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”.
The data below represents all available PFDs from inception (July 2013) to 23 February 2022.
| date_of_report | ref | deceased_name | coroner_name | coroner_area | category | this_report_is_being_sent_to | url | |
|---|---|---|---|---|---|---|---|---|
| 0 | 01-Dec-21 | 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/ |
| 1 | 18-Feb-22 | 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/ |
| 2 | 17-Feb-22 | 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/ |
| 3 | 15-Feb-22 | 2022-0049 | TB | Jacqueline Lane | 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/ |
| 4 | 15-Feb-22 | 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/ |
| 5 | 16-Feb-22 | 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/ |
| 6 | 15-Feb-22 | 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/ |
| 7 | 14-Feb-22 | 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/ |
| 8 | 11-Feb-22 | 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 Partnership | https://www.judiciary.uk/publications/matthew-mcmanus-prevention-of-future-deaths-report/ |
| 9 | 10-Feb-22 | 2022-0043 | DH, IS | 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 | 10-Feb-22 | 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/ |
| 11 | 10-Feb-22 | 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/ |
| 12 | 03-Feb-22 | 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/ |
| 13 | 08-Feb-22 | 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/ |
| 14 | 04-Feb-22 | 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/ |
| 15 | 04-Feb-22 | 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/ |
| 16 | 05-Nov-18 | 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/ | |
| 17 | 03-Feb-22 | 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/ |
| 18 | 31-Jan-22 | 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/ |
| 19 | 02-Feb-22 | 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/ |
| 20 | 01-Feb-22 | 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/ |
| 21 | 31-Jan-22 | 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/ |
| 22 | 26-Jan-22 | 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/ |
| 23 | 28-Jan-22 | 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/ |
| 24 | 03-Feb-22 | 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/ |
| 25 | 28-Jan-22 | 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/ |
| 26 | 27-Jan-22 | 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/ |
| 27 | 31-Jan-22 | 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 | 28-Jan-22 | 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/ |
| 29 | 27-Jan-22 | 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/ |
| 30 | 27-Jan-22 | 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/ |
| 31 | 25-Jan-22 | 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/ |
| 32 | 24-Jan-22 | 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/ |
| 33 | 20-Jan-22 | 2022-0019 | NP | Sean McGovern | Warwickshire | Police related deaths | Warwickshire Police | https://www.judiciary.uk/publications/neil-parkes-prevention-of-future-deaths-report/ |
| 34 | 22-Jan-22 | 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/ |
| 35 | 21-Jan-22 | 2022-0017 | AW, GK, DW, JT | 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/ |
| 36 | 19-Jan-22 | 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/ |
| 37 | 16-Jan-22 | 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/ |
| 38 | 18-Jan-22 | 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/ |
| 39 | 14-Jan-22 | 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/ |
| 40 | 18-Jan-22 | 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/ |
| 41 | 13-Jan-22 | 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 Group | https://www.judiciary.uk/publications/darran-busby-prevention-of-future-deaths-report/ |
| 42 | 14-Jan-22 | 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/ |
| 43 | 14-Jan-22 | 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/ |
| 44 | 11-Jan-22 | 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/ |
| 45 | 10-Jan-22 | 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/ |
| 46 | 07-Jan-22 | 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/ |
| 47 | 31-Dec-21 | 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/ |
| 48 | 23-Dec-21 | 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/ |
| 49 | 05-Jan-22 | 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/ |
| 50 | 05-Jan-22 | 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/ |
| 51 | 05-Jan-22 | 2022-0001 | IM | Caroline Saunders | Gwent | State Custody related deaths | Suicide (from 2015) | Ministry of Justice and HM Prison Usk | https://www.judiciary.uk/publications/ian-miller-prevention-of-future-deaths-report/ |
| 52 | 31-Dec-21 | 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/ |
| 53 | 31-Dec-21 | 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/ |
| 54 | 17-Dec-21 | 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/ |
| 55 | 23-Dec-21 | 2021-0432 | WD, AB, PS, CC | 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/ |
| 56 | 21-Dec-21 | 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/ |
| 57 | 23-Dec-21 | 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/ |
| 58 | 24-Dec-21 | 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/ |
| 59 | 23-Dec-21 | 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/ |
| 60 | 22-Dec-21 | 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/ |
| 61 | 22-Dec-21 | 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/ |
| 62 | 17-Dec-21 | 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/ |
| 63 | 21-Dec-21 | 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/ |
| 64 | 21-Dec-21 | 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/ |
| 65 | 20-Dec-21 | 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/ |
| 66 | 14-Dec-21 | 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/ |
| 67 | 17-Dec-21 | 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/ |
| 68 | 03-Dec-21 | 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/ |
| 69 | 13-Dec-21 | 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/ |
| 70 | 15-Dec-21 | 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/ |
| 71 | 08-Dec-21 | 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/ |
| 72 | 10-Dec-21 | 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/ |
| 73 | 09-Dec-21 | 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/ |
| 74 | 07-Dec-21 | 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/ |
| 75 | 03-Dec-21 | 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/ |
| 76 | 07-Dec-21 | 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/ |
| 77 | 02-Dec-21 | 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/ |
| 78 | 06-Dec-21 | 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/ |
| 79 | 26-Nov-21 | 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/ |
| 80 | 06-Dec-21 | 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/ |
| 81 | 25-Nov-21 | 2021-0406 | MM, JI | Alan Wilson | Blackpool & Fylde | Mental Health related deaths | Hospital Death (Clinical Procedures and medical management) 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/ |
| 82 | 30-Nov-21 | 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/ |
| 83 | 22-Nov-21 | 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/ |
| 84 | 26-Nov-21 | 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/ |
| 85 | 26-Nov-21 | 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/ |
| 86 | 26-Nov-21 | 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/ |
| 87 | 25-Nov-21 | 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/ |
| 88 | 25-Nov-21 | 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/ |
| 89 | 25-Nov-21 | 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/ |
| 90 | 23-Nov-21 | 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/ |
| 91 | 25-Nov-21 | 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/ |
| 92 | 22-Nov-21 | 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 Partnership | https://www.judiciary.uk/publications/michelle-jeffries-prevention-of-future-deaths-report/ |
| 93 | 22-Nov-21 | 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/ |
| 94 | 19-Nov-21 | 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/ |
| 95 | 18-Nov-21 | 2021-0392 | RD, JH, SH, EU, JU | 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/ |
| 96 | 07-May-21 | 2021-0391 | OH | Laurinder Bower | Nottingham City and Nottinghamshire | Community health care |Other related deaths | Nottingham and Nottinghamshire Clinical Commissioning Group | https://www.judiciary.uk/publications/owen-hinds-prevention-of-future-deaths-report/ |
| 97 | 19-Nov-21 | 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/ |
| 98 | 16-Nov-21 | 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/ |
| 99 | 05-Nov-21 | 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/ |
| 100 | 17-Nov-21 | 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/ |
| 101 | 17-Nov-21 | 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/ |
| 102 | 16-Nov-21 | 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/ |
| 103 | 03-Aug-21 | 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/ |
| 104 | 01-Nov-21 | 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/ |
| 105 | 11-Nov-21 | 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/ |
| 106 | 10-Nov-21 | 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/ |
| 107 | 10-Nov-21 | 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/ |
| 108 | 09-Nov-21 | 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/ |
| 109 | 10-Nov-21 | 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/ |
| 110 | 09-Nov-21 | 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/ |
| 111 | 04-Nov-21 | 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/ |
| 112 | 09-Nov-21 | 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/ |
| 113 | 04-Nov-21 | 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/ |
| 114 | 03-Aug-21 | 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/ |
| 115 | 03-Nov-21 | 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/ |
| 116 | 03-Nov-21 | 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/ |
| 117 | 03-Nov-21 | 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/ |
| 118 | 25-Oct-21 | 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/ |
| 119 | 25-Oct-21 | 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/ |
| 120 | 22-Oct-21 | 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/ |
| 121 | 29-Oct-21 | 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/ |
| 122 | 01-Nov-21 | 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/ |
| 123 | 29-Oct-21 | 2021-0364 | LK | Mary Hassell | Inner North London | Alcohol, drug and medication related deaths |Other related deaths | Clarion Housing Group | https://www.judiciary.uk/publications/lorraine-karat-prevention-of-future-deaths-report/ |
| 124 | 21-Oct-21 | 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/ |
| 125 | 03-Nov-21 | 2021-0362 | SJ, JM, UK | 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/ | ||
| 126 | 26-Oct-21 | 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/ |
| 127 | 28-Jun-21 | 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/ |
| 128 | 26-Oct-21 | 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/ |
| 129 | 22-Oct-21 | 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/ |
| 130 | 21-Oct-21 | 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/ |
| 131 | 22-Oct-21 | 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/ |
| 132 | 21-Oct-21 | 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/ |
| 133 | 16-Oct-21 | 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/ |
| 134 | 20-Oct-21 | 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/ |
| 135 | 20-Oct-21 | 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/ |
| 136 | 20-Oct-21 | 2021-0351 | HD | Anna Crawford | Surrey | Care Home Health related deaths | Community health care | Other related deaths | The Avenues Trust Group | https://www.judiciary.uk/publications/henry-doll-prevention-of-future-deaths-report/ |
| 137 | 19-Oct-21 | 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/ |
| 138 | 15-Oct-21 | 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/ |
| 139 | 18-Oct-21 | 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/ |
| 140 | 16-Sep-21 | 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/ |
| 141 | 18-Jan-21 | 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/ |
| 142 | 15-Oct-21 | 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/ |
| 143 | 14-Oct-21 | 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/ |
| 144 | 14-Oct-21 | 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/ |
| 145 | 14-Oct-21 | 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/ |
| 146 | 12-Oct-21 | 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/ |
| 147 | 12-Oct-21 | 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/ |
| 148 | 14-Oct-21 | 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/ |
| 149 | 14-Oct-21 | 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/ |
| 150 | 28-Sep-21 | 2021-0337 | DC, DC, RH, PL, DR, PS, MS | 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/ |
| 151 | 01-Oct-21 | 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/ |
| 152 | 28-Sep-21 | 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/ |
| 153 | 05-Oct-21 | 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/ |
| 154 | 06-Oct-21 | 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/ |
| 155 | 30-Sep-21 | 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/ |
| 156 | 05-Oct-21 | 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/ |
| 157 | 04-Oct-21 | 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/ |
| 158 | 04-Oct-21 | 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/ |
| 159 | 04-Oct-21 | 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/ |
| 160 | 04-Oct-21 | 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/ |
| 161 | 01-Oct-21 | 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/ |
| 162 | 27-Sep-21 | 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/ |
| 163 | 27-Sep-21 | 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/ |
| 164 | 29-Sep-21 | 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/ |
| 165 | 29-Sep-21 | 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/ |
| 166 | 24-Sep-21 | 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/ |
| 167 | 23-Sep-21 | 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/ |
| 168 | 23-Sep-21 | 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/ |
| 169 | 21-Sep-21 | 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/ |
| 170 | 15-Sep-21 | 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/ |
| 171 | 16-Sep-21 | 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/ |
| 172 | 17-Sep-21 | 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/ |
| 173 | 20-Sep-21 | 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/ |
| 174 | 17-Sep-21 | 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/ |
| 175 | 21-May-21 | 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/ |
| 176 | 17-Sep-21 | 2021-0311 | CB | David Reid | Worcestershire | State Custody related deaths |Mental Health related deaths | HMP Hewell and Practice Plus Group | https://www.judiciary.uk/publications/colin-blackburn-prevention-of-future-deaths-report/ |
| 177 | 22-Jul-21 | 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/ |
| 178 | 15-Sep-21 | 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/ |
| 179 | 16-Sep-21 | 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/ |
| 180 | 16-Sep-21 | 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/ |
| 181 | 14-Sep-21 | 2021-0306 | SS | Caroline Saunders | Gwent | Community health care | Mental Health related deaths | Suicide (from 2015) | | The Medical Centre | https://www.judiciary.uk/publications/siwan-smith-prevention-of-future-deaths-report/ |
| 182 | 10-Sep-21 | 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/ |
| 183 | 10-Sep-21 | 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/ |
| 184 | 09-Sep-21 | 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/ |
| 185 | 10-Sep-21 | 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/ |
| 186 | 09-Sep-21 | 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/ |
| 187 | 01-Sep-21 | 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/ |
| 188 | 02-Jul-21 | 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/ |
| 189 | 07-Sep-21 | 2021-0298 | MJ | Chris Morris | Manchester South | Community health care | NICE | https://www.judiciary.uk/publications/maureen-johnson-prevention-of-future-deaths-report/ |
| 190 | 06-Sep-21 | 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/ |
| 191 | 07-Sep-21 | 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/ |
| 192 | 06-Sep-21 | 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/ |
| 193 | 06-Sep-21 | 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/ |
| 194 | 06-Sep-21 | 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/ |
| 195 | 02-Sep-21 | 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/ |
| 196 | 01-Sep-21 | 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/ |
| 197 | 01-Sep-21 | 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/ |
| 198 | 20-Aug-21 | 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/ |
| 199 | 27-Aug-21 | 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/ |
| 200 | 27-Aug-21 | 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 Partnership | https://www.judiciary.uk/publications/fadhia-seguleh-prevention-of-future-deaths-report/ |
| 201 | 26-Aug-21 | 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/ |
| 202 | 26-Aug-21 | 2021-0285 | EI | Alison Mutch | Greater Manchester South | Alcohol, drug and medication related deaths |Community health care | Stockport Clinical Commissioning Group | https://www.judiciary.uk/publications/elaine-inns-prevention-of-future-deaths-report/ |
| 203 | 26-Aug-21 | 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/ |
| 204 | 24-Aug-21 | 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/ |
| 205 | 12-Mar-21 | 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/ |
| 206 | 18-May-21 | 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/ |
| 207 | 18-Aug-21 | 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/ |
| 208 | 23-Aug-21 | 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/ |
| 209 | 23-Aug-21 | 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/ |
| 210 | 20-Aug-21 | 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/ |
| 211 | 20-Aug-21 | 2021-0276 | SM | Anna Crawford | Surrey | Emergency services related deaths (2019 onwards) | Other related deaths | Mayday Group | https://www.judiciary.uk/publications/sheldon-marshall/ |
| 212 | 02-Aug-21 | 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/ |
| 213 | 17-Aug-21 | 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/ |
| 214 | 17-Aug-21 | 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/ |
| 215 | 16-Aug-21 | 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/ |
| 216 | 13-Aug-21 | 2021-0271 | ST | Graeme Irvine | East London | Hospital Death (Clinical Procedures and medical management) related deaths | | Department of Health and Social Care and St Pancras Hospital | https://www.judiciary.uk/publications/stuart-tokam-prevention-of-future-deaths-report/ |
| 217 | 11-Aug-21 | 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/ |
| 218 | 03-Aug-21 | 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/ |
| 219 | 11-Aug-21 | 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/ |
| 220 | 10-Aug-21 | 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/ |
| 221 | 08-Aug-21 | 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/ |
| 222 | 09-Aug | 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/ |
| 223 | 17-Jul-21 | 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/ |
| 224 | 03-Aug-21 | 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/ |
| 225 | 02-Jun-21 | 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/ |
| 226 | 30-Jul-21 | 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/ |
| 227 | 29-Jul-21 | 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/ |
| 228 | 28-Jul-21 | 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/ |
| 229 | 18-Jun-21 | 2021-0258 | AC | Philip Barlow | Northamptonshire | Product related deaths |Alcohol, drug and medication related deaths | MHRA | https://www.judiciary.uk/publications/andrew-cook/ |
| 230 | 15-Jul-21 | 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/ |
| 231 | 28-Jul-21 | 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/ |
| 232 | 16-Jul-21 | 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/ |
| 233 | 12-Jul-21 | 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/ |
| 234 | 26-Jul-21 | 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/ |
| 235 | 21-Jul-21 | 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/ |
| 236 | 20-Jul-21 | 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/ |
| 237 | 20-Jul-21 | 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/ |
| 238 | 20-Jul-21 | 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/ |
| 239 | 13-Jul-21 | 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/ |
| 240 | 16-Jul-21 | 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/ |
| 241 | 16-Jul-21 | 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/ |
| 242 | 16-Jul-21 | 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/ |
| 243 | 15-Jul-21 | 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/ |
| 244 | 09-Jul-21 | 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/ |
| 245 | 14-Jul-21 | 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/ |
| 246 | 15-Jul-21 | 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/ |
| 247 | 11-Jul-21 | 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/ |
| 248 | 13-Jul-21 | 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/ |
| 249 | 13-Jul-21 | 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/ |
| 250 | 11-Jul-21 | 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/ |
| 251 | 08-Jul-21 | 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/ |
| 252 | 08-Jul-21 | 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/ |
| 253 | 09-Jul-21 | 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/ |
| 254 | 07-Jul-21 | 2021-0233 | KP, KA | 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/ |
| 255 | 08-Jul-21 | 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/ |
| 256 | 06-Jul-21 | 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/ |
| 257 | 07-Jul-21 | 2021-0230 | DS | Sean McGovern | Warwickshire | Care Home Health related deaths | Clifton Court Nursing Home | https://www.judiciary.uk/publications/dorothy-seekings/ |
| 258 | 07-Jul-21 | 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/ |
| 259 | 29-Dec-20 | 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/ |
| 260 | 02-Jul-21 | 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/ |
| 261 | 02-Jul-21 | 2021-0226 | KR | Richard Brittain | Inner London North | State Custody related deaths | HMP Pentonville | https://www.judiciary.uk/publications/khairul-rahman/ |
| 262 | 02-Jul-21 | 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/ |
| 263 | 05-May-21 | 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/ |
| 264 | 30-Jun-21 | 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/ |
| 265 | 29-Jun-21 | 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/ |
| 266 | 28-Jun-21 | 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 Group | https://www.judiciary.uk/publications/fiona-humberstone/ |
| 267 | 23-Jun-21 | 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 Group | https://www.judiciary.uk/publications/hazel-binks/ |
| 268 | 23-Jun-21 | 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/ |
| 269 | 24-Jun-21 | 2021-0218 | AG | Simon Nelson | Manchester West | Alcohol, drug and medication related deaths | SoS – Dept. for Health | https://www.judiciary.uk/publications/amy-ganner/ |
| 270 | 23-Jun-21 | 2021-0217 | WB | James Hargan | West Yorkshire Eastern | State Custody related deaths | HMP Leeds | https://www.judiciary.uk/publications/wayne-boughen/ |
| 271 | 24-May-21 | 2021-0216 | AU | Maria Voisin | Avon | Other related deaths | Child Death (from 2015) | SoS for Education | https://www.judiciary.uk/publications/anastasia-uglow/ |
| 272 | 18-Jun-21 | 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/ |
| 273 | 20-Jun-21 | 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/ |
| 274 | 23-Jun-21 | 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/ |
| 275 | 22-Jun-21 | 2021-0212 | SN | Anna Crawford | Surrey | State Custody related deaths | Alex Chalk MP – Ministry of Justice | https://www.judiciary.uk/publications/serena-nicolle/ |
| 276 | 21-Jun-21 | 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/ |
| 277 | 21-Jun-21 | 2021-0210 | JV | Mary Burke | West Yorkshire Western Division | Community health care | Wilsden Medical Practice | https://www.judiciary.uk/publications/judith-varley/ |
| 278 | 21-Jun-21 | 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/ |
| 279 | 18-Jun-21 | 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/ |
| 280 | 17-Jun-21 | 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/ |
| 281 | 17-Jun-21 | 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/ |
| 282 | 16-Jun-21 | 2021-0205 | ZH, TA | 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/ |
| 283 | 31-Mar-21 | 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/ |
| 284 | 09-Jun-21 | 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/ |
| 285 | 14-Jun-21 | 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 Group | https://www.judiciary.uk/publications/ian-hall/ |
| 286 | 11-Jun-21 | 2021-0201 | BM | Alison Mutch | Greater Manchester South | Community health care | Tameside Clinical Commissioning Group | https://www.judiciary.uk/publications/brian-mottram/ |
| 287 | 09-Jun-21 | 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/ |
| 288 | 10-Jun-21 | 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/ |
| 289 | 10-Jun-21 | 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/ |
| 290 | 09-Jun-21 | 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/ |
| 291 | 08-Jun-21 | 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/ |
| 292 | 07-Jun-21 | 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/ |
| 293 | 04-Jun-21 | 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/ |
| 294 | 04-Jun-21 | 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/ |
| 295 | 04-Jun-21 | 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/ |
| 296 | 04-Jun-21 | 2021-0191 | GH | David Reid | Worcestershire | State Custody related deaths |Suicide (from 2015) | HMP Long Lartin | https://www.judiciary.uk/publications/geoffrey-hutton/ |
| 297 | 02-Jun-21 | 2021-0190 | SA | Alison Mutch | Greater Manchester South | Community health care |Alcohol, drug and medication related deaths | Stockport Clinical Commissioning Group | https://www.judiciary.uk/publications/steven-allen/ |
| 298 | 02-Jun-21 | 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/ |
| 299 | 02-Jun-21 | 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/ |
| 300 | 01-Jun-21 | 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/ |
| 301 | 28-May-21 | 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/ |
| 302 | 28-May-21 | 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/ |
| 303 | 28-May-21 | 2021-0184 | SG, CG | 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/ |
| 304 | 28-May-21 | 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/ |
| 305 | 28-May-21 | 2021-0182 | PC | Jacqueline Lake | Norfolk | Emergency services related deaths (2019 onwards) | Premier Rescue Ambulance Services | https://www.judiciary.uk/publications/peggy-copeman/ |
| 306 | 27-May-21 | 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/ |
| 307 | 22-Apr-21 | 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/ |
| 308 | 25-May-21 | 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/ |
| 309 | 14-Apr-21 | 2021-0178 | AC | Joanne Kearsley | Manchester North | Care Home Health related deaths | Rochcare | https://www.judiciary.uk/publications/amy-chiverall/ |
| 310 | 25-May-21 | 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/ |
| 311 | 25-May-21 | 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/ |
| 312 | 25-May-21 | 2021-0175 | CT | Paul Smith | Lincolnshire | Road (Highways Safety) related deaths | DVLA | https://www.judiciary.uk/publications/christopher-taylor-2/ |
| 313 | 12-Feb-21 | 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/ |
| 314 | 19-Feb-21 | 2021-0173 | DL | Darren Salter | Oxfordshire | Road (Highways Safety) related deaths | Oxfordshire County Council | https://www.judiciary.uk/publications/david-lewis/ |
| 315 | 15-Dec-20 | 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/ |
| 316 | 10-Feb-21 | 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/ |
| 317 | 24-May-21 | 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/ |
| 318 | 28-May-21 | 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/ |
| 319 | 24-May-21 | 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/ |
| 320 | 21-May-21 | 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/ |
| 321 | 21-May-21 | 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 Partnership | https://www.judiciary.uk/publications/martin-gibbons/ |
| 322 | 20-May-21 | 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/ |
| 323 | 20-May-21 | 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/ |
| 324 | 19-May-21 | 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/ |
| 325 | 12-May-21 | 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/ |
| 326 | 19-May-21 | 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/ |
| 327 | 18-May-21 | 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/ |
| 328 | 18-May-21 | 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/ |
| 329 | 17-May-21 | 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/ |
| 330 | 18-May-21 | 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/ |
| 331 | 17-May-21 | 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/ |
| 332 | 17-May-21 | 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/ |
| 333 | 21-Apr-21 | 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/ |
| 334 | 12-May-21 | 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/ |
| 335 | 11-May-21 | 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/ |
| 336 | 11-May-21 | 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/ |
| 337 | 11-May-21 | 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/ |
| 338 | 10-May-21 | 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/ |
| 339 | 10-May-21 | 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/ |
| 340 | 09-May-21 | 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/ |
| 341 | 07-May-21 | 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/ |
| 342 | 07-May-21 | 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/ |
| 343 | 07-May-21 | 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/ |
| 344 | 07-May-21 | 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/ |
| 345 | 07-May-21 | 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 Partnership | https://www.judiciary.uk/publications/glenn-macmartin/ |
| 346 | 07-May-21 | 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/ |
| 347 | 05-May-21 | 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/ |
| 348 | 05-May-21 | 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/ |
| 349 | 05-May-21 | 2021-0138 | SM | Adam Hodson | Birmingham and Solihull | Care Home Health related deaths | Options for Care Ltd | https://www.judiciary.uk/publications/stephen-maguire/ |
| 350 | 05-May-21 | 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/ |
| 351 | 05-May-21 | 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/ |
| 352 | 24-Apr-21 | 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/ |
| 353 | 30-Apr-21 | 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/ |
| 354 | 04-May-21 | 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/ |
| 355 | 29-Jan-20 | 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/ |
| 356 | 30-Apr-21 | 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/ |
| 357 | 30-Apr-21 | 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/ |
| 358 | 30-Apr-21 | 2021-0129 | AM | Sean McGovern | Warwickshire | Other related deaths | Christian Congregation of Jehova’s Witnesses | https://www.judiciary.uk/publications/ann-mowbray/ |
| 359 | 30-Apr-21 | 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 Partnership | https://www.judiciary.uk/publications/jade-rayner/ |
| 360 | 07-May-21 | 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/ |
| 361 | 30-Apr-21 | 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/ |
| 362 | 29-Apr-21 | 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/ |
| 363 | 10-Feb-21 | 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/ |
| 364 | 28-Apr-21 | 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/ |
| 365 | 28-Apr-21 | 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/ |
| 366 | 27-Apr-21 | 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/ |
| 367 | 26-Apr-21 | 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/ |
| 368 | 23-Apr-21 | 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/ |
| 369 | 23-Apr-21 | 2021-0118 | GP | Kevin McLoughlin | West Yorkshire (East) | State Custody related deaths | HMP Leeds | https://www.judiciary.uk/publications/guy-paget/ |
| 370 | 21-Apr-21 | 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 Partnership | https://www.judiciary.uk/publications/mary-gwanyama/ |
| 371 | 21-Apr-21 | 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/ |
| 372 | 19-Apr-21 | 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/ |
| 373 | 19-Apr-21 | 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/ |
| 374 | 20-Apr-21 | 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/ |
| 375 | 16-Apr-21 | 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/ |
| 376 | 16-Apr-21 | 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/ |
| 377 | 15-Apr-21 | 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/ |
| 378 | 15-Apr-21 | 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/ |
| 379 | 15-Apr-21 | 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/ |
| 380 | 14-Apr-21 | 2021-0108 | RD, SM | 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/ |
| 381 | 13-Apr-21 | 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/ |
| 382 | 13-Apr-21 | 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/ |
