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Inquests (PFDs)

Date
Reference
Deceased
Coroner Area
Sent to
Investigation
Circumstances
Sent to
Categories
Also sent to
28 September 2020
2020-0186
June Parlour
Essex
Hospital death (Clinical procedures and medical management) related deaths
East Suffolk and North Essex NHS Foundation Trust
8 August 2021
2021-0266
Steve Cooke
Mid Kent and Medway
Emergency services related deaths (2019 onwards)
South East Coast Ambulance Service
16 May 2019
2019-0504
Natasha Abrahart
Avon
Mental Health related deaths; Suicide (from 2015)
Avon and Wiltshire NHS Mental Health Trust; The Student Health Service; Department of Health; Minister of Suicide Prevention
20 April 2020
2020-0095
Wendy Wilkes
Manchester South
Alcohol, drug and medication related deaths; Community health care related deaths
Tameside and Glossop Clinical Commissioning Group; Greater Manchester Health and Social Care Partnership
20 April 2020
2020-0094
Theo Young
Surrey
Hospital Death (clinical procedures and medical management) related deaths; Child death (from 2015)
HSIB; Department of Health; NHS England; East Surrey Hospital
5 October 2020
2020-0197
Frazer Golden
County Durham and Darlington
Road (Highways safety) related deaths
Durham County Council
14 September 2020
2020-0176
Yugal Limbu
Central and South East Kent
Other related deaths
Kent County Council; Ashford Borough Council
20 August 2021
2021-0276
Sheldon Marshall
Surrey
Emergency services related deaths (2019 onwards) | Other related deaths
Mayday Group
27 February 2020
2020-0088
Kenneth Clarke
Derby and Derbyshire
Care Home Health related deaths
Normanton Village View Nursing Home; CQC; Rushcliffe Care;
6 April 2020
2020-0090
Darren King
Suffolk
Community Health care
Adult and Community Services Suffolk County Council; Norfolk and Suffolk NHS Foundation Trust
3 April 2020
2020-0089
Andrew Wing
Surrey
Hospital Death (Clinical Procedures and medical management) related deaths
Royal College Emergency Medicine; General Medical Council; College and Society of Radiographers
29 September 2020
2020-0187
Sarah Ferneyhough
Essex
Alcohol, drug and medication related deaths; Emergency services related deaths
Emergency Call Prioritisation Advisory Group; Association of Ambulance Chief Executives; AACE�s National Directors of Operations Group; National Association of Ambulance Medical Directors
25 March 2020
2020-0078
Joseph Mochan
Brighton and Hove
Alcohol, drugs and medication related deaths
Brighton and Hove City Council | Brighton and Hove Clinical Commissioning Group
25 August 2020
2020-0166
Daniel Coleman
Inner North London
Alcohol, drug and medication related deaths; Other related deaths
Camden Council; First Response Group
26 August 2021
2021-0286
Cherry Dunn
Leicester City and South Leicestershire
Hospital Death (Clinical Procedures and medical management) related deaths |�Mental Health related deaths
NHS Quality, Safety and Investigations
4 May 2020
2020-0110
Barry Preston
Manchester; Greater Manchester South
Hospital Death (Clinical Procedures and medical management) related deaths
Greater Manchester Mental Health NHS Foundation Trust (GMMH); Bolton Council; Royal Bolton Hospital; Department for Health and Social Care
18 February 2020
2020-0031
Wayne Millett
Manchester South
Alcohol, Drug and medication related deaths; Hospital death (Clinical procedures and medical management) related deaths; mental health related deaths
The Priory Group
2 July 2021
2021-0226
Khairul Rahman
Inner London North
State Custody related deaths
HMP Pentonville
9 April 2020
2020-0092
Allison Bird
West Yorkshire (west)
Hospital Death (clinical Procedures and medical management) related deaths
Bradford teaching hospitals NHS Trust
16 December 2019
2019-0432
Clive Miles
Manchester (South)
Community health care (Including primary care, GP) related deaths; Alcohol, drug and medication related deaths
Stockport Clinical Commissioning Group
12 March 2020
2020-0066
Mitica Marin
London East
Emergency services related deaths (2019 onwards)
The AACE; London Ambulance Service; Department of Health and Social Care; Resuscitation Council; Physio-Control UK Ltd
25 May 2021
2021-0176
Ryan Taylor
Cornwall and the Isles of Scilly
Road (Highways Safety) related deaths
Cornwall Council and CORMAC
17 December 2019
2019-0435
Mark Anderson
South Wales Central
Road (Highways Safety) related deaths; Wales prevention of future deaths reports (2019 onwards)
Cardiff Council
17 December 2019
2019-0434
Lewis Mendelson
Manchester (South)
Community health care and related deaths
Department of Health and Social Care; Stockport Borough Council
6 February 2020
2020-0087
Marc Cole
Cornwall and the Isle of Scilly
Alcohol, drug and medication related deaths; Police related deaths
The College of Policing; The Home Secretary
10 December 2019
2019-0422
Frances Gibb
Brighton and Hove
Hospital Death (Clinical Procedures and medical management) related deaths
