Procedures and medical management) related deaths | Nuffield Health | https://www.judiciary.uk/publications/mary-chapman/ |
| 4 October 2019 | 2019-0359 | JL | Aled Gruffydd | Swansea Neath & Port Talbot | Mental Health related deaths; Suicide (from 2015); Wales prevention of future deaths reports (2019 onwards) | ABMU Health Board | https://www.judiciary.uk/publications/jane-livington/ |
| 11 September 2019 | 2019-0358 | CS | Kevin McLoughlin | West Yorkshire (East) | Other related deaths | University of Birmingham | https://www.judiciary.uk/publications/carl-schmidt/ |
| 11 September 2019 | 2019-0357 | MJ | Andrew Haigh | Staffordshire South | Hospital Death (Clinical Procedures and medical management) related deaths; Mental Health related deaths | Midland Partnership NHS Trust | https://www.judiciary.uk/publications/maureen-jarvis/ |
| 5 September 2019 | 2019-0356 | TS | Geoffrey Sullivan | Hertfordshire | Hospital Death (Clinical Procedures and medical management) related deaths; Child Death (from 2015) | East and North Hertfordshire NHS Trust | https://www.judiciary.uk/publications/tillie-spencer-adams/ |
| 4 September 2019 | 2019-0355 | IM | Andrew Haigh | Staffordshire South | State Custody related deaths; Alcohol, drug and medication related deaths | HM Prison and Probation Service | https://www.judiciary.uk/publications/imran-mahmood/ |
| 24 October 2019 | 2019-0353 | JM | Andrew Barkley | Stoke-on-Trent & North Staffordshire | Hospital Death (Clinical Procedures and medical management) related deaths | University Hospital of North Midalnds | https://www.judiciary.uk/publications/julie-morrey/ |
| 24 October 2019 | 2019-0352 | DO | Rachael Griffin | Dorset | Other related deaths | Department of Health and Social Care; NPCC; College of Policing; National Ambulance Service Medical Directors; Association of Ambulance Chief Executives; Dorset Police; | https://www.judiciary.uk/publications/douglas-oak/ |
| 21 October 2019 | 2019-0351 | HU | Chinyere Inyama | London (West) | Alcohol, drug and medication related deaths; State Custody related deaths | HMP Wormwood Scrubs | https://www.judiciary.uk/publications/harold-uzomechina/ |
| 24 October 2019 | 2019-0350 | LM | Heidi Connor | Berkshire | Road (Highways Safety) related deaths | Ford UK; Highways England | https://www.judiciary.uk/publications/lorraine-mclellan/ |
| 24 October 2019 | 2019-0350A | CG | Heidi Connor | Berkshire | Road (Highways Safety) related deaths | Ford UK; Highways England | https://www.judiciary.uk/publications/catherine-gardiner/ |
| 29 August 2019 | 2019-0354 | ES | Elizabeth Didcock | Nottinghamshire | Community health care related deaths | Beechdale Medical Grou | https://www.judiciary.uk/publications/evelyn-swift/ |
| 15 October 2019 | 2019-0349 | MW | Christopher Murray | London (West) | Mental Health related deaths | West London Mental Health Trust | https://www.judiciary.uk/publications/matthew-williamson/ |
| 23 October 2019 | 2019-0348 | K | Sarah Bourke | London Inner (North) | Alcohol, drug and medication related deaths | Bart’s Health NHS Trust | https://www.judiciary.uk/publications/kenneth-daly/ |
| 22 October 2019 | 2019-0347 | PM | Graeme Hughes | South Wale Central | Emergency services related deaths (2019 onwards); Wales prevention of future deaths reports (2019 onwards) | Welsh Ambulance Service NHS Trust | https://www.judiciary.uk/publications/paul-mclean/ |
| 21 October 2019 | 2019-0346 | SR | Kevin McLoughlin | West Yorkshire (West) | Hospital Death (Clinical Procedures and medical management) related deaths | Leeds Teaching Hospitals NHS Trust; Calderdale and Huddersfield NHS Trust | https://www.judiciary.uk/publications/sharon-reeve/ |
| 15 October 2019 | 2019-0345 | DW | Andrew Harris | London Inner (South) | Hospital Death (Clinical Procedures and medical management) related deaths | NHS England; Department of Health; Guys & St Thomas NHS Trust | https://www.judiciary.uk/publications/derek-weaver/ |
| 15 October 2019 | 2019-0344 | AM | Andrew Harris | London Inner (South) | Child Death (from 2015) | MOJ; Department of Health and Social Care; HM Prison & Probation Service | https://www.judiciary.uk/publications/alex-malcolm/ |
| 15 November 2019 | JA | Jame Bennett | Birmingham and Solihull | Road (Highways Safety) related deaths | Highways England | https://www.judiciary.uk/publications/jamil-ahmed/ | |
| 14 November 2019 | EM | Alison McCormick | Berkshire | Road (Highways Safety) related deaths | Slough Borough Council Highways Department | https://www.judiciary.uk/publications/edward-mcgivern/ | |
| 30 September 2019 | 2019-0343 | AA | Edwin Buckett | London Inner (North) | Child Death (from 2015); Hospital Death (Clinical Procedures and medical management) related deaths | Great Ormond Street Hospital NHS Trust | https://www.judiciary.uk/publications/amy-allan/ |
| 14 October 2019 | 2019-0342 | CGB | ME Hassell | London Inner (North) | Other related deaths | Roundhouse; First Aid Cover Limited; White Branch Live Limited | https://www.judiciary.uk/publications/cesar-gonzalez-barron/ |
| 14 October 2019 | 2019-0341 | DN | Emma Brown | Birmingham and Solihull | Road (Highways Safety) related deaths | Highways England | https://www.judiciary.uk/publications/dev-naran/ |
| 10 October 2019 | 2019-0340 | IB | Andrew Cox | Cornwall and the Isle of Scilly | Emergency services related deaths (2019 onwards); Suicide (from 2015) | East Midlands Ambulance Service | https://www.judiciary.uk/publications/ian-bean/ |
| 8 October 2019 | 2019-0339 | SE | Andrew Haigh | Staffordshire South | Road (Highways Safety) related deaths | Staffordshire County Council | https://www.judiciary.uk/publications/steffan-evans/ |
| 24 September 2019 | 2019-0338 | FH | Briony Ballard | London Inner (South) | Hospital Death (Clinical Procedures and medical management) related deaths | University Hospital Lewisham | https://www.judiciary.uk/publications/francis-hodge/ |
| 10 October 2019 | 2019-0337 | AB | Maria Voisin | Avon | Alcohol, drug and medication related deaths; Mental Health related deaths | Department of Health and Social Care | https://www.judiciary.uk/publications/abdeslam-benelghazi/ |
| 9 October 2019 | 2019-0336 | ES | Guy Davies | Cornwall and the Isle of Scilly | Care Home Health related deaths | Antron Manor Care Home | https://www.judiciary.uk/publications/emily-sims/ |
| 30 September 2019 | 2019-0335 | OC | Briony Ballard | London Inner (South) | Other related deaths; Product related deaths | Byron Hamburgers; Department of Environment, Food and Rural Affairs; Department of Health and Social Care; Food Standards Agency; National Trading Standards Board; British Society for Allergy and Clinical Immunology | https://www.judiciary.uk/publications/owen-carey/ |
| 8 October 2019 | 2019-0334 | DH | Andrew Cox | Cornwall and the Isle of Scilly | Care Home Health related deaths | Pentree Lodge Home | https://www.judiciary.uk/publications/dylan-henty/ |
| 4 October 2019 | 2019-0333 | PE | Amy Street | Bedfordshire and Luton | Hospital Death (Clinical Procedures and medical management) related deaths | Bedford Hospital NHS Trust | https://www.judiciary.uk/publications/pamela-evans/ |
| 2 October 2019 | 2019-0331 | RR | Robert Simpson | West Sussex | Hospital Death (Clinical Procedures and medical management) related deaths | Western Sussex Hospitals NHS Trust | https://www.judiciary.uk/publications/richard-ridout/ |
| 2 October 2019 | 2019-0330 | PO | Alison Owen | Manchester (South) | Other related deaths | MOJ | https://www.judiciary.uk/publications/philip-owen/ |
| 2 October 2019 | 2019-0327 | SH | Robert Simpson | West Sussex | Road (Highways Safety) related deaths | West Sussex County Council | https://www.judiciary.uk/publications/saeid-hedayat/ |
| 1 October 2019 | 2019-0328 | OS | Alison Mutch | Manchester (South) | Alcohol, drug and medication related deaths; Mental Health related deaths; Suicide (from 2015) | Department of Health; Department of Education; Stockport CCG; Greater Manchester Health and Social Care Partnershi | https://www.judiciary.uk/publications/oliver-sharp/ |
| 30 September 2019 | 2019-0326 | CW | Alison Mutch | Manchester (South) | Hospital Death (Clinical Procedures and medical management) related deaths | Department of Health; Greater Manchester Health and Social Care Partnership; Mayor of Greater Manchester | https://www.judiciary.uk/publications/charles-williamson/ |
| 30 September 2019 | 2019-0325 | JB | Alison Mutch | Manchester (South) | Hospital Death (Clinical Procedures and medical management) related deaths | Department of Health | https://www.judiciary.uk/publications/julie-barrow/ |
| 30 September 2019 | 2019-0324 | KC | Alison Mutch | Manchester (South) | Child Death (from 2015); Hospital Death (Clinical Procedures and medical management) related deaths | Tameside CCG; King Street Medical Practice | https://www.judiciary.uk/publications/kaiya-campbell/ |
| 30 September 2019 | 2019-0323 | GE | Alison Mutch | Manchester (South) | Hospital Death (Clinical Procedures and medical management) related deaths | Park View Group Practice; Stockport CCG; Greater Manchester Health and Social Care Partnershi | https://www.judiciary.uk/publications/graham-earl/ |
| 30 September 2019 | 2019-0322 | MJ | Alison Mutch | Manchester (South) | Hospital Death (Clinical Procedures and medical management) related deaths | Manchester University NHS Trust | https://www.judiciary.uk/publications/mary-jones/ |
| 25 September 2019 | 2019-0321 | AH | Fiona Wilcox | London Inner (West) | Other related deaths; Alcohol, drug and medication related deaths | Metropolitan Police | https://www.judiciary.uk/publications/anna-hedman/ |
| 18 April 2019 | 2019-0320 | MM | Zafar Siddique | Black Country | Care Home Health related deaths | HC-One; Lakeview Care Home; CQC | https://www.judiciary.uk/publications/margaret-melia/ |
| 20 September 2019 | 2019-0319 | RL | Jeremy Chipperfield | Durham and Darlington | Care Home Health related deaths | Chilton Care Centre | https://www.judiciary.uk/publications/robert-lowe/ |
| 27 September 2019 | 2019-0318 | EE | John Gittins | North Wale (East and Central) | Care Home Health related deaths; Wales prevention of future deaths reports (2019 onwards) | Emral House Nursery Home | https://www.judiciary.uk/publications/edna-evans/ |
| 27 September 2019 | 2019-0317 | AM | Emma Brown | Birmingham and Solihull | Hospital Death (Clinical Procedures and medical management) related deaths | Birmingham and Solihull Mental Health NHS Trust | https://www.judiciary.uk/publications/anthony-mccormack-2/ |
| 24 September 2019 | 2019-0316 | MH | Catherine McKenna | Manchester (North) | Emergency services related deaths (2019 onwards); Hospital Death (Clinical Procedures and medical management) related deaths | North west Ambulance Service; Pennine Care NHS Trust | https://www.judiciary.uk/publications/muhammed-haleem/ |
| 23 September 2019 | 2019-0315 | KD | Richard Middleton | Dorset | Other related deaths | Department of Environment, Food and Rural Affairs; HSE; Chemical Business Association | https://www.judiciary.uk/publications/kristiyan-danailov/ |
| 25 September 2019 | 2019-0314 | PB | ME Hassell | London Inner (North) | Railway related deaths | Network Rail | https://www.judiciary.uk/publications/patrick-bolster/ |
| 25 September 2019 | 2019-0314A | BH | ME Hassell | London Inner (North) | Railway related deaths | Network Rail | https://www.judiciary.uk/publications/ben-haddon-cave/ |
| 24 September 2019 | 2019-0313 | RM | Briony Ballard | London Inner (South) | Hospital Death (Clinical Procedures and medical management) related deaths; Suicide (from 2015) | Kent and Medway NHS and Social Care Trust | https://www.judiciary.uk/publications/rebecca-marshall/ |
| 25 September 2019 | 2019-0312 | WM | Samantha Marsh | Hampshire | Mental Health related deaths; Suicide (from 2015) | BT; Hampshire Constabulary; South Central Ambulance Service | https://www.judiciary.uk/publications/99998/ |
| 24 September 2019 | 2019-0311 | MD | Rosamund Rhodes-Kem | Cambridgeshire and Peterborough | Child Death (from 2015); Hospital Death (Clinical Procedures and medical management) related deaths; Emergency services related deaths (2019 onwards) | Public Health England; NHS 111; Herts Urgent care Limited | https://www.judiciary.uk/publications/myla-deviren/ |
| 24 September 2019 | 2019-0310 | AH | Graeme Hughes | South Wale Central | Hospital Death (Clinical Procedures and medical management) related deaths; Mental Health related deaths; Wales prevention of future | University Health Board | https://www.judiciary.uk/publications/annette-hewins/ |
| 24 September 2019 | 2019-0309 | DW | Briony Ballard | London Inner (South) | Hospital Death (Clinical Procedures and medical management) related deaths | St Thomas NHS Foundation Trust | https://www.judiciary.uk/publications/daniel-williams-2/ |
| 19 September 2019 | 2019-0308 | KB | Chri Morris | Manchester (South) | Community health care related deaths | Heaton Moor Medical Grou | https://www.judiciary.uk/publications/kathryn-barrow/ |
| 19 September 2019 | 2019-0307 | IB | Chri Morris | Manchester (South) | Hospital Death (Clinical Procedures and medical management) related deaths; Suicide (from 2015) | Pennine Care NHS Trust | https://www.judiciary.uk/publications/ian-bromley/ |
| 19 September 2019 | 2019-0306 | IC | Chri Morris | Manchester (South) | Care Home Health related deaths | MHPRA | https://www.judiciary.uk/publications/irene-collins/ |
| 19 September 2019 | 2019-0305 | CT | Alison Mutch | Manchester (South) | Child Death (from 2015); Hospital Death (Clinical Procedures and medical management) related deaths | HSIB | https://www.judiciary.uk/publications/caspian-thorn/ |
| 19 September 2019 | 2019-0304 | MJ | Nigel Parsley | Suffolk | State Custody related deaths | SystemOne TPP Ltd; NHS England | https://www.judiciary.uk/publications/mark-jarvis/ |
| 19 September 2019 | 2019-0303 | PH | Alison Mutch | Manchester (South) | Suicide (from 2015) | Stamford Quarter Shopping Centre | https://www.judiciary.uk/publications/peter-harrison/ |
| 28 August 2019 | 2019-0302 | AS | Sean Cummings | London (West) | State Custody related deaths | Mitie Care and Custody; Home Office; CNWL NHS Trust; Hillingdon Hospital NHS Trust; Langley Health Centre | https://www.judiciary.uk/publications/amir-siman-tov/ |
| 18 September 2019 | 2019-0301 | GS | Emma Whitting | Bedfordshire & Luton | Community health care related deaths; Alcohol, drug and medication related deaths | N.I.C.E | https://www.judiciary.uk/publications/graham-saffery/ |
| 16 September 2019 | 2019-0300 | AJ | David Urpeth | South Yorkshire (West) | Emergency services related deaths (2019 onwards) | Yorkshire Ambulance Service | https://www.judiciary.uk/publications/arthur-jepson/ |
| 1 November 2019 | 2019-0332 | LBBMTA | HHJ Mark Lucraft QC | London Inner (South) | Other related deaths | The Secretary of State for the Home Department; The National Counter Terrorism Security Office; The Director-General of the Security Service; The Chief of the Secret Intelligence Service; The Commissioner of Police of the Metropolis; The Commissioner of City of London Police; The London Ambulance Service; The Secretary of State for Transport; The British Vehicle Rental and Leasing Association. | https://www.judiciary.uk/publications/london-bridge-borough-market-terror-attack/ |
| 17 September 2019 | 2019-0299 | TC | Jacqueline Lake | Norfolk | Alcohol, drug and medication related deaths; Child Death (from 2015); Mental Health related deaths | West Norfolk CCG; Norfolk and Suffolk NHS Trust; Queen Elizabeth Hospital; Norfolk County Council | https://www.judiciary.uk/publications/tyla-cook/ |
| 16 September 2019 | 2019-0298 | FJ | David Regan | South Wale Central | Emergency services related deaths (2019 onwards); Wales prevention of future deaths reports (2019 onwards) | Welsh Ambulance Service | https://www.judiciary.uk/publications/ffion-jones/ |
| 16 September 2019 | 2019-0297 | TF | Angela Brocklehurst | West Yorkshire (West) | Child Death (from 2015); Hospital Death (Clinical Procedures and medical management) related deaths | Calderdale and Huddersfield NHS Trust | https://www.judiciary.uk/publications/taejelle-francois/ |
| 13 September 2019 | 2019-0296 | LS | Andre Rebello | Liverpool and Wirral | Child Death (from 2015); Other related deaths | Department of Housing, Communities & Local Government | https://www.judiciary.uk/publications/lucia-stear/ |
| 21 January 2019 | 2019-0295 | RN | Martin Fleming | West Yorkshire (West) | Road (Highways Safety) related deaths | Calderdale Council | https://www.judiciary.uk/publications/robert-norton/ |
| 10 September 2019 | 2019-0294 | GSD | Louise Hunt | Birmingham and Solihull | Mental Health related deaths; Suicide (from 2015) | Walsall MBC; Birmingham City Council; Birmingham Women’s and Children’s NHS Trust; Priory Group of Hospitals | https://www.judiciary.uk/publications/gurdeep-singh-dundhal/ |
| 6 September 2019 | 2019-0293 | MC | Emma Whitting | Bedfordshire & Luton | Hospital Death (Clinical Procedures and medical management) related deaths; Child Death (from 2015) | Luton & Dunstable NHS Trust | https://www.judiciary.uk/publications/millie-creasy/ |
| 30 October 2019 | 2019-0493 | AL | Zafar Siddique | Black Country | Community health care related deaths | CQC; Brace Street Health Centre | https://www.judiciary.uk/publications/annie-lloyd/ |
| 29 August 2019 | 2019-0292 | MH | Joanne Kearsley | Manchester (North) | Other related deaths | MOJ; National Probation Service; Greater Manchester Police; NPCC; Lancashire Constabulary | https://www.judiciary.uk/publications/michael-hoolickin/ |
| 9 July 2019 | 2019-0291 | AD | Jame Bennett | Birmingham and Solihull | Alcohol, drug and medication related deaths; Emergency services related deaths (2019 onwards) | NHS England; NHS Digital | https://www.judiciary.uk/publications/allan-davies/ |
| 16 July 2019 | 2019-0289 | DC | Delroy Henry | Warwicjshire | Other related deaths | HM Prison and Probation Service | https://www.judiciary.uk/publications/darren-cumberbatch/ |
| 1 August 2019 | 2019-0288 | RH | John Pollard | Manchester (West) | Suicide (from 2015) | Department of Health and Social Care | https://www.judiciary.uk/publications/rebecca-henry/ |
| 22 July 2019 | 2019-0287 | RC | Louise Hunt | Birmingham and Solihull | Alcohol, drug and medication related deaths; Mental Health related deaths; Suicide (from 2015) | Birmingham City Council; West Midlands Police; Birmingham and Solihull Mental Health NHS Trust | https://www.judiciary.uk/publications/richard-carlon/ |
| 31 July 2019 | 2019-0286 | GB | Sarah Murphy | Stoke-on-Trent & North Staffordshire | Hospital Death (Clinical Procedures and medical management) related deaths | University Hospital of North Midlands | https://www.judiciary.uk/publications/gladys-borgogno/ |
| 26 July 2019 | 2019-0285 | SG | Elizabeth Gray | Milton Keynes | Hospital Death (Clinical Procedures and medical management) related deaths; Child Death (from 2015) | Milton Keynes CCG; Public Health England | https://www.judiciary.uk/publications/sam-grant/ |
| 31 July 2019 | 2019-0284 | NA | Jame Bennett | Birmingham and Solihull | Community health care related deaths; Emergency services related deaths (2019 onwards); Mental Health related deaths | Birmingham City Council; Birmingham and Solihull Mental Health NHS Trust; West Midlands Police; NHS Birmingham and Solihull CCG; NHS England; Department of Health and Social Care | https://www.judiciary.uk/publications/nigel-abbott/ |
| 1 August 2019 | 2019-0282 | DS | Ian Arrow | Plymouth, Torbay and South Devon | Child Death (from 2015); Mental Health related deaths; Suicide (from 2015) | Department of Education; Department of Health and Social Care | https://www.judiciary.uk/publications/daniel-shorrocks/ |
| 31 July 2019 | 2019-0281 | FC | ME Hassell | London Inner (North) | Hospital Death (Clinical Procedures and medical management) related deaths; Emergency services related deaths (2019 onwards) | London Ambulance Service NHS Trust; Whittington Health NHS Trust | https://www.judiciary.uk/publications/fern-marie-choya/ |
| 1 August 2019 | 2019-0280 | DC | Adrian Farrow | Manchester (South) | Community health care related deaths; Alcohol, drug and medication related deaths | West Timperley Medical Centre | https://www.judiciary.uk/publications/deborah-chapman/ |
| 2 August 2019 | 2019-0279 | CJ | Jacqueline Lake | Norfolk | Hospital Death (Clinical Procedures and medical management) related deaths | Queen Elizabeth Hospital | https://www.judiciary.uk/publications/carol-jennings/ |
| 6 August 2019 | 2019-0278 | PK | Adam Hodson | Birmingham and Solihull | Hospital Death (Clinical Procedures and medical management) related deaths | University Hospitals Birmimgham NHS Trust | https://www.judiciary.uk/publications/prabhaker-kapoor/ |
| 6 August 2019 | 2019-0277 | JC | Andrew Walker | London (North) | Hospital Death (Clinical Procedures and medical management) related deaths | Department of Health and Social Care; North Middlesex University Hopsital | https://www.judiciary.uk/publications/joseph-charles/ |
| 7 August 2019 | 2019-0276 | CK | Veronica Hamilton-Deeley | Brighton and Hove | Railway related deaths | Govia Thameslink Railways; Network Rail | https://www.judiciary.uk/publications/carl-klimaytys/ |
| 7 August 2019 | 2019-0275 | JL | Chri Morris | Manchester (South) | Care Home Health related deaths | CQC; NHS England | https://www.judiciary.uk/publications/joseph-lafferty/ |
| 9 August 2019 | 2019-0274 | RL | Alan Craze | East Sussex | Mental Health related deaths; Suicide (from 2015) | Department of Health; NHS England | https://www.judiciary.uk/publications/reece-lapina-amarelle/ |
| 12 August 2019 | 2019-0273 | KB | Louise Hunt | Birmingham and Solihull | Emergency services related deaths (2019 onwards); Suicide (from 2015) | West Midlands Police; Home Office | https://www.judiciary.uk/publications/karen-burns/ |
| 14 August 2019 | 2019-0272 | CH | Chri Morris | Manchester (South) | Other related deaths | Johnnie Johnson Housing | https://www.judiciary.uk/publications/christopher-hart/ |
| 14 August 2019 | 2019-0271 | DS | Zak Golombeck | Manchester (City) | Hospital Death (Clinical Procedures and medical management) related deaths | Manchester University NHS Trust | https://www.judiciary.uk/publications/david-smith/ |
| 14 August 2019 | 2019-0270 | GF | Heath Westerman | Chesshire | Emergency services related deaths (2019 onwards) | Department of Health and Social Care; North West Ambulance; Cheshire Fire and Rescue; Cheshire Constabulary | https://www.judiciary.uk/publications/gladys-furnival/ |
| 16 August 2019 | 2019-0269 | GR | Penelope Schofield | West Sussex | Other related deaths | Boehringer Ingelheim Limited | https://www.judiciary.uk/publications/george-rimmer/ |
| 18 August 2019 | 2019-0268 | GH | Andrew Cox | Cornwall and the Isle of Scilly | Hospital Death (Clinical Procedures and medical management) related deaths | Cornwall Partnershipship NHS Trust | https://www.judiciary.uk/publications/geraint-hughes/ |
| 16 May 2019 | 2019-0267 | DD | Darren Salter | Oxford | State Custody related deaths | HM Prison and Probation Service; Care UK; St Georges Hospital | https://www.judiciary.uk/publications/daniel-davey/ |
| 20 August 2019 | 2019-0266 | DW | Sonia Hayes | Mid Kent and Medway | Hospital Death (Clinical Procedures and medical management) related deaths | Medway Maritime Hospital | https://www.judiciary.uk/publications/daphne-wigley/ |
| 20 August 2019 | 2019-0265 | TD | ME Hassell | London Inner (North) | Hospital Death (Clinical Procedures and medical management) related deaths; Suicide (from 2015); Mental Health related deaths | East London NHS Trust | https://www.judiciary.uk/publications/tony-dunne/ |
| 22 August 2019 | 2019-0264 | EE | Ian Arrow | Plymouth, Torbay and South Devom | Hospital Death (Clinical Procedures and medical management) related deaths | Derriford Hospital Trust | https://www.judiciary.uk/publications/euan-ellis/ |
| 27 August 2019 | 2019-0262 | KM | Derek Winter | Sunderland | Other related deaths | Home Office | https://www.judiciary.uk/publications/kay-martin/ |
| 22 August 2019 | 2019-0263 | CS | Sarah-Jane Richards | South Wale Central | Hospital Death (Clinical Procedures and medical management) related deaths; Wales prevention of future deaths reports (2019 onwards) | Cardiff & Vale University Health Board | https://www.judiciary.uk/publications/christopher-summerhayes/ |
| 27 August 2019 | 2019-0261 | KM | Lydia Brown | Leicester City and Leicestershire | Hospital Death (Clinical Procedures and medical management) related deaths | Leicester NHS Trust | https://www.judiciary.uk/publications/kim-morris/ |
| 17 October 2019 | 2019-0481 | EF | Katy Skerrett | Gloucestershire | Hospital Death (Clinical Procedures and medical management) related deaths | Gloucestershire Hospitals NHS Trust | https://www.judiciary.uk/publications/elisa-fuller/ |
| 16 October 2019 | 2019-0482 | VH | Rachel Syed | Manchester (West) | Hospital Death (Clinical Procedures and medical management) related deaths | Salford Royal Hospital NHS Trust; MHRA; NMC | https://www.judiciary.uk/publications/victor-hall/ |
| 9 October 2019 | 2019-0468 | JF | Elizabeth Didcock | Nottinghamshire | Care Home Health related deaths; Other related deaths | RCP; RCGP; Royal College of Physicians; BPS; RCPLT; National Autistic Society | https://www.judiciary.uk/publications/james-frankish/ |
| 7 October 2019 | 2019-0469 | AR | Crispin Butler | Buckinghamshire | Alcohol, drug and medication related deaths | NHS Pathways | https://www.judiciary.uk/publications/alf-rewin/ |
| 4 October 2019 | 2019-0489 | ML | Russell Caller | London Inner (West) | Alcohol, drug and medication related deaths | Boots UK Limted; GPC; NHS England | https://www.judiciary.uk/publications/michael-lobban/ |
| 26 September 2019 | 2019-0260 | JS | Tom Osborne | Milton Keynes | Hospital Death (Clinical Procedures and medical management) related death; | Milton Keynes University Hospital | https://www.judiciary.uk/publications/john-shrosbree/ |
| 12 July 2019 | 2019-0239 | RK | Nichola Moss | Cambridgeshire and Peterborough | Other related deaths | Hamerton Zoological Park; Sphere Risk & Safety Management Ltd; Cambridgeshire Constabulary; HSE, Local Government Association | https://www.judiciary.uk/publications/rosa-king/ |
| 1 July 2019 | 2019-0222 | EB | Samantha Marsh | Portsmouth and South East Hampshire | Child Death (from 2015); Hospital Death (Clinical Procedures and medical management) related deaths | Portsmouth Hospitals NHS Trust; Midwifery and Maternity Portsmouth Hospitals NHS Trust | https://www.judiciary.uk/publications/ezra-boulton/ |
| 26 June 2019 | 2019-0221 | DM | Sarah Slater | South Yorkshire (East) | State Custody related deaths | MOJ | https://www.judiciary.uk/publications/darren-mcguin/ |
| 26 June 2019 | 2019-0220 | MM | Andrew Haigh | Staffordshire South | Hospital Death (Clinical Procedures and medical management) related deaths | University Hospitals of Derby and Burton NHS Trust | https://www.judiciary.uk/publications/maureen-martin/ |
| 5 July 2019 | 2019-0231 | KB | Karen Harrold | West Sussex | Road (Highways Safety) related deaths | West Sussex County Council | https://www.judiciary.uk/publications/keith-battman/ |
| 28 June 2019 | 2019-0224 | FL | Philip Barlow | London Inner (South) | Community health care related deaths | The Bexley Medical Grou | https://www.judiciary.uk/publications/feni-lee/ |
| 30 May 2019 | 2019-0181 | PM | Margaret Jones | Stoke-on-Trent & North Staffordshire | Community health care related deaths; Emergency services related deaths (2019 onwards) | AR1 Homecare Limited | https://www.judiciary.uk/publications/peter-moran/ |
| 3 July 2019 | 2019-0225 | JW | Andrew Cox | Cornwall and the Isle of Scilly | Hospital Death (Clinical Procedures and medical management) related deaths | NHS England; NHS Pathways | https://www.judiciary.uk/publications/jennifer-witney/ |
| 3 July 2019 | 2019-0226 | JD | Nadia Persaud | London (East) | Hospital Death (Clinical Procedures and medical management) related deaths | North East London NHS Trust; Goodmayes Hospital | https://www.judiciary.uk/publications/john-doyle/ |
| 1 July 2019 | 2019-0228 | AM | Andrew Barkley | Stoke-on-Trent & North Staffordshire | Hospital Death (Clinical Procedures and medical management) related deaths | NHS England | https://www.judiciary.uk/publications/andrew-mccall/ |
| 28 June 2019 | 2019-0229 | TR | Emma Serrano | Derby and Derbyshire | Road (Highways Safety) related deaths | Derbyshire County Council | https://www.judiciary.uk/publications/thomas-reid/ |
| 27 June 2019 | 2019-0227 | MF | J Robertson | Manchester (North) | Child Death (from 2015); Product related deaths | The Secretary of State for Housing | https://www.judiciary.uk/publications/macy-fletcher/ |
| 5 July 2019 | 2019-0232 | AB | Richard Brittain | London Inner (North) | Alcohol, drug and medication related deaths | Department of Work and Pensions | https://www.judiciary.uk/publications/alexander-boamah/ |
| 9 July 2019 | 2019-0233 | LM | Heidi Connor | Berkside | Alcohol, drug and medication related deaths; Police related deaths | Thames Valley Police; National Police Chiefs’ Council; College of Policing | https://www.judiciary.uk/publications/leroy-medford/ |
| 4 July 2019 | 2019-0234 | MT | Rachel Galloway | Manchester (West) | Care Home Health related deaths; Community health care related deaths; Hospital Death (Clinical Procedures and medical management) related deaths | Royton & Crompton Family Practice; Edge Hill Residential Home; Pennine Care NHS Trust; Oldham CCG | https://www.judiciary.uk/publications/miriam-tighe/ |
| 11 July 2019 | 2019-0237 | RR | Rachel Galloway | Manchester (West) | Care Home Health related deaths | HC-One | https://www.judiciary.uk/publications/robert-rostron/ |
| 11 July 2019 | 2019-0235 | LB | Andrew Haigh | Staffordshire (South) | Hospital Death (Clinical Procedures and medical management) related deaths | Midlands Partnership NHS Trust | https://www.judiciary.uk/publications/lindsey-bailey/ |
| 11 July 2019 | 2019-0236 | CS | John Gittins | North Wale (East and Central) | Suicide (from 2015); Wales prevention of future deaths reports (2019 onwards) | Welsh Government | https://www.judiciary.uk/publications/carl-sargeant/ |
| 12 July 2019 | 2019-0238 | JS | Alison McCormick | Berkshire | Road (Highways Safety) related deaths | The Highways Authority | https://www.judiciary.uk/publications/john-shackley/ |
| 12 July 2019 | 2019-0238A | JI | Alison McCormick | Berkshire | Road (Highways Safety) related deaths | The Highways Authority | https://www.judiciary.uk/publications/jason-imi/ |
| 17 July 2019 | 2019-0240 | AN | Henrietta Hill QC | London Inner (South) | Other related deaths | South Western Railways; The Office of Rail and Road; The British Heart Foundation | https://www.judiciary.uk/publications/annabel-newport/ |
| 17 July 2019 | 2019-0241 | AJ | Lydia Brown | Exeter and Greater Devon | Hospital Death (Clinical Procedures and medical management) related deaths | NHS England | https://www.judiciary.uk/publications/allan-joslin/ |
| 18 July 2019 | 2019-0242 | RQ | Kally Cheema | Cumbria | Road (Highways Safety) related deaths | DVSA | https://www.judiciary.uk/publications/rebecca-quail/ |
| 17 July 2019 | 2019-0243 | JW | Anna Loxton | Surrey | Accident at Work and Health and Safety related deaths | HSE | https://www.judiciary.uk/publications/jj-wilson/ |
| 12 September 2019 | 2019-0494 | WO | Joanne Kearsley | Manchester (North) | Hospital Death (Clinical Procedures and medical management) related deaths; Emergency services related deaths (2019 onwards) | Department of Health and Social Care; Blackpool CCG; North West Ambulance Service | https://www.judiciary.uk/publications/william-oliver/ |
| 19 July 2019 | 2019-0244 | CS | Jame Newman | Lancashire & Blackburn with Darwen | Other related deaths | Lancashire Constabulary; MOJ; HM Prison and Probation Service | https://www.judiciary.uk/publications/cherylee-shennan/ |
| 1 July 2019 | 2019-0245 | PL | Zafar Siddique | Black Country | Mental Health related deaths | Walsall Metropolitan Borough Council; Walsall Mental Health Partnershi | https://www.judiciary.uk/publications/peter-lawrence-2/ |
| 23 July 2019 | 2019-0246 | BH | Ian Boyes | South Wale Central | Care Home Health related deaths; Wales prevention of future deaths reports (2019 onwards) | NHS Wales; Care Inn Limited; Care Inspectorate Wales | https://www.judiciary.uk/publications/barbara-humphreys/ |
| 23 July 2019 | 2019-0247 | AH | Alison Mutch | Manchester (South) | Alcohol, drug and medication related deaths; State Custody related deaths; Police related deaths | Greater Manchester Police | https://www.judiciary.uk/publications/adam-harris/ |
| 19 July 2019 | 2019-0248 | ZT | Nicola Mundy | South Yorkshire (East) | Hospital Death (Clinical Procedures and medical management) related deaths | Public Health England, Yorkshire and the Humber Region | https://www.judiciary.uk/publications/zona-tebbs/ |
| 24 July 2019 | 2019-0249 | XC | Alison Mutch | Manchester (South) | Hospital Death (Clinical Procedures and medical management) related deaths; Child Death (from 2015) | Stepping Hill Hospital; Department of Health and Social Care; NICE | https://www.judiciary.uk/publications/xander-curran-pass/ |
| 25 July 2019 | 2019-0250 | OW | Mary Burke | West Yorkshire (West) | Other related deaths | Department for Education; UCAS; The Sixth Form Colleges Association | https://www.judiciary.uk/publications/owen-williams/ |
| 26 July 2019 | 2019-0251 | AR | Oliver Longstaff | West Yorkshire (West) | Road (Highways Safety) | Calderdale Council Highways Department | https://www.judiciary.uk/publications/antony-rogivska/ |
| 26 July 2019 | 2019-0253 | GS | Martin Fleming | West Yorkshire (West) | Hospital Death (Clinical Procedures and medical management) related deaths | Leeds Teaching Hospitals NHS Trust | https://www.judiciary.uk/publications/gladys-sayles/ |
| 24 July 2019 | 2019-0254 | HB | Alison Mutch | Manchester (South) | Suicide (from 2015); Mental Health related deaths | Department for Education; HSE; Greater Manchester Mental Health NHS Trust; Cheshire and Wirral Partnership NHS Trust | https://www.judiciary.uk/publications/hannah-bharaj/ |
| 26 July 2019 | 2019-0255 | WV | Tom Osborne | Milton Keynes | Emergency services related deaths (2019 onwards); State Custody related deaths | South Central Ambulance Services; HMP Woodhill, | https://www.judiciary.uk/publications/williams-vickers/ |
| 30 May 2019 | 2019-0256 | GD | Margaret Jones | Stoke-on-Trent & North Staffordshire | Hospital Death (Clinical Procedures and medical management) related deaths; Community health care related deaths | University Hospitals Birmingham NHS Trust; University Hospitals of Derby and Burton; Darwin medical Practice | https://www.judiciary.uk/publications/geoffrey-duke/ |
| 29 July 2019 | 2019-0257 | AM | Nigel Meadows | Manchester (City) | Suicide (from 2015) | Worcestershire Health Care and NHS Trust | https://www.judiciary.uk/publications/alistair-mcdonald/ |
| 25 July 2019 | 2019-0258 | SK | Laurinda Bower | Nottinghamshire | Other related deaths | URBN UK Ltd | https://www.judiciary.uk/publications/stanislawa-kmiecik/ |
| 29 July 2019 | 2019-0259 | AB | 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 Ltd | https://www.judiciary.uk/publications/alex-blake/ |
| 30 April 2019 | 2019-0217 | CJ | Ian Arrow | Plymouth, Torbay and South Devon | Other related deaths | Department for Transport | https://www.judiciary.uk/publications/clive-jones/ |
| 24 June 2019 | 2019-0213 | PT | Andrew Walker | London (North) | Other related deaths | Department for Transport; Occupational Safety Manager | https://www.judiciary.uk/publications/priscilla-tropp/ |
| 21 June 2019 | 2019-0215 | RT | Jame Healy-Pratt | East Sussex | State Custody related deaths | HM Prison and Probation Service | https://www.judiciary.uk/publications/ryan-trimmer/ |
| 18 March 2019 | 2019-0219 | PK | Jacqueline Lake | Norfolk | Hospital Death (Clinical Procedures and medical management) related deaths | Queen Elizabeth Hospital | https://www.judiciary.uk/publications/peter-knight-2/ |
| 24 June 2019 | 2019-0214 | LD | Andre Rebello | Liverpool | Railway related deaths | Department of Health and Social Care; NHS England; NHS Improvement | https://www.judiciary.uk/publications/lewis-doyle/ |
| 26 June 2019 | 2019-0212 | CK | Anna Crawford | Surrey | Community health care related deaths | Angel Solutions (UK) Limited | https://www.judiciary.uk/publications/charles-knapp/ |
| 27 June 2019 | 2019-0211 | EDC | Nadia Persaud | London (East) | Alcohol, drug and medication related deaths; Police related deaths | Metropolitan Police | https://www.judiciary.uk/publications/edir-da-costa/ |
| 25 June 2019 | 2019-0210 | RC | Xavier Mooyaart | London Inner (South) | Emergency services related deaths (2019 onwards) | 999 Liaison Committee; Department of Culture Media and Sport; London Ambulance Service | https://www.judiciary.uk/publications/robert-cobbina/ |
| 23 June 2019 | 2019-0209 | MM | Emma Brown | Birmingham and Solihull | State Custody related deaths; Mental Health related deaths | HMP Birmingham, MOJ, G45 | https://www.judiciary.uk/publications/marcus-mcguire/ |
| 25 June 2019 | 2019-0208 | JD | Jacqueline Lake | Norfolk | Care Home Health related deaths | Crystal Care Limited; Sapphire House | https://www.judiciary.uk/publications/james-delaney/ |
| 29 April 2019 | 2019-0207 | BT | David Ridley | Wiltshire and Swindon | Child Death (from 2015) | Department for Digital, Culture, Media & Sport | https://www.judiciary.uk/publications/bradley-trevarthen/ |
| 19 June 2019 | 2019-0206 | SL | Alison Mutch | Manchester (South) | Road (Highways Safety) related deaths | The Home Office; Greater Manchester Combined Authority | https://www.judiciary.uk/publications/sophie-lyons/ |
| 19 June 2019 | 2019-0205 | ML | Alison Mutch | Manchester (South) | Child Death (from 2015); Hospital Death (Clinical Procedures and medical management) related deaths | Department of Health and Social Care; Greater Manchester Combined Authority | https://www.judiciary.uk/publications/mason-logue/ |
| 19 June 2019 | 2019-0204 | TP | Sarah Bourke | London Inner (North) | Hospital Death (Clinical Procedures and medical management) related deaths | NHS Blood and Transplant; British Transplantation Society | https://www.judiciary.uk/publications/tien-phung/ |
| 20 June 2019 | 2019-0203 | MC | Andrew Cox | Cornwall and the Isle of Scilly | Care Home Health related deaths; Mental Health related deaths | Cornwall Council | https://www.judiciary.uk/publications/michael-cox/ |
| 19 June 2019 | 2019-0202 | JF | Penelope Schofield | West Sussex | Hospital Death (Clinical Procedures and medical management) related deaths | Shaw Healthcare; NICE | https://www.judiciary.uk/publications/james-francis/ |
| 18 June 2019 | 2019-0201 | AS | Andrew Bridgman | Manchester (South) | Other related deaths | Greater Manchester Police | https://www.judiciary.uk/publications/alfred-sykes/ |
| 18 June 2019 | 2019-0199 | SB | Nadia Persaud | London (East) | Community health care related deaths; Hospital Death (Clinical Procedures and medical management) related deaths | Barts Health NHS Trust; Royal Docks Medical Practice | https://www.judiciary.uk/publications/shahida-begum/ |
| 17 June 2019 | 2019-0198 | OH | Nigel Parsley | Suffolk | Emergency services related deaths (2019 onwards); Hospital Death (Clinical Procedures and medical management) related deaths | Association of Ambulance; N.I.C.E; East of England Ambulance Service | https://www.judiciary.uk/publications/oliver-hall/ |
| 17 June 2019 | 2019-0200 | JG | Christopher Dorries | South Yorkshire (West) | Mental Health related deaths | RDaSH NHS Trust; National Probation Service | https://www.judiciary.uk/publications/john-gogarty/ |
| 12 June 2019 | 2019-0195 | RB | Tanyka Rawden | South Yorkshire (West) | Accident at Work and Health and Safety related deaths | Beatson Clark | https://www.judiciary.uk/publications/richard-barraclough/ |
| 11 June 2019 | 2019-0193 | SH | Ian Arrow | Plymouth, Torbay and South Devon | Child Death (from 2015); Hospital Death (Clinical Procedures and medical management) related deaths | NHS England; NHS Digital | https://www.judiciary.uk/publications/sabastian-hibberd/ |
| 10 June 2019 | 2019-0192 | GB | Rachel Knight | South Wale Central | Hospital Death (Clinical Procedures and medical management) related deaths; Wales prevention of future deaths reports (2019 onwards) | Cardiff and Vale University Health Board; Cwm Taf Morgannwg University Health Board; Swansea Bay University Health Board; Powys Teaching Health Board; Hwyel Dda University Health Board; Welsh Assembly Government | https://www.judiciary.uk/publications/glenys-button/ |
| 10 June 2019 | 2019-0191 | BS | Joanne Kearsley | Manchester (North) | Community health care related deaths | Turning Point; Hopwood House Medical Practice; NHS Oldham CCG | https://www.judiciary.uk/publications/beverley-shaw/ |
| 12 April 2019 | 2019-0190 | AG | Terrence Carney | Gateshead & South Tyneside | Child Death (from 2015); Hospital Death (Clinical Procedures and medical management) related deaths | Gateshead Health NHS Trust | https://www.judiciary.uk/publications/archie-grieves/ |
| 6 June 2019 | 2019-0189 | RH | Brendan Allen | Dorset | Road (Highways Safety) related deaths | The Duchy of Cornwall | https://www.judiciary.uk/publications/richard-hallett/ |
| 3 June 2019 | 2019-0188 | DB | Emma Whitting | Bedfordshire & Luton | Police related deaths | Bedfordshire Police | https://www.judiciary.uk/publications/david-bird/ |
