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Inquests (PFDs)

Date
Reference
Deceased
Coroner Area
Sent to
Investigation
Circumstances
Sent to
Categories
Also sent to
26 November 2021
2021-0402
Felicity Clough
Dorset
Mental Health related deaths | Hospital Death (Clinical Procedures and medical management) related deaths | Police related deaths |�Alcohol, drug and medication related deaths
Department of Health and Social Care, Home Office | NHS England | National Police Chiefs� Council | Yeovil District Hospital
8 March 2021
2021-0070
Rodney Gates
Mid Kent and Medway
Hospital Death (Clinical Procedures and medical management) related deaths
Medway Maritime Hospital
26 April 2021
2021-0120
Alan Massam
Manchester South
Care Home Health related deaths | Hospital Death (Clinical Procedures and medical management) related deaths | Community health care |�Mental Health related deaths
SoS of Health and Social Care, Greater Manchester Health and Social Care Partnership and Care Quality Commission
10 May 2021
2021-0149
John Lott
City of Brighton and Hove
Hospital Death (Clinical Procedures and medical management) related deaths
Nuffield Hospital
21 January 2022
2022-0017
Deceased names: Anthony Walgate, Gabriel Kovari, Daniel Whitworth and Jack Taylor
East London
Police related deaths | Other related deaths | Product related deaths | Alcohol, drug and medication related deaths
Metropolitan Police Service, National Police Chiefs� Council, College of Policing and DCMS
27 April 2021
2021-0121
Caitlin Swan
Cornwall and Isles of Scilly
Road (Highways Safety) related deaths
CORMAC � Cornwall Council � Highways Department
30 April 2021
2021-0130
Alvin Black
Cambridgeshire and Peterborough
State Custody related deaths |�Hospital Death (Clinical Procedures and medical management) related deaths
Minister of State for Prisons and Probation and Cambridge University Hospitals NHS Foundation Trust
28 January 2022
2022-0027
Barbara Young
Gwent
Emergency services related deaths (2019 onwards) |�Wales prevention of future deaths reports (2019 onwards)
Wales Ambulance Service NHS Trust
30 April 2021
2021-0131
Elliot Burton
West Yorkshire (East)
Child Death (from 2015) |�Other related deaths
Yorkshire Hydropower Ltd, Foresight Group, Wakefield Metropolitan District Council and The Canal and River Trust
18 May 2021
2021-0159
Callum Evans
Hampshire, Portsmouth and Southampton
Railway related deaths |�Alcohol, drug and medication related deaths
Network Rail
5 May 2021
2021-0140
Shane Gilmer
County of the East Riding of Yorkshire and City of Kingston-Upon-Hull
Police related deaths | Product related deaths |�Product related deaths
SoS for the Home Department and Minister of State for Crime and Policing
4 February 2022
2022-0037
Sarah Gilbert-Jones
South Wales Central
Emergency services related deaths (2019 onwards) | Mental Health related deaths | Alcohol, drug and medication related deaths | Wales prevention of future deaths reports (2019 onwards)
Welsh Ambulance NHS Trust
7 May 2021
2021-0141
Alex Shaw
Stoke-on-Trent & North Staffordshire Coroner�s Court
Hospital Death (Clinical Procedures and medical management) related deaths |�Child Death (from 2015)
Royal Stoke University Hospital and Birmingham Children�s Hospital
11 May 2021
2021-0150
Charlotte Swift
West Sussex
Mental Health related deaths |�Hospital Death (Clinical Procedures and medical management) related deaths
NHS England
28 May 2021
2021-0169
Kevin Fitton
City of Brighton and Hove
Hospital Death (Clinical Procedures and medical management) related deaths | Alcohol, drug and medication related deaths | Mental Health related deaths | Police related deaths |� Community health care
Brighton and Hove Health and Adult Social Care | Brighton and Hove Clinical Commissioning Group | Brighton and Hove Council | Sussex Police
25 May 2021
2021-0179
James Devenny
Mid Kent and Medway
State Custody related deaths | Mental Health related deaths | Suicide (from 2015)
HMP Elmley and Director General � Prisons
16 February 2022
2022-0047
Daniel France
Cambridgeshire and Peterborough
