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Inquests (PFDs)

Date
Reference
Deceased
Coroner Area
Sent to
Investigation
Circumstances
Sent to
Categories
Also sent to
5 April 2019
2019-0130
Yong Hong
London (South)
Care Home Health related deaths; Community health care
Bondcare, Clarendon Care Home; Thornton Heath Medical Practice; Croydon County Council; CQC
18 November 2020
2020-0240
Michelle Turner
Blackpool and Fylde
Alcohol, drug and medication related deaths
Blackpool Clinical Commissioning Group
15 January 2019
2019-0143
Catherine Horton
London (South)
Mental Health related deaths
Metropolitan Police
26 July 2019
2019-0253
Gladys Sayles
West Yorkshire (West)
Hospital Death (Clinical Procedures and medical management) related deaths
Leeds Teaching Hospitals NHS Trust
20 June 2019
2019-0216
Geoff Gray
Surrey
Other related deaths
Chief Coroner of England and Wales; President of the Royal College of Pathologists
22 August 2019
2019-0263
Christopher Summerhayes
South Wales Central
Hospital Death (Clinical Procedures and medical management) related deaths; Wales prevention of future deaths reports (2019 onwards)
Cardiff & Vale University Health Board
16 April 2019
2019-0132A
Jonathan Yates
Gloucestershire
Hospital Death (Clinical Procedures and medical management) related deaths
Gloucestershire Hospitals NHS Trust
24 June 2019
2019-0214
Lewis Doyle
Liverpool
Railway related deaths
Department of Health and Social Care; NHS England; NHS Improvement
17 April 2019
2019-0129A
Brian Goodman
London Inner (North)
Community health care
One Hosing Group
11 November 2020
2020-0230
Xuanze Piao
Coventry
Suicide (from 2015) |�Railway related deaths
Coventry University
28 June 2019
2019-0223
Heather Birchall
Wiltshire and Swindon
Alcohol, drug and medication related deaths
Department of Health and Social Care
17 April 2019
2019-0128A
Patrick Kelly
South Yorkshire (West)
Care Home Health related deaths
Roseberry Care Centres
2 May 2019
2019-0148
Royston Kemp
London Inner (South)
Hospital Death (Clinical Procedures and medical management) related deaths
Nursing and Midwifery Council
8 April 2019
2019-0150
George Twiddy
Portsmouth and South East Hampshire
Hospital Death (Clinical Procedures and medical management) related deaths; Mental Health related deaths
Hampshire County Council; southern Health NHS Trust
24 October 2019
2019-0350
Catherine Gardiner, Jason Aleixo, Lorraine Maclellan
Berkshire
Road (Highways Safety) related deaths
Ford UK; Highways England
10 June 2019
2019-0192
Glenys Button
South Wales Central
Hospital Death (Clinical Procedures and medical management) related deaths; Wales prevention of future deaths reports (2019 onwards)
Cardiff and Vale University Health Board; Cwm Taf Morgannwg University Health Board; Swansea Bay University Health Board; Powys Teaching Health Board; Hwyel Dda University Health Board; Welsh Assembly Government
17 December 2020
2020-0290
Andrew Gibbins
Suffolk
Hospital Death (Clinical Procedures and medical management) related deaths | Mental Health related deaths |�Suicide (from 2015)
West Suffolk Hospital and The Wedgewood Unit, Norfolk and Suffolk Foundation Trust
30 October 2019
2019-0493
Annie Lloyd
Black Country
Community health care related deaths
CQC; Brace Street Health Centre
17 June 2019
2019-0200
John Gogarty
South Yorkshire (West)
Mental Health related deaths
RDaSH NHS Trust; National Probation Service
12 June 2019
2019-0195
Richard Barraclough
South Yorkshire (West)
Accident at Work and Health and Safety related deaths
Beatson Clark
30 September 2019
2019-0343
Amy Allan
London Inner (North)
Child Death (from 2015); Hospital Death (Clinical Procedures and medical management) related deaths
Great Ormond Street Hospital NHS Trust
1 April 2019
2019-0197
Ozan Allen
London Inner (North)
Road (Highways Safety) related deaths
Transport for London
9 December 2020
2020-0280
Leslie Harris
Manchester South
Hospital Death (Clinical Procedures and medical management) related deaths
Public Health England and NHS England
31 July 2019
2019-0281
Fern-Marie Choya
London Inner (North)
Hospital Death (Clinical Procedures and medical management) related deaths; Emergency services related deaths (2019 onwards)
London Ambulance Service NHS Trust; Whittington Health NHS Trust
4 October 2019
2019-0333
Pamela Evans
Bedfordshire and Luton
Hospital Death (Clinical Procedures and medical management) related deaths
Bedford Hospital NHS Trust
28 August 2019
2019-0302
