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Inquests (PFDs)
Date | Reference | Deceased | Coroner Area | Sent to | Investigation | Circumstances | Sent to | Categories | Also sent to |
|---|---|---|---|---|---|---|---|---|---|
11 February 2021 | 2021-0035 | Michael Dobson | Staffordshire South | State Custody related deaths | Mental Health related deaths |�Suicide (from 2015) | HMP Dovegate | ||||
22 February 2021 | 2021-0048 | Jaden Francois-Espirit | Inner North London | Suicide (from 2015) | Mental Health related deaths |�Emergency services related deaths (2019 onwards) | London Fire Brigade | ||||
30 April 2021 | 2021-0134 | Rohan Singh | 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 | ||||
21 April 2021 | 2021-0154 | Vilmantas Venskutonis | Lincolnshire | Hospital Death (Clinical Procedures and medical management) related deaths | United Lincolnshire Hospital Trust | ||||
20 April 2021 | 2021-0113 | Ella Kissi-Debrah | Inner South London | Child Death (from 2015) | Community health care | Other related deaths | Department for Environment, Food and Rural Affairs | Department for 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 | National Institute for Health and Care Excellence | British Thoracic Society | ||||
10 February 2022 | 2022-0041 | John Skinner | Hertfordshire | Hospital Death (Clinical Procedures and medical management) related deaths |�Alcohol, drug and medication related deaths | NHS England | ||||
3 February 2021 | 2021-0025 | Christopher Smith | Mid Kent and Medway | Hospital Death (Clinical Procedures and medical management) related deaths | Medway NHS Foundation Trust | Adult Safeguarding Kent County Council | ||||
13 April 2021 | 2021-0103 | Natasha Crabb | County of Surrey | Other related deaths | SoS for Health and Social Care and Home Secretary | ||||
10 February 2021 | 2021-0122 | Eric Bird | Black Country | Care Home Health related deaths | Castlehill Specialist Care Centre and Care Quality Commission | ||||
31 January 2022 | 2022-0031 | Oskar Nash | 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 Clinical Commissioning Group | National Child Safeguarding Review Panel | Department for Education | Department of Health and Social Care | ||||
11 February 2021 | 2021-0038 | Ruth Jones | Greater Manchester South | Care Home Health related deaths | CQC and Dept. of Health and Social Care | ||||
3 February 2021 | 2021-0027 | Daniel Mervis | Inner West London | Alcohol, drug and medication related deaths | St John�s College, Oxford University | ||||
18 January 2021 | 2021-0015 | Michael Woods | County of Dorset | Suicide (from 2015) | Product related deaths | National Rifle Association and National Small Bore Rifle Association | ||||
31 March 2021 | 2021-0093 | Joan Coley | 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 | Department of Health and Social Care | General Medical Council | UK Foundation Programme | ||||
3 February 2021 | 2021-0028 | Monica McCormick | Manchester North | Hospital Death (Clinical Procedures and medical management) related deaths | The Northern Care Alliance NHS Trust | ||||
19 April 2021 | 2021-0114 | Stephen Oakes | 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 | ||||
11 February 2021 | 2021-0037 | Carole Mitchell | 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 | ||||
31 March 2021 | 2021-0204 | Nicholas Winterton | 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 | College of Clinical Perfusion Scientists | ||||
4 May 2021 | 2021-0133 | William Simons | Shropshire, Telford and Wrekin | Hospital Death (Clinical Procedures and medical management) related deaths | Shrewsbury and Telford Hospital Trust | ||||
8 March 2021 | 2021-0067 | Yvonne Copland | Isle of Wight | Road (Highways Safety) related deaths | Other related deaths | Highways � Isle of Wight Council and Ringway Island Roads Ltd | ||||
14 April 2021 | 2021-0108 | Deceased names: Richard Dyson and Simon Midgley | West Yorkshire (East) | Other related deaths | Dept. for Business, Energy and Industrial Strategy | ||||
4 April 2022 | 2022-0101 | Faizan Nazar | West Yorkshire Western | Hospital Death (Clinical Procedures and medical management) related deaths | Mental Health related deaths | Railway related deaths | Suicide (from 2015) | Spire Harpenden Hospital | ||||
31 March 2021 | 2021-0095 | Steven Costello | 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 | ||||