Child Death (from 2015) | Mental Health related deaths | Suicide (from 2015) | Hospital Death (Clinical Procedures and medical management) related deaths | Other related deaths
Cambridgeshire and Peterborough NHS Foundation Trust and Cambridgeshire County Council
16 April 2021
2021-0111
Yusuf Seyit
London Inner South
Hospital Death (Clinical Procedures and medical management) related deaths
University Hospital Lewisham
4 January 2021
2021-0061
Pardeep Plahe
Birmingham and Solihull
Community health care
EMIS | Ashfield Surgery Sutton Coldfield | Birmingham and Solihull Clinical Commissioning Group | NHS England
10 January 2022
2022-0007
Brendan Eccles
City of Sunderland
Accident at Work and Health and Safety related deaths
EKO-INVEST, POM-EKO and EURO-EKO
30 April 2021
2021-0129
Ann Mowbray
Warwickshire
Other related deaths
Christian Congregation of Jehova�s Witnesses
11 March 2021
2021-0071
Emma Dorman
West Yorkshire, Western Division
Hospital Death (Clinical Procedures and medical management) related deaths
South West Yorkshire Partnership
7 January 2021
2021-0080
John Berrow
Gwent
Other related deaths
Specsavers UK
29 March 2021
2021-0089
Raymond Powell
Birmingham and Solihull
Care Home Health related deaths
Cole Valley Care Ltd
3 December 2021
2021-0412
Alexander Theodossiadis
West Yorkshire (Eastern)
Community health care and emergency services related deaths |�Hospital Death (Clinical Procedures and medical management) related deaths
These reports are being sent to: One Medical Group | Leeds Teaching Hospitals | Department for Health and Social Care
28 March 2021
2021-0099
Bathsheba Shepherd
London (West)
Community health care | Hospital Death (Clinical Procedures and medical management) related deaths | Mental Health related deaths | Other related deaths
Central and North West London NHS Foundation Trust and NHS England
25 March 2021
2021-0081
Sheldon Farnell
City of Sunderland
Hospital Death (Clinical Procedures and medical management) related deaths |�Child Death (from 2015)
Department of Health and Social Care
26 March 2021
2021-0090
Rachel Johnston
Worcestershire
Care Home Health related deaths
Holmleigh Care Homes Ltd and Care Quality Commission
15 April 2021
2021-0110
Ailsa Stewart
Manchester South
Community health care |�Other related deaths
SoS for Health and Social Care
20 December 2021
2021-0422
Oliver Weston
Lancashire & Blackburn with Darwen
Child Death (from 2015) | Mental Health related deaths | Other related deaths
OFSTED
8 December 2020
2021-0091
Ann Stillwell
East London
Care Home Health related deaths
Department of Health and Social Care and Havering Clinical Commissioning Group
09/04/2021
2021-0100
Mina Topley-Bird
County Durham and Darlington
Hospital Death (Clinical Procedures and medical management) related deaths | Mental Health related deaths |�Suicide (from 2015)
SoS for Health and Social Care and West Park Hospital
5 October 2021
2021-0331
Aaron Fretwell
West Yorkshire (East)
Product related deaths |�Other related deaths
Bailey Trailers Ltd
12 October 2021
2021-0340
Vivien Brunning
East London
Hospital Death (Clinical Procedures and medical management) related deaths
Queen�s Hospital | Department of Health and Social Care
14 October 2021
2021-0339
Murray Hyslop
Nottinghamshire
Care Home Health related deaths
My Care Ltd | My The Orchards Ltd
14/07/2022
2022-0217
Gordon Hendley
Cumbria Category: Alcohol, drug and medication related deaths | Community health care and emergency services related deaths This report is being sent to: North Cumbria Integrated Care Trust
North Cumbria Integrated Care Trust
Alcohol, drug and medication related deaths | Community health care and emergency services related deaths
12 October 2021
2021-0341
Helena Opuku
East London
Community health care | Other related deaths | Product related deaths
London Borough of Redbridge and Department of Health and Social Care
19 October 2021
2021-0350
Donna Constantine
Greater Manchester South
Police related deaths |�Mental Health related deaths
National Police Chiefs� Council, Home Office, College of Policing and Victims Commissioner for England
