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Inquests (PFDs)

Date
Reference
Deceased
Coroner Area
Sent to
Investigation
Circumstances
Sent to
Categories
Also sent to
23 December 2021
2021-0428
Dilys Etchells
West Yorkshire Western
Care Home Health related deaths
Aden Nursing Home
16 September 2021
2021-0307
Irene Esaw
Manchester South
Hospital Death (Clinical Procedures and medical management) related deaths | Community health care |�Other related deaths
These reports are being sent to: Tameside and Glossop Integrated Care NHS Foundation Trust | Tameside Metropolitan Borough Council
3 August 2021
2021-0384
Adam Brunskill
Black Country
Accident at Work and Health and Safety related deaths
Wayne Clarey Roofing & Cladding Ltd and Health & Safety Executive
6 September 2021
2021-0295
Glenda Logsdail
Milton Keynes
Hospital Death (Clinical Procedures and medical management) related deaths
Milton Keynes University Hospital, Chief Medical Officer and Royal College of Anaesthetists
14/07/2022
2022-0211
Kieran Crimmins
Carmarthenshire and Pembrokeshire Category: Suicide (from 2015) | Mental Health related deaths | Wales prevention of future deaths reports (2019 onwards) This report is being sent to: Hywel Dda University Health Board
Hywel Dda University Health Board
Suicide (from 2015) | Mental Health related deaths | Wales prevention of future deaths reports (2019 onwards)
16 July 2021
2021-0245
Joanna Daly
West Yorkshire (Eastern)
Alcohol, drug and medication related deaths |�State Custody related deaths
Ministry of Justice
16 July 2021
2021-0247
Suzanne Regan
Swansea and Neath Port Talbot
Road (Highways Safety) related deaths |�Wales prevention of future deaths reports (2019 onwards)
Welsh Government | South Wales Trunk Road Agent
5 October 2021
2021-0334
Charlotte Duffield
Cumbria
Other related deaths | Community health care
Cumbria County Council
8 July 2021
2021-0235
Maria Stancliffe-Cook
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 | Department of Health and Social Care
9 September 2021
2021-0303
Kenneth Audsley
West Yorkshire (East)
Accident at Work and Health and Safety related deaths
Hirst Electrical Plant Hire Services UK Ltd
11 August 2021
2021-0268
Adam Forrester
Stoke-on-Trent and North Staffordshire Coroner�s Court
Other related deaths |�Alcohol, drug and medication related deaths
WISH and Health and Safety Executive
29/06/22
2022-0201
Paul Meadows
Suffolk
Alcohol, drug and medication related deaths | Mental Health related deaths
Ipswich and East Suffolk Clinical Commissioning Group and Department of Health and Social Care
6 September 2021
2021-0293
Bituin Pimlott
Greater Manchester South
Community health care | Suicide (from 2015) |�Mental Health related deaths
Stockport Clinical Commissioning Group and NHS England
18 June 2021
2021-0258
Andrew Cook
Northamptonshire
Product related deaths |�Alcohol, drug and medication related deaths
Medicines and Healthcare products Regulatory Agency
11 July 2021
2021-0237
Eleanor Rose Murphy-Richards
Mid Kent and Medway
Child Death (from 2015) | Mental Health related deaths | Railway related deaths |�Suicide (from 2015)
North East London NHS Foundation Trust
23 August 2021
2021-0278
Norma Rushworth
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
27 September 2021
2021-0324
Antony Schofield
Manchester City
Suicide (from 2015) | Mental Health related deaths | Hospital Death (Clinical Procedures and medical management) related deaths | Product related deaths
Greater Manchester Mental Health NHS Trust
2 July 2021
2021-0227
Henry Boddy
Inner London North
Community health care |�Other related deaths
The Home Office
24 August 2021
2021-0283
Peter Harte
Birmingham and Solihull
Care Home Health related deaths
Bromford Lane Nursing Home
13 July 2021
2021-0248
Abiodun Oritogun
London Inner South
Hospital Death (Clinical Procedures and medical management) related deaths
University Hospital Lewisham
20 September 2021
2021-0314
Uyapo Theodore Hayunga-Macha
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 | North West Ambulance Service
22/06/22
2022-0191
Luke Flynn
Inner North London
Alcohol, drug and medication related deaths | Police related deaths
Metropolitan Police
18 June 2021
2021-0215
Leslie Horsfield
Manchester North
Hospital Death (Clinical Procedures and medical management) related deaths
The Northern Care Alliance NHS Trust
13 July 2021
2021-0238
Jonathan Kingsman
Cambridgeshire & Peterborough
Hospital Death (Clinical Procedures and medical management) related deaths |�Mental Health related deaths
Department of Health and Social Care