7 March 2022 | 2022-0091 | Joshua Rennard | South Yorkshire (West) | Suicide (from 2015) |�Mental Health related deaths | Sheffield Health and Social Care NHS Foundation Trust | ||||
4 June 2021 | 2021-0194 | Angela Best | Inner North London | Community health care | Hospital Death (Clinical Procedures and medical management) related deaths | Mental Health related deaths | Other related deaths | Ministry of Justice | ||||
19 May 2021 | 2021-0163 | Richard Burgess | Sunderland | Hospital Death (Clinical Procedures and medical management) related deaths |�Mental Health related deaths | Cumbria, Northumberland, Tyne and Wear NHS Foundation Trust | Department for Health and Social Care | ||||
15 April 2021 | 2021-0109 | Saima Hussain Mann | 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 | ||||
28 May 2021 | 2021-0184 | Deceased names: Samantha Gould and Christine Gould | 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) | These reports are being sent to: Cambridgeshire and Peterborough Foundation Trust, Cambridgeshire County Council and National Police Chiefs� Council | ||||
7 March 2022 | 2022-0081 | Arthur Hall | County of Surrey | Hospital Death (Clinical Procedures and medical management) related deaths | Frimley Park Hospital | ||||
26 March 2021 | 2021-0085 | Clara Freeman | Plymouth Torbay and South Devon | Care Home Health related deaths | Hart Care Nursing and Residential Home | ||||
4 April 2021 | 2021-0097 | Imre Thomas | Lancashire and Blackburn with Darwen | Hospital Death (Clinical Procedures and medical management) related deaths |�Alcohol, drug and medication related deaths | NHS England | ||||
26 February 2021 | 2021-0055 | Joseph Agnew | 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 | ||||
6 December 2021 | 2021-0407 | Alexander Tostevin | Dorset | Service Personnel related deaths | Mental Health related deaths | Suicide (from 2015) | Ministry of Defence | ||||
2 April 2019 | 2019-0139 | Elsa Reid | Black Country | Hospital Death (Clinical Procedures and medical management) related deaths | New Cross Hospital NHS Trust; Wolverhampton City Council | ||||
22 November 2021 | 2021-0395 | Michelle Jeffries | Manchester South | Alcohol, drug and medication related deaths | Community health care | Trafford Clinical Commissioning Group and Greater Manchester Health & Social Care Partnership | ||||
14 January 2022 | 2022-0013 | Alfie Stone | Northamptonshire | Child Death (from 2015) |�Emergency services related deaths (2019 onwards) | East Midlands Ambulance Service | ||||
9 May 2021 | 2021-0147 | Eva Hayden | 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 | ||||
15 July 2021 | 2021-0244 | Catherine Best | 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 | ||||
12 May 2022 | 2022-0141 | Joan Hoggett | City of Sunderland | Hospital Death (Clinical Procedures and medical management) related deaths | Mental Health related deaths |�Other related deaths | These reports are being sent to: Tyne and Wear NHS Foundation Trust | Department of Health and Social Care | ||||
7 May 2021 | 2021-0145 | Stacey Alexander-Harriss | East London | Hospital Death (Clinical Procedures and medical management) related deaths |�Other related deaths | Public Health England | ||||
23 June 2021 | 2021-0213 | Heather Page | Nottinghamshire | Mental Health related deaths | Railway related deaths | Community health care | Nottinghamshire County Council | Derbyshire County Council | Broxtowe Borough Council | Erewash Borough Council | ||||
17 May 2021 | 2021-0158 | Lynne Lawrence | Gwent | Road (Highways Safety) related deaths |�Wales prevention of future deaths reports (2019 onwards) | Blaenau Gwent County Borough Council | ||||
9 July 2021 | 2021-0234 | Anita Mandalia | East London | Community health care |�Alcohol, drug and medication related deaths | Other related deaths | Newbury Park Health Centre | ||||
24 April 2021 | 2021-0135 | Alfred Jones | Greater Manchester South | Hospital Death (Clinical Procedures and medical management) related deaths | Greater Manchester Health and Social Care Partnership and NHS England | ||||
10 May 2021 | 2021-0148 | Parys Lapper | 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 | ||||
27 April 2022 | 2022-0131 | Raphael Gill | South London | Emergency services related deaths (2019 onwards) �|�Alcohol, drug and medication related deaths | London Ambulance Services NHS Trust | ||||