| 383 | 09-Apr-21 | 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/ |
| 384 | 13-Apr-21 | 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/ |
| 385 | 13-Apr-21 | 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/ |
| 386 | 13-Apr-21 | 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/ |
| 387 | 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/ |
| 388 | 28-Mar-21 | 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/ |
| 389 | 06-Apr-21 | 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/ |
| 390 | 04-Apr-21 | 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/ |
| 391 | 30-Mar-21 | 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/ |
| 392 | 31-Mar-21 | 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/ |
| 393 | 29-Mar-21 | 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/ |
| 394 | 31-Mar-21 | 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/ |
| 395 | 30-Oct-20 | 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/ |
| 396 | 08-Dec-20 | 2021-0091 | AS | Graeme Irvine | East London | Care Home Health related deaths | Department of Health and Social Care and Havering Clinical Commissioning Group | https://www.judiciary.uk/publications/ann-stillwell/ |
| 397 | 26-Mar-21 | 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/ |
| 398 | 29-Mar-21 | 2021-0089 | RP | James Bennett | Birmingham and Solihull | Care Home Health related deaths | Cole Valley Care Ltd | https://www.judiciary.uk/publications/raymond-powell/ |
| 399 | 01-Dec-20 | 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/ |
| 400 | 28-Mar-21 | 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/ |
| 401 | 10-Dec-20 | 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/ |
| 402 | 26-Mar-21 | 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/ |
| 403 | 26-Mar-21 | 2021-0084 | LM | Matthew Cox | Manchester North | Road (Highways Safety) related deaths |Police related deaths | Highways England and North West Motorway Police Group | https://www.judiciary.uk/publications/lee-marsden/ |
| 404 | 25-Mar-21 | 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/ |
| 405 | 25-Mar-21 | 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/ |
| 406 | 25-Mar-21 | 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/ |
| 407 | 07-Jan-21 | 2021-0080 | JB | Caroline Saunders | Gwent | Other related deaths | Specsavers UK | https://www.judiciary.uk/publications/john-berrow/ |
| 408 | 16-Feb-21 | 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/ |
| 409 | 15-Mar-21 | 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/ |
| 410 | 15-Mar-21 | 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/ |
| 411 | 17-Mar-21 | 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/ |
| 412 | 15-Mar-21 | 2021-0076 | TS | Veronica Hamilton-Deeley | City of Brighton and Hove | Hospital Death (Clinical Procedures and medical management) related deaths | | Sussex Partnership NHS Foundation Trust | https://www.judiciary.uk/publications/timothy-steele/ |
| 413 | 15-Mar-21 | 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/ |
| 414 | 19-Feb-21 | 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/ |
| 415 | 12-Mar-21 | 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/ |
| 416 | 11-Mar-21 | 2021-0071 | ED | Dr Anthony Howard | West Yorkshire, Western Division | Hospital Death (Clinical Procedures and medical management) related deaths | South West Yorkshire Partnership | https://www.judiciary.uk/publications/emma-dorman/ |
| 417 | 08-Mar-21 | 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/ |
| 418 | 19-Feb-21 | 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/ |
| 419 | 10-Mar-21 | 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/ |
| 420 | 08-Mar-21 | 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/ |
| 421 | 08-Mar-21 | 2021-0066 | JR | Alan Wilson | Blackpool and Fylde | Care Home Health related deaths | Riverside Rest Home | https://www.judiciary.uk/publications/joan-rutter/ |
| 422 | 01-Mar-21 | 2021-0065 | SF | Robert Hunter | Derby and Derbyshire | Care Home Health related deaths | New Lodge Nursing Home | https://www.judiciary.uk/publications/shirley-froggett/ |
| 423 | 04-Mar-21 | 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/ |
| 424 | 04-Mar-21 | 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/ |
| 425 | 03-Mar-21 | 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/ |
| 426 | 04-Jan-21 | 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/ |
| 427 | 03-Mar-21 | 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/ |
| 428 | 03-Mar-21 | 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/ |
| 429 | 03-Mar-21 | 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/ |
| 430 | 02-Mar-21 | 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/ |
| 431 | 02-Mar-21 | 2021-0056 | MS | Andrew Bridgman | Manchester South | Emergency services related deaths (2019 onwards) | NHS England and NHS Stockport Clinical Commissioning Group | https://www.judiciary.uk/publications/martin-sullivan/ |
| 432 | 26-Feb-21 | 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/ |
| 433 | 24-Feb-21 | 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/ |
| 434 | 25-Feb-21 | 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/ |
| 435 | 21-Feb-21 | 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/ |
| 436 | 12-Feb-21 | 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/ |
| 437 | 22-Feb-21 | 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/ |
| 438 | 22-Feb-21 | 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/ |
| 439 | 22-Feb-21 | 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/ |
| 440 | 19-Feb-21 | 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/ |
| 441 | 18-Feb-21 | 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/ |
| 442 | 17-Feb-21 | 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/ |
| 443 | 16-Feb-21 | 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/ |
| 444 | 12-Feb-21 | 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/ |
| 445 | 12-Feb-21 | 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/ |
| 446 | 12-Feb-21 | 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/ |
| 447 | 12-Feb-21 | 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/ |
| 448 | 11-Feb-21 | 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/ |
| 449 | 11-Feb-21 | 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/ |
| 450 | 11-Feb-21 | 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 Partnership | https://www.judiciary.uk/publications/carole-mitchell/ |
| 451 | 11-Feb-21 | 2021-0036 | JG | Alison Mutch | Greater Manchester South | Emergency Services related deaths |Other related deaths | NHS England | https://www.judiciary.uk/publications/jack-goodwin/ |
| 452 | 11-Feb-21 | 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/ |
| 453 | 11-Feb-21 | 2021-0034 | VB | Dr Fiona Wilcox | Inner West London | Hospital Death (Clinical Procedures and medical management) related deaths | | Acute Mental Health Services, West London NHS Trust | https://www.judiciary.uk/publications/valeria-biggs/ |
| 454 | 10-Feb-21 | 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/ |
| 455 | 10-Feb-21 | 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/ |
| 456 | 08-Feb-21 | 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/ |
| 457 | 05-Feb-21 | 2021-0030 | JO | Mary Hassell | Inner North London | Care Home Health related deaths | Care Outlook Ltd | https://www.judiciary.uk/publications/joseph-oneill/ |
| 458 | 08-Feb-21 | 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/ |
| 459 | 03-Feb-21 | 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/ |
| 460 | 03-Feb-21 | 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/ |
| 461 | 29-Jan-21 | 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/ |
| 462 | 03-Feb-21 | 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/ |
| 463 | 02-Feb-21 | 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/ |
| 464 | 01-Feb-21 | 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/ |
| 465 | 02-Feb-21 | 2021-0022 | CC | Andrew Bridgman | South Manchester | Community health care |Other related deaths | Department of Health and Social Care and NHS Stockport Clinical Commissioning Group | https://www.judiciary.uk/publications/cyril-cheetham/ |
| 466 | 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/ |
| 467 | 27-Jan-21 | 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/ |
| 468 | 27-Jan-21 | 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/ |
| 469 | 11-Nov-20 | 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/ |
| 470 | 16-Jan-21 | 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/ |
| 471 | 20-Jan-21 | 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/ |
| 472 | 18-Jan-21 | 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/ |
| 473 | 19-Jan-21 | 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/ |
| 474 | 19-Jan-21 | 2021-0013 | AM, JM | 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/ |
| 475 | 15-Jan-21 | 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/ |
| 476 | 14-Jan-21 | 2021-0011 | KB | Anna Loxton | Surrey | Emergency Services related deaths | NHS Pathways | https://www.judiciary.uk/publications/karl-bolam/ |
| 477 | 18-Dec-20 | 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/ |
| 478 | 12-Jan-21 | 2021-0009 | CC | Richard Middleton | Dorset | Alcohol, drug and medication related deaths |Police related deaths | Dorset Police | https://www.judiciary.uk/publications/cheralyn-clulow/ |
| 479 | 11-Jan-21 | 2021-0008 | NE | Catherine McKenna | Manchester North | Community health care |Other related deaths | Turning Point | https://www.judiciary.uk/publications/natalie-edgington/ |
| 480 | 10-Feb-20 | 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/ |
| 481 | 08-Jan-21 | 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/ |
| 482 | 11-Dec-20 | 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/ |
| 483 | 10-Dec-20 | 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/ |
| 484 | 05-Jan-21 | 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/ |
| 485 | 04-Jan-21 | 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/ |
| 486 | 05-Jan-21 | 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/ |
| 487 | 18-Sep-20 | 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/ |
| 488 | 02-Dec-20 | 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/ |
| 489 | 30-Dec-20 | 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/ |
| 490 | 23-Dec-20 | 2020-0301 | CO | Oliver Longstaff | County Durham and Darlington | Railway related deaths | LNER and Network Rail | https://www.judiciary.uk/publications/clive-oxley/ |
| 491 | 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/ |
| 492 | 18-Dec-20 | 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/ |
| 493 | 18-Dec-20 | 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/ |
| 494 | 11-Dec-20 | 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/ |
| 495 | 22-Dec-20 | 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/ |
| 496 | 22-Dec-20 | 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/ |
| 497 | 21-Dec-20 | 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/ |
| 498 | 21-Dec-20 | 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/ |
| 499 | 21-Dec-20 | 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/ |
| 500 | 24-Sep-20 | 2020-0291 | EB | Joanne Lees | Black Country | Community health care |Other related deaths | Tettenhall Medical Practice | https://www.judiciary.uk/publications/eileen-brindley/ |
| 501 | 17-Dec-20 | 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/ |
| 502 | 17-Dec-20 | 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/ |
| 503 | 06-Oct-20 | 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/ |
| 504 | 15-Dec-20 | 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/ |
| 505 | 16-Dec-20 | 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/ |
| 506 | 15-Dec-20 | 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/ |
| 507 | 14-Dec-20 | 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/ |
| 508 | 09-Dec-20 | 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/ |
| 509 | 11-Dec-20 | 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/ |
| 510 | 14-Dec-20 | 2020-0281 | ET | Joanne Lees | Black Country | Emergency Services related deaths | West Midlands Ambulance Service | https://www.judiciary.uk/publications/elsie-taylor/ |
| 511 | 09-Dec-20 | 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/ |
| 512 | 09-Dec-20 | 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/ |
| 513 | 04-Dec-20 | 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/ |
| 514 | 10-Dec-20 | 2020-0277 | EM | Derek Winter | Sunderland | Care Home Health related deaths | Alexandra View Care Home | https://www.judiciary.uk/publications/edward-mallaby/ |
| 515 | 09-Dec-20 | 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/ |
| 516 | 07-Dec-19 | 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/ |
| 517 | 07-Dec-20 | 2020-0274 | KB, RS, AC, AC, MC | 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/ |
| 518 | 06-Nov-20 | 2020-0273 | CM | Paul Cooper | Lincolnshire | Suicide (from 2015) | United Lincolnshire Hospitals Trust | https://www.judiciary.uk/publications/christopher-murfet/ |
| 519 | 04-Dec-20 | 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/ |
| 520 | 03-Dec-20 | 2020-0271 | WI | Sonia Hayes | North East Kent | Railway related deaths | London and South Eastern Railway | https://www.judiciary.uk/publications/william-israel/ |
| 521 | 24-Nov-20 | 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/ |
| 522 | 02-Dec-20 | 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/ |
| 523 | 03-Dec-20 | 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/ |
| 524 | 01-Dec-20 | 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/ |
| 525 | 19-Nov-20 | 2020-0266 | JT | Caroline Saunders | Gwent | Alcohol, drug and medication related deaths | Gwent Police | https://www.judiciary.uk/publications/john-tucker/ |
| 526 | 26-Nov-20 | 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/ |
| 527 | 01-Dec-20 | 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 Partnership | https://www.judiciary.uk/publications/anthony-slack/ |
| 528 | 01-Dec-20 | 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/ |
| 529 | 01-Dec-20 | 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/ |
| 530 | 09-Oct-20 | 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/ |
| 531 | 31-Jan-20 | 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/ |
| 532 | 13-Jul-20 | 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/ |
| 533 | 26-Nov-20 | 2020-0258 | NB | Andrew Walker | North London | Suicide; Other related deaths | Department of Health and Social Care | https://www.judiciary.uk/publications/neville-bardoliwala/ |
| 534 | 26-Nov-20 | 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/ |
| 535 | 27-Nov-20 | 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/ |
| 536 | 26-Nov-20 | 2020-0255 | AM | Mary Hassell | Inner North London | Suicide; Mental health related deaths | Metropolitan Police | https://www.judiciary.uk/publications/agnes-marchessou/ |
| 537 | 26-Nov-20 | 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/ |
| 538 | 23-Nov-20 | 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/ |
| 539 | 25-Nov-20 | 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/ |
| 540 | 24-Nov-20 | 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/ |
| 541 | 24-Nov-20 | 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/ |
| 542 | 24-Nov-20 | 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/ |
| 543 | 23-Nov-20 | 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/ |
| 544 | 19-Nov-20 | 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/ |
| 545 | 20-Nov-20 | 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/ |
| 546 | 19-Nov-20 | 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/ |
| 547 | 16-Nov-20 | 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/ |
| 548 | 18-Nov-20 | 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/ |
| 549 | 18-Nov-20 | 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/ |
| 550 | 16-Nov-20 | 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/ |
| 551 | 18-Nov-20 | 2020-0240 | MT | Tim Holloway | Blackpool and Fylde | Alcohol, drug and medication related deaths | Clinical Commissioning Group | https://www.judiciary.uk/publications/michelle-turner/ |
| 552 | 16-Nov-20 | 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/ |
| 553 | 17-Nov-20 | 2020-0238 | SG | Andrew Haigh | Staffordshire (South) | Other related deaths | Staffordshire Fire and Rescue Service HQ | https://www.judiciary.uk/publications/sylvia-griffiths/ |
| 554 | 17-Nov-20 | 2020-0237 | NB | Andrew Haigh | Staffordshire (South) | Other related deaths | Staffordshire Fire and Rescue Service HQ | https://www.judiciary.uk/publications/neil-barre/ |
| 555 | 17-Nov-20 | 2020-0236 | RH, KU, TRU, OU | 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/ |
| 556 | 10-Nov-20 | 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/ |
| 557 | 12-Nov-20 | 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/ |
| 558 | 11-Nov-20 | 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/ |
| 559 | 12-Nov-20 | 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/ |
| 560 | 11-Nov-20 | 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/ |
| 561 | 11-Nov-20 | 2020-0230 | XP | Tom Leeper | Coventry | Suicide (from 2015) |Railway related deaths | Coventry University | https://www.judiciary.uk/publications/xuanze-piao/ |
| 562 | 10-Nov-20 | 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/ |
| 563 | 09-Nov-20 | 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/ |
| 564 | 09-Nov-20 | 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/ |
| 565 | 06-Nov-20 | 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/ |
| 566 | 05-Nov-20 | 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/ |
| 567 | 05-Nov-20 | 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/ |
| 568 | 27-Oct-20 | 2020-0222 | MB | Joanne Andrews | North East Kent | Suicide; Mental health related deaths | The Priory Group | https://www.judiciary.uk/publications/martin-barrett/ |
| 569 | 03-Nov-20 | 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/ |
| 570 | 29-Oct-20 | 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/ |
| 571 | 28-Oct-20 | 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/ |
| 572 | 27-Oct-20 | 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/ |
| 573 | 21-Oct-20 | 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/ |
| 574 | 14-Oct-20 | 2020-0216 | AA | Andrew Cox | Cornwall and the Isles of Scilly | Other related deaths | Care Quality Commission | https://www.judiciary.uk/publications/avis-addison/ |
| 575 | 23-Oct-20 | 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/ |
| 576 | 23-Oct-20 | 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/ |
| 577 | 22-Oct-20 | 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/ |
| 578 | 21-Oct-20 | 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/ |
| 579 | 30-Sep-20 | 2020-0211 | MG | James Bennett | Birmingham and Solihull | Road (Highways safety) related deaths | Department for Transport; DVSA | https://www.judiciary.uk/publications/mollie-gifford/ |
| 580 | 19-Oct-20 | 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/ |
| 581 | 15-Oct-20 | 2020-0209 | WT | Crispin Oliver | County Durham and Darlington | Road (Highways safety) related deaths | Department for Transport | https://www.judiciary.uk/publications/william-turner/ |
| 582 | 21-Oct-20 | 2020-0208 | SH | Tom Osborne | Milton Keynes | Community healthcare related deaths; Mental health related deaths | NHS England | https://www.judiciary.uk/publications/sian-hewitt/ |
| 583 | 15-Oct-20 | 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/ |
| 584 | 09-Oct-20 | 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/ |
| 585 | 14-Oct-20 | 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/ |
| 586 | 12-Oct-20 | 2020-0204 | PK | Nigel Parsley | Suffolk | Suicide; Mental health related deaths; | Department of Health and Social Care | https://www.judiciary.uk/publications/piotr-kierzkowski/ |
| 587 | 09-Oct-20 | 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/ |
| 588 | 09-Oct-20 | 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/ |
| 589 | 08-Oct-20 | 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/ |
| 590 | 07-Oct-20 | 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/ |
| 591 | 25-Sep-20 | 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/ |
| 592 | 05-Oct-20 | 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/ |
| 593 | 05-Oct-20 | 2020-0197 | FG | James Thompson | County Durham and Darlington | Road (Highways safety) related deaths | Durham County Council | https://www.judiciary.uk/publications/frazer-golden/ |
| 594 | 24-Sep-20 | 2020-0196 | ZF | Caroline Beasley-Murray | Essex | Mental health related deaths; Community healthcare related deaths | EPUT; The Castle Rock Group | https://www.judiciary.uk/publications/zak-farmer/ |
| 595 | 05-Oct-20 | 2020-0195 | WR | Nicholas Rheinberg | Lancashire and Blackburn with Darwen | State custody related deaths | HMP Garth | https://www.judiciary.uk/publications/wesley-rowlands/ |
| 596 | 01-Oct-20 | 2020-0194 | DM | Crispin Oliver | West Yorkshire (Western) | Other related deaths | Calderdale Council | https://www.judiciary.uk/publications/daphne-mckenna/ |
| 597 | 02-Oct-20 | 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 Group | https://www.judiciary.uk/publications/brian-murphy/ |
| 598 | 02-Oct-20 | 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 Group | https://www.judiciary.uk/publications/christine-neild/ |
| 599 | 30-Sep-20 | 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/ |
| 600 | 09-Sep-20 | 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/ |
| 601 | 30-Sep-20 | 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/ |
| 602 | 25-Sep-20 | 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/ |
| 603 | 29-Sep-20 | 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/ |
| 604 | 28-Sep-20 | 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/ |
| 605 | 28-Sep-20 | 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/ |
| 606 | 25-Sep-20 | 2020-0184 | VG | Nadia Persaud | East London | Other related deaths | Home Office | https://www.judiciary.uk/publications/valdotas-gerbutavicius/ |
| 607 | 24-Sep-20 | 2020-0183 | JW | Kevin McLoughlin | West Yorkshire (East) | Community healthcare related deaths | Health and Communities Wakefield | https://www.judiciary.uk/publications/june-winterbottom/ |
| 608 | 23-Sep-20 | 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/ |
| 609 | 23-Sep-20 | 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/ |
| 610 | 23-Sep-20 | 2020-0180 | JJ | Nadia Persaud | East London | Care home health related deaths | Disclosure and Barring Service | https://www.judiciary.uk/publications/jane-jowers/ |
| 611 | 23-Sep-20 | 2020-0179 | BM | Nicholas Rheinberg | Lancashire and Blackburn with Darwen | State custody related deaths | HMP Wymott | https://www.judiciary.uk/publications/brett-marrs/ |
| 612 | 21-Sep-20 | 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/ |
| 613 | 18-Sep-20 | 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/ |
| 614 | 14-Sep-20 | 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/ |
| 615 | 18-Sep-20 | 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/ |
| 616 | 14-Sep-20 | 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/ |
| 617 | 09-Sep-20 | 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/ |
| 618 | 08-Sep-20 | 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/ |
| 619 | 08-Sep-20 | 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/ |
| 620 | 03-Sep-20 | 2020-0170 | LP | James Thompson | County Durham & Darlington | Community healthcare deaths | Department for Health and Social Care | https://www.judiciary.uk/publications/laura-parsons/ |
| 621 | 07-Sep-20 | 2020-0169 | EI | Nadia Persaud | East London | Road (Highways Safety) related safety | Havering Highways | https://www.judiciary.uk/publications/ellie-isaacs/ |
| 622 | 04-Sep-20 | 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/ |
| 623 | 28-Aug-20 | 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/ |
| 624 | 25-Aug-20 | 2020-0166 | DC | M E Hassell | Inner North London | Alcohol, drug and medication related deaths; Other related deaths | Camden Council; First Response Group | https://www.judiciary.uk/publications/daniel-coleman/ |
| 625 | 27-Aug-20 | 2020-0165 | DJC | Alan Wilson | Blackpool & Fylde | Care Home health related deaths | Rossendale Nursing Home | https://www.judiciary.uk/publications/dereck-john-chapman/ |
| 626 | 26-Aug-20 | 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/ |
| 627 | 18-Aug-20 | 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/ |
| 628 | 21-Aug-20 | 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/ |
| 629 | 17-Aug-20 | 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/ |
| 630 | 11-Aug-20 | 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/ |
| 631 | 14-Aug-20 | 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/ |
| 632 | 06-Aug-20 | 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/ |
| 633 | 04-Jun-20 | 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 Group | https://www.judiciary.uk/publications/george-townsend/ |
| 634 | 11-Aug-20 | 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/ |
| 635 | 23-Apr-20 | 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/ |
| 636 | 10-Aug-20 | 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/ |
| 637 | 07-Aug-20 | 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/ |
| 638 | 07-Aug-20 | 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/ |
| 639 | 05-Aug-20 | 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/ |
| 640 | 05-Aug-20 | 2020-0150 | RK | Tom Osborne | Milton Keynes | Emergency Services related deaths | South Central Ambulance Service | https://www.judiciary.uk/publications/richard-king/ |
| 641 | 04-Aug-20 | 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/ |
| 642 | 06-Jul-20 | 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/ |
| 643 | 31-Jul-20 | 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/ |
| 644 | 30-Jul-20 | 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 Partnership | https://www.judiciary.uk/publications/reginald-collins/ |
| 645 | 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 Partnership | https://www.judiciary.uk/publications/samuel-garner/ |
| 646 | 17-Jul-20 | 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/ |
| 647 | 16-Jul-20 | 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/ |
| 648 | 02-Mar-20 | 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/ |
| 649 | 10-Jul-20 | 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/ |
| 650 | 13-Jul-20 | 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 Partnership | https://www.judiciary.uk/publications/john-cheetham/ |
| 651 | 10-Jul-20 | 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/ |
| 652 | 01-Jul-20 | 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/ |
| 653 | 07-Feb-20 | 2020-0137 | MM | Robert Simpson | West Sussex | Police related deaths; Suicide | Sussex Police | https://www.judiciary.uk/publications/mark-mallinson/ |
| 654 | 10-Oct-19 | 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/ |
| 655 | 24-Mar-20 | 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/ |
| 656 | 26-Jun-20 | 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/ |
| 657 | 22-Jun-20 | 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/ |
| 658 | 25-Jun-20 | 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/ |
| 659 | 15-Jun-20 | 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/ |
| 660 | 17-Dec-18 | 2020-0130 | BC | Maria Voisin | Avon | Other related deaths | Suspension Bridge Trustees | https://www.judiciary.uk/publications/bertram-crawford/ |
| 661 | 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/ |
| 662 | 16-Jun-20 | 2020-0128 | JW | Emma Whitting | Bedfordshire and Luton Coroner | Road (Highways Safety) related deaths | Department for Transport | https://www.judiciary.uk/publications/joan-williams/ |
| 663 | 03-Jun-20 | 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/ |
| 664 | 08-Jun-20 | 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/ |
| 665 | 09-Jun-20 | 2020-0125 | ML | Anna Crawford | Surrey | Road (Highways Safety) related deaths | Senior Highway Engineer for Surrey | https://www.judiciary.uk/publications/mitica-ladunca/ |
| 666 | 27-Jan-20 | 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/ |
| 667 | 28-May-20 | 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/ |
| 668 | 28-May-20 | 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/ |
| 669 | 27-Dec-19 | 2020-0120 | EB | Gordon Clow | Nottinghamshire and Nottingham | Other related deaths | Nottinghamshire County Council | https://www.judiciary.uk/publications/enid-baber/ |
| 670 | 28-Feb-20 | 2020-0123 | PC | Geoffrey Sullivan | Hertfordshire | Alcohol, drug and medication related deaths; Other related deaths | NHS England | https://www.judiciary.uk/publications/peter-cole/ |
| 671 | 20-Jan-16 | 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/ |
| 672 | 24-Jul-15 | 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/ |
| 673 | 10-Feb-20 | 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/ |
| 674 | 24-Sep-19 | 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/ |
| 675 | 17-Dec-19 | 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/ |
| 676 | 05-Feb-20 | 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/ |
| 677 | 29-May-20 | 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/ |
| 678 | 29-May-20 | 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/ | |
| 679 | 28-May-20 | 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/ |
| 680 | 15-May-20 | 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/ |
| 681 | 12-May-20 | 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/ |
| 682 | 04-May-20 | 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/ |
| 683 | 12-Feb-20 | 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/ |
| 684 | 01-May-20 | 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/ |
| 685 | 27-Jan-20 | https://www.judiciary.uk/publications/helen-sheath/ | ||||||
| 686 | 27-Apr-20 | 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/ |
| 687 | 24-Apr-20 | 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/ |
| 688 | 24-Apr-20 | 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/ |
| 689 | 20-Apr-20 | 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/ |
| 690 | 23-Apr-20 | 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/ |
| 691 | 15-Jul-19 | 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/ |
| 692 | 15-Jul-19 | 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/ |
| 693 | 22-Apr-20 | 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 Group | https://www.judiciary.uk/publications/sam-pringle/ |
| 694 | 22-Apr-20 | 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/ |
| 695 | 22-Apr-20 | 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/ |
| 696 | 22-Apr-20 | 2020-0098 | NB | Chri Morris | Manchester South | Care home health related deaths | Lynmere Nursing home | https://www.judiciary.uk/publications/norman-baxter/ |
| 697 | 15-Apr-20 | 2020-0097 | MT | Timothy Brennand | Lincolnshire | Road (Highways Safety) related deaths | Lincolnshire County Council Highways Department | https://www.judiciary.uk/publications/millie-taylor-noonan/ |
| 698 | 17-Apr-20 | 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/ |
| 699 | 20-Apr-20 | 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 Partnership | https://www.judiciary.uk/publications/wendy-wilkes/ |
| 700 | 20-Apr-20 | 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/ |
| 701 | 15-Apr-20 | 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/ |
| 702 | 16-May-19 | 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/ |
| 703 | 09-Apr-20 | 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/ |
| 704 | 01-Apr-20 | 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/ |
| 705 | 19-Jun-19 | 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/ |
| 706 | 17-Sep-19 | 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/ |
| 707 | 22-Oct-19 | 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/ |
| 708 | 28-Oct-19 | 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/ |
| 709 | 06-Apr-20 | 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/ |
| 710 | 03-Apr-20 | 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/ |
| 711 | 12-Dec-19 | 2019-0503 | RR | Emma Serrano | Derby and Derbyshire | Suicide (from 2015) | Bristol University | https://www.judiciary.uk/publications/raees-rauf/ |
| 712 | 27-Feb-20 | 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/ |
| 713 | 06-Feb-20 | 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/ |
| 714 | 03-Apr-20 | 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/ |
| 715 | 02-Apr-20 | 2020-0085 | AL | Jacqueline Lake | Norfolk | Child Death (from 2015); Other related deaths | British Standards Institution | https://www.judiciary.uk/publications/ava-may-littleboy/ |
| 716 | 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/ |
| 717 | 07-May-20 | 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/ |
| 718 | 31-Mar-20 | 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/ |
| 719 | 30-Mar-20 | 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/ |
| 720 | 30-Mar-20 | 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/ |
| 721 | 11-Mar-20 | 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/ |
| 722 | 25-Mar-20 | 2020-0079 | DH | Jacqueline Lake | Norfolk | Road (Highways Safety) related deaths | Driver and Vehicle Standards Agency | https://www.judiciary.uk/publications/dudley-howe/ |
| 723 | 25-Mar-20 | 2020-0078 | JM | Veronica Hamilton-Deeley | Brighton and Hove | Alcohol, drugs and medication related deaths | CCG | https://www.judiciary.uk/publications/joseph-mochan/ |
| 724 | 24-Mar-20 | 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/ |
| 725 | 24-Mar-20 | 2020-0076 | KS | Geoffrey Sullivan | Hertfordshire | Suicide (from 2015); Other related deaths | Hertfordshire Constabulary | https://www.judiciary.uk/publications/kelly-sutton/ |
| 726 | 24-Mar-20 | 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/ |
| 727 | 23-Mar-20 | 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/ |
| 728 | 20-Mar-20 | 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/ |
| 729 | 15-Jan-20 | 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/ |
| 730 | 16-Mar-20 | 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/ |
