top of page

Inquests (PFDs)

Date
Reference
Deceased
Coroner Area
Sent to
Investigation
Circumstances
Sent to
Categories
Also sent to
7 March 2018
2018-0068
Venkata Kagga
Manchester (South)
Hospital Death (Clinical Procedures and medical management) related deaths
NHS England; Department of Health
24 July 2019
2019-0249
Xander Curran-Pass
Manchester (South)
Hospital Death (Clinical Procedures and medical management) related deaths; Child Death (from 2015)
Stepping Hill Hospital | Department of Health and Social Care | National Institute for Health and Care Excellence
17 July 2019
2019-0240
Annabel Newport
London Inner (South)
Other related deaths
South Western Railways; The Office of Rail and Road; The British Heart Foundation
9 May 2018
2018-0161
Lewis Colgan
Buckinghamshire
Hospital Death (Clinical Procedures and medical management) related deaths; Mental Health related deaths
Oxford Health NHS Trust
22 November 2017
2017-0409
Susan Smalley
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
5 June 2018
2018-0172
Rosemary Scott
Dorset
Hospital Death (Clinical Procedures and medical management) related deaths
Dorset County Hospital
16 November 2017
2017-0410
Anthony Grant
London Inner (North)
Other related deaths
Royal Life Saving Society UK
6 April 2018
2018-0096
Miriam Roach
Cornwall and the Isles of Scilly
Other related deaths
NHS Kernov Clinical Commissioning Group
20 November 2017
2017-0407
Sarah Kiff
Manchester (North)
Community health care and emergency services related deaths
Stonefield Street Surgery
15 June 2018
2018-0181
Darren Carrington
Brighton and Hove
Community health care and emergency services related deaths; Alcohol, drug and medication related deaths
North Laine Medical Centre | Brighton and Hove Clinical Commissioning Group
28 June 2019
2019-0229
Thomas Reid
Derby and Derbyshire
Road (Highways Safety) related deaths
Derbyshire County Council
22 June 2018
2018-0193
Alexia Walenkaki
London Inner (North)
Child Death (from 2015); Other related deaths
Tower Hamlets Borough Council
20 November 2017
2017-0419
Terence Davies
Avon
Road (Highways Safety) related deaths
Banes Park and Services; Banes Highways; Canal Trust Bath
12 July 2019
2019-0239
Rosa King
Cambridgeshire and Peterborough
Other related deaths
Hamerton Zoological Park | Sphere Risk Health & Safety Management Ltd | Cambridgeshire Constabulary | Department for Environment, Food and Rural Affairs | Health and Safety Executive | Local Government Association
27 November 2017
2017-0420
Barbara Howard
West Sussex
Community health care and emergency services related deaths
South East Ambulance Service
15 March 2018
2018-0080
Jean Griffiths
Manchester (West)
Hospital Death (Clinical Procedures and medical management) related deaths
Department of Health
16 November 2017
2017-0398
Timothy Smedley
Manchester (North)
Hospital Death (Clinical Procedures and medical management) related deaths
Department of Health
17 May 2018
2018-0150
Neville Welton
North Wales (East & Central)
Hospital Death (Clinical Procedures and medical management) related deaths
Betsi Cadwaladr University Health Board
14 November 2017
2017-0394
Brian Stannard
Norfolk
Hospital Death (Clinical Procedures and medical management) related deaths
Norfolk & Suffolk NHS Trust
15 February 2018
2018-0049
Bethany Shipsey
Worcestershire
Alcohol, drug and medication related deaths; Mental Health related deaths
Department for Health
11 June 2019
2019-0193
Sebastian Hibberd
Plymouth, Torbay and South Devon
Child Death (from 2015); Hospital Death (Clinical Procedures and medical management) related deaths
NHS England; NHS Digital
4 December 2017
2017-0359
Gordon Thornhill
South Yorkshire (East)
Hospital Death (Clinical Procedures and medical management) related deaths
Doncaster Royal Infirmary
3 May 2018
2018-0130
Martin Baker
Plymouth, Torbay and South Devon
Hospital Death (Clinical Procedures and medical management) related deaths
Livewell South West
18 December 2017
2017-0375
Mark Doyle
London Inner (North)
State Custody related deaths
HMP Pentonville; HM Prisons and Probation Service; Care UK
28 December 2017
2017-0386
Michael Drewry
Nottinghamshire
Hospital Death (Clinical Procedures and medical management) related deaths
Nottinghamshire Healthcare NHS Trust
19 June 2019
2019-0206
Sophie Lyons
Manchester (South)