9 June 2021 | 2021-0203 | Marc Bennett | Plymouth Torbay and South Devon | Community health care | Mental Health related deaths | Suicide (from 2015) | Devon Partnership Trust and Devon County Council | ||||
18 May 2021 | 2021-0157 | Juliet Saunders | East London | Hospital Death (Clinical Procedures and medical management) related deaths | Queen�s Hospital | ||||
5 May 2021 | 2021-0137 | Laura Booth | South Yorkshire (West District) | Hospital Death (Clinical Procedures and medical management) related deaths | Sheffield Teaching Hospitals NHS Foundation Trust | ||||
29 April 2021 | 2021-0125 | Darren Adams | South Yorkshire (East) | State Custody related deaths | Mental Health related deaths | Suicide (from 2015) | Other related deaths | Practice Plus Group and Resuscitation Council UK | ||||
5 May 2021 | 2021-0138 | Stephen MAGUIRE | Birmingham and Solihull | Care Home Health related deaths | Options for Care Ltd | ||||
25 April 2022 | 2022-0121 | Kathryn Millard | Mid Kent and Medway | Hospital Death (Clinical Procedures and medical management) related deaths | Medway NHS Foundation Trust | ||||
4 June 2021 | 2021-0193 | Pathushan Sutharsan | West Sussex | Road (Highways Safety) related deaths | Community health care |�Other related deaths | West Sussex County Council | ||||
30 April 2021 | 2021-0128 | Jade Rayner | 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 | ||||
7 May 2021 | 2021-0127 | Helen Spicer | 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 | ||||
20 June 2021 | 2021-0214 | Anne Bradley | West Sussex | Hospital Death (Clinical Procedures and medical management) related deaths | Western Sussex Hospitals | National Institute for Health and Care Excellence | Joint Advisory Group on GI Endoscopy | British Society of Gastroenterology | Association of Coloproctology of Great Britain and Ireland | ||||
13 April 2022 | 2022-0111 | Hannah Beardshaw | Manchester West | Police related deaths | Suicide (from 2015) | Mental Health related deaths | Greater Manchester Police and Independent Office for Police Conduct | ||||
19 April 2021 | 2021-0115 | Peter Hussey | 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 | ||||
23 April 2021 | 2021-0118 | Guy Paget | West Yorkshire (East) | State Custody related deaths | HMP Leeds | ||||
21 April 2021 | 2021-0117 | Mary Gwanyama | 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 | ||||
5 May 2021 | 2021-0224 | Sarah Brady | 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 | ||||
13 April 2021 | 2021-0106 | Hannah Browning | North Wales (East and Central) | Mental Health related deaths | Community health care | Suicide (from 2015) |�Wales prevention of future deaths reports (2019 onwards) | Betsi Cadwaladr University Health Board and Wrexham County Borough Council | ||||
24 May 2021 | 2021-0168 | Roger Ballard | Manchester South | Hospital Death (Clinical Procedures and medical management) related deaths |�Alcohol, drug and medication related deaths | Tameside & Glossop Integrated Care NHS Foundation Trust | ||||
17 May 2021 | 2021-0155 | Stephen Thurm | 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 | ||||
7 June 2021 | 2021-0195 | Susan Roberts | West Yorkshire Western Division | Hospital Death (Clinical Procedures and medical management) related deaths | Bradford Royal Infirmary | ||||
3 August 2021 | 2021-0263 | Emma Day | London Inner South | Police related deaths |�Other related deaths | Home Office | Metropolitan Police Service | Ministry of Justice | HM Courts and Tribunals Service | Department for Work and Pensions | ||||
24 June 2021 | 2021-0218 | Amy Ganner | Manchester West | Alcohol, drug and medication related deaths | Department of Health and Social Care | ||||
26 July 2021 | 2021-0253 | Albert Rowlands | North Wales (East & Central) | Care Home Health related deaths | Gwern Alyn House Residential Home | ||||
09/06/2021 | 2021-0197 | Nicholas O�Brien | Hampshire, Portsmouth and Southhampton | Other related deaths |�Product related deaths | British Kite Surfing Association | ||||
26 August 2021 | 2021-0284 | James Golds | Greater Manchester South | Care Home Health related deaths |�Other related deaths | Ministry of Communities, Housing and Local Government | ||||
07/06/2022 | 2022-0171 | Daniel Ludlam | Central & South East Kent | Emergency services related deaths (2019 onwards) | NHS Digital and Department of Health and Social Care | ||||