| 731 | 11-Mar-20 | 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/ |
| 732 | 12-Mar-20 | 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/ |
| 733 | 21-Feb-20 | 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/ |
| 734 | 21-Feb-20 | 2020-0067 | AL | Jacqueline Devonish | London South | Community Healthcare related deaths | Central London Community Healthcare NHS Trust; | https://www.judiciary.uk/publications/anita-loi/ |
| 735 | 12-Mar-20 | 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/ |
| 736 | 09-Mar-20 | 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/ |
| 737 | 12-Mar-20 | 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/ |
| 738 | 20-Aug-19 | 2019-0500 | TJ | Darren Salter | Oxfordshire | Hospital Death (Clinical Procedures and medical management) related deaths | NHS England | https://www.judiciary.uk/publications/thelma-joyce/ |
| 739 | 06-Sep-19 | 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/ |
| 740 | 04-Mar-20 | 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/ |
| 741 | 28-Jan-20 | 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/ |
| 742 | 06-Mar-20 | 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/ |
| 743 | 09-Mar-20 | 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/ |
| 744 | 09-Mar-20 | 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/ |
| 745 | 09-Mar-20 | 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/ |
| 746 | 09-Mar-20 | 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/ |
| 747 | 06-Mar-20 | 2020-0056 | CN | Andre Rebello | Liverpool and the Wirral | State custody related deaths; Suicide (from 2015) | HMPPS | https://www.judiciary.uk/publications/carl-newman/ |
| 748 | 10-Feb-20 | 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/ |
| 749 | 07-Feb-20 | 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/ |
| 750 | 03-Mar-20 | 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/ |
| 751 | 03-Mar-20 | 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/ |
| 752 | 03-Mar-20 | 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/ |
| 753 | 03-Mar-20 | 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/ |
| 754 | 02-Mar-20 | 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/ |
| 755 | 02-Mar-20 | 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/ |
| 756 | 28-Feb-20 | 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/ |
| 757 | 28-Feb-20 | 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/ |
| 758 | 27-Feb-20 | 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/ |
| 759 | 26-Feb-20 | 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/ |
| 760 | 25-Feb-20 | 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/ |
| 761 | 20-Feb-20 | 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/ |
| 762 | 21-Feb-20 | 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/ |
| 763 | 14-Feb-20 | 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/ |
| 764 | 24-Feb-20 | 2020-0039 | JL | Yvonne Blake | Norfolk | Care Home Health related deaths | Select Healthcare | https://www.judiciary.uk/publications/jake-lee/ |
| 765 | 25-Feb-20 | 2020-0038 | ER | Alison Mutch | Greater Manchester South | Alcohol, drug and medication related deaths; | Care Quality Commission | https://www.judiciary.uk/publications/elaine-renshaw/ |
| 766 | 25-Feb-20 | 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/ |
| 767 | 24-Feb-20 | 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/ |
| 768 | 18-Feb-20 | 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/ |
| 769 | 18-Feb-20 | 2020-0034 | HA | Caroline Beasley-Murray | Essex | Other related deaths | Tendering District Council | https://www.judiciary.uk/publications/haider-ali/ |
| 770 | 18-Feb-20 | 2020-0034A | MS | Caroline Beasley-Murray | Essex | Child death (from 2015); Other related deaths | Tendering District Council | https://www.judiciary.uk/publications/malika-shamas/ |
| 771 | 17-Feb-20 | 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/ |
| 772 | 17-Feb-20 | 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/ |
| 773 | 07-Feb-20 | 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/ |
| 774 | 18-Feb-20 | 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 Group | https://www.judiciary.uk/publications/wayne-millett/ |
| 775 | 18-Feb-20 | 2020-0030 | LC | Andrew Haigh | Staffordshire South | Road (Highways Safety) related deaths | Commissioner for Highways | https://www.judiciary.uk/publications/liam-clark/ |
| 776 | 17-Feb-20 | 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/ |
| 777 | 13-Feb-20 | 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/ |
| 778 | 17-Feb-20 | 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/ |
| 779 | 11-Feb-20 | 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/ |
| 780 | 20-Jan-20 | 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/ |
| 781 | 28-Jan-20 | 2020-0024 | BF | Brendan Allen | Dorset | Road (Highways Safety) related deaths | BCP Council | https://www.judiciary.uk/publications/beryl-fricker/ |
| 782 | 06-Feb-20 | 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/ |
| 783 | 05-Feb-20 | 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/ |
| 784 | 04-Feb-20 | 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/ |
| 785 | 04-Feb-20 | 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/ |
| 786 | 31-Jan-20 | 2020-0019 | AW | Sean McGovern | Warwickshire | Emergency services related deaths (2019 onwards) | West Midlands Ambulance Service | https://www.judiciary.uk/publications/ashley-walker/ |
| 787 | 08-Jan-20 | 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/ |
| 788 | 21-Jan-20 | 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/ |
| 789 | 19-Jan-20 | 2020-0016 | MW | Alan Wilson | Blackpool & Fylde | Other related deaths | Landlord | https://www.judiciary.uk/publications/matthew-willoughby/ |
| 790 | 20-Jan-20 | 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/ |
| 791 | 17-Jan-20 | 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/ |
| 792 | 17-Jan-20 | 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/ |
| 793 | 17-Jan-20 | 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/ |
| 794 | 14-Jan-20 | 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/ |
| 795 | 14-Jan-20 | 2020-0010 | MW | Andrew Haigh | Staffordshire (South) | State Custody related deaths; Suicide (from 2015) | HMP Dovegate | https://www.judiciary.uk/publications/marlon-watson/ |
| 796 | 22-Jan-20 | 2020-0009 | GS | Derek Winter | Sunderland | Road (Highways Safety) related deaths | Sunderland City Council | https://www.judiciary.uk/publications/gary-sloan/ |
| 797 | 20-Jan-20 | 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/ |
| 798 | 10-Jan-20 | 2020-0007 | MW | Oliver Longstaff | West Yorkshire (West) | Suicide (from 2015) | Kirklees Council; Highways England | https://www.judiciary.uk/publications/muhammed-wajid/ |
| 799 | 14-Jan-20 | 2020-0006 | MP | Joanne Lees | Black Country | Community health care related deaths | Walsall Healthcare NHS Trust | https://www.judiciary.uk/publications/madhavbhai-patel/ |
| 800 | 10-Jan-20 | 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/ |
| 801 | 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/ |
| 802 | 09-Jan-20 | 2020-0003 | CN | Louise Hunt | Birmingham and Solihull | Other related deaths | Incarace; ORCi | https://www.judiciary.uk/publications/colin-north/ |
| 803 | 07-Jan-20 | 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/ |
| 804 | 03-Jan-20 | 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/ |
| 805 | 16-Sep-19 | 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/ |
| 806 | 25-Nov-19 | 2019-0464 | GW | Caroline Saunders | Gwent | Road (Highways Safety) related deaths | Newport County Council | https://www.judiciary.uk/publications/gareth-williams/ |
| 807 | 12-Nov-19 | 2019-0463 | JS | Caroline Saunders | Gwent | Road (Highways Safety) related deaths | Monmouth County Council | https://www.judiciary.uk/publications/jamie-staley/ |
| 808 | 21-Sep-19 | 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/ |
| 809 | 10-Dec-19 | 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/ |
| 810 | 20-Dec-19 | 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/ |
| 811 | 31-Dec-19 | 2019-0457 | JO | Caroline Sumeray | Isle of Wight | Mental Health related deaths; | National Trust on the Isle of Wight; Public Health, Suicide Prevention Group | https://www.judiciary.uk/publications/joanna-orpin/ |
| 812 | 31-Dec-19 | 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/ |
| 813 | 30-Dec-19 | 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/ |
| 814 | 24-Dec-19 | 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/ |
| 815 | 24-Dec-19 | 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/ |
| 816 | 24-Dec-19 | 2019-0452 | KW | Andrew Haigh | Staffordshire (South) | Care Home Health related deaths | Hunters Lodge Care Home | https://www.judiciary.uk/publications/keith-whetton/ |
| 817 | 23-Dec-19 | 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/ |
| 818 | 20-Dec-19 | 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/ |
| 819 | 19-Dec-19 | 2019-0449 | CB | Sean McGovern | Warwickshire | Hospital Death (Clinical Procedures and medical management) related deaths | Warwick Hospital | https://www.judiciary.uk/publications/colin-beaumont/ |
| 820 | 20-Dec-19 | 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/ |
| 821 | 25-Sep-19 | 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/ |
| 822 | 20-Dec-19 | 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/ |
| 823 | 19-Dec-19 | 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/ |
| 824 | 20-Dec-19 | 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/ |
| 825 | 16-Dec-19 | 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/ |
| 826 | 18-Dec-19 | 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/ |
| 827 | 17-Dec-19 | 2019-0400 | BL | Fiona Wilcox | London Inner (West) | Care Home Health related deaths | Glebelands Care Team | https://www.judiciary.uk/publications/barry-liffen/ |
| 828 | 17-Dec-19 | 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/ |
| 829 | 16-Dec-19 | 2019-0438 | HC | Fiona Wilcox | London Inner (West) | Other related deaths | The Peligoni Club | https://www.judiciary.uk/publications/henry-campbell-byatt/ |
| 830 | 18-Dec-19 | 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/ |
| 831 | 17-Dec-19 | 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/ |
| 832 | 01-Nov-19 | 2019-0458 | JH | Louise Hunt | Birmingham and Solihull | Service Personnel related deaths | MOD | https://www.judiciary.uk/publications/joshua-hoole/ |
| 833 | 17-Dec-19 | 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/ |
| 834 | 17-Dec-19 | 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/ |
| 835 | 16-Dec-19 | 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/ |
| 836 | 16-Dec-19 | 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/ |
| 837 | 16-Dec-19 | 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/ |
| 838 | 17-Dec-19 | 2019-0430 | TJ | Sonia Hayes | Kent (Central and South East) | Care Home Health related deaths | Charing Healthcare | https://www.judiciary.uk/publications/terence-james/ |
| 839 | 16-Dec-19 | 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/ |
| 840 | 13-Dec-19 | 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/ |
| 841 | 17-Dec-19 | 2019-0427 | IS | Anna Crawford | Surrey | Care Home Health related deaths | Barchester Healthcare | https://www.judiciary.uk/publications/iris-skinner/ |
| 842 | 06-Dec-19 | 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/ |
| 843 | 16-Dec-19 | 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/ |
| 844 | 13-Dec-19 | 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/ |
| 845 | 12-Dec-19 | 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/ |
| 846 | 10-Dec-19 | 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/ |
| 847 | 10-Dec-19 | 2019-0421 | BD | Rachael Griffin | Dorset | Alcohol, drug and medication related deaths | Royal Pharmaceutical Society | https://www.judiciary.uk/publications/brenda-drew/ |
| 848 | 06-Dec-19 | 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/ |
| 849 | 04-Dec-19 | 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/ |
| 850 | 05-Dec-19 | 2019-0418 | DW | Timothy Brennand | Lincolnshire | Road (Highways Safety) related deaths | Lincolnshire County Council | https://www.judiciary.uk/publications/darren-wilson/ |
| 851 | 05-Dec-19 | 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/ |
| 852 | 06-Dec-19 | 2019-0416 | YN | Louise Hunt | Birmimgham and Solihull | Service Personnel related deaths | MOD; Capita | https://www.judiciary.uk/publications/youngson-nkhoma/ |
| 853 | 06-Dec-19 | 2019-0416A | KI | Louise Hunt | Birmimgham and Solihull | Service Personnel related deaths | MOD; Capita | https://www.judiciary.uk/publications/kamil-iddrisu/ |
| 854 | 20-Sep-19 | 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/ |
| 855 | 03-Dec-19 | 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/ |
| 856 | 03-Dec-19 | 2019-0413 | DM | Jeremy Chipperfield | County Durham and Darlington | Road (Highways Safety) related deaths | Durham County Council | https://www.judiciary.uk/publications/david-moore/ |
| 857 | 29-Nov-19 | 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/ |
| 858 | 04-Dec-19 | 2019-0411 | GW | David Reid | Worcestershire | State Custody related deaths | HMP Hewell | https://www.judiciary.uk/publications/gareth-warburton/ |
| 859 | 28-Nov-19 | 2019-0410 | CL | Sarah Bourke | London Innner (North) | Care Home Health related deaths | Creative Support Limited | https://www.judiciary.uk/publications/christina-lawal/ |
| 860 | 03-Dec-19 | 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/ |
| 861 | 29-Nov-19 | 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/ |
| 862 | 02-Dec-19 | 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/ |
| 863 | 29-Nov-19 | 2019-0406 | BM | Peter Sigee | Manchester (North) | Hospital Death (Clinical Procedures and medical management) related deaths | NICE | https://www.judiciary.uk/publications/brenda-mcwilliams/ |
| 864 | 02-Dec-19 | 2019-0405 | AS | John Ellery | Shropshire, Telford & Wrekin | Child Death (from 2015) | Shropshire Safeguarding Partnership; CAFCASS | https://www.judiciary.uk/publications/archie-spriggs/ |
| 865 | 29-Nov-19 | 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/ |
| 866 | 28-Nov-19 | 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/ |
| 867 | 29-Oct-19 | 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/ |
| 868 | 25-Nov-19 | 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/ |
| 869 | 27-Nov-19 | 2019-0400A | AH | Christopher Briggs | Manchester (South) | Care Home Health related deaths | Borough Care Limited | https://www.judiciary.uk/publications/andrew-hogg/ |
| 870 | 22-Nov-19 | 2019-0399 | JA | Edwin Buckett | London Inner (North) | Other related deaths | London Borough of Tower Hamlets | https://www.judiciary.uk/publications/jonathan-adebanjo/ |
| 871 | 19-Nov-19 | 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/ |
| 872 | 22-Nov-19 | 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/ |
| 873 | 20-Nov-19 | 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/ |
| 874 | 20-Nov-19 | 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/ |
| 875 | 19-Nov-19 | 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/ |
| 876 | 19-Nov-19 | 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/ |
| 877 | 19-Nov-19 | 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/ |
| 878 | 15-Nov-19 | 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/ |
| 879 | 19-Nov-19 | 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/ |
| 880 | 13-Nov-19 | 2019-0388 | DM | Sonia Hayes | Mid Kent and Medway | Community health care related deaths | Medway Community Healthcare | https://www.judiciary.uk/publications/dorothy-macey/ |
| 881 | 18-Nov-19 | 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/ |
| 882 | 18-Nov-19 | 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/ |
| 883 | 15-Nov-19 | 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/ |
| 884 | 18-Nov-19 | 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/ |
| 885 | 15-Nov-19 | 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/ |
| 886 | 08-Nov-19 | 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/ |
| 887 | 14-Nov-19 | 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/ |
| 888 | 05-Nov-19 | 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/ |
| 889 | 12-Nov-19 | 2019-0379 | CS | Peter Sigee | Cheshire | Road (Highways Safety) related deaths | Highways England | https://www.judiciary.uk/publications/costel-stancu/ |
| 890 | 08-Nov-19 | 2019-0378 | SS | Peter Sigee | Cheshire | Community health related deaths | Rope Green Medical Centre | https://www.judiciary.uk/publications/sam-spooner/ |
| 891 | 06-Nov-19 | 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/ |
| 892 | 07-Nov-19 | 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/ |
| 893 | 03-Nov-19 | 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/ |
| 894 | 23-Dec-19 | 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/ |
| 895 | 13-Dec-19 | 2019-0490 | HP | Crispin Butler | Buckinghamshire | Community health care related deaths | Carewatch | https://www.judiciary.uk/publications/heather-planner/ |
| 896 | 06-Nov-19 | 2019-0375 | DW | Tom Osborne | Milton Keynes | State Custody related deaths; Suicide (from 2015) | HMP Woodhill | https://www.judiciary.uk/publications/darren-williams/ |
| 897 | 06-Nov-19 | 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/ |
| 898 | 30-Oct-19 | 2019-0372 | RG | ME Hassell | London Inner (North) | tate Custody related deaths | Care UK; HMP Pentonville | https://www.judiciary.uk/publications/robert-ginn/ |
| 899 | 28-Oct-19 | 2019-0371 | JL | Graeme Irvine | London Inner (North) | Suicide (from 2015) | University of the Arts London; UCAS | https://www.judiciary.uk/publications/julius-little/ |
| 900 | 01-Nov-19 | 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/ |
| 901 | 01-Nov-19 | 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/ |
| 902 | 01-Nov-19 | 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/ |
| 903 | 13-Dec-19 | 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/ |
| 904 | 14-Nov-19 | 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/ |
| 905 | 13-Nov-19 | 2019-0368 | EJ | Margaret Jones | Staffordshire (South) | Other related deaths | Merlin Entertainment Limited; Drayton Manor Theme Park | https://www.judiciary.uk/publications/evha-jannath/ |
| 906 | 12-Nov-19 | 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/ |
| 907 | 06-Nov-19 | 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/ |
| 908 | 07-Nov-19 | 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/ |
| 909 | 05-Nov-19 | 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/ |
| 910 | 30-Oct-19 | 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/ |
| 911 | 09-Dec-19 | 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/ |
| 912 | 30-Oct-19 | 2019-0362 | DK | David Reid | Worcestershire | State Custody related deaths; Suicide (from 2015) | HMP Long Lartin | https://www.judiciary.uk/publications/david-kirsch/ |
| 913 | 25-Oct-19 | 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/ |
| 914 | 27-Nov-19 | 2019-0484 | GR | Joanne Andrews | West Sussex | Suicide (from 2015) | Sussex Partnership NHS Trust | https://www.judiciary.uk/publications/george-rogers/ |
| 915 | 26-Nov-19 | 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/ |
| 916 | 26-Nov-19 | 2019-0495 | TO | Samantha Marsh | Hampshire | State Custody related deaths | HM Prison and Probation Service | https://www.judiciary.uk/publications/trevor-oakley/ |
| 917 | 08-Oct-19 | 2019-0360 | MC | Claire Welch | Cheshire | Hospital Death (Clinical Procedures and medical management) related deaths | Nuffield Health | https://www.judiciary.uk/publications/mary-chapman/ |
| 918 | 04-Oct-19 | 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/ |
| 919 | 11-Sep-19 | 2019-0358 | CS | Kevin McLoughlin | West Yorkshire (East) | Other related deaths | University of Birmingham | https://www.judiciary.uk/publications/carl-schmidt/ |
| 920 | 11-Sep-19 | 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/ |
| 921 | 05-Sep-19 | 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/ |
| 922 | 04-Sep-19 | 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/ |
| 923 | 24-Oct-19 | 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/ |
| 924 | 24-Oct-19 | 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/ |
| 925 | 21-Oct-19 | 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/ |
| 926 | 24-Oct-19 | 2019-0350 | LM | Heidi Connor | Berkshire | Road (Highways Safety) related deaths | Ford UK; Highways England | https://www.judiciary.uk/publications/lorraine-mclellan/ |
| 927 | 24-Oct-19 | 2019-0350A | CG | Heidi Connor | Berkshire | Road (Highways Safety) related deaths | Ford UK; Highways England | https://www.judiciary.uk/publications/catherine-gardiner/ |
| 928 | 29-Aug-19 | 2019-0354 | ES | Elizabeth Didcock | Nottinghamshire | Community health care related deaths | Beechdale Medical Group | https://www.judiciary.uk/publications/evelyn-swift/ |
| 929 | 15-Oct-19 | 2019-0349 | MW | Christopher Murray | London (West) | Mental Health related deaths | West London Mental Health Trust | https://www.judiciary.uk/publications/matthew-williamson/ |
| 930 | 23-Oct-19 | 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/ |
| 931 | 22-Oct-19 | 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/ |
| 932 | 21-Oct-19 | 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/ |
| 933 | 15-Oct-19 | 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/ |
| 934 | 15-Oct-19 | 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/ |
| 935 | 15-Nov-19 | JA | Jame Bennett | Birmingham and Solihull | Road (Highways Safety) related deaths | Highways England | https://www.judiciary.uk/publications/jamil-ahmed/ | |
| 936 | 14-Nov-19 | EM | Alison McCormick | Berkshire | Road (Highways Safety) related deaths | Slough Borough Council Highways Department | https://www.judiciary.uk/publications/edward-mcgivern/ | |
| 937 | 30-Sep-19 | 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/ |
| 938 | 14-Oct-19 | 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/ |
| 939 | 14-Oct-19 | 2019-0341 | DN | Emma Brown | Birmingham and Solihull | Road (Highways Safety) related deaths | Highways England | https://www.judiciary.uk/publications/dev-naran/ |
| 940 | 10-Oct-19 | 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/ |
| 941 | 08-Oct-19 | 2019-0339 | SE | Andrew Haigh | Staffordshire South | Road (Highways Safety) related deaths | Staffordshire County Council | https://www.judiciary.uk/publications/steffan-evans/ |
| 942 | 24-Sep-19 | 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/ |
| 943 | 10-Oct-19 | 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/ |
| 944 | 09-Oct-19 | 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/ |
| 945 | 30-Sep-19 | 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/ |
| 946 | 08-Oct-19 | 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/ |
| 947 | 04-Oct-19 | 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/ |
| 948 | 02-Oct-19 | 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/ |
| 949 | 02-Oct-19 | 2019-0330 | PO | Alison Owen | Manchester (South) | Other related deaths | MOJ | https://www.judiciary.uk/publications/philip-owen/ |
| 950 | 02-Oct-19 | 2019-0327 | SH | Robert Simpson | West Sussex | Road (Highways Safety) related deaths | West Sussex County Council | https://www.judiciary.uk/publications/saeid-hedayat/ |
| 951 | 01-Oct-19 | 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 Partnership | https://www.judiciary.uk/publications/oliver-sharp/ |
| 952 | 30-Sep-19 | 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/ |
| 953 | 30-Sep-19 | 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/ |
| 954 | 30-Sep-19 | 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/ |
| 955 | 30-Sep-19 | 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 Partnership | https://www.judiciary.uk/publications/graham-earl/ |
| 956 | 30-Sep-19 | 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/ |
| 957 | 25-Sep-19 | 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/ |
| 958 | 18-Apr-19 | 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/ |
| 959 | 20-Sep-19 | 2019-0319 | RL | Jeremy Chipperfield | Durham and Darlington | Care Home Health related deaths | Chilton Care Centre | https://www.judiciary.uk/publications/robert-lowe/ |
| 960 | 27-Sep-19 | 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/ |
| 961 | 27-Sep-19 | 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/ |
| 962 | 24-Sep-19 | 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/ |
| 963 | 23-Sep-19 | 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/ |
| 964 | 25-Sep-19 | 2019-0314 | PB | ME Hassell | London Inner (North) | Railway related deaths | Network Rail | https://www.judiciary.uk/publications/patrick-bolster/ |
| 965 | 25-Sep-19 | 2019-0314A | BH | ME Hassell | London Inner (North) | Railway related deaths | Network Rail | https://www.judiciary.uk/publications/ben-haddon-cave/ |
| 966 | 24-Sep-19 | 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/ |
| 967 | 25-Sep-19 | 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/ |
| 968 | 24-Sep-19 | 2019-0311 | MD | Rosamund Rhodes-Kemp | 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/ |
| 969 | 24-Sep-19 | 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/ |
| 970 | 24-Sep-19 | 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/ |
| 971 | 19-Sep-19 | 2019-0308 | KB | Chri Morris | Manchester (South) | Community health care related deaths | Heaton Moor Medical Group | https://www.judiciary.uk/publications/kathryn-barrow/ |
| 972 | 19-Sep-19 | 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/ |
| 973 | 19-Sep-19 | 2019-0306 | IC | Chri Morris | Manchester (South) | Care Home Health related deaths | MHPRA | https://www.judiciary.uk/publications/irene-collins/ |
| 974 | 19-Sep-19 | 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/ |
| 975 | 19-Sep-19 | 2019-0304 | MJ | Nigel Parsley | Suffolk | State Custody related deaths | SystemOne TPP Ltd; NHS England | https://www.judiciary.uk/publications/mark-jarvis/ |
| 976 | 19-Sep-19 | 2019-0303 | PH | Alison Mutch | Manchester (South) | Suicide (from 2015) | Stamford Quarter Shopping Centre | https://www.judiciary.uk/publications/peter-harrison/ |
| 977 | 28-Aug-19 | 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/ |
| 978 | 18-Sep-19 | 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/ |
| 979 | 16-Sep-19 | 2019-0300 | AJ | David Urpeth | South Yorkshire (West) | Emergency services related deaths (2019 onwards) | Yorkshire Ambulance Service | https://www.judiciary.uk/publications/arthur-jepson/ |
| 980 | 01-Nov-19 | 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/ |
| 981 | 17-Sep-19 | 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/ |
| 982 | 16-Sep-19 | 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/ |
| 983 | 16-Sep-19 | 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/ |
| 984 | 13-Sep-19 | 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/ |
| 985 | 21-Jan-19 | 2019-0295 | RN | Martin Fleming | West Yorkshire (West) | Road (Highways Safety) related deaths | Calderdale Council | https://www.judiciary.uk/publications/robert-norton/ |
| 986 | 10-Sep-19 | 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/ |
| 987 | 06-Sep-19 | 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/ |
| 988 | 30-Oct-19 | 2019-0493 | AL | Zafar Siddique | Black Country | Community health care related deaths | CQC; Brace Street Health Centre | https://www.judiciary.uk/publications/annie-lloyd/ |
| 989 | 29-Aug-19 | 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/ |
| 990 | 09-Jul-19 | 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/ |
| 991 | 16-Jul-19 | 2019-0289 | DC | Delroy Henry | Warwicjshire | Other related deaths | HM Prison and Probation Service | https://www.judiciary.uk/publications/darren-cumberbatch/ |
| 992 | 01-Aug-19 | 2019-0288 | RH | John Pollard | Manchester (West) | Suicide (from 2015) | Department of Health and Social Care | https://www.judiciary.uk/publications/rebecca-henry/ |
| 993 | 22-Jul-19 | 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/ |
| 994 | 31-Jul-19 | 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/ |
| 995 | 26-Jul-19 | 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/ |
| 996 | 31-Jul-19 | 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/ |
| 997 | 01-Aug-19 | 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/ |
| 998 | 31-Jul-19 | 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/ |
| 999 | 01-Aug-19 | 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/ |
| 1000 | 02-Aug-19 | 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/ |
| 1001 | 06-Aug-19 | 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/ |
| 1002 | 06-Aug-19 | 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/ |
| 1003 | 07-Aug-19 | 2019-0276 | CK | Veronica Hamilton-Deeley | Brighton and Hove | Railway related deaths | Govia Thameslink Railways; Network Rail | https://www.judiciary.uk/publications/carl-klimaytys/ |
| 1004 | 07-Aug-19 | 2019-0275 | JL | Chri Morris | Manchester (South) | Care Home Health related deaths | CQC; NHS England | https://www.judiciary.uk/publications/joseph-lafferty/ |
| 1005 | 09-Aug-19 | 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/ |
| 1006 | 12-Aug-19 | 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/ |
| 1007 | 14-Aug-19 | 2019-0272 | CH | Chri Morris | Manchester (South) | Other related deaths | Johnnie Johnson Housing | https://www.judiciary.uk/publications/christopher-hart/ |
| 1008 | 14-Aug-19 | 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/ |
| 1009 | 14-Aug-19 | 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/ |
| 1010 | 16-Aug-19 | 2019-0269 | GR | Penelope Schofield | West Sussex | Other related deaths | Boehringer Ingelheim Limited | https://www.judiciary.uk/publications/george-rimmer/ |
| 1011 | 18-Aug-19 | 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/ |
| 1012 | 16-May-19 | 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/ |
| 1013 | 20-Aug-19 | 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/ |
| 1014 | 20-Aug-19 | 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/ |
| 1015 | 22-Aug-19 | 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/ |
| 1016 | 27-Aug-19 | 2019-0262 | KM | Derek Winter | Sunderland | Other related deaths | Home Office | https://www.judiciary.uk/publications/kay-martin/ |
| 1017 | 22-Aug-19 | 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/ |
| 1018 | 27-Aug-19 | 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/ |
| 1019 | 17-Oct-19 | 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/ |
| 1020 | 16-Oct-19 | 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/ |
| 1021 | 09-Oct-19 | 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/ |
| 1022 | 07-Oct-19 | 2019-0469 | AR | Crispin Butler | Buckinghamshire | Alcohol, drug and medication related deaths | NHS Pathways | https://www.judiciary.uk/publications/alf-rewin/ |
| 1023 | 04-Oct-19 | 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/ |
| 1024 | 26-Sep-19 | 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/ |
| 1025 | 12-Jul-19 | 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/ |
| 1026 | 01-Jul-19 | 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/ |
| 1027 | 26-Jun-19 | 2019-0221 | DM | Sarah Slater | South Yorkshire (East) | State Custody related deaths | MOJ | https://www.judiciary.uk/publications/darren-mcguin/ |
| 1028 | 26-Jun-19 | 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/ |
| 1029 | 05-Jul-19 | 2019-0231 | KB | Karen Harrold | West Sussex | Road (Highways Safety) related deaths | West Sussex County Council | https://www.judiciary.uk/publications/keith-battman/ |
| 1030 | 28-Jun-19 | 2019-0224 | FL | Philip Barlow | London Inner (South) | Community health care related deaths | The Bexley Medical Group | https://www.judiciary.uk/publications/feni-lee/ |
| 1031 | 30-May-19 | 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/ |
| 1032 | 03-Jul-19 | 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/ |
| 1033 | 03-Jul-19 | 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/ |
| 1034 | 01-Jul-19 | 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/ |
| 1035 | 28-Jun-19 | 2019-0229 | TR | Emma Serrano | Derby and Derbyshire | Road (Highways Safety) related deaths | Derbyshire County Council | https://www.judiciary.uk/publications/thomas-reid/ |
| 1036 | 27-Jun-19 | 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/ |
| 1037 | 05-Jul-19 | 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/ |
| 1038 | 09-Jul-19 | 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/ |
| 1039 | 04-Jul-19 | 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/ |
| 1040 | 11-Jul-19 | 2019-0237 | RR | Rachel Galloway | Manchester (West) | Care Home Health related deaths | HC-One | https://www.judiciary.uk/publications/robert-rostron/ |
| 1041 | 11-Jul-19 | 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/ |
| 1042 | 11-Jul-19 | 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/ |
| 1043 | 12-Jul-19 | 2019-0238 | JS | Alison McCormick | Berkshire | Road (Highways Safety) related deaths | The Highways Authority | https://www.judiciary.uk/publications/john-shackley/ |
| 1044 | 12-Jul-19 | 2019-0238A | JI | Alison McCormick | Berkshire | Road (Highways Safety) related deaths | The Highways Authority | https://www.judiciary.uk/publications/jason-imi/ |
| 1045 | 17-Jul-19 | 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/ |
| 1046 | 17-Jul-19 | 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/ |
| 1047 | 18-Jul-19 | 2019-0242 | RQ | Kally Cheema | Cumbria | Road (Highways Safety) related deaths | DVSA | https://www.judiciary.uk/publications/rebecca-quail/ |
| 1048 | 17-Jul-19 | 2019-0243 | JW | Anna Loxton | Surrey | Accident at Work and Health and Safety related deaths | HSE | https://www.judiciary.uk/publications/jj-wilson/ |
| 1049 | 12-Sep-19 | 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/ |
| 1050 | 19-Jul-19 | 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/ |
| 1051 | 01-Jul-19 | 2019-0245 | PL | Zafar Siddique | Black Country | Mental Health related deaths | Walsall Metropolitan Borough Council; Walsall Mental Health Partnership | https://www.judiciary.uk/publications/peter-lawrence-2/ |
| 1052 | 23-Jul-19 | 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/ |