15 October 2021
2021-0349
Darren Lawrence
Manchester City
Hospital Death (Clinical Procedures and medical management) related deaths | Community health care and emergency services related deaths | Mental Health related deaths | Suicide (from 2015) |�Other related deaths
Prestwich Hospital and The Droylsden Road Family GP Practice
25/07/2022
2022-0227
Natalie Mortimer
Mid Kent and Medway Category: Alcohol, drug and medication related deaths This report is being sent to: Green Porch Medical Centre
Green Porch Medical Centre
Alcohol, drug and medication related deaths
20 October 2021
2021-0351
Henry Doll
Surrey
Care Home Health related deaths | Community health care | Other related deaths
The Avenues Trust Group
23 September 2021
2021-0320
Hamish Howitt
West Sussex
Police related deaths
Home Office | National Police Chiefs� Council | College for Policing | Avon and Somerset Police
28 April 2022
2022-0147
Susan Carling
Avon
Suicide (from 2015) | Mental Health related deaths |�Community health care
Royal College of GPs, British Medical Association and Minister of State for Patient Safety, Suicide Prevention and Mental Health
22 July 2021
2021-0310
John Dickinson
West Yorkshire Eastern
Care Home Health related deaths
Sunnyside Nursing Home | Care Quality Commission
17/06/2022
2022-0187
Margaret Stringer
Blackpool and Fylde
Suicide (from 2015) | Mental Health related deaths | Care Home Health related deaths
Lancashire and South Cumbria NHS Foundation Trust, Blackpool Teaching Hospitals NHS Foundation Trust, Lancashire County Council, Nightingales Care Limited and Zion Care Limited.
3 August 2021
2021-0269
Pauline Allison
West Sussex
Other related deaths | Product related deaths |�Emergency services related deaths (2019 onwards)
British Medical Association and Sussex Clinical Commissioning Groups
13 August 2021
2021-0271
Stuart Tokam
East London
Hospital Death (Clinical Procedures and medical management) related deaths | Suicide (from 2015) |�Mental Health related deaths
Department of Health and Social Care and St Pancras Hospital
26/05/22
2022-0157
Dean Crossman
Teesside and Hartlepool
Suicide (from 2015)
NHS England and NHS Tees Valley Clinical Commissioning Group
18 August 2021
2021-0280
Steven Kirkham
South Yorkshire (East)
Mental Health related deaths |�Care Home Health related deaths
Instastop Ltd
23 August 2021
2021-0279
Maurice Leech
Greater Manchester South
Community health care and emergency services related deaths | Hospital Death (Clinical Procedures and medical management) related deaths
NHS England | Department of Health and Social Care
18 May 2021
2021-0281
Todd Salter
South Yorkshire East
Suicide (from 2015) | Mental Health related deaths | Other related deaths |�Alcohol, drug and medication related deaths
National Probation Service
20 August 2021
2021-0289
Thomas Pickering
Suffolk
Road (Highways Safety) related deaths
Suffolk Highways and National Highways
08/06/22
2022-0167
Jack Hurn
Birmingham and Solihull
Hospital Death (Clinical Procedures and medical management) related deaths
Worcestershire Acute Hospitals NHS trust
1 September 2021
2021-0290
Hazel Wiltshire
South London
Hospital Death (Clinical Procedures and medical management) related deaths
Princess Royal University Hospital
1 September 2021
2021-0291
John Humphries
South London
Hospital Death (Clinical Procedures and medical management) related deaths
Croydon Health Services NHS Trust
2 July 2021
2021-0299
Brooke Martin
Milton Keynes
Mental Health related deaths | Suicide (from 2015)�| Hospital Death (Clinical Procedures and medical management) related deaths
Department of Health and Social Care
1 September 2021
2021-0300
William Buchanan
Dorset
Product related deaths
Department of Health and Social Care
15/06/2022
2022-0177
William Savory
Surrey
Alcohol, drug and medication related deaths | Community health care and emergency services related deaths
Surrey and Borders Partnership NHS Foundation Trust
9 September 2021
2021-0301
Joshua Sahota
Suffolk
Hospital Death (Clinical Procedures and medical management) related deaths
