Who receives coroners’ reports?

Despite laws mandating that people who receive coroners’ Prevention of Future Deaths reports (PFDs) must respond to the coroner within 56 days, no one monitors this nor knows who receives reports.

The Preventable Deaths Tracker provides the first and only comprehensive statistics on who receives coroners’ PFD reports.

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Top 30 Addressees of coroners’ reports

The Department of Health and Social Care, NHS England, and the Care Quality Commission receive the most reports. Hover over each bar to get exact figures or download the data.

*Please note: 641 reports (~12% of all reports) published by the Chief Coroner’s Office do not have accessible information on who the addressees were and thus cannot be included in these figures.

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Regulation 29 Addressee Tracker Database

The Regulation 29 Addressee Tracker Database contains all individuals and organisations who have received coroners’ PFD reports, where data is available on the Judiciary website. *Note: ~641 reports published by the Chief Coroner’s Office don’t have this information available.

It analyses the data to show how many reports were sent to each organisation and updates weekly.

Before this database, no one knew how many reports each organisation received.

*Please note: 641 reports (~12% of all reports) published by the Chief Coroner’s Office do not have accessible information on who the addressees were and thus cannot be included in this database.

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Cite the Tracker

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