| 1053 | 23-Jul-19 | 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/ |
| 1054 | 19-Jul-19 | 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/ |
| 1055 | 24-Jul-19 | 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/ |
| 1056 | 25-Jul-19 | 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/ |
| 1057 | 26-Jul-19 | 2019-0251 | AR | Oliver Longstaff | West Yorkshire (West) | Road (Highways Safety) | Calderdale Council Highways Department | https://www.judiciary.uk/publications/antony-rogivska/ |
| 1058 | 26-Jul-19 | 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/ |
| 1059 | 24-Jul-19 | 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/ |
| 1060 | 26-Jul-19 | 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/ |
| 1061 | 30-May-19 | 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/ |
| 1062 | 29-Jul-19 | 2019-0257 | AM | Nigel Meadows | Manchester (City) | Suicide (from 2015) | Worcestershire Health Care and NHS Trust | https://www.judiciary.uk/publications/alistair-mcdonald/ |
| 1063 | 25-Jul-19 | 2019-0258 | SK | Laurinda Bower | Nottinghamshire | Other related deaths | URBN UK Ltd | https://www.judiciary.uk/publications/stanislawa-kmiecik/ |
| 1064 | 29-Jul-19 | 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/ |
| 1065 | 30-Apr-19 | 2019-0217 | CJ | Ian Arrow | Plymouth, Torbay and South Devon | Other related deaths | Department for Transport | https://www.judiciary.uk/publications/clive-jones/ |
| 1066 | 24-Jun-19 | 2019-0213 | PT | Andrew Walker | London (North) | Other related deaths | Department for Transport; Occupational Safety Manager | https://www.judiciary.uk/publications/priscilla-tropp/ |
| 1067 | 21-Jun-19 | 2019-0215 | RT | Jame Healy-Pratt | East Sussex | State Custody related deaths | HM Prison and Probation Service | https://www.judiciary.uk/publications/ryan-trimmer/ |
| 1068 | 18-Mar-19 | 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/ |
| 1069 | 24-Jun-19 | 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/ |
| 1070 | 26-Jun-19 | 2019-0212 | CK | Anna Crawford | Surrey | Community health care related deaths | Angel Solutions (UK) Limited | https://www.judiciary.uk/publications/charles-knapp/ |
| 1071 | 27-Jun-19 | 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/ |
| 1072 | 25-Jun-19 | 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/ |
| 1073 | 23-Jun-19 | 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/ |
| 1074 | 25-Jun-19 | 2019-0208 | JD | Jacqueline Lake | Norfolk | Care Home Health related deaths | Crystal Care Limited; Sapphire House | https://www.judiciary.uk/publications/james-delaney/ |
| 1075 | 29-Apr-19 | 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/ |
| 1076 | 19-Jun-19 | 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/ |
| 1077 | 19-Jun-19 | 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/ |
| 1078 | 19-Jun-19 | 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/ |
| 1079 | 20-Jun-19 | 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/ |
| 1080 | 19-Jun-19 | 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/ |
| 1081 | 18-Jun-19 | 2019-0201 | AS | Andrew Bridgman | Manchester (South) | Other related deaths | Greater Manchester Police | https://www.judiciary.uk/publications/alfred-sykes/ |
| 1082 | 18-Jun-19 | 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/ |
| 1083 | 17-Jun-19 | 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/ |
| 1084 | 17-Jun-19 | 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/ |
| 1085 | 12-Jun-19 | 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/ |
| 1086 | 11-Jun-19 | 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/ |
| 1087 | 10-Jun-19 | 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/ |
| 1088 | 10-Jun-19 | 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/ |
| 1089 | 12-Apr-19 | 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/ |
| 1090 | 06-Jun-19 | 2019-0189 | RH | Brendan Allen | Dorset | Road (Highways Safety) related deaths | The Duchy of Cornwall | https://www.judiciary.uk/publications/richard-hallett/ |
| 1091 | 03-Jun-19 | 2019-0188 | DB | Emma Whitting | Bedfordshire & Luton | Police related deaths | Bedfordshire Police | https://www.judiciary.uk/publications/david-bird/ |
| 1092 | 03-Jun-19 | 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/ |
| 1093 | 21-Mar-19 | 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/ |
| 1094 | 19-Aug-19 | 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/ |
| 1095 | 16-Aug-19 | 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/ |
| 1096 | 16-Aug-19 | 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/ |
| 1097 | 12-Jun-19 | 2019-0194 | NQ | Derek Winter | Sunderland | Other related deaths | National Probation Service | https://www.judiciary.uk/publications/nguyen-quyen/ |
| 1098 | 01-Apr-19 | 2019-0197 | OA | Sarah Bourke | London Inner (North) | Road (Highways Safety) related deaths | Transport for London | https://www.judiciary.uk/publications/ozan-allen/ |
| 1099 | 13-Jun-19 | 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/ |
| 1100 | 21-Mar-19 | 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/ |
| 1101 | 07-Mar-19 | 2019-0176 | SR | Darren Salter | Oxfordshire | Police related deaths | Thames Valley Police | https://www.judiciary.uk/publications/simon-robinson/ |
| 1102 | 03-Jun-19 | 2019-0185 | JR | Andrew Cox | Cornwall and the Isle of Scilly | Community health | Cornwall Council; MHRA | https://www.judiciary.uk/publications/jeanette-robinson/ |
| 1103 | 03-Jun-19 | 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/ |
| 1104 | 24-May-19 | 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/ |
| 1105 | 31-May-19 | 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/ |
| 1106 | 31-May-19 | 2019-0182 | JB | Heidi Connor | Berkshire | Police related deaths | Surrey Police | https://www.judiciary.uk/publications/joshua-blackham/ |
| 1107 | 30-May-19 | 2019-0180 | BH | Tom Osborne | Milton Keynes | Road (Highways Safety) related deaths | Highways England | https://www.judiciary.uk/publications/barbara-henderson/ |
| 1108 | 22-May-19 | 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/ |
| 1109 | 09-Aug-19 | 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/ |
| 1110 | 23-May-19 | 2019-0167 | GS | Lydia Browne | Leicester City and Leicestershire South | Emergency services related deaths (2019 onwards) | JRCALC | https://www.judiciary.uk/publications/george-smith/ |
| 1111 | 17-May-19 | 2019-0160 | JSB | Crispin Butler | Buckinghamshire | Other related deaths | Civil Aviation Authority | https://www.judiciary.uk/publications/jaspal-singh-bahra/ |
| 1112 | 28-May-19 | 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/ |
| 1113 | 09-Apr-19 | 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/ |
| 1114 | 28-Mar-19 | 2019-0172 | TG | Sarah Bourke | London Inner (North) | Other related deaths | London Borough of Camden | https://www.judiciary.uk/publications/tony-goodridge/ |
| 1115 | 28-May-19 | 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/ |
| 1116 | 30-May-19 | 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/ |
| 1117 | 24-May-19 | 2019-0170 | BC | Caroline Saunders | Gloucestershire | Road (Highways Safety) related deaths | Gloucestershire County Council | https://www.judiciary.uk/publications/barry-clow/ |
| 1118 | 24-May-19 | 2019-0170A | RW | Caroline Saunders | Gloucestershire | Road (Highways Safety) related deaths | Gloucestershire County Council | https://www.judiciary.uk/publications/ray-westlake/ |
| 1119 | 23-May-19 | 2019-0169 | SF | David Reid | Hampshire (Central) | Suicide (from 2015) | https://www.judiciary.uk/publications/sasha-forster/ | |
| 1120 | 25-May-19 | 2019-0168 | AM | Caroline Saunders | Gloucestershire | Road (Highways Safety) related deaths | Gloucestershire County Council Highways Department | https://www.judiciary.uk/publications/ahmed-motala/ |
| 1121 | 23-May-19 | 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/ |
| 1122 | 20-May-19 | 2019-0165 | RP | Richard Middleton | Dorset | Road (Highways Safety) related deaths | Dorset Council Highways Department | https://www.judiciary.uk/publications/richard-phillips/ |
| 1123 | 20-May-19 | 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/ |
| 1124 | 11-Mar-19 | 2019-0163 | MW | Jean Harkin | Manchester (City) | Hospital Death (Clinical Procedures and medical management) related deaths | MFT | https://www.judiciary.uk/publications/margaret-wilson/ |
| 1125 | 11-Mar-19 | 2019-0162 | PC | Jean Harkin | Manchester (City) | Hospital Death (Clinical Procedures and medical management) related deaths | MFT | https://www.judiciary.uk/publications/peter-carroll/ |
| 1126 | 08-Apr-19 | 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/ |
| 1127 | 09-May-19 | 2019-0153 | JA | Katy Skerrett | Gloucestershire | Other related deaths | Department for Housing, Communities and Local Government | https://www.judiciary.uk/publications/john-alliston/ |
| 1128 | 02-May-19 | 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/ |
| 1129 | 29-Apr-19 | 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/ |
| 1130 | 29-Apr-19 | 2019-0145 | DP | Alison Mutch | Manchester (South) | Alcohol, drug and medication related deaths | Stockport CCG | https://www.judiciary.uk/publications/david-price-2/ |
| 1131 | 01-May-19 | 2019-0144 | SM | Jonathan Leach | West Yorkshire (East) | Child Death (from 2015) | Leeds Martial Arts College | https://www.judiciary.uk/publications/scott-marsden/ |
| 1132 | 02-May-19 | 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/ |
| 1133 | 01-May-19 | 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/ |
| 1134 | 10-May-19 | 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/ |
| 1135 | 17-May-19 | 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/ |
| 1136 | 17-May-19 | 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/ |
| 1137 | 17-May-19 | 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/ |
| 1138 | 08-Apr-19 | 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/ |
| 1139 | 14-May-19 | 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/ |
| 1140 | 15-May-19 | 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/ |
| 1141 | 16-May-19 | 2019-0155 | BM | Maria Voisin | Avon | Suicide (from 2015) | Bristol University; Department of Education | https://www.judiciary.uk/publications/benjamin-murray/ |
| 1142 | 16-May-19 | 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/ |
| 1143 | 12-Jul-19 | 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/ |
| 1144 | 24-Jul-19 | 2019-0497 | MW | Laurinda Bower | Nottinghamshire | Emergency services related deaths (2019 onwards) | National Ambulance Service | https://www.judiciary.uk/publications/maureen-woods/ |
| 1145 | 21-Jun-19 | 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/ |
| 1146 | 28-Jun-19 | 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/ |
| 1147 | 08-Apr-19 | 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/ |
| 1148 | 13-Mar-19 | 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/ |
| 1149 | 10-Apr-19 | 2019-0127A | DD | Gilva Tisshaw | Brighton and Hove | Police related deaths | Sussex Police | https://www.judiciary.uk/publications/david-dooley/ |
| 1150 | 09-Apr-19 | 2019-0126A | FM | Simon Jones | Lancaster & Blackburn with Darwen | Road (Highways Safety) related deaths | Lancashire County Council | https://www.judiciary.uk/publications/freda-mason/ |
| 1151 | 02-Apr-19 | 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/ |
| 1152 | 18-Mar-19 | 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/ |
| 1153 | 26-Jun-19 | 2019-0218 | CC | Katy Skerrett | Gloucestershire | Railway related deaths | Network Rail | https://www.judiciary.uk/publications/colin-cameron/ |
| 1154 | 27-Jun-19 | 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/ |
| 1155 | 15-Jan-19 | 2019-0143 | CH | Sarah Ormond-Walshe | London (South) | Mental Health related deaths | Metropolitan Police | https://www.judiciary.uk/publications/catherine-horton/ |
| 1156 | 20-Jun-19 | 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/ |
| 1157 | 09-Apr-19 | 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/ |
| 1158 | 05-Apr-19 | 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/ |
| 1159 | 02-Apr-19 | 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/ |
| 1160 | 05-Apr-19 | 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/ |
| 1161 | 18-Apr-19 | 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/ |
| 1162 | 17-Apr-19 | 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/ |
| 1163 | 17-Apr-19 | 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/ |
| 1164 | 17-Apr-19 | 2019-0128 | JR | Heidi Connor | Berkshire | Road (Highways Safety) related deaths | Slough Borough Council | https://www.judiciary.uk/publications/june-russell/ |
| 1165 | 17-Apr-19 | 2019-0129A | BG | Sarah Bourke | London Inner (North) | Community health care | One Hosing Group | https://www.judiciary.uk/publications/brian-goodman/ |
| 1166 | 25-Apr-19 | 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/ |
| 1167 | 18-Apr-19 | 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/ |
| 1168 | 16-Apr-19 | 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/ |
| 1169 | 24-Apr-19 | 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/ |
| 1170 | 02-Apr-19 | 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/ |
| 1171 | 24-Apr-19 | 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/ |
| 1172 | 29-Apr-19 | 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/ |
| 1173 | 25-Apr-19 | 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/ |
| 1174 | 23-Apr-19 | 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/ |
| 1175 | 12-Apr-19 | 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/ |
| 1176 | 15-Apr-19 | 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/ |
| 1177 | 12-Apr-19 | 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/ |
| 1178 | 17-Apr-19 | 2019-0128A | PK | Abigail Combes | South Yorkshire (West) | Care Home Health related deaths | Roseberry Care Centres | https://www.judiciary.uk/publications/patrick-kelly/ |
| 1179 | 04-Apr-19 | 2019-0136 | LA | Tony Brown | North Northumberland | Police related deaths | Northumbria Police | https://www.judiciary.uk/publications/lesley-armstrong/ |
| 1180 | 15-Apr-19 | 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/ |
| 1181 | 15-Apr-19 | 2019-0009 | SN | Jame Thompson | County Durham and Darlington | Road (Highways Safety) related deaths | Durham County Council | https://www.judiciary.uk/publications/shaun-neal/ |
| 1182 | 26-Apr-19 | 2019-0138 | WH | Alan Moore | Cheshire | Road (Highways Safety) related deaths | Cheshire West and Chester Council | https://www.judiciary.uk/publications/william-hignett/ |
| 1183 | 29-Apr-19 | 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/ |
| 1184 | 30-Apr-19 | 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/ |
| 1185 | 10-Apr-19 | 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/ |
| 1186 | 29-Apr-19 | 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/ |
| 1187 | 22-Mar-19 | 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/ |
| 1188 | 18-Mar-19 | 2019-0097 | FB | Nadia Persaud | London (East) | Care Home Health related deaths | The Kind Care Home | https://www.judiciary.uk/publications/frederick-brooker/ |
| 1189 | 21-Feb-19 | 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/ |
| 1190 | 20-Mar-19 | 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/ |
| 1191 | 19-Mar-19 | 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/ |
| 1192 | 19-Mar-19 | 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/ |
| 1193 | 12-Mar-19 | 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/ |
| 1194 | 18-Mar-19 | 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/ |
| 1195 | 19-Mar-19 | 2019-0094 | MP | Heath Westerman | Cheshire | Accident at Work and Health and Safety related deaths | HSE | https://www.judiciary.uk/publications/mark-parry/ |
| 1196 | 14-Mar-19 | 2019-0089 | KD | Alan Moore | Cheshire | Hospital Death (Clinical Procedures and medical management) related deaths | NHS England | https://www.judiciary.uk/publications/katharine-dowling/ |
| 1197 | 13-Mar-19 | 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/ |
| 1198 | 11-Mar-19 | 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/ |
| 1199 | 25-Mar-19 | 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/ |
| 1200 | 25-Mar-19 | 2019-0100 | CG | Richard Middleton | Dorset | Road (Highways Safety) related deaths | Bournemouth Borough Council | https://www.judiciary.uk/publications/christopher-gibbs/ |
| 1201 | 25-Feb-19 | 2019-0102 | SK | Robert Chapman | Cumbria | Railway related deaths; Suicide (from 2015) | Network Rail | https://www.judiciary.uk/publications/steven-key/ |
| 1202 | 22-Mar-19 | 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/ |
| 1203 | 27-Mar-19 | 2019-0103 | JB | Jacqueline Devonish | Suffolk | Hospital Death (Clinical Procedures and medical management) related deaths | NHS Suffolk | https://www.judiciary.uk/publications/justin-brown/ |
| 1204 | 20-Mar-19 | 2019-0104 | CB | Tim Holloway | Blackpool & Fylde | Other related deaths | https://www.judiciary.uk/publications/christopher-bevan/ | |
| 1205 | 28-Mar-19 | 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/ |
| 1206 | 29-Mar-19 | 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/ |
| 1207 | 29-Mar-19 | 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/ |
| 1208 | 22-Mar-19 | 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/ |
| 1209 | 07-Mar-19 | 2019-0112 | MB | Timothy Brennard | Lincolnshire | Road (Highways Safety) related deaths | Department for Transport; Lincolnshire County Council | https://www.judiciary.uk/publications/matthew-bilby/ |
| 1210 | 01-Apr-19 | 2019-0108 | AC | Nichola Rheinberg | Wilshire and Swindon | Other related deaths | CQC; Royal Institute of British Architects | https://www.judiciary.uk/publications/andrew-clegg/ |
| 1211 | 11-Mar-19 | 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/ |
| 1212 | 07-Mar-19 | 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/ |
| 1213 | 07-Mar-19 | 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/ |
| 1214 | 08-Mar-19 | 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/ |
| 1215 | 22-Feb-19 | 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/ |
| 1216 | 26-Feb-19 | 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/ |
| 1217 | 26-Feb-19 | 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/ |
| 1218 | 01-Mar-19 | 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/ |
| 1219 | 26-Feb-19 | 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/ |
| 1220 | 01-Feb-19 | 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/ |
| 1221 | 27-Feb-19 | 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/ |
| 1222 | 27-Feb-19 | 2019-0075 | SG | Penelope Schofield | West Sussex | Other related deaths | Park Holiday UK Limited | https://www.judiciary.uk/publications/shane-gray/ |
| 1223 | 27-Feb-19 | 2019-0074 | KS | Geraint Williams | Worcestershire | State Custody related deaths | HM Prison Service and HMP Hewell | https://www.judiciary.uk/publications/kelvin-speakman/ |
| 1224 | 26-Feb-19 | 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/ |
| 1225 | 26-Feb-19 | 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/ |
| 1226 | 27-Feb-19 | 2019-0070 | TF | Fiona Wilcox | London Inner (West) | Community health care | CQC; Lisson Grove Health Centre | https://www.judiciary.uk/publications/theresa-feehan/ |
| 1227 | 03-Apr-19 | 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/ |
| 1228 | 05-Apr-19 | 2019-0120 | RK | Caroline Beasley-Murray | Essex | Police related deaths | Essex Police | https://www.judiciary.uk/publications/raymond-knight/ |
| 1229 | 21-Jan-19 | 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/ |
| 1230 | 01-Apr-19 | 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/ |
| 1231 | 01-Apr-19 | 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/ |
| 1232 | 04-Apr-19 | 2019-0119 | JP | Christopher Williams | London Inner (South) | Road (Highways Safety) related deaths | Department for Transport | https://www.judiciary.uk/publications/julia-peto/ |
| 1233 | 05-Apr-19 | 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/ |
| 1234 | 27-Mar-19 | 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/ |
| 1235 | 22-Feb-19 | 2019-0109 | DF | Paul O’Donnell | Cumbria | Road (Highways Safety) related deaths | Highways England | https://www.judiciary.uk/publications/doreen-fell/ |
| 1236 | 03-Apr-19 | 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/ |
| 1237 | 03-Apr-19 | 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/ |
| 1238 | 19-Feb-19 | 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/ |
| 1239 | 14-Jan-19 | 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/ |
| 1240 | 15-Feb-19 | 2019-0055 | DT | Alison Mutch | Manchester (South) | Other related deaths | HSE | https://www.judiciary.uk/publications/dwayne-thompson/ |
| 1241 | 20-Feb-19 | 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/ |
| 1242 | 12-Feb-19 | 2019-0054 | BG | Rosemary Baxter | East Riding and Hull | Other related deaths | The Crossing Project | https://www.judiciary.uk/publications/bryan-gray/ |
| 1243 | 14-Feb-19 | 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/ |
| 1244 | 14-Feb-19 | 2019-0052 | DM | Tom Osborne | Milton Keynes | Emergency services related deaths (2019 onwards) | Milton Keynes CCG | https://www.judiciary.uk/publications/douglas-minns/ |
| 1245 | 14-Feb-19 | 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/ |
| 1246 | 24-Feb-19 | 2019-0073 | PD | Elizabeth Didcock | Nottinghamshire | Suicide (from 2015) | Central Medical Services | https://www.judiciary.uk/publications/polly-drew/ |
| 1247 | 25-Feb-19 | 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/ |
| 1248 | 22-Feb-19 | 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/ |
| 1249 | 26-Feb-19 | 2019-0066 | CM | Andrew Haigh | Staffordshire South | State Custody related deaths; Suicide (from 2015) | MOJ | https://www.judiciary.uk/publications/christopher-moss/ |
| 1250 | 26-Feb-19 | 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/ |
| 1251 | 25-Feb-19 | 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/ |
| 1252 | 27-Feb-19 | 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/ |
| 1253 | 20-Feb-19 | 2019-0058 | KM | Dianne Hockling | Leicester City and South Leicestershire | Other related deaths | Inspector of Diving; HSE | https://www.judiciary.uk/publications/kevin-miles/ |
| 1254 | 21-Feb-19 | 2019-0060 | RC | Jacqueline Lake | Norfolk | Emergency services related deaths (2019 onwards) | East of England Ambulance Service | https://www.judiciary.uk/publications/robert-chandler/ |
| 1255 | 21-Feb-19 | 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/ |
| 1256 | 25-Jan-19 | 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/ |
| 1257 | 21-Feb-19 | 2019-0063 | EW | Maria Voisin | Avon | Other related deaths | Persimmon Homes Severn Valley; North Somerset Council | https://www.judiciary.uk/publications/evie-wright/ |
| 1258 | 08-Feb-19 | 2019-0040 | JC | Jame Bennett | Birmingham and Solihull | Care Home Health related deaths | Cole Valley Care Limited | https://www.judiciary.uk/publications/jean-cutler/ |
| 1259 | 07-Feb-19 | 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/ |
| 1260 | 31-Jan-19 | 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/ |
| 1261 | 25-Jan-19 | 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/ |
| 1262 | 28-Jan-19 | 2019-0036 | SB | Tanyka Rawden | Nottinghamshire | Community health care related deaths | First Class Care | https://www.judiciary.uk/publications/simon-barber/ |
| 1263 | 29-Jan-19 | 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/ |
| 1264 | 28-Jan-19 | 2019-0034 | TP | Paul Smith | Lincolnshire | Product related deaths | LEC Refrigeration; Office for Product Safety and Standards | https://www.judiciary.uk/publications/terence-penney/ |
| 1265 | 06-Mar-19 | 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/ |
| 1266 | 28-Jan-19 | 2019-0033 | JH | ME Hassell | London Inner (North) | Alcohol, drug and medication related deaths | Egg London Nightclub | https://www.judiciary.uk/publications/jack-hubbard/ |
| 1267 | 28-Jan-19 | 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/ |
| 1268 | 24-Jan-19 | 2019-0031 | OJ | Paul Cooper | Lincolnshire | Emergency services related deaths (2019 onwards) | East Midlands Ambulance Service | https://www.judiciary.uk/publications/olive-johnson/ |
| 1269 | 14-Feb-19 | 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/ |
| 1270 | 14-Feb-19 | 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/ |
| 1271 | 13-Feb-19 | 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/ |
| 1272 | 13-Feb-19 | 2019-0047 | BZ | Stephen Nicholls | Dorset | State Custody related deaths | Home Office | https://www.judiciary.uk/publications/branko-zdravkovic/ |
| 1273 | 12-Feb-19 | 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/ |
| 1274 | 11-Feb-19 | 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/ |
| 1275 | 12-Feb-19 | 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/ |
| 1276 | 11-Feb-19 | 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/ |
| 1277 | 11-Feb-19 | 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/ |
| 1278 | 04-Jan-19 | 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/ |
| 1279 | 10-Jan-19 | 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/ |
| 1280 | 11-Jan-19 | 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/ |
| 1281 | 10-Jan-19 | 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/ |
| 1282 | 10-Jan-19 | 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/ |
| 1283 | 10-Jan-19 | 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/ |
| 1284 | 10-Jan-19 | 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/ |
| 1285 | 09-Jan-19 | 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/ |
| 1286 | 02-Jan-19 | 2019-0001 | AP | David Ridley | Wiltshire and Swindon | Service Personnel related deaths | Civil Aviation Authority | https://www.judiciary.uk/publications/alexandre-parr/ |
| 1287 | 16-Jan-19 | 2019-0022 | GT | Christopher Morris | Manchester (South) | Community health care related deaths | Highlands and Trafalgar Square Surgery | https://www.judiciary.uk/publications/george-thompson/ |
| 1288 | 11-Jan-19 | 2019-0021 | AB | Lydia Brown | Leicester City and Leicestershire South | Mental Health related deaths | Clinical Commissioning Group | https://www.judiciary.uk/publications/amanda-briley/ |
| 1289 | 11-Jan-19 | 2019-0017 | RG | Alison Mutch | Manchester (South) | Care Home Health related deaths | Reinbek Care Home | https://www.judiciary.uk/publications/ruth-gregory/ |
| 1290 | 11-Jan-19 | 2019-0018 | EC | Maria Voisin | Avon | Hospital Death (Clinical Procedures and medical management) related deaths | NHS Improvements | https://www.judiciary.uk/publications/elizabeth-curtis/ |
| 1291 | 11-Jan-19 | 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/ |
| 1292 | 18-Jan-19 | 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/ |
| 1293 | 23-Jan-19 | 2019-0028 | TG | ME Hassell | London Inner (North) | State Custody related deaths | HMP Pentonville; Care UK; NOMS | https://www.judiciary.uk/publications/tyrone-givans/ |
| 1294 | 25-Jan-19 | 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/ |
| 1295 | 22-Jan-19 | 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/ |
| 1296 | 17-Jan-19 | 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/ |
| 1297 | 21-Jan-19 | 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/ |
| 1298 | 17-Jan-19 | 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/ |
| 1299 | 23-Jan-19 | 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/ |
| 1300 | 15-Jan-19 | 2019-0020 | MM | Rachel Galloway | Manchester (City) | Care Home Health related deaths | Each Step Nursing Home | https://www.judiciary.uk/publications/marie-winter/ |
| 1301 | 15-Jan-19 | 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/ |
| 1302 | 19-Dec-18 | 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/ |
| 1303 | 18-Dec-18 | 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/ |
| 1304 | 18-Dec-18 | 2018-0394 | SL | Peter Harrowing | Avon | Hospital Death (Clinical Procedures and medical management) related deaths | NHS Digital | https://www.judiciary.uk/publications/susan-longden/ |
| 1305 | 19-Dec-18 | 2018-0393 | MN | Andre Rebello | Liverpool & Wirral | State Custody related deaths | Home Office; MOJ | https://www.judiciary.uk/publications/michal-netyks/ |
| 1306 | 18-Dec-18 | 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/ |
| 1307 | 18-Dec-18 | 2018-0391 | JV | Caroline Sumeray | Isle of Wight | Road (Highways Safety) related deaths | Isle of Wight Council | https://www.judiciary.uk/publications/jacqueline-valvona/ |
| 1308 | 12-Dec-18 | 2018-0390 | EF | Karen Dilks | Newcastle upon Tyne | Alcohol, drug and medication related deaths | Department for Education | https://www.judiciary.uk/publications/edward-farmer/ |
| 1309 | 18-Dec-18 | 2018-0389 | JD | David Urpeth | South Yorkshire (West) | Care Home Health related deaths | Brancaster Care | https://www.judiciary.uk/publications/john-duckenfield/ |
| 1310 | 18-Dec-18 | 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/ |
| 1311 | 14-Dec-18 | 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/ |
| 1312 | 12-Dec-18 | 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/ |
| 1313 | 10-Dec-18 | 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/ |
| 1314 | 12-Dec-18 | 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/ |
| 1315 | 05-Dec-18 | 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/ | |
| 1316 | 19-Oct-18 | 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/ |
| 1317 | 11-Dec-18 | 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/ |
| 1318 | 11-Dec-18 | 2018-0380 | RL | Brendan Allen | Dorset | Road (Highways Safety) related deaths | Dorset Highways Department | https://www.judiciary.uk/publications/rowan-lloyd/ |
| 1319 | 06-Dec-18 | 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/ |
| 1320 | 06-Dec-18 | 2018-0377 | VG | Nigel Meadows | Manchester (City) | Care Home Health related deaths | Zinnia Healthcare Limited | https://www.judiciary.uk/publications/veronica-gregory/ |
| 1321 | 06-Dec-18 | 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/ |
| 1322 | 28-Nov-18 | 2018-0376 | RH | Tanyka Rawden | South Yorkshire (West) | Care Home Health related deaths | Rosehill House Care Home | https://www.judiciary.uk/publications/ronald-houchin/ |
| 1323 | 30-Nov-18 | 2018-0375 | TN | Geoffrey Sullivan | Hertfordshire | State Custody related deaths; Suicide (from 2015) | MOJ; NHS England | https://www.judiciary.uk/publications/thomas-nicol/ |
| 1324 | 30-Nov-18 | 2018-0374 | BB | Lisa Hashmi | Manchester (North) | State Custody related deaths | MOJ; NHS England | https://www.judiciary.uk/publications/bradley-brown/ |
| 1325 | 29-Nov-18 | 2018-0373 | LS | Robert Turnbull | North Yorkshire | Road (Highways Safety) related deaths | North Yorkshire County Council | https://www.judiciary.uk/publications/luke-saxton/ |
| 1326 | 27-Aug-18 | 2018-0371 | PG | Martin Fleming | West Yorkshire (West) | Other related deaths | Midgehole Working Mens Club | https://www.judiciary.uk/publications/peter-gledhill/ |
| 1327 | 21-Nov-18 | 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/ |
| 1328 | 01-Aug-18 | 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/ |
| 1329 | 20-Nov-18 | 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/ |
| 1330 | 22-Nov-18 | 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/ |
| 1331 | 22-Nov-18 | 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/ |
| 1332 | 08-May-19 | 2019-0488 | BO | Christopher Willilams | London Inner (South) | State Custody related deaths | Oxleas NHS Trust | https://www.judiciary.uk/publications/bernard-oflynn/ |
| 1333 | 08-May-19 | 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/ |
| 1334 | 22-Nov-18 | 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/ |
| 1335 | 21-Nov-18 | 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/ |
| 1336 | 21-Nov-18 | 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/ |
| 1337 | 03-Oct-18 | 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/ |
| 1338 | 13-Nov-18 | 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/ |
| 1339 | 19-Nov-18 | 2018-0359 | BW | J Robinson | Manchester (North) | Care Home Health related deaths | Beechwood Lodge Care Home | https://www.judiciary.uk/publications/beryl-walsh/ |
| 1340 | 16-Jul-18 | 2018-0358 | TE | Emma Whitting | Coventry | Road (Highways Safety) related deaths | Driver & Vehicle Licensing Agency | https://www.judiciary.uk/publications/tyrone-evans-2/ |
| 1341 | 16-Nov-18 | 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/ |
| 1342 | 28-Aug-18 | 2018-0356 | PL | Stuart Fisher | Lincolnshire | Accident at Work and Health and Safety related deaths | HSE | https://www.judiciary.uk/publications/peter-lett/ |
| 1343 | 20-Nov-18 | 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/ |
| 1344 | 16-Nov-18 | 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/ |
| 1345 | 16-Nov-18 | 2018-0354 | DG | ME Hassell | London Inner (North) | Hospital Death (Clinical Procedures and medical | Royal London Hospital | https://www.judiciary.uk/publications/dawn-gill/ |
| 1346 | 12-May-18 | 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/ |
| 1347 | 15-Nov-18 | 2018-0352 | KC | Andrew Haigh | Staffordshire (South) | Road (Highways Safety) related deaths | Staffordshire County Council | https://www.judiciary.uk/publications/kendall-chadwick/ |
| 1348 | 13-Nov-18 | 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/ |
| 1349 | 26-Oct-18 | 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/ |
| 1350 | 15-Apr-19 | 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/ |
| 1351 | 13-Nov-18 | 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/ |
| 1352 | 04-Nov-18 | 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/ |
| 1353 | 19-Oct-18 | 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/ |
| 1354 | 09-Nov-18 | 2019-0348A | JG | Catherine McKenna | Manchester (North) | Other related deaths | Rochdale Borough Council | https://www.judiciary.uk/publications/john-graham/ |
| 1355 | 12-Nov-18 | 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/ |
| 1356 | 05-Nov-18 | 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/ |
| 1357 | 09-Jan-19 | 2019-0015 | DG | Hassan Shah | Northamptonshire | Emergency Services related | East Midlands Ambulance Service; 111 Service | https://www.judiciary.uk/publications/diana-gudgeon/ |