| 3 June 2019 | 2019-0187 | MJ | Emma Whitting | Bedfordshire & Luton | Alcohol, drug and medication related deaths | Department for Health & Social Care | https://www.judiciary.uk/publications/matthew-jones/ |
| 21 March 2019 | 2019-0178 | BT | Veronica Hamilton-Deeley | Brighton and Hove | Hospital Death (Clinical Procedures and medical management) related deaths | Sussex Partnership NHS Trust | https://www.judiciary.uk/publications/bethany-tenquist/ |
| 19 August 2019 | 2019-0499A | LH | Alan Craze | East Sussex | State Custody related deaths | HM Prisons and Probation Service; NHS England; Department of Health | https://www.judiciary.uk/publications/leslie-haines/ |
| 16 August 2019 | 2019-0491 | JG | Alan Craze | East Sussex | State Custody related deaths | MOJ; NHS England; Department of Health and Social Care | https://www.judiciary.uk/publications/justin-gallagher/ |
| 16 August 2019 | 2019-0486 | MH | Alan Craze | East Sussex | State Custody related deaths | Department of Health and Social Care; NHS England; HM Prisons and Probation Service | https://www.judiciary.uk/publications/martin-haines/ |
| 12 June 2019 | 2019-0194 | NQ | Derek Winter | Sunderland | Other related deaths | National Probation Service | https://www.judiciary.uk/publications/nguyen-quyen/ |
| 1 April 2019 | 2019-0197 | OA | Sarah Bourke | London Inner (North) | Road (Highways Safety) related deaths | Transport for London | https://www.judiciary.uk/publications/ozan-allen/ |
| 13 June 2019 | 2019-0196 | SC | Sean Cummings | London (West) | Hospital Death (Clinical Procedures and medical management) related deaths; Child Death (from 2015) | Royal College of Obstetricians and Gynaecologists | https://www.judiciary.uk/publications/sebastian-clark/ |
| 21 March 2019 | 2019-0175 | JW | Darren Salter | Oxfordshire | State Custody related deaths; | HM Prison and Probation Service; Healthcare Care UK | https://www.judiciary.uk/publications/john-wright-3/ |
| 7 March 2019 | 2019-0176 | SR | Darren Salter | Oxfordshire | Police related deaths | Thames Valley Police | https://www.judiciary.uk/publications/simon-robinson/ |
| 3 June 2019 | 2019-0185 | JR | Andrew Cox | Cornwall and the Isle of Scilly | Community health | Cornwall Council; MHRA | https://www.judiciary.uk/publications/jeanette-robinson/ |
| 3 June 2019 | 2019-0184 | KS | David Pojur | North Wale (East and Central) | Care Home Health related deaths | Coed Duon Care Home | https://www.judiciary.uk/publications/kathleen-smith-2/ |
| 24 May 2019 | 2019-0186 | NL | Angharad Davies | South Yorkshire (West) | Child Death (from 2015); Hospital Death (Clinical Procedures and medical management) related deaths | Sheffield Children’s NHS Trust | https://www.judiciary.uk/publications/noah-lomax/ |
| 31 May 2019 | 2019-0183 | CW | Yvonne Blake | Norfolk | Emergency services related deaths (2019 onwards) | East of England Ambulance Service | https://www.judiciary.uk/publications/christopher-williams-2/ |
| 31 May 2019 | 2019-0182 | JB | Heidi Connor | Berkshire | Police related deaths | Surrey Police | https://www.judiciary.uk/publications/joshua-blackham/ |
| 30 May 2019 | 2019-0180 | BH | Tom Osborne | Milton Keynes | Road (Highways Safety) related deaths | Highways England | https://www.judiciary.uk/publications/barbara-henderson/ |
| 22 May 2019 | 2019-0179 | JM | Roger Hatch | North West Kent | Hospital Death (Clinical Procedures and medical management) related deaths | Maidstone & Tonbridge Wells NHS Trust | https://www.judiciary.uk/publications/jonathan-mccarthy/ |
| 9 August 2019 | 2019-0498 | PH | Karen Dilks | Newcastle Upon Tyne | Road (Highways Safety) related deaths | Newcastle Upon Tyne City Council | https://www.judiciary.uk/publications/pauline-howell/ |
| 23 May 2019 | 2019-0167 | GS | Lydia Browne | Leicester City and Leicestershire South | Emergency services related deaths (2019 onwards) | JRCALC | https://www.judiciary.uk/publications/george-smith/ |
| 17 May 2019 | 2019-0160 | JSB | Crispin Butler | Buckinghamshire | Other related deaths | Civil Aviation Authority | https://www.judiciary.uk/publications/jaspal-singh-bahra/ |
| 28 May 2019 | 2019-0174 | MS | Karen Dilks | Newcastle Upon Tyne | Child Death (from 2015); Hospital Death (Clinical Procedures and medical management) related deaths | Northumbria Health Trust; North Tyneside Hospital | https://www.judiciary.uk/publications/maia-strachan/ |
| 9 April 2019 | 2019-0173 | AR | Ian Singleton | Wiltshire and Swindon | Road (Highways Safety) related deaths; Police related deaths; Emergency services related deaths (2019 onwards) | Wiltshire Police | https://www.judiciary.uk/publications/aidan-ridley/ |
| 28 March 2019 | 2019-0172 | TG | Sarah Bourke | London Inner (North) | Other related deaths | London Borough of Camden | https://www.judiciary.uk/publications/tony-goodridge/ |
| 28 May 2019 | 2019-0171 | GM | Clare Bailey | Teesside and Hartlepool | Care Home Health related deaths | Care Quality Commission; Rossmere Park Care Home | https://www.judiciary.uk/publications/gloria-mekins/ |
| 30 May 2019 | 2019-0177 | EI | Mark Layton | Camarthenshire and Pembrokeshire | Hospital Death (Clinical Procedures and medical management) related deaths; Mental Health related deaths; Wales prevention of future deaths reports (2019 onwards) | Hywel Dda University Health Board; Glangwili General Hospital | https://www.judiciary.uk/publications/emily-inglis/ |
| 24 May 2019 | 2019-0170 | BC | Caroline Saunders | Gloucestershire | Road (Highways Safety) related deaths | Gloucestershire County Council | https://www.judiciary.uk/publications/barry-clow/ |
| 24 May 2019 | 2019-0170A | RW | Caroline Saunders | Gloucestershire | Road (Highways Safety) related deaths | Gloucestershire County Council | https://www.judiciary.uk/publications/ray-westlake/ |
| 23 May 2019 | 2019-0169 | SF | David Reid | Hampshire (Central) | Suicide (from 2015) | https://www.judiciary.uk/publications/sasha-forster/ | |
| 25 May 2019 | 2019-0168 | AM | Caroline Saunders | Gloucestershire | Road (Highways Safety) related deaths | Gloucestershire County Council Highways Department | https://www.judiciary.uk/publications/ahmed-motala/ |
| 23 May 2019 | 2019-0166 | TJ | Shirley Radcliffe | London Inner (West) | Child Death (from 2015); Police related deaths; Emergency services related deaths (2019 onwards) | Metropolitan Police | https://www.judiciary.uk/publications/tyereece-johnson/ |
| 20 May 2019 | 2019-0165 | RP | Richard Middleton | Dorset | Road (Highways Safety) related deaths | Dorset Council Highways Department | https://www.judiciary.uk/publications/richard-phillips/ |
| 20 May 2019 | 2019-0164 | CB | Katy Skerrett | Gloucestershire | Road (Highways Safety) related deaths | The Driver Vehicle Standards Agency; The Road Haulage Association | https://www.judiciary.uk/publications/christopher-barnes/ |
| 11 March 2019 | 2019-0163 | MW | Jean Harkin | Manchester (City) | Hospital Death (Clinical Procedures and medical management) related deaths | MFT | https://www.judiciary.uk/publications/margaret-wilson/ |
| 11 March 2019 | 2019-0162 | PC | Jean Harkin | Manchester (City) | Hospital Death (Clinical Procedures and medical management) related deaths | MFT | https://www.judiciary.uk/publications/peter-carroll/ |
| 8 April 2019 | 2019-0150 | GT | David Clark | Portsmouth and South East Hampshire | Hospital Death (Clinical Procedures and medical management) related deaths; Mental Health related deaths | Hampshire County Council; southern Health NHS Trust | https://www.judiciary.uk/publications/george-twiddy/ |
| 9 May 2019 | 2019-0153 | JA | Katy Skerrett | Gloucestershire | Other related deaths | Department for Housing, Communities and Local Government | https://www.judiciary.uk/publications/john-alliston/ |
| 2 May 2019 | 2019-0148 | RK | Andrew Harris | London Inner (South) | Hospital Death (Clinical Procedures and medical management) related deaths | Nursing and Midwifery Council | https://www.judiciary.uk/publications/royston-kemp/ |
| 29 April 2019 | 2019-0147 | FA | Alison Mutch | Manchester (South) | Alcohol, drug and medication related deaths; Emergency services related deaths (2019 onwards) | HSE; National Ambulance Resilience Unit | https://www.judiciary.uk/publications/faye-allen/ |
| 29 April 2019 | 2019-0145 | DP | Alison Mutch | Manchester (South) | Alcohol, drug and medication related deaths | Stockport CCG | https://www.judiciary.uk/publications/david-price-2/ |
| 1 May 2019 | 2019-0144 | SM | Jonathan Leach | West Yorkshire (East) | Child Death (from 2015) | Leeds Martial Arts College | https://www.judiciary.uk/publications/scott-marsden/ |
| 2 May 2019 | 2019-0149 | AD | Laurinda Bower | Nottinghamshire | Child Death (from 2015); Hospital Death (Clinical Procedures and medical management) related deaths | NHS Pathways; NHS England; The Roundwood Medical Centre; N.I.C.E | https://www.judiciary.uk/publications/alexander-davidson/ |
| 1 May 2019 | 2019-0146 | JF | Tim Holloway | Blackpool & Fylde | Hospital Death (Clinical Procedures and medical management) related deaths | Blackpool Teaching Hospitals NHS Trust | https://www.judiciary.uk/publications/james-fletcher/ |
| 10 May 2019 | 2019-0161 | KC | ME Hassell | London Inner (North) | Child Death (from 2015) | William Perkin High School; London North West University Healthcare NHS Trust; London Ambulance Service; Mylan Pharmaceuticals; British Society for Allergy and Clinical Immunology; Royal College of Paediatrics and Child Health; Department of Health and Social Care; Department for Education | https://www.judiciary.uk/publications/karanbir-cheema/ |
| 17 May 2019 | 2019-0159 | BF | Andre Rebello | Liverpool and Wirral | Hospital Death (Clinical Procedures and medical management) related deaths | Cheshire and Wirral NHS Trust | https://www.judiciary.uk/publications/barry-fullarton/ |
| 17 May 2019 | 2019-0158 | JF | David Regan | South Wale Central | Child Death (from 2015); Hospital Death (Clinical Procedures and medical management) related deaths; Wales prevention of future deaths reports (2019 onwards) | Cwm Taf University Health Board | https://www.judiciary.uk/publications/jenson-francis/ |
| 17 May 2019 | 2019-0157 | MB | Chri Morris | Manchester (South) | Hospital Death (Clinical Procedures and medical management) related deaths | Tameside and Glossop Care NHS Trust; Tameside General Hospital | https://www.judiciary.uk/publications/mellin-beard/ |
| 8 April 2019 | 2019-0151 | RC | David Clark | Portsmouth and South East Hampshire | Hospital Death (Clinical Procedures and medical management) related deaths; Product related deaths | NHS Improvement; MHRA | https://www.judiciary.uk/publications/ronald-clark/ |
| 14 May 2019 | 2019-0152 | AW | David Clark | Portsmouth and South East Hampshire | Suicide (from 2015); Community health care | Probation Service; Southern Health NHS Trust; SCAS; Portsmouth Hospitals NHS Trust | https://www.judiciary.uk/publications/anthony-walker/ |
| 15 May 2019 | 2019-0154 | MP | Rachel Knight | South Wale Central | Emergency services related deaths (2019 onwards); Wales prevention of future deaths reports (2019 onwards) | Welsh Ambulance Service | https://www.judiciary.uk/publications/marion-prance/ |
| 16 May 2019 | 2019-0155 | BM | Maria Voisin | Avon | Suicide (from 2015) | Bristol University; Department of Education | https://www.judiciary.uk/publications/benjamin-murray/ |
| 16 May 2019 | 2019-0156 | KM | Geraint Williams | Worcestershire | Hospital Death (Clinical Procedures and medical management) related deaths | Worcestershire Acute Hospital NHS Trust | https://www.judiciary.uk/publications/kevin-mcdonald/ |
| 12 July 2019 | 2019-0329 | DJ | Emma Brown | Birmingham and Solihull | Mental Health related deaths; Hospital Death (Clinical Procedures and medical management) related deaths | Birmingham and Solihull Mental Health NHS Trust; West Midlands Police; Birmingham and Solihull CCG; NHS England; Black Country Partnership NHS Foundation Trust | https://www.judiciary.uk/publications/jonothan-jukes/ |
| 24 July 2019 | 2019-0497 | MW | Laurinda Bower | Nottinghamshire | Emergency services related deaths (2019 onwards) | National Ambulance Service | https://www.judiciary.uk/publications/maureen-woods/ |
| 21 June 2019 | 2019-0230 | MF | Karen Harrold | Hampshire (Central) | State Custody related deaths | MOJ; Hampshire Police Constabulary; GEOAmey; HMP Winchester; Central & North West London NHS NHS Trust | https://www.judiciary.uk/publications/michael-folley/ |
| 28 June 2019 | 2019-0223 | HB | David Ridley | Wiltshire and Swindon | Alcohol, drug and medication related deaths | Department of Health and Social Care | https://www.judiciary.uk/publications/heather-birchall/ |
| 8 April 2019 | 2019-0129 | TT | Alan Wilson | Blackpool & Fylde | Hospital Death (Clinical Procedures and medical management) related deaths | Blackpool Teaching Hospitals NHS Trust | https://www.judiciary.uk/publications/tina-tait/ |
| 13 March 2019 | 2019-0122 | MH | Emma Whitting | Bedfordshire & Luton | Hospital Death (Clinical Procedures and medical management) related deaths | East London NHS Trust | https://www.judiciary.uk/publications/mohammed-hussain/ |
| 10 April 2019 | 2019-0127A | DD | Gilva Tisshaw | Brighton and Hove | Police related deaths | Sussex Police | https://www.judiciary.uk/publications/david-dooley/ |
| 9 April 2019 | 2019-0126A | FM | Simon Jones | Lancaster & Blackburn with Darwen | Road (Highways Safety) related deaths | Lancashire County Council | https://www.judiciary.uk/publications/freda-mason/ |
| 2 April 2019 | 2019-0125A | SC | Philip Spinney | Exeter and Greater Devon | Hospital Death (Clinical Procedures and medical management) related deaths; Suicide (from 2015) | Royal Devon and Exeter NHS Trust | https://www.judiciary.uk/publications/stuart-clark/ |
| 18 March 2019 | 2019-0219A | PK | Jacqueline Lake | Norfolk | Hospital Death (Clinical Procedures and medical management) related deaths | The Queen Elizabeth Hospital | https://www.judiciary.uk/publications/peter-knight/ |
| 26 June 2019 | 2019-0218 | CC | Katy Skerrett | Gloucestershire | Railway related deaths | Network Rail | https://www.judiciary.uk/publications/colin-cameron/ |
| 27 June 2019 | 2019-0466 | FS | Tim Holloway | Blackpool & Fylde | Community health care related deaths; Hospital Death (Clinical Procedures and medical management) related deaths | Blackpool Teaching Hospital; Glenroyd Medical Practice | https://www.judiciary.uk/publications/frank-stockton/ |
| 15 January 2019 | 2019-0143 | CH | Sarah Ormond-Walshe | London (South) | Mental Health related deaths | Metropolitan Police | https://www.judiciary.uk/publications/catherine-horton/ |
| 20 June 2019 | 2019-0216 | GG | HH Peter Rock QC | Surrey | Other related deaths | Chief Coroner of England and Wales; President of the Royal College of Pathologists | https://www.judiciary.uk/publications/geoff-gray/ |
| 9 April 2019 | 2019-0123 | AB | Daniel Sharpstone | Suffolk | Hospital Death (Clinical Procedures and medical management) related deaths | Norfolk and Suffolk NHS Trust | https://www.judiciary.uk/publications/anthony-buckingham/ |
| 5 April 2019 | 2019-0130 | YH | Sonia Hayes | London (South) | Care Home Health related deaths; Community health care | Bondcare, Clarendon Care Home; Thornton Heath Medical Practice; Croydon County Council; CQC | https://www.judiciary.uk/publications/yong-hong/ |
| 2 April 2019 | 2019-0131 | TC | Richard Furniss | London (West) | Hospital Death (Clinical Procedures and medical management) related deaths; State Custody related deaths | Home Office; HM Prison & Probation Service; NHS England | https://www.judiciary.uk/publications/tarek-chowdhury/ |
| 5 April 2019 | 2019-0132 | AD | Simon Wickens | Surrey | Hospital Death (Clinical Procedures and medical management) related deaths | Ashford and St Peter’s Hospitals NHS Trust | https://www.judiciary.uk/publications/alice-dixon/ |
| 18 April 2019 | 2019-0130A | RN | Ian Arrow | Plymouth Torbay and South Devon | Hospital Death (Clinical Procedures and medical management) related deaths | Derriford Hospital Trust | https://www.judiciary.uk/publications/roger-neaves/ |
| 17 April 2019 | 2019-0125 | NC | Caroline Sumeray | Isle of Wight | Hospital Death (Clinical Procedures and medical management) related deaths | Hampshire and Isle of Wight CCG | https://www.judiciary.uk/publications/nathan-cooke/ |
| 17 April 2019 | 2019-0126 | MJ | Caroline Sumeray | Isle of Wight | Hospital Death (Clinical Procedures and medical management) related deaths | Hampshire and Isle of Wight CCG | https://www.judiciary.uk/publications/megan-jones/ |
| 17 April 2019 | 2019-0128 | JR | Heidi Connor | Berkshire | Road (Highways Safety) related deaths | Slough Borough Council | https://www.judiciary.uk/publications/june-russell/ |
| 17 April 2019 | 2019-0129A | BG | Sarah Bourke | London Inner (North) | Community health care | One Hosing Grou | https://www.judiciary.uk/publications/brian-goodman/ |
| 25 April 2019 | 2019-0134 | MD | Jonathan Layton | Camarthenshire and Pembrokeshire | Emergency services related deaths (2019 onwards); Wales prevention of future deaths reports (2019 onwards) | Welsh Ambulance Trust | https://www.judiciary.uk/publications/michael-davies/ |
| 18 April 2019 | 2019-0131A | GJ | Katy Skerrett | Gloucestershire | Hospital Death (Clinical Procedures and medical management) related deaths | Gloucestershire Hospitals NHS Trust | https://www.judiciary.uk/publications/graham-jones/ |
| 16 April 2019 | 2019-0132A | JY | Katy Skerrett | Gloucestershire | Hospital Death (Clinical Procedures and medical management) related deaths | Gloucestershire Hospitals NHS Trust | https://www.judiciary.uk/publications/jonathan-yates/ |
| 24 April 2019 | 2019-0133 | DH | Matthew Cox | Manchester (North) | Hospital Death (Clinical Procedures and medical management) related deaths | Pennine Acute Hospitals NHS Trust | https://www.judiciary.uk/publications/deborah-hopkinson/ |
| 2 April 2019 | 2019-0139 | ER | Zafar Siddique | Black Country | Hospital Death (Clinical Procedures and medical management) related deaths | New Cross Hospital NHS Trust; Wolverhampton City Council | https://www.judiciary.uk/publications/elsa-reid/ |
| 24 April 2019 | 2019-0135A | IA | Veronica Hamilton-Deeley | Brighton and Hove | Hospital Death (Clinical Procedures and medical management) related deaths | Brighton and Sussex University Hospitals NHS Trust | https://www.judiciary.uk/publications/ioannis-avgousti/ |
| 29 April 2019 | 2019-0002 | SK | Sarah Bourke | London Inner (North) | Hospital Death (Clinical Procedures and medical management) related deaths | Barts Health NHS Trust | https://www.judiciary.uk/publications/steffan-kuenzel/ |
| 25 April 2019 | 2019-0127 | MC | Sonia Hayes | Kent (North-East) | Emergency services related deaths (2019 onwards); Hospital Death (Clinical Procedures and medical management) related deaths | South East Coast Ambulance Service; East Kent University Hospitals; NHS England | https://www.judiciary.uk/publications/mildred-clark/ |
| 23 April 2019 | 2019-0137 | KH | Nigel Parsley | Suffolk | Hospital Death (Clinical Procedures and medical management) related deaths | Norfolk & Suffolk NHS Trust | https://www.judiciary.uk/publications/kerry-hunter/ |
| 12 April 2019 | 2019-0133A | EB | Crispin Butler | Buckinghamshire | Hospital Death (Clinical Procedures and medical management) related deaths | Oxford Health NHS Trust | https://www.judiciary.uk/publications/emma-butler/ |
| 15 April 2019 | 2019-0134A | NB | Jacqueline Lake | Norfolk | Mental Health related deaths; Hospital Death (Clinical Procedures and medical management) related deaths | Norfolk & Suffolk NHS Trust | https://www.judiciary.uk/publications/nyall-brown/ |
| 12 April 2019 | 2019-0135 | DT | Elisabeth Bussey-Jones | West Sussex | Alcohol, drug and medication related deaths; Police related deaths | Sussex Police; Association of Police Officers; College of Policing | https://www.judiciary.uk/publications/duncan-tomlin/ |
| 17 April 2019 | 2019-0128A | PK | Abigail Combes | South Yorkshire (West) | Care Home Health related deaths | Roseberry Care Centres | https://www.judiciary.uk/publications/patrick-kelly/ |
| 4 April 2019 | 2019-0136 | LA | Tony Brown | North Northumberland | Police related deaths | Northumbria Police | https://www.judiciary.uk/publications/lesley-armstrong/ |
| 15 April 2019 | 2019-0003 | JL | Roger Hatch | Kent (North-West) | Hospital Death (Clinical Procedures and medical management) related deaths | Oxleas NHS Trust | https://www.judiciary.uk/publications/jennifer-lewis/ |
| 15 April 2019 | 2019-0009 | SN | Jame Thompson | County Durham and Darlington | Road (Highways Safety) related deaths | Durham County Council | https://www.judiciary.uk/publications/shaun-neal/ |
| 26 April 2019 | 2019-0138 | WH | Alan Moore | Cheshire | Road (Highways Safety) related deaths | Cheshire West and Chester Council | https://www.judiciary.uk/publications/william-hignett/ |
| 29 April 2019 | 2019-0140 | GN | Fiona Wilcox | London Inner (West) | Railway related deaths; Mental Health related deaths | Royal Borough of Kensington and Chelsea; Central and North West London NHS Trust | https://www.judiciary.uk/publications/georgia-nelson/ |
| 30 April 2019 | 2019-0142 | MH | John Ellery | Shropshire, Telford & Wrekin | Hospital Death (Clinical Procedures and medical management) related deaths | Shrewsbury and Telford NHS Trust | https://www.judiciary.uk/publications/mark-hinton/ |
| 10 April 2019 | 2019-0124 | CI | Bina Patel | Kent (Central and South East) | Road (Highways Safety) related deaths | Kent County Council | https://www.judiciary.uk/publications/christopher-innes/ |
| 29 April 2019 | 2019-0141 | AS | Fiona Wilcox | London Inner (West) | Alcohol, drug and medication related deaths; Railway related deaths | Transport for London | https://www.judiciary.uk/publications/alfonso-sinclair/ |
| 22 March 2019 | 2019-0098 | MK | Tom Osborne | Milton Keynes | Hospital Death (Clinical Procedures and medical management) related deaths | Thames Valley and Wessex Operational Delivery Networks | https://www.judiciary.uk/publications/mark-kubiak/ |
| 18 March 2019 | 2019-0097 | FB | Nadia Persaud | London (East) | Care Home Health related deaths | The Kind Care Home | https://www.judiciary.uk/publications/frederick-brooker/ |
| 21 February 2019 | 2019-0095 | TS | Richard Travers | Surrey | Emergency services related deaths (2019 onwards); Hospital Death (Clinical Procedures and medical management) related deaths | South East Coast Ambulance Service Service; NHS England; Joint Royal Colleges Ambulance Liaison Committee; Mitie Care & Custody; Teesside University Hospitals; Surrey Police; College of Policing | https://www.judiciary.uk/publications/terrence-smith/ |
| 20 March 2019 | 2019-0096 | PS | Christopher Dorries | South Yorkshire (West) | Hospital Death (Clinical Procedures and medical management) related deaths | Cancer Alliance | https://www.judiciary.uk/publications/pamela-sunter/ |
| 19 March 2019 | 2019-0093 | MA | Jacqueline Devonish | Suffolk | Hospital Death (Clinical Procedures and medical management) related deaths | NHS England; Department of Health and Social Care | https://www.judiciary.uk/publications/mohammed-ahmed-2/ |
| 19 March 2019 | 2019-0092 | GT | John Hobson | Manchester (City) | Hospital Death (Clinical Procedures and medical management) related deaths | Pennine Acute Hospitals NHS Trust | https://www.judiciary.uk/publications/graham-tailby/ |
| 12 March 2019 | 2019-0091 | MG | Catherine McKenna | Manchester (North) | Hospital Death (Clinical Procedures and medical management) related deaths | Pennine Acute Hospital NHS Trust | https://www.judiciary.uk/publications/marjorie-gartside/ |
| 18 March 2019 | 2019-0090A | EL | Jacqueline Lake | Norfolk | Child Death (from 2015); Hospital Death (Clinical Procedures and medical management) related deaths | Norfolk & Suffolk NHS Trust | https://www.judiciary.uk/publications/ellie-long/ |
| 19 March 2019 | 2019-0094 | MP | Heath Westerman | Cheshire | Accident at Work and Health and Safety related deaths | HSE | https://www.judiciary.uk/publications/mark-parry/ |
| 14 March 2019 | 2019-0089 | KD | Alan Moore | Cheshire | Hospital Death (Clinical Procedures and medical management) related deaths | NHS England | https://www.judiciary.uk/publications/katharine-dowling/ |
| 13 March 2019 | 2019-0088 | TG | Jacqueline Lake | Norfolk | Hospital Death (Clinical Procedures and medical management) related deaths | Norfolk & Suffolk NHS Trust | https://www.judiciary.uk/publications/tamsin-grundy/ |
| 11 March 2019 | 2019-0087 | DM | Veronica Hamilton-Deeley | Brighton and Hove | Accident at Work and Health and Safety related deaths | Blatchington Mill School; Brighton and Hove City Council | https://www.judiciary.uk/publications/david-mobsby/ |
| 25 March 2019 | 2019-0090 | NB | Adam Hodson | Birmingham and Solihull | Alcohol, drug and medication related deaths; Mental Health related deaths; Hospital Death (Clinical Procedures and medical management) related deaths | Birmingham & Solihull Mental Heath NHS Trust | https://www.judiciary.uk/publications/nora-bruton/ |
| 25 March 2019 | 2019-0100 | CG | Richard Middleton | Dorset | Road (Highways Safety) related deaths | Bournemouth Borough Council | https://www.judiciary.uk/publications/christopher-gibbs/ |
| 25 February 2019 | 2019-0102 | SK | Robert Chapman | Cumbria | Railway related deaths; Suicide (from 2015) | Network Rail | https://www.judiciary.uk/publications/steven-key/ |
| 22 March 2019 | 2019-0101 | BH | Yvonne Blake | Norfolk | Hospital Death (Clinical Procedures and medical management) related deaths | Norfolk and Norwich University Hospital | https://www.judiciary.uk/publications/brian-havard/ |
| 27 March 2019 | 2019-0103 | JB | Jacqueline Devonish | Suffolk | Hospital Death (Clinical Procedures and medical management) related deaths | NHS Suffolk | https://www.judiciary.uk/publications/justin-brown/ |
| 20 March 2019 | 2019-0104 | CB | Tim Holloway | Blackpool & Fylde | Other related deaths | https://www.judiciary.uk/publications/christopher-bevan/ | |
| 28 March 2019 | 2019-0105 | WR | Caroline Sumeray | Isle of Wight | Other related deaths; Emergency services related deaths (2019 onwards) | Cowes Week Limited; Jubilee Stores; Emergency Preparedness, Resilience and Response | https://www.judiciary.uk/publications/wayne-rodgers/ |
| 29 March 2019 | 2019-0106 | CB | Christopher Murray | Manchester (South) | Hospital Death (Clinical Procedures and medical management) related deaths | N.I.C.E | https://www.judiciary.uk/publications/colin-bailey/ |
| 29 March 2019 | 2019-0107 | AC | Anthony Mazzag | Manchester (City) | Mental Health related deaths; Hospital Death (Clinical Procedures and medical management) related deaths | Pennine Acute Hospitals NHS Trust; Greater Manchester Mental Health NHS Trust | https://www.judiciary.uk/publications/ann-corfield/ |
| 22 March 2019 | 2019-0110 | BR | Martin Fleming | West Yorjshire (West) | Product related deaths | Stone Federation of GB; Ministry of Housing, Communities and Local Government | https://www.judiciary.uk/publications/bram-radcliffe/ |
| 7 March 2019 | 2019-0112 | MB | Timothy Brennard | Lincolnshire | Road (Highways Safety) related deaths | Department for Transport; Lincolnshire County Council | https://www.judiciary.uk/publications/matthew-bilby/ |
| 1 April 2019 | 2019-0108 | AC | Nichola Rheinberg | Wilshire and Swindon | Other related deaths | CQC; Royal Institute of British Architects | https://www.judiciary.uk/publications/andrew-clegg/ |
| 11 March 2019 | 2019-0086 | TB | Deborah Archer | Plymouth Torbay and South Devon | Hospital Death (Clinical Procedures and medical management) related deaths | University Hospitals Plymouth NHS Trust | https://www.judiciary.uk/publications/terence-bradfield/ |
| 7 March 2019 | 2019-0083 | KM | John Gittins | North Wale (East and Central) | Other related deaths; Wales prevention of future deaths reports (2019 onwards) | The Canal and River Trust | https://www.judiciary.uk/publications/kristopher-mcdowell/ |
| 7 March 2019 | 2019-0085 | CA | Alison Hewitt | London (City) | Hospital Death (Clinical Procedures and medical management) related deaths | Barts Health NHS Trust | https://www.judiciary.uk/publications/chand-ali/ |
| 8 March 2019 | 2019-0084 | JR | Penelope Schofield | West Sussex | Hospital Death (Clinical Procedures and medical management) related deaths | Sussex NHS Trust | https://www.judiciary.uk/publications/john-richardson/ |
| 22 February 2019 | 2019-0082 | GK | Philip Barlow | London Inner (South) | Hospital Death (Clinical Procedures and medical management) related deaths | Barts Health NHS Trust | https://www.judiciary.uk/publications/gabriele-kreichgauer/ |
| 26 February 2019 | 2019-0080 | LM | Aled Gruffydd | Swansea Neath & Port Talbot | Road (Highways Safety) related deaths; Wales prevention of future deaths reports (2019 onwards) | Welsh Government | https://www.judiciary.uk/publications/lyn-morgan/ |
| 26 February 2019 | 2019-0079 | DC | Alison Mutch | Manchester (South) | Mental Health related deaths; Railway related deaths; Alcohol, drug and medication related deaths | Department for Health and Social Care | https://www.judiciary.uk/publications/danyon-chesters/ |
| 1 March 2019 | 2019-0078 | JM | Rachel Knight | South Wale Central | Community health care; Wales prevention of future deaths reports (2019 onwards) | Cardiff University | https://www.judiciary.uk/publications/jack-may/ |
| 26 February 2019 | 2019-0081 | KM | Stephanie Haskey | Nottinghamshire | Hospital Death (Clinical Procedures and medical management) related deaths | Doncaster and Bassetlaw Teaching Hospitals NHS Trust | https://www.judiciary.uk/publications/kathleen-mcgeary/ |
| 1 February 2019 | 2019-0077 | SH | Jame Bennett | Birmingham and Solihull | Hospital Death (Clinical Procedures and medical management) related deaths; Mental Health related deaths | Birmingham and Solihull CCG; CQC | https://www.judiciary.uk/publications/stephen-harte/ |
| 27 February 2019 | 2019-0076 | HN | Oliver Longstaff | West Yorkshire (East) | Child Death (from 2015); Road (Highways Safety) related deaths | Leeds City Council | https://www.judiciary.uk/publications/hoshi-naylor/ |
| 27 February 2019 | 2019-0075 | SG | Penelope Schofield | West Sussex | Other related deaths | Park Holiday UK Limited | https://www.judiciary.uk/publications/shane-gray/ |
| 27 February 2019 | 2019-0074 | KS | Geraint Williams | Worcestershire | State Custody related deaths | HM Prison Service and HMP Hewell | https://www.judiciary.uk/publications/kelvin-speakman/ |
| 26 February 2019 | 2019-0072 | NM | Chri Morris | Manchester (South) | Hospital Death (Clinical Procedures and medical management) related deaths | Department for Health and Social Care | https://www.judiciary.uk/publications/nathan-mooney/ |
| 26 February 2019 | 2019-0071 | GJ | Chri Morris | Manchester (South) | Hospital Death (Clinical Procedures and medical management) related deaths | Manchester University Hospitals NHS Trust | https://www.judiciary.uk/publications/geoffrey-jackson/ |
| 27 February 2019 | 2019-0070 | TF | Fiona Wilcox | London Inner (West) | Community health care | CQC; Lisson Grove Health Centre | https://www.judiciary.uk/publications/theresa-feehan/ |
| 3 April 2019 | 2019-0115 | AA | Stephen Eccleston | South Yorkshire (West) | Child Death (from 2015); Hospital Death (Clinical Procedures and medical management) related deaths | Sheffield Children’s Hospital; Sheffield CCG | https://www.judiciary.uk/publications/aryan-akhgar/ |
| 5 April 2019 | 2019-0120 | RK | Caroline Beasley-Murray | Essex | Police related deaths | Essex Police | https://www.judiciary.uk/publications/raymond-knight/ |
| 21 January 2019 | 2019-0116 | AH | John Hobson | West Yorkshire (East) | Hospital Death (Clinical Procedures and medical management) related deaths | The Mid Yorkshire Hospitals NHS Trust | https://www.judiciary.uk/publications/alfred-howell/ |
| 1 April 2019 | 2019-0117 | AG | Maria Voisin | Avon | Hospital Death (Clinical Procedures and medical management) related deaths | Royal United Hospital | https://www.judiciary.uk/publications/alexander-green/ |
| 1 April 2019 | 2019-0118 | MT | Maria Voisin | Avon | Hospital Death (Clinical Procedures and medical management) related deaths | Royal United Hospital, Bath; Banes CCG | https://www.judiciary.uk/publications/marcie-tadman/ |
| 4 April 2019 | 2019-0119 | JP | Christopher Williams | London Inner (South) | Road (Highways Safety) related deaths | Department for Transport | https://www.judiciary.uk/publications/julia-peto/ |
| 5 April 2019 | 2019-0121 | JH | Rachael Knight | South Wale Central | Child Death (from 2015); Hospital Death (Clinical Procedures and medical management) related deaths; Wales prevention of future deaths reports (2019 onwards) | Cwm Taf Health Board; General Medical Council | https://www.judiciary.uk/publications/jennifer-handy/ |
| 27 March 2019 | 2019-0111 | DW | Andrew Harris | London Inner (South) | Hospital Death (Clinical Procedures and medical management) related deaths | London Borough of Lewisham; National Police Chiefs Council; Home Office; Department of Health and Social Care; Local Government Association | https://www.judiciary.uk/publications/donna-williamson/ |
| 22 February 2019 | 2019-0109 | DF | Paul O’Donnell | Cumbria | Road (Highways Safety) related deaths | Highways England | https://www.judiciary.uk/publications/doreen-fell/ |
| 3 April 2019 | 2019-0113 | RL | Emma Brown | Birmingham and Solihull | Hospital Death (Clinical Procedures and medical management) related deaths | University Hospitals Birmingham NHS Trust | https://www.judiciary.uk/publications/ronald-lowe/ |
| 3 April 2019 | 2019-0114 | TT | Andrew Cox | Plymouth Torbay and South Devon | Hospital Death (Clinical Procedures and medical management) related deaths | University Hospitals Plymouth NHS Trust; Derriford Hospital | https://www.judiciary.uk/publications/terence-thornton/ |
| 19 February 2019 | 2019-0057 | JK | Nigel Meadows | Manchester (City) | Mental Health related deaths | Manchester City Council; Manchester Mental Health NHS Trust | https://www.judiciary.uk/publications/janice-keelan/ |
| 14 January 2019 | 2019-0056 | DP | Alison Mutch | Manchester (South) | Mental Health related deaths; Suicide (from 2015) | Greater Manchester Police; Home Office | https://www.judiciary.uk/publications/dane-pearson/ |
| 15 February 2019 | 2019-0055 | DT | Alison Mutch | Manchester (South) | Other related deaths | HSE | https://www.judiciary.uk/publications/dwayne-thompson/ |
| 20 February 2019 | 2019-0059 | MR | Jane Gillespie | Nottinghamshire | Hospital Death (Clinical Procedures and medical management) related deaths | Nottinghamshire University Hospitals NHS Trust | https://www.judiciary.uk/publications/malcolm-rathmell/ |
| 12 February 2019 | 2019-0054 | BG | Rosemary Baxter | East Riding and Hull | Other related deaths | The Crossing Project | https://www.judiciary.uk/publications/bryan-gray/ |
| 14 February 2019 | 2019-0053 | JM | Nichola Flanagan | Manchester (North) | Hospital Death (Clinical Procedures and medical management) related deaths | Oldham Care Commissioning Group; Northern Care Alliance NHS Group; St Chads Medical Practice; Pennine Care NHS Trust | https://www.judiciary.uk/publications/john-mellor/ |
| 14 February 2019 | 2019-0052 | DM | Tom Osborne | Milton Keynes | Emergency services related deaths (2019 onwards) | Milton Keynes CCG | https://www.judiciary.uk/publications/douglas-minns/ |
| 14 February 2019 | 2019-0051 | JS | Veronica Hamilton-Deeley | Brighton and Hove | Emergency services related deaths (2019 onwards); Hospital Death (Clinical Procedures and medical management) related deaths | South East Coast Ambulance Service; NHS Pathways | https://www.judiciary.uk/publications/john-scott/ |
| 24 February 2019 | 2019-0073 | PD | Elizabeth Didcock | Nottinghamshire | Suicide (from 2015) | Central Medical Services | https://www.judiciary.uk/publications/polly-drew/ |
| 25 February 2019 | 2019-0064 | BG | Nadia Persaud | London (East) | Hospital Death (Clinical Procedures and medical management) related deaths | Royal London Hospital | https://www.judiciary.uk/publications/brenda-gowan/ |
| 22 February 2019 | 2019-0065 | JS | Nigel Parsley | Suffolk | Accident at Work and Health and Safety related deaths | International Maritime Organisation; Vantage Drilling Company | https://www.judiciary.uk/publications/jeremy-sutch/ |
| 26 February 2019 | 2019-0066 | CM | Andrew Haigh | Staffordshire South | State Custody related deaths; Suicide (from 2015) | MOJ | https://www.judiciary.uk/publications/christopher-moss/ |
| 26 February 2019 | 2019-0067 | JT | Catherine Wood | London (West) | Hospital Death (Clinical Procedures and medical management) related deaths | London North West University NHS Trust | https://www.judiciary.uk/publications/john-thorp/ |
| 25 February 2019 | 2019-0068 | JP | Edwin Buckett | London Inner (North) | Hospital Death (Clinical Procedures and medical management) related deaths | Central and North West London NHS Trust | https://www.judiciary.uk/publications/john-pearce/ |
| 27 February 2019 | 2019-0069 | PG | Fiona Wilcox | London Inner (West) | Mental Health related deaths; Suicide (from 2015) | Central and North West London NHS Trust; NHS England | https://www.judiciary.uk/publications/peter-garvin/ |
| 20 February 2019 | 2019-0058 | KM | Dianne Hockling | Leicester City and South Leicestershire | Other related deaths | Inspector of Diving; HSE | https://www.judiciary.uk/publications/kevin-miles/ |
| 21 February 2019 | 2019-0060 | RC | Jacqueline Lake | Norfolk | Emergency services related deaths (2019 onwards) | East of England Ambulance Service | https://www.judiciary.uk/publications/robert-chandler/ |
| 21 February 2019 | 2019-0061 | JG | Grahame Short | Southampton and New Forest | Alcohol, drug and medication related deaths | Southampton City Council; Hampshire Police | https://www.judiciary.uk/publications/jason-gregory/ |
| 25 January 2019 | 2019-0062 | DS | Emma Serrano | Black Country | Hospital Death (Clinical Procedures and medical management) related deaths; Mental Health related deaths | NHS England | https://www.judiciary.uk/publications/david-squire/ |
| 21 February 2019 | 2019-0063 | EW | Maria Voisin | Avon | Other related deaths | Persimmon Homes Severn Valley; North Somerset Council | https://www.judiciary.uk/publications/evie-wright/ |
| 8 February 2019 | 2019-0040 | JC | Jame Bennett | Birmingham and Solihull | Care Home Health related deaths | Cole Valley Care Limited | https://www.judiciary.uk/publications/jean-cutler/ |
| 7 February 2019 | 2019-0039 | SK | Louise Hunt | Birmingham an Solihull | Mental Health related deaths; Suicide (from 2015); Hospital Death (Clinical Procedures and medical management) related deaths | Birmingham and Solihull Mental Health NHS Trust; Department of Health; Birmingham Cross City CCG | https://www.judiciary.uk/publications/stephen-kennedy/ |
| 31 January 2019 | 2019-0038 | AC | Louise Hunt | Birmingham and Solihull | Alcohol, drug and medication related deaths; State Custody related deaths | G4s; HM Prisons and Probation; MOJ | https://www.judiciary.uk/publications/andrew-carr/ |
| 25 January 2019 | 2019-0037 | SP | Karen Dilks | Newcastle upon Tyne | Hospital Death (Clinical Procedures and medical management) related deaths | Royal College of Surgeons of England | https://www.judiciary.uk/publications/stephen-pettitt/ |
| 28 January 2019 | 2019-0036 | SB | Tanyka Rawden | Nottinghamshire | Community health care related deaths | First Class Care | https://www.judiciary.uk/publications/simon-barber/ |
| 29 January 2019 | 2019-0035 | SH | Shirley Radcliffe | London (East) | Hospital Death (Clinical Procedures and medical management) related deaths; Child Death (from 2015) | Department for Health and Social Care; NHS England | https://www.judiciary.uk/publications/sophie-holman/ |
| 28 January 2019 | 2019-0034 | TP | Paul Smith | Lincolnshire | Product related deaths | LEC Refrigeration; Office for Product Safety and Standards | https://www.judiciary.uk/publications/terence-penney/ |
| 6 March 2019 | 2019-0037A | MH | Kirsty Gomersal | Cumbria | Road (Highways Safety) related deaths; Alcohol, drug and medication related deaths | Cumbria County Council (Highways Department) | https://www.judiciary.uk/publications/michael-henderson/ |
| 28 January 2019 | 2019-0033 | JH | ME Hassell | London Inner (North) | Alcohol, drug and medication related deaths | Egg London Nightclub | https://www.judiciary.uk/publications/jack-hubbard/ |
| 28 January 2019 | 2019-0032 | CC | Christopher Morris | Manchester (South) | Hospital Death (Clinical Procedures and medical management) related deaths | Pennine Care NHS Trust | https://www.judiciary.uk/publications/conor-crutchley/ |
| 24 January 2019 | 2019-0031 | OJ | Paul Cooper | Lincolnshire | Emergency services related deaths (2019 onwards) | East Midlands Ambulance Service | https://www.judiciary.uk/publications/olive-johnson/ |
| 14 February 2019 | 2019-0050 | MH | Jeremy Chipperfield | County Durham and Darlington | Alcohol, drug and medication related deaths; State Custody related deaths | HMP Durham | https://www.judiciary.uk/publications/matthew-hamilton/ |
| 14 February 2019 | 2019-0049 | KW | Veronica Hamilton-Deeley | Brighton and Hove | Hospital Death (Clinical Procedures and medical management) related deaths | Brighton and Sussex University Hospitals NHS Trust | https://www.judiciary.uk/publications/kenneth-whittington/ |
| 13 February 2019 | 2019-0048 | ML | Graeme Hughes | South Wale Central | Emergency services related deaths (2019 onwards); Suicide (from 2015); Wales prevention of future deaths reports (2019 onwards) | South Wales Police; College of Policing | https://www.judiciary.uk/publications/matthew-lewis/ |
