top of page

Inquests (PFDs)

Date
Reference
Deceased
Coroner Area
Sent to
Investigation
Circumstances
Sent to
Categories
Also sent to
31 October 2017
2017-0313
Gordon Penistan
Hampshire (Central)
Community health care and emergency services related deaths
Adult Social Services
7 September 2016
2016-0322
Louise Turner
Exeter and Greater Devon
Hospital Death (Clinical Procedures and medical management) related deaths
NHS Northern Eastern and Western Clinical Commissioning Group; Department of Health; Devon Partnership Trust
19 August 2016
2016 � 0302
Nathan Lowe
City of London
Mental Health related deaths; Hospital Death (Clinical Procedures and medical management) related deaths; Suicide (from 2015)
Hertfordshire Partnership University NHS Foundation Trust
19 August 2016
2016 � 0300
John Jones
London Inner (North)
Community health care and emergency services related deaths; Mental Health related deaths
Nightingale Hospital; Consultant Psychiatrist, Keats House, London
24 July 2017
2017-0335
Ben Jukes
Manchester (City)
Service Personnel related deaths
Ministry of Defence
19 September 2016
2016-0336
Charles Pitcher
Plymouth, Torbay and South Devon
Suicide (from 2015)
Cornwall County Council
30 August 2016
2016-0311
Robert Dearing
Lincolnshire (Central)
Road (Highways Safety) related deaths
Department for Transport
1 March 2018
2018-0062
George French-Russell
Manchester (South)
Hospital Death (Clinical Procedures and medical management) related deaths; Community health care and emergency services related deaths; Child Death (from 2015)
Stepping Hill Hospital | East Midlands Ambulance Service | Healthcare Safety Investigation Branch | Department of Health and Social Care
4 April 2017
2017-0102
Robert Owens
South Wales Central
Hospital Death (Clinical Procedures and medical
CWM Taf University Health Board
16 May 2018
2018-0148
Lucia Ciccioli
London Inner (West)
Road (Highways Safety) related deaths
Transport for London; Wandsworth, Merton, Richmond and Sutton Borough Council
9 November 2017
2017-0265
Timothy Atkins
Portsmouth and South East Hampshire
Road (Highways Safety) related deaths
Portsmouth City Council
27 July 2017
2017-0318
Maureen Colclough
Cheshire
Care Home Health related deaths
Care Quality Commission; Care Agency
2 August 2017
2017-0321
Thomas Wall
Brighton and Hove
Hospital Death (Clinical Procedures and medical management) related deaths; Suicide (from 2015)
Brighton and Hove Clinical Commissioning Group | Sussex Partnership NHS Trust | Pavilions
6 November 2018
2018-0342
Gerwyn Thomas
Camarthenshire and Pembrokeshire
Hospital Death (Clinical Procedures and medical management) related deaths
West Wales General Hospital
10 November 2017
2017-0346
Darren Powney
Sunderland
Community health care and emergency services related deaths
North East Ambulance Service NHS Trust
6 November 2017
2017-0266
Harminder Dhillon
Bedfordshire and Luton
Railway related deaths
Network Rail
16 October 2017
2017-0296
Jeremy Marshall
Wiltshire & Swindon
Hospital Death (Clinical Procedures and medical management) related deaths
Great Western Hospital NHS Trust
13 November 2018
2018-0352
Thomas Jackson
Staffordshire (South)
Hospital Death (Clinical Procedures and medical management) related deaths
St George�s Hospital
28 November 2017
2017-0355
John Lea
Manchester (North)
Hospital Death (Clinical Procedures and medical management) related deaths
Pennine Acute Hospitals NHS Trust
20 December 2017
2017-0345
Scott Rayner
Hertfordshire
Railway related deaths
Network Rail
2 November 2017
2017-0344
John Nichols
Norfolk
Care Home Health related deaths
Eastgate Residential Care Homes
16 November 2018
2018-0357
Emmett Gillah
Surrey
Hospital Death (Clinical Procedures and medical management) related deaths
Kent and Medway NHS Social Care Trust
12 December 2017
2017-0366
Sidonio Teixeira
Worcestershire
State Custody related deaths
HMP Long Lartin
15 September 2017
2017-0354
Marko Petrovic
West Yorkshire (West)
Accident at Work and Health and Safety related deaths
Health and Safety Executive
19 December 2017
2017-0378
Lindsey Parker
Manchester (North)
Hospital Death (Clinical Procedures and medical management) related deaths