Department of Health and Social Care and Hellesdon Hospital
15 September 2021
2021-0309
Diana Reay
Stoke-on-Trent &� North Staffordshire Coroner�s Court
Hospital Death (Clinical Procedures and medical management) related deaths
Royal Stoke University Hospital
17 September 2021
2021-0311
Colin Blackburn
Worcestershire
State Custody related deaths |�Mental Health related deaths
HMP Hewell | Practice Plus Group
26 November 2020
2020-0265
Lee Elliott
County of Cumbria
Suicide (from 2015) | Mental Health related deaths |�Product related deaths
Department of Health and Social Care
19 May 2021
2021-0161
Liam Kenyon
Manchester North
Community health care | Other related deaths | Care Home Health related deaths |�Alcohol, drug and medication related deaths
Adullam Homes Housing Association
11 May 2021
2021-0151
Paul Reynolds
Suffolk
Other related deaths |�Police related deaths
These reports are being sent to: Brittania Jinky Jersey Ltd, Brittania Hotels Group Ltd, Norfolk and Suffolk Constabulary and National Police Chief�s Council
5 February 2021
2021-0030
Joseph O�Neill
Inner North London
Care Home Health related deaths
Care Outlook Ltd
11 February 2021
2021-0039
Robert Hardy
Greater Manchester South
Police related deaths | Mental Health related deaths |�Suicide (from 2015)
Greater Manchester Police
3 November 2021
2021-0372
Steven Evans
Gwent
Other related deaths |�Wales prevention of future deaths reports (2019 onwards)
Civil Aviation Authority and British Gliding Association
12 February 2021
2021-0040
Gillian McKinlay
Lancashire & Blackburn with Darwen
Hospital Death (Clinical Procedures and medical management) related deaths | Emergency services related deaths (2019 onwards)
East Lancashire Hospitals NHS Trust and Care Quality Commission
14 July 2016
2016-0258
Patrick Curran
Manchester (South)
Hospital Death (Clinical Procedures and medical management) related deaths
South Manchester University Hospital NHS Trust
8 February 2021
2021-0031
Jerome Peat
Avon
Community health care | Alcohol, drug and medication related deaths |�Other related deaths
Long Furlong Medical Centre
22 February 2021
2021-0049
Cecilia Edwards
Inner North London
Hospital Death (Clinical Procedures and medical management) related deaths
Whittington Hospital
11 November 2021
2021-0382
Emma Burbury
Cornwall and Isles of Scilly
Mental Health related deaths |�Community health care | Hospital Death (Clinical Procedures and medical management) related deaths
Cornwall Council | Kernow Clinical Commissioning Group
12 February 2021
2021-0041
Michael Dent-Jones
Surrey
Alcohol, drug and medication related deaths | State Custody related deaths | Community health care |�Suicide (from 2015)
HMPS
22 February 2021
2021-0050
Sarah Smith
Hampshire, Portsmouth and Southampton
Hospital Death (Clinical Procedures and medical management) related deaths | Mental Health related deaths | Alcohol, drug and medication related deaths
Southern Health NHS Foundation Trust of Tatchbury Mount | National General Medical Council | Institute for Health and Care Excellence
3 March 2021
2021-0059
Steven Stout
East London
Hospital Death (Clinical Procedures and medical management) related deaths | Mental Health related deaths |�Suicide (from 2015)
Dept. of Health and Social Care and North East London NHS Foundation Trust
18 November 2021
2021-0392
Deceased names: Rebecca Dobson, Jason Hill, Stuart Hill, Eleanor Udall, and Jonathan Udall
West Sussex
Product related deaths |�Other related deaths
Civil Aviation Authority
12 February 2021
2021-0051
Michele Duckworth
Stoke-on-Trent & North Staffordshire Coroner�s Court
Hospital Death (Clinical Procedures and medical management) related deaths |�Alcohol, drug and medication related deaths
Royal Stoke University Hospital
3 March 2021
2021-0060
Helen McLean
Liverpool and Wirral
Hospital Death (Clinical Procedures and medical management) related deaths
Whiston Hospital
19 February 2021
2021-0069
Brian Button
City of Brighton and Hove
Hospital Death (Clinical Procedures and medical management) related deaths