| 13 February 2019 | 2019-0047 | BZ | Stephen Nicholls | Dorset | State Custody related deaths | Home Office | https://www.judiciary.uk/publications/branko-zdravkovic/ |
| 12 February 2019 | 2019-0046 | HC | Andrew Bridgman | Manchester (South) | Hospital Death (Clinical Procedures and medical management) related deaths; Mental Health related deaths; Suicide (from 2015) | Department for Health and Social Care; NHS Tameside and Glossop CCG | https://www.judiciary.uk/publications/heather-carey/ |
| 11 February 2019 | 2019-0045 | PG | Guy Davies | Cornwall & the Isle of Scilly | Alcohol, drug and medication related deaths; Hospital Death (Clinical Procedures and medical management) related deaths; Mental Health related deaths | NHS Kernow; Cornwall NHS Trust; Drug, Alcohol Action Team Cornwall Council | https://www.judiciary.uk/publications/paul-gillam/ |
| 12 February 2019 | 2019-0044 | AW | Jame Bennett | Birmingham and Solihull | Hospital Death (Clinical Procedures and medical management) related deaths; Suicide (from 2015) | NHS England; Birmingham and Solihull CCG; | https://www.judiciary.uk/publications/anthony-watson/ |
| 11 February 2019 | 2019-0043 | CD | David Regan | South Wale Central | Child Death (from 2015); Hospital Death (Clinical Procedures and medical management) related deaths; Wales prevention of future deaths reports (2019 onwards) | Cwm taf University Health Board | https://www.judiciary.uk/publications/calary-davis/ |
| 11 February 2019 | 2019-0042 | RH | Katy Skerrett | Gloucestershire | Hospital Death (Clinical Procedures and medical management) related deaths; Mental Health related deaths; Suicide (from 2015) | 2gether NHS Trust | https://www.judiciary.uk/publications/robert-hughes/ |
| 4 January 2019 | 2019-0014 | NR | Joanne Kearsley | Manchester (North) | Mental Health related deaths; State Custody related deaths | HM Prisons and Probation Service; Greater Manchester Mental Health & Social Care Trust | https://www.judiciary.uk/publications/nicky-reilly/ |
| 10 January 2019 | 2019-0013 | CS | Maria Voisin | Avon | Community health care related deaths; Mental Health related deaths | Avon and Wilshire Mental Health NHS Trust | https://www.judiciary.uk/publications/christopher-seal/ |
| 11 January 2019 | 2019-0012 | RH | Louise Hunt | Birmingham and Solihull | State Custody related deaths | G4S; HM Prisons and Probation Service; MOJ | https://www.judiciary.uk/publications/ricardo-holgate/ |
| 10 January 2019 | 2019-0011 | NC | Caroline Topping | Surrey | State Custody related deaths | CQC; Police and Prisons Ombudsman; Chief Inspector of Prisons; MOJ | https://www.judiciary.uk/publications/natasha-chin/ |
| 10 January 2019 | 2019-0010 | RL | Andrew Haigh | Staffordshire (South) | Hospital Death (Clinical Procedures and medical management) related deaths | University of North Midlands Hospital NHS Trust | https://www.judiciary.uk/publications/richard-lockley/ |
| 10 January 2019 | 2019-0008 | MF | Alison Mutch | Manchester (South) | Hospital Death (Clinical Procedures and medical management) related deaths | Tameside General Hospital | https://www.judiciary.uk/publications/michael-flynn/ |
| 10 January 2019 | 2019-0007 | MS | Christopher Morris | Manchester (South) | Hospital Death (Clinical Procedures and medical management) related deaths | Stockport NHS Trust | https://www.judiciary.uk/publications/malcolm-shaw/ |
| 9 January 2019 | 2019-0005 | MH | Alison Hewitt | City of London | Hospital Death (Clinical Procedures and medical management) related deaths | Barts Health NHS Trust | https://www.judiciary.uk/publications/marian-hoskins/ |
| 2 January 2019 | 2019-0001 | AP | David Ridley | Wiltshire and Swindon | Service Personnel related deaths | Civil Aviation Authority | https://www.judiciary.uk/publications/alexandre-parr/ |
| 16 January 2019 | 2019-0022 | GT | Christopher Morris | Manchester (South) | Community health care related deaths | Highlands and Trafalgar Square Surgery | https://www.judiciary.uk/publications/george-thompson/ |
| 11 January 2019 | 2019-0021 | AB | Lydia Brown | Leicester City and Leicestershire South | Mental Health related deaths | Clinical Commissioning Grou | https://www.judiciary.uk/publications/amanda-briley/ |
| 11 January 2019 | 2019-0017 | RG | Alison Mutch | Manchester (South) | Care Home Health related deaths | Reinbek Care Home | https://www.judiciary.uk/publications/ruth-gregory/ |
| 11 January 2019 | 2019-0018 | EC | Maria Voisin | Avon | Hospital Death (Clinical Procedures and medical management) related deaths | NHS Improvements | https://www.judiciary.uk/publications/elizabeth-curtis/ |
| 11 January 2019 | 2019-0016 | JE | Alison Mutch | Manchester (South) | Alcohol, drug and medication related deaths; Community health care related deaths | Delamere Medical Practice | https://www.judiciary.uk/publications/jacqueline-elliott/ |
| 18 January 2019 | 2019-0030 | NP | Edwin Buckett | London Inner (North) | Hospital Death (Clinical Procedures and medical management) related deaths | Royal London Hospital | https://www.judiciary.uk/publications/norman-pirie/ |
| 23 January 2019 | 2019-0028 | TG | ME Hassell | London Inner (North) | State Custody related deaths | HMP Pentonville; Care UK; NOMS | https://www.judiciary.uk/publications/tyrone-givans/ |
| 25 January 2019 | 2019-0029 | GB | Lisa Hashmi | Manchester (North) | Emergency Services related deaths; Mental Health related deaths | Joint Royal Colleges Ambulance Liaison Committee | https://www.judiciary.uk/publications/gareth-bickerstaff/ |
| 22 January 2019 | 2019-0026 | AS | Louise Hunt | Birmingham and Solihull | Hospital Death (Clinical Procedures and medical management) related deaths | University Hospitals Birmingham NHS Trust | https://www.judiciary.uk/publications/ann-swoffer/ |
| 17 January 2019 | 2019-0025 | MS | Sean McGovern | Warwickshire | Hospital Death (Clinical Procedures and medical management) related deaths | Coventry NHS Trust | https://www.judiciary.uk/publications/mylon-sheppard/ |
| 21 January 2019 | 2019-0024 | NB | Louise Hunt | Birmingham and Solihull | Hospital Death (Clinical Procedures and medical management) related deaths; Mental Health related deaths | Birmingham Community Healthcare NHS Trust | https://www.judiciary.uk/publications/neil-black/ |
| 17 January 2019 | 2019-0023 | MH | Jacqueline Devonish | Suffolk | Mental Health related deaths; Emergency services related deaths (2019 onwards) | Melbourne Ambulance Station; Emergency Operation Centre Norwich | https://www.judiciary.uk/publications/mark-harris/ |
| 23 January 2019 | 2019-0027 | GB | Paul Smith | Lincolnshire | Hospital Death (Clinical Procedures and medical management) related deaths; Emergency services related deaths (2019 onwards) | United Lincolnshire Hospitals NHS Trust | https://www.judiciary.uk/publications/gail-bailey/ |
| 15 January 2019 | 2019-0020 | MM | Rachel Galloway | Manchester (City) | Care Home Health related deaths | Each Step Nursing Home | https://www.judiciary.uk/publications/marie-winter/ |
| 15 January 2019 | 2019-0019 | JP | Roger Barkley | South Wale Central | Hospital Death (Clinical Procedures and medical management) related deaths | Cardiff & Vale University Health Board; Nursing & Midwifery Council | https://www.judiciary.uk/publications/john-preece/ |
| 19 December 2018 | 2018-0396 | KW | Anna Crawford | Surrey | Hospital Death (Clinical Procedures and medical management) related deaths | Department for Health and Social Care; NHS England | https://www.judiciary.uk/publications/kirsty-walker/ |
| 18 December 2018 | 2018-0395 | RE | Rachel Knight | SouthWale Central | Suicide (from 2015; Mental Health related deaths; Community health care and emergency services related deaths | Cardiff and Vale University Health Board; West Quay Surgery | https://www.judiciary.uk/publications/ruth-edwards/ |
| 18 December 2018 | 2018-0394 | SL | Peter Harrowing | Avon | Hospital Death (Clinical Procedures and medical management) related deaths | NHS Digital | https://www.judiciary.uk/publications/susan-longden/ |
| 19 December 2018 | 2018-0393 | MN | Andre Rebello | Liverpool & Wirral | State Custody related deaths | Home Office; MOJ | https://www.judiciary.uk/publications/michal-netyks/ |
| 18 December 2018 | 2018-0392 | NH | Caroline Sumeray | Isle of Wight | Hospital Death (Clinical Procedures and medical management) related deaths; Mental Health related deaths; Alcohol, drug and medication related deaths; Suicide (from 2015) | St Mary’s Hospital NHS Trust | https://www.judiciary.uk/publications/natalie-hunter/ |
| 18 December 2018 | 2018-0391 | JV | Caroline Sumeray | Isle of Wight | Road (Highways Safety) related deaths | Isle of Wight Council | https://www.judiciary.uk/publications/jacqueline-valvona/ |
| 12 December 2018 | 2018-0390 | EF | Karen Dilks | Newcastle upon Tyne | Alcohol, drug and medication related deaths | Department for Education | https://www.judiciary.uk/publications/edward-farmer/ |
| 18 December 2018 | 2018-0389 | JD | David Urpeth | South Yorkshire (West) | Care Home Health related deaths | Brancaster Care | https://www.judiciary.uk/publications/john-duckenfield/ |
| 18 December 2018 | 2018-0388 | JD | Emma Brown | Birmingham and Solihull | Suicide (from 2015); State Custody related deaths | NHS England; Birmingham and Solihull Mental Health NHS Trust; G4S; MOJ; Birmingham Community NHS Trust | https://www.judiciary.uk/publications/john-delahaye/ |
| 14 December 2018 | 2018-0387 | BA | John Broadbridge | West Yorkshire (West) | Community health care and emergency services related deaths | SW Yorks NHS Trust; Together Housing; West Yorkshire Fire and Rescue Service | https://www.judiciary.uk/publications/barnaby-aylward/ |
| 12 December 2018 | 2018-0384 | BW | Andrew Cox | Cornwall and Isle of Scilly | Suicide (from 2015), Alcohol, drug and medication related deaths | CMHT Commissioners; Addaction | https://www.judiciary.uk/publications/benjamin-williamson/ |
| 10 December 2018 | 2018-0386 | CM | Jeremy Chipperfield | County Durham and Darlington | Suicide (from 2015); Railway related deaths | Northern Rail Limited | https://www.judiciary.uk/publications/christopher-mcguffie/ |
| 12 December 2018 | 2018-0385 | NS | Thoma Osborne | Milton Keynes | Suicide (from 2015); Hospital Death (Clinical Procedures and medical management) related deaths | Milton Keynes Council; Milton Keynes CCG | https://www.judiciary.uk/publications/neil-swaisland/ |
| 5 December 2018 | SM | Zafar Siddique | Black Country | Hospital Death (Clinical Procedures and medical management) related deaths; Community health care and emergency services related deaths | Sandwell and West Birmingham NHS Trust; Oaks Medical Centre | https://www.judiciary.uk/publications/sylvia-mitchell/ | |
| 19 October 2018 | 2018-0382 | TB | Ian Arrow | Plymouth, Torbay and South Devon | Community health care and emergency services related deaths; Mental Health related deaths | NPCC, Dyfed-Powys Police | https://www.judiciary.uk/publications/trystan-bryant/ |
| 11 December 2018 | 2018-0381 | JM | Crispin Oliver | County Durham and Darlington | State Custody related deaths | NOMS; HM Inspector of Prisons; Independent Advisory Panel on Deaths in Custody | https://www.judiciary.uk/publications/john-mayhew/ |
| 11 December 2018 | 2018-0380 | RL | Brendan Allen | Dorset | Road (Highways Safety) related deaths | Dorset Highways Department | https://www.judiciary.uk/publications/rowan-lloyd/ |
| 6 December 2018 | 2018-0379 | JK | Veronica Hamilton-Deeley | Brighton and Hove | Hospital Death (Clinical Procedures and medical management) related deaths | Sussex NHS Trust; Medico Legal Manager | https://www.judiciary.uk/publications/john-kirby/ |
| 6 December 2018 | 2018-0377 | VG | Nigel Meadows | Manchester (City) | Care Home Health related deaths | Zinnia Healthcare Limited | https://www.judiciary.uk/publications/veronica-gregory/ |
| 6 December 2018 | 2018-0378 | SH | Heidi Connor | Berkshire | Hospital Death (Clinical Procedures and medical management) related deaths | Ramsay Healthcare UK; Independent Healthcare Providers Network | https://www.judiciary.uk/publications/simon-healey/ |
| 28 November 2018 | 2018-0376 | RH | Tanyka Rawden | South Yorkshire (West) | Care Home Health related deaths | Rosehill House Care Home | https://www.judiciary.uk/publications/ronald-houchin/ |
| 30 November 2018 | 2018-0375 | TN | Geoffrey Sullivan | Hertfordshire | State Custody related deaths; Suicide (from 2015) | MOJ; NHS England | https://www.judiciary.uk/publications/thomas-nicol/ |
| 30 November 2018 | 2018-0374 | BB | Lisa Hashmi | Manchester (North) | State Custody related deaths | MOJ; NHS England | https://www.judiciary.uk/publications/bradley-brown/ |
| 29 November 2018 | 2018-0373 | LS | Robert Turnbull | North Yorkshire | Road (Highways Safety) related deaths | North Yorkshire County Council | https://www.judiciary.uk/publications/luke-saxton/ |
| 27 August 2018 | 2018-0371 | PG | Martin Fleming | West Yorkshire (West) | Other related deaths | Midgehole Working Mens Club | https://www.judiciary.uk/publications/peter-gledhill/ |
| 21 November 2018 | 2018-0370 | UK | Martin Fleming | West Yorkshire (West) | Child Death (from 2015) | Department of Health; NHS Calderdale CCG; Calderdale Council | https://www.judiciary.uk/publications/ursula-keogh/ |
| 1 August 2018 | 2018-0369 | JJ | Joanne Lees | Shropshire, Telford & Wrekin | State Custody related deaths | HMP Stoke; Shropshire Community Health NHS Trust | https://www.judiciary.uk/publications/jerome-jones/ |
| 20 November 2018 | 2018-0368 | SY | Andrew Walker | London (North) | Alcohol, drug and medication related deaths; Road (Highways Safety) related deaths | Metropolitan Police | https://www.judiciary.uk/publications/suleyman-yalcin/ |
| 22 November 2018 | 2018-0365 | MC | Alison Mutch | Manchester (South) | Hospital Death (Clinical Procedures and medical management) related deaths; Mental Health related deaths | Pennine Care NHS Trust | https://www.judiciary.uk/publications/matthew-craven/ |
| 22 November 2018 | 2018-0367 | SO | Alison Mutch | Manchester (South) | Child Death (from 2015); Product related deaths | Department of Health | https://www.judiciary.uk/publications/savannah-rose-owen/ |
| 8 May 2019 | 2019-0488 | BO | Christopher Willilams | London Inner (South) | State Custody related deaths | Oxleas NHS Trust | https://www.judiciary.uk/publications/bernard-oflynn/ |
| 8 May 2019 | 2019-0479 | EH | Andrew Harris | London Inner (South) | Hospital Death (Clinical Procedures and medical management) related deaths | Kings College Hospital; MHRA; Amgen Limited | https://www.judiciary.uk/publications/104318/ |
| 22 November 2018 | 2018-0336 | KM | Alison Mutch | Manchester (South) | Hospital Death (Clinical Procedures and medical management) related deaths | Tameside and Glossop CCG | https://www.judiciary.uk/publications/karen-moran/ |
| 21 November 2018 | 2018-0364 | RB | Sarah Slater | South Yorkshire (East) | Hospital Death (Clinical Procedures and medical management) related deaths | Doncaster Bassetlaw Teaching Hospital; Department of Health and Social Care | https://www.judiciary.uk/publications/roy-burgess/ |
| 21 November 2018 | 2018-0363 | BW | Joanne Kearsley | Manchester (North) | Child Death (from 2015); Mental Health related deaths; Suicide (from 2015) | Department of Education | https://www.judiciary.uk/publications/ben-walmsley/ |
| 3 October 2018 | 2018-0362 | CF | Nigel Parsley | Suffolk | Other related deaths | Head of the Roman Catholic Church of England and Wales | https://www.judiciary.uk/publications/brian-frost-2/ |
| 13 November 2018 | 2018-0361 | MA | Nigel Parsley | Suffolk | Mental Health related deaths; Hospital Death (Clinical Procedures and medical management) related deaths | Norfolk and Suffolk NHS Trust | https://www.judiciary.uk/publications/matthew-arkle/ |
| 19 November 2018 | 2018-0359 | BW | J Robinson | Manchester (North) | Care Home Health related deaths | Beechwood Lodge Care Home | https://www.judiciary.uk/publications/beryl-walsh/ |
| 16 July 2018 | 2018-0358 | TE | Emma Whitting | Coventry | Road (Highways Safety) related deaths | Driver & Vehicle Licensing Agency | https://www.judiciary.uk/publications/tyrone-evans-2/ |
| 16 November 2018 | 2018-0357 | EG | Darren Stewart | Surrey | Hospital Death (Clinical Procedures and medical management) related deaths | Kent and Medway NHS Social Care Trust | https://www.judiciary.uk/publications/emmett-gillah/ |
| 28 August 2018 | 2018-0356 | PL | Stuart Fisher | Lincolnshire | Accident at Work and Health and Safety related deaths | HSE | https://www.judiciary.uk/publications/peter-lett/ |
| 20 November 2018 | 2018-0360 | AT | Joanne Lees | North Wale (East & Central) | Accident at Work and Health and Safety related deaths | Haulage Contractors Limited | https://www.judiciary.uk/publications/austin-thomas/ |
| 16 November 2018 | 2018-0355 | SG | Margaret Jones | Stoke-on-Trent & North Staffordshire | Hospital Death (Clinical Procedures and medical management) related deaths | Midlands Partnership NHS Trust | https://www.judiciary.uk/publications/sheila-graham/ |
| 16 November 2018 | 2018-0354 | DG | ME Hassell | London Inner (North) | Hospital Death (Clinical Procedures and medical | Royal London Hospital | https://www.judiciary.uk/publications/dawn-gill/ |
| 12 May 2018 | 2018-0353 | CG | Rachel Syed | Derby and Derbyshire | Care Home Health related deaths; Hospital Death (Clinical Procedures and medical management) related deaths | Milford House Care Home; NHS Southern Derbyshire CCG | https://www.judiciary.uk/publications/charles-grainger/ |
| 15 November 2018 | 2018-0352 | KC | Andrew Haigh | Staffordshire (South) | Road (Highways Safety) related deaths | Staffordshire County Council | https://www.judiciary.uk/publications/kendall-chadwick/ |
| 13 November 2018 | 2018-0419 | TJ | Andrew Haigh | Staffordshire (South) | Mental Health related deaths; Hospital Death (Clinical Procedures and medical management) related deaths; Department for Health and Social Care | Midlands Partnership NHS Trust | https://www.judiciary.uk/publications/thomas-jackson-2/ |
| 26 October 2018 | 2018-0351 | TM | Roger Hatch | Kent (North-West) | Hospital Death (Clinical Procedures and medical management) related deaths | Maidstone & Tunbridge Wells NHS Trust; NHS England | https://www.judiciary.uk/publications/timothy-mason/ |
| 15 April 2019 | 2019-0260A | TC | Derek Winter | Sunderland | Hospital Death (Clinical Procedures and medical management) related deaths | South Tyneside and Sunderland NHS Trust; GE Healthcare | https://www.judiciary.uk/publications/thomas-collings/ |
| 13 November 2018 | 2018-0352A | TJ | Andrew Haigh | Staffordshire (South) | Hospital Death (Clinical Procedures and medical management) related deaths | St George’s Hospital | https://www.judiciary.uk/publications/thomas-jackson/ |
| 4 November 2018 | 2018-0350 | PC | Richard Furniss | London (West) | Suicide (from 2015) | West London Mental Health Trust; Shepherds Bush Medical Centre | https://www.judiciary.uk/publications/patricia-chambers/ |
| 19 October 2018 | 2018-0349 | JL | Ian Wade QC | Mid Kent and Medway | Hospital Death (Clinical Procedures and medical management) related deaths | Medway NHS Trust | https://www.judiciary.uk/publications/john-lee/ |
| 9 November 2018 | 2019-0348A | JG | Catherine McKenna | Manchester (North) | Other related deaths | Rochdale Borough Council | https://www.judiciary.uk/publications/john-graham/ |
| 12 November 2018 | 2018-0347 | JP | Graeme Hughes | South Wale Central | Hospital Death (Clinical Procedures and medical management) related deaths | Cardiff & Vale University Health Board | https://www.judiciary.uk/publications/joseph-page/ |
| 5 November 2018 | 2018-0346 | DS | Neil Cameron | South Yorkshire (East) | Hospital Death (Clinical Procedures and medical management) related deaths; State Custody related deaths | NHS England | https://www.judiciary.uk/publications/daniel-stokes/ |
| 9 January 2019 | 2019-0015 | DG | Hassan Shah | Northamptonshire | Emergency Services related | East Midlands Ambulance Service; 111 Service | https://www.judiciary.uk/publications/diana-gudgeon/ |
| 11 February 2019 | 2019-0041 | MS | John Gittins | North Wale (East and Central) | Hospital Death (Clinical Procedures and medical management) related deaths; Emergency Services related deaths | BCUHB; Welsh Ambulance Services NHS Trust | https://www.judiciary.uk/publications/madeline-staples/ |
| 19 December 2018 | 2018-0397 | HC | Sean Cummings | London (West) | Hospital Death (Clinical Procedures and medical management) related deaths | Norfolk and Suffolk NHS Trust | https://www.judiciary.uk/publications/henry-curtis-williams/ |
| 6 November 2018 | 2018-0341 | RW | Ian Pears | Bedfordshire & Luton | Railway related deaths | Network Rail | https://www.judiciary.uk/publications/ryan-williams/ |
| 6 November 2018 | 2018-0342 | GT | Jonathan Layton | Camarthenshire and Pembrokeshire | Hospital Death (Clinical Procedures and medical management) related deaths | West Wales General Hospital | https://www.judiciary.uk/publications/gerwyn-thomas/ |
| 5 November 2018 | 2018-0340 | GJ | Geraint Williams | Worcestershire | Road (Highways Safety) related deaths | Worcestershire County Council | https://www.judiciary.uk/publications/gareth-jones/ |
| 2 November 2018 | 2018-0339 | KC | Timothy Brennand | Manchester (West) | Hospital Death (Clinical Procedures and medical management) related deaths; Mental Health related deaths | Greater Manchester Mental Health NHS Trust; Manchester Royal Infirmary | https://www.judiciary.uk/publications/karl-cassimjee/ |
| 1 November 2018 | 2018-0338 | BL | Thoma Osborne | Milton Keynes | Suicide (from 2015) | Milton Keynes CCG | https://www.judiciary.uk/publications/billie-lord/ |
| 1 November 2018 | 2018-0337 | CD | Thoma Osborne | Milton Keynes | Suicide (from 2015) | Milton Keynes CCG | https://www.judiciary.uk/publications/colette-dunn/ |
| 2 October 2018 | 2018-0336A | AC | Andrew Barkley | South Wale Central | Community health care and emergency services related deaths | Welsh Ambulance Service NHS Trust | https://www.judiciary.uk/publications/andrew-collins/ |
| 4 March 2019 | 2019-0460 | MJ | Paul Bennett | Pembrokeshire & Camarthenshire | Mental Health related deaths; State Custody related deaths; Wales prevention of future | Dyfed Powys Police; National Police Chief’s Council; Hywel Dda Health Board | https://www.judiciary.uk/publications/meirion-james/ |
| 2 October 2018 | 2018-0335 | JE | Kevin McLoughlin | West Yorkshire (East) | Alcohol, drug and medication related deaths; Other related deaths | Leeds City Council | https://www.judiciary.uk/publications/joshua-edwards/ |
| 27 September 2018 | 2018-0334 | SH | Alison Mutch | Manchester (South) | Hospital Death (Clinical Procedures and medical management) related deaths; Mental Health related deaths | Department of Health | https://www.judiciary.uk/publications/sheila-hadfield/ |
| 3 October 2018 | 2018-0333 | TB | Kevin McLoughlin | West Yorkshire (East) | Hospital Death (Clinical Procedures and medical management) related deaths | Leeds Teaching Hospitals NHS Trust | https://www.judiciary.uk/publications/theresa-button/ |
| 3 October 2018 | 2018-0332 | BF | Nigel Parsley | Suffolk | Community health care and emergency services related deaths | Diocese of Westminster; Patrick Stead Hospital | https://www.judiciary.uk/publications/brian-frost/ |
| 1 October 2018 | 2018-0331 | MH | Martin Fleming | West Yorkshire (West) | Hospital Death (Clinical Procedures and medical management) related deaths | Bradford Teaching Hospitals NHS Trust | https://www.judiciary.uk/publications/michael-hopkins/ |
| 4 October 2018 | 2018-0330 | JM | Andrew Hetherington | Sunderland | Other related deaths | Local Government Association; Environmental Services Associations; Chartered Institution of Waste Management; HSE | https://www.judiciary.uk/publications/james-mclaren/ |
| 9 October 2018 | 2018-0329 | TC | Julie Goulding | Liverpool and Wirral | Hospital Death (Clinical Procedures and medical management) related deaths | NHS England; Public Health England; Aintree University Hospital NHS Trust; GMC | https://www.judiciary.uk/publications/tom-cribley/ |
| 27 February 2019 | 2019-0474 | JM | Nigel Meadows | Manchester (City) | Alcohol, drug and medication related deaths | Head of Safeguarding | https://www.judiciary.uk/publications/janie-mcfadyen/ |
| 26 February 2019 | 2019-0478 | KH | Ian Boyes | South Wale Central | Hospital Death (Clinical Procedures and medical management) related deaths; Wales prevention of future deaths reports (2019 onwards) | ABMU Health Board | https://www.judiciary.uk/publications/keith-heatley/ |
| 3 October 2018 | 2018-0327 | CT | Zafar Siddique | Black Country | Road (Highways Safety) related deaths | National Express West Midlands | https://www.judiciary.uk/publications/charlotte-tripper/ |
| 10 October 2018 | 2018-0325 | RM | John Broadbridge | North Yorkshire | Community health care and emergency services related deaths; Suicide (from 2015) | Harrogate & Rural District Clinical Commissioning Grou | https://www.judiciary.uk/publications/robin-mcewan/ |
| 28 September 2018 | 2018-0324 | DB | Alison Mutch | Manchester (South) | Care Home Health related deaths | Department of Health; HSE; Kendal Calling | https://www.judiciary.uk/publications/donald-berry/ |
| 27 September 2018 | 2018-0323 | MR | Alison Mutch | Manchester (South) | Hospital Death (Clinical Procedures and medical management) related deaths | Department of Health | https://www.judiciary.uk/publications/mary-ryder/ |
| 18 October 2018 | 2018-0322 | JG | Alison Mutch | Manchester (South) | Hospital Death (Clinical Procedures and medical management) related deaths; Child Death (from 2015) | Department of Health; Manchester University Hospitals NHS Trust; Royal Manchester Children’s Hospital | https://www.judiciary.uk/publications/joseph-grantham/ |
| 18 October 2018 | 2018-0321 | AR | Ravi Sidhu | Berskhire | Hospital Death (Clinical Procedures and medical management) related deaths | NHS Professionals Limited; Prospect Park Hospital | https://www.judiciary.uk/publications/anne-roberts/ |
| 19 October 2018 | 2018-0320 | RM | Jonathan Leach | West Yorkshire (East) | State Custody related deaths | HMPPS | https://www.judiciary.uk/publications/robert-mcloughlin/ |
| 16 October 2018 | 2018-0319 | JS | Martin Fleming | West Yorkshire (West) | Road (Highways Safety) related deaths | Calderdale Metropolitan Borough Council | https://www.judiciary.uk/publications/jordan-sheils/ |
| 23 October 2018 | 2018-0318 | NL | Jonathan Leach | West Yorkshire (East) | State Custody related deaths | NOMS | https://www.judiciary.uk/publications/nicola-lawrence/ |
| 24 October 2018 | 2018-0317 | CG | ME Hassell | London Inner (North) | Other related deaths | DW Fitness First; UK Active | https://www.judiciary.uk/publications/catherine-gibbon/ |
| 24 October 2018 | 2018-0316 | MK | Fiona Wilcox | London Inner (West) | Mental Health related deaths; Child Death (from 2015) | NHS England; Department of Health; Royal College of Psychiatrist; CNWL NHS Trust | https://www.judiciary.uk/publications/maximilien-kohler/ |
| 24 October 2018 | 2018-0315 | JL | Fiona Wilcox | London Inner (West) | Suicide (from 2015); Alcohol, drug and medication related deaths | NHS England; GPC; | https://www.judiciary.uk/publications/jennifer-lacey/ |
| 25 October 2018 | 2018-0314 | AF | Katy Skerrett | Gloucestershire | Hospital Death (Clinical Procedures and medical management) related deaths | Gloucestershire NHS Trust | https://www.judiciary.uk/publications/andrea-franzosi/ |
| 23 October 2018 | 2018-0313 | AS | Angharad Davies | South Yorkshire (West) | Community health care and emergency services related deaths | Sheffield City Council | https://www.judiciary.uk/publications/allan-shepard/ |
| 25 October 2018 | 2018-0312 | DS | Guy Davies | Cornwall & the Isle of Scilly | Alcohol, drug and medication related deaths; Suicide (from 2015) | Kernow Clinical Commissioning Grou | https://www.judiciary.uk/publications/david-sargeant/ |
| 25 October 2018 | 2018-0311 | EC | Kevin McLoughlin | West Yorkshire (East) | Hospital Death (Clinical Procedures and medical management) related deaths | Mid Yorkshire Hospitals NHS Trust | https://www.judiciary.uk/publications/eileen-cooke/ |
| 29 October 2018 | 2018-0310 | KB | Martin Oldham | Bedfordshire & Luton | Alcohol, drug and medication related deaths; Police related deaths | Bedfordshire Police; ACPO | https://www.judiciary.uk/publications/karl-brunner/ |
| 29 October 2018 | 2018-0309 | TM | Andrew Harris | London Inner (South) | State Custody related deaths | Metropolitan Police Service; Thameside Prison; Oxlea NHS Trust | https://www.judiciary.uk/publications/thomas-mcauley/ |
| 29 October 2018 | 2018-0308 | ES | Christopher Dorries | South Yorkshire (West) | Hospital Death (Clinical Procedures and medical management) related deaths | NHS England | https://www.judiciary.uk/publications/elizabeth-self/ |
| 29 October 2018 | 2018-0307 | RC | ME Hassell | London Inner (North) | Community health care and emergency services related deaths | Metropolitan Police Service | https://www.judiciary.uk/publications/rosario-cordero-sanz/ |
| 31 October 2018 | 2018-0305 | DS | Lydia Brown | Leicester City and Leicestershire South | Hospital Death (Clinical Procedures and medical management) related deaths | University of Leicester Hospitals NHS Trust | https://www.judiciary.uk/publications/dorothy-strickley/ |
| 23 October 2018 | 2018-0306 | KR | Veronica Hamilton-Deeley | Brighton and Hove | Hospital Death (Clinical Procedures and medical management) related deaths | Brighton & Sussex University Hospitals NHS trust | https://www.judiciary.uk/publications/kalma-ram-henman/ |
| 13 February 2019 | 2019-0476 | SB | John Taylor | London (West) | Care Home Health related deaths | RPFI; RCI | https://www.judiciary.uk/publications/sophie-bennett/ |
| 6 February 2019 | 2019-0473 | RW | Jacqueline Lake | Norfolk | Hospital Death (Clinical Procedures and medical management) related deaths | Queen Elizabeth Hospital | https://www.judiciary.uk/publications/ruth-whitmore/ |
| 5 February 2019 | 2019-0472 | GE | Ian Pears | Bedfordshire & Luton | Hospital Death (Clinical Procedures and medical management) related deaths | Bedford Hospital | https://www.judiciary.uk/publications/gwyneth-edwards/ |
| 1 February 2019 | 2019-0495A | MJ | Hugh Bricknell | Herefordshire | Hospital Death (Clinical Procedures and medical management) related deaths | Wye Valley NHS Trust | https://www.judiciary.uk/publications/mary-johnson/ |
| 31 January 2019 | 2019-0459 | GC | Paul Marks | East Riding and Kingston-upon-Hull | Road (Highways Safety) related deaths | Highways Department | https://www.judiciary.uk/publications/garry-clarkson/ |
| 28 January 2019 | 2019-0470 | DW | Sean Cummings | London (West) | Hospital Death (Clinical Procedures and medical management) related deaths | CQC; Royal United Hospital | https://www.judiciary.uk/publications/dennis-warner/ |
| 25 January 2019 | 2019-0477 | AN | Lisa Hashmi | Manchester (North) | Other related deaths | Manchester Police | https://www.judiciary.uk/publications/anne-marie-nield/ |
| 14 August 2018 | 2018-0300 | EE | Fiona Wilcox | London Inner (West) | Child Death (from 2015); Hospital Death (Clinical Procedures and medical management) related deaths | Whittington Health NHS Trust | https://www.judiciary.uk/publications/enric-elliott/ |
| 13 August 2018 | 2018-0229 | FB | ME 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 Free Hospital NHS Trust; Compton Lodge Care Home; Adelaide Medical Centre | https://www.judiciary.uk/publications/flora-baber/ |
| 24 January 2019 | 2019-0487 | AV | Sarah Bourke | London Inner (North) | Suicide (from 2015); Hospital Death (Clinical Procedures and medical management) related deaths | North East London NHS Trust | https://www.judiciary.uk/publications/arun-viswambaran/ |
| 27 September 2018 | 2018-0298 | JM | Sonia Hayes | London (South) | Hospital Death (Clinical Procedures and medical management) related deaths | CQC; Oxleas NHS Trust; Department for Health | https://www.judiciary.uk/publications/julia-macpherson/ |
| 26 September 2018 | 2018-0297 | BMC | Alison Mutch | Manchester (South) | Child Death (from 2015); Hospital Death (Clinical Procedures and medical management) related deaths | Department for Health | https://www.judiciary.uk/publications/bridget-marie-connell-graham/ |
| 3 September 2018 | 2018-0296 | AD | Chri Morris | Manchester (South) | Community health care and emergency services related deaths | Edgeley Medical Centre | https://www.judiciary.uk/publications/andrew-dickson/ |
| 4 September 2018 | 2018-0295 | CG | ME Hassell | London Inner (North) | Alcohol, drug and medication related deaths | Masta Limited | https://www.judiciary.uk/publications/colin-griffiths/ |
| 3 September 2018 | 2018-0294 | DD | Chri Morris | Manchester (South) | Care Home Health related deaths | HC-One | https://www.judiciary.uk/publications/doris-douthwaite/ |
| 28 June 2018 | 2018-0293 | SW | Lisa Hashmi | Manchester (North) | Hospital Death (Clinical Procedures and medical management) related deaths | Department of Health; British Society of Gastroenterology | https://www.judiciary.uk/publications/stephen-whitehead/ |
| 10 September 2018 | 2018-0292 | GW | John Gittins | North Wale (East and Central) | Hospital Death (Clinical Procedures and medical management) related deaths | BCUHB; Welsh Ambulance Services | https://www.judiciary.uk/publications/gladys-williams/ |
| 10 September 2018 | 2018-0291 | DU | Geoffrey Sullivan | Hertfordshire | Railway related deaths | Network Rail | https://www.judiciary.uk/publications/darren-urquhart/ |
| 10 September 2018 | 2018-0290 | ES | Dewi Pritchard-Jones | North West Wales | Road (Highways Safety) related deaths | North & Mid Wales Trunk Road Agency | https://www.judiciary.uk/publications/elijah-shotade/ |
| 11 September 2018 | 2018-0289 | KS | Geoffrey Sullivan | Hertfordshire | Railway related deaths; Suicide (from 2015) | Network Rail | https://www.judiciary.uk/publications/kevin-sherwood/ |
| 10 September 2018 | 2018-0288 | AP | Andrew Walker | London (North) | Child Death (from 2015) | Department of Health and Social Care | https://www.judiciary.uk/publications/alba-pemberton/ |
| 7 September 2018 | 2018-0287 | SC | Kevin McLoughin | West Yorkshire (East) | Alcohol, drug and medication related deaths | National Probation Service; MOJ | https://www.judiciary.uk/publications/scott-carton/ |
| 12 September 2018 | 2018-0286 | AH | David Urpeath | South Yorkshire (West) | Other related deaths | Derwent Students | https://www.judiciary.uk/publications/abigail-hall/ |
| 13 September 2018 | 2018-0285 | DG | Sean McGovern | Warwickshire | Road (Highways Safety) related deaths | Warwickshire County Council | https://www.judiciary.uk/publications/daniel-ghafuri/ |
| 13 September 2018 | 2018-0285A | LH | Sean McGovern | Warwickshire | Road (Highways Safety) related deaths | Warwickshire County Council | https://www.judiciary.uk/publications/laila-habibi/ |
| 14 September 2018 | 2018-0284 | PR | Emma Brown | Birmingham and Solihull | Alcohol, drug and medication related deaths | Toxbase | https://www.judiciary.uk/publications/paul-ryley/ |
| 14 September 2018 | 2018-0283 | DC | Jame Bennett | Birmingham and Solihull | Hospital Death (Clinical Procedures and medical management) related deaths; Suicide (from 2015) | Birmingham Women’s and Children’s NHS Trust; Birmingham and Solihull CCG | https://www.judiciary.uk/publications/daniel-collins-2/ |
| 14 September 2018 | 2018-0282 | TB | Nichola Rheinberg | Wiltshire and Swindon | Mental Health related deaths; Suicide (from 2015) | Avon and Wiltshire Mental Health NHS Trust | https://www.judiciary.uk/publications/terence-bennett/ |
| 13 August 2018 | 2018-0281 | NB | David Ridley | Wiltshire and Swindon | Road (Highways Safety) related deaths | Wiltshire Council | https://www.judiciary.uk/publications/nana-boateng/ |
| 31 December 2018 | 2018-0409 | JD | Graeme Hughes | South Wale Central | Hospital Death (Clinical Procedures and medical management) related deaths | Cwm Taf University Health Board | https://www.judiciary.uk/publications/janice-davies/ |
| 28 December 2018 | 2018-0408 | JW | Alison Mutch | Manchester (South) | Care Home Health related deaths | Department of Health | https://www.judiciary.uk/publications/joan-wright/ |
| 28 December 2018 | 2018-0411 | GR | Joanne Kearsley | Manchester (North) | Community health care and emergency services related deaths | Greater Manchester Police; Pennine Care NHS Trust; NWAS | https://www.judiciary.uk/publications/gregory-rewkowski/ |
| 28 December 2018 | DS | Dianne Hocking | Leicester City and Leicestershire South | Road (Highways Safety) related deaths | East Leicester CCG; Heart of Enhland NHS Trust | https://www.judiciary.uk/publications/david-stacey/ | |
| 27 December 2018 | 2018-0407 | KB | Alison Mutch | Manchester (South) | Product related deaths | CQC; Lancs & Cumbria Lifts UK Ltd; HSE, Department for Works and Pensions | https://www.judiciary.uk/publications/kenneth-bardsley/ |
| 24 December 2018 | 2018-0406 | JL | Crispin Butler | Buckinghamshire | Community health care and emergency services related deaths; Hospital Death (Clinical Procedures and medical management) related deaths | Buckinghamshire Healthcare NHS Trust; South Central Ambulance Service | https://www.judiciary.uk/publications/joyce-long/ |
| 21 December 2018 | PF | Philip Barlow | London Inner (South) | Road (Highways Safety) related deaths | London Borough of Lewisham | https://www.judiciary.uk/publications/paul-fairey/ | |
| 21 December 2018 | 2018-0404 | RW | Alison Mutch | Manchester (South) | Other related deaths | Trafford Borough Council; Manchester United Football Club, Digital, Culture Media and Sport | https://www.judiciary.uk/publications/richard-whale/ |
| 21 December 2018 | 2018-0403 | DZ | Shirley Radcliffe | London (East) | Community health care and emergency services related deaths | National Fire Chiefs | https://www.judiciary.uk/publications/dorina-zangari/ |
| 21 December 2018 | 2018-0403A | ML | Shirley Radcliffe | London (East) | Community health care and emergency services related deaths | National Fire Chiefs | https://www.judiciary.uk/publications/mihaela-lazar/ |
| 21 December 2018 | 2018-0402 | CS | Alison Mutch | Manchester (South) | Suicide (from 2015) | Tameside CCG | https://www.judiciary.uk/publications/cady-stewart/ |
| 21 December 2018 | 2018-0401 | DG | Wendy James | Gwent | Community health care and emergency services related deaths | Welsh Ambulance Services; Aneurin Bevan University Health Board | https://www.judiciary.uk/publications/diane-greenslade/ |
| 21 December 2018 | 2018-0400 | WA | Yvonne Blake | Norfolk | Queen Elizabeth Hospital | https://www.judiciary.uk/publications/william-atherton/ | |
| 20 December 2018 | 2018-0398 | MH | Alison Mutch | Manchester (South) | Hospital Death (Clinical Procedures and medical management) related deaths | Department of Health; CQC | https://www.judiciary.uk/publications/maria-hryniw/ |
| 19 December 2018 | 2018-0304 | KCLAFACPKP | HH Judge Mark Lucraft QC | London Inner (West) | Other related deaths | The Commissioner of Police of the Metropolis; Speaker’s Counsel, for the attention of the Parliamentary Authorities at the Palaceof Westminster; The London Ambulance Service; Transport for London; The Secretary of State for the Home Department; The Maritime and Coastguard Agency; The Secretary of State for Transport; The British Vehicle Rental and Leasing Association | https://www.judiciary.uk/publications/westminster-terror-attack/ |
| 4 October 2018 | 2018-0418 | SG | Emma Brown | Birmingham and Solihull | Mental Health related deaths; | NHS England; Birmingham CCG; Future Care & Social Care Association | https://www.judiciary.uk/publications/simon-graham/ |
| 4 October 2018 | 2018-0417 | WE | Emma Brown | Birmingham and Solihull | Mental Health related deaths; | NHS England; Birmingham CCG | https://www.judiciary.uk/publications/william-edge/ |
| 4 October 2018 | 2018-0416 | SJ | Emma Brown | Birmingham and Solihull | Mental Health related deaths; Suicide (from 2015) | NHS England; Birmingham CCG | https://www.judiciary.uk/publications/stephen-jackson/ |
| 4 October 2018 | 2018-0413 | WC | Emma Brown | Birmingham and Solihull | Mental Health related deaths; Suicide (from 2015) | NHS England; Birmingham CCG | https://www.judiciary.uk/publications/william-cooper/ |
| 17 December 2018 | 2018-0410 | AL | ME Hassell | London Inner (North) | Hospital Death (Clinical Procedures and medical management) related deaths | Camden & Islington NHS Trust | https://www.judiciary.uk/publications/agnes-lambert/ |
| 26 November 2018 | 2018-0303 | JR | Joseph Hart | Liverpool & Wirral | Other related deaths | Goals Soccer Centres PLC; Football Association | https://www.judiciary.uk/publications/jack-riding/ |
| 11 December 2018 | PD | Sarah Bourke | London Inner (North) | Hospital Death (Clinical Procedures and medical management) related deaths | Homerton University Hospital | https://www.judiciary.uk/publications/paliben-dullabh/ | |
| 4 October 2018 | 2018-0414 | MW | Emma Brown | Birmingham and Solihull | Hospital Death (Clinical Procedures and medical management) related deaths | NHS England; Birmingham CCG | https://www.judiciary.uk/publications/michael-wheeler/ |
| 28 November 2018 | 2018-0302 | MR | Heidi Connor | Berkshire | Hospital Death (Clinical Procedures and medical management) related deaths; Community health care and emergency services related deaths | Royal Berkshire Hospital; The Waterfield Practice | https://www.judiciary.uk/publications/michelle-roach/ |