Salford Royal Hospital
26 July 2017
2017-0331
Kenneth Swift
York
Hospital Death (Clinical Procedures and medical management) related deaths
York Teaching Hospital NHS Trust
5 December 2017
2017-0353
Gwendoline Halfpenny
Staffordshire (South)
Hospital Death (Clinical Procedures and medical management) related deaths
University Hospitals North Midlands NHS Trust
25 July 2017
2017-0333
Robert Dymond
Coventry
Hospital Death (Clinical Procedures and medical management) related deaths
Coventry & Warwickshire NHS Trust
1 August 2017
2017-0324
Hayley Sheehan
Surrey
Community health care and emergency services related deaths
The Moat Surgery
21 September 2017
2017-0284
Derek Dudley
Surrey
Other related deaths
CSS Telecare Service; Tandridge District Council; Elmbridge and Ewell Borough Council
16 August 2017
2017-0277
Christopher Fairhurst
Manchester (North)
Community health care and emergency services related deaths
Department of Health
27 September 2017
2017-0279
Pamela Craigie
London (West)
Care Home Health related deaths
Advinia Healthcare Ltd; London Borough of Hounslow
12 December 2017
2017-0367
Francis Beech
Birmingham and Solihull
Care Home Health related deaths; Hospital Death (Clinical Procedures and medical management) related deaths
Heart of England NHS Trust; St Giles Care Home
14 November 2016
2016-0407
Benjamin Wylie
Berkshire
Product related deaths
Federation of Piling Specialists | Health and Safety Executive | Soilmec Limited
24 August 2017
2017-0244
Jonathan Meaney
London Inner (North)
Hospital Death (Clinical Procedures and medical management) related deaths
Camden and Islington NHS Trust; Royal Free London NHS Trust
15 July 2016
2016-0256
Sydney Neil
Birmingham and Solihull
Hospital Death (Clinical Procedures and medical management) related deaths; Community health care and emergency services related deaths
Wychall Lane Surgery; NHS England; Birmingham Cross City Clinical Commissioning Group
22 September 2017
2017-0237
Shahbaz Salim
Nottinghamshire
Road (Highways Safety) related deaths
Highways England
24 June 2016
2016-0497
Kirsty Childs
West Yorkshire (West)
Hospital Death (Clinical Procedures and medical management) related deaths
NHS England; Department of Health
24 June 2016
2016-0229
William Nute
Cornwall
Community health care and emergency services related deaths; Police related deaths
South Western Ambulance Service; Devon and Cornwall Police
25 July 2016
2016-0270
Patricia Cleghorn
Birmingham and Solihull
Community health care and emergency services related deaths
Birmingham and Solihull Mental Health Trust; NHS England: Department of Health; Care Quality Commission
27 July 2016
2016-0271
Cerith Pugh
Carmarthenshire and Pembrokeshire
Hospital Death (Clinical Procedures and medical management) related deaths
Hywel Dda University Health Board
4 July 2016
2016-0244
Henry Hicks
London Inner (North)
Police related deaths
Metropolitan Police
1 July 2016
2016-0250
George Punton
Wiltshire and Swindon
Road (Highways Safety) related deaths
Highway and Transport� Wiltshire Council
8 May 2017
2017-0151
Maud Patrick
Manchester (City)
Hospital Death (Clinical Procedures and medical management) related deaths
Manchester Clinical Commissioning Group | Care Quality Commission
15 July 2016
2016-0253
James Kane
County Durham and Darlington
Hospital Death (Clinical Procedures and medical management) related deaths
County Durham and Darlington NHS Trust; Department of Health
10 August 2017
2017-0270
Claire Medhurst
Mid Kent and Medway
Hospital Death (Clinical Procedures and medical management) related deaths
Medway NHS Foundation Trust
15 July 2016
2016-0251
Leilani Chute
West Sussex
Hospital Death (Clinical Procedures and medical management) related deaths; Child Death (from 2015)
Western Sussex Hospital NHS Trust; St Richard�s Hospital
10 August 2016
2016 � 0284
Kevin Ritson
Cumbria
Road (Highways Safety)
Highways Department, Cumbria� County Council
22 July 2016
Deceased name: Olawale Adelusi
Coroners name: Jeremy Chipperfield
Category: State Custody related deaths
This report is being sent to: Metropolitan Police State Custody related deaths
16 June 2016
2016-0252
Valerie Ellis