Amir Siman-Tov
London (West)
State Custody related deaths
Mitie Care and Custody; Home Office; CNWL NHS Trust; Hillingdon Hospital NHS Trust; Langley Health Centre
22 May 2019
2019-0179
Jonathan McCarthy
North West Kent
Hospital Death (Clinical Procedures and medical management) related deaths
Maidstone & Tonbridge Wells NHS Trust
16/08/2019
2019-0486
Martin Haines
East Sussex
State Custody related deaths
Department of Health and Social Care; NHS England; HM Prisons and Probation Service
14 August 2019
2019-0271
David Smith
Manchester (City)
Hospital Death (Clinical Procedures and medical management) related deaths
Manchester University NHS Trust
31 May 2019
2019-0182
Joshua Blackham
Berkshire
Police related deaths
Surrey Police
25 September 2019
2019-0321
Anna Hedman
London Inner (West)
Other related deaths; Alcohol, drug and medication related deaths
Metropolitan Police
24 May 2019
2019-0170
Ray Westlake
Gloucestershire
Road (Highways Safety) related deaths
Gloucestershire County Council
11 August 2020
2020-0160
Moses Boardman
East London
Other related deaths
Barts Health NHS Trust; London Borough of Tower Hamlets; Three Sisters Care Ltd;
3 December 2020
2020-0268
Andrew Westlake
County Durham and Darlington
Mental Health related deaths |�Other related deaths
Jet2.com Ltd and Civil Aviation Authority
1 October 2021
2021-0336
Stephen Verrall
South London
Care Home Health related deaths
Care Quality Commission | St John�s Nursing Home
6 July 2020
2020-0148
Prince Fosu
West London
State Custody related deaths
Central & North West London NHS Foundation Trust; Independent Monitoring Board
5 August 2020
2020-0150
Richard King
Milton Keynes
Emergency Services related deaths
South Central Ambulance Service
17 November 2020
2020-0237
Neil Barre
Staffordshire (South)
Other related deaths
Staffordshire Fire and Rescue Service HQ
5 August 2020
2020-0151
Alana Cutland
Milton Keynes
Alcohol, drug and medication related deaths; Other related deaths
Medicines and Healthcare Products Regulatory Agency
26 November 2020
2020-0258
Neville Bardoliwalla
North London
Suicide; Other related deaths
Department of Health and Social Care
1 October 2021
2021-0326
Stephen Barton
Staffordshire South
Hospital Death (Clinical Procedures and medical management) related deaths
Department of Health and Social Care
18 January 2021
2021-0346
Lynn Hadley
Black Country Area
Emergency services related deaths (2019 onwards) |�Product related deaths
Medicines and Healthcare Products Regulatory Agency, Health and Safety Executive, West Midlands Ambulance Service and Care Quality Commission
1 July 2020
2020-0138
Joan McIndoe
Manchester South
Emergency Services related deaths; Other related deaths
Department for Health and Social Care
13 July 2020
2020-0140
John Cheetham
Greater Manchester South
Hospital Death (Clinical Procedures and medical management) related deaths; Emergency services related deaths
Department of Health and Social Care; Greater Manchester Health and Social Care Partnership
9 November 2020
2020-0226
Joey Walker
Manchester South
Child death
Ministry of Housing, Communities and Local Government
23 November 2020
2020-0248
Elena Wells
Brighton and Hove
Mental health related deaths; Emergency services related deaths
Sussex Partnership Foundation NHS Trust; Brighton and Hove City Council
16 June 2020
2020-0128
Joan Williams
Bedfordshire and Luton Coroner
Road (Highways Safety) related deaths
Department for Transport
16 September 2021
2021-0316
Maya Zab
West Yorkshire Western
Child Death (from 2015)
Department of Health and Social Care | NHS England
15 June 2020
2020-0131
Grant Macdonald
Liverpool and the Wirral
Road (Highways Safety) related deaths
Liverpool City Council; Merseyside Police
17 December 2018
2020-0130
Bertram Crawford
Avon
Other related deaths
Suspension Bridge Trustees
17 November 2020
2020-0238
Sylvia Griffiths
Staffordshire (South)
Other related deaths
Staffordshire Fire and Rescue Service HQ
24 July 2015
2015-0475
Miriam Smith-Cox
Cornwall and the Isles of Scilly
Community healthcare related deaths; Other related deaths
Cornwall Council; Pluss Work Choice; Devon and Cornwall Police Adult Safeguarding Team
14 October 2020
2020-0216
Avis Addison
Cornwall and the Isles of Scilly
Other related deaths
Care Quality Commission
27 December 2019
2020-0120
Enid Baber
Nottinghamshire and Nottingham
Other related deaths
Nottinghamshire County Council
10 July 2020
2020-0141
Gwilym Price
Staffordshire South