| 1358 | 11-Feb-19 | 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/ |
| 1359 | 19-Dec-18 | 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/ |
| 1360 | 06-Nov-18 | 2018-0341 | RW | Ian Pears | Bedfordshire & Luton | Railway related deaths | Network Rail | https://www.judiciary.uk/publications/ryan-williams/ |
| 1361 | 06-Nov-18 | 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/ |
| 1362 | 05-Nov-18 | 2018-0340 | GJ | Geraint Williams | Worcestershire | Road (Highways Safety) related deaths | Worcestershire County Council | https://www.judiciary.uk/publications/gareth-jones/ |
| 1363 | 02-Nov-18 | 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/ |
| 1364 | 01-Nov-18 | 2018-0338 | BL | Thoma Osborne | Milton Keynes | Suicide (from 2015) | Milton Keynes CCG | https://www.judiciary.uk/publications/billie-lord/ |
| 1365 | 01-Nov-18 | 2018-0337 | CD | Thoma Osborne | Milton Keynes | Suicide (from 2015) | Milton Keynes CCG | https://www.judiciary.uk/publications/colette-dunn/ |
| 1366 | 02-Oct-18 | 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/ |
| 1367 | 04-Mar-19 | 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/ |
| 1368 | 02-Oct-18 | 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/ |
| 1369 | 27-Sep-18 | 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/ |
| 1370 | 03-Oct-18 | 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/ |
| 1371 | 03-Oct-18 | 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/ |
| 1372 | 01-Oct-18 | 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/ |
| 1373 | 04-Oct-18 | 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/ |
| 1374 | 09-Oct-18 | 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/ |
| 1375 | 27-Feb-19 | 2019-0474 | JM | Nigel Meadows | Manchester (City) | Alcohol, drug and medication related deaths | Head of Safeguarding | https://www.judiciary.uk/publications/janie-mcfadyen/ |
| 1376 | 26-Feb-19 | 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/ |
| 1377 | 03-Oct-18 | 2018-0327 | CT | Zafar Siddique | Black Country | Road (Highways Safety) related deaths | National Express West Midlands | https://www.judiciary.uk/publications/charlotte-tripper/ |
| 1378 | 10-Oct-18 | 2018-0325 | RM | John Broadbridge | North Yorkshire | Community health care and emergency services related deaths; Suicide (from 2015) | Harrogate & Rural District Clinical Commissioning Group | https://www.judiciary.uk/publications/robin-mcewan/ |
| 1379 | 28-Sep-18 | 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/ |
| 1380 | 27-Sep-18 | 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/ |
| 1381 | 18-Oct-18 | 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/ |
| 1382 | 18-Oct-18 | 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/ |
| 1383 | 19-Oct-18 | 2018-0320 | RM | Jonathan Leach | West Yorkshire (East) | State Custody related deaths | HMPPS | https://www.judiciary.uk/publications/robert-mcloughlin/ |
| 1384 | 16-Oct-18 | 2018-0319 | JS | Martin Fleming | West Yorkshire (West) | Road (Highways Safety) related deaths | Calderdale Metropolitan Borough Council | https://www.judiciary.uk/publications/jordan-sheils/ |
| 1385 | 23-Oct-18 | 2018-0318 | NL | Jonathan Leach | West Yorkshire (East) | State Custody related deaths | NOMS | https://www.judiciary.uk/publications/nicola-lawrence/ |
| 1386 | 24-Oct-18 | 2018-0317 | CG | ME Hassell | London Inner (North) | Other related deaths | DW Fitness First; UK Active | https://www.judiciary.uk/publications/catherine-gibbon/ |
| 1387 | 24-Oct-18 | 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/ |
| 1388 | 24-Oct-18 | 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/ |
| 1389 | 25-Oct-18 | 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/ |
| 1390 | 23-Oct-18 | 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/ |
| 1391 | 25-Oct-18 | 2018-0312 | DS | Guy Davies | Cornwall & the Isle of Scilly | Alcohol, drug and medication related deaths; Suicide (from 2015) | Kernow Clinical Commissioning Group | https://www.judiciary.uk/publications/david-sargeant/ |
| 1392 | 25-Oct-18 | 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/ |
| 1393 | 29-Oct-18 | 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/ |
| 1394 | 29-Oct-18 | 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/ |
| 1395 | 29-Oct-18 | 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/ |
| 1396 | 29-Oct-18 | 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/ |
| 1397 | 31-Oct-18 | 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/ |
| 1398 | 23-Oct-18 | 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/ |
| 1399 | 13-Feb-19 | 2019-0476 | SB | John Taylor | London (West) | Care Home Health related deaths | RPFI; RCI | https://www.judiciary.uk/publications/sophie-bennett/ |
| 1400 | 06-Feb-19 | 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/ |
| 1401 | 05-Feb-19 | 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/ |
| 1402 | 01-Feb-19 | 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/ |
| 1403 | 31-Jan-19 | 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/ |
| 1404 | 28-Jan-19 | 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/ |
| 1405 | 25-Jan-19 | 2019-0477 | AN | Lisa Hashmi | Manchester (North) | Other related deaths | Manchester Police | https://www.judiciary.uk/publications/anne-marie-nield/ |
| 1406 | 14-Aug-18 | 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/ |
| 1407 | 13-Aug-18 | 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/ |
| 1408 | 24-Jan-19 | 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/ |
| 1409 | 27-Sep-18 | 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/ |
| 1410 | 26-Sep-18 | 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/ |
| 1411 | 03-Sep-18 | 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/ |
| 1412 | 04-Sep-18 | 2018-0295 | CG | ME Hassell | London Inner (North) | Alcohol, drug and medication related deaths | Masta Limited | https://www.judiciary.uk/publications/colin-griffiths/ |
| 1413 | 03-Sep-18 | 2018-0294 | DD | Chri Morris | Manchester (South) | Care Home Health related deaths | HC-One | https://www.judiciary.uk/publications/doris-douthwaite/ |
| 1414 | 28-Jun-18 | 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/ |
| 1415 | 10-Sep-18 | 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/ |
| 1416 | 10-Sep-18 | 2018-0291 | DU | Geoffrey Sullivan | Hertfordshire | Railway related deaths | Network Rail | https://www.judiciary.uk/publications/darren-urquhart/ |
| 1417 | 10-Sep-18 | 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/ |
| 1418 | 11-Sep-18 | 2018-0289 | KS | Geoffrey Sullivan | Hertfordshire | Railway related deaths; Suicide (from 2015) | Network Rail | https://www.judiciary.uk/publications/kevin-sherwood/ |
| 1419 | 10-Sep-18 | 2018-0288 | AP | Andrew Walker | London (North) | Child Death (from 2015) | Department of Health and Social Care | https://www.judiciary.uk/publications/alba-pemberton/ |
| 1420 | 07-Sep-18 | 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/ |
| 1421 | 12-Sep-18 | 2018-0286 | AH | David Urpeath | South Yorkshire (West) | Other related deaths | Derwent Students | https://www.judiciary.uk/publications/abigail-hall/ |
| 1422 | 13-Sep-18 | 2018-0285 | DG | Sean McGovern | Warwickshire | Road (Highways Safety) related deaths | Warwickshire County Council | https://www.judiciary.uk/publications/daniel-ghafuri/ |
| 1423 | 13-Sep-18 | 2018-0285A | LH | Sean McGovern | Warwickshire | Road (Highways Safety) related deaths | Warwickshire County Council | https://www.judiciary.uk/publications/laila-habibi/ |
| 1424 | 14-Sep-18 | 2018-0284 | PR | Emma Brown | Birmingham and Solihull | Alcohol, drug and medication related deaths | Toxbase | https://www.judiciary.uk/publications/paul-ryley/ |
| 1425 | 14-Sep-18 | 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/ |
| 1426 | 14-Sep-18 | 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/ |
| 1427 | 13-Aug-18 | 2018-0281 | NB | David Ridley | Wiltshire and Swindon | Road (Highways Safety) related deaths | Wiltshire Council | https://www.judiciary.uk/publications/nana-boateng/ |
| 1428 | 31-Dec-18 | 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/ |
| 1429 | 28-Dec-18 | 2018-0408 | JW | Alison Mutch | Manchester (South) | Care Home Health related deaths | Department of Health | https://www.judiciary.uk/publications/joan-wright/ |
| 1430 | 28-Dec-18 | 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/ |
| 1431 | 28-Dec-18 | 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/ | |
| 1432 | 27-Dec-18 | 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/ |
| 1433 | 24-Dec-18 | 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/ |
| 1434 | 21-Dec-18 | PF | Philip Barlow | London Inner (South) | Road (Highways Safety) related deaths | London Borough of Lewisham | https://www.judiciary.uk/publications/paul-fairey/ | |
| 1435 | 21-Dec-18 | 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/ |
| 1436 | 21-Dec-18 | 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/ |
| 1437 | 21-Dec-18 | 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/ |
| 1438 | 21-Dec-18 | 2018-0402 | CS | Alison Mutch | Manchester (South) | Suicide (from 2015) | Tameside CCG | https://www.judiciary.uk/publications/cady-stewart/ |
| 1439 | 21-Dec-18 | 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/ |
| 1440 | 21-Dec-18 | 2018-0400 | WA | Yvonne Blake | Norfolk | Queen Elizabeth Hospital | https://www.judiciary.uk/publications/william-atherton/ | |
| 1441 | 20-Dec-18 | 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/ |
| 1442 | 19-Dec-18 | 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/ |
| 1443 | 04-Oct-18 | 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/ |
| 1444 | 04-Oct-18 | 2018-0417 | WE | Emma Brown | Birmingham and Solihull | Mental Health related deaths; | NHS England; Birmingham CCG | https://www.judiciary.uk/publications/william-edge/ |
| 1445 | 04-Oct-18 | 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/ |
| 1446 | 04-Oct-18 | 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/ |
| 1447 | 17-Dec-18 | 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/ |
| 1448 | 26-Nov-18 | 2018-0303 | JR | Joseph Hart | Liverpool & Wirral | Other related deaths | Goals Soccer Centres PLC; Football Association | https://www.judiciary.uk/publications/jack-riding/ |
| 1449 | 11-Dec-18 | 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/ | |
| 1450 | 04-Oct-18 | 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/ |
| 1451 | 28-Nov-18 | 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/ |
| 1452 | 16-Nov-18 | 2018-0301 | EB | Grahame Short | Southampton and New Forest | Mental Health related deaths | Southern Health NHS Trust | https://www.judiciary.uk/publications/eleanor-brabant/ |
| 1453 | 15-Nov-18 | RH | Stephanie Haskey | Nottinghamshire | Railway related deaths | Network Rail | https://www.judiciary.uk/publications/richard-hill/ | |
| 1454 | 01-Nov-18 | 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/ | |
| 1455 | 31-Oct-18 | 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/ | |
| 1456 | 31-Oct-18 | SB | Darren Salter | Oxfordshire | Accident at Work and Health and Safety related deaths | WISH | https://www.judiciary.uk/publications/stephen-buck/ | |
| 1457 | 01-Aug-18 | 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/ |
| 1458 | 29-May-18 | 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/ |
| 1459 | 06-Aug-18 | 2018-0276 | PL | Guy Davies | Isle of Scilly | Care Home Health related deaths | Crossroads House Care Home | https://www.judiciary.uk/publications/phylliss-letcher/ |
| 1460 | 01-Aug-18 | 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/ |
| 1461 | 06-Aug-18 | 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/ |
| 1462 | 08-Aug-18 | 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/ |
| 1463 | 08-Aug-18 | 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/ |
| 1464 | 27-Jul-18 | 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/ |
| 1465 | 09-Aug-18 | 2018-0271 | KC | Caroline Beasley-Murray | Essex | Mental Health related deaths | EPUT | https://www.judiciary.uk/publications/kelly-campbell/ |
| 1466 | 09-Aug-18 | 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/ |
| 1467 | 08-Aug-18 | 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/ |
| 1468 | 07-Aug-18 | 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/ |
| 1469 | 04-Oct-18 | 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/ |
| 1470 | 16-Oct-18 | 2018-0419A | JO | Louise Hunt | Birmingham and Solihull | Other related deaths | MOJ; Home Office | https://www.judiciary.uk/publications/jacqueline-oakes/ |
| 1471 | 11-Oct-18 | TL | Margaret Jones | Stoke-on-Trent and North Staffordshire | Suicide (from 2015) | Longton Police Station; MOJ | https://www.judiciary.uk/publications/thomas-lear/ | |
| 1472 | 13-Aug-18 | 2018-0265 | KA | ME Hassell | London (Inner) North | Other related deaths | Bannatyne Group | https://www.judiciary.uk/publications/kamal-al-hirsi/ |
| 1473 | 11-Oct-18 | DB | Jame Healy-Pratt | East Sussex | State Custody related deaths | HM Prison and Probation Service | https://www.judiciary.uk/publications/dean-barrell/ | |
| 1474 | 08-Oct-18 | 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/ |
| 1475 | 04-Oct-18 | 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/ |
| 1476 | 13-Aug-18 | 2018-0264 | SL | Ian Pears | Bedfordshire & Luton | Other related deaths | Bedford Borough Council | https://www.judiciary.uk/publications/stephen-lawson/ |
| 1477 | 24-Aug-18 | 2018-0263 | JJ | Maria Voisin | Avon | Road (Highways Safety) related deaths | Bristol City Council | https://www.judiciary.uk/publications/jacqueline-jordan/ |
| 1478 | 01-Oct-18 | HG | Paul Marks | East Riding and Kingston-upon-Hull | Other related deaths | Hull Combined Court Centre | https://www.judiciary.uk/publications/hayley-gascoigne/ | |
| 1479 | 26-Sep-18 | 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/ | |
| 1480 | 26-Sep-18 | 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/ | |
| 1481 | 19-Sep-18 | 2018-0262 | Fiona Wilcox | London (Inner) West | Other related deaths | NHS England | https://www.judiciary.uk/publications/grenfell-tower/ | |
| 1482 | 29-Aug-18 | 2018-0260 | HM | Maria Voisin | Avon | Other related deaths | FCO | https://www.judiciary.uk/publications/henry-miller/ |
| 1483 | 30-Aug-18 | 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/ |
| 1484 | 30-Aug-18 | 2018-0258 | DO | Geoffrey Sullivan | Hertfordshire | Railway related deaths; Suicide (from 2015) | London North Western Railways | https://www.judiciary.uk/publications/daniel-omahony/ |
| 1485 | 29-Aug-18 | 2018-0257 | DW | Christopher Dorries | South Yorkshire (West) | Other related deaths | Human Race Limited | https://www.judiciary.uk/publications/david-worthington/ |
| 1486 | 24-Aug-18 | 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/ |
| 1487 | 23-Aug-18 | 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/ |
| 1488 | 27-Apr-18 | 2018-0254 | PJ | Christopher Sutton-Mattocks | Mid Kent & Medway | State Custody related deaths | HMP Elmley | https://www.judiciary.uk/publications/paul-james/ |
| 1489 | 21-Aug-18 | 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/ |
| 1490 | 06-Jul-18 | 2018- 0252 | JS | Sarah Bourke | London (Inner) North | Other related deaths | London Borough of Camden | https://www.judiciary.uk/publications/jacob-sulaiman/ |
| 1491 | 21-Aug-18 | 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/ |
| 1492 | 25-Jul-18 | 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/ |
| 1493 | 10-Jul-18 | 2018-0250 | BC | Brendan Allen | Dorset | Railway related deaths | Network Rail | https://www.judiciary.uk/publications/86376/ |
| 1494 | 30-Jul-18 | 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/ |
| 1495 | 26-Jul-18 | 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/ |
| 1496 | 20-Jul-18 | 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/ |
| 1497 | 27-Jul-18 | 2018-0246 | GS | Leslie Hamilton | County Durham and Darlington | Other related deaths | Construction Industry Council | https://www.judiciary.uk/publications/matthew-storey/ |
| 1498 | 17-May-18 | 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/ |
| 1499 | 25-Jul-18 | 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/ |
| 1500 | 25-Jul-18 | 2018-0243 | JP | Alison Mutch | Manchester (South) | Care Home Health related deaths | CQC | https://www.judiciary.uk/publications/jane-parker/ |
| 1501 | 25-Jul-18 | 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/ |
| 1502 | 26-Jul-18 | 2018-0240 | DY | Shirley Radcliffe | London (Inner) West | Other related deaths | Department for Health | https://www.judiciary.uk/publications/daniel-young/ |
| 1503 | 26-Jul-18 | 2018-0242 | HF | Jonathan Layton | Carmarthenshire and Pembrokeshire | Road (Highways Safety) related deaths | Department for Transport | https://www.judiciary.uk/publications/herbert-francis/ |
| 1504 | 24-Jul-18 | 2018-0239 | TP | Ian Goldup | North East Kent | Railway related deaths | Network Rail | https://www.judiciary.uk/publications/taiyah-grace-peebles/ |
| 1505 | 13-Jun-18 | 2018-0238 | KW | Nichola Rheinberg | Wiltshire and Swindon | Other related deaths | Swindon Borough Council | https://www.judiciary.uk/publications/karen-wiggins-2/ |
| 1506 | 19-Jul-18 | 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/ |
| 1507 | 19-Jul-18 | 2018-0235 | JE | ME Hassell | London (Inner) North | Police related deaths | Metropolitan Police Service | https://www.judiciary.uk/publications/jeroen-ensink/ |
| 1508 | 20-Jul-18 | 2018-0236 | RP | Emma Whitting | Coventry | Care Home Health related deaths | Department for Health | https://www.judiciary.uk/publications/ruth-perkins/ |
| 1509 | 19-Jul-18 | 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/ |
| 1510 | 12-Jun-18 | 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/ |
| 1511 | 19-Jul-18 | 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/ |
| 1512 | 18-Jul-18 | 2018-0231 | DN | Louise Hunt | Birmingham | Service Personnel related deaths | MOD; BAE Systems Ltd | https://www.judiciary.uk/publications/darren-neilson/ |
| 1513 | 18-Jul-18 | 2018-0231A | MH | Louise Hunt | Birmingham | Service Personnel related deaths | MOD; BAE Systems Ltd | https://www.judiciary.uk/publications/matthew-hatfield/ |
| 1514 | 18-Jul-18 | 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/ |
| 1515 | 16-Jul-18 | 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/ |
| 1516 | 17-Jul-18 | 2018-0228 | LB | Christopher Dorries | South Yorkshire (West) | Road (Highways Safety) related deaths | Sheffield City Council | https://www.judiciary.uk/publications/leslie-bingham/ |
| 1517 | 16-Jul-18 | 2018-0227 | TE | Emma Whitting | Coventry | Road (Highways Safety) related deaths | DVLA; Department of Transport | https://www.judiciary.uk/publications/tyrone-evans/ |
| 1518 | 12-Jul-18 | 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/ |
| 1519 | 12-Jun-18 | 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/ |
| 1520 | 11-Jul-18 | 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/ |
| 1521 | 09-Jul-18 | 2018-0222 | DM | Jacqueline Devonish | London (South) | Care Home Health related deaths | Baycroft Care Homes | https://www.judiciary.uk/publications/doris-mccarthy/ |
| 1522 | 09-Jul-18 | 2018-0221 | RP | Katy Skerrett | Gloucestershire | Care Home Health related deaths | North Bristol NHS Trust | https://www.judiciary.uk/publications/robert-power/ |
| 1523 | 19-Sep-18 | 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/ | |
| 1524 | 19-Sep-18 | SB | Louise Hunt | Birmingham and Solihull | Community health care and emergency services related deaths | NHS England CCG | https://www.judiciary.uk/publications/sufia-begum/ | |
| 1525 | 19-Sep-18 | 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/ | |
| 1526 | 17-Sep-18 | MN | David Urpeth | South Yorkshire (West) | Road (Highways Safety) related deaths | https://www.judiciary.uk/publications/mark-nicols/ | ||
| 1527 | 15-Sep-18 | 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/ | |
| 1528 | 13-Sep-18 | DG | Sean McGovern | Warwickshire | Road (Highways Safety) related deaths; Child Death (from 2015) | Warwickshire County Council | https://www.judiciary.uk/publications/daniel-ghafuri-2/ | |
| 1529 | 13-Sep-18 | LH | Sean McGovern | Warwickshire | Road (Highways Safety) related deaths | Warwickshire County Council | https://www.judiciary.uk/publications/laila-habibi-2/ | |
| 1530 | 06-Jun-18 | 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/ |
| 1531 | 25-Aug-18 | KB | Caroline Saunders | Plymouth Torbay and South Devon | Care Home Health related deaths | Guinness Care | https://www.judiciary.uk/publications/kenneth-brincombe/ | |
| 1532 | 05-Jul-18 | 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/ |
| 1533 | 04-Jul-18 | 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/ |
| 1534 | 27-Jun-18 | 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/ |
| 1535 | 27-Jun-18 | 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/ |
| 1536 | 29-Jun-18 | 2018-0210 | CR | ME Hassell | London Inner (North) | Police related deaths | Metropolitan Police Service | https://www.judiciary.uk/publications/rashan-charles/ |
| 1537 | 30-Jun-18 | 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/ |
| 1538 | 29-Jun-18 | 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/ |
| 1539 | 29-Jun-18 | 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/ |
| 1540 | 29-Jun-18 | 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/ |
| 1541 | 25-Jun-18 | 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/ |
| 1542 | 28-Jun-18 | 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/ |
| 1543 | 18-Jun-18 | 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/ |
| 1544 | 18-Jul-18 | 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/ |
| 1545 | 30-Jul-18 | SB | Martin Fleming | West Yorkshire (West) | Care Home Health related deaths | Airedale NHS Trust | https://www.judiciary.uk/publications/stanford-bell/ | |
| 1546 | 10-Jul-18 | 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/ | |
| 1547 | 25-Jun-18 | 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/ |
| 1548 | 26-Jun-18 | 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/ |
| 1549 | 25-Jun-18 | 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/ |
| 1550 | 26-Jun-18 | 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/ |
| 1551 | 25-Jun-18 | 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/ |
| 1552 | 25-Jun-18 | 2018-0195 | JH | Rachael Griffin | Dorset | Suicide (from 2015) | Home Office; Dorset Police | https://www.judiciary.uk/publications/john-hill/ |
| 1553 | 25-Jun-18 | 2018-0194 | AC | Rachael Griffin | Dorset | State Custody related deaths | HM Prisons and Probation Service | https://www.judiciary.uk/publications/andrew-craig/ |
| 1554 | 22-Jun-18 | 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/ |
| 1555 | 22-Jun-18 | 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/ |
| 1556 | 22-Jun-18 | 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/ |
| 1557 | 14-Jun-18 | 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/ |
| 1558 | 21-Jun-18 | 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/ |
| 1559 | 22-Jun-18 | 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/ |
| 1560 | 19-Jun-18 | 2018-0187 | JB | Andrew Haigh | Staffordshire (South) | Road (Highways Safety) related deaths | Department of Transport | https://www.judiciary.uk/publications/jacob-brown/ |
| 1561 | 19-Jun-18 | 2018-0186 | DS | Andrew Haigh | Staffordshire (South) | Care Home Health related deaths | Virgin Care Services Limited | https://www.judiciary.uk/publications/derek-smith/ |
| 1562 | 13-Jun-18 | 2018-0178 | KB | Louise Hunt | Birmingham and Solihull | Police related deaths | West Midlands Police; Warwickshire Police | https://www.judiciary.uk/publications/keiron-bould/ |
| 1563 | 07-Jun-18 | 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/ |
| 1564 | 15-Jun-18 | 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/ |
| 1565 | 15-Jun-18 | 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/ |
| 1566 | 06-Jun-18 | 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/ |
| 1567 | 19-Jun-18 | 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/ |
| 1568 | 18-Jun-18 | 2018-0185 | BA | Peter Nieto | Derby and Derbyshire | Other related deaths | Department for Transport | https://www.judiciary.uk/publications/bryan-allsop/ |
| 1569 | 19-Jun-18 | 2018-0184 | AH | Ian Pears | Bedfordshire & Luton | Suicide (from 2015) | Network Rail | https://www.judiciary.uk/publications/andrew-hanahoe/ |
| 1570 | 13-Jun-18 | 2018-0177 | KW | Nichola Rheinberg | Wiltshire and Swindon | Suicide (from 2015) | Swindon Borough Council | https://www.judiciary.uk/publications/karen-wiggins/ |
| 1571 | 28-Mar-18 | 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/ |
| 1572 | 06-Jun-18 | 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/ |
| 1573 | 07-Jun-18 | 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/ |
| 1574 | 05-Jun-18 | 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/ |
| 1575 | 04-Jun-18 | 2018-0171 | JD | Alison Mutch | Manchester (South) | Hospital Death (Clinical Procedures and medical management) related deaths | Pennine NHS Trust; Tameside and Glossop Clinical Commissioning Group | https://www.judiciary.uk/publications/john-derwent/ |
| 1576 | 01-Jun-18 | 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/ |
| 1577 | 31-May-18 | 2018-0169 | EH | John Pollard | Manchester (West) | Other related deaths | The Brewery | https://www.judiciary.uk/publications/elaine-horrocks/ |
| 1578 | 29-May-18 | 2018-0168 | GD | Martin Fleming | West Yorkshire (West) | Suicide (from 2015) | Calderdale Council | https://www.judiciary.uk/publications/george-dyson/ |
| 1579 | 20-May-18 | 2018-0167 | MN | Martin Fleming | West Yorkshire (West) | Suicide (from 2015) | Calderdale Council | https://www.judiciary.uk/publications/mwitumwa-ngenda/ |
| 1580 | 21-May-18 | 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/ |
| 1581 | 29-May-18 | 2018-0164 | JL | Chri Morris | Manchester (South) | Care Home Health related deaths | Harbour Healthcare Limited | https://www.judiciary.uk/publications/joan-lunt/ |
| 1582 | 25-May-18 | 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/ |
| 1583 | 23-May-18 | 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/ |
| 1584 | 09-May-18 | 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/ |
| 1585 | 24-May-18 | 2018-0160 | RF | Selena Lynch | London (South) | Mental Health related deaths | Department of Health | https://www.judiciary.uk/publications/rosalind-flett/ |
| 1586 | 22-May-18 | 2018-0158 | AC | Philip Barlow | Northamptonshire | State Custody related deaths | HMP Ryehill | https://www.judiciary.uk/publications/andrew-crane/ |
| 1587 | 22-May-18 | 2018-0157 | MB | Ian Pears | Bedfordshire & Luton | State Custody related deaths | HM Prison Bedford | https://www.judiciary.uk/publications/michael-berry/ |
| 1588 | 21-May-18 | 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/ |
| 1589 | 21-May-18 | 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/ |
| 1590 | 21-May-18 | 2018-0154 | CJ | Alison Mutch | Manchester (South) | Other related deaths; Child Death (from 2015) | Department of Health | https://www.judiciary.uk/publications/carter-jepson/ |
| 1591 | 18-May-18 | 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/ |
| 1592 | 18-May-18 | 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/ |
| 1593 | 15-May-18 | 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/ |
| 1594 | 17-May-18 | 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/ |
| 1595 | 14-May-18 | 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/ |
| 1596 | 16-May-18 | 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/ |
| 1597 | 11-May-18 | 2018-0147 | TR | Catherine McKenna | Manchester (North) | Care Home Health related deaths | Elizabeth House (Oldham) Limited | https://www.judiciary.uk/publications/thomas-ratchford/ |
| 1598 | 14-May-18 | 2018-0146 | PA | Thoma Osborne | Milton Keynes | Care Home Health related deaths | PJ Care | https://www.judiciary.uk/publications/philip-ashton/ |
| 1599 | 11-May-18 | 2018-0144 | MA | Kevin McLoughlin | West Yorkshire (East) | Other related deaths | Radcliffe Investment Properties | https://www.judiciary.uk/publications/marcus-allen/ |
| 1600 | 14-May-18 | 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/ |
| 1601 | 11-May-18 | 2018-0143 | AT | Nadia Persaud | London (East) | Care Home Health related deaths | Twinglobe Care Homes Limited | https://www.judiciary.uk/publications/ahmed-tabeche/ |
| 1602 | 09-May-18 | 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/ |
| 1603 | 09-May-18 | 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/ |
| 1604 | 08-May-18 | 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/ |
| 1605 | 09-May-18 | 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/ |
| 1606 | 08-May-18 | 2018-0138 | DT | John Tomalin | Exeter and Greater Devon | Road (Highways Safety) related deaths | Devon Highways | https://www.judiciary.uk/publications/darren-trewin/ |
| 1607 | 08-May-18 | 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/ |
| 1608 | 27-Apr-18 | 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/ |
| 1609 | 08-May-18 | 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/ |
| 1610 | 08-May-18 | 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/ |
| 1611 | 28-Apr-18 | 2018-0133 | SM | Alan Wilson | Blackpool & Fylde | Alcohol, drug and medication related deaths | Department of Health | https://www.judiciary.uk/publications/sara-moran/ |
| 1612 | 28-Apr-18 | 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/ |
| 1613 | 03-May-18 | 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/ |
| 1614 | 03-May-18 | 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/ |
| 1615 | 02-May-18 | 2018-0129 | GH | Sean McGovern | Warwickshire | Mental Health related deaths | Birmingham & Solihull Mental Health Trust | https://www.judiciary.uk/publications/greg-hutchins/ |
| 1616 | 30-Apr-18 | 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/ |
| 1617 | 01-May-18 | 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/ |
| 1618 | 25-May-18 | 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/ |
| 1619 | 07-Mar-18 | 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/ |
| 1620 | 20-Apr-18 | 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/ |
| 1621 | 19-Apr-18 | 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/ |
| 1622 | 17-Apr-18 | 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/ |
| 1623 | 12-Apr-18 | 2018-0105 | WC | Anne Pember | Northamptonshire | Care Home Health related deaths | St Lukes Primary Care Centre | https://www.judiciary.uk/publications/william-callis/ |
| 1624 | 11-Apr-18 | 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/ |
| 1625 | 19-Apr-18 | 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/ |
| 1626 | 19-Apr-18 | 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/ |
| 1627 | 18-Apr-18 | 2018-0108 | HJ | Paul Smith | Lincolnshire | Road (Highways Safety) related deaths | Lincolnshire County Council | https://www.judiciary.uk/publications/harry-jellicoe/ |
| 1628 | 16-Apr-18 | 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/ |
| 1629 | 12-Apr-18 | 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/ |
| 1630 | 10-Apr-18 | 2018-0101 | LH | Lisa Hashmi | Manchester (North) | Community health care and emergency services related deaths | EAM Care Group | https://www.judiciary.uk/publications/lea-hunsley/ |
| 1631 | 05-Mar-18 | 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/ |
| 1632 | 09-Apr-18 | 2018-0099 | NC | Jonathan Leach | West Yorkshire (East) | Suicide (from 2015) | The Financial Conduct Authority | https://www.judiciary.uk/publications/naseeb-chuhan/ |
| 1633 | 09-Apr-18 | 2018-0098 | DS | Hassan Shah | Northamptonshire | Road (Highways Safety) related deaths | Northamptonshire County Council | https://www.judiciary.uk/publications/darryl-souza/ |
| 1634 | 29-Mar-18 | 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/ |
| 1635 | 06-Apr-18 | 2018-0096 | MR | Guy Davies | Cornwall and the Isle of Scilly | Other related deaths | NHS Kernov Clinical Commissioning Group | https://www.judiciary.uk/publications/miriam-roach/ |
| 1636 | 03-Apr-18 | 2018-0095 | BH | Rachel Galloway | Manchester (South) | Care Home Health related deaths | Harbour Health Care Limited | https://www.judiciary.uk/publications/barbara-haley/ |
| 1637 | 03-Apr-18 | 2018-0094 | CB | 2018-0094 | Manchester (South) | Other related deaths | Peel Holdings; Trafford County Council | https://www.judiciary.uk/publications/casper-blackburn/ |
| 1638 | 29-Mar-18 | 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/ |
| 1639 | 27-Mar-18 | 2018-0092 | MG | Andrew Haigh | Staffordshire (South) | Alcohol, drug and medication related deaths | Department of Health | https://www.judiciary.uk/publications/matthew-gayle/ |
| 1640 | 26-Mar-18 | 2018-0091 | JO | Jane Gillespie | Nottinghamshire | Care Home Health related deaths | Adbolton Hall Nursing Home | https://www.judiciary.uk/publications/joan-osborne/ |
| 1641 | 28-Mar-18 | 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/ |
| 1642 | 27-Mar-18 | 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/ |
| 1643 | 28-Mar-18 | 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/ |
| 1644 | 21-Mar-18 | 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/ |
| 1645 | 07-Mar-18 | 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/ |
| 1646 | 06-Mar-18 | 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/ |
| 1647 | 06-Mar-18 | 2018-0067 | RP | Andrew Harris | London Inner (South) | Mental Health related deaths | Oxleas Mental Health Trust | https://www.judiciary.uk/publications/rastislav-petrisko/ |
| 1648 | 22-Mar-18 | 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/ |
| 1649 | 21-Mar-18 | 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/ |
| 1650 | 12-Mar-18 | 2018-0085 | LW | Alison Mutch | Manchester (South) | Other related deaths | LTE Group | https://www.judiciary.uk/publications/leigh-wilde/ |
| 1651 | 19-Mar-18 | 2018-0083 | KT | Paul Marks | East Riding and Kingston upon Hull | Suicide (from 2015) | Humber Bridge Board | https://www.judiciary.uk/publications/kellie-taylor/ |
| 1652 | 09-Mar-18 | 2018-0069 | DS | Caroline Saunders | Gloucestershire | Care Home Health related deaths | BUPA UK | https://www.judiciary.uk/publications/david-sketchley/ |
| 1653 | 14-Mar-18 | 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/ |