West Sussex
Hospital Death (Clinical Procedures and medical management) related deaths
Western Sussex Hospital NHS Trust
22 July 2016
2016-0261
Alan Stead
Staffordshire (South)
Hospital Death (Clinical Procedures and medical management) related deaths
Care UK
14 June 2016
2016-0221
Christina O�Brien
London Inner (South)
Mental Health related deaths; Suicide (from 2015)
South London and Maudesley NHS Trust; Department of Health
4 July 2016
2016-0246
Thomas Pearson
South Yorkshire (East)
Hospital Death (Clinical Procedures and medical management) related deaths
Doncaster Royal Infirmary
8 June 2016
2016-0215
Peter Seale
Manchester (North)
Other related deaths
Department of Health; Royal College of Physicians
06/05/2016
2016-0175
Lee Nauman
Yorkshire West Western
Road (Highways Safety) related deaths
Bradford Metropolitan Borough Council
06/05/2016
2016-0174
Carole Lovett
London Greater North
Mental Health related deaths
North Middlesex Hospital
13/05/2016
2016-0186
Geoffrey Ellis
Manchester South
Hospital Death (Clinical Procedures and medical management) related deaths
Stockport NHS Foundation Trust
25 April 2017
2017-0137
Linsay Bushell
Liverpool and Wirral
Hospital Death (Clinical Procedures and medical management) related deaths
Department for Health; NHS England
16 June 2016
2016-0226
Reece Atkinson
Surrey
Road (Highways Safety) related deaths
Surrey County Council
27 June 2016
2016-0236
Anielka Jennings
Gloucestershire
Child Death (from 2015; Suicide (from 2015); Mental Health related deaths
Gloucestershire County Council; Gloucestershire Clinical Commissioning Group
13/05/2016
2016-0185
Harold Davies
Nottinghamshire
Road (Highways Safety) related deaths
Highways England; A-ONE+; Nottinghamshire County Council
23 May 2016
2016-0197
Karen Ravenscroft
Blackburn, Hyndburn and Ribble Valley
Hospital Death (Clinical Procedures and medical management) related deaths
East Lancashire Healthcare NHS Trust
19 May 2016
2016-0196
Samuel Blair
London Inner (North)
Hospital Death (Clinical Procedures and medical management) related deaths; Community health care and emergency services related deaths
Care UK | London Ambulance Services NHS Trust | National Offender Management Service
20 July 2017
2017-0216
Nina Maggs
Wiltshire and Swindon
Road (Highways Safety) related deaths
Swindon Borough Council | Department for Transport
27 May 2016
2016-0203
Esmee Polmear
Cornwall
Hospital Death (Clinical Procedures and medical management) related deaths; Child Death (from 2015)
NHS England; Kernow Clinical Commissioning Group
27 May 2016
2016-0202
Keenan Walsh
Exeter and Greater Devon
Child Death (from 2015)
Devon County Council | North Devon Council
6 June 2016
2016-0214
Ezharul Islam
London (North)
Other related deaths
Transport for London
28 September 2017
2017-0493
Katherine Vanloo
Warwickshire
Road (Highways Safety) related deaths
Warwickshire County Council
8 June 2016
2016-0218
Gwendoline Clarke
Gloucestershire
Care Home Health related deaths
ADL PLC; Care Quality Commission
10 November 2016
2016 � 0396
Daniel Willington
Carmarthenshire� and Pembrokeshire
Other related deaths
Maritime and Coastguard Agency
12 October 2017
2017-0292
Jeremiah Obaka
London (South)
Community health care and emergency services related deaths
London Borough of Sutton
27 July 2016
2016 � 0269
James Hedge
South Wales Central
Hospital Death (Clinical Procedures and medical
Medicines and Healthcare Products Regulatory Agency; Roche Diagnostics Limited; NHS Wales; NHS England
4 August 2017
2017-0320
Carly Gordon
Exeter & Greater Devon
Hospital Death (Clinical Procedures and medical management) related deaths; Suicide (from 2015)
NHS England; Royal College of General Practitioners; Devon Local Medical Centre; Fremington Medical Centre; Devon NHS Trust
17 October 2016
2016-0369
Vinod Kumar
Black Country
Hospital Death (Clinical Procedures and medical management) related deaths
New Cross Hospital
15 September 2016
2016-0330
Richard Breatnach
Brighton and Hove
Alcohol, drug and medication related deaths
H R Healthcare Limited; NHS England
16 September 2016
2016-0331
Martha Davies
Essex
Hospital Death (Clinical Procedures and medical management) related deaths