| 16 November 2018 | 2018-0301 | EB | Grahame Short | Southampton and New Forest | Mental Health related deaths | Southern Health NHS Trust | https://www.judiciary.uk/publications/eleanor-brabant/ |
| 15 November 2018 | RH | Stephanie Haskey | Nottinghamshire | Railway related deaths | Network Rail | https://www.judiciary.uk/publications/richard-hill/ | |
| 1 November 2018 | ST | Andrew Cox | Worcestershire | Hospital Death (Clinical Procedures and medical management) related deaths | University Hospitals Coventry and Warwickshire NHS Trust | https://www.judiciary.uk/publications/stephen-taylor/ | |
| 31 October 2018 | SB | Darren Salter | Oxfordshire | Accident at Work and Health and Safety related deaths | Waste Industry Safety & Health Forum | https://www.judiciary.uk/publications/stephen-buck-2/ | |
| 31 October 2018 | SB | Darren Salter | Oxfordshire | Accident at Work and Health and Safety related deaths | WISH | https://www.judiciary.uk/publications/stephen-buck/ | |
| 1 August 2018 | 2018-0278 | NH | Philip Barlow | London Inner (South) | Community health care and emergency services related deaths | Eden Park Surgery | https://www.judiciary.uk/publications/nigel-handscomb/ |
| 29 May 2018 | 2018-0277 | BB | Martin Fleming | West Yorkshire (West) | Hospital Death (Clinical Procedures and medical management) related deaths | Department of Health; MHRA; NHS Improvement; Alliance Pharmaceutical; Diprobase Bayer Public Limited; NHS England; Bradford District Care Foundation Trust | https://www.judiciary.uk/publications/brian-bicat/ |
| 6 August 2018 | 2018-0276 | PL | Guy Davies | Isle of Scilly | Care Home Health related deaths | Crossroads House Care Home | https://www.judiciary.uk/publications/phylliss-letcher/ |
| 1 August 2018 | 2018-0280 | CH | Caroline Sumeray | Isle of Wight | Hospital Death (Clinical Procedures and medical management) related deaths | Isle of Wight NHS Trust | https://www.judiciary.uk/publications/cuthbert-hingert/ |
| 6 August 2018 | 2018-0275 | SE | Derek Winter | Sunderland | Hospital Death (Clinical Procedures and medical management) related deaths | City Hospitals NHS Trust | https://www.judiciary.uk/publications/susan-elliott/ |
| 8 August 2018 | 2018-0273 | KD | David Urpeth | South Yorkshire (West) | Hospital Death (Clinical Procedures and medical management) related deaths | SHSC | https://www.judiciary.uk/publications/keith-dransfield/ |
| 8 August 2018 | 2018-0272 | IW | Lisa Hashmi | Manchester (North) | Alcohol, drug and medication related deaths; Community health care and emergency services related deaths | Department of Health; MHRA | https://www.judiciary.uk/publications/ian-wolstenholme/ |
| 27 July 2018 | 2018-0274 | NB | Zafar Siddique | Black Country | Hospital Death (Clinical Procedures and medical management) related deaths | Russell Hall Hospital; CQC | https://www.judiciary.uk/publications/natalie-billingham/ |
| 9 August 2018 | 2018-0271 | KC | Caroline Beasley-Murray | Essex | Mental Health related deaths | EPUT | https://www.judiciary.uk/publications/kelly-campbell/ |
| 9 August 2018 | 2018-0268 | AP | Rachel Syed | Derby & Derbyshire | Road (Highways Safety) related deaths | Highways England; Balfour Beatty Route Manager | https://www.judiciary.uk/publications/aditya-puri/ |
| 8 August 2018 | 2018-0269 | DC | Lisa Hashmi | Manchester (North) | Community health care and emergency services related deaths | Persona Care and Support Ltd; Bury Metropolitan Borough Council | https://www.judiciary.uk/publications/donald-clegg/ |
| 7 August 2018 | 2018-0267 | SW | Sarah-Jane Richard | South Wale Central | Hospital Death (Clinical Procedures and medical management) related deaths | West Ambulance Service Trust; University Health Board | https://www.judiciary.uk/publications/steven-welch/ |
| 4 October 2018 | 2018-0412 | BM | Emma Brown | Birmingham and Solihull | Mental Health related deaths; Suicide (from 2015) | NHS England; Birmingham CCG | https://www.judiciary.uk/publications/bradley-morgan/ |
| 16 October 2018 | 2018-0419A | JO | Louise Hunt | Birmingham and Solihull | Other related deaths | MOJ; Home Office | https://www.judiciary.uk/publications/jacqueline-oakes/ |
| 11 October 2018 | TL | Margaret Jones | Stoke-on-Trent and North Staffordshire | Suicide (from 2015) | Longton Police Station; MOJ | https://www.judiciary.uk/publications/thomas-lear/ | |
| 13 August 2018 | 2018-0265 | KA | ME Hassell | London (Inner) North | Other related deaths | Bannatyne Grou | https://www.judiciary.uk/publications/kamal-al-hirsi/ |
| 11 October 2018 | DB | Jame Healy-Pratt | East Sussex | State Custody related deaths | HM Prison and Probation Service | https://www.judiciary.uk/publications/dean-barrell/ | |
| 8 October 2018 | 2018-0279 | NE | Sean Cummings | London (West) | Other related deaths | Pret-a-Manger; MHRA; Pfizer; Department for the Environment, Food and Rural Affairs | https://www.judiciary.uk/publications/natasha-ednan-laperouse/ |
| 4 October 2018 | 2018-0413A | MC | Emma Brown | Birmingham and Solihull | Mental Health related deaths; Suicide (from 2015) | NHS England; Birmingham CCG | https://www.judiciary.uk/publications/michael-cooper/ |
| 13 August 2018 | 2018-0264 | SL | Ian Pears | Bedfordshire & Luton | Other related deaths | Bedford Borough Council | https://www.judiciary.uk/publications/stephen-lawson/ |
| 24 August 2018 | 2018-0263 | JJ | Maria Voisin | Avon | Road (Highways Safety) related deaths | Bristol City Council | https://www.judiciary.uk/publications/jacqueline-jordan/ |
| 1 October 2018 | HG | Paul Marks | East Riding and Kingston-upon-Hull | Other related deaths | Hull Combined Court Centre | https://www.judiciary.uk/publications/hayley-gascoigne/ | |
| 26 September 2018 | AJ | Alan Walsh | Manchester (West) | Hospital Death (Clinical Procedures and medical management) related deaths | Department of Health and Social Care; Liverpool Heart and Chest Hospital NHS Trust | https://www.judiciary.uk/publications/angela-jackson/ | |
| 26 September 2018 | JW | Alan Walsh | Manchester (West) | Hospital Death (Clinical Procedures and medical management) related deaths | Department of Health and Social Care; Salford Royal NHs Trust | https://www.judiciary.uk/publications/john-waite/ | |
| 19 September 2018 | 2018-0262 | Fiona Wilcox | London (Inner) West | Other related deaths | NHS England | https://www.judiciary.uk/publications/grenfell-tower/ | |
| 29 August 2018 | 2018-0260 | HM | Maria Voisin | Avon | Other related deaths | FCO | https://www.judiciary.uk/publications/henry-miller/ |
| 30 August 2018 | 2018-0259 | MD | Philip Holden | West Yorkshire (Eastern) | Hospital Death (Clinical Procedures and medical management) related deaths | Leeds Teaching Hospitals NHS Trust | https://www.judiciary.uk/publications/michael-drewell/ |
| 30 August 2018 | 2018-0258 | DO | Geoffrey Sullivan | Hertfordshire | Railway related deaths; Suicide (from 2015) | London North Western Railways | https://www.judiciary.uk/publications/daniel-omahony/ |
| 29 August 2018 | 2018-0257 | DW | Christopher Dorries | South Yorkshire (West) | Other related deaths | Human Race Limited | https://www.judiciary.uk/publications/david-worthington/ |
| 24 August 2018 | 2018-0256 | KW | Lydia Brown | Exeter and Greater Devon | Hospital Death (Clinical Procedures and medical management) related deaths | NHS England | https://www.judiciary.uk/publications/karl-willis/ |
| 23 August 2018 | 2018-0255 | PC | Andrew Cox | Plymouth Torbay and South Devon | Hospital Death (Clinical Procedures and medical management) related deaths | Plymouth Hospitals NHS Trust | https://www.judiciary.uk/publications/patricia-cragg/ |
| 27 April 2018 | 2018-0254 | PJ | Christopher Sutton-Mattocks | Mid Kent & Medway | State Custody related deaths | HMP Elmley | https://www.judiciary.uk/publications/paul-james/ |
| 21 August 2018 | 2018-0253 | KA | Louise Hunt | Birmingham and Solihull | Hospital Death (Clinical Procedures and medical management) related deaths | CRG Lead Commissioner; Birmingham Woman’s and Children NHS Trust | https://www.judiciary.uk/publications/kiarah-allen/ |
| 6 July 2018 | 2018- 0252 | JS | Sarah Bourke | London (Inner) North | Other related deaths | London Borough of Camden | https://www.judiciary.uk/publications/jacob-sulaiman/ |
| 21 August 2018 | 2018-0261 | LB | John Pollard | Manchester (West) | Hospital Death (Clinical Procedures and medical management) related deaths; Child Death (from 2015) | Royal Bolton Hospitals NHS Trust | https://www.judiciary.uk/publications/louie-bradley/ |
| 25 July 2018 | 2018-0251 | PA | Russell Caller | London (Inner) West | Hospital Death (Clinical Procedures and medical management) related deaths; Mental Health related deaths | Pennine Acute Hospitals NHS Trust; | https://www.judiciary.uk/publications/paul-allan/ |
| 10 July 2018 | 2018-0250 | BC | Brendan Allen | Dorset | Railway related deaths | Network Rail | https://www.judiciary.uk/publications/86376/ |
| 30 July 2018 | 2018-0249 | RB | Rachel Knight | South Wale Central | Community health care and emergency services related deaths | Welsh Ambulance Service Trust; Minister for Health; Cardiff and Vale University Health Board | https://www.judiciary.uk/publications/richard-barrett/ |
| 26 July 2018 | 2018-0248 | AM | Lisa Hashmi | Manchester (North) | Hospital Death (Clinical Procedures and medical management) related deaths; Mental Health related deaths | Pennine Care NHS Trust | https://www.judiciary.uk/publications/astonn-mitchell-male/ |
| 20 July 2018 | 2018-0247 | KB | Martin Fleming | West Yorkshire (West) | Community health care and emergency services related deaths | Department for Health | https://www.judiciary.uk/publications/kathleen-bamforth/ |
| 27 July 2018 | 2018-0246 | GS | Leslie Hamilton | County Durham and Darlington | Other related deaths | Construction Industry Council | https://www.judiciary.uk/publications/matthew-storey/ |
| 17 May 2018 | 2018-0245 | BF | Allison Summers | Mid Kent and Medway | Hospital Death (Clinical Procedures and medical management) related deaths | Medway NHS Trust | https://www.judiciary.uk/publications/bernard-fagg/ |
| 25 July 2018 | 2018-0244 | RW | Alison Mutch | Manchester (South) | Hospital Death (Clinical Procedures and medical management) related deaths | Stockport NHS Trust; Royal College of Pathologists; Department for Health | https://www.judiciary.uk/publications/robert-wrinch/ |
| 25 July 2018 | 2018-0243 | JP | Alison Mutch | Manchester (South) | Care Home Health related deaths | CQC | https://www.judiciary.uk/publications/jane-parker/ |
| 25 July 2018 | 2018-0241 | AW | Alison Mutch | Manchester (South) | Hospital Death (Clinical Procedures and medical management) related deaths | Department for Health | https://www.judiciary.uk/publications/aniyah-winston/ |
| 26 July 2018 | 2018-0240 | DY | Shirley Radcliffe | London (Inner) West | Other related deaths | Department for Health | https://www.judiciary.uk/publications/daniel-young/ |
| 26 July 2018 | 2018-0242 | HF | Jonathan Layton | Carmarthenshire and Pembrokeshire | Road (Highways Safety) related deaths | Department for Transport | https://www.judiciary.uk/publications/herbert-francis/ |
| 24 July 2018 | 2018-0239 | TP | Ian Goldu | North East Kent | Railway related deaths | Network Rail | https://www.judiciary.uk/publications/taiyah-grace-peebles/ |
| 13 June 2018 | 2018-0238 | KW | Nichola Rheinberg | Wiltshire and Swindon | Other related deaths | Swindon Borough Council | https://www.judiciary.uk/publications/karen-wiggins-2/ |
| 19 July 2018 | 2018-0237 | WW | Andrew Cox | Cornwall & Isle of Scilly | Hospital Death (Clinical Procedures and medical management) related deaths | Dorset CCG; Kernow CCG | https://www.judiciary.uk/publications/william-watson-2/ |
| 19 July 2018 | 2018-0235 | JE | ME Hassell | London (Inner) North | Police related deaths | Metropolitan Police Service | https://www.judiciary.uk/publications/jeroen-ensink/ |
| 20 July 2018 | 2018-0236 | RP | Emma Whitting | Coventry | Care Home Health related deaths | Department for Health | https://www.judiciary.uk/publications/ruth-perkins/ |
| 19 July 2018 | 2018-0234 | RH | Veronica Hamilton-Deeley | Brighton & Hove | Hospital Death (Clinical Procedures and medical management) related deaths | Brighton and Sussex University Hospital NHS Trust | https://www.judiciary.uk/publications/ronald-harman/ |
| 12 June 2018 | 2018-0233 | ON | Russell Caller | London Inner (West) | Community health care and emergency services related deaths | London Ambulance Service NHS Trust | https://www.judiciary.uk/publications/olive-nutt/ |
| 19 July 2018 | 2018-0232 | NM | Grahame Short | Southampton & New Forrest | Hospital Death (Clinical Procedures and medical management) related deaths | South Staffordshire & Shropshire NHS Trust | https://www.judiciary.uk/publications/nigel-malloy/ |
| 18 July 2018 | 2018-0231 | DN | Louise Hunt | Birmingham | Service Personnel related deaths | MOD; BAE Systems Ltd | https://www.judiciary.uk/publications/darren-neilson/ |
| 18 July 2018 | 2018-0231A | MH | Louise Hunt | Birmingham | Service Personnel related deaths | MOD; BAE Systems Ltd | https://www.judiciary.uk/publications/matthew-hatfield/ |
| 18 July 2018 | 2018-0230 | MA | Simon Nelson | Manchester (West) | Hospital Death (Clinical Procedures and medical management) related deaths; Child Death (from 2015) | Department for Health; Manchester University NHS Trust; RCOG | https://www.judiciary.uk/publications/mohammed-ahmed/ |
| 16 July 2018 | 2018-0229A | SR | Rashid Sohall | Manchester (City) | Hospital Death (Clinical Procedures and medical management) related deaths | The Alexandra Hospital; Stockport NHS Trust; Manchester University NHS Trust; NHS England; CQC | https://www.judiciary.uk/publications/sheila-ridgway/ |
| 17 July 2018 | 2018-0228 | LB | Christopher Dorries | South Yorkshire (West) | Road (Highways Safety) related deaths | Sheffield City Council | https://www.judiciary.uk/publications/leslie-bingham/ |
| 16 July 2018 | 2018-0227 | TE | Emma Whitting | Coventry | Road (Highways Safety) related deaths | DVLA; Department of Transport | https://www.judiciary.uk/publications/tyrone-evans/ |
| 12 July 2018 | 2018-0226 | AC | Alan Wilson | Blackpool & Fylde | Hospital Death (Clinical Procedures and medical management) related deaths | Lancashire Care NHS Trust | https://www.judiciary.uk/publications/adam-carter/ |
| 12 June 2018 | 2018-0225 | RT | Karen Henderson | Surrey | Hospital Death (Clinical Procedures and medical management) related deaths | Epsom General Hospital; Royal College of Physicians; CQC | https://www.judiciary.uk/publications/rita-taylor/ |
| 11 July 2018 | 2018-0224 | RG | Veronica Hamilton-Deeley | Brighton & Hove | Hospital Death (Clinical Procedures and medical management) related deaths | Brighton and Sussex University Hospital NHS Trust | https://www.judiciary.uk/publications/rita-giles/ |
| 9 July 2018 | 2018-0222 | DM | Jacqueline Devonish | London (South) | Care Home Health related deaths | Baycroft Care Homes | https://www.judiciary.uk/publications/doris-mccarthy/ |
| 9 July 2018 | 2018-0221 | RP | Katy Skerrett | Gloucestershire | Care Home Health related deaths | North Bristol NHS Trust | https://www.judiciary.uk/publications/robert-power/ |
| 19 September 2018 | PP | Louise Hunt | Birmingham and Solihull | Community health care and emergency services related deaths | Birmimgham and Solihull Mental Health Trust | https://www.judiciary.uk/publications/paul-price/ | |
| 19 September 2018 | SB | Louise Hunt | Birmingham and Solihull | Community health care and emergency services related deaths | NHS England CCG | https://www.judiciary.uk/publications/sufia-begum/ | |
| 19 September 2018 | HK | Laura Nash | Black Country | Hospital Death (Clinical Procedures and medical management) related deaths | The Dudley Group NHS Trust | https://www.judiciary.uk/publications/hubert-kelly/ | |
| 17 September 2018 | MN | David Urpeth | South Yorkshire (West) | Road (Highways Safety) related deaths | https://www.judiciary.uk/publications/mark-nicols/ | ||
| 15 September 2018 | MG | Darren Salter | Oxfordshire | Hospital Death (Clinical Procedures and medical management) related deaths | Oxford University Hospitals NHS Trust | https://www.judiciary.uk/publications/marian-grant/ | |
| 13 September 2018 | DG | Sean McGovern | Warwickshire | Road (Highways Safety) related deaths; Child Death (from 2015) | Warwickshire County Council | https://www.judiciary.uk/publications/daniel-ghafuri-2/ | |
| 13 September 2018 | LH | Sean McGovern | Warwickshire | Road (Highways Safety) related deaths | Warwickshire County Council | https://www.judiciary.uk/publications/laila-habibi-2/ | |
| 6 June 2018 | 2018-0175 | CM | Kevin McLoughlin | West Yorkshire (East) | Road (Highways Safety) related deaths | Leeds City Council Highways Department | https://www.judiciary.uk/publications/carol-metcalfe/ |
| 25 August 2018 | KB | Caroline Saunders | Plymouth Torbay and South Devon | Care Home Health related deaths | Guinness Care | https://www.judiciary.uk/publications/kenneth-brincombe/ | |
| 5 July 2018 | 2018-0215 | DC | Philip Barlow | Northamptonshire | Accident at Work and Health and Safety related deaths | Carlsberg Supply Co Ltd | https://www.judiciary.uk/publications/david-chandler/ |
| 4 July 2018 | 2018-0213 | KA | Emma Brown | Birmingham and Solihull | Hospital Death (Clinical Procedures and medical management) related deaths | University Hospitals Birmingham NHS Trust | https://www.judiciary.uk/publications/kathleen-allen/ |
| 27 June 2018 | 2018-0212 | AW | Sarah Bourke | London Inner (North) | Hospital Death (Clinical Procedures and medical management) related deaths | Barts Health NHS Trust | https://www.judiciary.uk/publications/angela-west/ |
| 27 June 2018 | 2018-0211 | DB | Sarah Bourke | London Inner (North) | Hospital Death (Clinical Procedures and medical management) related deaths | London Borough of Hackney; East London NHS Trust | https://www.judiciary.uk/publications/dudley-brown/ |
| 29 June 2018 | 2018-0210 | CR | ME Hassell | London Inner (North) | Police related deaths | Metropolitan Police Service | https://www.judiciary.uk/publications/rashan-charles/ |
| 30 June 2018 | 2018-0209 | YH | Lorna Tagliavini | London Inner (South) | Other related deaths; Child Death (from 2015) | London Borough of Lambeth; South London Islamic Centre | https://www.judiciary.uk/publications/yunis-hadi/ |
| 29 June 2018 | 2018-0208 | LT | Anthony Mazzag | Manchester (City) | Hospital Death (Clinical Procedures and medical management) related deaths | Department of Health; NHS England | https://www.judiciary.uk/publications/lindsey-tyrrell/ |
| 29 June 2018 | 2018-0207 | AN | Peter Dean | Suffolk | Hospital Death (Clinical Procedures and medical management) related deaths | Department of Health; CQC | https://www.judiciary.uk/publications/ashley-notson/ |
| 29 June 2018 | 2018-0206 | DP | Peter Dean | Suffolk | Community health care and emergency services related deaths; Hospital Death (Clinical Procedures and medical management) related deaths | Rookery Medical Centre; West Suffolk Hospital | https://www.judiciary.uk/publications/daphne-penn/ |
| 25 June 2018 | 2018-0205 | LS | Nadia Persaud | London (East) | Hospital Death (Clinical Procedures and medical management) related deaths | NHS England | https://www.judiciary.uk/publications/lauren-sandell/ |
| 28 June 2018 | 2018-0204 | JW | Margaret Jones | Stoke-on-Trent & North Staffordshire | Community health care and emergency services related deaths | Audlem Medical Practice | https://www.judiciary.uk/publications/john-worthington/ |
| 18 June 2018 | 2018-0203 | CJ | Zafar Siddique | Black Country | Hospital Death (Clinical Procedures and medical management) related deaths | Black Country NHS Foundation Trust | https://www.judiciary.uk/publications/colin-johns/ |
| 18 July 2018 | 2018-0202 | EK | Karen Dilks | Newcastle Upon Tyne | Alcohol, drug and medication related deaths | Hoults Limited; Shindig Events Limited | https://www.judiciary.uk/publications/ellie-knowles/ |
| 30 July 2018 | SB | Martin Fleming | West Yorkshire (West) | Care Home Health related deaths | Airedale NHS Trust | https://www.judiciary.uk/publications/stanford-bell/ | |
| 10 July 2018 | EN | David Ridley | Wiltshire and Swindon | Alcohol, drug and medication related deaths; Mental Health related death | Wiltshire Police; South Western Ambulance Service; College of Policing | https://www.judiciary.uk/publications/eugeniusz-niedziolko/ | |
| 25 June 2018 | 2018-0200 | WL | Heather William QC | London Inner (North) | Community health care and emergency services related deaths | Careworld London Limited; Tower Hamlets Borough Council | https://www.judiciary.uk/publications/william-lugg/ |
| 26 June 2018 | 2018-0199 | AT | Simon Nelson | Manchester (West) | Community health care and emergency services related deaths | Department of Health | https://www.judiciary.uk/publications/angela-turner/ |
| 25 June 2018 | 2018-0198 | MS | Penelope Schofield | West Sussex | Community health care and emergency services related deaths | South East Coast Ambulance Services | https://www.judiciary.uk/publications/margaret-stemp/ |
| 26 June 2018 | 2018-0197 | ME | John Gittins | North Wale (East and Central) | Community health care and emergency services related deaths | Welsh Ambulance Services NHS Trust | https://www.judiciary.uk/publications/margaret-evans/ |
| 25 June 2018 | 2018-0196 | MM | Rachel Galloway | Manchester (South) | Community health care and emergency services related deaths | Department of Health; NHS England | https://www.judiciary.uk/publications/marjorie-mcmahon/ |
| 25 June 2018 | 2018-0195 | JH | Rachael Griffin | Dorset | Suicide (from 2015) | Home Office; Dorset Police | https://www.judiciary.uk/publications/john-hill/ |
| 25 June 2018 | 2018-0194 | AC | Rachael Griffin | Dorset | State Custody related deaths | HM Prisons and Probation Service | https://www.judiciary.uk/publications/andrew-craig/ |
| 22 June 2018 | 2018-0193 | AW | ME Hassell | London Inner (North) | Child Death (from 2015); Other related deaths | Tower Hamlets Borough Council | https://www.judiciary.uk/publications/alexia-walenkaki/ |
| 22 June 2018 | 2018-0192 | GF | Robert Sowersby | Avon | Hospital Death (Clinical Procedures and medical management) related death | University Hospitals Bristol NHS Trust | https://www.judiciary.uk/publications/graham-fox/ |
| 22 June 2018 | 2018-0191 | SC | ME Hassell | London Inner (North) | Accident at Work and Health and Safety related deaths | Canary Wharf Group PLC | https://www.judiciary.uk/publications/samuel-clarke/ |
| 14 June 2018 | 2018-0190 | AM | Sarah Slater | South Yorkshire (East) | Hospital Death (Clinical Procedures and medical management) related deaths | Doncaster and Bassetlaw NHS Trust | https://www.judiciary.uk/publications/alfred-meek/ |
| 21 June 2018 | 2018-0189 | JH | Lydia Brown | Leicester City and Leicestershire South | Hospital Death (Clinical Procedures and medical management) related deaths | Leicestershire NHS Trust; University Hospitals Leicester NHS Trust | https://www.judiciary.uk/publications/john-hazlewood/ |
| 22 June 2018 | 2018-0188 | DT | Stephen Covell | Plymouth Torbay and South Devon | Alcohol, drug and medication related deaths | Devon Local Medical Committee; NHS Northern Eastern and Western Devon CCG | https://www.judiciary.uk/publications/david-travers/ |
| 19 June 2018 | 2018-0187 | JB | Andrew Haigh | Staffordshire (South) | Road (Highways Safety) related deaths | Department of Transport | https://www.judiciary.uk/publications/jacob-brown/ |
| 19 June 2018 | 2018-0186 | DS | Andrew Haigh | Staffordshire (South) | Care Home Health related deaths | Virgin Care Services Limited | https://www.judiciary.uk/publications/derek-smith/ |
| 13 June 2018 | 2018-0178 | KB | Louise Hunt | Birmingham and Solihull | Police related deaths | West Midlands Police; Warwickshire Police | https://www.judiciary.uk/publications/keiron-bould/ |
| 7 June 2018 | 2018-0180 | KF | Sarah Ormond-Walshe | London (West) | Community health care and emergency services related deaths; | CQC; Skillsforcare; The Home Office | https://www.judiciary.uk/publications/kevin-freely/ |
| 15 June 2018 | 2018-0181 | DC | Veronica Hamilton-Deeley | Brighton and Hove | Community health care and emergency services related deaths; Alcohol, drug and medication related deaths | North Laine Medical Centre; CCG | https://www.judiciary.uk/publications/darren-carrington/ |
| 15 June 2018 | 2018-0182 | SC | Sean Cummings | London (West) | Hospital Death (Clinical Procedures and medical management) related deaths | NHS England | https://www.judiciary.uk/publications/sneh-chaudhry/ |
| 6 June 2018 | 2018-0176 | EW | David Pojur | North Wale (East and Central) | Community health care and emergency services related deaths | Welsh Ambulance Services NHS Trust | https://www.judiciary.uk/publications/ester-wood/ |
| 19 June 2018 | 2018-0183 | PP | Heath Westerman | Shropshire Telford & Wrekin | Hospital Death (Clinical Procedures and medical management) related deaths | Shrewsbury and Telford Hospital NHS Trust | https://www.judiciary.uk/publications/patricia-palin/ |
| 18 June 2018 | 2018-0185 | BA | Peter Nieto | Derby and Derbyshire | Other related deaths | Department for Transport | https://www.judiciary.uk/publications/bryan-allsop/ |
| 19 June 2018 | 2018-0184 | AH | Ian Pears | Bedfordshire & Luton | Suicide (from 2015) | Network Rail | https://www.judiciary.uk/publications/andrew-hanahoe/ |
| 13 June 2018 | 2018-0177 | KW | Nichola Rheinberg | Wiltshire and Swindon | Suicide (from 2015) | Swindon Borough Council | https://www.judiciary.uk/publications/karen-wiggins/ |
| 28 March 2018 | 2018-0166 | DM | Anna Crawford | Derby and Derbyshire | Care Home Health related deaths | The New Lodge Nursing Home | https://www.judiciary.uk/publications/donald-martin/ |
| 6 June 2018 | 2018-0174 | WB | Nadia Persaud | London (East) | Hospital Death (Clinical Procedures and medical management) related deaths | Barts Health NHS Trust | https://www.judiciary.uk/publications/william-bartram/ |
| 7 June 2018 | 2018-0173 | MH | Guy Davies | Isle of Scilly | Hospital Death (Clinical Procedures and medical management) related deaths | NHS Kernow Clinical Commissioning Group; Cornwall NHS Trust | https://www.judiciary.uk/publications/marcus-hance/ |
| 5 June 2018 | 2018-0172 | RS | Brendan Allen | Dorset | Hospital Death (Clinical Procedures and medical management) related deaths | Dorset County Hospital | https://www.judiciary.uk/publications/rosemary-scott/ |
| 4 June 2018 | 2018-0171 | JD | Alison Mutch | Manchester (South) | Hospital Death (Clinical Procedures and medical management) related deaths | Pennine NHS Trust; Tameside and Glossop Clinical Commissioning Grou | https://www.judiciary.uk/publications/john-derwent/ |
| 1 June 2018 | 2018-0170 | IM | Louise Hunt | Birmingham and Solihull | Road (Highways Safety) related deaths | Sandwell Borough Council; Birmingham City Council | https://www.judiciary.uk/publications/imtiaz-mohammed/ |
| 31 May 2018 | 2018-0169 | EH | John Pollard | Manchester (West) | Other related deaths | The Brewery | https://www.judiciary.uk/publications/elaine-horrocks/ |
| 29 May 2018 | 2018-0168 | GD | Martin Fleming | West Yorkshire (West) | Suicide (from 2015) | Calderdale Council | https://www.judiciary.uk/publications/george-dyson/ |
| 20 May 2018 | 2018-0167 | MN | Martin Fleming | West Yorkshire (West) | Suicide (from 2015) | Calderdale Council | https://www.judiciary.uk/publications/mwitumwa-ngenda/ |
| 21 May 2018 | 2018-0165 | MS | Maria Voisin | Avon | Community health care and emergency services related deaths; State Custody related deaths | Bristol Community Health | https://www.judiciary.uk/publications/michalla-sweeting/ |
| 29 May 2018 | 2018-0164 | JL | Chri Morris | Manchester (South) | Care Home Health related deaths | Harbour Healthcare Limited | https://www.judiciary.uk/publications/joan-lunt/ |
| 25 May 2018 | 2018-0163 | NJ | Sean McGovern | Warwickshire | Alcohol, drug and medication related deaths; Road (Highways Safety) related deaths | Warwickshire County Council | https://www.judiciary.uk/publications/neil-jones/ |
| 23 May 2018 | 2018-0162 | GS | Martin Fleming | West Yorkshire (West) | Community health care and emergency services related deaths; Suicide (from 2015) | South West Yorkshire NHS Trust | https://www.judiciary.uk/publications/grahame-searby/ |
| 9 May 2018 | 2018-0161 | LC | Crispin Butler | Buckinghamshire | Hospital Death (Clinical Procedures and medical management) related deaths; Mental Health related deaths | Oxford Health NHS Trust | https://www.judiciary.uk/publications/lewis-colgan/ |
| 24 May 2018 | 2018-0160 | RF | Selena Lynch | London (South) | Mental Health related deaths | Department of Health | https://www.judiciary.uk/publications/rosalind-flett/ |
| 22 May 2018 | 2018-0158 | AC | Philip Barlow | Northamptonshire | State Custody related deaths | HMP Ryehill | https://www.judiciary.uk/publications/andrew-crane/ |
| 22 May 2018 | 2018-0157 | MB | Ian Pears | Bedfordshire & Luton | State Custody related deaths | HM Prison Bedford | https://www.judiciary.uk/publications/michael-berry/ |
| 21 May 2018 | 2018-0156 | AS | Alison Mutch | Manchester (South) | Hospital Death (Clinical Procedures and medical management) related deaths | NHS England | https://www.judiciary.uk/publications/alfie-scambler-holt/ |
| 21 May 2018 | 2018-0155 | CS | Thoma Osborne | Milton Keynes | Hospital Death (Clinical Procedures and medical management) related deaths | Central and North West London Hospital NHS Trust | https://www.judiciary.uk/publications/caroline-scott/ |
| 21 May 2018 | 2018-0154 | CJ | Alison Mutch | Manchester (South) | Other related deaths; Child Death (from 2015) | Department of Health | https://www.judiciary.uk/publications/carter-jepson/ |
| 18 May 2018 | 2018-0153 | GM | Andrew Cox | Plymouth Torbay and South Devon | Hospital Death (Clinical Procedures and medical management) related deaths | NHS England | https://www.judiciary.uk/publications/graeme-mathieson/ |
| 18 May 2018 | 2018-0152 | HH | Caroline Topping | Surrey | Hospital Death (Clinical Procedures and medical management) related deaths | Southern Health NHS Trust | https://www.judiciary.uk/publications/henry-heselton/ |
| 15 May 2018 | 2018-0151 | DR | Anna Loxton | Surrey | Hospital Death (Clinical Procedures and medical management) related deaths | Epsom & St Helier University Hospital NHS Trust; CQC | https://www.judiciary.uk/publications/doris-ridgwell/ |
| 17 May 2018 | 2018-0150 | NW | John Gittins | North Wale (East & Central) | Hospital Death (Clinical Procedures and medical management) related deaths | BCUHB | https://www.judiciary.uk/publications/neville-welton/ |
| 14 May 2018 | 2018-0149 | GR | Hassan Shah | Northamptonshire | Care Home Health related deaths; Hospital Death (Clinical Procedures and medical management) related deaths | Avenue House Nursing and Care Home; Kettering General Hospital; Northamptonshire Healthcare NHS Trust; CQC | https://www.judiciary.uk/publications/gladys-rich/ |
| 16 May 2018 | 2018-0148 | LC | Russell Caller | London Inner (West) | Road (Highways Safety) related deaths | Transport for London; Wandsworth, Merton, Richmond and Sutton Borough Council | https://www.judiciary.uk/publications/lucia-ciccioli/ |
| 11 May 2018 | 2018-0147 | TR | Catherine McKenna | Manchester (North) | Care Home Health related deaths | Elizabeth House (Oldham) Limited | https://www.judiciary.uk/publications/thomas-ratchford/ |
| 14 May 2018 | 2018-0146 | PA | Thoma Osborne | Milton Keynes | Care Home Health related deaths | PJ Care | https://www.judiciary.uk/publications/philip-ashton/ |
| 11 May 2018 | 2018-0144 | MA | Kevin McLoughlin | West Yorkshire (East) | Other related deaths | Radcliffe Investment Properties | https://www.judiciary.uk/publications/marcus-allen/ |
| 14 May 2018 | 2018-0145 | HS | Guy Davies | Cornwall& the Isle of Scilly | Other related deaths | Heritage Attractions Ltd; Lands End Resort; Cornwall Council | https://www.judiciary.uk/publications/hans-peter-schmidt/ |
| 11 May 2018 | 2018-0143 | AT | Nadia Persaud | London (East) | Care Home Health related deaths | Twinglobe Care Homes Limited | https://www.judiciary.uk/publications/ahmed-tabeche/ |
| 9 May 2018 | 2018-0142 | EJ | Philip Barlow | London Inner (South) | Hospital Death (Clinical Procedures and medical management) related deaths; Child Death (from 2015) | Chelsea & Westminster Hospital | https://www.judiciary.uk/publications/edward-joyce/ |
| 9 May 2018 | 2018-0141 | JH | Chri Morris | Manchester (South) | Community health care and emergency services related deaths | Denton Medical Centre | https://www.judiciary.uk/publications/joan-hanratty/ |
| 8 May 2018 | 2018-0140 | ST | Anna Loxton | Surrey | State Custody related deaths; Police related deaths; Suicide (from 2015) | Surrey & Borders Partnership NHS Trust; Surrey County Council; Surrey Police | https://www.judiciary.uk/publications/stephen-tidey/ |
| 9 May 2018 | 2018-0139 | KT | Jacqueline Lake | Norfolk | Hospital Death (Clinical Procedures and medical management) related deaths | Queens Elizabeth Hospital NHS Trust | https://www.judiciary.uk/publications/kirsty-tolley/ |
| 8 May 2018 | 2018-0138 | DT | John Tomalin | Exeter and Greater Devon | Road (Highways Safety) related deaths | Devon Highways | https://www.judiciary.uk/publications/darren-trewin/ |
| 8 May 2018 | 2018-0137 | WD | Henrietta Hill QC | London Inner (South) | Hospital Death (Clinical Procedures and medical management) related deaths | South London & Maudsley NHS Trust | https://www.judiciary.uk/publications/william-dickens/ |
| 27 April 2018 | 2018-0136 | KR | L Tagliavini | London Inner (South) | Hospital Death (Clinical Procedures and medical management) related deaths; Child Death (from 2015) | South London & Maudsley NHS Trust | https://www.judiciary.uk/publications/katy-roberts/ |
| 8 May 2018 | 2018-0135 | JE | Caroline Saunders | Gloucestershire | Hospital Death (Clinical Procedures and medical management) related deaths | Gloucestershire Hospitals NHS Trust | https://www.judiciary.uk/publications/jonathan-earp/ |
| 8 May 2018 | 2018-0134 | JR | Rachael Griffith | Dorset | Hospital Death (Clinical Procedures and medical management) related deaths | Dorset Healthcare University Hospital NHS Trust | https://www.judiciary.uk/publications/joanne-richardson/ |
| 28 April 2018 | 2018-0133 | SM | Alan Wilson | Blackpool & Fylde | Alcohol, drug and medication related deaths | Department of Health | https://www.judiciary.uk/publications/sara-moran/ |
| 28 April 2018 | 2018-0132 | CB | Alan Wilson | Blackpool & Fylde | Hospital Death (Clinical Procedures and medical management) related deaths | Blackpool Teaching Hospitals NHS Trust | https://www.judiciary.uk/publications/catherine-burns/ |
| 3 May 2018 | 2018-0131 | KH | Margaret Jones | Stoke-on-Trent & North Staffordshire | Hospital Death (Clinical Procedures and medical management) related deaths | Royal Stoke University Hospital | https://www.judiciary.uk/publications/kenneth-horne/ |
| 3 May 2018 | 2018-0130 | MB | Andrew Cox | Plymouth, Torbay and South Devon | Hospital Death (Clinical Procedures and medical management) related deaths | Livewell South West | https://www.judiciary.uk/publications/martin-baker/ |
| 2 May 2018 | 2018-0129 | GH | Sean McGovern | Warwickshire | Mental Health related deaths | Birmingham & Solihull Mental Health Trust | https://www.judiciary.uk/publications/greg-hutchins/ |
| 30 April 2018 | 2018-0128 | MF | Kevin McLoughlin | West Yorkshire (East) | Accident at Work and Health and Safety related deaths | Treanor Pujol Limited | https://www.judiciary.uk/publications/matthew-fulleylove/ |
| 1 May 2018 | 2018-0127 | CW | Zafar Siddique | Black Country | Hospital Death (Clinical Procedures and medical management) related deaths | The Dudley NHS Trust | https://www.judiciary.uk/publications/christine-withers/ |
| 25 May 2018 | 2018-0126 | RR | Tony Williams | Somerset | Hospital Death (Clinical Procedures and medical management) related deaths | Somerset NHS Trust; Department of Health | https://www.judiciary.uk/publications/robin-richards/ |
| 7 March 2018 | 2018-0072 | EG | Fiona Wilcox | London Inner (West) | Product related deaths | Whirlpool UK; Trading Standards Institute; BEIS; Wandsworth Borough Council | https://www.judiciary.uk/publications/elizabeth-griffin/ |
| 20 April 2018 | 2018-0112 | ND | Alison Mutch | Manchester (South) | Child Death (from 2015); Hospital Death (Clinical Procedures and medical management) related deaths | Department of Health; NHS England | https://www.judiciary.uk/publications/novia-delima/ |
| 19 April 2018 | 2018-0109 | AS | Rachael Griffin | Dorset | Hospital Death (Clinical Procedures and medical management) related deaths | Dorset University NHS Trust | https://www.judiciary.uk/publications/amanda-spark/ |
| 17 April 2018 | 2018-0107 | MW | Ian Pears | Bedfordshire and Luton | Other related deaths | M & S Water Services; B & D Civil Engineering Limited | https://www.judiciary.uk/publications/matthew-wilmot/ |
| 12 April 2018 | 2018-0105 | WC | Anne Pember | Northamptonshire | Care Home Health related deaths | St Lukes Primary Care Centre | https://www.judiciary.uk/publications/william-callis/ |
| 11 April 2018 | 2018-0104 | GG | Jane Gillespie | Nottinghamshire | Hospital Death (Clinical Procedures and medical management) related deaths; Care Home Health related deaths | HC-One | https://www.judiciary.uk/publications/george-goldby/ |
| 19 April 2018 | 2018-0111 | AJ | Alison Mutch | Manchester (South) | Hospital Death (Clinical Procedures and medical management) related deaths | Pennine Care NHS Trust | https://www.judiciary.uk/publications/adrian-jennings/ |
| 19 April 2018 | 2018-0110 | SL | Oliver Longstaff | County Durham and Darlington | Community health care and emergency services related deaths | Durham County Council; Haven Day Care Centre | https://www.judiciary.uk/publications/stanley-langdon/ |
| 18 April 2018 | 2018-0108 | HJ | Paul Smith | Lincolnshire | Road (Highways Safety) related deaths | Lincolnshire County Council | https://www.judiciary.uk/publications/harry-jellicoe/ |
| 16 April 2018 | 2018-0106 | KE | David Roberts | Cumbria | Hospital Death (Clinical Procedures and medical management) related death | Cumbria NHS Trust | https://www.judiciary.uk/publications/karen-edgar/ |
| 12 April 2018 | 2018-0102 | PH | Derek Winter | Sunderland | Hospital Death (Clinical Procedures and medical management) related deaths | Department of Health; HC-One | https://www.judiciary.uk/publications/patricia-heslop/ |
| 10 April 2018 | 2018-0101 | LH | Lisa Hashmi | Manchester (North) | Community health care and emergency services related deaths | EAM Care Grou | https://www.judiciary.uk/publications/lea-hunsley/ |
| 5 March 2018 | 2018-0100 | MF | Sarah Bourke | London Inner (North) | Hospital Death (Clinical Procedures and medical management) related deaths | Royal College of Anaesthetists; Barts Health NHS Trust | https://www.judiciary.uk/publications/mike-fell/ |
| 9 April 2018 | 2018-0099 | NC | Jonathan Leach | West Yorkshire (East) | Suicide (from 2015) | The Financial Conduct Authority | https://www.judiciary.uk/publications/naseeb-chuhan/ |
| 9 April 2018 | 2018-0098 | DS | Hassan Shah | Northamptonshire | Road (Highways Safety) related deaths | Northamptonshire County Council | https://www.judiciary.uk/publications/darryl-souza/ |
| 29 March 2018 | 2018-0097 | MF | Geoffrey Sullivan | Hertfordshire | Hospital Death (Clinical Procedures and medical management) related deaths; Mental Health related deaths | East of England Ambulance Service; Luton and Dunstable Hospital; Princess Alexander Hospital | https://www.judiciary.uk/publications/matthew-faulkner/ |
| 6 April 2018 | 2018-0096 | MR | Guy Davies | Cornwall and the Isle of Scilly | Other related deaths | NHS Kernov Clinical Commissioning Grou | https://www.judiciary.uk/publications/miriam-roach/ |
| 3 April 2018 | 2018-0095 | BH | Rachel Galloway | Manchester (South) | Care Home Health related deaths | Harbour Health Care Limited | https://www.judiciary.uk/publications/barbara-haley/ |
| 3 April 2018 | 2018-0094 | CB | 2018-0094 | Manchester (South) | Other related deaths | Peel Holdings; Trafford County Council | https://www.judiciary.uk/publications/casper-blackburn/ |
| 29 March 2018 | 2018-0093 | RR | Veronica Hamilton-Deeley | Brighton and Hove | Community health care and emergency services related deaths | Brighton and Hove Clinical Commission Group; NHS England; British Medical Association | https://www.judiciary.uk/publications/ross-reeves/ |
| 27 March 2018 | 2018-0092 | MG | Andrew Haigh | Staffordshire (South) | Alcohol, drug and medication related deaths | Department of Health | https://www.judiciary.uk/publications/matthew-gayle/ |
| 26 March 2018 | 2018-0091 | JO | Jane Gillespie | Nottinghamshire | Care Home Health related deaths | Adbolton Hall Nursing Home | https://www.judiciary.uk/publications/joan-osborne/ |
| 28 March 2018 | 2018-0088 | AP | Andre Rebello | Liverpool and Wirral | State Custody related deaths; Mental Health related deaths | Justice Secretary; HM Prison and Probation Service | https://www.judiciary.uk/publications/anthony-paine/ |
| 27 March 2018 | 2018-0090 | MC | Nadia Persaud | London (East) | Hospital Death (Clinical Procedures and medical management) related deaths | North East London Trust | https://www.judiciary.uk/publications/maureen-campbell-scott/ |
| 28 March 2018 | 2018-0089 | JW | Robert Sowersby | Avon | Hospital Death (Clinical Procedures and medical management) related deaths | Bristol NHS Trust | https://www.judiciary.uk/publications/john-wherlock/ |
| 21 March 2018 | 2018-0087 | EL | Tony Williams | Somerset | Hospital Death (Clinical Procedures and medical management) related deaths | South London and Maudsley NHS Trust | https://www.judiciary.uk/publications/edward-lundy/ |
