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Inquests (PFDs)

Date
Reference
Deceased
Coroner Area
Sent to
Investigation
Circumstances
Sent to
Categories
Also sent to
7 August 2019
2019-0275
Joseph Lafferty
Manchester (South)
Care Home Health related deaths
CQC; NHS England
20 August 2019
2019-0266
Daphne Wigley
Mid Kent and Medway
Hospital Death (Clinical Procedures and medical management) related deaths
Medway Maritime Hospital
20 August 2019
2019-0265
Tony Dunne
London Inner (North)
Hospital Death (Clinical Procedures and medical management) related deaths; Suicide (from 2015); Mental Health related deaths
East London NHS Trust
29 October 2019
2019-0402
Charlotte Grace
Cumbria
Hospital Death (Clinical Procedures and medical management) related deaths; Mental Health related deaths
Cumbria, Northumberland, Tyne and Wear NHS Trust
1 July 2019
2019-0222
Ezra Boulton
Portsmouth and South East Hampshire
Child Death (from 2015); Hospital Death (Clinical Procedures and medical management) related deaths
Portsmouth Hospitals NHS Trust; Midwifery and Maternity Portsmouth Hospitals NHS Trust
4 October 2019
2019-0359
Jane Livington
Swansea Neath & Port Talbot
Mental Health related deaths; Suicide (from 2015); Wales prevention of future deaths reports (2019 onwards)
ABMU Health Board
4 October 2019
2019-0489
Michael Lobban
London Inner (West)
Alcohol, drug and medication related deaths
Boots UK Limted; GPC; NHS England
25 January 2022
2022-0021
Anthony Rode
Norfolk
Accident at Work and Health and Safety related deaths |�Other related deaths
Great Yarmouth Borough Council and Caister-On-Sea Parish Council
16 January 2021
2021-0017
Norma Lockton
Nottinghamshire
Care Home Health related deaths
Jubilee Court Nursing Home and Care Quality Commission
11 November 2020
2021-0018
Chelsie Greatorex
East London
Police related deaths |�Alcohol, drug and medication related deaths
Home Office and Metropolitan Police Service
11 December 2020
2021-0005
Shyama Rampadaruth
Inner North London
Hospital Death (Clinical Procedures and medical management) related deaths
Whipps Cross Hospital
25 April 2022
2022-0120
Cassian Curry
South Yorkshire (West District)
Hospital Death (Clinical Procedures and medical management) related deaths �|�Child Death (from 2015)
Sheffield Teaching Hospitals NHS Foundation Trust
11 May 2022
2022-0138
Cynthia Finlay
Surrey
Mental Health related deaths | Suicide (from 2015) | Hospital Death (Clinical Procedures and medical management) related deaths
President of the Royal College of Psychiatrists and NHS England
11 April 2022
2022-0110
Tracy Wood
Norfolk
Hospital Death (Clinical Procedures and medical management) related deaths |�Mental Health related deaths
Hellesdon Hospital
24 May 2022
2022-0153
Michael Wysockyj
Norfolk
Hospital Death (Clinical Procedures and medical management) related deaths |�Emergency services related deaths (2019 onwards)
Queen Elizabeth Hospital King�s Lynn NHS Foundation Trust
14 April 2022
2022-0112
Nora Foulkes
North Wales (East and Central)
Hospital Death (Clinical Procedures and medical management) related deaths |�Care Home Health related deaths
Betsi Cadwaladr University Health Board
14/06/22
2022-0189
Keith Nottle
Nottingham City and Nottinghamshire
Mental Health related deaths | Alcohol, drug and medication related deaths
Nottinghamshire Healthcare Trust and Turning Point
3 April 2022
2022-0100
Mandy Dickerson
Bedfordshire and Luton
Hospital Death (Clinical Procedures and medical management) related deaths
Atrumed Ltd and Bedfordshire Hospitals NHS Foundation Trust
19/01/2023
2023-0021
Nicholas Dumphreys
Cumbria
Road (Highways Safety) related deaths
The National Police Chiefs Council
28 April 2022
2022-0128
Laura Medcalf
Manchester South
Hospital Death (Clinical Procedures and medical management) related deaths | Mental Health related deaths | Suicide (from 2015) | Alcohol, drug and medication related deaths
Department of Health and Social Care
5 April 2022
2022-0102
Ryan Merna
Dorset
Other related deaths | Hospital Death (Clinical Procedures and medical management) related deaths | Mental Health related deaths | Community health care
Dorset Healthcare University NHS Foundation Trust
20 March 2022
2022-0090
Donald Compton
South Wales Central
Wales prevention of future deaths reports (2019 onwards) | Hospital Death (Clinical Procedures and medical management) related deaths | Community health care | Other related deaths | Alcohol, drug and medication related deaths
Cwm Taf University Morgannwg Health Board