Road (Highways Safety) related deaths
The Home Office; Greater Manchester Combined Authority
16 November 2017
2017-0361
Stephanie Cave
South Wales Central
Mental Health related deaths; Hospital Death (Clinical Procedures and medical management) related deaths
Ludlow Street Healthcare
18 December 2017
2017-0373
Pamela Hands
Cornwall and the Isles of Scilly
Hospital Death (Clinical Procedures and medical management) related deaths
Royal College of Emergency Medicine; Royal College of Surgeons
27 February 2018
2018-0059
Raymond Davidson
Sunderland
Community health care and emergency services related deaths
North East Ambulance Service NHS Trust
12 December 2017
2017-0371
Joseph Dune
Isle of Wight
Hospital Death (Clinical Procedures and medical management) related deaths
Isle of Wight NHS Trust; St Mary�s Hospital; CQC
8 May 2018
2018-0140
Stephen Tidey
Surrey
State Custody related deaths; Police related deaths; Suicide (from 2015)
Surrey & Borders Partnership NHS Trust; Surrey County Council; Surrey Police
1 March 2018
2018-0065
Cyril Anderton
Warwickshire
Hospital Death (Clinical Procedures and medical management) related deaths
George Eliot Hospital
20 October 2021
2021-0353
Jane Bush
Norfolk
Hospital Death (Clinical Procedures and medical management) related deaths | Mental Health related deaths | Suicide (from 2015) |�Child Death (from 2015)
Hellesdon Hospital
10/08/2022
2022-0251
Neil McDougall
Somerset Category: Mental Health related deaths | Alcohol, drug and medication related deaths | Other related deaths This report is being sent to: Military of Defence
Military of Defence
Mental Health related deaths | Alcohol, drug and medication related deaths | Other related deaths
14 October 2021
2021-0338
Paul Barton
Nottinghamshire
Hospital Death (Clinical Procedures and medical management) related deaths |�Mental Health related deaths
Nottinghamshire Healthcare NHS Foundation Trust
6 September 2021
2021-0297
Joseph Dent
County Durham and Darlington
Other related deaths
Durham County Council
26 August 2021
2021-0285
Elaine Inns
Greater Manchester South
Alcohol, drug and medication related deaths | Community health care and emergency services related deaths
Stockport Clinical Commissioning Group
14 October 2021
2021-0343
Kirsty Doodes
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
4 October 2021
2021-0328
Caden Stewart
Mid Kent and Medway
State Custody related deaths |�Child Death (from 2015)
HMYOI Cookham Wood
4 November 2021
2021-0374
Robert Wright
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
04/08/2022
2022-0241
Malcom Garrett
Manchester South Category: Hospital Death (Clinical Procedures and medical management) related deaths This report is being sent to: Department of Health and Social Care
Department of Health and Social Care
Hospital Death (Clinical Procedures and medical management) related deaths
21 September 2021
2021-0318
Charlie Todd
County Durham and Darlington
State Custody related deaths |�Suicide (from 2015)
HMP Durham
27 August 2021
2021-0287
Fadhia Seguleh
Greater Manchester South
Hospital Death (Clinical Procedures and medical management) related deaths | Mental Health related deaths | Community health care and emergency services related deaths
Department of Health and Social Care | Greater Manchester Health and Social Care Partnership
2 August 2021
2021-0275
Mary Lincoln
West Yorkshire (East)
Hospital Death (Clinical Procedures and medical management) related deaths
Pinderfields General Hospital
26/07/2022
2022-0231
Archi Johnson
Exeter and Greater Devon Category: Mental Health related deaths | Suicide (from 2015) This report is being sent to: Devon Partnership NHS Trust
Devon Partnership NHS Trust
Mental Health related deaths | Suicide (from 2015)
6 October 2021
2021-0333
Michael Jaggs
Inner North London
Hospital Death (Clinical Procedures and medical management) related deaths |�Other related deaths
MedPure Healthcare
16 September 2021
2021-0308
Eldine Lashley
East London
Care Home Health related deaths
Cherry Orchard Nursing Home
20 August 2021
2021-0277
Stanislaw Zielinski
Greater Manchester South
Mental Health related deaths | Community health care
Tameside Clinical Commissioning Group | Department of Health and Social Care | NHS England
29 October 2021
2021-0364
Lorraine Karat
Inner North London