| 7 March 2018 | 2018-0068 | VK | Alison Mutch | Manchester (South) | Hospital Death (Clinical Procedures and medical management) related deaths | NHS England; Department of Health | https://www.judiciary.uk/publications/venkata-kagga/ |
| 6 March 2018 | 2018-0066 | EC | Wendy James | Gwent | Community health care and emergency services related deaths | Grange Clinic; Aneurin University Health Board | https://www.judiciary.uk/publications/ellie-clark/ |
| 6 March 2018 | 2018-0067 | RP | Andrew Harris | London Inner (South) | Mental Health related deaths | Oxleas Mental Health Trust | https://www.judiciary.uk/publications/rastislav-petrisko/ |
| 22 March 2018 | 2018-0086 | KL | Rachel Galloway | Manchester (South) | Hospital Death (Clinical Procedures and medical management) related deaths | Wythenshawe Hospital | https://www.judiciary.uk/publications/kenneth-longley/ |
| 21 March 2018 | 2018-0084 | BJ | Rachel Galloway | Manchester (South) | Hospital Death (Clinical Procedures and medical management) related deaths | Pennine Acute NHS Trust | https://www.judiciary.uk/publications/barbara-johnson/ |
| 12 March 2018 | 2018-0085 | LW | Alison Mutch | Manchester (South) | Other related deaths | LTE Grou | https://www.judiciary.uk/publications/leigh-wilde/ |
| 19 March 2018 | 2018-0083 | KT | Paul Marks | East Riding and Kingston upon Hull | Suicide (from 2015) | Humber Bridge Board | https://www.judiciary.uk/publications/kellie-taylor/ |
| 9 March 2018 | 2018-0069 | DS | Caroline Saunders | Gloucestershire | Care Home Health related deaths | BUPA UK | https://www.judiciary.uk/publications/david-sketchley/ |
| 14 March 2018 | 2018-0082 | JH | Chri Morris | Manchester (South) | Hospital Death (Clinical Procedures and medical management) related deaths | Pennine Acute Hospitals NHS Trust | https://www.judiciary.uk/publications/janet-hall/ |
| 19 March 2018 | 2018-0081 | SR | Derek Winter | Sunderland | Care Home Health related deaths | Hylton View Care Home | https://www.judiciary.uk/publications/sheila-ross-2/ |
| 15 March 2018 | 2018-0080 | JG | Jennifer Leaming | Manchester (West) | Hospital Death (Clinical Procedures and medical management) related deaths | Department of Health | https://www.judiciary.uk/publications/jean-griffiths/ |
| 14 March 2018 | 2018-0077 | PS | Alison Mutch | Manchester (South) | Hospital Death (Clinical Procedures and medical management) related deaths | Pennine Care NHS Trust | https://www.judiciary.uk/publications/peter-stojilkovic/ |
| 6 March 2018 | 2018-0079 | GP | Sarah Bourke | London Inner (North) | Hospital Death (Clinical Procedures and medical management) related deaths | N.I.C.E; Homerton University Hospital | https://www.judiciary.uk/publications/georgia-polydorou/ |
| 14 March 2018 | 2018-0078 | FD | ME Hassell | London Inner (North) | Child Death (from 2015); Hospital Death (Clinical Procedures and medical management) related deaths | Great Ormond Street Hospital; Royal London Hospital | https://www.judiciary.uk/publications/freddie-dobinson-evans/ |
| 14 March 2018 | 2018-0076 | TC | Emma Carlyon | Cornwall and the Isle of Scilly | Hospital Death (Clinical Procedures and medical management) related deaths; Mental Health related deaths | NHS England | https://www.judiciary.uk/publications/thomas-curtin/ |
| 13 March 2018 | 2018-0075 | CK | Chri Morris | Manchester (South) | Hospital Death (Clinical Procedures and medical management) related deaths | Pennine Care NHS Trust | https://www.judiciary.uk/publications/catherine-kennedy/ |
| 6 March 2018 | 2018-0074 | WA | Sarah Bourke | London Inner (North) | Hospital Death (Clinical Procedures and medical management) related deaths | NHS England | https://www.judiciary.uk/publications/william-abrahams/ |
| 7 March 2018 | 2018-0073 | IO | Fiona Wilcox | London Inner (West) | Hospital Death (Clinical Procedures and medical management) related deaths | St Georges Hospital; General Medical Council; Department of Health | https://www.judiciary.uk/publications/ivanika-olivari/ |
| 12 March 2018 | 2018-0071 | MT | Caroline Saunders | Gloucestershire | Hospital Death (Clinical Procedures and medical management) related deaths; Mental Health related deaths | Gloucestershire Care Services NHS Trust | https://www.judiciary.uk/publications/martin-tilley/ |
| 8 March 2018 | 2018-0070 | BG | Rachel Syed | Derby and Derbyshire | Hospital Death (Clinical Procedures and medical management) related deaths; Community health care and emergency services related deaths | NHS Hardwick CCG; East Midlands Ambulance Service NHS Trust | https://www.judiciary.uk/publications/bernard-gerrard/ |
| 1 March 2018 | 2018-0065 | CA | Sean McGovern | Warwickshire | Hospital Death (Clinical Procedures and medical management) related deaths | George Eliot Hospital | https://www.judiciary.uk/publications/cyril-anderton/ |
| 2 March 2018 | 2018-0063 | EH | David Hinchliff | West Yorkshire (East) | State Custody related deaths | HM Prison Service; Department for Health | https://www.judiciary.uk/publications/emily-hartley/ |
| 1 March 2018 | 2018-0062 | GF | Alison Mutch | Manchester (South) | Hospital Death (Clinical Procedures and medical management) related deaths; Community health care and emergency services related deaths; Child Death (from 2015) | Stepping Hill Hospital; East Midlands Ambulance Service; Department for Health | https://www.judiciary.uk/publications/george-russell/ |
| 5 February 2018 | 2018-0032 | MS | Alexander Forrest | South Yorkshire (West) | Alcohol, drug and medication related deaths | MHRA | https://www.judiciary.uk/publications/michael-spencer/ |
| 29 January 2018 | 2018-0031 | MV | Philip Barlow | London Inner (South) | Hospital Death (Clinical Procedures and medical management) related deaths | Oxleas NHS Trust | https://www.judiciary.uk/publications/michael-vukovic/ |
| 24 January 2018 | 2018-0030 | RC | Zafar Siddique | Black Country | Hospital Death (Clinical Procedures and medical management) related deaths | The Dudley Group NHS Trust | https://www.judiciary.uk/publications/ronald-compson/ |
| 24 January 2018 | 2018-0029 | LK | Zafar Siddique | Black Country | Community health care and emergency services related deaths | Lodge Road Surgery; Black Country NHS Trust | https://www.judiciary.uk/publications/lakhminder-kaur/ |
| 31 January 2018 | 2018-0028 | AN | Rachael Griffin | Dorset | Road (Highways Safety) related deaths | Dorset County Council | https://www.judiciary.uk/publications/aaron-nordass-lacey/ |
| 27 February 2018 | 2018-0061 | AK | Andrew Haigh | Staffordshire (South) | Other related deaths | Foreign Office | https://www.judiciary.uk/publications/adrian-king/ |
| 28 February 2018 | 2018-0060 | AM | Anne Pember | Northamptonshire | Other related deaths | Thomas Cook | https://www.judiciary.uk/publications/andrea-mchugh/ |
| 27 February 2018 | 2018-0059 | RD | Derek Winter | Sunderland | Community health care and emergency services related deaths | North East Ambulance Service NHS Trust | https://www.judiciary.uk/publications/raymond-davidson/ |
| 26 February 2018 | 2018-0058 | KM | Christopher Dorries | South Yorkshire (West) | Hospital Death (Clinical Procedures and medical management) related deaths | Department for Health; Royal College of Surgeons | https://www.judiciary.uk/publications/kay-morrison/ |
| 27 February 2018 | 2018-0057 | DI | Lydia Brown | Exeter and Greater Devon | Hospital Death (Clinical Procedures and medical management) related deaths | Devon NHS Trust | https://www.judiciary.uk/publications/david-ireland/ |
| 22 February 2018 | 2018-0056 | JQ | Nicola Mundy | South Yorkshire (East) | Hospital Death (Clinical Procedures and medical management) related deaths | Doncaster Royal Infirmary | https://www.judiciary.uk/publications/james-quinton/ |
| 22 February 2018 | 2018-0055 | CB | Zafar Siddique | Black Country | Other related deaths | Wolverhampton City Council; Transport for West Midlands; West Midlands Fire Service | https://www.judiciary.uk/publications/christopher-brookes/ |
| 2018-0054 | RP | David Clark | Portsmouth and South East Hampshire | Other related deaths | British Cycling; Welsh Cycling; Scottish Cycling | https://www.judiciary.uk/publications/richard-phillips-schofield/ | |
| 21 February 2018 | 2018-0053 | AM | ME Hassell | London Inner (North) | Hospital Death (Clinical Procedures and medical management) related deaths | Addcounsel | https://www.judiciary.uk/publications/alan-macdonald/ |
| 13 February 2018 | 2018-0052 | NF | Zafar Siddique | Black Country | Hospital Death (Clinical Procedures and medical management) related deaths | Cambian Grou | https://www.judiciary.uk/publications/natasha-ford/ |
| 21 February 2018 | 2018-0051 | MM | Heidi Connor | Nottinghamshire | Road (Highways Safety) related deaths | Nottingham County Council | https://www.judiciary.uk/publications/molly-mills/ |
| 10 February 2018 | 2018-0050 | MC | Simon Jones | Lancashire & Blackburn with Darwen | Hospital Death (Clinical Procedures and medical management) related deaths | MHRA | https://www.judiciary.uk/publications/margaret-clark/ |
| 15 February 2018 | 2018-0049 | BS | Geraint Williams | Worcestershire | Alcohol, drug and medication related deaths; Mental Health related deaths | Department for Health | https://www.judiciary.uk/publications/bethany-shipsey/ |
| 15 February 2018 | 2018-0048 | CC | Chri Morris | Manchester (South) | Other related deaths; Child Death (from 2015) | British Cycling | https://www.judiciary.uk/publications/charlie-craig/ |
| 15 February 2018 | 2018-0047 | TS | Caroline Beasley-Murray | Essex | State Custody related deaths | HM Prison Service; Care UK Clinical Services | https://www.judiciary.uk/publications/timothy-shaw/ |
| 14 February 2018 | 2018-0046 | JL | Derek Winter | Sunderland | Care Home Health related deaths | Dairy Lane Care Centre | https://www.judiciary.uk/publications/john-lambton/ |
| 14 February 2018 | 2018-0044 | EB | Heidi Connor | Nottinghamshire | Hospital Death (Clinical Procedures and medical management) related deaths | United Lincolnshire Hospitals NHS Trust | https://www.judiciary.uk/publications/elaine-bradbrook/ |
| 13 February 2018 | 2018-0042 | AB | Fiona Wilcox | London Inner (West) | Alcohol, drug and medication related deaths | Wandsworth Consortium Drug and Alcohol Services | https://www.judiciary.uk/publications/angela-byrne/ |
| 26 January 2018 | 2018-0041 | RB | Anna Morris | Manchester (South) | Hospital Death (Clinical Procedures and medical management) related deaths | Tameside General Hospital NHS Trust | https://www.judiciary.uk/publications/riaz-begum/ |
| 2018-0040 | HW | Graeme Hughes | South Wale Central | Hospital Death (Clinical Procedures and medical management) related deaths | CWM Taff University Board | https://www.judiciary.uk/publications/howard-winter/ | |
| 9 February 2018 | 2018-0039 | GB | Andrew Cox | Worcestershire | Hospital Death (Clinical Procedures and medical management) related deaths | Worcester Health and care Trust | https://www.judiciary.uk/publications/gail-bannister/ |
| 2 February 2018 | 2018-0038 | BE | Katy Skerrett | Gloucestershire | Hospital Death (Clinical Procedures and medical management) related deaths | Gloucestershire Clinical Group; Herefordshire Clinical Commission Grou | https://www.judiciary.uk/publications/barbara-ellis/ |
| 25 January 2018 | 2018-0037 | SM | Peter Harrowing | Avon | Care Home Health related deaths | Milestones Trust | https://www.judiciary.uk/publications/sandra-miller/ |
| 6 February 2018 | 2018-0036 | EF | Deborah Archer | Plymouth, Torbay and South Devon | Road (Highways Safety) related deaths | Transport for London | https://www.judiciary.uk/publications/evelyn-fisher/ |
| 6 February 2018 | 2018-0035 | MR | Ian Pears | Bedfordshire and Luton | Other related deaths | First Port Retirement Property Services Limited | https://www.judiciary.uk/publications/mavis-reeves/ |
| 25 January 2018 | 2018-0034 | SG | David Roberts | Cumbria | Hospital Death (Clinical Procedures and medical management) related deaths | North Cumbria University Hospital NHS Trust; Department for Health | https://www.judiciary.uk/publications/sharon-grierson/ |
| 12 April 2018 | 2018-0214 | JS | Timothy Brennand | Manchester (West) | Hospital Death (Clinical Procedures and medical management) related deaths | Salford Royal NHS Trust | https://www.judiciary.uk/publications/james-sheffield/ |
| 10 April 2018 | 2018-0421 | EB | Dame Linda Dobbs | London (South) | Child Death (from 2015) | London Borough of Sutton; Sutton Local Safeguarding Children’s Board; Cafcass; The Children’s Guardian; Services for Children; Department for Housing, Communities and Local Government; Sutton and Merton Community Services | https://www.judiciary.uk/publications/ellie-butler/ |
| 10 April 2018 | AR | Alison Mutch | Manchester (West) | Community health care and emergency services related deaths | Trafford Clinical Commissioning Grou | https://www.judiciary.uk/publications/andrew-reid/ | |
| 29 March 2018 | MS | Zafar Siddique | Hospital Death (Clinical Procedures and medical management) related deaths | Walsall Healthcare NHS Trust | https://www.judiciary.uk/publications/margaret-spencer/ | ||
| 29 March 2018 | FH | Zafar Siddique | Black Country | Hospital Death (Clinical Procedures and medical management) related deaths | Sandwell Hospital and West Birmingham Hospital NHS Trust | https://www.judiciary.uk/publications/frank-hayward/ | |
| 20 March 2018 | 2018-0201 | PO | Simon Nelson | Manchester (West) | Hospital Death (Clinical Procedures and medical management) related deaths | Department of Health | https://www.judiciary.uk/publications/peter-odonnell/ |
| 1 February 2018 | 2018-0027 | DG | Caroline Beasley-Murray | Essex | Accident at Work and Health and Safety related deaths | Rose Builders and Contractors Ltd | https://www.judiciary.uk/publications/david-green/ |
| 26 January 2018 | 2018-0026 | JB | Karen Harold | Hampshire (Central) | Hospital Death (Clinical Procedures and medical management) related deaths; Community health care and emergency services related deaths | Hampshire NHS Trust; Park & Francis Surgery | https://www.judiciary.uk/publications/joan-betteridge/ |
| 24 January 2018 | 2018-0025 | RK | Margaret Jones | Stoke-on-Trent and North Staffordshire | Hospital Death (Clinical Procedures and medical management) related deaths | Staffordshire CCG | https://www.judiciary.uk/publications/reginald-key/ |
| 22 January 2018 | 2018-0023 | CS | Nadia Persaud | London (East) | Hospital Death (Clinical Procedures and medical management) related deaths | Barts NHS Trust | https://www.judiciary.uk/publications/caliel-smith-kwami/ |
| 19 January 2018 | 2018-0022 | WL | Kevin McLoughlin | Manchester (West) | Hospital Death (Clinical Procedures and medical management) related deaths; Mental Health related deaths | Greater Manchester Mental Health NHS Trust | https://www.judiciary.uk/publications/william-lound/ |
| 18 January 2018 | 2018-0021 | PH | Penelope Schofield | West Sussex | Hospital Death (Clinical Procedures and medical management) related deaths | Sussex Partnership NHS Trust; Sussex Police | https://www.judiciary.uk/publications/paul-hanton/ |
| 18 January 2018 | 2018-0020 | AO | Andrew Harris | London Inner (South) | Other related deaths | Department for Education | https://www.judiciary.uk/publications/abdul-jamal-ottun/ |
| 17 January 2018 | 2018-0018 | BT | Veronica Hamilton-Deeley | Brighton & Hove | Hospital Death (Clinical Procedures and medical management) related deaths | East Sussex Health Care NHS Trust; Brighton and Sussex University Hospitals | https://www.judiciary.uk/publications/barry-tucker/ |
| 16 January 2018 | 2018-0017 | KH | Alan Wilson | Blackpool & the Fylde | Hospital Death (Clinical Procedures and medical management) related deaths | Blackpool Teaching Hospitals NHS Trust | https://www.judiciary.uk/publications/keith-harwood/ |
| 16 January 2018 | 2018-0016 | EH | Christopher Murray | Manchester (South) | Hospital Death (Clinical Procedures and medical management) related deaths | Manchester University NHS Trust | https://www.judiciary.uk/publications/edwin-hooper/ |
| 10 January 2018 | 2018-0015 | JE | Margaret Jones | Staffordshire (South) | Care Home Health related deaths | Independent Futures, Southwinds Care Home | https://www.judiciary.uk/publications/john-edwards/ |
| 15 January 2018 | 2018-0014 | AC | Thoma Osborne | Milton Keynes | Other related deaths | HM Inspectorate of Probation | https://www.judiciary.uk/publications/antony-coughtrey/ |
| 11 January 2018 | 2018-0013 | DT | Margaret Jones | Stoke-on-Trent & North Staffordshire | Hospital Death (Clinical Procedures and medical management) related deaths | University Hospitals of North Midlands | https://www.judiciary.uk/publications/donald-till/ |
| 10 January 2018 | 2018-0012 | JO | Sarah Ormond-Walshe | London (West) | State Custody related deaths | HMP Wormwood Scrubs | https://www.judiciary.uk/publications/john-omeara/ |
| 12 January 2018 | 2018-0011 | CH | Alison Mutch | Manchester (South) | Other related deaths | National Probation Service | https://www.judiciary.uk/publications/christopher-hutton/ |
| 12 January 2018 | 2018-0010 | DB | Emma Carlyon | Cornwall and the Isle of Scilly | Hospital Death (Clinical Procedures and medical management) related deaths | Cornwall NHS Trust; Cornwall Health; NHS England | https://www.judiciary.uk/publications/david-buttriss/ |
| 12 January 2018 | 2018-0009 | PP | Emma Carlyon | Cornwall and the Isle of Scilly | Hospital Death (Clinical Procedures and medical management) related deaths | NHS England | https://www.judiciary.uk/publications/pauline-pryor/ |
| 12 January 2018 | 2018-0008 | JA | D Hocking | Leicester (City & South) | Other related deaths | Civil Aviation Authority | https://www.judiciary.uk/publications/john-armstrong/ |
| 11 January 2018 | 2018-0007 | JC | Nichola Rheinberg | Lancashire | State Custody related deaths | HMP Wymott | https://www.judiciary.uk/publications/john-chapman/ |
| 5 January 2018 | 2018-0006 | PM | Jacqueline Devonish | London Inner (North) | Hospital Death (Clinical Procedures and medical management) related deaths | Royal Free Hospital | https://www.judiciary.uk/publications/patrick-moran/ |
| 5 January 2018 | 2018-0005 | MH | Andrew Bridgman | Manchester (South) | Hospital Death (Clinical Procedures and medical management) related deaths; Mental Health related deaths | Greater Manchester Mental Health NHS Foundation Trust | https://www.judiciary.uk/publications/marcus-hamilton/ |
| 4 January 2018 | 2018-0004 | DH | Tanyka Rawden | South Yorkshire (West) | Hospital Death (Clinical Procedures and medical management) related deaths; Other related deaths | Department for Health; Food Standards Agency | https://www.judiciary.uk/publications/dylan-hill/ |
| 2 January 2018 | 2018-0003 | PD | Alison Mutch | Manchester (South) | Accident at Work and Health and Safety related deaths | HSE; Forestry Commission; Arboricultural Association | https://www.judiciary.uk/publications/paul-daniels/ |
| 3 January 2018 | 2018-0002 | MS | Anna Crawford | Surrey | Hospital Death (Clinical Procedures and medical management) related deaths | Ashford and St Peter’s Hospital NHS Trust | https://www.judiciary.uk/publications/margaret-silver/ |
| 2 January 2018 | 2018-0001 | KC | Jame Newman | Lancashire & Blackburn with Darwen | Hospital Death (Clinical Procedures and medical management) related deaths | Department for Health | https://www.judiciary.uk/publications/kristina-cross/ |
| 30 November 2017 | 2017-0429 | LH | Alison Mutch | Manchester (South) | Community health care and emergency services related deaths; Hospital Death (Clinical Procedures and medical management) related deaths | Pennine Care NHS Trust; Change Glow Live; Heaton Norris Health Centre | https://www.judiciary.uk/publications/lindsey-hassall/ |
| 28 November 2017 | 2017-0428 | SS | Jacqueline Devonish | London Inner (North) | Road (Highways Safety) related deaths | Transport for London | https://www.judiciary.uk/publications/sonia-stante/ |
| 29 November 2017 | 2017-0427 | CT | Nichola Rheinberg | Preston and West Lancashire | State Custody related deaths | HMP Preston; HM Probation and Prison Service; Secretary of State for Justice | https://www.judiciary.uk/publications/christopher-talbot/ |
| 28 November 2017 | 2017-0426 | EC | Andrew Haigh | Staffordshire (South) | Hospital Death (Clinical Procedures and medical management) related deaths | North Midlands NHS Trust | https://www.judiciary.uk/publications/edna-collett/ |
| 27 November 2017 | 2017-0425 | BO | Nadia Persaud | London (East) | Railway related deaths | London Underground | https://www.judiciary.uk/publications/bernard-ovu/ |
| 27 November 2017 | 2017-0424 | SB | Simon Fox | Avon | Community health care and emergency services related deaths | Wells Road Surgery | https://www.judiciary.uk/publications/shaun-berryman/ |
| 27 November 2017 | 2017-0423 | JB | Thoma Osborne | Milton Keynes | State Custody related deaths | Northamptonshire Police; HMCTS | https://www.judiciary.uk/publications/jason-basalat/ |
| 27 November 2017 | 2017-0422 | AY | Thoma Osborne | Milton Keynes | Road (Highways Safety) related deaths | Highways England | https://www.judiciary.uk/publications/ayse-yalcinkaya/ |
| 14 November 2017 | 2017–0395 | RB | Heidi Connor | Nottinghamshire | Community health care and emergency services related deaths | GMC Fitness to Practise Team | https://www.judiciary.uk/publications/rose-ball/ |
| 27 November 2017 | 2017-0421 | RA | Karen Harold | Portsmouth & South East Hampshire | Community health care and emergency services related deaths; Hospital Death (Clinical Procedures and medical management) related deaths; Child Death (from 2015) | Portsmouth Hospitals NHS Trust; Department for Health; South Central Ambulance Service NHS Trust | https://www.judiciary.uk/publications/rafe-angelo/ |
| 27 November 2017 | 2017-0420 | BH | Joanne Andrews | West Sussex | Community health care and emergency services related deaths | South East Ambulance Service | https://www.judiciary.uk/publications/barbara-howard/ |
| 20 November 2017 | 2017-0419 | TD | Terence Moore | Avon | Road (Highways Safety) related deaths | Banes Park and Services; Banes Highways; Canal Trust Bath | https://www.judiciary.uk/publications/terence-davies/ |
| 23 November 2017 | 2017-0418 | JS | Maria Voisin | Avon | Road (Highways Safety) related deaths | Highways Department, Bat and North East Somerset | https://www.judiciary.uk/publications/jonathan-shaw/ |
| 22 November 2017 | 2017-0417 | AM | Kevin McLoughlin | West Yorkshire (East) | Accident at Work and Health and Safety related deaths; Other related deaths | The Office for Standards in Education, Children Services and Skills | https://www.judiciary.uk/publications/ann-maguire/ |
| 23 November 2017 | 2017-0416 | RJ | David Horsley | Portsmouth and South East Hampshire | Other related deaths | Portsmouth City Council | https://www.judiciary.uk/publications/ronald-jones/ |
| 22 November 2017 | 2017-0412 | TK | Heidi Connor | Nottinghamshire | Hospital Death (Clinical Procedures and medical management) related deaths; Child Death (from 2015) | National Clinical Director for Children & Young People; Committee on Vaccination and Immunisation; Public Health England | https://www.judiciary.uk/publications/tomas-kelly/ |
| 23 November 2017 | 2017-0415 | MH | Jonathan Layton | Carmarthenshire & Pembrokeshire | Police related deaths | Dyfed-Powys Police | https://www.judiciary.uk/publications/michaela-haines/ |
| 20 November 2017 | 2017-0414 | PK | Patricia Harding | Kent (Central & South East) | Hospital Death (Clinical Procedures and medical management) related deaths | East Kent Hospitals University NHS Trust | https://www.judiciary.uk/publications/peter-king/ |
| 20 November 2017 | 2017-0413 | HH | Patricia Harding | Kent (Central & South East) | Hospital Death (Clinical Procedures and medical management) related deaths | East Kent Hospitals University NHS Trust | https://www.judiciary.uk/publications/henry-honour/ |
| 22 November 2017 | 2017-0411 | KD | Timothy Brennand | Manchester (West) | Care Home Health related deaths | Arden Court Nursing Home | https://www.judiciary.uk/publications/kathleen-devine/ |
| 16 November 2017 | 2017-0410 | AG | ME Hassell | London Inner (North) | Other related deaths | Royal Life Saving Society UK | https://www.judiciary.uk/publications/anthony-grant/ |
| 22 November 2017 | 2017-0409 | SS | Katy Skerrett | Gloucestershire | Hospital Death (Clinical Procedures and medical management) related deaths; Community health care and emergency services related deaths | Gloucestershire NHS Trust; South Western Ambulance Service NHS Trust | https://www.judiciary.uk/publications/susan-smalley/ |
| 20 November 2017 | 2017-0408 | HW | Kate Thomas | Kent (Central & South East) | Hospital Death (Clinical Procedures and medical management) related deaths | East Kent Hospitals University NHS Trust | https://www.judiciary.uk/publications/harold-wonfor/ |
| 20 November 2017 | 2017-0407 | SK | Lisa Hashmi | Manchester (North) | Community health care and emergency services related deaths | Stonefield Street Surgery | https://www.judiciary.uk/publications/sarah-kiff/ |
| 20 November 2017 | 2017-0406 | RR | Fiona Wilcox | London Inner (West) | State Custody related deaths; Hospital Death (Clinical Procedures and medical management) related deaths | HMP Wandsworth; St George’s Hospital | https://www.judiciary.uk/publications/robert-richards/ |
| 17 November 2017 | 2017-0403 | PM | Alan Walsh | Manchester (West) | Mental Health related deaths; Other related deaths | Greater Manchester Mental Health NHS Trust; Hindley Health Centre Pharmacy | https://www.judiciary.uk/publications/paul-mullen/ |
| 17 November 2017 | 2017-0404 | PS | Sean Horstead | Cambridgeshire and Peterborough | Hospital Death (Clinical Procedures and medical management) related deaths | NHS England; North West Anglia NHS Trust; Royal College of Anaesthetists; The Difficult Airway Society | https://www.judiciary.uk/publications/peter-saint/ |
| 16 November 2017 | 2017-0402 | JH | Lisa Hashmi | Manchester (North) | Hospital Death (Clinical Procedures and medical management) related deaths | Department of Health; NHS England; Bury, Rochdale & Oldham Clinical Commissioning Groups; Pennine Care NHS Trust | https://www.judiciary.uk/publications/john-haines/ |
| 17 November 2017 | 2017-0401 | KR | Rachael Griffin | Dorset | Community health care and emergency services related deaths; Hospital Death (Clinical Procedures and medical management) related deaths | Department of Health; Ambulance Association | https://www.judiciary.uk/publications/kathryn-richmond/ |
| 17 November 2017 | 2017-0400 | MG | Louise Hunt | Birmingham and Solihull | Care Home Health related deaths | St Giles Nursing Home | https://www.judiciary.uk/publications/mildred-griffiths/ |
| 16 November 2017 | 2017-0399 | DW | Chri Morris | Manchester (South) | Hospital Death (Clinical Procedures and medical management) related deaths | Comfort Call Limited | https://www.judiciary.uk/publications/doreen-wilkins/ |
| 16 November 2017 | 2017-0398 | TS | Lisa Hashmi | Manchester (North) | Hospital Death (Clinical Procedures and medical management) related deaths | Department of Health | https://www.judiciary.uk/publications/timothy-smedley/ |
| 14 November 2017 | 2017-0397 | KS | Chri Morris | Manchester (South) | Hospital Death (Clinical Procedures and medical management) related deaths | Borough Care | https://www.judiciary.uk/publications/kathleen-smith/ |
| 14 November 2017 | 2017-0394 | BS | Jacqueline Lake | Norfolk | Hospital Death (Clinical Procedures and medical management) related deaths | Norfolk & Suffolk NHS Trust | https://www.judiciary.uk/publications/brian-stannard/ |
| 10 November 2017 | 2017-0393 | GF | Karen Dilks | Newcastle Upon Tyne | Road (Highways Safety) related deaths | Cumbria County Council | https://www.judiciary.uk/publications/graeme-flatman/ |
| 13 November 2017 | 2017-0392 | JA | John Ellery | Shropshire, Telford & Wrekin | Hospital Death (Clinical Procedures and medical management) related deaths; Railway related deaths | South Staffordshire and Shropshire NHS Trust | https://www.judiciary.uk/publications/jeff-antwis/ |
| 13 November 2017 | 2017-0391 | JS | Bina Patel | Coventry | Hospital Death (Clinical Procedures and medical management) related deaths | Coventry and Warwickshire NHS Trust | https://www.judiciary.uk/publications/john-scallan/ |
| 30 October 2017 | 2017-0390 | SC | Alison Mutch | Manchester (South) | Hospital Death (Clinical Procedures and medical management) related deaths | ADS | https://www.judiciary.uk/publications/stuart-campbell/ |
| 11 September 2017 | 2017-0389 | JW | ME Hassell | London Inner (North) | Hospital Death (Clinical Procedures and medical management) related deaths | East London NHS Trust | https://www.judiciary.uk/publications/janet-williams-2/ |
| 12 February 2018 | JS | Christopher Williams | London Inner (South) | Mental Health related deaths | Oxleas NHS Trust | https://www.judiciary.uk/publications/john-sloan/ | |
| 28 December 2017 | 2017-0386 | MD | Andrew McNamara | Nottinghamshire | Hospital Death (Clinical Procedures and medical management) related deaths | Nottinghamshire Healthcare NHS Trust | https://www.judiciary.uk/publications/michael-drewry/ |
| 22 December 2017 | 2017-0385 | RR | Alison Mutch | Manchester (South) | Hospital Death (Clinical Procedures and medical management) related deaths | Trafford Clinical Commissioning Grou | https://www.judiciary.uk/publications/russell-robb/ |
| 21 December 2017 | 2017-0384 | SR | Veronica Hamilton-Deeley | Brighton and Hove | Care Home Health related deaths | Compliance Manager; Carlton House Rest Home | https://www.judiciary.uk/publications/sheila-ross/ |
| 18 December 2017 | 2017-0383 | AM | Christopher Williams | London Inner (South) | Hospital Death (Clinical Procedures and medical management) related deaths | Oxleas NHS Trust; The Priory Hospital | https://www.judiciary.uk/publications/anne-morris/ |
| 21 December 2017 | 2017-0382 | MP | Alison Mutch | Manchester (South) | Hospital Death (Clinical Procedures and medical management) related deaths | Tameside General Hospital | https://www.judiciary.uk/publications/margaret-postill/ |
| 18 December 2017 | 2017-0380 | SS | Elizabeth Earland | Exeter and Greater Devon | State Custody related deaths | Home Office; Dorset Health Care University; Care UK | https://www.judiciary.uk/publications/stephen-shaylor/ |
| 20 December 2017 | 2017-0379 | CR | Caroline Beasley-Murray | Essex | State Custody related deaths; Hospital Death (Clinical Procedures and medical management) related deaths | HM Prisons and Probation Service; Care UK; Essex Partnership NHS Trust | https://www.judiciary.uk/publications/craig-royce/ |
| 19 December 2017 | 2017-0378 | LP | Lisa Hashmi | Manchester (North) | Hospital Death (Clinical Procedures and medical management) related deaths | Salford Royal Hospital | https://www.judiciary.uk/publications/lindsey-parker/ |
| 28 November 2017 | 2017-0377 | HC | Julian Morris | London Inner (South) | Hospital Death (Clinical Procedures and medical management) related deaths | Barts Health NHS Trust; Brompton NHS Trust | https://www.judiciary.uk/publications/harold-chapman/ |
| 6 November 2017 | 2017-0376 | RV | Andrew McNamara | Nottinghamshire | Mental Health related deaths; Hospital Death (Clinical Procedures and medical management) related deaths | Department for Health; Nottingham Police; Nottingham County Council; Nottinghamshire Healthcare NHS Trust; Yorkshire Ambulance Service NHS Trust | https://www.judiciary.uk/publications/ryan-vout/ |
| 18 December 2017 | 2017-0375 | MD | Heather Williams | London Inner (North) | State Custody related deaths | HMP Pentonville; HM Prisons and Probation Service; Care UK | https://www.judiciary.uk/publications/mark-doyle/ |
| 18 December 2017 | 2017-0373 | PH | Emma Carlyon | Cornwall and the Isle of Scilly | Hospital Death (Clinical Procedures and medical management) related deaths | Royal College of Emergency Medicine; Royal College of Surgeons | https://www.judiciary.uk/publications/pamela-hands/ |
| 13 December 2017 | 2017-0372 | MW | Tony Brown | Northumberland (North) | Road (Highways Safety) related deaths | Volvo Group (UK) Limited | https://www.judiciary.uk/publications/maurice-wrightson/ |
| 12 December 2017 | 2017-0371 | JD | Caroline Sumeray | Isle of Wight | Hospital Death (Clinical Procedures and medical management) related deaths | Isle of Wight NHS Trust; St Mary’s Hospital; CQC | https://www.judiciary.uk/publications/joseph-dune/ |
| 18 December 2017 | 2017-0370 | DW | John Gittins | North Wale (East and Central) | Mental Health related deaths; Community health care and emergency services related deaths | BCUHB; Wrexham County Council | https://www.judiciary.uk/publications/daniel-watson/ |
| 13 December 2017 | 2017-0369 | RR | Maria Voisin | Avon | Child Death (from 2015); Hospital Death (Clinical Procedures and medical management) related deaths; Mental Health related deaths | Avon & Wiltshire Mental Health Partnership NHS Trust; Dorset Healthcare University NHS Trust; NHS England | https://www.judiciary.uk/publications/rebecca-romero/ |
| 12 December 2017 | 2017-0367 | FB | Louise Hunt | Birmingham and Solihull | Care Home Health related deaths; Hospital Death (Clinical Procedures and medical management) related deaths | Heart of England NHS Trust; St Giles Care Home | https://www.judiciary.uk/publications/francis-beech/ |
| 12 December 2017 | 2017-0366 | ST | Geraint Williams | Worcestershire | State Custody related deaths | HMP Long Lartin | https://www.judiciary.uk/publications/sidonio-teixeira/ |
| 8 December 2017 | 2017-0365 | RS | Veronica Hamilton-Deeley | Brighton and Hove | Hospital Death (Clinical Procedures and medical management) related deaths | Brighton and Sussex University Hospitals NHS Trust; St George’s University Hospitals NHS Trust | https://www.judiciary.uk/publications/roger-saxby/ |
| 11 December 2017 | 2017-0363 | IB | S Fox | Avon | Care Home Health related deaths | Rosewood Lodge Nursing Home | https://www.judiciary.uk/publications/irene-baker/ |
| 8 December 2017 | 2017-0362 | BG | Jacqueline Lake | Norfolk | Hospital Death (Clinical Procedures and medical management) related deaths | Norfolk and Suffolk NHS Trust | https://www.judiciary.uk/publications/benjamin-goodrum/ |
| 16 November 2017 | 2017-0361 | SC | Philip Spinney | South Wale Central | Mental Health related deaths; Hospital Death (Clinical Procedures and medical management) related deaths | Ludlow Street Healthcare | https://www.judiciary.uk/publications/stephanie-cave/ |
| 7 December 2017 | 2017-0360 | KC | Anna Crawford | Derby and Derbyshire | Care Home Health related deaths | Coxbench Hall Residential Home | https://www.judiciary.uk/publications/kenneth-cottam/ |
| 4 December 2017 | 2017-00359 | GT | Nicola Mundy | South Yorkshire (East) | Hospital Death (Clinical Procedures and medical management) related deaths | Doncaster Royal Infirmary | https://www.judiciary.uk/publications/gordon-thornhill/ |
| 8 December 2017 | 2017-0358 | SW | Michael Mellun | East Riding and Kingston Upon Hull | Hospital Death (Clinical Procedures and medical management) related deaths | NHS England; Hull and East Riding NHS Trust, The Local Medical Committee | https://www.judiciary.uk/publications/stuart-walls/ |
| 14 November 2017 | 2017-0357 | SJ | Raymond Curtis | South Yorkshire (East) | Care Home Health related deaths | Beech Cliffe Grange Care Homes | https://www.judiciary.uk/publications/steven-jones/ |
| 7 December 2017 | 2017-0356 | VN | Peter Bedford | Berkshire | Hospital Death (Clinical Procedures and medical management) related deaths | NHS England; The Royal College of General Practitioners; The Society of Radiographers | https://www.judiciary.uk/publications/violet-nelson/ |
| 28 November 2017 | 2017-0355 | JL | Lisa Hashmi | Manchester (North) | Hospital Death (Clinical Procedures and medical management) related deaths | Pennine Acute Hospitals NHS Trust | https://www.judiciary.uk/publications/john-lea/ |
| 15 September 2017 | 2017-0354 | MP | Martin Fleming | West Yorkshire (West) | Accident at Work and Health and Safety related deaths | HSE | https://www.judiciary.uk/publications/marko-petrovic/ |
| 5 December 2017 | 2017-0353 | GH | Andrew Haigh | Staffordshire (South) | Hospital Death (Clinical Procedures and medical management) related deaths | University Hospitals North Midlands NHS Trust | https://www.judiciary.uk/publications/gwendoline-halfpenny/ |
| 30 November 2017 | 2017-0352 | PP | Zafar Siddique | Black Country | Hospital Death (Clinical Procedures and medical management) related deaths | The Dudley Group NHS Trust | https://www.judiciary.uk/publications/philip-powell/ |
| 5 December 2017 | 2017-0351 | JH | John Gittins | North Wale (East & Central) | Mental Health related deaths; Police related deaths | North Wales Police | https://www.judiciary.uk/publications/joshua-hamill/ |
| 30 November 2017 | 2017-0350 | SA | Zafar Siddique | Black Country | Child Death (from 2015); Railway related deaths | Network Rail; Walsall Local Authority; HM Inspector of Railways | https://www.judiciary.uk/publications/sarah-athersmith/ |
| 30 November 2017 | 2017-0349 | PB | Zafar Siddique | Black Country | Mental Health related deaths; Suicide (from 2015) | Dudley and Walsall Mental Health NHS Trust | https://www.judiciary.uk/publications/penelope-benton/ |
| 4 December 2017 | 2017-0348 | DB | Paul Cooper | Lincolnshire | Hospital Death (Clinical Procedures and medical management) related deaths | Lincolnshire Hospitals NHS Trust | https://www.judiciary.uk/publications/dorothy-breislin/ |
| 20 September 2017 | 2017-0388 | PC | Thoma Osborne | Milton Keynes | Community health care and emergency services related deaths | South Central Ambulance Service NHS Trust | https://www.judiciary.uk/publications/peter-cotter/ |
| 4 September 2017 | 2017-0347 | LT | Darren Salter | Oxfordshire | Hospital Death (Clinical Procedures and medical management) related deaths | Oxford Health NHS Trust | https://www.judiciary.uk/publications/liam-thomas/ |
| 10 November 2017 | 2017-0346 | DP | Derek Winters | Sunderland | Community health care and emergency services related deaths | North East Ambulance Service NHS Trust | https://www.judiciary.uk/publications/darren-powney/ |
| 20 December 2017 | 2017-0345 | SR | Edward Solomons | Hertfordshire | Railway related deaths | Network Rail | https://www.judiciary.uk/publications/scott-rayner/ |
| 2 November 2017 | 2017-0344 | JN | Johanna Thompson | Norfolk | Care Home Health related deaths | Eastgate Residential Care Homes | https://www.judiciary.uk/publications/john-nichols/ |
| 31 October 2017 | 2017-0343 | WB | ME Hassell | London Inner (North) | Hospital Death (Clinical Procedures and medical management) related deaths | Barts Hospital NHS Trust | https://www.judiciary.uk/publications/william-bergman/ |
| 26 January 2018 | AF | Derek Winter | Sunderland | Community health care and emergency services related deaths | North east Ambulance Service NHS Trust | https://www.judiciary.uk/publications/andrew-finlay/ | |
| 22 January 2018 | CS | Nadia Persaud | London (East) | Hospital Death (Clinical Procedures and medical management) related deaths | Barts Health Trust | https://www.judiciary.uk/publications/caliel-smith-kwami-2/ | |
| 12 January 2018 | LD | Caroline Sumeray | Isle of Wight | Road (Highways Safety) related deaths | Isle of Wight Highways Department | https://www.judiciary.uk/publications/lee-daniel/ | |
| 28 December 2017 | 2017-0456 | MW | ME Hassell | London Inner (North) | Road (Highways Safety) related deaths | Transport for London | https://www.judiciary.uk/publications/mark-welsh/ |
| 14 December 2017 | 2017-0459 | ES | Anna Crawford | Surrey | Hospital Death (Clinical Procedures and medical management) related deaths | Surrey and Borders Partnership NHS Trust | https://www.judiciary.uk/publications/ernest-smith/ |
| 22 December 2017 | 2017-0494 | RF | Caroline Topping | Surrey | Care Home Health related deaths | Saffronland Homes limited; CQC; Surrey County Council | https://www.judiciary.uk/publications/ronald-farrington/ |
| 9 November 2017 | 2017-0265 | TA | David Horsley | Portsmouth and South East Hampshire | Road (Highways Safety) related deaths | Portsmouth City Council | https://www.judiciary.uk/publications/timothy-atkins/ |
| 6 November 2017 | 2017-0266 | HD | Ian Pears | Bedfordshire and Luton | Railway related deaths | Network Rail | https://www.judiciary.uk/publications/harminder-dhillon/ |
| 16 October 2017 | 2017-0296 | JM | David Ridley | Wiltshire & Swindon | Hospital Death (Clinical Procedures and medical management) related deaths | Great Western Hospital NHS Trust | https://www.judiciary.uk/publications/jeremy-marshall/ |
| 23 June 2017 | 2017-0339 | AC | Ian Pears | Bedfordshire and Luton | Community health care and emergency services related deaths; Suicide (from 2015) | East London NHS Trust | https://www.judiciary.uk/publications/andrew-codling/ |
| 19 December 2017 | NS | John Tomalin | Exeter and Greater Devon | Alcohol, drug and medication related deaths; Community health care and emergency services related deaths | Devon Partnership Trust | https://www.judiciary.uk/publications/naomi-sourbut/ | |
| 8 August 2017 | 2017-0288 | FA | ME Hassell | London Inner (North) | Hospital Death (Clinical Procedures and medical management) related deaths; Community health care and emergency services related deaths; Suicide (from 2015) | East London NHS Trust | https://www.judiciary.uk/publications/fallon-abby/ |