| 1654 | 19-Mar-18 | 2018-0081 | SR | Derek Winter | Sunderland | Care Home Health related deaths | Hylton View Care Home | https://www.judiciary.uk/publications/sheila-ross-2/ |
| 1655 | 15-Mar-18 | 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/ |
| 1656 | 14-Mar-18 | 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/ |
| 1657 | 06-Mar-18 | 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/ |
| 1658 | 14-Mar-18 | 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/ |
| 1659 | 14-Mar-18 | 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/ |
| 1660 | 13-Mar-18 | 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/ |
| 1661 | 06-Mar-18 | 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/ |
| 1662 | 07-Mar-18 | 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/ |
| 1663 | 12-Mar-18 | 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/ |
| 1664 | 08-Mar-18 | 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/ |
| 1665 | 01-Mar-18 | 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/ |
| 1666 | 02-Mar-18 | 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/ |
| 1667 | 01-Mar-18 | 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/ |
| 1668 | 05-Feb-18 | 2018-0032 | MS | Alexander Forrest | South Yorkshire (West) | Alcohol, drug and medication related deaths | MHRA | https://www.judiciary.uk/publications/michael-spencer/ |
| 1669 | 29-Jan-18 | 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/ |
| 1670 | 24-Jan-18 | 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/ |
| 1671 | 24-Jan-18 | 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/ |
| 1672 | 31-Jan-18 | 2018-0028 | AN | Rachael Griffin | Dorset | Road (Highways Safety) related deaths | Dorset County Council | https://www.judiciary.uk/publications/aaron-nordass-lacey/ |
| 1673 | 27-Feb-18 | 2018-0061 | AK | Andrew Haigh | Staffordshire (South) | Other related deaths | Foreign Office | https://www.judiciary.uk/publications/adrian-king/ |
| 1674 | 28-Feb-18 | 2018-0060 | AM | Anne Pember | Northamptonshire | Other related deaths | Thomas Cook | https://www.judiciary.uk/publications/andrea-mchugh/ |
| 1675 | 27-Feb-18 | 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/ |
| 1676 | 26-Feb-18 | 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/ |
| 1677 | 27-Feb-18 | 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/ |
| 1678 | 22-Feb-18 | 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/ |
| 1679 | 22-Feb-18 | 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/ |
| 1680 | 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/ | |
| 1681 | 21-Feb-18 | 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/ |
| 1682 | 13-Feb-18 | 2018-0052 | NF | Zafar Siddique | Black Country | Hospital Death (Clinical Procedures and medical management) related deaths | Cambian Group | https://www.judiciary.uk/publications/natasha-ford/ |
| 1683 | 21-Feb-18 | 2018-0051 | MM | Heidi Connor | Nottinghamshire | Road (Highways Safety) related deaths | Nottingham County Council | https://www.judiciary.uk/publications/molly-mills/ |
| 1684 | 10-Feb-18 | 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/ |
| 1685 | 15-Feb-18 | 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/ |
| 1686 | 15-Feb-18 | 2018-0048 | CC | Chri Morris | Manchester (South) | Other related deaths; Child Death (from 2015) | British Cycling | https://www.judiciary.uk/publications/charlie-craig/ |
| 1687 | 15-Feb-18 | 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/ |
| 1688 | 14-Feb-18 | 2018-0046 | JL | Derek Winter | Sunderland | Care Home Health related deaths | Dairy Lane Care Centre | https://www.judiciary.uk/publications/john-lambton/ |
| 1689 | 14-Feb-18 | 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/ |
| 1690 | 13-Feb-18 | 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/ |
| 1691 | 26-Jan-18 | 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/ |
| 1692 | 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/ | |
| 1693 | 09-Feb-18 | 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/ |
| 1694 | 02-Feb-18 | 2018-0038 | BE | Katy Skerrett | Gloucestershire | Hospital Death (Clinical Procedures and medical management) related deaths | Gloucestershire Clinical Group; Herefordshire Clinical Commission Group | https://www.judiciary.uk/publications/barbara-ellis/ |
| 1695 | 25-Jan-18 | 2018-0037 | SM | Peter Harrowing | Avon | Care Home Health related deaths | Milestones Trust | https://www.judiciary.uk/publications/sandra-miller/ |
| 1696 | 06-Feb-18 | 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/ |
| 1697 | 06-Feb-18 | 2018-0035 | MR | Ian Pears | Bedfordshire and Luton | Other related deaths | First Port Retirement Property Services Limited | https://www.judiciary.uk/publications/mavis-reeves/ |
| 1698 | 25-Jan-18 | 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/ |
| 1699 | 12-Apr-18 | 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/ |
| 1700 | 10-Apr-18 | 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/ |
| 1701 | 10-Apr-18 | AR | Alison Mutch | Manchester (West) | Community health care and emergency services related deaths | Trafford Clinical Commissioning Group | https://www.judiciary.uk/publications/andrew-reid/ | |
| 1702 | 29-Mar-18 | MS | Zafar Siddique | Hospital Death (Clinical Procedures and medical management) related deaths | Walsall Healthcare NHS Trust | https://www.judiciary.uk/publications/margaret-spencer/ | ||
| 1703 | 29-Mar-18 | 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/ | |
| 1704 | 20-Mar-18 | 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/ |
| 1705 | 01-Feb-18 | 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/ |
| 1706 | 26-Jan-18 | 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/ |
| 1707 | 24-Jan-18 | 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/ |
| 1708 | 22-Jan-18 | 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/ |
| 1709 | 19-Jan-18 | 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/ |
| 1710 | 18-Jan-18 | 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/ |
| 1711 | 18-Jan-18 | 2018-0020 | AO | Andrew Harris | London Inner (South) | Other related deaths | Department for Education | https://www.judiciary.uk/publications/abdul-jamal-ottun/ |
| 1712 | 17-Jan-18 | 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/ |
| 1713 | 16-Jan-18 | 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/ |
| 1714 | 16-Jan-18 | 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/ |
| 1715 | 10-Jan-18 | 2018-0015 | JE | Margaret Jones | Staffordshire (South) | Care Home Health related deaths | Independent Futures, Southwinds Care Home | https://www.judiciary.uk/publications/john-edwards/ |
| 1716 | 15-Jan-18 | 2018-0014 | AC | Thoma Osborne | Milton Keynes | Other related deaths | HM Inspectorate of Probation | https://www.judiciary.uk/publications/antony-coughtrey/ |
| 1717 | 11-Jan-18 | 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/ |
| 1718 | 10-Jan-18 | 2018-0012 | JO | Sarah Ormond-Walshe | London (West) | State Custody related deaths | HMP Wormwood Scrubs | https://www.judiciary.uk/publications/john-omeara/ |
| 1719 | 12-Jan-18 | 2018-0011 | CH | Alison Mutch | Manchester (South) | Other related deaths | National Probation Service | https://www.judiciary.uk/publications/christopher-hutton/ |
| 1720 | 12-Jan-18 | 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/ |
| 1721 | 12-Jan-18 | 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/ |
| 1722 | 12-Jan-18 | 2018-0008 | JA | D Hocking | Leicester (City & South) | Other related deaths | Civil Aviation Authority | https://www.judiciary.uk/publications/john-armstrong/ |
| 1723 | 11-Jan-18 | 2018-0007 | JC | Nichola Rheinberg | Lancashire | State Custody related deaths | HMP Wymott | https://www.judiciary.uk/publications/john-chapman/ |
| 1724 | 05-Jan-18 | 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/ |
| 1725 | 05-Jan-18 | 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/ |
| 1726 | 04-Jan-18 | 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/ |
| 1727 | 02-Jan-18 | 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/ |
| 1728 | 03-Jan-18 | 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/ |
| 1729 | 02-Jan-18 | 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/ |
| 1730 | 30-Nov-17 | 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/ |
| 1731 | 28-Nov-17 | 2017-0428 | SS | Jacqueline Devonish | London Inner (North) | Road (Highways Safety) related deaths | Transport for London | https://www.judiciary.uk/publications/sonia-stante/ |
| 1732 | 29-Nov-17 | 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/ |
| 1733 | 28-Nov-17 | 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/ |
| 1734 | 27-Nov-17 | 2017-0425 | BO | Nadia Persaud | London (East) | Railway related deaths | London Underground | https://www.judiciary.uk/publications/bernard-ovu/ |
| 1735 | 27-Nov-17 | 2017-0424 | SB | Simon Fox | Avon | Community health care and emergency services related deaths | Wells Road Surgery | https://www.judiciary.uk/publications/shaun-berryman/ |
| 1736 | 27-Nov-17 | 2017-0423 | JB | Thoma Osborne | Milton Keynes | State Custody related deaths | Northamptonshire Police; HMCTS | https://www.judiciary.uk/publications/jason-basalat/ |
| 1737 | 27-Nov-17 | 2017-0422 | AY | Thoma Osborne | Milton Keynes | Road (Highways Safety) related deaths | Highways England | https://www.judiciary.uk/publications/ayse-yalcinkaya/ |
| 1738 | 14-Nov-17 | 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/ |
| 1739 | 27-Nov-17 | 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/ |
| 1740 | 27-Nov-17 | 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/ |
| 1741 | 20-Nov-17 | 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/ |
| 1742 | 23-Nov-17 | 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/ |
| 1743 | 22-Nov-17 | 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/ |
| 1744 | 23-Nov-17 | 2017-0416 | RJ | David Horsley | Portsmouth and South East Hampshire | Other related deaths | Portsmouth City Council | https://www.judiciary.uk/publications/ronald-jones/ |
| 1745 | 22-Nov-17 | 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/ |
| 1746 | 23-Nov-17 | 2017-0415 | MH | Jonathan Layton | Carmarthenshire & Pembrokeshire | Police related deaths | Dyfed-Powys Police | https://www.judiciary.uk/publications/michaela-haines/ |
| 1747 | 20-Nov-17 | 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/ |
| 1748 | 20-Nov-17 | 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/ |
| 1749 | 22-Nov-17 | 2017-0411 | KD | Timothy Brennand | Manchester (West) | Care Home Health related deaths | Arden Court Nursing Home | https://www.judiciary.uk/publications/kathleen-devine/ |
| 1750 | 16-Nov-17 | 2017-0410 | AG | ME Hassell | London Inner (North) | Other related deaths | Royal Life Saving Society UK | https://www.judiciary.uk/publications/anthony-grant/ |
| 1751 | 22-Nov-17 | 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/ |
| 1752 | 20-Nov-17 | 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/ |
| 1753 | 20-Nov-17 | 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/ |
| 1754 | 20-Nov-17 | 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/ |
| 1755 | 17-Nov-17 | 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/ |
| 1756 | 17-Nov-17 | 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/ |
| 1757 | 16-Nov-17 | 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/ |
| 1758 | 17-Nov-17 | 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/ |
| 1759 | 17-Nov-17 | 2017-0400 | MG | Louise Hunt | Birmingham and Solihull | Care Home Health related deaths | St Giles Nursing Home | https://www.judiciary.uk/publications/mildred-griffiths/ |
| 1760 | 16-Nov-17 | 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/ |
| 1761 | 16-Nov-17 | 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/ |
| 1762 | 14-Nov-17 | 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/ |
| 1763 | 14-Nov-17 | 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/ |
| 1764 | 10-Nov-17 | 2017-0393 | GF | Karen Dilks | Newcastle Upon Tyne | Road (Highways Safety) related deaths | Cumbria County Council | https://www.judiciary.uk/publications/graeme-flatman/ |
| 1765 | 13-Nov-17 | 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/ |
| 1766 | 13-Nov-17 | 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/ |
| 1767 | 30-Oct-17 | 2017-0390 | SC | Alison Mutch | Manchester (South) | Hospital Death (Clinical Procedures and medical management) related deaths | ADS | https://www.judiciary.uk/publications/stuart-campbell/ |
| 1768 | 11-Sep-17 | 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/ |
| 1769 | 12-Feb-18 | JS | Christopher Williams | London Inner (South) | Mental Health related deaths | Oxleas NHS Trust | https://www.judiciary.uk/publications/john-sloan/ | |
| 1770 | 28-Dec-17 | 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/ |
| 1771 | 22-Dec-17 | 2017-0385 | RR | Alison Mutch | Manchester (South) | Hospital Death (Clinical Procedures and medical management) related deaths | Trafford Clinical Commissioning Group | https://www.judiciary.uk/publications/russell-robb/ |
| 1772 | 21-Dec-17 | 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/ |
| 1773 | 18-Dec-17 | 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/ |
| 1774 | 21-Dec-17 | 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/ |
| 1775 | 18-Dec-17 | 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/ |
| 1776 | 20-Dec-17 | 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/ |
| 1777 | 19-Dec-17 | 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/ |
| 1778 | 28-Nov-17 | 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/ |
| 1779 | 06-Nov-17 | 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/ |
| 1780 | 18-Dec-17 | 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/ |
| 1781 | 18-Dec-17 | 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/ |
| 1782 | 13-Dec-17 | 2017-0372 | MW | Tony Brown | Northumberland (North) | Road (Highways Safety) related deaths | Volvo Group (UK) Limited | https://www.judiciary.uk/publications/maurice-wrightson/ |
| 1783 | 12-Dec-17 | 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/ |
| 1784 | 18-Dec-17 | 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/ |
| 1785 | 13-Dec-17 | 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/ |
| 1786 | 12-Dec-17 | 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/ |
| 1787 | 12-Dec-17 | 2017-0366 | ST | Geraint Williams | Worcestershire | State Custody related deaths | HMP Long Lartin | https://www.judiciary.uk/publications/sidonio-teixeira/ |
| 1788 | 08-Dec-17 | 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/ |
| 1789 | 11-Dec-17 | 2017-0363 | IB | S Fox | Avon | Care Home Health related deaths | Rosewood Lodge Nursing Home | https://www.judiciary.uk/publications/irene-baker/ |
| 1790 | 08-Dec-17 | 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/ |
| 1791 | 16-Nov-17 | 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/ |
| 1792 | 07-Dec-17 | 2017-0360 | KC | Anna Crawford | Derby and Derbyshire | Care Home Health related deaths | Coxbench Hall Residential Home | https://www.judiciary.uk/publications/kenneth-cottam/ |
| 1793 | 04-Dec-17 | 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/ |
| 1794 | 08-Dec-17 | 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/ |
| 1795 | 14-Nov-17 | 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/ |
| 1796 | 07-Dec-17 | 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/ |
| 1797 | 28-Nov-17 | 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/ |
| 1798 | 15-Sep-17 | 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/ |
| 1799 | 05-Dec-17 | 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/ |
| 1800 | 30-Nov-17 | 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/ |
| 1801 | 05-Dec-17 | 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/ |
| 1802 | 30-Nov-17 | 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/ |
| 1803 | 30-Nov-17 | 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/ |
| 1804 | 04-Dec-17 | 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/ |
| 1805 | 20-Sep-17 | 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/ |
| 1806 | 04-Sep-17 | 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/ |
| 1807 | 10-Nov-17 | 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/ |
| 1808 | 20-Dec-17 | 2017-0345 | SR | Edward Solomons | Hertfordshire | Railway related deaths | Network Rail | https://www.judiciary.uk/publications/scott-rayner/ |
| 1809 | 02-Nov-17 | 2017-0344 | JN | Johanna Thompson | Norfolk | Care Home Health related deaths | Eastgate Residential Care Homes | https://www.judiciary.uk/publications/john-nichols/ |
| 1810 | 31-Oct-17 | 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/ |
| 1811 | 26-Jan-18 | 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/ | |
| 1812 | 22-Jan-18 | 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/ | |
| 1813 | 12-Jan-18 | LD | Caroline Sumeray | Isle of Wight | Road (Highways Safety) related deaths | Isle of Wight Highways Department | https://www.judiciary.uk/publications/lee-daniel/ | |
| 1814 | 28-Dec-17 | 2017-0456 | MW | ME Hassell | London Inner (North) | Road (Highways Safety) related deaths | Transport for London | https://www.judiciary.uk/publications/mark-welsh/ |
| 1815 | 14-Dec-17 | 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/ |
| 1816 | 22-Dec-17 | 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/ |
| 1817 | 09-Nov-17 | 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/ |
| 1818 | 06-Nov-17 | 2017-0266 | HD | Ian Pears | Bedfordshire and Luton | Railway related deaths | Network Rail | https://www.judiciary.uk/publications/harminder-dhillon/ |
| 1819 | 16-Oct-17 | 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/ |
| 1820 | 23-Jun-17 | 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/ |
| 1821 | 19-Dec-17 | 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/ | |
| 1822 | 08-Aug-17 | 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/ |
| 1823 | 24-Jul-17 | 2017-0325 | RD | Nichola Moss | Cambridgeshire and Peterborough | Police related deaths | National Police Council; Bedfordshire Police Constabulary | https://www.judiciary.uk/publications/richard-davies/ |
| 1824 | 31-Jul-17 | 2017-0323 | PC | Alison Mutch | Manchester (South) | Road (Highways Safety) related deaths | Department of Transport | https://www.judiciary.uk/publications/philip-clayton/ |
| 1825 | 31-Jul-17 | 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/ |
| 1826 | 04-Aug-17 | 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/ |
| 1827 | 01-Aug-17 | 2017-0324 | HS | Anna Crawford | Surrey | Community health care and emergency services related deaths | The Moat Surgery | https://www.judiciary.uk/publications/hayley-sheehan/ |
| 1828 | 27-Jul-17 | 2017-0318 | MC | Jean Harkin | Cheshire | Care Home Health related deaths | Care Quality Commission; Care Agency | https://www.judiciary.uk/publications/maureen-colclough/ |
| 1829 | 02-Aug-17 | 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/ |
| 1830 | 04-Aug-17 | 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/ |
| 1831 | 08-Aug-17 | 2017-0317 | MK | Jacqueline Lake | Norfolk | Other related deaths; Child Death (from 2015) | Waveney River Centre | https://www.judiciary.uk/publications/maya-kantengule/ |
| 1832 | 09-Aug-17 | 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/ |
| 1833 | 09-Aug-17 | 2017-0316 | SP | Grahame Short | Hampshire (Central) | State Custody related deaths | HM Prison and Probation Services; Carillion | https://www.judiciary.uk/publications/sean-plumstead/ |
| 1834 | 19-Jul-17 | 2017-0337 | OA | Sean McGovern | Coventry | Police related deaths | West Midlands Police | https://www.judiciary.uk/publications/ozeivo-akerele/ |
| 1835 | 21-Jul-17 | 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/ |
| 1836 | 24-Jul-17 | 2017-0335 | BJ | Nick Stanage | Manchester (City) | Service Personnel related deaths | Ministry of Defence | https://www.judiciary.uk/publications/ben-jukes/ |
| 1837 | 21-Jul-17 | 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/ |
| 1838 | 25-Jul-17 | 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/ |
| 1839 | 26-Jul-17 | 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/ |
| 1840 | 26-Jul-17 | 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/ |
| 1841 | 27-Jul-17 | 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/ |
| 1842 | 27-Jul-17 | 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/ |
| 1843 | 28-Jul-17 | 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/ |
| 1844 | 13-Jul-17 | 2017-0258 | EO | Andre Rebello | Liverpool & Wirral | State Custody related deaths | HM Prison and Probation Services | https://www.judiciary.uk/publications/edwin-odonnell/ |
| 1845 | 09-Aug-17 | 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/ |
| 1846 | 31-Oct-17 | 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/ |
| 1847 | 31-Oct-17 | 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/ |
| 1848 | 24-Oct-17 | 2017-0308 | DJ | Karen Harrold | West Sussex | Community health care and emergency services related deaths | Fitzalan Medical Group; West Sussex Clinical Commissioning Group | https://www.judiciary.uk/publications/david-jackson/ |
| 1849 | 31-Oct-17 | 2017-0311 | DM | David Lewis | North Wale (East & Central) | Product related deaths | Whirlpool (UK) Appliances | https://www.judiciary.uk/publications/douglas-mctavish/ |
| 1850 | 31-Oct-17 | 2017-0311A | BH | David Lewis | North Wale (East & Central) | Product related deaths | Whirlpool (UK) Appliances | https://www.judiciary.uk/publications/bernard-hender/ |
| 1851 | 30-Oct-17 | 2017-0310 | JP | Lisa Hashmi | Manchester (North) | Other related deaths | Home Office; Department of Health | https://www.judiciary.uk/publications/jane-powell/ |
| 1852 | 30-Oct-17 | 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/ |
| 1853 | 27-Oct-17 | 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/ |
| 1854 | 19-Oct-17 | 2017-0306 | RB | Katy Skerrett | Gloucestershire | Care Home Health related deaths | Barchester Homes | https://www.judiciary.uk/publications/ronald-brewer/ |
| 1855 | 20-Oct-17 | 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/ |
| 1856 | 12-Oct-17 | 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/ |
| 1857 | 12-Oct-17 | 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/ |
| 1858 | 19-Oct-17 | 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/ |
| 1859 | 13-Oct-17 | 2017-0295 | CF | Lisa Hashmi | Manchester (North) | Product related deaths | General Pharmaceutical Council | https://www.judiciary.uk/publications/christina-fletcher/ |
| 1860 | 23-Oct-17 | 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 Group | https://www.judiciary.uk/publications/sian-witheridge/ |
| 1861 | 12-Oct-17 | 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/ |
| 1862 | 10-Oct-17 | 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/ |
| 1863 | 11-Oct-17 | 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/ |
| 1864 | 06-Oct-17 | 2017-0287 | LC | Peter Dean | Suffolk | State Custody related deaths | HMP Highpoint | https://www.judiciary.uk/publications/levi-cronin/ |
| 1865 | 11-Oct-17 | 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/ |
| 1866 | 10-Oct-17 | 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/ |
| 1867 | 21-Sep-17 | 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/ |
| 1868 | 05-Oct-17 | 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/ |
| 1869 | 04-Oct-17 | 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/ |
| 1870 | 06-Oct-17 | 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/ |
| 1871 | 05-Oct-17 | 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/ |
| 1872 | 28-Sep-17 | 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/ |
| 1873 | 19-Oct-17 | 2017-0300 | JM | Jacqueline Lake | Norfolk | Other related deaths | Lifeshield Medical Services Limited | https://www.judiciary.uk/publications/jakub-moczyk/ |
| 1874 | 18-Oct-17 | 2017-0299 | WM | John Pollard | Manchester (West) | Care Home Health related deaths | Grange Care Home | https://www.judiciary.uk/publications/wycliffe-matthews/ |
| 1875 | 12-Oct-17 | 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/ |
| 1876 | 12-Oct-17 | 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/ |
| 1877 | 07-Oct-17 | 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/ |
| 1878 | 27-Sep-17 | 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/ |
| 1879 | 16-Aug-17 | 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/ |
| 1880 | 03-Oct-17 | 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/ |
| 1881 | 16-Aug-17 | 2017-0275 | SH | Zafar Siddique | Black Country | Other related deaths | Parkhill Group of Companies; Walsall Metropolitan Borough | https://www.judiciary.uk/publications/spencer-hurst/ |
| 1882 | 15-Aug-17 | 2017-0274 | IL | Alison Mutch | Manchester (South) | Other related deaths | Peak Valley Housing Association; The Hub | https://www.judiciary.uk/publications/ian-leak/ |
| 1883 | 16-Aug-17 | 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/ |
| 1884 | 16-Aug-17 | 2017-0272 | FD | Margaret Jones | Staffordshire (South) | Road (Highways Safety) related deaths | Highways England | https://www.judiciary.uk/publications/frederick-dudley/ |
| 1885 | 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/ | |
| 1886 | 10-Aug-17 | 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/ |
| 1887 | 24-Nov-17 | 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/ | |
| 1888 | 09-Nov-17 | 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/ |
| 1889 | 29-Sep-17 | 2017-0255 | HB | Crispin Butler | Buckinghamshire | Hospital Death (Clinical Procedures and medical management) related deaths | Fremantle Trust | https://www.judiciary.uk/publications/helen-bannister/ |
| 1890 | 09-Mar-17 | 2017-0251 | PN | Guy Davies | Cornwall and the Isle of Scilly | Other related deaths | Halfords Group PLC | https://www.judiciary.uk/publications/peter-norton/ |
| 1891 | 16-Aug-17 | 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/ |
| 1892 | 21-Aug-17 | 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/ |
| 1893 | 03-Oct-17 | 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/ |
| 1894 | 16-Aug-17 | 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/ |
| 1895 | 06-Oct-17 | 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/ |
| 1896 | 08-May-17 | 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/ |
| 1897 | 08-Sep-17 | 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/ |
| 1898 | 31-Oct-17 | 2017-0342 | VB | ME Hassell | London Inner (North) | State Custody related deaths | HMP Pentonville | https://www.judiciary.uk/publications/vilhelmas-borkertas/ |
| 1899 | 10-Oct-17 | TM | Emma Whitting | Black Country | Accident at Work and Health and Safety related deaths | RICS | https://www.judiciary.uk/publications/tahnie-martin/ | |
| 1900 | 08-Sep-17 | 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/ |
| 1901 | 11-Sep-17 | 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/ |
| 1902 | 07-Sep-17 | 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/ |
| 1903 | 11-Sep-17 | 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/ |
| 1904 | 07-Sep-17 | 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/ |
| 1905 | 11-Sep-17 | 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/ |
| 1906 | 22-Sep-17 | 2017-0237 | SS | Andrew McNamara | Nottinghamshire | Road (Highways Safety) related deaths | Highways England | https://www.judiciary.uk/publications/shahbaz-salim/ |
| 1907 | 28-Sep-17 | 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/ |
| 1908 | 27-Sep-17 | 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/ |
| 1909 | 26-Sep-17 | 2017-0235 | HG | Andrew Barkley | South Wale Central | Care Home Health related deaths | Tynant Nursing Home | https://www.judiciary.uk/publications/hedley-greenland/ |
| 1910 | 26-Sep-17 | 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/ |
| 1911 | 21-Sep-17 | 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/ |
| 1912 | 04-Sep-17 | 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/ |
| 1913 | 04-Sep-17 | 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/ |
| 1914 | 27-Jul-17 | 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/ |
| 1915 | 01-Sep-17 | 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/ |
| 1916 | 24-Aug-17 | 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/ |
| 1917 | 29-Aug-17 | 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/ |
| 1918 | 29-Aug-17 | 2017-0246 | BG | Ian Pears | Bedfordshire and Luton | Care Home Health related deaths | Abbotsbury Elderly Persons Home | https://www.judiciary.uk/publications/beryl-goode/ |
| 1919 | 24-Aug-17 | 2017-0247 | JT | Chri Morris | Manchester (South) | Care Home Health related deaths | Hillbrook Grange Residential Care Home | https://www.judiciary.uk/publications/joseph-tamowski/ |
| 1920 | 21-Aug-17 | 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/ |
| 1921 | 11-Aug-17 | 2017-0249 | MD | Russell Caller | London Inner (West) | Road (Highways Safety) related deaths | TFL | https://www.judiciary.uk/publications/milan-dokic-2/ |
| 1922 | 21-Aug-17 | 2017-0250 | JD | Aled Gruffydd | Swansea Neath and Port Talbot | Other related deaths | Welsh Assembly Government | https://www.judiciary.uk/publications/jac-davies/ |
| 1923 | 06-Sep-17 | 2017-0230 | JM | Kally Cheema | Cumbria | Road (Highways Safety) related deaths | Cumbria County Council | https://www.judiciary.uk/publications/jeffery-matthews/ |
| 1924 | 06-Sep-17 | 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/ |
| 1925 | 11-Jul-17 | 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/ |
| 1926 | 28-Sep-17 | 2017-0493 | KV | John Buckley | Warwickshire | Road (Highways Safety) related deaths | Warwickshire County Council | https://www.judiciary.uk/publications/katherine-vanloo/ |
| 1927 | 28-Sep-17 | 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/ |
| 1928 | 08-Sep-17 | 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/ |
| 1929 | 08-Sep-17 | 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/ |
| 1930 | 21-Sep-17 | 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/ |
| 1931 | 18-Sep-17 | 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/ |
| 1932 | 18-Sep-17 | 2017-0212 | KH | Robert Chapman | Cumbria | Other related deaths | SC Johnson and Son | https://www.judiciary.uk/publications/kathleen-holme/ |
| 1933 | 14-Sep-17 | 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/ |
| 1934 | 18-Sep-17 | 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/ |
| 1935 | 13-Sep-17 | 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/ |
| 1936 | 20-Jul-17 | 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/ |
| 1937 | 14-Aug-17 | 2017-0217 | TP | Caroline Beasley-Murray | Essex | Police related deaths; | Essex Police; EPUT; Essex Community Rehabilitation Company | https://www.judiciary.uk/publications/terence-pimm/ |
| 1938 | 11-Sep-17 | 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/ |
| 1939 | 26-Jul-17 | 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/ |
| 1940 | 17-Sep-17 | 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/ |
| 1941 | 12-Sep-17 | 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/ |
| 1942 | 11-Sep-17 | 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/ |
| 1943 | 11-Sep-17 | 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 Group | https://www.judiciary.uk/publications/brian-maclean/ |
| 1944 | 16-Jun-17 | 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/ |
| 1945 | 13-Sep-17 | 2017-0340 | SM | Andre Rebello | Liverpool & Wirral | State Custody related deaths | HM Prison & Probation Service | https://www.judiciary.uk/publications/sam-molyneux/ |
| 1946 | 25-Apr-17 | 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/ |
| 1947 | 27-Jun-17 | 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/ |
| 1948 | 25-May-17 | 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/ |
| 1949 | 26-May-17 | 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/ |
| 1950 | 26-May-17 | 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/ |
| 1951 | 25-May-17 | 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/ |
| 1952 | 23-May-17 | 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/ |
| 1953 | 22-May-17 | 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/ |
| 1954 | 19-May-17 | 2017-0164 | KD | Heidi Connor | Nottinghamshire | Mental Health related deaths; Suicide (from 2015) | Nottingham CCG | https://www.judiciary.uk/publications/kate-dolby/ |
| 1955 | 25-Aug-17 | 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/ |
| 1956 | 18-May-17 | 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/ |
| 1957 | 10-May-17 | 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/ |
| 1958 | 17-May-17 | 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/ |
| 1959 | 17-May-17 | 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/ |
| 1960 | 15-May-17 | 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/ |
| 1961 | 15-May-17 | 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/ |
| 1962 | 15-May-17 | 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/ |
| 1963 | 15-May-17 | 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/ |
| 1964 | 16-May-17 | 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/ |
| 1965 | 20-Apr-17 | 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/ |
| 1966 | 27-Apr-17 | 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/ |
| 1967 | 30-Apr-17 | 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/ |
| 1968 | 03-May-17 | 2017-0144 | BV | Anna Crawford | Surrey | Community health care and emergency services related deaths | Elmbridge Borough Council | https://www.judiciary.uk/publications/beryl-varcoe/ |
| 1969 | 03-May-17 | 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/ |
| 1970 | 02-May-17 | 2017-0146 | IT | Thoma Osborne | Milton Keynes | Care Home Health related deaths | Excel Care | https://www.judiciary.uk/publications/ida-toole/ |
| 1971 | 02-May-17 | 2017-0147 | DD | Thoma Osborne | Milton Keynes | State Custody related deaths | HMP Woddhill | https://www.judiciary.uk/publications/daniel-dunkley/ |
| 1972 | 03-May-17 | 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/ |
| 1973 | 04-May-17 | 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/ |
| 1974 | 04-May-17 | 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/ |
| 1975 | 13-Jun-17 | 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/ |
| 1976 | 16-Jun-17 | 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/ |
| 1977 | 16-Jun-17 | 2017-0195 | AM | Rachel Galloway | Manchester (South) | Product related deaths | MHRA | https://www.judiciary.uk/publications/aaron-mccaffrey/ |