Alcohol, drug and medication related deaths |�Other related deaths
Clarion Housing Group
09/08/2021
2021-0265
Terence Tuttle
Norfolk
Hospital Death (Clinical Procedures and medical management) related deaths |�Mental Health related deaths
Queen Elizabeth Hospital | Hellesdon Hospital
16 October 2021
2021-0354
Sky Rollings
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
29 September 2021
2021-0323
Mohammad Farhan
West Yorkshire Western
Child Death (from 2015) |�Other related deaths
Harden & Bingley Park Ltd
7 September 2021
2021-0298
Maureen Johnson
Manchester South
Community health care
National Institute for Health and Care Excellence
10 August 2021
2021-0267
Alice Pettersson
Inner West London
Hospital Death (Clinical Procedures and medical management) related deaths |�Child Death (from 2015)
Department of Health and Social Care
14 October 2021
2021-0344
Alexandra Tolley
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
19/07/2022
2022-0221
Muhammad Hassan
Cambridgeshire and Peterborough Category: Child Death (from 2015) This report is being sent to: National Institute for Health and Care Excellence | Royal College of Midwives
National Institute for Health and Care Excellence | Royal College of Midwives
Child Death (from 2015)
16 July 2021
2021-0255
Chimezie Daniels
Inner North London
Hospital Death (Clinical Procedures and medical management) related deaths
NHS England and NHS Improvement | Medicines and Healthcare products Regulatory Agency
17 December 2021
2021-0433
Nichola Lomax
Manchester North
Hospital Death (Clinical Procedures and medical management) related deaths | Mental Health related deaths | Other related deaths
Department of Health and Social Care | Royal College of Psychiatrists | NHS England | Academy of Medical Royal Colleges | Northern Care Alliance NHS Foundation Trust | Greater Manchester Mental Health NHS Foundation Trust | Priory Group | Health Education England | NHS Bury Clinical Commissioning Group | NHS Greater Manchester Integrated Care Board
9 August 2019
2019-0498
Pauline Howell
Newcastle Upon Tyne
Road (Highways Safety) related deaths
Newcastle Upon Tyne City Council
13 February 2020
2020-0028
Martin Ellis
London Inner (North)
Other related deaths
High Commissioner for Saint Lucia to the UK
21 December 2018
2018-0402
Cady Stewart
Manchester (South)
Suicide (from 2015)
Tameside Clinical Commissioning Group
19 December 2017
Deceased name: Naomi Sourbut
Coroners name: John Tomalin
Category: Alcohol, drug and medication related deaths; Community health care and emergency services related deaths
This report is being sent to: Devon Partnership Trust Alcohol, drug and medication related deaths; Community health care and emergency services related deaths
19 March 2018
2018-0081
Sheila Ross
Sunderland
Care Home Health related deaths
Hylton View Care Home
31 October 2017
2017-0343
William Bergman
London Inner (North)
Hospital Death (Clinical Procedures and medical management) related deaths
Barts Hospital NHS Trust
10 January 2018
2018-0015
John Edwards
Staffordshire (South)
Care Home Health related deaths
Independent Futures, Southwinds Care Home
24 May 2019
2019-0170
Barry Clow
Gloucestershire
Road (Highways Safety) related deaths
Gloucestershire County Council
21 March 2018
2018-0087
Edward Lundy
Somerset
Hospital Death (Clinical Procedures and medical management) related deaths
South London and Maudsley NHS Trust
26 January 2018
Deceased name: Andrew Finlay
Coroners name: Derek Winter
Category: Community health care and emergency services related deaths
This report is being sent to: North east Ambulance Service NHS Trust Community health care and emergency services related deaths
1 February 2018
2018-0027
David Green
Essex
Accident at Work and Health and Safety related deaths
Rose Builders and Contractors Ltd
12 January 2018
Deceased name: Lee Daniel
Coroners name: Caroline Sumeray
Category: Road (Highways Safety) related deaths
This report is being sent to: Isle of Wight Highways Department Road (Highways Safety) related deaths
30 May 2019
2019-0180
Barbara Henderson
Milton Keynes
Road (Highways Safety) related deaths
Highways England
29 March 2018
2018-0097
Matthew Faulkner
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
30 November 2017
2017-0352
Philip Powell
Black Country