| 24 July 2017 | 2017-0325 | RD | Nichola Moss | Cambridgeshire and Peterborough | Police related deaths | National Police Council; Bedfordshire Police Constabulary | https://www.judiciary.uk/publications/richard-davies/ |
| 31 July 2017 | 2017-0323 | PC | Alison Mutch | Manchester (South) | Road (Highways Safety) related deaths | Department of Transport | https://www.judiciary.uk/publications/philip-clayton/ |
| 31 July 2017 | 2017-0322 | MB | Anna Morris | Manchester (South) | Hospital Death (Clinical Procedures and medical management) related deaths | Harbour Healthcare; Care Quality Commission; Stockport NHS Trust | https://www.judiciary.uk/publications/michael-bingham/ |
| 4 August 2017 | 2017-0320 | CG | Geoffrey Tomalin | Exeter & Greater Devon | Hospital Death (Clinical Procedures and medical management) related deaths; Suicide (from 2015) | NHS England; Royal College of General Practitioners; Devon Local Medical Centre; Fremington Medical Centre; Devon NHS Trust | https://www.judiciary.uk/publications/carly-gordon/ |
| 1 August 2017 | 2017-0324 | HS | Anna Crawford | Surrey | Community health care and emergency services related deaths | The Moat Surgery | https://www.judiciary.uk/publications/hayley-sheehan/ |
| 27 July 2017 | 2017-0318 | MC | Jean Harkin | Cheshire | Care Home Health related deaths | Care Quality Commission; Care Agency | https://www.judiciary.uk/publications/maureen-colclough/ |
| 2 August 2017 | 2017-0321 | TW | Veronica Hamilton-Deeley | Brighton and Hove | Hospital Death (Clinical Procedures and medical management) related deaths; Suicide (from 2015) | Clinical Commissioning Group; Sussex Partnership NHS Trust; Pavillions | https://www.judiciary.uk/publications/thomas-wall/ |
| 4 August 2017 | 2017-0319 | SH | Jennifer Leeming | Manchester (West) | Hospital Death (Clinical Procedures and medical management) related deaths; Suicide (from 2015) | North West Boroughs Healthcare NHS Trust | https://www.judiciary.uk/publications/sharon-halliwell/ |
| 8 August 2017 | 2017-0317 | MK | Jacqueline Lake | Norfolk | Other related deaths; Child Death (from 2015) | Waveney River Centre | https://www.judiciary.uk/publications/maya-kantengule/ |
| 9 August 2017 | 2017-0338 | JV | Derek Winter | Sunderland | Hospital Death (Clinical Procedures and medical management) related deaths | City Hospitals Sunderland NHS Trust | https://www.judiciary.uk/publications/james-vinson/ |
| 9 August 2017 | 2017-0316 | SP | Grahame Short | Hampshire (Central) | State Custody related deaths | HM Prison and Probation Services; Carillion | https://www.judiciary.uk/publications/sean-plumstead/ |
| 19 July 2017 | 2017-0337 | OA | Sean McGovern | Coventry | Police related deaths | West Midlands Police | https://www.judiciary.uk/publications/ozeivo-akerele/ |
| 21 July 2017 | 2017-0336 | JA | Elizabeth Didcock | Nottinghamshire | Hospital Death (Clinical Procedures and medical management) related deaths | Doncaster and Bassetlaw Hospital NHS Trust; Bassetlaw Clinical Commissioning Group; Care Quality Commission | https://www.judiciary.uk/publications/james-allbones/ |
| 24 July 2017 | 2017-0335 | BJ | Nick Stanage | Manchester (City) | Service Personnel related deaths | Ministry of Defence | https://www.judiciary.uk/publications/ben-jukes/ |
| 21 July 2017 | 2017-0334 | JH | Emma Brown | Birmingham and Solihull | Care Home Health related deaths | Care Quality Commission; Care First Class UK Limited | https://www.judiciary.uk/publications/james-harris/ |
| 25 July 2017 | 2017-0333 | RD | Emma Whitting | Coventry | Hospital Death (Clinical Procedures and medical management) related deaths | Coventry & Warwickshire NHS Trust | https://www.judiciary.uk/publications/robert-dymond/ |
| 26 July 2017 | 2017-0331 | KS | John Broadbridge | York | Hospital Death (Clinical Procedures and medical management) related deaths | York Teaching Hospital NHS Trust | https://www.judiciary.uk/publications/kenneth-swift/ |
| 26 July 2017 | 2017-0330 | SB | ME Hassell | London Inner (North) | Hospital Death (Clinical Procedures and medical management) related deaths | East London NHS Trust | https://www.judiciary.uk/publications/songul-bozdag-2/ |
| 27 July 2017 | 2017-0329 | PJ | Andrew Barkley | South Wale Central | Community health care and emergency services related deaths | Local Health Board; Care Quality Commission; Welsh Government | https://www.judiciary.uk/publications/percy-jacks/ |
| 27 July 2017 | 2017-0328 | SG | Andrew Barkley | South Wale Central | Hospital Death (Clinical Procedures and medical management) related deaths | Welsh Government Office; Care Quality Commission | https://www.judiciary.uk/publications/sheila-gaskin/ |
| 28 July 2017 | 2017-0327 | PK | Hassan Shah | Northamptonshire | Hospital Death (Clinical Procedures and medical management) related deaths | Health Education England; JRCALC; British Renal Society; Renal Association; Vascular Access Society of Britain and Ireland | https://www.judiciary.uk/publications/pamela-keech/ |
| 13 July 2017 | 2017-0258 | EO | Andre Rebello | Liverpool & Wirral | State Custody related deaths | HM Prison and Probation Services | https://www.judiciary.uk/publications/edwin-odonnell/ |
| 9 August 2017 | 2017-0315 | DR | Andrew Barkley | South Wale Central | Hospital Death (Clinical Procedures and medical management) related deaths | ABMU Health Board | https://www.judiciary.uk/publications/dennis-redmore/ |
| 31 October 2017 | 2017-0313 | GP | Grahame Short | Hampshire (Central) | Community health care and emergency services related deaths | Adult Social Services | https://www.judiciary.uk/publications/gordon-penistan/ |
| 31 October 2017 | 2017-0312 | KP | David Lewis | North Wale (East & Central) | Hospital Death (Clinical Procedures and medical management) related deaths | University Health Board | https://www.judiciary.uk/publications/kate-pierce/ |
| 24 October 2017 | 2017-0308 | DJ | Karen Harrold | West Sussex | Community health care and emergency services related deaths | Fitzalan Medical Group; West Sussex Clinical Commissioning Grou | https://www.judiciary.uk/publications/david-jackson/ |
| 31 October 2017 | 2017-0311 | DM | David Lewis | North Wale (East & Central) | Product related deaths | Whirlpool (UK) Appliances | https://www.judiciary.uk/publications/douglas-mctavish/ |
| 31 October 2017 | 2017-0311A | BH | David Lewis | North Wale (East & Central) | Product related deaths | Whirlpool (UK) Appliances | https://www.judiciary.uk/publications/bernard-hender/ |
| 30 October 2017 | 2017-0310 | JP | Lisa Hashmi | Manchester (North) | Other related deaths | Home Office; Department of Health | https://www.judiciary.uk/publications/jane-powell/ |
| 30 October 2017 | 2017-0309 | MG | Geraint Williams | Worcestershire | Hospital Death (Clinical Procedures and medical management) related deaths | Worcestershire Acute Hospital Trust | https://www.judiciary.uk/publications/michael-giles/ |
| 27 October 2017 | 2017-0307 | SC | Rashid Sohail | Manchester (City) | Hospital Death (Clinical Procedures and medical management) related deaths | Central Manchester University Hospitals; NHS England; Care Quality Commission | https://www.judiciary.uk/publications/stephen-coulson/ |
| 19 October 2017 | 2017-0306 | RB | Katy Skerrett | Gloucestershire | Care Home Health related deaths | Barchester Homes | https://www.judiciary.uk/publications/ronald-brewer/ |
| 20 October 2017 | 2017-0301 | LO | Paul Cooper | Lincolnshire | Hospital Death (Clinical Procedures and medical management) related deaths; Child Death (from 2015) | United Lincolnshire Hospital | https://www.judiciary.uk/publications/liam-oldsworth/ |
| 12 October 2017 | 2017-0297 | RT | Timothy Brennand | Manchester (West) | Hospital Death (Clinical Procedures and medical management) related deaths; Other related deaths | Insure and Co | https://www.judiciary.uk/publications/ruth-thompson/ |
| 12 October 2017 | 2017-0290 | DH | Heidi Connor | Nottinghamshire | Hospital Death (Clinical Procedures and medical management) related deaths | NHS Digital; Managing Director of Cegedim; Wells Pharmacy | https://www.judiciary.uk/publications/douglas-hodges/ |
| 19 October 2017 | 2017-0302 | JE | Caroline Topping | Surrey | Hospital Death (Clinical Procedures and medical management) related deaths | St Peter’s Hospital | https://www.judiciary.uk/publications/june-evans/ |
| 13 October 2017 | 2017-0295 | CF | Lisa Hashmi | Manchester (North) | Product related deaths | General Pharmaceutical Council | https://www.judiciary.uk/publications/christina-fletcher/ |
| 23 October 2017 | 2017-0305 | SW | ME Hassell | London Inner (North) | Hospital Death (Clinical Procedures and medical management) related deaths; Other related deaths | Camden & Islington NHS Trust; One Housing Grou | https://www.judiciary.uk/publications/sian-witheridge/ |
| 12 October 2017 | 2017-0294 | CB | Timothy Brennand | Manchester (West) | Hospital Death (Clinical Procedures and medical management) related deaths | Royal Bolton Hospital | https://www.judiciary.uk/publications/carol-buchanan/ |
| 10 October 2017 | 2017-0304 | CK | Mark Beresford | South Yorkshire (East) | Community health care and emergency services related deaths; Suicide (from 2015) | Yorkshire Ambulance Service | https://www.judiciary.uk/publications/christopher-kierman/ |
| 11 October 2017 | 2017-0291 | PC | Rachel Galloway | Blackburn, Hyndburn and Ribble Valley | Hospital Death (Clinical Procedures and medical management) related deaths | East Lancashire Hospitals NHS Trust | https://www.judiciary.uk/publications/patrick-clifford/ |
| 6 October 2017 | 2017-0287 | LC | Peter Dean | Suffolk | State Custody related deaths | HMP Highpoint | https://www.judiciary.uk/publications/levi-cronin/ |
| 11 October 2017 | 2017-0286 | MV | Ian Pears | Bedfordshire & Luton | State Custody related deaths | HMP Bedford; HM Prison and Probation Service | https://www.judiciary.uk/publications/mark-vagnoni/ |
| 10 October 2017 | 2017-0285 | BC | Alan Wilson | Blackpool and Fylde | Hospital Death (Clinical Procedures and medical management) related deaths | Blackpool Teaching Hospitals NHS Trust | https://www.judiciary.uk/publications/bernard-cosgrove/ |
| 21 September 2017 | 2017-0284 | DD | Anna Loxton | Surrey | Other related deaths | CSS Telecare Service; Tandridge District Council; Elmbridge and Ewell Borough Council | https://www.judiciary.uk/publications/derek-dudley/ |
| 5 October 2017 | 2017-0283 | CR | Aled Gruffydd | Swansea, Neath and Port Talbot | Hospital Death (Clinical Procedures and medical management) related deaths | ABMU Health Board | https://www.judiciary.uk/publications/christopher-roberts/ |
| 4 October 2017 | 2017-0293 | SL | Tony Williams | Somerset | Hospital Death (Clinical Procedures and medical management) related deaths; Suicide (from 2015) | CAMHS; NHS Somerset Clinical Commissioning Group; Somerset County Council | https://www.judiciary.uk/publications/sofia-legg/ |
| 6 October 2017 | 2017-0281 | GS | Andrew Bridgeman | Manchester (South) | Hospital Death (Clinical Procedures and medical management) related deaths | The Lakes Care Centre | https://www.judiciary.uk/publications/geoffrey-spencer/ |
| 5 October 2017 | 2017-0280 | SW | Nicola Jones | North West Wales | Hospital Death (Clinical Procedures and medical management) related deaths | University Health Board | https://www.judiciary.uk/publications/simon-willans/ |
| 28 September 2017 | 2017-0278 | PH | Timothy Brennand | Manchester (West) | Hospital Death (Clinical Procedures and medical management) related deaths | Royal Bolton Hospital; Rambleguard Ltd; Department of Health | https://www.judiciary.uk/publications/pauline-hayston/ |
| 19 October 2017 | 2017-0300 | JM | Jacqueline Lake | Norfolk | Other related deaths | Lifeshield Medical Services Limited | https://www.judiciary.uk/publications/jakub-moczyk/ |
| 18 October 2017 | 2017-0299 | WM | John Pollard | Manchester (West) | Care Home Health related deaths | Grange Care Home | https://www.judiciary.uk/publications/wycliffe-matthews/ |
| 12 October 2017 | 2017-0303 | LH | Philip Spinney | South Wale Central | Community health care and emergency services related deaths | Cardiff City Council; Medical Officer Welsh Government | https://www.judiciary.uk/publications/lesley-hanson/ |
| 12 October 2017 | 2017-0292 | JO | Selena Lynch | London (South) | Community health care and emergency services related deaths | London Borough of Sutton | https://www.judiciary.uk/publications/jeremiah-obaka/ |
| 7 October 2017 | 2017-0282 | MM | Nichola Rheinberg | Preston and West Lancashire | Hospital Death (Clinical Procedures and medical management) related deaths | NHS England | https://www.judiciary.uk/publications/marcin-mazurek/ |
| 27 September 2017 | 2017-0279 | PC | Gemma Brannigan | London (West) | Care Home Health related deaths | Advinia Healthcare Ltd; London Borough of Hounslow | https://www.judiciary.uk/publications/pamela-craigie/ |
| 16 August 2017 | 2017-0277 | CF | Lisa Hashmi | Manchester (North) | Community health care and emergency services related deaths | Department of Health | https://www.judiciary.uk/publications/christopher-fairhurst/ |
| 3 October 2017 | 2017-0276 | TG | Emma Carlyon | Cornwall and the Isle of Scilly | Hospital Death (Clinical Procedures and medical management) related deaths | N.I.C.E | https://www.judiciary.uk/publications/terrence-george-2/ |
| 16 August 2017 | 2017-0275 | SH | Zafar Siddique | Black Country | Other related deaths | Parkhill Group of Companies; Walsall Metropolitan Borough | https://www.judiciary.uk/publications/spencer-hurst/ |
| 15 August 2017 | 2017-0274 | IL | Alison Mutch | Manchester (South) | Other related deaths | Peak Valley Housing Association; The Hub | https://www.judiciary.uk/publications/ian-leak/ |
| 16 August 2017 | 2017-0273 | DW | Zafar Siddique | Black Country | Hospital Death (Clinical Procedures and medical management) related deaths | Walsall Manor Hospital Trust | https://www.judiciary.uk/publications/dorothy-webb/ |
| 16 August 2017 | 2017-0272 | FD | Margaret Jones | Staffordshire (South) | Road (Highways Safety) related deaths | Highways England | https://www.judiciary.uk/publications/frederick-dudley/ |
| 2017-0271 | MB | Elizabeth Earland | Exeter and Great Devon District | Police related deaths | Devon and Cornwall Police Headquarters | https://www.judiciary.uk/publications/mark-banks/ | |
| 10 August 2017 | 2017-0270 | CM | Patricia Harding | Mid Kent and Medway | Hospital Death (Clinical Procedures and medical management) related deaths | Medway NHS Foundation Trust | https://www.judiciary.uk/publications/77451/ |
| 24 November 2017 | OW | Sarah Whitby | Southampton and New Forest | Hospital Death (Clinical Procedures and medical management) related deaths | Isle of Wight NHS Trust | https://www.judiciary.uk/publications/owen-widlake/ | |
| 9 November 2017 | 2017-0264 | DF | Louise Slater | South Yorkshire (West) | Mental Health related deaths; Child Death (from 2015) | Department of Health | https://www.judiciary.uk/publications/daisy-french/ |
| 29 September 2017 | 2017-0255 | HB | Crispin Butler | Buckinghamshire | Hospital Death (Clinical Procedures and medical management) related deaths | Fremantle Trust | https://www.judiciary.uk/publications/helen-bannister/ |
| 9 March 2017 | 2017-0251 | PN | Guy Davies | Cornwall and the Isle of Scilly | Other related deaths | Halfords Group PLC | https://www.judiciary.uk/publications/peter-norton/ |
| 16 August 2017 | 2017-0260 | HC | Jennifer Leeming | Manchester (City) | Community health care and emergency services related deaths | Eldercare; Wigan Council; Department for Community and Local Government; Department of Health; Care Quality Commission | https://www.judiciary.uk/publications/helen-cannon/ |
| 21 August 2017 | 2017-0259 | RH | Peter Sigee | Manchester (North) | Road (Highways Safety) related deaths | Bury Metropolitan Borough Council; Department for Transport | https://www.judiciary.uk/publications/roger-hamer/ |
| 3 October 2017 | 2017-0253 | TG | Emma Carlyon | Cornwall and the Isle of Scilly | Hospital Death (Clinical Procedures and medical management) related deaths | N.I.C.E | https://www.judiciary.uk/publications/terrence-george/ |
| 16 August 2017 | 2017-0261 | IP | Peter Bedford | Berkshire | Product related deaths | Department of Communities and Local Government; Department of Business, Energy and Industrial Strategy | https://www.judiciary.uk/publications/isabella-pritchard/ |
| 6 October 2017 | 2017-0252 | JM | David Hinchliff | West Yorkshire (East) | Hospital Death (Clinical Procedures and medical management) related deaths | Mid Yorkshire NHS Trust | https://www.judiciary.uk/publications/jennifer-midgley/ |
| 8 May 2017 | 2017-0151 | MP | Nigel Meadows | Manchester (City) | Hospital Death (Clinical Procedures and medical management) related deaths | Manchester CCG; Care Quality Commission | https://www.judiciary.uk/publications/maud-patrick/ |
| 8 September 2017 | 2017-0262 | PF | Alan Walsh | Manchester (West) | Hospital Death (Clinical Procedures and medical management) related deaths | The Wrightington, Wigan and Leigh NHS Trust | https://www.judiciary.uk/publications/patricia-forshaw/ |
| 31 October 2017 | 2017-0342 | VB | ME Hassell | London Inner (North) | State Custody related deaths | HMP Pentonville | https://www.judiciary.uk/publications/vilhelmas-borkertas/ |
| 10 October 2017 | TM | Emma Whitting | Black Country | Accident at Work and Health and Safety related deaths | RICS | https://www.judiciary.uk/publications/tahnie-martin/ | |
| 8 September 2017 | 2017-0225 | TR | Alan Walsh | Manchester (West) | Hospital Death (Clinical Procedures and medical management) related deaths; Community health care and emergency services related deaths | Wrightington, Wigan and Leigh NHS Trust; Grasmere Surgery | https://www.judiciary.uk/publications/terence-ryan/ |
| 11 September 2017 | 2017-0226 | GT | Emma Carlyon | Cornwall and the Isle of Scilly | Road (Highways Safety) related deaths | DVLA; Department for Transport | https://www.judiciary.uk/publications/geoffrey-taylor/ |
| 7 September 2017 | 2017-0228 | GP | Alison Mutch | Manchester (South) | Hospital Death (Clinical Procedures and medical management) related deaths | Stepping Hill Hospital | https://www.judiciary.uk/publications/glenys-pollitt/ |
| 11 September 2017 | 2017-0227 | HP | Emma Carlyon | Cornwall and the Isle of Scilly | Road (Highways Safety) related deaths | DVLA; Department for Transport | https://www.judiciary.uk/publications/henry-prow/ |
| 7 September 2017 | 2017-0229 | DS | Andrew Barkley | South Wale Central | Hospital Death (Clinical Procedures and medical management) related deaths | Cwm Taff University Hospital Health Board | https://www.judiciary.uk/publications/david-sewell/ |
| 11 September 2017 | 2017-0224 | BB | Ian Pears | Bedfordshire and Luton | Product related deaths | Department for Business, Energy and Industrial Strategy | https://www.judiciary.uk/publications/brian-betterton/ |
| 22 September 2017 | 2017-0237 | SS | Andrew McNamara | Nottinghamshire | Road (Highways Safety) related deaths | Highways England | https://www.judiciary.uk/publications/shahbaz-salim/ |
| 28 September 2017 | 2017-0233 | GO | Angela Hodes | London Inner (West) | Hospital Death (Clinical Procedures and medical management) related deaths; Community health care and emergency services related deaths; Mental Health related deaths | Cricket Green Medical Practice; St George’s Mental NHS Trust; Department of Health | https://www.judiciary.uk/publications/gillian-okeefe/ |
| 27 September 2017 | 2017-0234 | PK | Andrew Harris | London Inner (South) | Hospital Death (Clinical Procedures and medical management) related deaths; Child Death (from 2015) | Royal College of Paediatrics and Child Health; Royal College of Emergency Medicine | https://www.judiciary.uk/publications/peter-kollar/ |
| 26 September 2017 | 2017-0235 | HG | Andrew Barkley | South Wale Central | Care Home Health related deaths | Tynant Nursing Home | https://www.judiciary.uk/publications/hedley-greenland/ |
| 26 September 2017 | 2017-0236 | RH | Jennifer Leeming | Manchester (West) | Hospital Death (Clinical Procedures and medical management) related deaths | Salford Royal Foundation Trust | https://www.judiciary.uk/publications/rodney-hampshire/ |
| 21 September 2017 | 2017-0239 | MP | John Tomalin | Exeter and Greater Devon | Road (Highways Safety) related deaths | Highways Infrastructure Development and Waste | https://www.judiciary.uk/publications/margaret-pine/ |
| 4 September 2017 | 2017-0240 | FL | David Ridley | Wiltshire and Swindon | Hospital Death (Clinical Procedures and medical management) related deaths | Great Western Hospitals NHS Trust | https://www.judiciary.uk/publications/francis-langley/ |
| 4 September 2017 | 2017-0241 | AM | Fiona Borrill | Manchester (City) | Other related deaths | Emirates Airlines; Department of Health; Manchester Airport Group; North West Ambulance Service | https://www.judiciary.uk/publications/anthony-mccormack/ |
| 27 July 2017 | 2017-0242 | LH | Karen Dilks | Newcastle Upon Tyne | Other related deaths; Child Death (from 2015) | Sunderland City Council | https://www.judiciary.uk/publications/liam-hall/ |
| 1 September 2017 | 2017-0243 | MA | Louise Hunt | Birmingham and Solihull | Child Death (from 2015); Community health care and emergency services related deaths; Other related deaths | Caterlink; Birmingham City Council; Al Hijrah School; Birmingham Community Healthcare NHS Trust | https://www.judiciary.uk/publications/mohammad-ashraf/ |
| 24 August 2017 | 2017-0244 | JM | ME Hassell | London Inner (North) | Hospital Death (Clinical Procedures and medical management) related deaths | Camden and Islington NHS Trust; Royal Free London NHS Trust | https://www.judiciary.uk/publications/jonathan-meaney/ |
| 29 August 2017 | 2017-0245 | SC | Caroline Saunders | Gloucestershire | Accident at Work and Health and Safety related deaths | Tonic Construction Ltd; HSE | https://www.judiciary.uk/publications/shaun-carter/ |
| 29 August 2017 | 2017-0246 | BG | Ian Pears | Bedfordshire and Luton | Care Home Health related deaths | Abbotsbury Elderly Persons Home | https://www.judiciary.uk/publications/beryl-goode/ |
| 24 August 2017 | 2017-0247 | JT | Chri Morris | Manchester (South) | Care Home Health related deaths | Hillbrook Grange Residential Care Home | https://www.judiciary.uk/publications/joseph-tamowski/ |
| 21 August 2017 | 2017-0248 | FW | Karon Monaghan | London Inner (West) | Hospital Death (Clinical Procedures and medical management) related deaths | CQC; NHS; Priory Hospital Roehampton | https://www.judiciary.uk/publications/francesca-whyatt-2/ |
| 11 August 2017 | 2017-0249 | MD | Russell Caller | London Inner (West) | Road (Highways Safety) related deaths | TFL | https://www.judiciary.uk/publications/milan-dokic-2/ |
| 21 August 2017 | 2017-0250 | JD | Aled Gruffydd | Swansea Neath and Port Talbot | Other related deaths | Welsh Assembly Government | https://www.judiciary.uk/publications/jac-davies/ |
| 6 September 2017 | 2017-0230 | JM | Kally Cheema | Cumbria | Road (Highways Safety) related deaths | Cumbria County Council | https://www.judiciary.uk/publications/jeffery-matthews/ |
| 6 September 2017 | 2017-0231 | BSR | Dianne Hocking | Leicester City and Leicestershire South | Hospital Death (Clinical Procedures and medical management) related deaths | East Leicestershire and Rutland CCG | https://www.judiciary.uk/publications/brandon-singh-rayat/ |
| 11 July 2017 | 2017-0232 | MB | Karen Harold | Hampshire (Central) | Community health care and emergency services related deaths; Hospital Death (Clinical Procedures and medical management) related deaths | Royal Hampshire County Hospital; South Central Ambulance Service NHS Trust | https://www.judiciary.uk/publications/mark-berry/ |
| 28 September 2017 | 2017-0493 | KV | John Buckley | Warwickshire | Road (Highways Safety) related deaths | Warwickshire County Council | https://www.judiciary.uk/publications/katherine-vanloo/ |
| 28 September 2017 | 2017-0458 | CG | Emma Brown | Birmingham and Solihull | Mental Health related deaths | Northern Health and Social Care Trust | https://www.judiciary.uk/publications/conall-gould/ |
| 8 September 2017 | 2017-0210 | AJ | Zafar Siddique | Black Country | Hospital Death (Clinical Procedures and medical management) related deaths | NHS Lothian Scotland | https://www.judiciary.uk/publications/anne-marie-james/ |
| 8 September 2017 | 2017-0210A | MJ | Zafar Siddique | Black Country | Hospital Death (Clinical Procedures and medical management) related deaths | NHS Lothian Scotland | https://www.judiciary.uk/publications/melvin-james/ |
| 21 September 2017 | 2017-0209 | BS | Peter Nielo | Derby and Derbyshire | Care Home Health related deaths; Hospital Death (Clinical Procedures and medical management) related deaths | Chesterfield Royal Hospital; Ashgate House Nursing Home | https://www.judiciary.uk/publications/barbara-sturgess/ |
| 18 September 2017 | 2017-0211 | DO | Alan Wilson | Blackpool and The Fylde | Community health care and emergency services related deaths | Safehands Ltd | https://www.judiciary.uk/publications/dennis-oldland/ |
| 18 September 2017 | 2017-0212 | KH | Robert Chapman | Cumbria | Other related deaths | SC Johnson and Son | https://www.judiciary.uk/publications/kathleen-holme/ |
| 14 September 2017 | 2017-0213 | DL | Caroline Beasley-Murray | Essex | Hospital Death (Clinical Procedures and medical management) related deaths | Basildon and Thurrock University Hospital Trust | https://www.judiciary.uk/publications/david-lindsey/ |
| 18 September 2017 | 2017-0214 | RD | Zafar Siddique | Black Country | Community health care and emergency services related deaths | West Midlands Ambulance Service | https://www.judiciary.uk/publications/reginald-dixon/ |
| 13 September 2017 | 2017-0215 | BW | ME Hassell | London Inner (North) | Hospital Death (Clinical Procedures and medical management) related deaths | Kindandental; Homerton University Hospital NHS Trust | https://www.judiciary.uk/publications/bronwyn-williams/ |
| 20 July 2017 | 2017-0216 | NM | David Ridley | Wiltshire and Swindon | Road (Highways Safety) related deaths | Swindon Borough Council; Department for Transport | https://www.judiciary.uk/publications/nina-maggs/ |
| 14 August 2017 | 2017-0217 | TP | Caroline Beasley-Murray | Essex | Police related deaths; | Essex Police; EPUT; Essex Community Rehabilitation Company | https://www.judiciary.uk/publications/terence-pimm/ |
| 11 September 2017 | 2017-0218 | JW | ME Hassell | London Inner (North) | Hospital Death (Clinical Procedures and medical management) related deaths | East London NHS Trust | https://www.judiciary.uk/publications/janet-williams/ |
| 26 July 2017 | 2017-0219 | SB | ME Hassell | London Inner (North) | Hospital Death (Clinical Procedures and medical management) related deaths | East London NHS Trust | https://www.judiciary.uk/publications/songul-bozdag/ |
| 17 September 2017 | 2017-0220 | PM | Andre Rebello | Liverpool and Wirral | Hospital Death (Clinical Procedures and medical management) related deaths | Wirral University Hospital Trust | https://www.judiciary.uk/publications/james-maddox/ |
| 12 September 2017 | 2017-0221 | FG | Alan Walsh | Manchester (West) | Community health care and emergency services related deaths | Heaton Medical Centre | https://www.judiciary.uk/publications/frances-greenhalgh/ |
| 11 September 2017 | 2017-0222 | JG | Nigel Meadows | Manchester (City) | Community health care and emergency services related deaths | Comish Way Group Practise | https://www.judiciary.uk/publications/john-griffiths/ |
| 11 September 2017 | 2017-0223 | BM | Nigel Meadows | Manchester (City) | Hospital Death (Clinical Procedures and medical management) related deaths; Other related deaths | Director of Housing; NHS Manchester Clinical Commissioning Grou | https://www.judiciary.uk/publications/brian-maclean/ |
| 16 June 2017 | 2017-0193 | DM | Anne Pember | Northamptonshire | Hospital Death (Clinical Procedures and medical management) related deaths | Royal College of Anaesthetists; Royal College of Surgeons; Department of Health; Nursing and Midwifery Council; Kettering General Hospital; Woodlands Hospital | https://www.judiciary.uk/publications/dianne-macrae/ |
| 13 September 2017 | 2017-0340 | SM | Andre Rebello | Liverpool & Wirral | State Custody related deaths | HM Prison & Probation Service | https://www.judiciary.uk/publications/sam-molyneux/ |
| 25 April 2017 | 2017-0137 | LB | Andre Rebello | Liverpool and Wirral | Hospital Death (Clinical Procedures and medical management) related deaths | Department for Health; NHS England | https://www.judiciary.uk/publications/linsay-bushell/ |
| 27 June 2017 | 2017-0208 | DR | Margaret Jones | Staffordshire (South) | Community health care and emergency services related deaths; Hospital Death (Clinical Procedures and medical management) related deaths; Suicide (from 2015) | Peel Medical Practice; South Staffordshire and Shropshire Healthcare NHS Trust | https://www.judiciary.uk/publications/dean-rowland/ |
| 25 May 2017 | 2017-0170 | BA | Katy Skerrett | Gloucestershire | Child Death (from 2015); Other related deaths | The Cotswold Hunt; The Council of Hunting | https://www.judiciary.uk/publications/bonamie-armitage/ |
| 26 May 2017 | 2017-0169 | DM | David Ridley | Wiltshire and Swindon | Hospital Death (Clinical Procedures and medical management) related deaths | Great Western NHS Hospital Trust; Chippenham Community Hospital; Wiltshire Council | https://www.judiciary.uk/publications/doreen-miller/ |
| 26 May 2017 | 2017-0168 | LG | Fiona Borrill | Manchester (City) | Other related deaths; Railway related deaths; | Department of Health; Department for Transport | https://www.judiciary.uk/publications/lucy-goldstone/ |
| 25 May 2017 | 2017-0167 | DW | John Gittins | North Wale (East and Central) | Community health care and emergency services related deaths | BCUHB | https://www.judiciary.uk/publications/daphne-williams/ |
| 23 May 2017 | 2017-0166 | RM | Patricia Harding | Kent (Central and South East) | Railway related deaths | Network Rail; South Eastern Railways | https://www.judiciary.uk/publications/robert-mullis/ |
| 22 May 2017 | 2017-0165 | KM | Thoma Osborne | Milton Keynes | Community health care and emergency services related deaths | Milton Keynes Council | https://www.judiciary.uk/publications/kevin-morgan/ |
| 19 May 2017 | 2017-0164 | KD | Heidi Connor | Nottinghamshire | Mental Health related deaths; Suicide (from 2015) | Nottingham CCG | https://www.judiciary.uk/publications/kate-dolby/ |
| 25 August 2017 | 2017-0457 | SC | David Heming | Cambridgeshire and Peterborough | Hospital Death (Clinical Procedures and medical management) related deaths | Barking, Havering and Redbridge NHS Trust; CQC; NHS England | https://www.judiciary.uk/publications/sam-crick/ |
| 18 May 2017 | 2017-0163 | AG | Sarah Ormond-Walshe | London (West) | Hospital Death (Clinical Procedures and medical management) related deaths | NHS England | https://www.judiciary.uk/publications/alice-gibson-watt/ |
| 10 May 2017 | 2017-0162 | PR | Simon Wickens | Surrey | Other related deaths | Minister of State for Disabled People, Health and Work; Safety Assessment Federation; The Garage Equipment Association; HSE | https://www.judiciary.uk/publications/peter-richardson/ |
| 17 May 2017 | 2017-0161 | WW | Thoma Osborne | Milton Keynes | Hospital Death (Clinical Procedures and medical management) related deaths | Milton Keynes University Hospital | https://www.judiciary.uk/publications/william-wilkes/ |
| 17 May 2017 | 2017-0160 | LB | John Gittins | North Wale (East and Central) | Community health care and emergency services related deaths; Hospital Death (Clinical Procedures and medical management) related deaths | BCUHB; Denbighshire County Council; Conway County Council; Flintshire County Council; Welsh Ambulance Services NHS Trust. | https://www.judiciary.uk/publications/lilly-baxandall/ |
| 15 May 2017 | 2017-0157 | BA | Nichola Rheinberg | Wiltshire and Swindon | Community health care and emergency services related deaths | The Chief Fire Officer’s Association | https://www.judiciary.uk/publications/blaise-alvares/ |
| 15 May 2017 | 2017-0157A | SS | Nichola Rheinberg | Wiltshire and Swindon | Community health care and emergency services related deaths | The Chief Fire Officer’s Association | https://www.judiciary.uk/publications/sharon-soares/ |
| 15 May 2017 | 2017-0158 | SL | R Brittain | London (North) | Hospital Death (Clinical Procedures and medical management) related deaths | Department of Health | https://www.judiciary.uk/publications/stephen-leven/ |
| 15 May 2017 | 2017-0115 | HJ | R Brittain | London (North) | Product related deaths | Pharmaceutical Chemistry, Drug Misuse and Novel Psychoactive Substance Unit, University of Hertfordshire | https://www.judiciary.uk/publications/howard-jeffers/ |
| 16 May 2017 | 2017-0156 | RM | Paul Cooper | South Lincolnshire | Hospital Death (Clinical Procedures and medical management) related deaths | Lincolnshire Community Health Service NHS Trust | https://www.judiciary.uk/publications/ruth-milne/ |
| 20 April 2017 | 2017-0141 | CA | Alison Hewitt | London (City) | Hospital Death (Clinical Procedures and medical management) related deaths; Suicide (from 2015) | North NHS Trust | https://www.judiciary.uk/publications/charlotte-agnew/ |
| 27 April 2017 | 2017-0140 | AK | Andrew Barkley | South Wale Central | Community health care and emergency services related deaths | Welsh Ambulance Trust; ABMU Health Board | https://www.judiciary.uk/publications/anton-kusz/ |
| 30 April 2017 | 2017-0142 | AB | Emma Brown | Birmingham and Solihull | Hospital Death (Clinical Procedures and medical management) related deaths | Heart of England NHS Trust | https://www.judiciary.uk/publications/ahsiyah-bibi/ |
| 3 May 2017 | 2017-0144 | BV | Anna Crawford | Surrey | Community health care and emergency services related deaths | Elmbridge Borough Council | https://www.judiciary.uk/publications/beryl-varcoe/ |
| 3 May 2017 | 2017-0145 | MC | David Hinchliff | West Yorkshire (East) | Hospital Death (Clinical Procedures and medical management) related deaths | Mid Yorkshire NHS Trust; South West Yorkshire NHS Trust | https://www.judiciary.uk/publications/margaret-conway/ |
| 2 May 2017 | 2017-0146 | IT | Thoma Osborne | Milton Keynes | Care Home Health related deaths | Excel Care | https://www.judiciary.uk/publications/ida-toole/ |
| 2 May 2017 | 2017-0147 | DD | Thoma Osborne | Milton Keynes | State Custody related deaths | HMP Woddhill | https://www.judiciary.uk/publications/daniel-dunkley/ |
| 3 May 2017 | 2017-0148 | RA | Maria Voisin | Avon | Child Death (from 2015); Hospital Death (Clinical Procedures and medical management) related deaths | North Bristol NHS Trust | https://www.judiciary.uk/publications/rayan-ahmed/ |
| 4 May 2017 | 2017-0150 | MB | Andrew Cox | Plymouth Torbay and South Devon | Hospital Death (Clinical Procedures and medical management) related deaths | MRHA | https://www.judiciary.uk/publications/muriel-brett/ |
| 4 May 2017 | 2017-0149 | RL | Zafar Siddique | Black Country | Hospital Death (Clinical Procedures and medical management) related deaths | New Cross Hospital | https://www.judiciary.uk/publications/reginald-lewis/ |
| 13 June 2017 | 2017-0197 | CH | Nicola Mundy | South Yorkshire (East) | Community health care and emergency services related deaths | Manor Field Surgery | https://www.judiciary.uk/publications/craig-hamilton/ |
| 16 June 2017 | 2017-0196 | LS | Anita Bhardwaj | Liverpool and Wirral | Hospital Death (Clinical Procedures and medical management) related deaths | Mersey Care NHS Trust; Chester Hospital NHS Trust | https://www.judiciary.uk/publications/lee-swain/ |
| 16 June 2017 | 2017-0195 | AM | Rachel Galloway | Manchester (South) | Product related deaths | MHRA | https://www.judiciary.uk/publications/aaron-mccaffrey/ |
| 14 June 2017 | 2017-0194 | RC | Hassan Shah | Nottingham | Community health care and emergency services related deaths | Chief Fire and Rescue Officer | https://www.judiciary.uk/publications/rasikaben-chauhan/ |
| 13 June 2017 | 2017-0192 | RS | Philip Spinney | South Wale Central | Community health care and emergency services related deaths | South Wales Fire and Rescue Service | https://www.judiciary.uk/publications/russell-sherwood/ |
| 15 June 2017 | 2017-0191 | LT | Zafar Siddique | Black Country | Hospital Death (Clinical Procedures and medical management) related deaths | Sandwell and West Birmingham Hospitals NHS Trust | https://www.judiciary.uk/publications/lily-townsend/ |
| 15 June 2017 | 2017-0190 | KM | Nadia Persaud | London(East) | Hospital Death (Clinical Procedures and medical management) related deaths | Barking, Havering and Redbridge University Hospitals NHS Trust | https://www.judiciary.uk/publications/kevin-mann/ |
| 12 June 2017 | 2017-0186 | WW | Christopher Murray | Manchester (South) | Other related deaths | Church Inn | https://www.judiciary.uk/publications/william-wilson/ |
| 14 June 2017 | 2017-0189 | AJ | Sean Cummings | London (West) | Hospital Death (Clinical Procedures and medical management) related deaths | Hillingdon Hospitals NHS Trust | https://www.judiciary.uk/publications/alaanuloluwa-joseph/ |
| 7 June 2017 | 2017-0185 | CS | Maria Voisin | Avon | Community health care and emergency services related deaths; Hospital Death (Clinical Procedures and medical management) related deaths; Suicide (from 2015) | Bristol Community Health; Avon and Wiltshire Mental Health NHS Trust | https://www.judiciary.uk/publications/callum-smith/ |
| 14 June 2017 | 2017-0188 | MM | Andrew Harris | London Inner (South) | Product related deaths | MHRA | https://www.judiciary.uk/publications/maurice-macdonnell/ |
| 2 March 2017 | 2017-0184 | PB | Veronica Hamilton-Deeley | Brighton and Hove | Hospital Death (Clinical Procedures and medical management) related deaths | Brighton and Sussex University Hospitals NHS Trust | https://www.judiciary.uk/publications/paul-barber/ |
| 5 June 2017 | 2017-0183 | JB | Catherine McKenna | Manchester (North) | Road (Highways Safety) related deaths | Highways England; Oldham Council | https://www.judiciary.uk/publications/jack-braniff/ |
| 6 June 2017 | 2017-0182 | JR | David Ridley | Wiltshire and Swindon | Hospital Death (Clinical Procedures and medical management) related deaths | Great Western Hospitals NHS Trust | https://www.judiciary.uk/publications/joyce-rumming/ |
| 28 May 2017 | 2017-0172 | JP | Julian Morris | London Inner (South) | Hospital Death (Clinical Procedures and medical management) related deaths | South London and Maudsley NHS Trust; Kings College Hospital; Secretary of State for Health | https://www.judiciary.uk/publications/james-pashley/ |
| 16 March 2017 | 2017-0171 | DT | Derek Winter | Sunderland | Hospital Death (Clinical Procedures and medical management) related deaths | Gateshead Health NHS Trust | https://www.judiciary.uk/publications/derek-turnbull-2/ |
| 31 May 2017 | 2017-0173 | JP | Kevin McLoughlin | London Inner (West) | State Custody related deaths | Home Office; HMP Wandsworth | https://www.judiciary.uk/publications/jonathan-palmer/ |
| 1 June 2017 | 2017-0178 | TL | Paul Kelly | North Lincolnshire and Grimsby | Community health care and emergency services related deaths; Suicide (from 2015) | North Lincolnshire Council | https://www.judiciary.uk/publications/terry-latimer/ |
| 6 June 2017 | 2017-0179 | GC | Peter Bedford | Berkshire | Community health care and emergency services related deaths | Woodley Centre Surgery | https://www.judiciary.uk/publications/george-cheese/ |
| 5 June 2017 | 2017-0180 | DH | Alison Mutch | Manchester (South) | Hospital Death (Clinical Procedures and medical management) related deaths | Pennine Care NHS Trust | https://www.judiciary.uk/publications/david-hamilton/ |
| 30 May 2017 | 2017-0176 | SP | Zafar Siddique | Black Country | Hospital Death (Clinical Procedures and medical management) related deaths | Royal Wolverhampton NHS Trust | https://www.judiciary.uk/publications/sarah-poole/ |
| 30 May 2017 | 2017-0175 | KE | Zafar Siddique | Black Country | Hospital Death (Clinical Procedures and medical management) related deaths | Dudley Group of Hospitals NHS Trust | https://www.judiciary.uk/publications/kenneth-evans/ |
| 1 June 2017 | 2017-0174 | MH | Lydia Brown | Leicester City and Leicestershire South | Hospital Death (Clinical Procedures and medical management) related deaths | University Hospitals of Leicester NHS Trust; East Leicestershire and Rutland Clinical Commissioning Grou | https://www.judiciary.uk/publications/michael-halfpenny/ |
| 5 June 2017 | 2017-0181 | DB | Alison Mutch | Manchester (South) | Hospital Death (Clinical Procedures and medical management) related deaths | Tameside Metropolitan Borough Council; Tameside General Hospital | https://www.judiciary.uk/publications/derrick-brocklehurst/ |
| 24 May 2017 | 2017-0177 | DW | ME Hassell | London Inner (North) | Hospital Death (Clinical Procedures and medical management) related deaths | Whittington Health NHS Trust; Barnet, Enfield and Haringey Mental Health NHS Trust; Camden and Islington NHS Trust | https://www.judiciary.uk/publications/dominic-white/ |
| 28 July 2017 | 2017-0238 | SR | Sir Peter Thornton QC | London (City) | Suicide (from 2015); State Custody related deaths; Mental Health related deaths; Hospital Death (Clinical Procedures and medical management) related deaths | MOJ, HM Prison and Probation Service; HMCTS; Central and North West London NHS Trust | https://www.judiciary.uk/publications/sarah-reed/ |
| 5 April 2017 | 2017-0097 | RB | Gilva Tisshaw | Brighton and Hove | Hospital Death (Clinical Procedures and medical management) related deaths | SECAMB; Brighton and Sussex University Hospitals NHS Trust | https://www.judiciary.uk/publications/ronald-bennett/ |