27/06/22
2022-0199
David Hulme
Plymouth, Torbay and South Devon
Hospital Death (Clinical Procedures and medical management) related deaths
University Hospitals Plymouth NHS Trust
16 June 2021
2022-0118
William Rutherford
North Northumberland and South Northumberland
Care Home Health related deaths
Baedling Manor Care Home
23 March 2022
2022-0092
Emily Caldicott
Worcestershire
Hospital Death (Clinical Procedures and medical management) related deaths | Mental Health related deaths |�Alcohol, drug and medication related deaths
Herefordshire and Worcestershire Health and Care NHS Trust
16/06/2022
2022-0179
James Manning
West Sussex
Community health care and emergency services related deaths | Child Death (from 2015)
NHS England and East Sussex Healthcare NHS Trust and Brighton and Sussex University Hospitals NHS Trust and Bourne Leisure Ltd
09/06/22
2022-0169
Lilian Behrendt
Norfolk
Care Home Health related deaths | Emergency Services related deaths (2019 onwards) | Community Health Care
Downham Grange Care Home
14 March 2022
2022-0080
Margaret Lewis
South Wales Central
Wales prevention of future deaths reports (2019 onwards) |�Road (Highways Safety) related deaths
Powys County Council | Canal and River Trust
8 April 2022
2022-0108
Saima Usman
Inner West London
Other related deaths |�Alcohol, drug and medication related deaths
London Borough of Wandsworth
20 December 2021
2022-0098
Maria McGauran
Derby and Derbyshire
Alcohol, drug and medication related deaths | Community health care
Alvaston Medical Centre
18 November 2021
2022-0133
Karen Redding
Black Country
Alcohol, drug and medication related deaths |�Care Home Health related deaths
Cherish Home Care
12 March 2022
2022-0082
Samuel Alban-Stanley
North East Kent
Child Death (from 2015) | Mental Health related deaths | Other related deaths | Hospital Death (Clinical Procedures and medical management) related deaths
Department of Health and Social Care | NHS Kent and Medway Clinical Commissioning Group
6 November 2019
2019-0375
Darren Williams
Milton Keynes
State Custody related deaths; Suicide (from 2015)
HMP Woodhill
5 May 2021
2021-0136
Hannah Bampfylde
Surrey
Hospital Death (Clinical Procedures and medical management) related deaths | Mental Health related deaths | Suicide (from 2015)
Sussex Partnership NHS Foundation Trust
25 February 2020
2020-0038
Elaine Renshaw
Greater Manchester South
Alcohol, drug and medication related deaths;
Care Quality Commission
10 January 2020
2020-0007
Muhammed Wajid
West Yorkshire (West)
Suicide (from 2015)
Kirklees Council; Highways England
3 November 2019
2019-0373
Russell Bowry
Bedfordshire and Luton
Accident at Work and Health and Safety related deaths
PLASA; Unusual Rigging Ltd
21 October 2019
2019-0351
Harold Uzomechina
London (West)
Alcohol, drug and medication related deaths; State Custody related deaths
HMP Wormwood Scrubs
23 December 2019
2019-0492
Adam Wilcox
Hampshire (Central)
Road (Highways Safety) related deaths
Hampshire County Council; Southampton County Council
30 April 2021
2021-0126
Joanna Leven
Greater Manchester (South)
Mental Health related deaths | Suicide (from 2015) | Community health care and emergency services related deaths | Hospital Death (Clinical Procedures and medical management) related deaths
SoS for Health and Social Care
13 December 2019
2019-0483
Samantha Higgins
London (East)
Hospital Death (Clinical Procedures and medical management) related deaths; Mental Health related deaths
North East London Hospital Trust
7 April 2016
2016-0137
Nadim Butt
Stoke-on-Trent and North Staffordshire
Hospital Death (Clinical Procedures and medical management) related deaths
University Hospital of North Midlands
14 November 2019
2019-0369
Joanna Flynn
Essex
Community health care related deaths; Alcohol, drug and medication related deaths
Mid Essex Clinical Commissioning Group Trust | NHS England | Department of Health and Social Care | Fern House Surgery
27 November 2019
2019-0484
George Rogers
West Sussex
Suicide (from 2015)
Sussex Partnership NHS Trust
26 November 2019
2019-0495
Trevor Oakley
Hampshire
State Custody related deaths
HM Prison and Probation Service
21 April 2021
2021-0116
Susan Adams
Staffordshire South
Alcohol, drug and medication related deaths | Mental Health related deaths | Hospital Death (Clinical Procedures and medical management) related deaths
St George�s Hospital
21 September 2019
2019-0462
Ricky Barcock
West Yorkshire (West)
Alcohol, drug and medication related deaths
Oasis Recovery Communites; Treatment Direct Limited