Brighton Sussex University NHS Hospital Trust, West Sussex NHS Hospital Trust and Medico-Legal
01/03/2021
2021-0021
Aaron Lauder
Cornwall and the Isles of Scilly
Road (Highways Safety) related deaths
These reports are being sent to: Highways Authority, Cornwall Council and Land Owner
16 February 2021
2021-0079
Alan Jones
Gwent
Hospital Death (Clinical Procedures and medical management) related deaths
Aneurin Bevan University Health Board
8 February 2021
2021-0029
Raphael Kolbe
West London
Child Death (from 2015) |�Hospital Death (Clinical Procedures and medical management) related deaths
The Portland Hospital
20 January 2020
2020-0025
Samantha Savage-Greene
Manchester (South)
Community health care related deaths; Mental Health related deaths; Suicide (from 2015)
Pennine Care NHS Trust
18 February 2020
2020-0034
Malika Shamas and Haider Ali
Essex
Other related deaths
Tendering District Council
3 March 2020
2020-0053
Eileen Pollard
South Yorkshire (West)
Hospital Death (Clinical Procedures and medical management) related deaths;
Crown Care
06/12/2013
2013-0329
Kirk Duboise
County Durham and Darlington
State Custody Death
This is being sent to: Prison Service | Care UK
9 December 2020
2020-0283
Thomas Rawnsley
South Yorkshire (West District)
Emergency Services related deaths | Community health care�| Other related deaths
Yorkshire Ambulance Service and NHS England Improvement
7 December 2019
2020-0275
Matthew Fitten
Suffolk
Alcohol, drug and medication related deaths |�Other related deaths
Public Health England, General Pharmaceutical Council and Haverhill Pharmacy
23 June 2021
2021-0220
Hazel Binks
Derby and Derbyshire
Community health care |�Suicide (from 2015)
Linden Medical Group � Stapleford Care Centre | NHS Nottingham | Nottinghamshire Clinical Commissioning Group
8 April 2022
2022-0107
Manhareen Kaur
Inner West London
Child Death (from 2015) |�Hospital Death (Clinical Procedures and medical management) related deaths
London North West University Healthcare NHS Trust
7 July 2021
2021-0230
Dorothy Seekings
Warwickshire
Care Home Health related deaths
Clifton Court Nursing Home
28 June 2021
2021-0221
Fiona Humberstone
Essex
Hospital Death (Clinical Procedures and medical management) related deaths | Community health care | Mental Health related deaths |�Alcohol, drug and medication related deaths
Essex Partnership University NHS Foundation Trust | Basildon and Brentwood Clinical Commissioning Group
13 July 2021
2021-0239
Valmai West
Gwent
Hospital Death (Clinical Procedures and medical management) related deaths |�Wales prevention of future deaths reports (2019 onwards)
Aneurin Bevan University Health Board
25 April 2022
2022-0117
Zoe Zaremba
North Yorkshire and York including North Yorkshire Western District
Mental Health related deaths | Suicide (from 2015) |�Hospital Death (Clinical Procedures and medical management) related deaths
Minister of State for Care and Mental Health | North Yorkshire Clinical Commissioning Group | Tees Esk and Wear Valleys NHS Foundation Trust | NHS England & NHS Improvement
6 July 2021
2021-0231
Levi Petitt
Lincolnshire
Police related deaths | Suicide (from 2015) |�Mental Health related deaths
Lincolnshire Police
11 July 2021
2021-0240
Johanna Moreland
Mid Kent and Medway
Hospital Death (Clinical Procedures and medical management) related deaths
Medway NHS Foundation Trust
28 April 2022
2022-0127
Vilem Bock
Manchester South
Hospital Death (Clinical Procedures and medical management) related deaths
NHS England
15 July 2021
2021-0241
Fred Reynolds
Mid Kent and Medway
Hospital Death (Clinical Procedures and medical management) related deaths
Kent and Medway Social Care Partnership Trust
20 July 2021
2021-0249
Deceased name:� Vinnie Dodds
City of Sunderland
Child Death (from 2015)
Department of Health and Social Care
20 July 2021
2021-0250
Ben King
Norfolk
Hospital Death (Clinical Procedures and medical management) related deaths |�Care Home Health related deaths
Jeesal Residential Care Services | Norfolk and Norwich University Hospital
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