| 22 June 2017 | 2017-0201 | CC | Andrew Harris | London Inner (South) | Hospital Death (Clinical Procedures and medical management) related deaths | Kings College Hospital | https://www.judiciary.uk/publications/constance-connolly/ |
| 7 June 2017 | 2017-0202 | DT | Karen Henderson | West Sussex | Hospital Death (Clinical Procedures and medical management) related deaths | Queen Victoria NHS Trust; Department of Health, NHS England; Care Quality Commission | https://www.judiciary.uk/publications/dennis-teesdale/ |
| 28 June 2017 | 2017-0205 | OL | Selena Lynch | London (South) | Hospital Death (Clinical Procedures and medical management) related deaths; Police related deaths | Metropolitan Police; South London and Maudsley NHS Trust | https://www.judiciary.uk/publications/olaseni-lewis/ |
| 21 June 2017 | 2017-0200 | CS | Elizabeth Earland | Exeter and Greater Devon | Hospital Death (Clinical Procedures and medical management) related deaths | NHS England; South Western Ambulance NHS Foundation Trust | https://www.judiciary.uk/publications/colin-james/ |
| 16 June 2017 | 2017-0199 | KD | Timothy Brennard | Manchester (West) | Hospital Death (Clinical Procedures and medical management) related deaths | The Royal Albert Edward Infirmary; Salford Royal Hospital | https://www.judiciary.uk/publications/katherine-derbyshire/ |
| 23 June 2017 | 2017-0203 | RC | Rachel Galloway | Preston and East Lancashire | Hospital Death (Clinical Procedures and medical management) related deaths | Lancashire Care NHS Foundation Trust | https://www.judiciary.uk/publications/robert-cardwell/ |
| 19 January 2017 | 2017-0207 | TC | John Pollard | Cheshire | Railway related deaths | Northern Rail | https://www.judiciary.uk/publications/thomas-coyne/ |
| 22 June 2017 | 2017-0204 | AS | Zafar Siddique | Black Country | Child Death (from 2015); Road (Highways Safety) related deaths | Sandwell Local Authority | https://www.judiciary.uk/publications/aston-soulsby/ |
| 14 June 2017 | 2017-0198 | EC | Nicola Mundy | South Yorkshire (East) | Road (Highways Safety) related deaths | Doncaster County Council | https://www.judiciary.uk/publications/ellie-chappell/ |
| 7 July 2017 | 2017-0076 | CR | Nicola Jones | North Wale (East and Central) | Hospital Death (Clinical Procedures and medical management) related deaths | BCUHB | https://www.judiciary.uk/publications/catherine-roberts/ |
| 24 July 2017 | 2017-0454 | PP | Thoma Osborne | Milton Keynes | Hospital Death (Clinical Procedures and medical management) related deaths | NHS England | https://www.judiciary.uk/publications/patricia-parker/ |
| 24 July 2017 | 2017-0455 | KL | Christopher Woolley | South Wale Central | Hospital Death (Clinical Procedures and medical management) related deaths | Chief Medical Officer for Wales | https://www.judiciary.uk/publications/khuong-lam/ |
| 22 July 2017 | 2017-0341 | LB | Geoffrey Sullivan | Hertfordshire | Other related deaths; Product related deaths | Hertfordshire Trading Standards; The National Food Crime Unit, Food Standard Agency | https://www.judiciary.uk/publications/linda-baranowski/ |
| 21 July 2017 | 2017-0330A | PT | Mary Burke | West Yorkshire (West) | Community health care and emergency services related deaths; Hospital Death (Clinical Procedures and medical management) related deaths | Department of Health; MHRA; NHS Improvement; Proprietary Association; Thornton and Ross Ltd; Locala; UK Home Care; CQC; Arjo Huntliegh | https://www.judiciary.uk/publications/pauline-taylor-2/ |
| 8 August 2018 | 2018-0266 | DH | Christopher Woolley | South Wale Central | Hospital Death (Clinical Procedures and medical management) related deaths; Mental Health related deaths | Department fr Health; Welsh Assembly Government; University Health Board; British National Formulary; British Association of Dermatologists; Royal College of Psychiatrists | https://www.judiciary.uk/publications/deidre-harvey/ |
| 19 July 2017 | 2017-0452 | ER | Lisa Hashmi | Manchester (North) | Hospital Death (Clinical Procedures and medical management) related deaths | Department for Health | https://www.judiciary.uk/publications/edith-robinson/ |
| 18 July 2017 | 2017-0453 | IM | Alison Mutch | Manchester (South) | Care Home Health related deaths | Fairfield View Care Centre; Tameside Borough Council | https://www.judiciary.uk/publications/ivy-mitchell/ |
| 17 July 2017 | 2017-0451 | ME | Alison Mutch | Manchester (South) | Hospital Death (Clinical Procedures and medical management) related deaths | Tameside and Glossop Integrated Care NHS Trust | https://www.judiciary.uk/publications/matthew-edwards/ |
| 14 July 2017 | 2017-0449 | SW | Jame Healy-Pratt | East Sussex | Hospital Death (Clinical Procedures and medical management) related deaths | Department of Health; Sussex Partnership NHS Trust | https://www.judiciary.uk/publications/sabrina-walsh/ |
| 14 July 2017 | 2017-0450 | SB | Penelope Schofield | West Sussex | Other related deaths | Ofsted | https://www.judiciary.uk/publications/steffan-bonnot/ |
| 12 July 2017 | 2017-0444 | ED | David Hinchliff | West Yorkshire (East) | Road (Highways Safety) related deaths | National Tree Safety Grou | https://www.judiciary.uk/publications/elaine-davison/ |
| 12 July 2017 | 2017-0445 | JW | Andrew Bridgman | Manchester (South) | Product related deaths | Beko Plc | https://www.judiciary.uk/publications/john-wilson/ |
| 11 July 2017 | 2017-0439 | DW | Ian Arrow | Plymouth Torbay and South Devon | Hospital Death (Clinical Procedures and medical management) related deaths | Care Quality Commission | https://www.judiciary.uk/publications/doreen-willis/ |
| 11 July 2017 | 2017-0440 | MA | Lydia Brown | Leicester (City & South) | Hospital Death (Clinical Procedures and medical management) related deaths | Leicestershire NHS Trust | https://www.judiciary.uk/publications/margery-astill/ |
| 11 July 2017 | 2017-0442 | HB | Andrew Harris | London Inner (South) | Hospital Death (Clinical Procedures and medical management) related deaths | Kings College Hospital | https://www.judiciary.uk/publications/hannah-barney/ |
| 7 July 2017 | 2017-0206 | S | HHJ Loraine-Smith | London (West) | Other related deaths | The Secretary of State for Transport; Foreign and Commonwealth Affairs; ABTA; Civil Aviation Authority | https://www.judiciary.uk/publications/sousse-tunisia/ |
| 8 May 2017 | 2017-0152 | AW | Alan Blunsdon | North East Kent | Hospital Death (Clinical Procedures and medical management) related deaths | East Kent Hospital Foundation Trust | https://www.judiciary.uk/publications/andrew-wilson/ |
| 8 May 2017 | 2017-0153 | DS | Louise Hunt | Birmingham and Solihull | Care Home Health related deaths | Boldmere Court Care Home; Department of Health; Care Quality Commission | https://www.judiciary.uk/publications/david-sheppard/ |
| 10 May 2017 | 2017-0154 | RB | Sean Cummings | London (West) | Product related deaths | Apple | https://www.judiciary.uk/publications/richard-bull/ |
| 25 April 2017 | 2017-0135 | JE | Edwin Buckett | London Inner (North) | Hospital Death (Clinical Procedures and medical management) related deaths | East London NHS Foundation Trust | https://www.judiciary.uk/publications/jamie-elliott/ |
| 25 April 2017 | 2017-0136 | JL | Jason Pegg | Coventry | Hospital Death (Clinical Procedures and medical management) related deaths | Coventry & Warwickshire Partnership NHS Trust | https://www.judiciary.uk/publications/joleen-linton/ |
| 26 April 2017 | 2017-0138 | JD | Alison Mutch | Manchester (South) | Hospital Death (Clinical Procedures and medical management) related deaths | Stockport NHS Foundation Trust | https://www.judiciary.uk/publications/john-davies-2/ |
| 18 April 2017 | 2017-0139 | DB | Terence Moore | Avon | Hospital Death (Clinical Procedures and medical management) related deaths | NHS, University Hospital Bristol NHS Trust; Brisdoc | https://www.judiciary.uk/publications/david-birtwistle/ |
| 6 July 2017 | 2017-0435 | RW | Katy Skerrett | Gloucestershire | Hospital Death (Clinical Procedures and medical management) related deaths; Community health care and emergency services related deaths | Gloucestershire Care Services NHS Trust | https://www.judiciary.uk/publications/rose-workman/ |
| 6 July 2017 | 2017-0436 | CC | Jennifer Leeming | Manchester (West) | Road (Highways Safety) related deaths; Child Death (from 2015) | Wigan Council | https://www.judiciary.uk/publications/cameron-chadwick/ |
| 6 July 2017 | 2017-0437 | JR | Jennifer Leeming | Manchester (West) | Community health care and emergency services related deaths | Agrade Community Care Services | https://www.judiciary.uk/publications/john-ramsden/ |
| 5 July 2017 | 2017-0431 | RL | Eleanor McGann | Essex | Road (Highways Safety) related deaths | Essex Highways | https://www.judiciary.uk/publications/roy-lynch/ |
| 5 July 2017 | 2017-0438 | PN | Julie Robertson | Manchester (North) | Hospital Death (Clinical Procedures and medical management) related deaths | Pennine Acute NHS Trust | https://www.judiciary.uk/publications/patricia-norfolk/ |
| 4 July 2017 | 2017-0441 | JM | Penelope Schofield | West Sussex | Hospital Death (Clinical Procedures and medical management) related deaths | Sussex Partnership NHS Trust | https://www.judiciary.uk/publications/janet-muller/ |
| 3 July 2017 | 2017–0430 | JDP | Robert Turnbull | North Yorkshire (West) | Other related deaths | A.J Way & Co Ltd; National Trading Standards; Yorkshire Care Equipment | https://www.judiciary.uk/publications/joseph-de-pellergrino-farrugia/ |
| 3 July 2017 | 2017-0448 | SH | Karen Dilks | Newcastle Upon Tyne | Hospital Death (Clinical Procedures and medical management) related deaths | Newcastle Upon Tyne NHS Trust | https://www.judiciary.uk/publications/sheila-hynes/ |
| 28 June 2017 | 2017-0432 | DL | Julie Robertson | Manchester (North) | Community health care and emergency services related deaths | NWAS | https://www.judiciary.uk/publications/david-lee/ |
| 26 June 2017 | 2017-0433 | JZ | Andrew Walker | London (North) | Hospital Death (Clinical Procedures and medical management) related deaths | Department of Health; Royal College of Psychiatrists | https://www.judiciary.uk/publications/jonathan-zucker/ |
| 19 June 2017 | 2017-434 | PW | Ian Pears | Bedfordshire and Luton | Hospital Death (Clinical Procedures and medical management) related deaths | Luton & Dunstable University Hospital NHS Trust; Drager | https://www.judiciary.uk/publications/patrick-woods/ |
| 20 April 2017 | 2017-0134 | DE | Philip Spinney | South Wale Central | Hospital Death (Clinical Procedures and medical management) related deaths | Cardiff and Vale University Health Board | https://www.judiciary.uk/publications/david-evans/ |
| 24 April 2017 | 2017-0133 | BH | Sarah Slater | South Yorkshire (East) | Community health care and emergency services related deaths | Yorkshire Ambulance Service NHS Trust | https://www.judiciary.uk/publications/barry-hodges/ |
| 21 April 2017 | 2017-0132 | NK | Edwin Buckett | London Inner (North) | Community health care and emergency services related deaths; Child Death (from 2015) | London Ambulance Service NHS Trust | https://www.judiciary.uk/publications/najeeb-katende/ |
| 19 April 2017 | 2017-0131 | ET | Lisa Hashmi | Manchester (North) | Hospital Death (Clinical Procedures and medical management) related deaths | Bury Clinical Commissioning Grou | https://www.judiciary.uk/publications/elaine-talbot/ |
| 20 April 2017 | 2017-0130 | PW | Veronica Hamilton-Deeley | Brighton and Hove | Hospital Death (Clinical Procedures and medical management) related deaths | Brighton and Sussex University Hospitals NHS Trust | https://www.judiciary.uk/publications/patricia-webb/ |
| 20 April 2017 | 2017-0129 | SH | Roger Hatch | North West Kent | Hospital Death (Clinical Procedures and medical management) related deaths | Dartford and Gravesend NHS Trust | https://www.judiciary.uk/publications/sian-hollands/ |
| 20 April 2017 | 2017-0128 | EM | Nadia Persaud | London (East) | Hospital Death (Clinical Procedures and medical management) related deaths | Barts Health NHS Trust | https://www.judiciary.uk/publications/errol-mann/ |
| 20 April 2017 | 2017-0127 | HM | Andrew Barkley | South Wale Central | Hospital Death (Clinical Procedures and medical management) related deaths | Cwm Taf Health Board | https://www.judiciary.uk/publications/harold-mullins/ |
| 20 April 2017 | 2017-0126 | TW | Andrew Tweddle | County Durham and Darlington | Hospital Death (Clinical Procedures and medical management) related deaths | Tees, Esk and Wear Valley NHS Trust; West Park Hospital NHS Trust | https://www.judiciary.uk/publications/thomas-whitfield/ |
| 20 April 2017 | 2017-0125 | JP | Louise Hunt | Birmingham and Solihull | Hospital Death (Clinical Procedures and medical management) related deaths | NHS England | https://www.judiciary.uk/publications/johan-pambou/ |
| 18 April 2017 | 2017-0124 | DM | Anna Crawford | Surrey | Hospital Death (Clinical Procedures and medical management) related deaths | Surrey and Borders Partnership NHS Trust; West Sussex County Council | https://www.judiciary.uk/publications/daniel-maher/ |
| 13 April 2017 | 2017-0123 | MN | Jame Adeley | Preston and West Lancashire | Hospital Death (Clinical Procedures and medical management) related deaths | Lancashire Teaching Hospitals NHS Trust | https://www.judiciary.uk/publications/michael-newell/ |
| 13 April 2017 | 2017-0122 | DC | Tony Brown | North Northumberland | Railway related deaths | Network Rail | https://www.judiciary.uk/publications/daniel-campbell/ |
| 13 April 2017 | 2017-0121 | LM | Ian Pears | Bedfordshire and Luton | Hospital Death (Clinical Procedures and medical management) related deaths | East London NHS Trust | https://www.judiciary.uk/publications/luke-moulding/ |
| 12 April 2017 | 2017-0120 | CM | ME Hassell | London Inner (North) | Other related deaths; Child Death (from 2015) | Department for Education | https://www.judiciary.uk/publications/chadrack-mulo/ |
| 12 April 2017 | 2017-0119 | JF | Chri Morris | Central and South East Kent | Hospital Death (Clinical Procedures and medical management) related deaths | Kent and Medway NHS Trust | https://www.judiciary.uk/publications/jamie-fairclough/ |
| 10 April 2017 | 2017-0118 | CP | Heather William QC | London Inner (North) | Hospital Death (Clinical Procedures and medical management) related deaths | Homerton University NHS Trust; East London NHS Trust | https://www.judiciary.uk/publications/christiana-pelle/ |
| 6 April 2017 | 2017-0117 | SA | Katy Skerrett | Gloucestershire | Hospital Death (Clinical Procedures and medical management) related deaths | Gloucestershire Hospitals NHS Foundation Trust | https://www.judiciary.uk/publications/steven-amos/ |
| 6 April 2017 | 2017-0116 | JH | Paul Marks | East Riding and Kingston -upon-Hull | Hospital Death (Clinical Procedures and medical management) related deaths | NHS England | https://www.judiciary.uk/publications/john-haughey/ |
| 10 April 2017 | 2017-0113 | JH | Sarah Slater | South Yorkshire (West) | Other related deaths | Department of Health | https://www.judiciary.uk/publications/john-higgs/ |
| 6 April 2017 | 2017-0111 | IG | Maria Voison | Avon | Hospital Death (Clinical Procedures and medical management) related deaths; Child Death (from 2015) | Committee of Vaccination and Immunisation; Department of Health | https://www.judiciary.uk/publications/isabel-gentry/ |
| 27 March 2017 | 2017-0114 | MB | R Brittain | London Inner (North) | Hospital Death (Clinical Procedures and medical management) related deaths | University College London Hospitals NHS Trust | https://www.judiciary.uk/publications/michael-brennan/ |
| 7 April 2017 | 2017-0112 | CW | Ian Singleton | Wiltshire and Swindon | Hospital Death (Clinical Procedures and medical management) related deaths | Great Western Hospitals NHS Trust; NHS England | https://www.judiciary.uk/publications/christina-witney/ |
| 13 March 2017 | 2017-0083 | GD | Andrew Walker | London (North) | Railway related deaths | RSSB | https://www.judiciary.uk/publications/george-dicker/ |
| 7 April 2017 | 2017-0110 | TT | Elizabeth Carlyon | Cornwall and Isle of Scilly | Hospital Death (Clinical Procedures and medical management) related deaths | Public Health England | https://www.judiciary.uk/publications/theresa-thompson/ |
| 7 April 2017 | 2017-0109 | AK | Darren Stewart | Surrey | Hospital Death (Clinical Procedures and medical management) related deaths | Royal Surrey County Hospital NHS Trust | https://www.judiciary.uk/publications/annette-krasinsky-lloyd/ |
| 7 April 2017 | 2017-0108 | RB | Anna Loxton | Surrey | Road (Highways Safety) related deaths | Driver and Vehicle Standards Agency; Department of Transport; Honda UK | https://www.judiciary.uk/publications/raymond-berry/ |
| 4 April 2017 | 2017-0107 | CS | Tony Williams | Somerset | Community health care and emergency services related deaths; Hospital Death (Clinical Procedures and medical management) related deaths | Bute House Surgery | https://www.judiciary.uk/publications/christina-smith/ |
| 4 April 2017 | 2017-0106 | AM | Crispin Butler | Buckinghamshire | State Custody related deaths | HMP Grendon | https://www.judiciary.uk/publications/arthur-morley/ |
| 4 April 2017 | 2017-0105 | KH | Elizabeth Didcock | Nottinghamshire | Community health care and emergency services related deaths | The Ivy Grove Surgery; Derbyshire Community Health Services | https://www.judiciary.uk/publications/kymberley-holden/ |
| 3 April 2017 | 2017-0104 | AB | Zafar Siddique | Black Country | Hospital Death (Clinical Procedures and medical management) related deaths; Suicide (from 2015) | Black Country NHS; New Cross Hospital | https://www.judiciary.uk/publications/abigail-baynham/ |
| 4 April 2017 | 2017-0103 | SS | Christopher Dorries | South Yorkshire (West) | Road (Highways Safety) related deaths | Sheffield Council; South Yorkshire Police; Amey PLC; Yorkshire Water PLC | https://www.judiciary.uk/publications/sean-salvin/ |
| 4 April 2017 | 2017-0102 | RO | Andrew Barkley | South Wale Central | Hospital Death (Clinical Procedures and medical | CWM Taf University Health Board | https://www.judiciary.uk/publications/robert-owens/ |
| 27 March 2017 | 2017-0101 | SF | Christopher Murray | Manchester (South) | Alcohol, drug and medication related deaths | Adams Pharmacy | https://www.judiciary.uk/publications/steven-fone/ |
| 29 March 2017 | 2017-0100 | JJ | Julie Goulding | Liverpool and Wirral | Other related deaths | NPS/NOMS, Liverpool City Council | https://www.judiciary.uk/publications/john-jaundoo/ |
| 31 March 2017 | 2017-0099 | ML | Peter Bedford | Berkshire | Road (Highways Safety) related deaths | Transport Manager, Reading Borough Council | https://www.judiciary.uk/publications/malcolm-langford/ |
| 30 March 2017 | 2017-0098 | OS | Andrew Haigh | Staffordshire (South) | State Custody related deaths | NOMS | https://www.judiciary.uk/publications/ondrej-suha/ |
| 28 March 2017 | 2017-0094 | JW | ME Hassell | London Inner (North) | State Custody related deaths | Care UK; HMP Pentonville; NHS England; NOMS | https://www.judiciary.uk/publications/john-williams-2/ |
| 29 March 2017 | 2017-0096 | LH | Nicola Mundy | South Yorkshire (East) | Community health care and emergency services related deaths | Dinnington Group Practice; Yorkshire Ambulance Service NHS Foundation Trust | https://www.judiciary.uk/publications/lyndsey-holt/ |
| 28 March 2017 | 2017-0094A | JW | ME Hassell | London Inner (North) | State Custody related deaths | Care UK; HMP Pentonville; NHS England; NOMS | https://www.judiciary.uk/publications/john-williams/ |
| 29 March 2017 | 2017-0095 | BF | David Horsley | Portsmouth and South East Hampshire | Hospital Death (Clinical Procedures and medical management) related deaths | Portsmouth Hospitals NHS Trust | https://www.judiciary.uk/publications/beryl-foster/ |
| 14 March 2017 | 2017-0093 | MP | ME Hassell | London Inner (North) | Hospital Death (Clinical Procedures and medical management) related deaths | East London NHS Trust | https://www.judiciary.uk/publications/mariana-pinto/ |
| 23 March 2017 | 2017-0092 | AA | Jennifer Leeming | Manchester (West) | Other related deaths | Foreign and Commonwealth Affairs | https://www.judiciary.uk/publications/antony-abbott/ |
| 28 March 2017 | 2017-0091 | OD | Paul Cooper | Leicestershire (South) | Hospital Death (Clinical Procedures and medical management) related deaths | United Lincolnshire Hospitals NHS Trust | https://www.judiciary.uk/publications/olive-daynes/ |
| 20 March 2017 | 2017-0090 | RB | Christopher Sutton-Mattocks | Surrey | Road (Highways Safety) related deaths | Surrey County Council | https://www.judiciary.uk/publications/ralph-brazier/ |
| 23 March 2017 | 2017-0089 | GR | Ian Wade QC | London (East) | Community health care and emergency services related deaths | Wanstead Place Surgery | https://www.judiciary.uk/publications/grant-richards/ |
| 10 March 2017 | 2017-0084 | LS | Margaret Jones | Staffordshire (South) | Hospital Death (Clinical Procedures and medical management) related deaths; Mental Health related deaths; Suicide (from 2015) | South Staffordshire and Shropshire NHS Trust | https://www.judiciary.uk/publications/lester-stacey/ |
| 9 March 2017 | 2017-0085 | AL | Margaret Jones | Staffordshire (South) | Child Death (from 2015); Hospital Death (Clinical Procedures and medical management) related deaths; Mental Health related deaths; Suicide (from 2015) | South Staffordshire and Shropshire NHS Trust; Child and Adolescent Mental Health Service East Cross Street Clinic | https://www.judiciary.uk/publications/annabel-lewis/ |
| 23 March 2017 | 2017-0086 | MD | Alison Mutch | Manchester (South) | Hospital Death (Clinical Procedures and medical management) related deaths | Stockport NHS Trust | https://www.judiciary.uk/publications/marian-dale/ |
| 14 March 2017 | 2017-0088 | JS | Nicola Mundy | South Yorkshire (East) | Community health care and emergency services related deaths | Chief Fire Officer | https://www.judiciary.uk/publications/jack-sheldon/ |
| 22 March 2017 | 2017-0087 | PD | Philip Spinney | South Wale Central | Hospital Death (Clinical Procedures and medical management) related deaths | Aneurin Bevan University Health Board | https://www.judiciary.uk/publications/patricia-donovan/ |
| 13 March 2017 | 2017-0082 | JO | Philip Barlow | London Inner (South) | Hospital Death (Clinical Procedures and medical management) related deaths | The Cambian Grou | https://www.judiciary.uk/publications/james-obrien/ |
| 15 March 2017 | 2017-0081 | LR | Louise Hunt | Birmingham and Solihull | Child Death (from 2015); Mental Health related deaths; Hospital Death (Clinical Procedures and medical management) related deaths | Birmingham Children’s Hospital NHS Trust; Birmingham and Solihull Mental Health Trust; NHS England; Birmingham City Council; Cross City CCG | https://www.judiciary.uk/publications/leah-ratheram/ |
| 13 March 2017 | 2017-0080 | DC | Katy Skerrett | Gloucestershire | Care Home Health related deaths | Care UK | https://www.judiciary.uk/publications/daphne-cherry/ |
| 10 March 2017 | 2017-0079 | AW | Nadia Persaud | London (East) | Hospital Death (Clinical Procedures and medical management) related deaths | Barking, Havering and Redbridge University Hospital | https://www.judiciary.uk/publications/anna-walker/ |
| 16 March 2017 | 2017-0078 | TW | Simon Fox | Gloucestershire | Care Home Health related deaths | The Grange Care Centre | https://www.judiciary.uk/publications/terence-white/ |
| 14 March 2017 | 2017-0077 | RE | John Gittins | North Wale (East and Central) | Community health care and emergency services related deaths | Welsh Ambulance NHS Trust | https://www.judiciary.uk/publications/rebecca-evans/ |
| 16 March 2017 | 2017-0076A | DT | Derek Winter | Sunderland | Hospital Death (Clinical Procedures and medical management) related deaths | Gateshead Health Foundation Trust | https://www.judiciary.uk/publications/derek-turnbull/ |
| 16 March 2017 | 2017-0075 | JM | Yvonne Blake | Norfolk | Hospital Death (Clinical Procedures and medical management) related deaths | Queen Elizabeth Hospital NHS Trust | https://www.judiciary.uk/publications/james-mallett/ |
| 16 March 2017 | 2017-0074 | CD | Andrew Barkley | South Wale Central | Hospital Death (Clinical Procedures and medical management) related deaths | University Health Board; Welsh Assembly Government | https://www.judiciary.uk/publications/clive-davies/ |
| 15 March 2017 | 2017-0073 | MM | Alison Mutch | Manchester (South) | Hospital Death (Clinical Procedures and medical management) related deaths | Pennine Care NHS Foundation Trust | https://www.judiciary.uk/publications/michael-mahon/ |
| 20 March 2017 | 2017-0072 | JS | Lydia Brown | Exeter and Greater Devon | Other related deaths | Stoneham Bass | https://www.judiciary.uk/publications/james-spencer/ |
| 17 March 2017 | 2017-0071 | SM | Claire Hammond | Preston and West Lancashire | Hospital Death (Clinical Procedures and medical management) related deaths | Lancashire Care Foundation Trust | https://www.judiciary.uk/publications/stephen-mcdermott/ |
| 13 March 2017 | 2017-0070 | AL | Kevin McLoughlin | London Inner (West) | Accident at Work and Health and Safety related deaths | The Glass and Glazing Federation | https://www.judiciary.uk/publications/andrew-lownes/ |
| 22 March 2017 | 2017-0069 | MU | Shirley Radcliffe | London Inner (West) | Child Death (from 2015); Hospital Death (Clinical Procedures and medical management) related deaths | NHS England; N.I.C.E; Health Education England | https://www.judiciary.uk/publications/michael-uriely/ |
| 20 March 2017 | 2017-0068 | SH | David Horsley | Portsmouth and South East Hampshire | Hospital Death (Clinical Procedures and medical management) related deaths | Southampton General Hospital | https://www.judiciary.uk/publications/scott-hooper/ |
| 22 March 2017 | 2017-0069A | MU | Shirley Radcliffe | London Inner (West) | Hospital Death (Clinical Procedures and medical management) related deaths | NHS England; NICE | https://www.judiciary.uk/publications/michael-uriely-2/ |
| 10 March 2017 | 2017-0059 | CH | John Gittens | North Wale (East and Central) | Hospital Death (Clinical Procedures and medical management) related deaths | BCUHB | https://www.judiciary.uk/publications/carol-harvey/ |
| 28 October 2016 | 2016-0487 | LL | Veronica Hamilton-Deeley | Brighton and Hove | Hospital Death (Clinical Procedures and medical management) related deaths | Brighton and Sussex University Hospitals NHS Trust | https://www.judiciary.uk/publications/leslie-lerner/ |
| 18 October 2016 | 2016-0486 | IB | Martin Fleming | West Yorkshire (West) | Other related deaths | Incommunities | https://www.judiciary.uk/publications/isaac-brocklehurst/ |
| 13 June 2016 | 2016-0484 | AP | J Adeley | Preston and West Lancashire | Hospital Death (Clinical Procedures and medical management) related deaths | Lancashire Care NHS Trust | https://www.judiciary.uk/publications/andrew-peebles/ |
| 24 June 2016 | 2016-0485 | BD | Martin Fleming | West Yorkshire (West) | Police related deaths; State Custody related deaths | West Yorkshire Police | https://www.judiciary.uk/publications/beverley-devanney/ |
| 9 March 2017 | 2017-0060 | FB | Emma Brown | Birmingham and Solihull | Care Home Health related deaths | Bondcare Limited | https://www.judiciary.uk/publications/frederick-bevan/ |
| 9 March 2017 | 2017-0061 | BW | David Hinchliff | West Yorkshire (East) | Child Death (from 2015); Hospital Death (Clinical Procedures and medical management) related deaths | Nursing and Midwifery Council | https://www.judiciary.uk/publications/billy-wilson/ |
| 8 March 2017 | 2017-0062 | VJ | Nadia Persaud | London (East) | Police related deaths; State Custody related deaths | Metropolitan Police | https://www.judiciary.uk/publications/valdas-jasiunas/ |
| 8 March 2017 | 2017-0063 | KC | Lisa Hashmi | Manchester City | Hospital Death (Clinical Procedures and medical management) related deaths | Pennine Acute Hospitals NHS Trust | https://www.judiciary.uk/publications/kathleen-cooper/ |
| 6 March 2017 | 2017-0064 | JA | Anna Crawford | Surrey | Other related deaths | Millbrook Healthcare Limited | https://www.judiciary.uk/publications/john-atkin/ |
| 13 September 2016 | 2016-0483 | KR | Martin Fleming | West Yorkshire (West) | Community health care and emergency services related deaths | Department of Health | https://www.judiciary.uk/publications/keith-ruston/ |
| 6 October 2016 | 2016-0482 | HM | Paul Marks | East Riding and Kingston-upon-Hull | Hospital Death (Clinical Procedures and medical management) related deaths | NHS Improvement | https://www.judiciary.uk/publications/helen-millard/ |
| 3 March 2017 | 2017-0065 | VA | Hassan Shah | Northamptonshire | Alcohol, drug and medication related deaths | Northampton County Council | https://www.judiciary.uk/publications/vadims-aleksejevs/ |
| 8 February 2017 | 2017-0067 | RS | Martin Fleming | West Yorkshire (West) | Road (Highways Safety) related deaths | Phuket Highway District | https://www.judiciary.uk/publications/rebecca-shaw/ |
| 13 December 2016 | 2016-0480 | ST | Thoma Osborne | Milton Keynes | State Custody related deaths; Suicide (from 2015) | NOMS; Prison and Probation Ombudsman | https://www.judiciary.uk/publications/simon-turvey/ |
| 16 February 2017 | 2017-0058 | ED | Ian Pears | Bedfordshire and Luton | Care Home Health related deaths | Ambassador House Care Home | https://www.judiciary.uk/publications/etheline-de-gale/ |
| 16 February 2017 | 2017-0057 | TG | Joanne Kearsley | Manchester (South) | Community health care and emergency services related deaths; Hospital Death (Clinical Procedures and medical management) related deaths; Suicide (from 2015) | Pennine Care NHS Trust; Churchgate Surgery; Tameside and Glossop CCG | https://www.judiciary.uk/publications/thomas-green/ |
| 17 February 2017 | 2017-0056 | DS | Caroline Beasley-Murray | Essex | State Custody related deaths; Suicide (from 2015); Community health care and emergency services related deaths | NOMS; Care UK Clinical Services; South Essex Partnership Trust; NHS England | https://www.judiciary.uk/publications/dean-saunders/ |
| 9 February 2017 | 2017-0055 | RM | Anna Morris | Manchester (South) | Hospital Death (Clinical Procedures and medical management) related deaths; Mental Health related deaths; Suicide (from 2015) | Greater Manchester West Mental Health NHS Trust | https://www.judiciary.uk/publications/rachel-morgan/ |
| 22 February 2017 | 2017-0054 | MK | David Hinchliff | West Yorkshire (East) | Child Death (from 2015); Hospital Death (Clinical Procedures and medical management) related deaths | Royal College of Obstetricians and Gynaecologists; Royal College of Midwives | https://www.judiciary.uk/publications/maxim-karpovich/ |
| 22 February 2017 | 2017-0053 | MJ | Peter Harrowing | Avon | Road (Highways Safety) related deaths | Highways England; Avon and Somerset Constabulary | https://www.judiciary.uk/publications/margaret-jones/ |
| 20 February 2017 | 2017-0052 | EH | Sarah Ormond-Walshe | London Inner (South) | Road (Highways Safety) related deaths | London Borough of Southwark; TFL | https://www.judiciary.uk/publications/esther-hartsilver/ |
| 22 February 2017 | 2017-0051 | AT | Andrew Barkley | South Wale Central | Child Death (from 2015); Road (Highways Safety) related deaths | Maesteg Comprehensive School; Bridgend County Borough Council | https://www.judiciary.uk/publications/ashley-talbot/ |
| 17 February 2017 | 2017-0050 | MD | Fiona Wilcox | London Inner (West) | Road (Highways Safety) related deaths | TFL | https://www.judiciary.uk/publications/milan-dokic/ |
| 21 February 2017 | 2017-0049 | JP | Crispin Butler | Buckinghamshire | Hospital Death (Clinical Procedures and medical management) related deaths; State Custody related deaths | HMP Woodhill; Central and North West Hospital NHS Trust; Oxford Health NHS Trust | https://www.judiciary.uk/publications/jack-portland/ |
| 23 February 2017 | 2017-0048 | GB | Grahame Short | Southampton and New Forest | Hospital Death (Clinical Procedures and medical management) related deaths | Solent NHS Trust | https://www.judiciary.uk/publications/grant-burns/ |
| 23 February 2017 | 2017-0047 | LM | Kate Thomas | Mid Kent and Medway | Road (Highways Safety) related deaths | Kent County Council | https://www.judiciary.uk/publications/luke-mumford/ |
| 14 February 2017 | 2017-0046 | WT | Lydia Brown | Exeter and Greater Devon | Hospital Death (Clinical Procedures and medical management) related deaths | Royal Devon and Exeter NHS Foundation Trust; Devon Partnership NHS Trust; NHS Northern, Eastern and Western Devon Clinical Commissioning Grou | https://www.judiciary.uk/publications/wendy-telfer/ |
| 24 February 2017 | 2017-0043 | DS | ME Hassell | London Inner (North) | Hospital Death (Clinical Procedures and medical management) related deaths | Whittington Hospital NHS Trust | https://www.judiciary.uk/publications/doreen-stapleton/ |
| 28 February 2017 | 2017-0042 | CH | Stephen Nicholls | Dorset | Road (Highways Safety) related deaths | Dorset Highways Departments | https://www.judiciary.uk/publications/colin-hodge/ |
| 1 March 2017 | 2017-0041 | CR | Andrew Barkley | South Wale Central | Hospital Death (Clinical Procedures and medical management) related deaths | Welsh Ambulance Service NHS Trust; Royal Gwent Hospital; Neville Hall Hospital; Welsh Government | https://www.judiciary.uk/publications/ceriann-richards/ |
| 28 February 2017 | 2017-0040 | PB | Andre Rebello | Liverpool and Wirral | Road (Highways Safety) related deaths | Merseyside Passenger Transport Authority | https://www.judiciary.uk/publications/paul-briggs/ |
| 3 March 2017 | 2017-0037 | AW | Andrew Harris | London Inner (South) | Accident at Work and Health and Safety related deaths | HSE, Department for Business and Energy and Industrial Strategy; Youngman | https://www.judiciary.uk/publications/alan-walsh/ |
| 14 February 2017 | 2017-0045 | DL | Veronica Hamilton-Deeley | Brighton and Hove | Hospital Death (Clinical Procedures and medical management) related deaths | Sussex Partnership NHS Trust | https://www.judiciary.uk/publications/derek-lee/ |
| 14 February 2017 | 2017-0044 | DA | Lydia Brown | Exeter and Greater Devon | Accident at Work and Health and Safety related deaths | HSE | https://www.judiciary.uk/publications/david-alexander/ |
| 1 March 2017 | 2017-0039 | TU | Jennifer Leeming | Manchester (West) | Road (Highways Safety) related deaths | Bolton Council, Highways Division | https://www.judiciary.uk/publications/thomas-unsworth/ |
| 1 March 2017 | 2017-0038 | DH | Gareth Lewis | Carmarthenshire and Pembrokeshire | Police related deaths | NPCC | https://www.judiciary.uk/publications/darran-hunt/ |
| 3 March 2017 | 2017-0036 | JR | Andre Rebello | Liverpool and Wirral | Care Home Health related deaths; Community health care and emergency services related deaths | Liverpool Community Health NHS Trust | https://www.judiciary.uk/publications/joan-rimmer/ |
| 2 March 2017 | 2017-0035 | TM | Christopher Dorries | South Yorkshire(West) | Hospital Death (Clinical Procedures and medical management) related deaths | Sheffield Hospitals NHS Trust | https://www.judiciary.uk/publications/terence-millington/ |
| 25 October 2016 | 2016-0377 | RW | Andrew Harris | London Inner (South) | State Custody related deaths; Suicide (from 2015) | Ministry of Justice; Department of Health; Hampshire County Council | https://www.judiciary.uk/publications/richard-walsh/ |
| 29 November 2016 | 2016-0423 | DC | Andrew Tweddle | County Durham and Darlington | Care Home Health related deaths | Lambton Care Home | https://www.judiciary.uk/publications/doris-clarkson/ |
| 14 October 2016 | 2016-0362 | PK | Karen Henderson | Surrey | Hospital Death (Clinical Procedures and medical management) related deaths | Frimley Park Hospital | https://www.judiciary.uk/publications/peter-keep/ |
| 13 October 2016 | 2016-0363 | RD | Louise Hunt | Birmingham and Solihull | Care Home Health related deaths | Care Quality Commission; Department of Health; NHS England; Jubilee Gardens Care Centre; Aran Court Care Centre | https://www.judiciary.uk/publications/robert-davidson/ |
| 13 October 2016 | 2016-0360 | RH | Andre Rebello | Liverpool and Wirral | State Custody related deaths | NOMS | https://www.judiciary.uk/publications/roy-hoey/ |
| 13 October 2016 | 2016-0359 | PE | Alan Moore | Cheshire | Road (Highways Safety) related deaths | Cheshire Council, Vale Royal Area Highway Office | https://www.judiciary.uk/publications/philip-evanson/ |
| 13 September 2016 | 2016-0358 | AA | Andrew Walker | London (North) | Hospital Death (Clinical Procedures and medical management) related deaths | Department of Health | https://www.judiciary.uk/publications/arthur-adley/ |
| 13 September 2016 | 2016-0357 | LK | Andrew Walker | London (North) | Railway related deaths | RSSB | https://www.judiciary.uk/publications/lauris-kodors/ |
| 12 October 2016 | 2016-0356 | WC | Brendan Allen | Dorset | State Custody related deaths; Suicide (from 2015) | HMP Portland | https://www.judiciary.uk/publications/wayne-cornlouer/ |
| 11 October 2016 | 2016-0355 | TL | John Ellery | Shropshire, Telford and Wrekin | Community health care and emergency services related deaths | West Mercia Police | https://www.judiciary.uk/publications/tyrone-lock/ |
| 11 October 2016 | 2016-0354 | BT | Clare Doherty | Blackpool and Fylde | Hospital Death (Clinical Procedures and medical management) related deaths | Blackpool Teaching Hospital NHS Trust | https://www.judiciary.uk/publications/barry-thompson/ |
| 27 November 2016 | 2016-0430 | MR | Richard Travers | Surrey | State Custody related deaths; Suicide (from 2015) | HMP High Down; Central and North West London NHS Trust | https://www.judiciary.uk/publications/matthew-russell/ |
| 23 November 2016 | 2016-0419 | FP | Julie Robertson | Manchester (North) | Other related deaths | Canal and River Trust | https://www.judiciary.uk/publications/flavio-pizarro/ |
| 8 December 2016 | 2016-0400 | SB | Joanne Kearsley | Manchester (South) | Hospital Death (Clinical Procedures and medical management) related deaths | Pennine Care NHS Trust | https://www.judiciary.uk/publications/sandra-brotherton/ |
| 6 February 2017 | 2017-0034 | NS | R Brittain | London Inner (North) | Hospital Death (Clinical Procedures and medical management) related deaths | University College Hospital NHS Trust | https://www.judiciary.uk/publications/nuala-seddon/ |
| 8 February 2017 | 2017-0033 | AP | Andrew Cox | Cornwall and Isle of Scilly | Community health care and emergency services related deaths; Mental Health related deaths | Home Office | https://www.judiciary.uk/publications/anna-phillips/ |
| 9 February 2017 | 2017-0032 | WM | Andrew Tweddle | County Durham and Darlington | Road (Highways Safety) related deaths | Highways Department, County Durham Council | https://www.judiciary.uk/publications/warren-myers/ |
| 6 February 2017 | 2017-0030 | NT | Simon Nelson | Manchester North | Hospital Death (Clinical Procedures and medical management) related deaths | Department of Health; Salford Royal NHS Trust | https://www.judiciary.uk/publications/natalie-thornton/ |
| 8 February 2017 | 2017-0031 | DR | Jacqueline Lake | Norfolk | Hospital Death (Clinical Procedures and medical management) related deaths | Norfolk and Suffolk NHS Trust | https://www.judiciary.uk/publications/david-read/ |
| 10 February 2017 | 2017-0029 | RE | Nicola Jones | North Wale (Eastern and Central) | Hospital Death (Clinical Procedures and medical management) related deaths | University Health Board | https://www.judiciary.uk/publications/raymond-edwards/ |
| 9 February 2017 | 2017-0028 | MR | Bridget Dolan QC | West Sussex | Hospital Death (Clinical Procedures and medical management) related deaths | Sussex Partnership NHS Trust | https://www.judiciary.uk/publications/matthew-roberts/ |
| 13 February 2017 | 2017-0027 | RT | Emma Brown | Birmingham and Solihull | Care Home Health related deaths | Sunrise Senior Living; Care Quality Commission | https://www.judiciary.uk/publications/roger-tombs/ |
| 1 July 2016 | 2016-0353 | DP | David Ridley | Wiltshire and Swindon | Community health care and emergency services related deaths; Product related deaths | Medicine and Health Care Products Regulatory Agency | https://www.judiciary.uk/publications/daniel-paylor/ |
| 2 December 2016 | 2016-0428 | PU | Nadia Persaud | London (East) | Hospital Death (Clinical Procedures and medical management) related deaths; Suicide (from 2015) | North East London NHS Trust | https://www.judiciary.uk/publications/peter-usher/ |
| 9 November 2016 | 2016-0403 | MY | Delroy Henry | Coventry | Police related deaths; Alcohol, drug and medication related deaths | West Midlands Police | https://www.judiciary.uk/publications/mark-yafai/ |
| 11 November 2016 | 2016-0404 | ML | Caroline Beasley-Murray | Essex | Hospital Death (Clinical Procedures and medical management) related deaths | North Essex University NHS Trust | https://www.judiciary.uk/publications/melanie-lowe/ |
| 10 October 2016 | 2016-0350 | AH | Caroline Sumeray | Isle of Wight | Hospital Death (Clinical Procedures and medical management) related deaths | Isle of Wight NHS Trust | https://www.judiciary.uk/publications/ann-hardman/ |
| 7 October 2016 | 2016-0352 | DS | Dr Andrew Harris | London Inner (South) | Hospital Death (Clinical Procedures and medical management) related deaths; Mental Health related deaths; Alcohol, drug and medication related deaths | Oxleas NHS Mental Trust; London Royal Borough of Greenwich | https://www.judiciary.uk/publications/debrata-sircar/ |
| 8 November 2016 | 2016-0412 | ML | Dr Fiona Wilcox | London Inner (West) | Other related deaths | MOJ; Serco; Metropolitan Police | https://www.judiciary.uk/publications/michelle-lawrence/ |