Mental Health related deaths
Stafford and Surrounds Clinical Commissioning Group; Midlands and Lancashire Commissioning Support Unit
29 October 2020
2020-0220
Sarah Gibbs
Norfolk
Hospital death (Clinical procedures and medical management) related deaths; Emergency services related deaths
Norfolk and Norwich University Hospital
4 December 2020
2020-0278
Ronald Tilley
North East Kent
Community health care and emergency services related deaths |�Other related deaths
NHS Digital
6 August 2020
2020-0158
Theresa Robertson
East London
Alcohol, drug and medication related deaths; Community healthcare related deaths
Rush Green Medical Centre
19 January 2021
2021-0014
Anya Buckley
West Yorkshire (Eastern)
Alcohol, drug and medication related deaths
Leeds City Council, Festival Republic Ltd and Live Nation Entertainment PLC
11 December 2020
2020-0297
Claire Lilley
Inner London South
Hospital Death (Clinical Procedures and medical management) related deaths | Mental Health related deaths |�Suicide (from 2015)
Oxleas NHS Trust
4 November 2021
2021-0376
Christian Hinkley
Mid Kent and Medway
State Custody related deaths
Minister of State for Prisons and Probation, Ministry of Justice
5 October 2020
2020-0198
Joan Sanderson
Greater Manchester South
Hospital death (Clinical procedures and medical management) related deaths
Greater Manchester Health & Social Care Partnership; Healthcare Safety Investigation Branch
30 September 2020
2020-0211
Mollie Gifford
Birmingham and Solihull
Road (Highways safety) related deaths
Department for Transport | Drivers and Vehicle Standards Agency
10 December 2020
2021-0004
Marion Glover
South Manchester
Care Home Health related deaths
Able Care and Support Services Ltd
15 December 2020
2020-0287
Eddie Coffey
Hertfordshire
Hospital Death (Clinical Procedures and medical management) related deaths |�Child Death (from 2015)
East and North Hertfordshire NHS Trust | Department of Health and Social Care
8 October 2020
2020-0201
May Miller
Suffolk
Care home health related deaths; Mental health related deaths
Suffolk Safeguarding Partnership; The Limes Sheltered Housing
7 October 2020
2020-0200
Alison Jeanes
Greater Manchester South
Hospital death (Clinical procedures and medical management) related deaths
Manchester University NHS Foundation Trust
29 October 2021
2021-0366
Jane Bruce
Leicester City and South Leicestershire
Hospital Death (Clinical Procedures and medical management) related deaths | Community health care
Department of Health and Social Care
25 September 2020
2020-0188
Susan Warby
Suffolk
Hospital death (Clinical procedures and medical management) related deaths
Department of Health and Social Care; Medicines and Healthcare Products Regulatory Agency
8 September 2020
2020-0171
Peter Howarth
Greater Manchester South
Care Home health related deaths; Hospital death (Clinical procedures and medical management) related deaths
Borough Care
10 December 2020
2020-0277
Edward Mallaby
Sunderland
Care Home Health related deaths
Alexandra View Care Home
18 December 2020
2020-0298
Ruben Bousquet
London Inner South
Product related deaths |�Other related deaths
Department of Health and Social Care | Food Standards Agency | Ministry of Housing, Communities and Local Government
21 September 2020
2020-0178
Paul Reynolds
Plymouth, Torbay and South Devon
Hospital death (Clinical procedures and medical management) related deaths
Derriford Hospital
30 September 2020
2020-0191
Mavis Lawrence
Stoke-on-Trent & North Staffordshire Coroner�s Court
Care home health related deaths; Community healthcare related deaths
Midlands Partnership NHS Foundation Trust; Beechdene Residential Home; Leek Health Centre
1 December 2020
2020-0267
Peter Unsworth
Surrey
Hospital Death (Clinical Procedures and medical management) related deaths
NHS Improvement, Royal College of Physicians, Royal College of Surgeons, General Medical Council and St. Peter�s Hospital
23 September 2020
2020-0180
Jane Jowers
East London
Care home health related deaths
Disclosure and Barring Service
3 September 2020
2020-0170
Laura Parsons
County Durham & Darlington
Community healthcare deaths
Department for Health and Social Care
6 October 2020
2020-0288
Emily Greene
South Yorkshire West
Police related deaths |�Suicide (from 2015)
South Yorkshire Police HQ
22 October 2021
2021-0356
Anthony Clacher
Dorset
State Custody related deaths | Mental Health related deaths | Alcohol, drug and medication related deaths |�Other related deaths