10 September 2021
2021-0304
Lee Thrumble
Mid Kent and Medway
State Custody related deaths | Suicide (from 2015) |�Mental Health related deaths
Department of Health and Social Care
16 June 2021
2021-0205
Deceased names: Zainab Hashim and Tafaoul Abdulkarim
Stoke-on-Trent & North Staffordshire
Community health care | Other related deaths | Child Death (from 2015)
Stoke-on-Trent City Council
17 August 2021
2021-0273
Steven Regoli
Essex
Railway related deaths | Mental Health related deaths | Hospital Death (Clinical Procedures and medical management) related deaths | Suicide (from 2015)
EPUT and NHS England
29 December 2020
2021-0228
Marion Clode
Newcastle and North Tyneside
Other related deaths
These reports are being sent to: Swinhoe Farm | Department of Environment, Food and Rural Affairs
2 July 2021
2021-0225
Samantha Singh
East London
Community health care�|�Other related deaths
Hainault Surgery | SMA Medical Practice
17 September 2021
2021-0313
Heike Mojay-Sinclare
Derby and Derbyshire
Road (Highways Safety) related deaths |�Other related deaths
Department for Transport
15 July 2021
2021-0257
Henry Holcombe
Brighton & Hove
Hospital Death (Clinical Procedures and medical management) related deaths
Sussex Partnership Foundation NHS Trust
27 August 2021
2021-0288
Ann Geraghty
Birmingham and Solihull
Hospital Death (Clinical Procedures and medical management) related deaths |�Product related deaths
Philips Electronics UK Ltd
15 March 2021
2021-0076
Timothy Steele
City of Brighton and Hove
Hospital Death (Clinical Procedures and medical management) related deaths |
Mental Health related deaths |�Suicide (from 2015)
6 April 2021
2021-0098
Pauline Brumfitt
Sefton, St. Helens and Knowsley
Care Home Health related deaths
Widnes Hall Care Home and Care Quality Commission
1 December 2020
2021-0088
Brandon-Robert Collins-Hayward
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
15 March 2021
2021-0075
Jamie Poole
Stoke-on-Trent & North Staffordshire Coroner�s Court
Hospital Death (Clinical Procedures and medical management) related deaths
NHS England
28 March 2021
2021-0087
Nicholas Rousseau
Milton Keynes
Hospital Death (Clinical Procedures and medical management) related deaths
Milton Keynes University Hospital
12 February 2021
2021-0174
Anne Harper
Oxfordshire
Hospital Death (Clinical Procedures and medical management) related deaths
Oxford University Hospitals NHS Foundation Trust
7 March 2022
2022-0071
Jane Allison
County Durham and Darlington
Community health care |�Alcohol, drug and medication related deaths
Claypath and University Medical Group | Royal Pharmaceutical Society | National Institute for Health and Care Excellence
7 May 2021
2021-0143
Corin Bonaparte
Exeter and Greater Devon
State Custody related deaths |�Mental Health related deaths
HMP Dartmoor
15 March 2021
2021-0078
James Herbertson
West Sussex
Hospital Death (Clinical Procedures and medical management) related deaths | Community health care | Mental Health related deaths |�Railway related deaths
These reports are being sent to: Sussex Partnership NHS Foundation Trust and Horsham District Council
20 May 2021
2021-0164
Neil Challinor-Mooney
East London
Hospital Death (Clinical Procedures and medical management) related deaths | Mental Health related deaths |�Suicide (from 2015)
North East London Foundation Trust
1 March 2021
2021-0065
Shirley Froggett
Derby and Derbyshire
Care Home Health related deaths
New Lodge Nursing Home
10 March 2021
2021-0068
Edward Bilbey
Derby and Derbyshire
Child Death (from 2015) |�Other related deaths
England Boxing and SoS for DCMS
12 May 2021
2021-0153
Mary Mellor
Manchester South
Hospital Death (Clinical Procedures and medical management) related deaths
Medica Reporting Ltd and Liverpool Heart and Chest Hospital
17/06/2022
2022-0181
Gwynne Samuel
Gwent
Emergency services related deaths (2019 onwards) | Wales prevention of future deaths reports (2019 onwards) This report is being sent to: Wales Ambulance Service NHS Trust
6 September 2021
2021-0294
Mark Holden
Greater Manchester South
Community health care and emergency services related deaths | Hospital Death (Clinical Procedures and medical management) related deaths
NHS England | Department of Health and Social Care
23 June 2021
2021-0217
Wayne Boughen
West Yorkshire Eastern
State Custody related deaths
HMP Leeds
21 October 2021
2021-0357
David Walker
East London
Mental Health related deaths | Hospital Death (Clinical Procedures and medical management) related deaths |�Suicide (from 2015)
North East London Foundation Trust