25 October 2019
2019-0361
Jean Waghorn
Brighton and Hove
Hospital Death (Clinical Procedures and medical management) related deaths
Brighton and Sussex University Hospital NHS Trust
8 January 2020
2020-0018
Anthony Carroll
Liverpool and Wirral
Emergency services related deaths (2019 onwards); Road (Highways Safety) related deaths
National Police Chief�s Council
20/12/2019
2019-0450
David Fowler
Manchester (West)
Alcohol, drug and medication related deaths; Community health care related deaths; Mental Health related deaths
TRU
12 November 2019
2019-0367
Pamela Moran
Swansea Neath & Port Talbot
Hospital Death (Clinical Procedures and medical management) related deaths; Wales prevention of future deaths reports (2019 onwards)
ABMU Health Board
25 September 2019
2019-0314
Patrick Bolster
London Inner (North)
Railway related deaths
Network Rail
16 December 2019
2019-0431
Shirley Nightingale
Manchester (South)
Hospital Death (Clinical Procedures and medical management) related deaths
Tameside and Glossop Integrated Care NHS Trust
10 September 2019
2019-0294
Gurdeep Singh Dundhal
Birmingham and Solihull
Mental Health related deaths; Suicide (from 2015)
Walsall MBC; Birmingham City Council; Birmingham Women�s and Children�s NHS Trust; Priory Group of Hospitals
29 January 2021
2021-0026
Allan Gunnell
West London
Health and Safety related deaths | Other related deaths
Marble Ideas Ltd
29 August 2019
2019-0354
Evelyn Swift
Nottinghamshire
Community health care related deaths
Beechdale Medical Group
14 November 2019
2019-0381
Serena Nicholas
West Yorkshire (East)
Hospital Death (Clinical Procedures and medical management) related deaths; Child Death (from 2015)
Hull University Teaching Hospitals NHS Trust
17 July 2019
2019-0241
Allan Joslin
Exeter and Greater Devon
Hospital Death (Clinical Procedures and medical management) related deaths
NHS England
3 July 2019
2019-0226
John Doyle
London (East)
Hospital Death (Clinical Procedures and medical management) related deaths
North East London NHS Trust; Goodmayes Hospital
1 July 2019
2019-0228
Andrew McCall
Stoke-on-Trent & North Staffordshire
Hospital Death (Clinical Procedures and medical management) related deaths
NHS England
6 November 2019
2019-0374
Sandra Scott
South Yorkshire (West)
Community health care related deaths; Hospital Death (Clinical Procedures and medical management) related deaths
Upwell Street Surgery | Royal Hallamshire Hospital | NHS Digital | Sheffield Clinical Commissioning Group
20 January 2021
2021-0016
Philip Sheridan
West Yorkshire (East)
Community health care |�Other related deaths
Ministry of Housing, Communities and Local Government
14 October 2019
2019-0342
Cesar Gonzalez Barron
London Inner (North)
Other related deaths
Roundhouse; First Aid Cover Limited; White Branch Live Limited
12 July 2019
2019-0238
John Shackley
Berkshire
Road (Highways Safety) related deaths
The Highways Authority
25 July 2019
2019-0250
Owen Williams
West Yorkshire (West)
Other related deaths
Department for Education | Universities and Colleges Admissions Service | The Sixth Form Colleges Association
27 June 2019
2019-0227
Macy Fletcher
Manchester (North)
Child Death (from 2015); Product related deaths
The�Ministry of Housing, Communities and Local Government
2 October 2019
2019-0331
Richard Ridout
West Sussex
Hospital Death (Clinical Procedures and medical management) related deaths
Western Sussex Hospitals NHS Trust
12 July 2019
2019-0238
Jason Imi
Berkshire
Road (Highways Safety) related deaths
The Highways Authority
6 November 2019
2019-0366
Stuart Clarke
Manchester City
Hospital Death (Clinical Procedures and medical management) related deaths
NHS England | National Institute for Health and Care Excellence | Department of Health and Social Care | British Cardiovascular Intervention Society
8 January 2021
2021-0006
Elizabeth Pamment
Inner North London
Care Home Health related deaths |�Other related deaths
Peabody Trust
23 July 2019
2019-0247
Adam Harris
Manchester (South)
Alcohol, drug and medication related deaths; State Custody related deaths; Police related deaths
Greater Manchester Police
19 July 2019
2019-0248
Zona Tebbs
South Yorkshire (East)
Hospital Death (Clinical Procedures and medical management) related deaths
Public Health England, Yorkshire and the Humber Region
24 June 2019
2019-0213
Priscilla Tropp
London (North)
Other related deaths
Department for Transport | Govia Thameslink Railway | Office of Rail and Road
24 September 2019
2019-0311
Myla Deviren
