Who’s not responding to the coroner?

Coroners send Prevention of Future Deaths reports to individuals or organisations with the power to act. By law, they must respond within 56 days, but no one monitors this except the Preventable Deaths Tracker.

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The assumptions

To build these response trackers, we assume that the first PDF document uploaded to the Judiciary website is a report and subsequent files are responses. This may not always be the case, as some coroners write multiple PFD reports to different organisations, so some subsequent files are counted as responses when they are additional PFD reports. This means these calculations likely overestimate the number of responses received and underestimate the overdue responses. We’re exploring new ways to improve these calculations.

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Trends over time for overdue reports

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Top 30 addressees without responses

Nearly 400 addressees have no responses. Here is a snapshot of the top organisations that have no responses published.

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Reg 28 Database for overdue reports

This database contains all coroners’ Prevention of Future Deaths reports (PFDs) with overdue responses, ranked by the number of days overdue.

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Check the status of other reports

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Cite the Tracker

Richards, GC. 2024. Preventable Deaths Tracker. https://preventabledeathstracker.net/