Brighton and Sussex University Hospital NHS Trust
9 March 2020
2020-0057
Arthur Hughes
North Wales (East and Central)
Hospital Deaths (Clinical Procedures and medical management) related deaths; Wales prevention of future deaths reports (2019 onwards)
Betsi Cadwaladr University Health Board
16/12/2019
2019-0425
Layla Dobson
West Yorkshire (East)
Hospital Death (Clinical Procedures and medical management) related deaths; Suicide (from 2015)
The Leeds and York Partnership NHS Trust
13 December 2019
2019-0424
Catherine McNamara
Manchester (South)
Alcohol, drug and medication related deaths | Community health care (Including primary care, GP) related deaths
Trafford Clinical Commissioning Group
20 December 2019
2019-0443
Samantha Brousas
North Wales (East and Central)
Emergency services related deaths (2019 onwards); Wales prevention of future deaths reports (2019 onwards)
Welsh Ambulance Service NHS Trust
3 December 2019
2019-0413
David Moore
County Durham and Darlington
Road (Highways Safety) related deaths
Durham County Council
24 March 2020
2020-0077
Simon Delahunty
London (North)
Suicide (from 2015); Alcohol, drug and medication related deaths
Department of Health and Social Care
8 September 2017
2017-0262
Patricia Forshaw
Manchester (West)
Hospital Death (Clinical Procedures and medical management) related deaths
The Wrightington, Wigan and Leigh NHS Trust
27 September 2017
2017-0234
Peter Kollar
London Inner (South)
Hospital Death (Clinical Procedures and medical management) related deaths; Child Death (from 2015)
Royal College of Paediatrics and Child Health; Royal College of Emergency Medicine
27 December 2018
2018-0407
Kenneth Bardsley
Manchester (South)
Product related deaths
Care Quality Commission | Lancs & Cumbria Lifts UK Ltd | Health and Safety Executive | Department for Work and Pensions
10 October 2017
Deceased name: Tahnie Martin
Coroners name: Emma Whitting
Category: Accident at Work and Health and Safety related deaths
This report is being sent to: RICS Accident at Work and Health and Safety related deaths
24 November 2017
Deceased name: Owen Widlake
Coroners name: Sarah Whitby
Category: Hospital Death (Clinical Procedures and medical management) related deaths
This report is being sent to: Isle of Wight NHS Trust Hospital Death (Clinical Procedures and medical management) related deaths
31 October 2017
2017-0342
Vilhelmas Borkertas
London Inner (North)
State Custody related deaths
HMP Pentonville
12 September 2018
2018-0286
Abigail Hall
South Yorkshire (West)
Other related deaths
Derwent Students
8 September 2017
2017-0210
Anne-Marie James
Black Country
Hospital Death (Clinical Procedures and medical management) related deaths
NHS Lothian Scotland
24 July 2018
2018-0239
Taiyah-Grace Peebles
North East Kent
Railway related deaths
Network Rail
28 September 2017
2017-0458
Conall Gould
Birmingham and Solihull
Mental Health related deaths
Northern Health and Social Care Trust
26 July 2017
2017-0219
Songul Bozdag
London Inner (North)
Hospital Death (Clinical Procedures and medical management) related deaths
East London NHS Trust
13 June 2017
2017-0192
Russell Sherwood
South Wales Central
Community health care and emergency services related deaths
South Wales Fire and Rescue Service
3 May 2017
2017-0144
Beryl Varcoe
Surrey
Community health care and emergency services related deaths
Elmbridge Borough Council
30 July 2018
2018-0249
Richard Barrett
South Wales Central
Community health care and emergency services related deaths
Welsh Ambulance Service Trust; Minister for Health; Cardiff and Vale University Health Board
30 April 2017
2017-0142
Ahsiyah Bibi
Birmingham and Solihull
Hospital Death (Clinical Procedures and medical management) related deaths
Heart of England NHS Trust
3 May 2017
2017-0145
Margaret Conway
West Yorkshire (East)
Hospital Death (Clinical Procedures and medical management) related deaths
Mid Yorkshire NHS Trust; South West Yorkshire NHS Trust
17 May 2017
2017-0161
William Wilkes
Milton Keynes
Hospital Death (Clinical Procedures and medical management) related deaths
Milton Keynes University Hospital
30 August 2018
2018-0258
Daniel O�Mahony
Hertfordshire
Railway related deaths; Suicide (from 2015)
London North Western Railways
10 May 2017
2017-0162
Peter Richardson
Surrey
Other related deaths
Minister of State for Disabled People, Health and Work | Safety Assessment Federation | Garage Equipment Association | Health and Safety Executive | HSB Engineering Insurance Services Limited | REDACTED | West End Garage | Liftmaster Ltd
17 May 2017
2017-0160
Lilly Baxandall
North Wales (East and Central)
Community health care and emergency services related deaths; Hospital Death (Clinical Procedures and medical management) related deaths
Betsi Cadwaladr University Health Board; Denbighshire County Council; Conway County Council; Flintshire County Council; Welsh Ambulance Services NHS Trust.