Anglian Community Enterprise
22 December 2017
2017-0494
Ronald Farrington
Surrey
Care Home Health related deaths
Saffronland Homes limited; CQC; Surrey County Council
14 October 2016
2016-0365
Brandon Arnold
Bedfordshire and Luton
Road (Highways Safety) related deaths
Luton Borough Council
24 October 2016
Deceased name: Michelle Barnes
Coroners name: Andrew Tweddle
Category: State Custody related deaths
This report is being sent to: National Offender Management Service State Custody related deaths
12 October 2016
2016-0364
Rohid Shergill
Nottinghamshire
Hospital Death (Clinical Procedures and medical management) related deaths
Nottinghamshire Healthcare NHS Trust
4 September 2017
2017-0347
Liam Thomas
Oxfordshire
Hospital Death (Clinical Procedures and medical management) related deaths
Oxford Health NHS Trust
24 October 2016
2016-0374
Margaret Dempsie
Leicester City and Leicestershire South
Hospital Death (Clinical Procedures and medical management) related deaths
NHS England; University Hospitals of Leicester NHS Trust
13 November 2017
2017-0391
John Scallan
Coventry
Hospital Death (Clinical Procedures and medical management) related deaths
Coventry and Warwickshire NHS Trust
5 December 2016
2016-0433
Christopher Brennan
London (South)
Child Death (from 2015); Hospital Death (Clinical Procedures and medical management) related deaths
Resuscitation Council (UK); South London and Maudsley NHS Trust
8 December 2016
2016-0436
Cameron Forster
North Yorkshire (East)
Other related deaths
Department for Transport
17 November 2017
2017-0404
Peter Saint
Cambridgeshire and Peterborough
Hospital Death (Clinical Procedures and medical management) related deaths
NHS England; North West Anglia NHS Trust; Royal College of Anaesthetists; The Difficult Airway Society
15 December 2016
2016-0446
Pamela Gower
County Durham and Darlington
Other related deaths
British Parachute Association
15 December 2016
2016-0447
Francis Lea
Leicester (City and South)
Community health care and emergency services related deaths
Northfield Medical Practice; Hazelmere Medical Centre; East Leicestershire and Rutland Clinical Commissioning Group
14/12/2016
2016-0145
Jaroslaw Rogala
London Inner (West)
Hospital Death (Clinical Procedures and medical management) related deaths; Mental Health related deaths; Suicide (from 2015)
South West and St George�s Mental Health Trust | West London Care Commissioning Group
23 November 2017
2017-0415
Michaela Haines
Carmarthenshire & Pembrokeshire
Police related deaths
Dyfed-Powys Police
15 December 2016
2016-0457
Jane Stables
South Yorkshire (East)
Hospital Death (Clinical Procedures and medical management) related deaths
Rotherham, Doncaster and South Humber NHS Trust
16 December 2016
2016-0458
Lita Serkes
London Inner (North)
Hospital Death (Clinical Procedures and medical management) related deaths
Royal London Hospital
27 November 2017
2017-0423
Jason Basalat
Milton Keynes
State Custody related deaths
Northamptonshire Police | HM Courts and Tribunals Service
11 November 2016
2016-0408
Karen Thorne
Manchester (West)
Hospital Death (Clinical Procedures and medical management) related deaths
Department of Health
14 November 2016
2016-0414
David Knight
Cornwall and the Isles of Scilly
Hospital Death (Clinical Procedures and medical management) related deaths; Mental Health related deaths; Suicide (from 2015)
Department for Health; NHS England
15 February 2018
2018-0048
Charlie Craig
Manchester (South)
Other related deaths; Child Death (from 2015)
British Cycling
3 April 2018
2018-0095
Barbara Haley
Manchester (South)
Care Home Health related deaths
Harbour Health Care Limited
8 March 2017
2017-0062
Valdas Jasiunas
London (East)
Police related deaths; State Custody related deaths
Metropolitan Police
9 March 2017
2017-0061
Billy Wilson
West Yorkshire (East)
Child Death (from 2015); Hospital Death (Clinical Procedures and medical management) related deaths
Nursing and Midwifery Council
17 March 2017
2017-0071
Stephen McDermott
Preston and West Lancashire
Hospital Death (Clinical Procedures and medical management) related deaths
Lancashire Care Foundation Trust
bottom of page