Hospital Death (Clinical Procedures and medical management) related deaths
The Dudley Group NHS Trust
5 December 2017
2017-0351
Joshua Hamill
North Wales (East & Central)
Mental Health related deaths; Police related deaths
North Wales Police
25 January 2018
2018-0037
Sandra Miller
Avon
Care Home Health related deaths
Milestones Trust
30 November 2017
2017-0349
Penelope Benton
Black Country
Mental Health related deaths; Suicide (from 2015)
Dudley and Walsall Mental Health NHS Trust
�23 June 2017
Ref:�2017-0339
Andrew Codling
Bedfordshire and Luton
Community health care and emergency services related deaths; Suicide (from 2015)
East London NHS Trust
24 July 2017
2017-0325
Richard Davies
Cambridgeshire and Peterborough
Police related deaths
National Police Council; Bedfordshire Police Constabulary
9 May 2019
2019-0153
John Alliston
Gloucestershire
Other related deaths
Department for Housing, Communities and Local Government
5 January 2018
2018-0005
Marcus Hamilton
Manchester (South)
Hospital Death (Clinical Procedures and medical management) related deaths; Mental Health related deaths
Greater Manchester Mental Health NHS Foundation Trust
31 October 2017
2017-0311
Bernard Hender
North Wales (East & Central)
Product related deaths
Whirlpool (UK) Appliances
2 February 2018
2018-0038
Barbara Ellis
Gloucestershire
Hospital Death (Clinical Procedures and medical management) related deaths
Gloucestershire Clinical Group; Herefordshire Clinical Commission Group
17 November 2021
2021-0387
Trevor Smith
Birmingham and Solihull
Police related deaths |�Other related deaths
West Midlands Police and College of Policing
14/10/2022
2022-0319
Neha Raju
Surrey Category: Suicide (from 2015) This report is being sent to: Department of Health and Social Care
Department of Health and Social Care
Suicide (from 2015)
28 January 2022
2022-0029
Jack Taylor
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
9 November 2021
2021-0375
Susan Merton
North Wales (East and Central)
Hospital Death (Clinical Procedures and medical management) related deaths |�Wales prevention of future deaths reports (2019 onwards)
Betsi Cadwaladr University Health Board
03/08/2022
2022-0310
Rita Flynn
Black Country Category: Other related deaths This report is being sent to: The Royal Wolverhampton NHS Trust
The Royal Wolverhampton NHS Trust
Other related deaths
20/09/2022
2022-0291
Gary McDonald
Worcestshire Category: Suicide (from 2015) | State Custody related deaths This report is being sent to: Practice Plus Group
Practice Plus Group
Suicide (from 2015) | State Custody related deaths
21 December 2021
2021-0423
Saul Thomas
Worcestershire
State Custody related deaths |�Mental Health related deaths
HMP Birmingham
9 November 2021
2021-0377
Ethel Beaumont
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
1 November 2021
2021-0365
Neil Bastock
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
7 December 2021
2021-0413
Jonathan Bayliss
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)
Ministry of Defence
22 October 2021
2021-0367
Serena Roberts
Greater Manchester South
Hospital Death (Clinical Procedures and medical management) related deaths | Community health care and emergency services related deaths
Tameside Clinical Commissioning Group | Department of Health and Social Care
20 January 2022
2022-0019
Neil Parkes
Warwickshire
Police related deaths
Warwickshire Police
03/08/2022
2022-0300
Nigel Saunders
Nottinghamshire and Nottingham Category: State Custody related deaths This report is being sent to: HMP Lowdham Grange
HMP Lowdham Grange
State Custody related deaths
21 October 2021
2021-0355
Richard Franks
West Yorkshire Eastern
Other related deaths | Suicide (from 2015) |�State Custody related deaths
David Ake & Co Solicitors
13 December 2021
2021-0418
Hurrun Maksur
East London
Hospital Death (Clinical Procedures and medical management) related deaths
Resuscitation Council UK and Royal College of Obstetrics & Gynaecology
14 January 2022
2022-0009
Jan Goodliffe
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
26 November 2021
2021-0403
Jordan Mhlanga-Veira
Berkshire
Child Death (from 2015) |�Other related deaths
Environment Agency and National Trust
26 November 2021
2021-0408
Frances Thomas
Surrey
Other related deaths�|�Suicide (from 2015)
Department for Education
bottom of page