28 May 2021 | 2021-0185 | Christine Gould | Cambridgeshire and Peterborough | Police related deaths | Railway related deaths | Suicide (from 2015) | Child Death (from 2015) | British Transport Police | Network Rail | ||||
18 June 2021 | 2021-0208 | Lesley Mawby | Manchester South | Hospital Death (Clinical Procedures and medical management) related deaths | Stockport NHS Foundation Trust | ||||
25 May 2021 | 2021-0175 | Christopher Taylor | Lincolnshire | Road (Highways Safety) related deaths | Driver and Vehicle Licensing Agency | ||||
10 June 2021 | 2021-0198 | Emiel Malinski | Manchester South | Product related deaths | Other related deaths |�Suicide (from 2015) | The Home Office | ||||
30 June 2021 | 2021-0223 | Joan Prescott | Plymouth Torbay and South Devon | Other related deaths | Community health care | Devon County Council | ||||
17 August 2021 | 2021-0274 | Roland Stannard | Suffolk | Care Home Health related deaths | Department of Health and Social Care | ||||
9 July 2021 | 2021-0243 | Alan Griffin | Inner North London | Suicide (from 2015) |�Other related deaths | These reports are being sent to: Church of England | Catholic Standards Safeguarding Agency | ||||
1 June 2021 | 2021-0187 | Kesia Waller | Hampshire, Portsmouth and Southampton | Child Death (from 2015) | Care Home Health related deaths |�Suicide (from 2015) | A2Dominion of The Point | ||||
17 July 2021 | 2021-0264 | Rebecca Pykett | 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 | North Staffordshire Combined Healthcare Trust | ||||
20 May 2021 | 2021-0165 | Wilfred Breakell | County of Dorset | Community health care | Road (Highways Safety) related deaths | Other related deaths | BCP Council | ||||
7 July 2021 | 2021-0233 | Deceased names: Kishorkumar Patel and Kofi Aning | East London | Hospital Death (Clinical Procedures and medical management) related deaths | Royal College of Anaesthetists | Faculty of Intensive Care Medicine | ||||
20/07/2022 | 2022-0308 | Colleen Fletcher | Rutland and North Leicestershire
Category: Other related deaths
This report is being sent to: Leicestershire and Rutland Integrated Care Board | Leicestershire and Rutland Integrated Care Board | Other related deaths
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26/07/2022 | 2022-0230 | Kane Davidson | Manchester North
Category: Other related deaths
This report is being sent to: Oldham Council | Oldham Council | Other related deaths
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04/08/2022 | 2022-0243 | Margaret Warwick | 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
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26/07/2022 | 2022-0232 | Hemanta Rai | South Wales Central
Category: Other related deaths | Wales prevention of future deaths reports (2019 onwards)
This report is being sent to: Brecon Beacons National Park Authority | Natural Resources Wales | Neath Port Talbot Council | Powys County Council | Rhondda Cynon Taff County Borough Council | Brecon Beacons National Park Authority | Natural Resources Wales | Neath Port Talbot Council | Powys County Council | Rhondda Cynon Taff County Borough Council | Other related deaths | Wales prevention of future deaths reports (2019 onwards)
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26/09/2022 | 2022-0298 | Sandra Kirk | Surrey | Suicide (from 2015)
This report is being sent to: NHS England and NHS Improvement | |||||
20/07/2022 | 2022-0228 | Jade Hart | Nottinghamshire
Category: Hospital Death (Clinical Procedures and medical management) related deaths
This report is being sent to: Doncaster and Bassetlaw Teaching Hospitals NHS Foundation Trust | Doncaster and Bassetlaw Teaching Hospitals NHS Foundation Trust | Hospital Death (Clinical Procedures and medical management) related deaths
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18/07/2022 | 2022-0218 | Graham White | East London
Category: Hospital Death (Clinical Procedures and medical management) related deaths
This report is being sent to: The Barking Havering and Redbridge University NHS Trust | The British Association of Urological Surgeons | Department of Health and Social Care | The Barking Havering and Redbridge University NHS Trust | The British Association of Urological Surgeons | Department of Health and Social Care | Hospital Death (Clinical Procedures and medical management) related deaths