Department of Health and Social Care | HM Prison and Probation Service | NHS England and NHS Digital
4 September 2020
2020-0168
Zoe Knight
South Manchester
Hospital Death (Clinical procedures and medical management) related deaths
National Institute for Health and Care Excellence
26 November 2020
2020-0257
John Jennings
North London
Emergency services related deaths; Other related deaths
Ministry for Housing and Local Government
23 September 2020
2020-0181
Christine Forbes
Derby and Derbyshire
Community healthcare related deaths
NHS Derby & Derbyshire Clinical Commissioning Group | NHS England |Primary Care Support England
25 November 2021
2021-0406
Deceased names: Marshall Metcalfe and Jane Ireland
Blackpool & Fylde
Mental Health related deaths | Hospital Death (Clinical Procedures and medical management) related deaths | Child Death (from 2015) | Alcohol, drug and medication related deaths | Suicide (from 2015) | Community health care and emergency services related deaths | Other related deaths
Department of Health & Social Care
16 November 2020
2020-0239
Jean Williams
Manchester (West)
Care Home Health related deaths | Product related deaths
NHS England, Blackpool Teaching Hospitals, Lancashire County Council and Mobility 2000 Ltd
1 February 2021
2021-0023
Betty Tadman
Mid Kent and Medway
Hospital Death (Clinical Procedures and medical management) related deaths
Medway NHS Foundation Trust
4 March 2021
2021-0064
Paula Speirs
Inner North London
Hospital Death (Clinical Procedures and medical management) related deaths | Mental Health related deaths |�Alcohol, drug and medication related deaths
Weymouth Street Hospital
18 November 2020
2020-0242
Alfie Gildea
Greater Manchester South
Police related deaths |�Child Death (from 2015) | Community health care
Greater Manchester Police, Trafford Metropolitan Borough Council, Greater Manchester Mental Health NHS Foundation Trust, Pennine Care NHS Foundation Trust, Crown Prosecution Service, Greater Manchester Health and Social Care Partnership, Home Office and Department of Health and Social Care
16 February 2021
2021-0044
Ruby Baggaley
West Yorkshire (E)
Hospital Death (Clinical Procedures and medical management) related deaths
Leeds Teaching Hospital NHS Trust
25 November 2021
2021-0396
Malcolm Dixon
Manchester South
Mental Health related deaths | Hospital Death (Clinical Procedures and medical management) related deaths | Suicide (from 2015)
Department of Health and Social Care
10 November 2020
2020-0229
Leslie Clewarth
West Yorkshire
Hospital Death (Clinical Procedures and medical management) related deaths
Mid Yorkshire Hospitals NHS Trust
19 January 2021
2021-0013
Deceased names: Alexandru Murgeanu and Jason Mercer
South Yorkshire West
Other related deaths |�Road (Highways Safety) related deaths
Highways England | Department for Transport
11 February 2021
2021-0034
Valeria Biggs
Inner West London
Hospital Death (Clinical Procedures and medical management) related deaths | Mental Health related deaths |�Suicide (from 2015)
Acute Mental Health Services, West London NHS Trust
12 November 2020
2020-0232
Amarbai Bhudia
East London
Hospital Death (Clinical Procedures and medical management) related deaths
Royal London Hospital and Department of Health and Social Care
11 November 2020
2020-0231
Carolyne Senior
South Yorkshire (West)
Hospital Death (Clinical Procedures and medical management) related deaths
Barnsley Hospital NHS Foundation Trust
17 November 2021
2021-0386
Victoria Harrild-Jones
Suffolk
Other related deaths | Service Personnel related deaths
Ministry of Defence
27 October 2020
2020-0218
Reggie-Jay Payne
Milton Keynes
Child death; Community healthcare related deaths
Milton Keynes University Hospital
5 January 2021
2021-0003
Arthur Johnson
Hampshire, Portsmouth and Southampton
Care Home Health related deaths
Hampshire County Council and Oakridge House Residential Home
2 February 2021
2021-0024
Michael Yemm
Norfolk
Care Home Health related deaths |�Hospital Death (Clinical Procedures and medical management) related deaths
Adult Social Services, Norfolk County Council and Norfolk and Norwich University Hospital
16 November 2020
2020-0241
Daniel Waite
Mid Kent and Medway
Road (Highways Safety) related deaths
Highways Department Kent County Council and TARMAC A CRH Company
21 October 2020
2020-0208
Si�n Hewitt
Milton Keynes
Community healthcare related deaths; Mental health related deaths
NHS England
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