25 May 2017
2017-0170
Bonamie Armitage
Gloucestershire
Child Death (from 2015); Other related deaths
The Cotswold Hunt; The Council of Hunting
27 June 2017
2017-0208
Dean Rowland
Staffordshire (South)
Community health care and emergency services related deaths; Hospital Death (Clinical Procedures and medical management) related deaths; Suicide (from 2015)
Peel Medical Practice; South Staffordshire and Shropshire Healthcare NHS Trust
26 May 2017
2017-0169
Doreen Miller
Wiltshire and Swindon
Hospital Death (Clinical Procedures and medical management) related deaths
Great Western NHS Hospital Trust; Chippenham Community Hospital; Wiltshire Council
8 October 2018
2018-0279
Natasha Ednan-Laperouse
London (West)
Other related deaths
Pret-a-Manger | Medicines and Healthcare products Regulatory Agency | Pfizer | Department for the Environment, Food and Rural Affairs
14 August 2017
2017-0217
Terence Pimm
Essex
Police related deaths;
Essex Police; EPUT; Essex Community Rehabilitation Company
11 September 2017
2017-0218
Janet Williams
London Inner (North)
Hospital Death (Clinical Procedures and medical management) related deaths
East London NHS Trust
27 July 2018
2018-0274
Natalie Billingham
Black Country
Hospital Death (Clinical Procedures and medical management) related deaths
Russell Hall Hospital; CQC
19/04/2016
2016-0146
Alesha O�Connor
South Wales Central
Road (Highways Safety) related deaths
Powys County Council
30/07/2013
2013-0174
Phillip Pratt
West Sussex
Hospital Death (Clinical Procedures and medical management) related deaths
Western Sussex Hospitals NHS Trust
30 October 2017
2017-0309
Michael Giles
Worcestershire
Hospital Death (Clinical Procedures and medical management) related deaths
Worcestershire Acute Hospital Trust
21 February 2020
2020-0068
Billy Jenkins
London South
Alcohol, drug and medication related deaths; Mental Health related deaths; Community health care related death; Suicide (from 2015)
Oxleas NHS Foundation; ADAPT
11 August 2020
2020-0156
Sylvia Scully
Greater Manchester South
Hospital death (Clinical procedures and medical management) related deaths
Royal College of Radiologists; Tameside and Glossop Integrated Care NHS Foundation Trust
16 March 2020
2020-0071
John Ashley
West Sussex
Mental Health related deaths; Suicide (from 2015); Community Healthcare related deaths
Sussex Partnership NHS Foundation Trust
11 March 2020
2020-0070
Rifky Grossberger
London Inner North
Child death (from 2015); Other related deaths
NHS England; Royal College of Nursing
28 August 2020
2020-0167
Carlington Spencer
Lincolnshire
State Custody related deaths
Morton Hall Immigration Removal Centre; Nottingham Healthcare NHS Foundation Trust
28 July 2021
2021-0256
Carl Walters
Exeter and Greater Devon
State Custody related deaths
HMP Exeter
9 March 2020
2020-0059
Roy Campbell
Worcestershire
Hospital death (Clinical Procedures and medical management) related deaths; Mental Health related deaths;
Worcestershire Health and Care NHS Trust
30 July 2020
2020-0146
Reginald Collins
Manchester South
Hospital Death (Clinical procedures and medical management) related deaths
Department of Health and Social Care; Greater Manchester Health and Social Care Partnership
4 March 2020
2020-0063
Jose Orlando
East London
Accident at work and Health and Safety related deaths;
Tradomi S.L. Transporte
28 January 2020
2020-0062
Susan Sterland
Northamptonshire
Hospital death (Clinical Procedures and medical management) related deaths
Kettering General Hospital NHS Foundation Trust
3 March 2020
2020-0051
Katrina O�Hara
Dorset
Other related deaths;
Crime, Policing and Fire Service; National Police Chief�s Council; College of Policing
18 September 2020
2020-0177
Macloud Nyeruke
West Yorkshire (East)
Accident at Work and Health and Safety related deaths; Other related deaths
Leeds Teaching Hospitals NHS Trust; Reed Nursing Trust
4 June 2020
2020-0157
George Townsend
Greater Manchester South
Community healthcare related deaths, Hospital death (Clinical procedures and medical management) related deaths
NHS Trafford Clinical Commissioning Group
2 March 2020
2020-0049
Gary Webster
West Yorkshire (East)
Accident at work and Health and Safety related deaths;
Nuttall Ltd; JV Ltd
10 October 2019