28 September 2021
2021-0335
Richard Boateng
South London
Community health care and emergency services related deaths | Emergency services related deaths (2019 onwards) |�Police related deaths
NHS England | London Ambulance Service | College of Policing
19 November 2021
2021-0393
Mustafa Abdelkarim
Gwent
Wales prevention of future deaths reports (2019 onwards) |�Other related deaths
Home Office
16 September 2021
2021-0347
Tripta Bhanote
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
08/09/2022
2022-0281
Robert Taylor
Hampshire, Portsmouth and Southampton Category: Hospital Death (Clinical Procedures and medical management) related deaths This report is being sent to: University Hospital Southampton NHS Foundation Trust
University Hospital Southampton NHS Foundation Trust
Hospital Death (Clinical Procedures and medical management) related deaths
1 November 2021
2021-0383
Shaun Mansell
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
5 November 2021
2021-0388
Katrina Makunova
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
28 September 2021
2021-0337
Deceased names: Dane Chinnery, Donald Collett, Robert Huxley, Philip Logan, Dorota Rynkiewicz, Philip Seary and Mark Smith
South London
Railway related deaths | Road (Highways Safety) related deaths | Other related deaths
These reports are being sent to: UKTram | Department for Transport | Light Rail Safety and Standards Board | Transport for London | Bombardier Transportation UK Ltd | Transport Focus
21 December 2021
2021-0424
Eva Wheeler
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
27 September 2021
2021-0325
Robert Walaszkowski
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
10 November 2021
2021-0378
Mared Foulkes
North West Wales
Suicide (from 2015) | Other related deaths |�Wales prevention of future deaths reports (2019 onwards)
Cardiff University
25 November 2021
2021-0398
Joel Robinson
Berkshire
Service Personnel related deaths | Mental Health related deaths | Suicide (from 2015)
Army Headquarters
4 October 2021
2021-0327
Hannah Royle
West Sussex
Child Death (from 2015) |�Other related deaths
NHS England | Health Education England | NHS Digital | SECAMB
3 August 2021
2021-0373
Cpl Ryan Lovatt
Oxfordshire
Service Personnel related deaths | Alcohol, drug and medication related deaths | Other related deaths
Ministry of Defence
25 October 2021
2021-0368
Margaret Kinsey
Greater Manchester South
Hospital Death (Clinical Procedures and medical management) related deaths
Department of Health and Social Care
05/05/2022
2022-0271
Keith Holmes
Black Country Category: Other related deaths This report is being sent to: P3 Charity
P3 Charity
Other related deaths
17 September 2021
2021-0315
Frankie Macritchie
Cornwall and Isles of Scilly
Child Death (from 2015) | Other related deaths |�Police related deaths
The Dog Legislation Office | Devon and Cornwall Police Constabulary
22 November 2021
2021-0404
Berenice Bell
Inner North London
Mental Health related deaths | Product related deaths | Suicide (from 2015)
Department for Digital, Culture, Media & Sport | Home Office | Joint Select Committee for the Draft Online Safety Bill
31/03/2022
2022-0261
Fadzai Chitakunye
Leicester City and South Leicestershire Category: Other related deaths This report is being sent to: Department of Health and Social Care
Department of Health and Social Care
Other related deaths
22 October 2021
2021-0358
Dorothy Pegg
North Yorkshire Western District
Care Home Health related deaths |�Other related deaths
Abbeyfields the Dales Ltd and North Yorkshire County Council
15 September 2021
2021-0317
Chloe English
West Yorkshire Western
Suicide (from 2015)
Calderdale Council
22 November 2021
2021-0394
Barrie Housby
Blackpool and Fylde
Hospital Death (Clinical Procedures and medical management) related deaths
Department of Health and Social Care
10 September 2021
2021-0305
Billy Warwick-Jones
West London
Road (Highways Safety) related deaths | Community health care |�Other related deaths
Department for Transport | General Medical Council | Driver and Vehicle Licensing Agency | GP
21 October 2021
2021-0363
Jamie O�Connor
Leicester City and South Leicestershire
Alcohol, drug and medication related deaths | Mental Health related deaths | Other related deaths
Department of Health and Social Care | General Pharmaceutical Council | NHS England | General Medical Council | Care Quality Commission
9 December 2021
2021-0414
James McKeough
West Sussex
Road (Highways Safety) related deaths |�Other related deaths
Department for Transport
18 October 2021
2021-0348
Mohammed Salam