Cambridgeshire and Peterborough
Child Death (from 2015); Hospital Death (Clinical Procedures and medical management) related deaths; Emergency services related deaths (2019 onwards)
Public Health England; NHS 111; Herts Urgent care Limited
8 October 2019
2019-0360
Mary Chapman
Cheshire
Hospital Death (Clinical Procedures and medical management) related deaths
Nuffield Health
19 June 2019
2019-0205
Mason Logue
Manchester (South)
Child Death (from 2015); Hospital Death (Clinical Procedures and medical management) related deaths
Department of Health and Social Care; Greater Manchester Combined Authority
23/12/2020
2020-0300
James Taylor
East London
Community health care | Mental Health related deaths |�Suicide (from 2015)
Continuing Care, Redbridge Clinical Commissioning Group and Royal College of General Practitioners
18 September 2019
2019-0301
Graham Saffery
Bedfordshire & Luton
Community health care related deaths; Alcohol, drug and medication related deaths
N.I.C.E
18 April 2019
2019-0320
Margaret Melia
Black Country
Care Home Health related deaths
HC-One; Lakeview Care Home; CQC
19 November 2019
2019-0391
James Fennell
Berkshire
Railway related deaths
South Western Railways; The Office of Rail and Road
26 September 2019
2019-0260
John Shrosbree
Milton Keynes
Hospital Death (Clinical Procedures and medical management) related death;
Milton Keynes University Hospital
11 February 2021
2021-0036
Jack Goodwin
Greater Manchester South
Emergency Services related deaths |�Other related deaths
NHS England
21 March 2019
2019-0175
John Wright
Oxfordshire
State Custody related deaths;
HM Prison and Probation Service; Healthcare Care UK
22 March 2019
2019-0110
Bram Radcliffe
West Yorjshire (West)
Product related deaths
Stone Federation of GB; Ministry of Housing, Communities and Local Government
19 March 2019
2019-0094
Mark Parry
Cheshire
Accident at Work and Health and Safety related deaths
Health and Safety Executive
26 July 2019
2019-0251
Antony Rogivska
West Yorkshire (West)
Road (Highways Safety)
Calderdale Council Highways Department
25 September 2020
2020-0199
Marian Day
Nottinghamshire and Nottingham
Hospital death (Clinical procedures and medical management) related deaths
Sherwood Forest Hospitals NHS Foundation Trust
23 May 2019
2019-0167
Graham Smith
Leicester City and Leicestershire South
Emergency services related deaths (2019 onwards)
JRCALC
28 March 2019
2019-0105
Wayne Rodgers
Isle of Wight
Other related deaths; Emergency services related deaths (2019 onwards)
Cowes Week Limited; Jubilee Stores; Emergency Preparedness, Resilience and Response
29 March 2019
2019-0106
Colin Bailey
Manchester (South)
Hospital Death (Clinical Procedures and medical management) related deaths
N.I.C.E
1 March 2019
2019-0078
Jack May
South Wales Central
Community health care; Wales prevention of future deaths reports (2019 onwards)
Cardiff University
30 September 2020
2020-0189
Joseph Cheetham
Greater Manchester South
Community healthcare related deaths; Hospital death (Clinical procedures and medical management) related deaths
Department of Health and Social Care; Greater Manchester Health & Social Care Partnership; The Healthcare Safety Investigation Branch
22 February 2019
2019-0082
Gabriele Kreichgauer
London Inner (South)
Hospital Death (Clinical Procedures and medical management) related deaths
Barts Health NHS Trust
26 February 2019
2019-0080
Lyn Morgan
Swansea Neath & Port Talbot
Road (Highways Safety) related deaths; Wales prevention of future deaths reports (2019 onwards)
Welsh Government
14 March 2019
2019-0089
Katharine Dowling
Cheshire
Hospital Death (Clinical Procedures and medical management) related deaths
NHS England
25 June 2019
2019-0208
James Delaney
Norfolk
Care Home Health related deaths
Crystal Care Limited; Sapphire House
29 July 2019
2019-0259
Alex Blake
London Inner (South)
Alcohol, drug and medication related deaths; Hospital Death (Clinical Procedures and medical management) related deaths
Nursing and Midwifery Council; NHS Professionals Ltd
25 July 2019
2019-0258
Stanislawa Kmiecik
Nottinghamshire
Other related deaths
URBN UK Ltd
24 October 2019
2019-0353
Julie Morrey
Stoke-on-Trent & North Staffordshire
Hospital Death (Clinical Procedures and medical management) related deaths
University Hospital of North Midalnds
20 January 2020
2020-0008
Deborah Lamont
South Wales Central
Suicide (from 2015); Wales prevention of future deaths reports (2019 onwards)
South Wales Police; College of Policing
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