| 14 November 2016 | 2016-0414 | DK | Emma Carlyon | Cornwall and the Isle of Scilly | Hospital Death (Clinical Procedures and medical management) related deaths; Mental Health related deaths; Suicide (from 2015) | Department for Health; NHS England | https://www.judiciary.uk/publications/david-knight/ |
| 14 November 2016 | 2016-0413 | MW | Emma Carlyon | Cornwall and the Isle of Scilly | Hospital Death (Clinical Procedures and medical management) related deaths | Royal Cornwall Hospital | https://www.judiciary.uk/publications/margaret-wakefield/ |
| 14 December 2016 | 2016-0402 | LD | Richard Middleton | Dorset | Other related deaths | British Mountaineering Council; Royal Yachting Association | https://www.judiciary.uk/publications/liam-day/ |
| 16 November 2016 | 2016-0415 | CM | David Horsley | Portsmouth and South East Hampshire | Hospital Death (Clinical Procedures and medical management) related deaths | Portsmouth Hospitals NHS Trust | https://www.judiciary.uk/publications/christopher-macmorland/ |
| 18 January 2017 | 2017-0026 | TD | Heidi Connor | Nottinghamshire | Hospital Death (Clinical Procedures and medical management) related deaths | Nottingham University Hospitals NHS Trust; Sheffield Teaching Hospitals NHS Trust; NHS England | https://www.judiciary.uk/publications/teresa-dennett/ |
| 18 January 2017 | 2017-0025 | MP | David Roberts | Cumbria | Hospital Death (Clinical Procedures and medical management) related deaths | North Cumbria University NHS Trust | https://www.judiciary.uk/publications/michael-parke/ |
| 18 January 2017 | 2017-0024 | AC | David Roberts | Cumbria | Hospital Death (Clinical Procedures and medical management) related deaths | North Cumbria University NHS Trust | https://www.judiciary.uk/publications/amanda-coulthard/ |
| 25 January 2017 | 2017-0023 | RP | Veronica Hamilton-Deeley | Brighton and Hove | Hospital Death (Clinical Procedures and medical management) related deaths | Brighton and Sussex University Hospitals NHS Trust | https://www.judiciary.uk/publications/raymond-pollard/ |
| 25 January 2017 | 2017-0022 | GB | Anna Crawford | Surrey | Care Home Health related deaths | Collingwood Nursing Home | https://www.judiciary.uk/publications/geraldine-butterfield/ |
| 30 January 2017 | 2017-0021 | MA | Andrew Tweddle | County Durham and Darlington | State Custody related deaths | NOMS; G4S; Tees, Esk and Wear Valley NHS Trust | https://www.judiciary.uk/publications/margaret-atkinson/ |
| 27 January 2017 | 2017-0020 | FC | Roger Hatch | Kent (North-West) | Hospital Death (Clinical Procedures and medical management) related deaths | Maidstone and Tunbridge Wells NHS Trust | https://www.judiciary.uk/publications/frances-cappuccini/ |
| 31 January 2017 | 2017-0019 | DL | Heidi Connor | Nottinghamshire | Community health care and emergency services related deaths | East Midlands Ambulance Service NHS Trust | https://www.judiciary.uk/publications/dipa-lad/ |
| 30 January 2017 | 2017-0018 | DH | Janet Napier | Cheshire | Road (Highways Safety) related deaths | Cheshire East Council, Highway Department | https://www.judiciary.uk/publications/david-holman/ |
| 30 January 2017 | 2017-0017 | FC | Janet Napier | Cheshire | Care Home Health related deaths | St Helens Clinical Commissioning Group; Halton Clinical Commissioning Grou | https://www.judiciary.uk/publications/frederick-chisnall/ |
| 8 December 2016 | 2016-0401 | RM | Joanne Kearsley | Manchester (South) | Hospital Death (Clinical Procedures and medical management) related deaths; Child Death (from 2015) | Pennine Care Health Foundation NHS Trust; Tameside General Hospital; Medical Centre Stalybridge; Tameside Council | https://www.judiciary.uk/publications/rachal-murphy/ |
| 27 January 2017 | 2017-0016 | DT | Andrew Bradley | Hampshire (North East) | Railway related deaths | HM Principal Inspector of Railways | https://www.judiciary.uk/publications/derek-thomas-2/ |
| 26 January 2017 | 2017-0015 | AM | Thoma Osborne | Bedfordshire and Luton | Hospital Death (Clinical Procedures and medical management) related deaths; Child Death (from 2015) | Luton and Dunstable Hospital | https://www.judiciary.uk/publications/albie-marlow/ |
| 21 November 2016 | 2016-0417 | DP | Kate Thomas | Mid Kent and Medway | Hospital Death (Clinical Procedures and medical management) related deaths | Medway NHS Foundation NHS Trust; Medicspro | https://www.judiciary.uk/publications/denis-plater/ |
| 31 January 2017 | 2017-0013 | DG | Philip Spinney | South Wale Central | Hospital Death (Clinical Procedures and medical management) related deaths | Cardiff and Vale University Health Board | https://www.judiciary.uk/publications/david-griffiths/ |
| 21 November 2016 | 2016-0418 | FL | David Roberts | Cumbria | Other related deaths; Community health care and emergency services related deaths | Impact Housing Association | https://www.judiciary.uk/publications/frazer-livesey/ |
| 24 November 2016 | 2016-0420 | BF | Zafar Siddique | Black Country | Hospital Death (Clinical Procedures and medical management) related deaths | Sandwell and West Birmingham Hospital NHS Trust | https://www.judiciary.uk/publications/beryl-farmer/ |
| 24 November 2016 | 2016-0421 | TJ | Louise Hunt | Birmingham and Solihull | Community health care and emergency services related deaths | Richmond Medical Centre; Clinical Commissioning Grou | https://www.judiciary.uk/publications/timothy-jones/ |
| 3 February 2017 | 2017-0012 | GR | Grahame Short | Southampton and New Forest | Accident at Work and Health and Safety related deaths | Primebulk Shipmanagement Limited | https://www.judiciary.uk/publications/gerome-reyes/ |
| 29 November 2016 | 2016-0422 | RH | Emma Brown | Birmingham and Solihull | Community health care and emergency services related deaths; Hospital Death (Clinical Procedures and medical management) related deaths | Health and Care Professions Council | https://www.judiciary.uk/publications/rex-hall/ |
| 30 November 2016 | 2016-0424 | MB | Karen Henderson | Surrey | Care Home Health related deaths | MHRA; Royal College of Psychiatrists; Department of Health | https://www.judiciary.uk/publications/marjorie-bassendine/ |
| 3 February 2017 | 2017-0011 | RE | Henrietta Hill QC | London Inner (South) | Hospital Death (Clinical Procedures and medical management) related deaths | London Bridge Hospital; HCA Health Care UK; Fisher and Paykel; The Nursing Midwifery Council; The Care Quality Commission | https://www.judiciary.uk/publications/robert-entenman/ |
| 29 November 2016 | 2016-0425 | RL | Emma Carlyon | Cornwall and Isle of Scilly | Alcohol, drug and medication related deaths; Community health care and emergency services related deaths | Commissioning Manager, Drug and Alcohol Action Team; St Mary’s Health Centre | https://www.judiciary.uk/publications/robert-lloyd/ |
| 30 November 2016 | 2016-0426 | ET | Geraint Williams | Worcestershire | Hospital Death (Clinical Procedures and medical management) related deaths; Suicide (from 2015) | Worcestershire Health and Care NHS Trust | https://www.judiciary.uk/publications/emma-timbrell/ |
| 7 February 2017 | 2017-0010 | SB | Christopher Dorrie OBE | South Yorkshire (West) | Road (Highways Safety) related deaths | First Mainline | https://www.judiciary.uk/publications/sheila-bowling/ |
| 23 November 2016 | 2016-0427 | PS | Rachael Griffin | Manchester (West) | Hospital Death (Clinical Procedures and medical management) related deaths | Warrington, Wigan and Leigh NHS Trust | https://www.judiciary.uk/publications/patrick-steer/ |
| 2 February 2017 | 2017-0009 | GA | Rachael Griffin | Manchester (West) | Hospital Death (Clinical Procedures and medical management) related deaths | Salford Royal Hospital | https://www.judiciary.uk/publications/gordon-arthur/ |
| 6 January 2017 | 2017-0008 | DM | Nichola Rheinberg | Cheshire | Hospital Death (Clinical Procedures and medical management) related deaths | 5 Boroughs NHS Foundation Trust | https://www.judiciary.uk/publications/david-moran/ |
| 3 January 2017 | 2017-0007 | RO | Christopher Murray | Manchester (South) | Other related deaths | Your Housing | https://www.judiciary.uk/publications/roseleen-odonoghue/ |
| 11 January 2017 | 2017-0006 | CR | Peter Bedford | Berkshire | Other related deaths | Bayer Plc | https://www.judiciary.uk/publications/charles-rendell/ |
| 9 January 2017 | 2017-0005 | AS | ME Hassell | London Inner (North) | Hospital Death (Clinical Procedures and medical management) related deaths | Royal College of Obstetricians and Gynaecologists; British Maternal and Fetal Medicine Society | https://www.judiciary.uk/publications/ana-sirghi-marin/ |
| 11 January 2017 | 2017-0004 | EV | ME Hassell | London Inner (North) | Hospital Death (Clinical Procedures and medical management) related deaths | Camden and Islington NHS Trust | https://www.judiciary.uk/publications/emily-voukelatou/ |
| 13 January 2017 | 2017-0003 | NG | Patricia Harding | Mid Kent and Medway | Hospital Death (Clinical Procedures and medical management) related deaths | Kent and Medway NHS | https://www.judiciary.uk/publications/natalie-gray/ |
| 13 January 2017 | 2017-0002 | ST | John Gittins | North Wale (East and Central) | Hospital Death (Clinical Procedures and medical management) related deaths | BCUHB | https://www.judiciary.uk/publications/sarah-tyler/ |
| 12 January 2017 | 2017-0001 | JC | Thoma Osborne | Bedfordshire and Luton | Hospital Death (Clinical Procedures and medical management) related deaths | Watford General Hospital | https://www.judiciary.uk/publications/jennifer-clark/ |
| 24 October 2016 | 2016-0406 | JM | Tony Williams | Somerset | Accident at Work and Health and Safety related deaths | Amphenol Thermometrics (UK) Ltd | https://www.judiciary.uk/publications/jeff-miles/ |
| 9 December 2016 | 2016-0439 | SS | Heidi Connor | Nottinghamshire | Hospital Death (Clinical Procedures and medical management) related deaths | Sherwood Forest Hospital Trust | https://www.judiciary.uk/publications/sheila-stokes/ |
| 24 October 2016 | 2016-0405 | SE | Tony Williams | Somerset | Road (Highways Safety) related deaths | Taunton Deane District Council | https://www.judiciary.uk/publications/sally-eveleigh/ |
| 8 December 2016 | 2016-0440 | MM | ME Hassell | London Inner (North) | Hospital Death (Clinical Procedures and medical management) related deaths | St George’s University Hospital; Brighton and Sussex University Hospitals NHS Trust; Kings College Hospital; NHS England | https://www.judiciary.uk/publications/mary-muldowney/ |
| 29 November 2016 | 2016-0429 | JA | Nicola Mundy | South Yorkshire (East) | Hospital Death (Clinical Procedures and medical management) related deaths; Suicide (from 2015) | Rotherham NHS Trust | https://www.judiciary.uk/publications/john-atkinson/ |
| 5 December 2016 | 2016-0432 | BG | Nichola Rheinberg | Cheshire | Hospital Death (Clinical Procedures and medical management) related deaths | Abbey Court Independent Hospital | https://www.judiciary.uk/publications/brian-gerrard/ |
| 6 December 2016 | 2016-0434 | JC | Rachael Griffin | Manchester (West) | Care Home Health related deaths | CLS Care Services | https://www.judiciary.uk/publications/joyce-crompton/ |
| 9 December 2016 | 2016-441 | RL | Andrew Haigh | Staffordshire (South) | Product related deaths; Community health care and emergency services related deaths | Marks and Spencer | https://www.judiciary.uk/publications/roy-lawton/ |
| 7 October 2016 | 2016-0438 | NB | Margaret Jones | Stoke-on-Trent and North Staffordshire | Care Home Health related deaths | Care First Homes | https://www.judiciary.uk/publications/norman-beard/ |
| 15 December 2016 | 2016-0456 | JM | Thoma Osborne | Bedfordshire and Luton | Hospital Death (Clinical Procedures and medical management) related deaths | Luton and Dunstable Hospital; South Essex Partnership NHS Trust | https://www.judiciary.uk/publications/jean-mchale/ |
| 15 December 2016 | 2016-0457 | JS | Nicola Mundy | South Yorkshire (East) | Hospital Death (Clinical Procedures and medical management) related deaths | Rotherham, Doncaster and South Humber NHS Trust | https://www.judiciary.uk/publications/jane-stables/ |
| 16 December 2016 | 2016-0458 | LS | ME Hassell | London Inner (North) | Hospital Death (Clinical Procedures and medical management) related deaths | Royal London Hospital | https://www.judiciary.uk/publications/lita-serkes/ |
| 12 December 2016 | 2016-0451 | EK | Edwin Buckett | London Inner (North) | Other related deaths; Community health care and emergency services related deaths | London Borough of Camden | https://www.judiciary.uk/publications/ellen-kelly/ |
| 21 December 2016 | 2016-0459 | DC | Andrew Barkley | South Wale Central | Hospital Death (Clinical Procedures and medical management) related deaths | ABMU Health Board; Welsh Assembly Government | https://www.judiciary.uk/publications/david-cooper/ |
| 22 December 2016 | 2016-0460 | GL | David Bowen | Gwent | Suicide (from 2015); Hospital Death (Clinical Procedures and medical management) related deaths; Mental Health related deaths | Aneurin Bevan University Hospital Board | https://www.judiciary.uk/publications/georgina-lewis/ |
| 12 October 2016 | 2016-0461 | CA | David Ridley | Wiltshire and Swindon | State Custody related deaths | NOMS | https://www.judiciary.uk/publications/calam-atour/ |
| 12 December 2016 | 2016-0442 | CL | David Urpeth | South Yorkshire (West) | Community health care and emergency services related deaths; Hospital Death (Clinical Procedures and medical management) related deaths | Sheffield City Council | https://www.judiciary.uk/publications/carol-leesley/ |
| 12 December 2016 | 2016-0443 | DL | Grahame Short | Southampton and New Forest | Hospital Death (Clinical Procedures and medical management) related deaths | Solent NHS Trust | https://www.judiciary.uk/publications/dennis-lavington/ |
| 15 December 2016 | 2016-0444 | JM | Nichola Rheinberg | Cheshire | Hospital Death (Clinical Procedures and medical management) related deaths | Bowmere Hospital | https://www.judiciary.uk/publications/janet-millar/ |
| 14 December 2016 | 2016-0145 | JR | Dr Fiona Wilcox | London Inner (West) | Hospital Death (Clinical Procedures and medical management) related deaths; Mental Health related deaths; Suicide (from 2015) | South West and St George’s Mental Health Trust; NHS Care Commissioning Grou | https://www.judiciary.uk/publications/jaroslaw-rogala/ |
| 15 December 2016 | 2016-0446 | PG | Andrew Tweddle | County Durham and Darlington | Other related deaths | British Parachute Association | https://www.judiciary.uk/publications/pamela-gower/ |
| 15 December 2016 | 2016-0447 | FL | Lydia Brown | Leicester (City and South) | Community health care and emergency services related deaths | Northfield Medical Practice; Hazelmere Medical Centre; East Leicestershire and Rutland CCG | https://www.judiciary.uk/publications/francis-lea/ |
| 16 December 2016 | 2016-0449 | CW | Nichola Rheinberg | Cheshire | Hospital Death (Clinical Procedures and medical management) related deaths | Mid Cheshire NHS Trust | https://www.judiciary.uk/publications/charles-woodward/ |
| 15 December 2016 | 2016-0448 | WE | Dr Fiona Wilcox | London Inner (West) | Care Home Health related deaths | Care Quality Commission; Meadbank Care Home | https://www.judiciary.uk/publications/winifred-elliott/ |
| 16 December 2016 | 2016-0450 | EF | Andrew Harris | London Inner (South) | Other related deaths | Foreign and Commonwealth Office | https://www.judiciary.uk/publications/edwin-flett/ |
| 16 December 2016 | 2016-0452 | EP | Emma Brown | Birmingham and Solihull | Road (Highways Safety) related deaths | Highways Department Birmingham City Council | https://www.judiciary.uk/publications/exauce-paoulen/ |
| 16 December 2016 | 2016-0453 | ML | Julie Goulding | Liverpool and Wirral | State Custody related deaths; Alcohol, drug and medication related deaths | HMP Liverpool | https://www.judiciary.uk/publications/mark-lilliott/ |
| 19 December 2016 | 2016-0454 | TH | Nadia Persaud | London (East) | Community health care and emergency services related deaths | Lime Tree Surgery | https://www.judiciary.uk/publications/terence-hawkins/ |
| 19 December 2016 | 2016-0455 | GR | Penelope Schofield | West Sussex | Child Death (from 2015); Product related deaths | Department for Business, Energy and Industrial Strategy | https://www.judiciary.uk/publications/grace-roseman-2/ |
| 8 December 2016 | 2016-0436 | CF | Michael Oakley | North Yorkshire (East) | Other related deaths | Department of Transport | https://www.judiciary.uk/publications/cameron-forster/ |
| 8 December 2016 | 2016-0436A | AS | Michael Oakley | North Yorkshire (East) | Other related deaths | Department of Transport | https://www.judiciary.uk/publications/ajvir-sandhu/ |
| 5 December 2016 | 2016-0433 | CB | Selena Lynch | London (South) | Child Death (from 2015); Hospital Death (Clinical Procedures and medical management) related deaths | Resuscitation Council (UK); South London and Maudsley NHS Trust | https://www.judiciary.uk/publications/christopher-brennan/ |
| 7 December 2016 | 2016-0349 | AM | Emma Whitting | Coventry | Other related deaths | NOMS | https://www.judiciary.uk/publications/andrew-machin/ |
| 7 December 2016 | 2016-0435 | DT | Lisa Hashmi | Manchester (North) | Hospital Death (Clinical Procedures and medical management) related deaths | Department of Health; Pennine Care NHS Trust | https://www.judiciary.uk/publications/dominic-travis/ |
| 14 November 2016 | 2016-0409 | MW | Dr Peter Harrowing | Avon | Suicide (from 2015); Mental Health related deaths | Care Quality Commission; Avon and Wiltshire Mental Health Partnership NHS Trust | https://www.judiciary.uk/publications/martyn-watkins/ |
| 9 November 2016 | 2016-0410 | SH | Sarah Slater | South Yorkshire (West) | Hospital Death (Clinical Procedures and medical management) related deaths | Department for Health | https://www.judiciary.uk/publications/simon-harper/ |
| 7 November 2016 | 2016-0411 | MI | Andrew Barkley | South Wale Central | Hospital Death (Clinical Procedures and medical management) related deaths | Cardiff and the Vale University Health Board; Minister for Health Welsh Assembly Government | https://www.judiciary.uk/publications/maurice-isaacs/ |
| 17 November 2016 | 2016-0416 | BM | Geoffrey Sullivan | Hertfordshire | Community health care and emergency services related deaths | East of England Ambulance Service | https://www.judiciary.uk/publications/brian-mills/ |
| 2 February 2017 | 2017-0014 | JF | Andrew Walker | London (North) | Police related deaths | Metropolitan Police Service | https://www.judiciary.uk/publications/james-fox/ |
| 16 January 2017 | SH | Katy Skerrett | Gloucestershire | Alcohol, drug and medication related deaths; Community health care and emergency services related deaths | 2Gether NHS Trust; Change Grow Live | https://www.judiciary.uk/publications/shane-hardy/ | |
| 30 December 2016 | 2016-0467 | RS | Nigel Meadows | Manchester (City) | Community health care and emergency services related deaths | Home Care Support Limited; Trafford Borough Council | https://www.judiciary.uk/publications/raymond-shepherd/ |
| 28 December 2016 | 2016-0466 | DP | Emma Carlyon | Cornwall and the Isle of Scilly | Community health care and emergency services related deaths | Cornwall Partnership Foundation Trust | https://www.judiciary.uk/publications/dorothea-parr/ |
| 28 December 2016 | 2016-0465 | SC | Emma Carlyon | Cornwall and the Isle of Scilly | Other related deaths | South West National Trust | https://www.judiciary.uk/publications/simon-charles/ |
| 22 December 2016 | 2016-0462 | EM | Andrew Barkley | South Wale Central | Hospital Death (Clinical Procedures and medical management) related deaths | ABMU Health Board; Welsh Assembly Government | https://www.judiciary.uk/publications/edwina-moses/ |
| 22 December 2016 | 2016-0464 | DW | R Brittain | London Inner (North) | Hospital Death (Clinical Procedures and medical management) related deaths; Suicide (from 2015) | Camden and Islington NHS Foundation Trust | https://www.judiciary.uk/publications/demi-williams/ |
| 22 December 2016 | 2016-0463 | TW | Jonathan Heath | North Yorkshire (West) | Road (Highways Safety) related deaths | North Yorkshire County Council Highways Authority | https://www.judiciary.uk/publications/thomas-wallace/ |
| 6 December 2016 | 2016-0437 | TK | ME Hassell | London Inner (North) | State Custody related deaths; Suicide (from 2015) | Care UK; HMP Pentonville; NOMS | https://www.judiciary.uk/publications/tedros-kahssay/ |
| 2 December 2016 | 2016-0599 | JS | Tony Brown | North Northumberland | Child Death (from 2015); Community health care and emergency services related deaths | NEAS Foundation Trust; Northumbria Police; Northumberland Fire and Rescue Service; Maritime Coastguard Agency | https://www.judiciary.uk/publications/joshua-smith-2/ |
| 21 November 2016 | DP | Kate Thomas | Mid Kent and Medway | Hospital Death (Clinical Procedures and medical management) related deaths | Medway NHS Trust | https://www.judiciary.uk/publications/denis-plater-2/ | |
| 14 November 2016 | 2016-0407 | BW | Peter Bedford | Berkshire | Product related deaths | Federation of Piling Specialists; HSE, Soilmec Limited | https://www.judiciary.uk/publications/benjamin-wylie/ |
| 11 November 2016 | 2016-0408 | KT | Alan Walsh | Manchester (West) | Hospital Death (Clinical Procedures and medical management) related deaths | Department of Health | https://www.judiciary.uk/publications/karen-thorne/ |
| 10 November 2016 | 2016 – 0396 | DW | Jonathan Layton | Carmarthenshire and Pembrokeshire | Other related deaths | Maritime and Coastguard Agency | https://www.judiciary.uk/publications/daniel-willington/ |
| 10 November 2016 | 2016 – 0396A | GW | Jonathan Layton | Carmarthenshire and Pembrokeshire | Other related deaths | Maritime and Coastguard Agency | https://www.judiciary.uk/publications/gareth-willington/ |
| 2 November 2016 | 2016-0392 | MT | David Hinchliff | West Yorkshire (East) | Suicide (from 2015) | Leeds and York Partnership NHS Foundation Trust | https://www.judiciary.uk/publications/michaela-thompson/ |
| 2 November 2016 | 2016-0394 | WM | Ian Singleton | Wiltshire and Swindon | Care Home Health related deaths | Avon Care Home Limited | https://www.judiciary.uk/publications/william-marson/ |
| 2 November 2016 | 2016-0393 | IM | John Ellery | Shropshire, Telford and Wrekin | Child Death (from 2015); Hospital Death (Clinical Procedures and medical management) related deaths | Shrewsbury and Telford NHS Trust | https://www.judiciary.uk/publications/ivy-morris/ |
| 1 November 2016 | 2016-0391 | TH | Andrew Cox | Plymouth Torbay and South Devon | Hospital Death (Clinical Procedures and medical management) related deaths | Health Education England | https://www.judiciary.uk/publications/trevor-hunking/ |
| 31 October 2016 | 2016-0388 | AM | Thoma Osborne | Milton Keynes | Mental Health related deaths | The Priory Grou | https://www.judiciary.uk/publications/anthony-mcmanus/ |
| 31 October 2016 | 2016-0389 | FS | Thoma Osborne | Milton Keynes | Hospital Death (Clinical Procedures and medical management) related deaths; Road (Highways Safety) related deaths | N.I.C.E | https://www.judiciary.uk/publications/frederick-squires/ |
| 31 October 2016 | 2016-0390 | JF | Thoma Osborne | Milton Keynes | Hospital Death (Clinical Procedures and medical management) related deaths | Oxford University Hospital | https://www.judiciary.uk/publications/james-flynn/ |
| 28 October 2016 | 2016-0387 | AG | Michael Singleton | Blackburn, Hyndham and Ribble Valley | Hospital Death (Clinical Procedures and medical management) related deaths | East Lancashire Healthcare NHS Trust | https://www.judiciary.uk/publications/alfred-grimshaw/ |
| 28 October 2016 | 2016-0386 | BT | Robert Hunter | Derby and Derbyshire | Hospital Death (Clinical Procedures and medical management) related deaths | Derby Teaching Hospitals NHS Trust | https://www.judiciary.uk/publications/barbara-turner/ |
| 27 October 2016 | 2016-0384 | SC | Jon Heath | North Yorkshire (West) | Suicide (from 2015) | North Yorkshire Police; Yorkshire Ambulance Service NHS Trust | https://www.judiciary.uk/publications/samuel-carroll/ |
| 26 October 2016 | 2016-0382 | AR | Louise Hunt | Birmingham and Solihull | Child Death (from 2015); Hospital Death (Clinical Procedures and medical management) related deaths | Dudley Group of Hospitals NHS Foundation Trust; University Hospitals Birmingham NHS Trust | https://www.judiciary.uk/publications/alfie-rose/ |
| 25 October 2016 | 2016-0376 | JR | Louise Hunt | Birmingham and Solihull | Other related deaths | Department of Health; Department of Education; NHS England; Resuscitation Council | https://www.judiciary.uk/publications/jane-reason/ |
| 25 October 2016 | 2016-0378 | NO | Chinyere Inyama | London (West) | Mental Health related deaths | West London Mental Health Trust | https://www.judiciary.uk/publications/nihad-ousta/ |
| 25 October 2016 | 2016-0379 | IA | Stephanie Haskey | Nottinghamshire | Care Home Health related deaths | Care Quality Commission; Department of Health | https://www.judiciary.uk/publications/ivy-atkin/ |
| 25 October 2016 | 2016-0381 | KH | Graham Danbury | Hertfordshire | Road (Highways Safety) related deaths | Highways England | https://www.judiciary.uk/publications/kevin-hefferman/ |
| 25 October 2016 | 2016-0385 | ML | Lydia Brown | Exeter and Greater Devon | Hospital Death (Clinical Procedures and medical management) related deaths | Devon Partnership Trust | https://www.judiciary.uk/publications/matthew-llewellyn-jones/ |
| 24 October 2016 | MB | Andrew Tweedle | County Durham and Darlington | State Custody related deaths | NOMS | https://www.judiciary.uk/publications/michelle-barnes/ | |
| 24 October 2016 | 2016-0374 | MD | Dianne Hocking | Leicester City and Leicestershire South | Hospital Death (Clinical Procedures and medical management) related deaths | NHS England; University Hospitals of Leicester NHS Trust | https://www.judiciary.uk/publications/margaret-dempsie/ |
| 24 October 2016 | 2016-0375 | HM | Chinyere Inyama | London (West) | Hospital Death (Clinical Procedures and medical management) related deaths | Chelsea and Westminster Hospitals NHS Trust | https://www.judiciary.uk/publications/hunter-macmillan/ |
| 24 October 2016 | 2016-0383 | JG | Paul Smith | Lincolnshire (Central) | Road (Highways Safety) related deaths | Lincolnshire County Council | https://www.judiciary.uk/publications/joan-green/ |
| 20 October 2016 | 2016-0370 | VH | Lydia Brown | Leicester City and Leicestershire South | Hospital Death (Clinical Procedures and medical management) related deaths; Mental Health related deaths | Leicestershire Partnership NHS Trust | https://www.judiciary.uk/publications/victoria-halliday/ |
| 20 October 2016 | 2016-0371 | SJ | ME Hassell | London Inner (North) | Police related deaths | New Scotland Yard | https://www.judiciary.uk/publications/sian-jones/ |
| 20 October 2016 | 2016-0372 | CG | John Pollard | Manchester (West) | Hospital Death (Clinical Procedures and medical management) related deaths | Bolton NHS Trust | https://www.judiciary.uk/publications/colin-garth/ |
| 19 October 2016 | 2016-0367 | BO | Christina Swann | Leicester City and Leicestershire South | Hospital Death (Clinical Procedures and medical management) related deaths; Suicide (from 2015) | NHS England; Nursing and Midwifery Council | https://www.judiciary.uk/publications/benjamin-orrill/ |
| 18 October 2016 | 2016-0366 | JS | Jean Harkin | Manchester (City) | Hospital Death (Clinical Procedures and medical management) related deaths | Wythenshawe Hospital | https://www.judiciary.uk/publications/john-smith/ |
| 18 October 2016 | 2016-0368 | CJB | Christopher Dorries | South Yorkshire (West) | Hospital Death (Clinical Procedures and medical management) related deaths | Barnsley Hospital NHS Trust; Secretary for State for Health | https://www.judiciary.uk/publications/captain-james-bedforth/ |
| 17 October 2016 | 2016-0369 | VK | Zafar Siddique | Black Country | Hospital Death (Clinical Procedures and medical management) related deaths | New Cross Hospital | https://www.judiciary.uk/publications/vinod-kumar/ |
| 14 October 2016 | 2016-0365 | BA | Ian Pears | Bedfordshire and Luton | Road (Highways Safety) related deaths | Luton Borough Council | https://www.judiciary.uk/publications/brandon-arnold/ |
| 12 October 2016 | 2016-0364 | RS | Heidi Connor | Nottinghamshire | Hospital Death (Clinical Procedures and medical management) related deaths | Nottinghamshire Healthcare NHS Trust | https://www.judiciary.uk/publications/rohid-shergill/ |
| 11 October 2016 | 2016-0380 | VT | Geoffrey Sullivan | Hertfordshire | Road (Highways Safety) related deaths | Highways England | https://www.judiciary.uk/publications/vichal-tonpradit/ |
| 5 October 2016 | 2016-0348 | CW | Andrew Barkley | South Wale Central | Road (Highways Safety) related deaths | Department of Transport | https://www.judiciary.uk/publications/colin-wellings/ |
| 4 October 2016 | 2016-0346 | HB | G A Short | Hampshire (Central) | State Custody related deaths; Suicide (from 2015) | HM Prison Service; The Samaritans | https://www.judiciary.uk/publications/haydn-burton/ |
| 3 October 2016 | 2016-0347 | AE | Penelope Schofield | East Sussex | Child Death (from 2015); Suicide (from 2015); Mental Health related deaths | Hounslow Borough Council; Department of Health | https://www.judiciary.uk/publications/amy-el-keria/ |
| 23 September 2016 | 2016-0339 | KH | Emma Brown | Birmingham and Solihull | Other related deaths | Department for Education; NSPCC | https://www.judiciary.uk/publications/karnel-haughton/ |
| 20 September 2016 | 2016-0335 | LL | Lydia Brown | Leicester City and Leicestershire South | Suicide (from 2015); State Custody related deaths | HMP YOI Glen Parva; NOMS | https://www.judiciary.uk/publications/liam-lambert/ |
| 19 September 2016 | 2016-0337 | DM | Henrietta Hill QC | London Inner (South) | Community health care and emergency services related deaths | NHS Lewisham Clinical Commissioning Group; London Borough of Lewisham Adult Care Services | https://www.judiciary.uk/publications/daphne-mccorkle/ |
| 19 September 2016 | 2016-0336 | CP | Ian Arrow | Plymouth, Torbay and South Devon | Suicide (from 2015) | Cornwall County Council | https://www.judiciary.uk/publications/charles-pitcher/ |
| 15 September 2016 | 2016-0330 | RB | Veronia Hamilton-Deeley | Brighton and Hove | Alcohol, drug and medication related deaths | H R Healthcare Limited; NHS England | https://www.judiciary.uk/publications/richard-breatnach/ |
| 16 September 2016 | 2016-0331 | MD | Caroline Beasley-Murray | Essex | Hospital Death (Clinical Procedures and medical management) related deaths | Anglian Community Enterprise | https://www.judiciary.uk/publications/martha-davies/ |
| 16 September 2016 | 2016-0334 | DP | Colin Phillips | Swansea Neath and Port Talbot | Other related deaths | South Wales Police; Mitie Group; NHS Wales | https://www.judiciary.uk/publications/david-phillips/ |
| 16 September 2016 | 2016-0332 | DC | Catherine Mason | Leicester City and South Leicestershire | Other related deaths | British Sub Aqua Club; Dulwich Dive Club | https://www.judiciary.uk/publications/denis-cronin/ |
| 13 September 2016 | RM | Andrew Cox | Plymouth Torbay and South Devon | Hospital Death (Clinical Procedures and medical management) related deaths | Department of Health; CQC | https://www.judiciary.uk/publications/roy-millar/ | |
| 13 September 2016 | 2016-0328 | ZG | Richard Travers | Surrey | Product related deaths; Child Death (from 2015) | Department for Work and Pensions; HSE | https://www.judiciary.uk/publications/zane-gbangbola/ |
| 7 September 2016 | 2016-0318 | BU | Robert Chapman | Rutland and North Leicestershire | Accident at Work and Health and Safety related deaths | MAC Skip Hire Limited | https://www.judiciary.uk/publications/beverley-upton/ |
| 7 September 2016 | 2016-0325 | EM | Belinda Cheney | Cambridgeshire and Peterborough | Community health care and emergency services related deaths; Mental Health related deaths | Cambridge and Peterborough NHS Trust; Orchard Surgery; NHS England | https://www.judiciary.uk/publications/edward-mallen-2/ |
| 7 September 2016 | 2016-0329 | GJ | Zafar Siddique | Black Country | Mental Health related deaths | Dudley and Walsall Mental Health NHS Trust; Care Quality Commission | https://www.judiciary.uk/publications/glen-jordan/ |
| 7 September 2016 | 2016-0254 | EM | Belinda Cheney | Cambridgeshire and Peterborough | Community health care and emergency services related deaths; Suicide (from 2015) | Cambridge and Peterborough NHS Trust; GP Practice Orchard Surgery; Cambridgeshire and Peterborough Clinical Commissioning Group; NHS England | https://www.judiciary.uk/publications/edward-mallen/ |
| 7 September 2016 | 2016-0322 | LT | Lydia Brown | Exeter and Greater Devon | Hospital Death (Clinical Procedures and medical management) related deaths | NHS Northern Eastern and Western Clinical Commissioning Group; Department of Health; Devon Partnership Trust | https://www.judiciary.uk/publications/louise-turner/ |
| 7 September 2016 | 2016-0321 | DS | Julie Robertson | Manchester (North) | Hospital Death (Clinical Procedures and medical management) related deaths | Department of Health; N.I.C.E; Pennine Acute NHS Trust; | https://www.judiciary.uk/publications/dildar-shariff/ |
| 7 September 2016 | 2016-0319 | CJ | John Gittins | North Wale (East and Central) | Hospital Death (Clinical Procedures and medical management) related deaths | BCUHB | https://www.judiciary.uk/publications/christopher-jones/ |
| 6 September 2016 | 2016-0324 | DW | Michael Singleton | Blackburn, Hyndburn and Ribble Valley | Hospital Death (Clinical Procedures and medical management) related deaths | NHS England | https://www.judiciary.uk/publications/david-wade/ |
| 6 September 2016 | 2016-0320 | WS | Caroline Beasley-Murray | Essex | State Custody related deaths | HMP; Care UK | https://www.judiciary.uk/publications/warren-sampson/ |
| 6 September 2016 | 2016-0316 | SH | David Horsley | Portsmouth and South East Hampshire | Product related deaths; Community health care and emergency services related deaths | South Central Ambulance Service; Warwick Medical School | https://www.judiciary.uk/publications/samantha-hopkins/ |
| 5 September 2016 | 2016-0326 | BB | Andrew Walker | London (North) | Hospital Death (Clinical Procedures and medical management) related deaths | Edgware Community Hospital | https://www.judiciary.uk/publications/benjamin-brown/ |
| 5 September 2016 | 2016-0327 | JJ | Robert Sowersby | Avon | Mental Health related deaths | Avon and Wiltshire Mental Health Partnership NHS Trust | https://www.judiciary.uk/publications/john-jones-2/ |
| 5 September 2016 | 2016-0315 | IH | Graeme Hughes | South Wale Central | Hospital Death (Clinical Procedures and medical management) related deaths | Cardiff and Vale Health Board; ABMU Health Board; CWM Taff Health Board; | https://www.judiciary.uk/publications/imad-hassan/ |
| 2 September 2016 | 2016-0313 | CD | Nadia Persaud | London (East) | Hospital Death (Clinical Procedures and medical management) related deaths | Royal London Hospital | https://www.judiciary.uk/publications/catherine-dinnen/ |
| 30 August 2016 | 2016-0314 | PL | Simon Milburn | Cambridgeshire and Peterborough | State Custody related deaths | NOMS | https://www.judiciary.uk/publications/peter-lawrence/ |
| 30 August 2016 | 2016-0323 | HG | Michael Singleton | Blackburn, Hyndburn and Ribble Valley | Community health care and emergency services related deaths | NHS Digital | https://www.judiciary.uk/publications/harry-gill/ |
| 30 August 2016 | 2016-0311 | RD | Paul Smith | Lincolnshire (Central) | Road (Highways Safety) related deaths | Department for Transport | https://www.judiciary.uk/publications/robert-dearing/ |
| 26 August 2016 | 2016 – 0308 | RW | Emma Brown | Birmingham and Solihull | Alcohol, drug and medication related deaths | Medicines and Healthcare Products Regulatory Agency | https://www.judiciary.uk/publications/raymond-woodward/ |
| 26 August 2016 | 2016-0307 | KL | Tony Brown | North Northumberland | Child Death (from 2015); Hospital Death (Clinical Procedures and medical management) related deaths | NEAS NHS Trust; NHS Northumberland Clinical Commissioning Grou | https://www.judiciary.uk/publications/kyle-lowes/ |
| 26 August 2016 | 2016-0310 | MF | Andrew Bridgman | Manchester (South) | Hospital Death (Clinical Procedures and medical management) related deaths | Stepping Hill Hospital | https://www.judiciary.uk/publications/maureen-flynn/ |
| 26 August 2016 | 2016-0309 | PC | John Gittins | North Wale (East and Central) | Community health care and emergency services related deaths; Hospital Death (Clinical Procedures and medical management) related deaths | Welsh Ambulance Services NHS Trust; BCUHB | https://www.judiciary.uk/publications/pamela-conway/ |
| 24 August 2016 | 2016 – 0303 | JR | Nichola Rheinberg | Cheshire | Community health care and emergency services related deaths | North West Ambulance Service Trust NHS | https://www.judiciary.uk/publications/joyce-ravenhill/ |
| 23 August 2016 | 2016-0304 | SC | Ian Pears | Bedfordshire and Luton | Railway related deaths | Network Rail | https://www.judiciary.uk/publications/stephen-cahill/ |
| 23 August 2016 | 2016-0305 | MD | David Hinchliff | West Yorkshire (East) | Hospital Death (Clinical Procedures and medical management) related deaths | Department of Health | https://www.judiciary.uk/publications/michael-dundon/ |
| 22 August 2016 | 2016 – 0301 | NS | Nigel Meadows | Manchester City | Hospital Death (Clinical Procedures and medical management) related deaths; Community health care and emergency services related deaths; Mental Health related deaths | North Manchester General Hospital; Manchester Mental Health and Social Care Trust | https://www.judiciary.uk/publications/nicholas-sullivan/ |
| 19 August 2016 | 2016 – 0302 | NL | Roy Palmer | City of London | Mental Health related deaths; Hospital Death (Clinical Procedures and medical management) related deaths; Suicide (from 2015) | Hertfordshire Partnership University NHS Foundation Trust | https://www.judiciary.uk/publications/nathan-lowe/ |
| 19 August 2016 | 2016 – 0300 | JJ | ME Hassell | London Inner (North) | Community health care and emergency services related deaths; Mental Health related deaths | Nightingale Hospital; Consultant Psychiatrist, Keats House, London | https://www.judiciary.uk/publications/john-jones/ |
| 19 August 2016 | 2016 – 0299 | AC | Philip Barlow | London Inner (South) | Road (Highways Safety) related deaths | Royal Borough of Greenwich; Surface Transport, Transport for London; Lands, Estates and Property Housing and Land Directorate, Greater London Authority | https://www.judiciary.uk/publications/amanda-coppen/ |
| 19 August 2016 | 2016 – 0298 | MR | Caroline Beasley-Murray | Essex | Hospital Death (Clinical Procedures and medical management) related deaths | North Essex Mental Health Partnership Trust | https://www.judiciary.uk/publications/margaret-richardson/ |
| 19 August 2016 | 2016 – 0297 | GW | R Brittain | Coventry | Hospital Death (Clinical Procedures and medical management) related deaths | University Hospitals Coventry and Warwickshire NHS Trust; University Hospital, Coventry | https://www.judiciary.uk/publications/george-watson/ |
| 18 August 2016 | 2016 – 0296 | DR | Veronica Hamilton-Deeley | Brighton and Hove | Hospital Death (Clinical Procedures and medical management) related deaths | Brighton and Sussex University Hospitals NHS Trust | https://www.judiciary.uk/publications/diana-ritchie/ |
| 17 August 2016 | 2016-0395 | JS | Peter Dorries | South Yorkshire (West) | Road (Highways Safety) related deaths | Rotherham Borough Council | https://www.judiciary.uk/publications/jonathan-sellman/ |
| 16 August 2016 | 2016 – 0292 | HG | Andrew Cox | Plymouth Torbay and South Devon | Hospital Death (Clinical Procedures and medical management) related deaths | Plymouth Hospitals NHS Trust | https://www.judiciary.uk/publications/harry-glibbery/ |
| 15 August2016 | 2016 – 0295 | DM | Selena Lynch | London (South) | Alcohol, drug and medication related deaths; Suicide (from 2015) | Advisory Council on the Misuse of Drugs | https://www.judiciary.uk/publications/darren-mindham-2/ |
| 15 August 2016 | 2016 – 0290 | SA | Ian Arrow | Plymouth, Torbay and South Devon | Road (Highways Safety) related deaths | Highways Department, Torbay Council | https://www.judiciary.uk/publications/saleh-al-awlaki/ |
| 15 August 2016 | 2016-0289 | MM | Crispin Oliver | County Durham and Darlington | Mental Health related deaths | Tees, Esk and Wear Valley NHS Trust | https://www.judiciary.uk/publications/michael-mcmonigle/ |
| 15 August 2016 | 2016-0306 | OF | Maria Voisin | Avon | Mental Health related deaths | Avon and Wiltshire NHS Trust | https://www.judiciary.uk/publications/oliver-ford/ |
| 12 August 2016 | 2016 – 0291 | MB | Karen Harrold | Portsmouth and South East Hampshire | Hospital Death (Clinical Procedures and medical management) related deaths | Portsmouth Hospitals NHS Trust | https://www.judiciary.uk/publications/michael-blow/ |
| 12 August 2016 | 2016 – 0286 | JS | Karen Harrold | West Sussex | Hospital Death (Clinical Procedures and medical management) related deaths | Royal Sussex County Hospital | https://www.judiciary.uk/publications/jean-stockley/ |
| 12 August 2016 | 2016 – 0285 | SSC | Caroline Sumeray | Isle of Wight | State Custody related deaths | Secretary of State for Justice; National Offender Management Service | https://www.judiciary.uk/publications/stephen-st-clair/ |
| 11 August 2016 | 2016 – 0283 | TG | L Hashmi | Greater Manchester (North) | Police related deaths | Greater Manchester Police | https://www.judiciary.uk/publications/thomas-gallagher/ |
| 11 August 2016 |