Manchester North
Hospital Death (Clinical Procedures and medical management) related deaths
The Northern Care Alliance NHS Trust
15 October 2021
2021-0345
Harbans Singh
Warwickshire
Hospital Death (Clinical Procedures and medical management) related deaths
Warwick Hospital
31 December 2021
2021-0434
Yousef Makki
Greater Manchester South
Other related deaths | Product related deaths
Department for Education
23 November 2021
2021-0397
Darrell Devlin
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
15 February 2022
2022-0049
Theo Brennan-Hulme
Norfolk
Hospital Death (Clinical Procedures and medical management) related deaths | Mental Health related deaths | Suicide (from 2015)
Hellesdon Hospital
8 February 2022
2022-0039
Benjamin Stroud
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
20/10/2022
2022-0329
Clifford Rose
Milton Keynes Category: Care Home Health related deaths This report is being sent to: Central North West London NHS Foundation Trust | Milton Keynes Adult Social Care
Central North West London NHS Foundation Trust | Milton Keynes Adult Social Care
Care Home Health related deaths
16 November 2021
2021-0385
Sharon Robinson
West Yorkshire Western
Hospital Death (Clinical Procedures and medical management) related deaths | Alcohol, drug and medication related deaths
Bradford Teaching Hospitals NHS Trust
5 January 2022
2022-0003
Richard Sanders
Gloucestershire
Other related deaths
British Diving Safety Group | University Hospitals Sussex NHS Foundation Trust | National Diving and Activity Centre
2 June 2021
2021-0188
Catherine Jux
Mid Kent and Medway
Care Home Health related deaths
Avery Healthcare | Elvy Court Nursing Home
25 May 2021
2021-0177
Matthew Mackell
North West Kent
Police related deaths | Suicide (from 2015) | Child Death (from 2015)
Kent Police | Independent Office for Police Conduct
19 May 2022
2022-0151
Sangeerth Girirathan
Milton Keynes
Hospital Death (Clinical Procedures and medical management) related deaths | Road (Highways Safety) related deaths
These reports have been sent to: Milton Keynes University Hospital | Department for Transport
14 April 2021
2021-0178
Amy Chiverall
Manchester North
Care Home Health related deaths
Rochcare
21 May 2021
2021-0167
Dyllon Milburn
Manchester City
Community health care | Mental Health related deaths | Suicide (from 2015)
EMIS Health | National Institute for Health and Care Excellence | Royal College of GPs
12 July 2021
2021-0254
Stephen Walker
Inner North London
Hospital Death (Clinical Procedures and medical management) related deaths
Royal Free Hospital
30/05/22
2022-0161
Albert Manley
Wiltshire and Swindon
Road (Highways Safety) related deaths
Highways and Transport and Wiltshire Council
17 June 2021
2021-0207
Leonard Pritchard
Birmingham and Solihull
Hospital Death (Clinical Procedures and medical management) related deaths
University Hospitals Birmingham NHS Trust | NHS England
28 May 2021
2021-0183
Angela Frost
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
19 February 2021
2021-0173
David Lewis
Oxfordshire
Road (Highways Safety) related deaths
Oxfordshire County Council
23 February 2022
2022-0061
Amanda Gibbens
Buckinghamshire
Hospital Death (Clinical Procedures and medical management) related deaths | Suicide (from 2015) | Mental Health related deaths
Oxford Health NHS Foundation Trust
28 April 2021
2021-0124
Sean Kay
Cambridgeshire & Peterborough
Mental Health related deaths | Hospital Death (Clinical Procedures and medical management) related deaths | Community health care |�Suicide (from 2015)
NHS Norfolk | Waveney Clinical Commissioning Group
3 March 2021
2021-0058
Averil Hart
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
2 March 2021
2021-0057
Frank Medley
Lancashire and Blackburn with Darwen
Hospital Death (Clinical Procedures and medical management) related deaths
East Lancashire Hospitals NHS Trust
18 February 2022
2022-0051
Irene Fitches
Norfolk
Hospital Death (Clinical Procedures and medical management) related deaths
Norfolk and Norwich University Hospital
17 February 2021
2021-0045
Katie Corrigan
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
19 February 2021
2021-0047
Lisa Codling
Brighton and Hove
Emergency services related deaths (2019 onwards) |�Alcohol, drug and medication related deaths
South East Coast Ambulance Service and Medical Directors
7 May 2021
2021-0144
John Slope
Norfolk
Hospital Death (Clinical Procedures and medical management) related deaths
Norfolk and Norwich University Hospital NHS Foundation Trust
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