2020-0136
Liane Davenport
Cumbria
Mental Health related deaths; Alcohol, drug and medication related deaths
North Cumbria University Hospitals NHS Trust
3 March 2020
2020-0052
Lee Carpenter
East London
Community Healthcare related deaths; Mental Health related deaths; Suicide (from 2015)
Goodmayes Hospital Foundation Trust
21 February 2020
2020-0041
Andrew Goldstraw
Hampshire (Central)
Alcohol, drug and medication related deaths; State custody related deaths; Suicide (from 2015)
Central and North West London NHS Foundation Trust; HM Prison; NHS
24 February 2020
2020-0039
Jake Lee
Norfolk
Care Home Health related deaths
Select Healthcare
8 June 2020
2020-0126
Mildred Horrex
West Sussex
Care home health related deaths; Other related deaths
Pelham House, West Sussex
20 February 2020
2020-0042
Jon James
South Wales Central
Alcohol, drug and medication related deaths | Police related deaths | Wales prevention of future deaths report (2019 onwards)
National Institute for Health and Care Excellence
22 November 2017
2017-0411
Kathleen Devine
Manchester (West)
Care Home Health related deaths
Arden Court Nursing Home
27 March 2017
2017-0101
Steven Fone
Manchester (South)
Alcohol, drug and medication related deaths
Adams Pharmacy
29 September 2017
2017-0255
Helen Bannister
Buckinghamshire
Hospital Death (Clinical Procedures and medical management) related deaths
Fremantle Trust
7 October 2017
2017-0282
Marcin Mazurek
Preston and West Lancashire
Hospital Death (Clinical Procedures and medical management) related deaths
NHS England
10 July 2018
Deceased name: Eugeniusz Niedziolko
Coroners name: David Ridley
Category: Alcohol, drug and medication related deaths; Mental Health related death
This report is being sent to: Wiltshire Police; South Western Ambulance Service; College of Policing Alcohol, drug and medication related deaths; Mental Health related death
18 July 2017
2017-0453
Ivy Mitchell
Manchester (South)
Care Home Health related deaths
Fairfield View Care Centre; Tameside Borough Council
17 July 2017
2017-0451
Matthew Edwards
Manchester (South)
Hospital Death (Clinical Procedures and medical management) related deaths
Tameside and Glossop Integrated Care NHS Trust
19 July 2017
2017-0452
Edith Robinson
Manchester (North)
Hospital Death (Clinical Procedures and medical management) related deaths
Department for Health
29 June 2018
2018-0210
Charles Rashan
London Inner (North)
Police related deaths
Metropolitan Police Service
23 June 2017
2017-0203
Robert Cardwell
Preston and East Lancashire
Hospital Death (Clinical Procedures and medical management) related deaths
Lancashire Care NHS Foundation Trust
19 January 2017
2017-0207
Thomas Coyne
Cheshire
Railway related deaths
Northern Rail
22 June 2017
2017-0204
Aston Soulsby
Black Country
Child Death (from 2015); Road (Highways Safety) related deaths
Sandwell Local Authority
1 June 2017
2017-0174
Michael Halfpenny
Leicester City and Leicestershire South
Hospital Death (Clinical Procedures and medical management) related deaths
University Hospitals of Leicester NHS Trust; East Leicestershire and Rutland Clinical Commissioning Group
19 September 2018
Deceased name: Sufia Begum
Coroners name: Louise Hunt
Category: Community health care and emergency services related deaths
This report is being sent to: NHS England Clinical Commissioning Group Community health care and emergency services related deaths
5 June 2017
2017-0181
Derrick Brocklehurst
Manchester (South)
Hospital Death (Clinical Procedures and medical management) related deaths
Tameside Metropolitan Borough Council; Tameside General Hospital
24 May 2017
2017-0177
Dominic White
London Inner (North)
Hospital Death (Clinical Procedures and medical management) related deaths
Whittington Health NHS Trust; Barnet, Enfield and Haringey Mental Health NHS Trust; Camden and Islington NHS Trust
5 June 2017
2017-0183
Jack Braniff
Manchester (North)
Road (Highways Safety) related deaths
Highways England; Oldham Council
18 July 2018
2018-0230
Mohammed Ahmed
Manchester (West)
Hospital Death (Clinical Procedures and medical management) related deaths; Child Death (from 2015)
Department for Health; Manchester University NHS Trust; RCOG
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