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21/07/2022 | 2022-0222 | Gaia Pope-Sutherland | Dorset
Category: Mental Health related deaths
This report is being sent to: Department of Health and Social Care | Association of British Neurologist | Royal College of Psychiatrists | Dorset Police | Dorset Healthcare University NHS Foundation Trust | NHS Dorset | Dorset County Council | BCP Council | The College of Policing | Department of Health and Social Care | Association of British Neurologist | Royal College of Psychiatrists | Dorset Police | Dorset Healthcare University NHS Foundation Trust | NHS Dorset | Dorset County Council | BCP Council | The College of Policing | Mental Health related deaths
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10/10/2022 | 2022-0317 | Charles Stringer | Surrey
Category: Road (Highways Safety) related deaths
This report is being sent to: Surrey County Council, Highways Agency and Kier Integrated Services | Surrey County Council, Highways Agency and Kier Integrated Services | Road (Highways Safety) related deaths
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19/07/2022 | 2022-0220 | Ezra Tamiem | Bedfordshire and Luton
Category: State Custody related deaths | Suicide (from 2015)
This report is being sent to: HMP Bedford | HMPPS | HMP Bedford | HMPPS | State Custody related deaths | Suicide (from 2015)
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19/04/2022 | 2022-0289 | Sebastian Nottage | Surrey
Category: Railway related deaths
This report is being sent to: Surrey and Sussex Healthcare NHS Trust | Surrey and Sussex Healthcare NHS Trust | Railway related deaths
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21/07/2022 | 2022-0223 | Lewis Powter | Cambridgeshire and Peterborough
Category: Alcohol, drug and medication related deaths | Mental Health related deaths
This report is being sent to: Ministry of Justice | NHS England | Ministry of Justice | NHS England | Alcohol, drug and medication related deaths | Mental Health related deaths
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17/07/2022 | 2022-0212 | Darren Jones | Manchester South
Category: Hospital Death (Clinical Procedures and medical management) related deaths
This report is being sent to: The Greater Manchester Health and Social Care Partnership | The Greater Manchester Health and Social Care Partnership | Hospital Death (Clinical Procedures and medical management) related deaths
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12/07/2022 | 2022-0210 | Barbara Proudlove | Hampshire, Portsmouth and Southampton
Category: Care Home Health related deaths
This report is being sent to: Berkeley Home Health | Berkeley Home Health | Care Home Health related deaths
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07/07/2022 | 2022-0208 | Seema Haribhai | Inner North London
Category: Alcohol, drug and medication related deaths
This report is being sent to: Medicine and Healthcare Products Regulatory Agency | Ayurvedic Professionals Association | Department of Health and Social Care | The Enterprise Practice | Medicine and Healthcare Products Regulatory Agency | Ayurvedic Professionals Association | Department of Health and Social Care | The Enterprise Practice | Alcohol, drug and medication related deaths
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29/06/22 | 2022-0200 | Louise Bailey | Inner South London | Road (Highways Safety) related deaths | Police related deaths | Metropolitan Police Service, The College of Policing and The National Police Chief Council | ||||
12/09/2022 | 2022-0279 | Delina Etienne | East London
Category: Hospital Death (Clinical Procedures and medical management) related deaths
This report is being sent to: ELFT and Department of Health and Social Care | ELFT and Department of Health and Social Care | Hospital Death (Clinical Procedures and medical management) related deaths
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01/07/22 | 2022-0202 | Shona Campbell | Manchester City | Suicide (from 2015) | Mental Health related deaths | Community health care and emergency services related deaths | Alternative Futures Group | Safety Matters Ltd | Safety Matters (Legal) Limited | Greater Manchester Mental Health NHS Foundation Trust |
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