| 1978 | 14-Jun-17 | 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/ |
| 1979 | 13-Jun-17 | 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/ |
| 1980 | 15-Jun-17 | 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/ |
| 1981 | 15-Jun-17 | 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/ |
| 1982 | 12-Jun-17 | 2017-0186 | WW | Christopher Murray | Manchester (South) | Other related deaths | Church Inn | https://www.judiciary.uk/publications/william-wilson/ |
| 1983 | 14-Jun-17 | 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/ |
| 1984 | 07-Jun-17 | 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/ |
| 1985 | 14-Jun-17 | 2017-0188 | MM | Andrew Harris | London Inner (South) | Product related deaths | MHRA | https://www.judiciary.uk/publications/maurice-macdonnell/ |
| 1986 | 02-Mar-17 | 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/ |
| 1987 | 05-Jun-17 | 2017-0183 | JB | Catherine McKenna | Manchester (North) | Road (Highways Safety) related deaths | Highways England; Oldham Council | https://www.judiciary.uk/publications/jack-braniff/ |
| 1988 | 06-Jun-17 | 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/ |
| 1989 | 28-May-17 | 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/ |
| 1990 | 16-Mar-17 | 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/ |
| 1991 | 31-May-17 | 2017-0173 | JP | Kevin McLoughlin | London Inner (West) | State Custody related deaths | Home Office; HMP Wandsworth | https://www.judiciary.uk/publications/jonathan-palmer/ |
| 1992 | 01-Jun-17 | 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/ |
| 1993 | 06-Jun-17 | 2017-0179 | GC | Peter Bedford | Berkshire | Community health care and emergency services related deaths | Woodley Centre Surgery | https://www.judiciary.uk/publications/george-cheese/ |
| 1994 | 05-Jun-17 | 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/ |
| 1995 | 30-May-17 | 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/ |
| 1996 | 30-May-17 | 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/ |
| 1997 | 01-Jun-17 | 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 Group | https://www.judiciary.uk/publications/michael-halfpenny/ |
| 1998 | 05-Jun-17 | 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/ |
| 1999 | 24-May-17 | 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/ |
| 2000 | 28-Jul-17 | 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/ |
| 2001 | 05-Apr-17 | 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/ |
| 2002 | 22-Jun-17 | 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/ |
| 2003 | 07-Jun-17 | 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/ |
| 2004 | 28-Jun-17 | 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/ |
| 2005 | 21-Jun-17 | 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/ |
| 2006 | 16-Jun-17 | 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/ |
| 2007 | 23-Jun-17 | 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/ |
| 2008 | 19-Jan-17 | 2017-0207 | TC | John Pollard | Cheshire | Railway related deaths | Northern Rail | https://www.judiciary.uk/publications/thomas-coyne/ |
| 2009 | 22-Jun-17 | 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/ |
| 2010 | 14-Jun-17 | 2017-0198 | EC | Nicola Mundy | South Yorkshire (East) | Road (Highways Safety) related deaths | Doncaster County Council | https://www.judiciary.uk/publications/ellie-chappell/ |
| 2011 | 07-Jul-17 | 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/ |
| 2012 | 24-Jul-17 | 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/ |
| 2013 | 24-Jul-17 | 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/ |
| 2014 | 22-Jul-17 | 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/ |
| 2015 | 21-Jul-17 | 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/ |
| 2016 | 08-Aug-18 | 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/ |
| 2017 | 19-Jul-17 | 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/ |
| 2018 | 18-Jul-17 | 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/ |
| 2019 | 17-Jul-17 | 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/ |
| 2020 | 14-Jul-17 | 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/ |
| 2021 | 14-Jul-17 | 2017-0450 | SB | Penelope Schofield | West Sussex | Other related deaths | Ofsted | https://www.judiciary.uk/publications/steffan-bonnot/ |
| 2022 | 12-Jul-17 | 2017-0444 | ED | David Hinchliff | West Yorkshire (East) | Road (Highways Safety) related deaths | National Tree Safety Group | https://www.judiciary.uk/publications/elaine-davison/ |
| 2023 | 12-Jul-17 | 2017-0445 | JW | Andrew Bridgman | Manchester (South) | Product related deaths | Beko Plc | https://www.judiciary.uk/publications/john-wilson/ |
| 2024 | 11-Jul-17 | 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/ |
| 2025 | 11-Jul-17 | 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/ |
| 2026 | 11-Jul-17 | 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/ |
| 2027 | 07-Jul-17 | 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/ |
| 2028 | 08-May-17 | 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/ |
| 2029 | 08-May-17 | 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/ |
| 2030 | 10-May-17 | 2017-0154 | RB | Sean Cummings | London (West) | Product related deaths | Apple | https://www.judiciary.uk/publications/richard-bull/ |
| 2031 | 25-Apr-17 | 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/ |
| 2032 | 25-Apr-17 | 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/ |
| 2033 | 26-Apr-17 | 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/ |
| 2034 | 18-Apr-17 | 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/ |
| 2035 | 06-Jul-17 | 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/ |
| 2036 | 06-Jul-17 | 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/ |
| 2037 | 06-Jul-17 | 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/ |
| 2038 | 05-Jul-17 | 2017-0431 | RL | Eleanor McGann | Essex | Road (Highways Safety) related deaths | Essex Highways | https://www.judiciary.uk/publications/roy-lynch/ |
| 2039 | 05-Jul-17 | 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/ |
| 2040 | 04-Jul-17 | 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/ |
| 2041 | 03-Jul-17 | 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/ |
| 2042 | 03-Jul-17 | 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/ |
| 2043 | 28-Jun-17 | 2017-0432 | DL | Julie Robertson | Manchester (North) | Community health care and emergency services related deaths | NWAS | https://www.judiciary.uk/publications/david-lee/ |
| 2044 | 26-Jun-17 | 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/ |
| 2045 | 19-Jun-17 | 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/ |
| 2046 | 20-Apr-17 | 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/ |
| 2047 | 24-Apr-17 | 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/ |
| 2048 | 21-Apr-17 | 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/ |
| 2049 | 19-Apr-17 | 2017-0131 | ET | Lisa Hashmi | Manchester (North) | Hospital Death (Clinical Procedures and medical management) related deaths | Bury Clinical Commissioning Group | https://www.judiciary.uk/publications/elaine-talbot/ |
| 2050 | 20-Apr-17 | 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/ |
| 2051 | 20-Apr-17 | 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/ |
| 2052 | 20-Apr-17 | 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/ |
| 2053 | 20-Apr-17 | 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/ |
| 2054 | 20-Apr-17 | 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/ |
| 2055 | 20-Apr-17 | 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/ |
| 2056 | 18-Apr-17 | 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/ |
| 2057 | 13-Apr-17 | 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/ |
| 2058 | 13-Apr-17 | 2017-0122 | DC | Tony Brown | North Northumberland | Railway related deaths | Network Rail | https://www.judiciary.uk/publications/daniel-campbell/ |
| 2059 | 13-Apr-17 | 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/ |
| 2060 | 12-Apr-17 | 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/ |
| 2061 | 12-Apr-17 | 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/ |
| 2062 | 10-Apr-17 | 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/ |
| 2063 | 06-Apr-17 | 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/ |
| 2064 | 06-Apr-17 | 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/ |
| 2065 | 10-Apr-17 | 2017-0113 | JH | Sarah Slater | South Yorkshire (West) | Other related deaths | Department of Health | https://www.judiciary.uk/publications/john-higgs/ |
| 2066 | 06-Apr-17 | 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/ |
| 2067 | 27-Mar-17 | 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/ |
| 2068 | 07-Apr-17 | 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/ |
| 2069 | 13-Mar-17 | 2017-0083 | GD | Andrew Walker | London (North) | Railway related deaths | RSSB | https://www.judiciary.uk/publications/george-dicker/ |
| 2070 | 07-Apr-17 | 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/ |
| 2071 | 07-Apr-17 | 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/ |
| 2072 | 07-Apr-17 | 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/ |
| 2073 | 04-Apr-17 | 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/ |
| 2074 | 04-Apr-17 | 2017-0106 | AM | Crispin Butler | Buckinghamshire | State Custody related deaths | HMP Grendon | https://www.judiciary.uk/publications/arthur-morley/ |
| 2075 | 04-Apr-17 | 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/ |
| 2076 | 03-Apr-17 | 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/ |
| 2077 | 04-Apr-17 | 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/ |
| 2078 | 04-Apr-17 | 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/ |
| 2079 | 27-Mar-17 | 2017-0101 | SF | Christopher Murray | Manchester (South) | Alcohol, drug and medication related deaths | Adams Pharmacy | https://www.judiciary.uk/publications/steven-fone/ |
| 2080 | 29-Mar-17 | 2017-0100 | JJ | Julie Goulding | Liverpool and Wirral | Other related deaths | NPS/NOMS, Liverpool City Council | https://www.judiciary.uk/publications/john-jaundoo/ |
| 2081 | 31-Mar-17 | 2017-0099 | ML | Peter Bedford | Berkshire | Road (Highways Safety) related deaths | Transport Manager, Reading Borough Council | https://www.judiciary.uk/publications/malcolm-langford/ |
| 2082 | 30-Mar-17 | 2017-0098 | OS | Andrew Haigh | Staffordshire (South) | State Custody related deaths | NOMS | https://www.judiciary.uk/publications/ondrej-suha/ |
| 2083 | 28-Mar-17 | 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/ |
| 2084 | 29-Mar-17 | 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/ |
| 2085 | 28-Mar-17 | 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/ |
| 2086 | 29-Mar-17 | 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/ |
| 2087 | 14-Mar-17 | 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/ |
| 2088 | 23-Mar-17 | 2017-0092 | AA | Jennifer Leeming | Manchester (West) | Other related deaths | Foreign and Commonwealth Affairs | https://www.judiciary.uk/publications/antony-abbott/ |
| 2089 | 28-Mar-17 | 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/ |
| 2090 | 20-Mar-17 | 2017-0090 | RB | Christopher Sutton-Mattocks | Surrey | Road (Highways Safety) related deaths | Surrey County Council | https://www.judiciary.uk/publications/ralph-brazier/ |
| 2091 | 23-Mar-17 | 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/ |
| 2092 | 10-Mar-17 | 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/ |
| 2093 | 09-Mar-17 | 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/ |
| 2094 | 23-Mar-17 | 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/ |
| 2095 | 14-Mar-17 | 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/ |
| 2096 | 22-Mar-17 | 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/ |
| 2097 | 13-Mar-17 | 2017-0082 | JO | Philip Barlow | London Inner (South) | Hospital Death (Clinical Procedures and medical management) related deaths | The Cambian Group | https://www.judiciary.uk/publications/james-obrien/ |
| 2098 | 15-Mar-17 | 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/ |
| 2099 | 13-Mar-17 | 2017-0080 | DC | Katy Skerrett | Gloucestershire | Care Home Health related deaths | Care UK | https://www.judiciary.uk/publications/daphne-cherry/ |
| 2100 | 10-Mar-17 | 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/ |
| 2101 | 16-Mar-17 | 2017-0078 | TW | Simon Fox | Gloucestershire | Care Home Health related deaths | The Grange Care Centre | https://www.judiciary.uk/publications/terence-white/ |
| 2102 | 14-Mar-17 | 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/ |
| 2103 | 16-Mar-17 | 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/ |
| 2104 | 16-Mar-17 | 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/ |
| 2105 | 16-Mar-17 | 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/ |
| 2106 | 15-Mar-17 | 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/ |
| 2107 | 20-Mar-17 | 2017-0072 | JS | Lydia Brown | Exeter and Greater Devon | Other related deaths | Stoneham Bass | https://www.judiciary.uk/publications/james-spencer/ |
| 2108 | 17-Mar-17 | 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/ |
| 2109 | 13-Mar-17 | 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/ |
| 2110 | 22-Mar-17 | 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/ |
| 2111 | 20-Mar-17 | 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/ |
| 2112 | 22-Mar-17 | 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/ |
| 2113 | 10-Mar-17 | 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/ |
| 2114 | 28-Oct-16 | 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/ |
| 2115 | 18-Oct-16 | 2016-0486 | IB | Martin Fleming | West Yorkshire (West) | Other related deaths | Incommunities | https://www.judiciary.uk/publications/isaac-brocklehurst/ |
| 2116 | 13-Jun-16 | 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/ |
| 2117 | 24-Jun-16 | 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/ |
| 2118 | 09-Mar-17 | 2017-0060 | FB | Emma Brown | Birmingham and Solihull | Care Home Health related deaths | Bondcare Limited | https://www.judiciary.uk/publications/frederick-bevan/ |
| 2119 | 09-Mar-17 | 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/ |
| 2120 | 08-Mar-17 | 2017-0062 | VJ | Nadia Persaud | London (East) | Police related deaths; State Custody related deaths | Metropolitan Police | https://www.judiciary.uk/publications/valdas-jasiunas/ |
| 2121 | 08-Mar-17 | 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/ |
| 2122 | 06-Mar-17 | 2017-0064 | JA | Anna Crawford | Surrey | Other related deaths | Millbrook Healthcare Limited | https://www.judiciary.uk/publications/john-atkin/ |
| 2123 | 13-Sep-16 | 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/ |
| 2124 | 06-Oct-16 | 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/ |
| 2125 | 03-Mar-17 | 2017-0065 | VA | Hassan Shah | Northamptonshire | Alcohol, drug and medication related deaths | Northampton County Council | https://www.judiciary.uk/publications/vadims-aleksejevs/ |
| 2126 | 08-Feb-17 | 2017-0067 | RS | Martin Fleming | West Yorkshire (West) | Road (Highways Safety) related deaths | Phuket Highway District | https://www.judiciary.uk/publications/rebecca-shaw/ |
| 2127 | 13-Dec-16 | 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/ |
| 2128 | 16-Feb-17 | 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/ |
| 2129 | 16-Feb-17 | 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/ |
| 2130 | 17-Feb-17 | 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/ |
| 2131 | 09-Feb-17 | 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/ |
| 2132 | 22-Feb-17 | 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/ |
| 2133 | 22-Feb-17 | 2017-0053 | MJ | Peter Harrowing | Avon | Road (Highways Safety) related deaths | Highways England; Avon and Somerset Constabulary | https://www.judiciary.uk/publications/margaret-jones/ |
| 2134 | 20-Feb-17 | 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/ |
| 2135 | 22-Feb-17 | 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/ |
| 2136 | 17-Feb-17 | 2017-0050 | MD | Fiona Wilcox | London Inner (West) | Road (Highways Safety) related deaths | TFL | https://www.judiciary.uk/publications/milan-dokic/ |
| 2137 | 21-Feb-17 | 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/ |
| 2138 | 23-Feb-17 | 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/ |
| 2139 | 23-Feb-17 | 2017-0047 | LM | Kate Thomas | Mid Kent and Medway | Road (Highways Safety) related deaths | Kent County Council | https://www.judiciary.uk/publications/luke-mumford/ |
| 2140 | 14-Feb-17 | 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 Group | https://www.judiciary.uk/publications/wendy-telfer/ |
| 2141 | 24-Feb-17 | 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/ |
| 2142 | 28-Feb-17 | 2017-0042 | CH | Stephen Nicholls | Dorset | Road (Highways Safety) related deaths | Dorset Highways Departments | https://www.judiciary.uk/publications/colin-hodge/ |
| 2143 | 01-Mar-17 | 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/ |
| 2144 | 28-Feb-17 | 2017-0040 | PB | Andre Rebello | Liverpool and Wirral | Road (Highways Safety) related deaths | Merseyside Passenger Transport Authority | https://www.judiciary.uk/publications/paul-briggs/ |
| 2145 | 03-Mar-17 | 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/ |
| 2146 | 14-Feb-17 | 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/ |
| 2147 | 14-Feb-17 | 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/ |
| 2148 | 01-Mar-17 | 2017-0039 | TU | Jennifer Leeming | Manchester (West) | Road (Highways Safety) related deaths | Bolton Council, Highways Division | https://www.judiciary.uk/publications/thomas-unsworth/ |
| 2149 | 01-Mar-17 | 2017-0038 | DH | Gareth Lewis | Carmarthenshire and Pembrokeshire | Police related deaths | NPCC | https://www.judiciary.uk/publications/darran-hunt/ |
| 2150 | 03-Mar-17 | 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/ |
| 2151 | 02-Mar-17 | 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/ |
| 2152 | 25-Oct-16 | 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/ |
| 2153 | 29-Nov-16 | 2016-0423 | DC | Andrew Tweddle | County Durham and Darlington | Care Home Health related deaths | Lambton Care Home | https://www.judiciary.uk/publications/doris-clarkson/ |
| 2154 | 14-Oct-16 | 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/ |
| 2155 | 13-Oct-16 | 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/ |
| 2156 | 13-Oct-16 | 2016-0360 | RH | Andre Rebello | Liverpool and Wirral | State Custody related deaths | NOMS | https://www.judiciary.uk/publications/roy-hoey/ |
| 2157 | 13-Oct-16 | 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/ |
| 2158 | 13-Sep-16 | 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/ |
| 2159 | 13-Sep-16 | 2016-0357 | LK | Andrew Walker | London (North) | Railway related deaths | RSSB | https://www.judiciary.uk/publications/lauris-kodors/ |
| 2160 | 12-Oct-16 | 2016-0356 | WC | Brendan Allen | Dorset | State Custody related deaths; Suicide (from 2015) | HMP Portland | https://www.judiciary.uk/publications/wayne-cornlouer/ |
| 2161 | 11-Oct-16 | 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/ |
| 2162 | 11-Oct-16 | 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/ |
| 2163 | 27-Nov-16 | 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/ |
| 2164 | 23-Nov-16 | 2016-0419 | FP | Julie Robertson | Manchester (North) | Other related deaths | Canal and River Trust | https://www.judiciary.uk/publications/flavio-pizarro/ |
| 2165 | 08-Dec-16 | 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/ |
| 2166 | 06-Feb-17 | 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/ |
| 2167 | 08-Feb-17 | 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/ |
| 2168 | 09-Feb-17 | 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/ |
| 2169 | 06-Feb-17 | 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/ |
| 2170 | 08-Feb-17 | 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/ |
| 2171 | 10-Feb-17 | 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/ |
| 2172 | 09-Feb-17 | 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/ |
| 2173 | 13-Feb-17 | 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/ |
| 2174 | 01-Jul-16 | 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/ |
| 2175 | 02-Dec-16 | 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/ |
| 2176 | 09-Nov-16 | 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/ |
| 2177 | 11-Nov-16 | 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/ |
| 2178 | 10-Oct-16 | 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/ |
| 2179 | 07-Oct-16 | 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/ |
| 2180 | 08-Nov-16 | 2016-0412 | ML | Dr Fiona Wilcox | London Inner (West) | Other related deaths | MOJ; Serco; Metropolitan Police | https://www.judiciary.uk/publications/michelle-lawrence/ |
| 2181 | 14-Nov-16 | 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/ |
| 2182 | 14-Nov-16 | 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/ |
| 2183 | 14-Dec-16 | 2016-0402 | LD | Richard Middleton | Dorset | Other related deaths | British Mountaineering Council; Royal Yachting Association | https://www.judiciary.uk/publications/liam-day/ |
| 2184 | 16-Nov-16 | 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/ |
| 2185 | 18-Jan-17 | 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/ |
| 2186 | 18-Jan-17 | 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/ |
| 2187 | 18-Jan-17 | 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/ |
| 2188 | 25-Jan-17 | 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/ |
| 2189 | 25-Jan-17 | 2017-0022 | GB | Anna Crawford | Surrey | Care Home Health related deaths | Collingwood Nursing Home | https://www.judiciary.uk/publications/geraldine-butterfield/ |
| 2190 | 30-Jan-17 | 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/ |
| 2191 | 27-Jan-17 | 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/ |
| 2192 | 31-Jan-17 | 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/ |
| 2193 | 30-Jan-17 | 2017-0018 | DH | Janet Napier | Cheshire | Road (Highways Safety) related deaths | Cheshire East Council, Highway Department | https://www.judiciary.uk/publications/david-holman/ |
| 2194 | 30-Jan-17 | 2017-0017 | FC | Janet Napier | Cheshire | Care Home Health related deaths | St Helens Clinical Commissioning Group; Halton Clinical Commissioning Group | https://www.judiciary.uk/publications/frederick-chisnall/ |
| 2195 | 08-Dec-16 | 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/ |
| 2196 | 27-Jan-17 | 2017-0016 | DT | Andrew Bradley | Hampshire (North East) | Railway related deaths | HM Principal Inspector of Railways | https://www.judiciary.uk/publications/derek-thomas-2/ |
| 2197 | 26-Jan-17 | 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/ |
| 2198 | 21-Nov-16 | 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/ |
| 2199 | 31-Jan-17 | 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/ |
| 2200 | 21-Nov-16 | 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/ |
| 2201 | 24-Nov-16 | 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/ |
| 2202 | 24-Nov-16 | 2016-0421 | TJ | Louise Hunt | Birmingham and Solihull | Community health care and emergency services related deaths | Richmond Medical Centre; Clinical Commissioning Group | https://www.judiciary.uk/publications/timothy-jones/ |
| 2203 | 03-Feb-17 | 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/ |
| 2204 | 29-Nov-16 | 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/ |
| 2205 | 30-Nov-16 | 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/ |
| 2206 | 03-Feb-17 | 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/ |
| 2207 | 29-Nov-16 | 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/ |
| 2208 | 30-Nov-16 | 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/ |
| 2209 | 07-Feb-17 | 2017-0010 | SB | Christopher Dorrie OBE | South Yorkshire (West) | Road (Highways Safety) related deaths | First Mainline | https://www.judiciary.uk/publications/sheila-bowling/ |
| 2210 | 23-Nov-16 | 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/ |
| 2211 | 02-Feb-17 | 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/ |
| 2212 | 06-Jan-17 | 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/ |
| 2213 | 03-Jan-17 | 2017-0007 | RO | Christopher Murray | Manchester (South) | Other related deaths | Your Housing | https://www.judiciary.uk/publications/roseleen-odonoghue/ |
| 2214 | 11-Jan-17 | 2017-0006 | CR | Peter Bedford | Berkshire | Other related deaths | Bayer Plc | https://www.judiciary.uk/publications/charles-rendell/ |
| 2215 | 09-Jan-17 | 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/ |
| 2216 | 11-Jan-17 | 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/ |
| 2217 | 13-Jan-17 | 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/ |
| 2218 | 13-Jan-17 | 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/ |
| 2219 | 12-Jan-17 | 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/ |
| 2220 | 24-Oct-16 | 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/ |
| 2221 | 09-Dec-16 | 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/ |
| 2222 | 24-Oct-16 | 2016-0405 | SE | Tony Williams | Somerset | Road (Highways Safety) related deaths | Taunton Deane District Council | https://www.judiciary.uk/publications/sally-eveleigh/ |
| 2223 | 08-Dec-16 | 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/ |
| 2224 | 29-Nov-16 | 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/ |
| 2225 | 05-Dec-16 | 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/ |
| 2226 | 06-Dec-16 | 2016-0434 | JC | Rachael Griffin | Manchester (West) | Care Home Health related deaths | CLS Care Services | https://www.judiciary.uk/publications/joyce-crompton/ |
| 2227 | 09-Dec-16 | 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/ |
| 2228 | 07-Oct-16 | 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/ |
| 2229 | 15-Dec-16 | 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/ |
| 2230 | 15-Dec-16 | 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/ |
| 2231 | 16-Dec-16 | 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/ |
| 2232 | 12-Dec-16 | 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/ |
| 2233 | 21-Dec-16 | 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/ |
| 2234 | 22-Dec-16 | 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/ |
| 2235 | 12-Oct-16 | 2016-0461 | CA | David Ridley | Wiltshire and Swindon | State Custody related deaths | NOMS | https://www.judiciary.uk/publications/calam-atour/ |
| 2236 | 12-Dec-16 | 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/ |
| 2237 | 12-Dec-16 | 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/ |
| 2238 | 15-Dec-16 | 2016-0444 | JM | Nichola Rheinberg | Cheshire | Hospital Death (Clinical Procedures and medical management) related deaths | Bowmere Hospital | https://www.judiciary.uk/publications/janet-millar/ |
| 2239 | 14-Dec-16 | 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 Group | https://www.judiciary.uk/publications/jaroslaw-rogala/ |
| 2240 | 15-Dec-16 | 2016-0446 | PG | Andrew Tweddle | County Durham and Darlington | Other related deaths | British Parachute Association | https://www.judiciary.uk/publications/pamela-gower/ |
| 2241 | 15-Dec-16 | 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/ |
| 2242 | 16-Dec-16 | 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/ |
| 2243 | 15-Dec-16 | 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/ |
| 2244 | 16-Dec-16 | 2016-0450 | EF | Andrew Harris | London Inner (South) | Other related deaths | Foreign and Commonwealth Office | https://www.judiciary.uk/publications/edwin-flett/ |
| 2245 | 16-Dec-16 | 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/ |
| 2246 | 16-Dec-16 | 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/ |
| 2247 | 19-Dec-16 | 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/ |
| 2248 | 19-Dec-16 | 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/ |
| 2249 | 08-Dec-16 | 2016-0436 | CF | Michael Oakley | North Yorkshire (East) | Other related deaths | Department of Transport | https://www.judiciary.uk/publications/cameron-forster/ |
| 2250 | 08-Dec-16 | 2016-0436A | AS | Michael Oakley | North Yorkshire (East) | Other related deaths | Department of Transport | https://www.judiciary.uk/publications/ajvir-sandhu/ |
| 2251 | 05-Dec-16 | 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/ |
| 2252 | 07-Dec-16 | 2016-0349 | AM | Emma Whitting | Coventry | Other related deaths | NOMS | https://www.judiciary.uk/publications/andrew-machin/ |
| 2253 | 07-Dec-16 | 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/ |
| 2254 | 14-Nov-16 | 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/ |
| 2255 | 09-Nov-16 | 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/ |
| 2256 | 07-Nov-16 | 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/ |
| 2257 | 17-Nov-16 | 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/ |
| 2258 | 02-Feb-17 | 2017-0014 | JF | Andrew Walker | London (North) | Police related deaths | Metropolitan Police Service | https://www.judiciary.uk/publications/james-fox/ |
| 2259 | 16-Jan-17 | 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/ | |
| 2260 | 30-Dec-16 | 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/ |
| 2261 | 28-Dec-16 | 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/ |
| 2262 | 28-Dec-16 | 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/ |
| 2263 | 22-Dec-16 | 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/ |
| 2264 | 22-Dec-16 | 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/ |
| 2265 | 22-Dec-16 | 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/ |
| 2266 | 06-Dec-16 | 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/ |
| 2267 | 02-Dec-16 | 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/ |
| 2268 | 21-Nov-16 | 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/ | |
| 2269 | 14-Nov-16 | 2016-0407 | BW | Peter Bedford | Berkshire | Product related deaths | Federation of Piling Specialists; HSE, Soilmec Limited | https://www.judiciary.uk/publications/benjamin-wylie/ |
| 2270 | 11-Nov-16 | 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/ |
| 2271 | 10-Nov-16 | 2016 – 0396 | DW | Jonathan Layton | Carmarthenshire and Pembrokeshire | Other related deaths | Maritime and Coastguard Agency | https://www.judiciary.uk/publications/daniel-willington/ |
| 2272 | 10-Nov-16 | 2016 – 0396A | GW | Jonathan Layton | Carmarthenshire and Pembrokeshire | Other related deaths | Maritime and Coastguard Agency | https://www.judiciary.uk/publications/gareth-willington/ |
| 2273 | 02-Nov-16 | 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/ |
| 2274 | 02-Nov-16 | 2016-0394 | WM | Ian Singleton | Wiltshire and Swindon | Care Home Health related deaths | Avon Care Home Limited | https://www.judiciary.uk/publications/william-marson/ |
| 2275 | 02-Nov-16 | 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/ |
| 2276 | 01-Nov-16 | 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/ |
| 2277 | 31-Oct-16 | 2016-0388 | AM | Thoma Osborne | Milton Keynes | Mental Health related deaths | The Priory Group | https://www.judiciary.uk/publications/anthony-mcmanus/ |
| 2278 | 31-Oct-16 | 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/ |
| 2279 | 31-Oct-16 | 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/ |
| 2280 | 28-Oct-16 | 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/ |
| 2281 | 28-Oct-16 | 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/ |
| 2282 | 27-Oct-16 | 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/ |
| 2283 | 26-Oct-16 | 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/ |
| 2284 | 25-Oct-16 | 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/ |
| 2285 | 25-Oct-16 | 2016-0378 | NO | Chinyere Inyama | London (West) | Mental Health related deaths | West London Mental Health Trust | https://www.judiciary.uk/publications/nihad-ousta/ |
| 2286 | 25-Oct-16 | 2016-0379 | IA | Stephanie Haskey | Nottinghamshire | Care Home Health related deaths | Care Quality Commission; Department of Health | https://www.judiciary.uk/publications/ivy-atkin/ |
| 2287 | 25-Oct-16 | 2016-0381 | KH | Graham Danbury | Hertfordshire | Road (Highways Safety) related deaths | Highways England | https://www.judiciary.uk/publications/kevin-hefferman/ |
| 2288 | 25-Oct-16 | 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/ |
| 2289 | 24-Oct-16 | MB | Andrew Tweedle | County Durham and Darlington | State Custody related deaths | NOMS | https://www.judiciary.uk/publications/michelle-barnes/ | |
| 2290 | 24-Oct-16 | 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/ |
| 2291 | 24-Oct-16 | 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/ |
| 2292 | 24-Oct-16 | 2016-0383 | JG | Paul Smith | Lincolnshire (Central) | Road (Highways Safety) related deaths | Lincolnshire County Council | https://www.judiciary.uk/publications/joan-green/ |
| 2293 | 20-Oct-16 | 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/ |
| 2294 | 20-Oct-16 | 2016-0371 | SJ | ME Hassell | London Inner (North) | Police related deaths | New Scotland Yard | https://www.judiciary.uk/publications/sian-jones/ |
| 2295 | 20-Oct-16 | 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/ |
| 2296 | 19-Oct-16 | 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/ |
| 2297 | 18-Oct-16 | 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/ |
| 2298 | 18-Oct-16 | 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/ |
| 2299 | 17-Oct-16 | 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/ |
| 2300 | 14-Oct-16 | 2016-0365 | BA | Ian Pears | Bedfordshire and Luton | Road (Highways Safety) related deaths | Luton Borough Council | https://www.judiciary.uk/publications/brandon-arnold/ |
| 2301 | 12-Oct-16 | 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/ |
| 2302 | 11-Oct-16 | 2016-0380 | VT | Geoffrey Sullivan | Hertfordshire | Road (Highways Safety) related deaths | Highways England | https://www.judiciary.uk/publications/vichal-tonpradit/ |
| 2303 | 05-Oct-16 | 2016-0348 | CW | Andrew Barkley | South Wale Central | Road (Highways Safety) related deaths | Department of Transport | https://www.judiciary.uk/publications/colin-wellings/ |
| 2304 | 04-Oct-16 | 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/ |
| 2305 | 03-Oct-16 | 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/ |
| 2306 | 23-Sep-16 | 2016-0339 | KH | Emma Brown | Birmingham and Solihull | Other related deaths | Department for Education; NSPCC | https://www.judiciary.uk/publications/karnel-haughton/ |
| 2307 | 20-Sep-16 | 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/ |
| 2308 | 19-Sep-16 | 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/ |
| 2309 | 19-Sep-16 | 2016-0336 | CP | Ian Arrow | Plymouth, Torbay and South Devon | Suicide (from 2015) | Cornwall County Council | https://www.judiciary.uk/publications/charles-pitcher/ |
| 2310 | 15-Sep-16 | 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/ |
| 2311 | 16-Sep-16 | 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/ |
| 2312 | 16-Sep-16 | 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/ |
| 2313 | 16-Sep-16 | 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/ |
| 2314 | 13-Sep-16 | 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/ | |
| 2315 | 13-Sep-16 | 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/ |
| 2316 | 07-Sep-16 | 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/ |
| 2317 | 07-Sep-16 | 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/ |
| 2318 | 07-Sep-16 | 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/ |
| 2319 | 07-Sep-16 | 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/ |
| 2320 | 07-Sep-16 | 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/ |
| 2321 | 07-Sep-16 | 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/ |
| 2322 | 07-Sep-16 | 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/ |
| 2323 | 06-Sep-16 | 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/ |
| 2324 | 06-Sep-16 | 2016-0320 | WS | Caroline Beasley-Murray | Essex | State Custody related deaths | HMP; Care UK | https://www.judiciary.uk/publications/warren-sampson/ |
| 2325 | 06-Sep-16 | 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/ |
| 2326 | 05-Sep-16 | 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/ |
| 2327 | 05-Sep-16 | 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/ |
| 2328 | 05-Sep-16 | 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/ |
| 2329 | 02-Sep-16 | 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/ |
| 2330 | 30-Aug-16 | 2016-0314 | PL | Simon Milburn | Cambridgeshire and Peterborough | State Custody related deaths | NOMS | https://www.judiciary.uk/publications/peter-lawrence/ |
| 2331 | 30-Aug-16 | 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/ |
| 2332 | 30-Aug-16 | 2016-0311 | RD | Paul Smith | Lincolnshire (Central) | Road (Highways Safety) related deaths | Department for Transport | https://www.judiciary.uk/publications/robert-dearing/ |
| 2333 | 26-Aug-16 | 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/ |
| 2334 | 26-Aug-16 | 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 Group | https://www.judiciary.uk/publications/kyle-lowes/ |
| 2335 | 26-Aug-16 | 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/ |
| 2336 | 26-Aug-16 | 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/ |
| 2337 | 24-Aug-16 | 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/ |
| 2338 | 23-Aug-16 | 2016-0304 | SC | Ian Pears | Bedfordshire and Luton | Railway related deaths | Network Rail | https://www.judiciary.uk/publications/stephen-cahill/ |
| 2339 | 23-Aug-16 | 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/ |
| 2340 | 22-Aug-16 | 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/ |
| 2341 | 19-Aug-16 | 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/ |
| 2342 | 19-Aug-16 | 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/ |
| 2343 | 19-Aug-16 | 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/ |
| 2344 | 19-Aug-16 | 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/ |
| 2345 | 19-Aug-16 | 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/ |
| 2346 | 18-Aug-16 | 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/ |
| 2347 | 17-Aug-16 | 2016-0395 | JS | Peter Dorries | South Yorkshire (West) | Road (Highways Safety) related deaths | Rotherham Borough Council | https://www.judiciary.uk/publications/jonathan-sellman/ |
| 2348 | 16-Aug-16 | 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/ |
| 2349 | 15-Aug-16 | 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/ |
| 2350 | 15-Aug-16 | 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/ |
| 2351 | 15-Aug-16 | 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/ |
| 2352 | 15-Aug-16 | 2016-0306 | OF | Maria Voisin | Avon | Mental Health related deaths | Avon and Wiltshire NHS Trust | https://www.judiciary.uk/publications/oliver-ford/ |
| 2353 | 12-Aug-16 | 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/ |
| 2354 | 12-Aug-16 | 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/ |
| 2355 | 12-Aug-16 | 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/ |
| 2356 | 11-Aug-16 | 2016 – 0283 | TG | L Hashmi | Greater Manchester (North) | Police related deaths | Greater Manchester Police | https://www.judiciary.uk/publications/thomas-gallagher/ |
| 2357 | 11-Aug-16 | 2016 – 0281 | AP | Robert Chapman | Rutland and North Leicestershire | Hospital Death (Clinical Procedures and medical management) related deaths | The Priory Hospital, Cheadle; The Leicestershire Partnership NHS Trust | https://www.judiciary.uk/publications/anthony-preston/ |
| 2358 | 10-Aug-16 | TJ | David Hinchliff | West Yorkshire (East) | State Custody related deaths | HM Prison Leeds; Leeds Teaching Hospitals NHS Trust | https://www.judiciary.uk/publications/thomas-jordan-2/ | |
| 2359 | 10-Aug-16 | 2016 – 0287 | TJ | David Hinchliff | Yorkshire West (East) | Hospital Death (Clinical Procedures and medical management) related deaths; State Custody related deaths | Head of Healthcare, HMP Leeds; Medical Director, Leeds Teaching Hospitals, NHS Trust | https://www.judiciary.uk/publications/thomas-jordan/ |
| 2360 | 10-Aug-16 | 2016 – 0284 | KR | David Roberts | Cumbria | Road (Highways Safety) | Highways Department, Cumbria County Council | https://www.judiciary.uk/publications/kevin-ritson/ |
| 2361 | 10-Aug-16 | 2016 – 0282 | BC | Simon Wickens | Surrey | Accident at Work and Health and Safety related deaths | Digsafe Suction Excavations Limited; Health and Safety Executive | https://www.judiciary.uk/publications/ben-collins/ |
| 2362 | 07-Aug-16 | 2016 – 0288(a) | RF | Peter Harrowing | Avon | Community health care and emergency services related deaths | Bristol Clinical Commissioning Group; Avon and Wiltshire Mental Health Partnership NHS Trust; Care Quality Commission | https://www.judiciary.uk/publications/rohan-fitzsimons-2/ |
| 2363 | 07-Aug-16 | 2016 – 0288 | RF | Peter Harrowing | Avon | Mental Health related deaths; Hospital Death (Clinical Procedures and medical management) related death; Suicide (from 2015) | Avon and Wiltshire Mental Health Partnership NHS Trust; Care Quality Commission | https://www.judiciary.uk/publications/rohan-fitzsimons/ |
| 2364 | 04-Aug-16 | 2016 – 0294 | SH | Ian Pears | Bedfordshire and Luton | Railway related deaths; Suicide (from 2015) | Network Rail | https://www.judiciary.uk/publications/susan-hamlett/ |
| 2365 | 03-Aug-16 | 2016 – 0280 | WH | Louise Hunt | Birmingham and Solihull | Care Home Health related deaths; Hospital Death (Clinical Procedures and medical management) related deaths | Sandwell and West Birmingham Hospitals NHS Trust; Birmingham City Council | https://www.judiciary.uk/publications/winston-harris/ |
| 2366 | 01-Aug-16 | 2016 – 0279 | PG | Andrew Tweddle | County Durham and Darlington | Hospital Death (Clinical Procedures and medical management) related deaths | Tees, Esk and Wear Valley | https://www.judiciary.uk/publications/pamela-gressman/ |
| 2367 | 01-Aug-16 | 2016 – 0278 | JK | Nadia Persaud | London Greater (East) | Hospital Death (Clinical Procedures and medical management) related deaths; | North Middlesex University Hospital NHS Trust | https://www.judiciary.uk/publications/joshua-knox-hooke/ |
| 2368 | 29-Jul-16 | 2016 – 0277 | MA | Ian Singleton | Wiltshire and Swindon | Community health care and emergency services related deaths; Suicide (from 2015) | Endless Street Surgery; Department of Health | https://www.judiciary.uk/publications/miles-abel/ |
| 2369 | 29-Jul-16 | 2016 – 0275 | DS | Andrew Cox | Cornwall and the Isle of Scilly | Hospital Death (Clinical Procedures and medical management) related deaths | Cornwall Partnership Foundation Trust | https://www.judiciary.uk/publications/danny-sweet/ |
| 2370 | 28-Jul-16 | 2016 – 0272 | LM | Nigel Meadows | Manchester City | Hospital Death (Clinical Procedures and medical management) related deaths | Manchester Mental Health and Social Care Trust; Central Manchester University Hospitals NHS Foundation Trust; Regard Care | https://www.judiciary.uk/publications/leslie-morrison/ |
| 2371 | 27-Jul-16 | 2016-0271 | CP | Jonathan Layton | Carmarthenshire and Pembrokeshire | Hospital Death (Clinical Procedures and medical management) related deaths | Hywel Dda University Health Board | https://www.judiciary.uk/publications/cerith-pugh/ |
| 2372 | 27-Jul-16 | 2016 – 0269 | JH | Andrew Barkley | South Wale Central | Hospital Death (Clinical Procedures and medical | Medicines and Healthcare Products Regulatory Agency; Roche Diagnostics Limited; NHS Wales; NHS England | https://www.judiciary.uk/publications/james-hedge/ |
| 2373 | 26-Jul-16 | 2016 – 0276 | LM | Crispin Oliver | County Durham and Darlington | Hospital Death (Clinical Procedures and medical management) related deaths; Other related deaths | Patient Safety Lead, County Durham and Darlington NHS Foundation Trust; Medicines and Healthcare Products Regulatory Agency | https://www.judiciary.uk/publications/leslie-matthews/ |
| 2374 | 26-Jul-16 | 2016 – 0274 | TA | ME Hassell | London Inner (North) | Hospital Death (Clinical Procedures and medical management) related deaths; State Custody related deaths | Care UK; HMP Pentonville | https://www.judiciary.uk/publications/terence-adams/ |
| 2375 | 26-Jul-16 | 2016 – 0273 | MT | ME Hassell | London Inner (North) | Hospital Death (Clinical Procedures and medical management) related deaths | Royal London Hospital | https://www.judiciary.uk/publications/margaret-tuck/ |
| 2376 | 26-Jul-16 | 2016 – 0268 | LG | Rachael Griffin | Manchester West | Community health care and emergency services related deaths | Next Stage; 5 Boroughs Partnership NHS Foundation Trust, Warrington | https://www.judiciary.uk/publications/lee-grimes/ |
| 2377 | 26-Jul-16 | 2016 – 0266 | RG | Anna Crawford | Surrey | Care Home Health related deaths | Independence Homes Limited | https://www.judiciary.uk/publications/rebecca-gilbank/ |
| 2378 | 25-Jul-16 | 2016-0264 | YS | David Horsley | Portsmouth and South East Hampshire | Road (Highways Safety) related deaths | Hampshire County Council; Secretary of State for Transport | https://www.judiciary.uk/publications/yogalakshmi-sinnaiah-2/ |
| 2379 | 25-Jul-16 | 2016-0263 | MN | Christopher Dorries | South Yorkshire (West) | Community health care and emergency services related deaths | Sheffield City Council | https://www.judiciary.uk/publications/marjorie-nesbitt/ |
| 2380 | 25-Jul-16 | 2016-0262 | AG | Penelope Schofield | West Sussex | Child Death (from 2015); Other related deaths | British Travel Agents | https://www.judiciary.uk/publications/alfie-gray/ |
| 2381 | 25-Jul-16 | 2016 – 0270 | PC | Louise Hunt | Birmingham and Solihull | Community health care and emergency services related deaths | Birmingham and Solihull Mental Health Trust; NHS England | https://www.judiciary.uk/publications/patricia-cleghorn/ |
| 2382 | 22-Jul-16 | OA | Jeremy Chipperfield | London (West) | State Custody related deaths | Metropolitan Police | https://www.judiciary.uk/publications/olawale-adelusi/ | |
| 2383 | 22-Jul-16 | 2016-0261 | AS | Andrew Haigh | Staffordshire (South) | Hospital Death (Clinical Procedures and medical management) related deaths | Care UK | https://www.judiciary.uk/publications/alan-stead/ |
| 2384 | 22-Jul-16 | 2016 – 0265 | SB | Crispin Butler | Buckinghamshire | Hospital Death (Clinical Procedures and medical management) related deaths | BMI The Shelburne Hospital | https://www.judiciary.uk/publications/stephen-bird/ |
| 2385 | 21-Jul-16 | 2016 – 0267 | NC | Crispin Oliver | County Durham and Darlington | Road (Highways Safety) related deaths | Durham County Council | https://www.judiciary.uk/publications/nathan-charman/ |
| 2386 | 19-Jul-16 | 2016-0260 | PM | Dr Fiona Wilcox | London Inner (West) | Community health care and emergency services related deaths | Tunstall Response | https://www.judiciary.uk/publications/patricia-mercieca/ |
| 2387 | 19-Jul-16 | 2016-0259 | RD | Henrietta Hill QC | London Inner (South) | Product related deaths | The Resuscitation Council (UK) | https://www.judiciary.uk/publications/rosemarie-dees/ |
| 2388 | 18-Jul-16 | 2016-0489 | KK | Martin Fleming | West Yorkshire (West) | Hospital Death (Clinical Procedures and medical management) related deaths | St Marien Hospital Trust | https://www.judiciary.uk/publications/khazna-khalaf/ |
| 2389 | 18-Jul-16 | 2016-0257 | SA | PS Cooper | Lincolnshire (South) | Hospital Death (Clinical Procedures and medical management) related deaths | United Lincolnshire Hospitals NHS Trust | https://www.judiciary.uk/publications/sidney-alexander/ |
| 2390 | 15-Jul-16 | 2016-0255 | MG | Simon Jones | Manchester (West) | Hospital Death (Clinical Procedures and medical management) related deaths | Wrightington Wigan and Leigh NHS Trust | https://www.judiciary.uk/publications/margaret-gleeson/ |
| 2391 | 15-Jul-16 | 2016-0256 | SN | Louise Hunt | Birmingham and Solihull | Hospital Death (Clinical Procedures and medical management) related deaths; Community health care and emergency services related deaths | Wychall Lane Surgery; NHS England; Birmingham Cross City CCG | https://www.judiciary.uk/publications/sydney-neil/ |
| 2392 | 15-Jul-16 | 2016-0251 | LC | Bridget Dolan QC | West Sussex | Hospital Death (Clinical Procedures and medical management) related deaths; Child Death (from 2015) | Western Sussex Hospital NHS Trust; St Richard’s Hospital | https://www.judiciary.uk/publications/leilani-chute/ |
| 2393 | 15-Jul-16 | 2016-0253 | JK | Andrew Tweddle | County Durham and Darlington | Hospital Death (Clinical Procedures and medical management) related deaths | County Durham and Darlington NHS Trust; Department of Health | https://www.judiciary.uk/publications/james-kane/ |
| 2394 | 14-Jul-16 | 2016-0249 | FW | Andrew Bridgman | Manchester (South) | Community health care and emergency services related deaths | Heaton Moor Medical Centre; NHS England | https://www.judiciary.uk/publications/fred-whittaker/ |
| 2395 | 14-Jul-16 | 2016-0248 | HG | Nadia Persaud | London (East) | Care Home Health related deaths | Alexander Court Care Central | https://www.judiciary.uk/publications/harold-goulding/ |
| 2396 | 14-Jul-16 | 2016-0258 | PC | Andrew Bridgman | Manchester (South) | Hospital Death (Clinical Procedures and medical management) related deaths | South Manchester University Hospital NHS Trust | https://www.judiciary.uk/publications/patrick-curran/ |
| 2397 | 17-Aug-16 | 2016-0490 | CD | Martin Fleming | West Yorkshire (West) | Other related deaths | Incommunities | https://www.judiciary.uk/publications/christine-dryden/ |
| 2398 | 12-Jul-16 | 2016-0488 | AG | Fiona Wilcox | London Inner (West) | Child Death (from 2015); Other related deaths | Home Office | https://www.judiciary.uk/publications/alice-gross/ |
| 2399 | 12-Jul-16 | 2016-0247 | SB | Jennifer Leeming | Manchester (West) | Other related deaths | Home Office; Secretary for Communities and Local Government | https://www.judiciary.uk/publications/steven-billington/ |
| 2400 | 11-Jul-16 | 2016-0245 | MW | Lydia Brown | Leicester City and Leicestershire South | State Custody related deaths; Suicide (from 2015) | HMP Leicester | https://www.judiciary.uk/publications/michael-williams/ |
| 2401 | 04-Jul-16 | 2016-0246 | TP | Mark Beresford | South Yorkshire (East) | Hospital Death (Clinical Procedures and medical management) related deaths | Doncaster Royal Infirmary | https://www.judiciary.uk/publications/thomas-pearson/ |
| 2402 | 04-Jul-16 | 2016-0244 | HH | ME Hassell | London Inner (North) | Police related deaths | Metropolitan Police | https://www.judiciary.uk/publications/henry-hicks/ |
| 2403 | 01-Jul-16 | 2016-0250 | GP | David Ridley | Wiltshire and Swindon | Road (Highways Safety) related deaths | Highway and Transport Wiltshire Council | https://www.judiciary.uk/publications/george-punton/ |
| 2404 | 30-Jun-16 | 2016 – 0293 | TS | Louise Hunt | Birmingham and Solihull | Hospital Death (Clinical Procedures and medical management) related deaths | Heart of England NHS Foundation Trust; NHS England | https://www.judiciary.uk/publications/terence-stilges/ |
| 2405 | 30-Jun-16 | 2016-0243 | LM | Tom Leeper | Warwickshire | Police related deaths | Chief Constable of Warwickshire Police | https://www.judiciary.uk/publications/luisa-mendes/ |
| 2406 | 30-Jun-16 | 2016-0240 | DS | Lisa Hashmi | Manchester (North) | Child Death (from 2015); Hospital Death (Clinical Procedures and medical management) related deaths | Pennine Acute Hospitals NHS Trust; Department of Health; Royal College of Obstetricians; Royal College of Paediatricians; N.I.C.E | https://www.judiciary.uk/publications/dominic-smith/ |
| 2407 | 30-Jun-16 | 2016-0238 | JB | Andrew Tweddle | County Durham and Darlington | Suicide (from 2015); State Custody related deaths; Hospital Death (Clinical Procedures and medical management) related deaths | Spectrum Community Health; NOMS; G4S | https://www.judiciary.uk/publications/john-betteridge/ |
| 2408 | 29-Jun-16 | 2016-0242 | PR | Andrew Bridgman | Manchester (South) | Hospital Death (Clinical Procedures and medical management) related deaths | Central Manchester University Hospitals NHS Foundation Trust | https://www.judiciary.uk/publications/peter-rowe/ |
| 2409 | 29-Jun-16 | 2016-0239 | LD | Andrew Barkley | South Wale Central | Community health care and emergency services related deaths | The Wallich Centre | https://www.judiciary.uk/publications/lee-davies/ |
| 2410 | 28-Jun-16 | 2016-0237 | DL | John Pollard | Manchester (South) | Hospital Death (Clinical Procedures and medical management) related deaths | Tameside Hospital NHS Foundation Trust | https://www.judiciary.uk/publications/david-little/ |
| 2411 | 27-Jun-16 | 2016-0236 | AJ | Katy Skerrett | Gloucestershire | Child Death (from 2015; Suicide (from 2015); Mental Health related deaths | Gloucestershire County Council; Gloucestershire Clinical Commissioning Group | https://www.judiciary.uk/publications/anielka-jennings/ |
| 2412 | 24-Jun-16 | 2016-0497 | KC | Mary Burke | West Yorkshire (West) | Hospital Death (Clinical Procedures and medical management) related deaths | NHS England; Department of Health | https://www.judiciary.uk/publications/kirsty-childs/ |
| 2413 | 24-Jun-16 | 2016-0229 | WN | Emma Carlyon | Cornwall | Community health care and emergency services related deaths; Police related deaths | South Western Ambulance Service; Devon and Cornwall Police | https://www.judiciary.uk/publications/william-nute/ |
| 2414 | 24-Jun-16 | 2016-0234 | RH | Philip Barlow | London Inner (South) | Alcohol, drug and medication related deaths; Railway related deaths | Network Rail | https://www.judiciary.uk/publications/richard-hinchliffe/ |
| 2415 | 23-Jun-16 | 2016-0235 | MY | John Tomalin | Exeter and Greater Devon | Railway related deaths | Great Western Railway | https://www.judiciary.uk/publications/michael-younghusband/ |
| 2416 | 22-Jun-16 | 2016-0232 | MB | John Pollard | Manchester (South) | Care Home Health related deaths | Borough Care Ltd | https://www.judiciary.uk/publications/malcolm-bennett/ |
| 2417 | 21-Jun-16 | 2016-0231 | OW | Stephanie Haskey | Nottingham | Care Home Health related deaths | Ideal Care Home Ltd | https://www.judiciary.uk/publications/clive-wilmott/ |
| 2418 | 20-Jun-16 | 2016-0233 | SM | S Fox QC | Avon | Hospital Death (Clinical Procedures and medical management) related deaths | Clevedon Medical Centre | https://www.judiciary.uk/publications/stephanie-marks/ |
| 2419 | 20-Jun-16 | 2016-0228 | MH | John Pollard | Manchester (South) | Hospital Death (Clinical Procedures and medical management) related deaths | Stockport NHS Foundation Trust | https://www.judiciary.uk/publications/michael-hutchence/ |
| 2420 | 20-Jun-16 | 2016-0227 | ZB | Nadia Persaud | London (East) | Hospital Death (Clinical Procedures and medical management) related deaths | Barts Health NHS Trust | https://www.judiciary.uk/publications/zawdie-bascom/ |
| 2421 | 16-Jun-16 | 2016-0226 | RA | Anna Crawford | Surrey | Road (Highways Safety) related deaths | Surrey County Council | https://www.judiciary.uk/publications/reece-atkinson/ |
| 2422 | 16-Jun-16 | 2016-0252 | VE | David Skipp | West Sussex | Hospital Death (Clinical Procedures and medical management) related deaths | Western Sussex Hospital NHS Trust | https://www.judiciary.uk/publications/valerie-ellis/ |
| 2423 | 14-Jun-16 | 2016-0221 | CO | Christopher Williams | London Inner (South) | Mental Health related deaths; Suicide (from 2015) | South London and Maudesley NHS Trust; Department of Health | https://www.judiciary.uk/publications/christina-obrien/ |
| 2424 | 13-Jun-16 | 2016-0223 | LM | Nadia Persaud | London (East) | Hospital Death (Clinical Procedures and medical management) related deaths | North East London Foundation Trust | https://www.judiciary.uk/publications/laura-mcrory/ |
| 2425 | 13-Jun-16 | 2016-0222 | KC | Zafar Siddique | Black Country | Hospital Death (Clinical Procedures and medical management) related deaths; Child Death (from 2015) | Walsall Healthcare NHS Trust | https://www.judiciary.uk/publications/kinga-cieciorska/ |
| 2426 | 13-Jun-16 | 2016-0220 | KD | Nichola Rheinberg | Cheshire | Mental Health related deaths; Suicide (from 2015) | NHS England; Department for Health | https://www.judiciary.uk/publications/kevin-dermott/ |
| 2427 | 09-Jun-16 | 2016-0217 | MG | Katy Skerrett | Gloucestershire | Accident at Work and Health and Safety related deaths | W M Morrisons PLC | https://www.judiciary.uk/publications/matthew-gunn/ |
| 2428 | 08-Jun-16 | 2016-0225 | AF | Nicola Mundy | South Yorkshire (East) | State Custody related deaths | HMP Lindholme | https://www.judiciary.uk/publications/anthony-fraser/ |
| 2429 | 28-Jun-16 | 2016-0241 | TV | Zafar Siddique | Black Country | Child Death (from 2015); Hospital Death (Clinical Procedures and medical management) related deaths | Walsall Healthcare NHS Trust; Care Quality Commission | https://www.judiciary.uk/publications/tommi-ray-vigrass/ |
| 2430 | 08-Jun-16 | 2016-0216 | SH | Nigel Meadows | Manchester (City) | Community health care and emergency services related deaths; Other related deaths | Home Office; Chief Fire and Rescue Services | https://www.judiciary.uk/publications/stephen-hunt/ |
| 2431 | 08-Jun-16 | 2016-0215 | PS | Lisa Hashmi | Manchester (North) | Other related deaths | Department of Health; Royal College of Physicians | https://www.judiciary.uk/publications/peter-seale/ |
| 2432 | 08-Jun-16 | 2016-0218 | GC | Katy Skerrett | Gloucestershire | Care Home Health related deaths | ADL PLC; Care Quality Commission | https://www.judiciary.uk/publications/gwendoline-clarke/ |
| 2433 | 06-Jun-16 | 2016-0214 | EI | Andrew Walker | London (North) | Other related deaths | Transport for London | https://www.judiciary.uk/publications/ezharul-islam/ |
| 2434 | 06-Jun-16 | 2016-0211 | TL | Michael Singleton | Blackburn, Hyndburn and Ribble Valley | Hospital Death (Clinical Procedures and medical management) related deaths; Suicide (from 2015) | Lancashire Care NHS Foundation Trust | https://www.judiciary.uk/publications/tracey-lynch/ |
| 2435 | 06-Jun-16 | 2016-0210 | ST | Peter Dean | Suffolk | State Custody related deaths; Suicide (from 2015) | Ministry of Justice | https://www.judiciary.uk/publications/steven-trudgill/ |
| 2436 | 02-Jun-16 | 2016-0208 | JB | John Tomalin | Exeter and Greater Devon | Mental Health related deaths | Seaton and Colyton Medical Practice; Northern, Eastern and Western Devon Clinical Commissioning Group | https://www.judiciary.uk/publications/jessica-birkhead/ |
| 2437 | 02-Jun-16 | 2016-0207 | CH | Rachael Griffin | Manchester (West) | Hospital Death (Clinical Procedures and medical management) related deaths | 5 Borough Partnership NHS Trust | https://www.judiciary.uk/publications/clarice-hilton/ |
| 2438 | 02-Jun-16 | 2016-0206 | JW | Caroline Beasley-Murray | Essex | Product related deaths | Trading Standards | https://www.judiciary.uk/publications/jonathan-weatherley/ |
| 2439 | 01-Jun-16 | 2016-0213 | RB | Karen Henderson | Surrey | Hospital Death (Clinical Procedures and medical management) related deaths | Ashford and St Peter Hospital; Royal College of Obstetricians and Gynaecologists; Medical Care Council | https://www.judiciary.uk/publications/rhianne-barton/ |
| 2440 | 31-May-16 | 2016-0205 | DR | John Gittins | North Wale (East and Central) | Hospital Death (Clinical Procedures and medical management) related deaths; Suicide (from 2015) | BCUHB | https://www.judiciary.uk/publications/danielle-robinson/ |
| 2441 | 27-May-16 | 2016-0204 | CJ | Elizabeth Carlyon | Cornwall | Child Death (from 2015); Hospital Death (Clinical Procedures and medical | NHS England; Kernow Clinical Commissioning Group | https://www.judiciary.uk/publications/charlie-jermyn/ |
| 2442 | 27-May-16 | 2016-0203 | EP | Elizabeth Carlyon | Cornwall | Hospital Death (Clinical Procedures and medical management) related deaths; Child Death (from 2015) | NHS England; Kernow Clinical Commissioning Group | https://www.judiciary.uk/publications/esmee-polmear/ |
| 2443 | 27-May-16 | 2016-0202 | KW | Elizabeth Earland | Exeter and Greater Devon | Child Death (from 2015) | North Devon County Council | https://www.judiciary.uk/publications/keenan-walsh/ |
| 2444 | 27-May-16 | 2016-0209 | AA | Mark Beresford | South Yorkshire (East) | Hospital Death (Clinical Procedures and medical management) related deaths; State Custody related deaths | NHS England; Secretary of State for Justice | https://www.judiciary.uk/publications/adetokunbo-ajakaiye/ |
| 2445 | 26-May-16 | 2016-0200 | IB | Thoma Osborne | Milton Keynes | State Custody related deaths; Suicide (from 2015) | HMP Woodhill; Minister for Prisons | https://www.judiciary.uk/publications/ian-brown/ |
| 2446 | 26-May-16 | 2016-0199 | PS | Heidi Connor | Nottinghamshire | Hospital Death (Clinical Procedures and medical management) related deaths; Community health care and emergency services related deaths | East Midlands Ambulance Service; NHS England; NHS Hardwick; Department of Health | https://www.judiciary.uk/publications/peter-scott/ |
| 2447 | 25-May-16 | 2016-0212 | CS | Karen Henderson | Surrey | Child Death (from 2015) | Surrey County Council; Department for Transport; Department for Education | https://www.judiciary.uk/publications/christopher-sears/ |
| 2448 | 25-May-16 | 2016-0201 | PS | Jacqueline Devonish | London Inner (North) | Hospital Death (Clinical Procedures and medical management) related deaths | NHS England | https://www.judiciary.uk/publications/patricia-steer/ |
| 2449 | 24-May-16 | 2016-0230 | BS | Emma Carlyon | Cornwall | Road (Highways Safety) related deaths | Cornwall Council | https://www.judiciary.uk/publications/beverley-siddall/ |
| 2450 | 24-May-16 | 2016-0198 | SK | Guy Davies | Isle of Scilly | Hospital Death (Clinical Procedures and medical management) related deaths | Cornwall Partnership NHS Foundation Trust; NHS Kernow Clinical Commissioning Group | https://www.judiciary.uk/publications/simon-klineberg/ |
| 2451 | 23-May-16 | 2016-0219 | GP | Richard Travers | Surrey | Child Death (from 2015); Community health care and emergency services related deaths | The Showmen’s Guild of Great Britain; The Caravan Club; Surrey Fire and Rescue Service | https://www.judiciary.uk/publications/george-peters/ |
| 2452 | 23-May-16 | 2016-0219A | JP | Richard Travers | Surrey | Child Death (from 2015); Community health care and emergency services related deaths | The Showmen’s Guild of Great Britain; The Caravan Club; Surrey Fire and Rescue Service | https://www.judiciary.uk/publications/joseph-peters/ |
| 2453 | 23-May-16 | 2016-0219A | SP | Richard Travers | Surrey | Child Death (from 2015); Community health care and emergency services related deaths | The Showmen’s Guild of Great Britain; The Caravan Club; Surrey Fire and Rescue Service | https://www.judiciary.uk/publications/sadie-peters/ |
| 2454 | 23-May-16 | 2016-0197 | KR | Michael Singleton | Blackburn, Hyndburn and Ribble Valley | Hospital Death (Clinical Procedures and medical management) related deaths | East Lancashire Healthcare NHS Trust | https://www.judiciary.uk/publications/karen-ravenscroft/ |
| 2455 | 19-May-16 | 2016-0196 | SB | ME Hassell | London Inner (North) | Hospital Death (Clinical Procedures and medical management) related deaths; Community health care and emergency services related deaths | Care UK; London Ambulance Services NHS Trust; NOMS | https://www.judiciary.uk/publications/rodney-blair/ |
| 2456 | 18-May-16 | 2016 – 0195 | RS | Selena Lynch | London South | Hospital Death (Clinical Procedures and medical management) related deaths | Oxleas NHS Foundation Trust | https://www.judiciary.uk/publications/ratidzai-sangare/ |
| 2457 | 18-May-16 | 2016 – 0194 | CF | John Pollard | Manchester South | Police related deaths | Greater Manchester Police; The North West Ambulance Service; Secretary of State for Health; NHS England | https://www.judiciary.uk/publications/christopher-fields/ |
| 2458 | 18-May-16 | 2016 – 0191 | SS | S McGovern | Warwickshire | Hospital Death (Clinical Procedures and medical management) related deaths | George Eliot Hospital | https://www.judiciary.uk/publications/stanley-sampey/ |
| 2459 | 17-May-16 | 2016 – 0190 | FC | Hassan Shah | Northamptonshire | Care Home Health related deaths; Hospital Death (Clinical Procedures and medical management) related deaths | Templemore Care Home; Northampton General Hospital | https://www.judiciary.uk/publications/freda-cordy/ |
| 2460 | 16-May-16 | 2016 – 0193 | JF | Kate Thomas | Mid Kent and Medway | Hospital Death (Clinical Procedures and medical management) related deaths | Medway NHS Foundation Trust | https://www.judiciary.uk/publications/jonathan-fry/ |
| 2461 | 16-May-16 | 2016 – 0189 | SW | Sarah Whitby | Hampshire Central | State Custody related | HMP Winchester | https://www.judiciary.uk/publications/sheldon-woodford/ |
| 2462 | 16-May-16 | 2016 – 0187 | JC | Karen Henderson | Surrey | Hospital Death (Clinical Procedures and medical management) related deaths | BMI Hospitals; Royal Surrey County Hospital; Royal College of Radiologists; Care Quality Commission; General Medical Council | https://www.judiciary.uk/publications/crittall-mr/ |
| 2463 | 15-May-16 | 2016-0224 | RO | Kate Thomas | Mid Kent and Medway | State Custody related deaths | HMP Rochester | https://www.judiciary.uk/publications/ronnie-olliffe/ |
| 2464 | 13-May-16 | 2016 – 0186 | GE | Andrew Bridgman | Manchester South | Hospital Death (Clinical Procedures and medical management) related deaths | Stockport NHS Foundation Trust | https://www.judiciary.uk/publications/geoffrey-ellis/ |
| 2465 | 13-May-16 | 2016 – 0185 | HD | Maria Mulrennan | Nottinghamshire | Road (Highways Safety) related deaths | Highways England; A-ONE+; Nottinghamshire County Council | https://www.judiciary.uk/publications/harold-davies/ |
| 2466 | 12-May-16 | 2016-0491 | CP | Paul O’Donnell | Cumbria | Hospital Death (Clinical Procedures and medical management) related deaths | University Hospitals of Morecambe Bay NHS Trust; Department of Health | https://www.judiciary.uk/publications/constance-pridmore/ |
| 2467 | 12-May-16 | 2016-0495 | AH | Nigel Parsley | Suffolk | Road (Highways Safety) related deaths | Suffolk County Council Highway Department | https://www.judiciary.uk/publications/archie-hall/ |
| 2468 | 12-May-16 | 2016 – 0183 | DA | Michael Singleton | Blackburn, Hyndburn and Ribble Valley | Hospital Death (Clinical Procedures and medical management) related deaths | East Lancashire Healthcare NHS Trust | https://www.judiciary.uk/publications/david-aughton/ |
| 2469 | 11-May-16 | 2016-0481 | SF | Jame Adeley | Preston and West Lancashire | Hospital Death (Clinical Procedures and medical management) related deaths | BMI Health Care | https://www.judiciary.uk/publications/sally-froggatt/ |
| 2470 | 11-May-16 | 2016 – 0180 | MG | Heidi Connor | Nottinghamshire | Hospital Death (Clinical Procedures and medical management) related deaths; Child Death (from 2015) | East Midlands Ambulance Service NHS Trust; Chair of Association of Ambulance Chief Executives; Sustainable Improvement Team, NHS England; NHS Hardwick Clinical Commissioning Group | https://www.judiciary.uk/publications/mia-gibson/ |
| 2471 | 11-May-16 | 2016 – 0178 | GT | Andrew Barkley | South Wale Central | Mental Health related deaths; Suicide (from 2015) | Powys Teaching Health Board, Secretary of State for Health | https://www.judiciary.uk/publications/gillian-taylor/ |
| 2472 | 10-May-16 | 2016 – 0177 | CS | 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/christine-street/ |
| 2473 | 06-May-16 | 2016 – 0176 | JS | Mary Hassell | London Inner North | Child Death (from 2015); Hospital Death (Clinical Procedures and medical management) related deaths | East London NHS Foundation Trust | https://www.judiciary.uk/publications/jack-susianta/ |
| 2474 | 06-May-16 | 2016 – 0175 | LN | Martin Fleming | Yorkshire West Western | Road (Highways Safety) related deaths | Bradford Metropolitan Borough Council | https://www.judiciary.uk/publications/lee-nauman/ |
| 2475 | 06-May-16 | 2016 – 0174 | CL | Andrew Walker | London Greater North | Mental Health related deaths | North Middlesex Hospital | https://www.judiciary.uk/publications/carole-lovett/ |
| 2476 | 05-May-16 | 2016 – 0173 | AF | Lydia Brown | Leicester City and Leicestershire South | State Custody related deaths; Suicide (from 2015); Hospital Death (Clinical Procedures and medical management) related deaths | East Midlands Ambulance Service NHS Trust | https://www.judiciary.uk/publications/ahmedreza-fathi/ |
| 2477 | 04-May-16 | 2016 – 0172 | TJ | David Roberts | Cumbria | Road (Highways Safety) related deaths; Child Death (from 2015) | Secretary of State for Transport | https://www.judiciary.uk/publications/tony-jopson/ |
| 2478 | 04-May-16 | 2016 – 0172A | MJ | David Roberts | Cumbria | Road (Highways Safety) related deaths | Secretary of State for Transport | https://www.judiciary.uk/publications/michael-jopson/ |
| 2479 | 03-May-16 | 2016 – 0179 | SB | Stephanie Haskey | Nottinghamshire | State Custody related | National Offender Management Service; HMP Nottingham; Nottingham Healthcare NHS Trust; NHS England | https://www.judiciary.uk/publications/shalane-blackwood/ |