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Inquests (PFDs)

Date
Reference
Deceased
Coroner Area
Sent to
Investigation
Circumstances
Sent to
Categories
Also sent to
20 July 2021
2021-0251
Sarah Lewis
County of Dorset
Road (Highways Safety) related deaths |�Other related deaths
Department for Transport
29 July 2021
2021-0260
James Nowshadi
Cambridgeshire and Peterborough
Mental Health related deaths | Suicide (from 2015) | Hospital Death (Clinical Procedures and medical management) related deaths
Department of Health and Social Care | Public Health England | Royal College of Psychiatrists
28 July 2021
2021-0259
Jacob Owczarek
Nottinghamshire
Hospital Death (Clinical Procedures and medical management) related deaths |�Child Death (from 2015)
Doncaster and Bassetlaw Teaching Hospitals NHS Foundation Trust | CQC
1 April 2022
2022-0097
Corrie McKeague
Suffolk
Alcohol, drug and medication related deaths |�Other related deaths
British Standards Institute, Container Handling Equipment Manufacturers Association, Dennis Eagle Ltd and Biffa Waste Services Ltd
10 May 2022
2022-0137
Freda Lennox
Surrey
Hospital Death (Clinical Procedures and medical management) related deaths
St Peter�s Hospital
21 June 2021
2021-0210
Judith Varley
West Yorkshire Western Division
Community health care
Wilsden Medical Practice
21 June 2021
2021-0211
Elsie Woodfield
Plymouth Torbay and South Devon
Hospital Death (Clinical Procedures and medical management) related deaths
University Hospitals Plymouth NHS Trust
2 June 2021
2021-0189
Mark Culverhouse
Milton Keynes
State Custody related deaths |�Mental Health related deaths |�Suicide (from 2015)
Ministry of Justice
18 February 2022
2022-0057
Sasha-Raven Marie Brown
North Yorkshire and York including North Yorkshire Western District
Road (Highways Safety) related deaths |�Other related deaths
North Yorkshire County Council
10 February 2021
2021-0171
Lisa Thompson
Oxfordshire
Hospital Death (Clinical Procedures and medical management) related deaths | Mental Health related deaths |�Suicide (from 2015)
Oxford Health NHS Trust
22 April 2021
2021-0180
Kelly Hewitt
Milton Keynes
Mental Health related deaths | Suicide (from 2015)
Minister of State for Prisons
10 June 2021
2021-0199
Clive Rivers
Manchester South
Hospital Death (Clinical Procedures and medical management) related deaths | Community health care | Other related deaths |�Care Home Health related deaths
NHS England | Department of Health and Social Care
3 March 2022
2022-0067
Alan Hodgson
City of Sunderland
Hospital Death (Clinical Procedures and medical management) related deaths
County Durham and Darlington NHS Foundation Trust
27 May 2021
2021-0181
Zeyna Partington
Manchester North
Police related deaths | Suicide (from 2015)
Greater Manchester Police | National Police Chiefs Council
21 June 2021
2021-0209
Rodney Dixon
East Sussex
Hospital Death (Clinical Procedures and medical management) related deaths | Mental Health related deaths | Suicide (from 2015) | Community health care
Sussex Partnership NHS Foundation Trust | East Sussex County Council
23 June 2021
2021-0219
Netlyn Robinson
West Yorkshire Eastern
Community health care |�Other related deaths
Leeds City Council
4 June 2021
2021-0191
Geoffrey Hutton
Worcestershire
State Custody related deaths |�Suicide (from 2015)
HMP Long Lartin
11 June 2021
2021-0201
Brian Mottram
Greater Manchester South
Community health care
Tameside Clinical Commissioning Group
2 June 2021
2021-0190
Steven Allen
Greater Manchester South
Community health care |�Alcohol, drug and medication related deaths
Stockport Clinical Commissioning Group
9 June 2021
2021-0200
Denton Duhaney
West Yorkshire Western Division
Hospital Death (Clinical Procedures and medical management) related deaths | Mental Health related deaths | Suicide (from 2015)
Mid Yorkshire Hospitals NHS Trust and South West Yorkshire Partnership NHS Trust
7 July 2021
2021-0229
Brian Rochell
South Yorkshire (West District)
Hospital Death (Clinical Procedures and medical management) related deaths
Sheffield Teaching Hospitals NHS Foundation Trust
7 March 2022
2022-0077
Josephine Barker
County of Surrey
Emergency services related deaths (2019 onwards)
SECAMBS and NHS England
18 March 2022
2022-0087
Gary Ottway
Inner North London
Hospital Death (Clinical Procedures and medical management) related deaths | Mental Health related deaths
East London NHS Foundation Trust
24 May 2021
2021-0170
Kenneth Smith
Manchester West
Care Home Health related deaths | Hospital Death (Clinical Procedures and medical management) related deaths | Community health care
Shannon Court Care Centre | NHS Bolton Clinical Commissioning Group | Bolton Council Commissioning Services
30 July 2021
2021-0261
Amanda Dunn
Staffordshire South
Police related deaths | Suicide (from 2015) | Mental Health related deaths | Alcohol, drug and medication related deaths
Staffordshire Police
11 August 2021
2021-0270
Hadley Savory
North East Kent
Alcohol, drug and medication related deaths | Other related deaths | Mental Health related deaths | Hospital Death (Clinical Procedures and medical management) related deaths
These reports are being sent to: Kent County Council
23 September 2021
2021-0319
Anthony Preston
Essex
Police related deaths |�Mental Health related deaths
Essex Police | National Police Chiefs� Council
24/06/22
2022-0197
Zsolt Kirjak
Inner West London
Suicide (from 2015) | Mental Health related deaths
The Portland Practice, Central and North West London NHS Foundation Trust, Imperial College health Care NHS Trust and West London NHS Trust
24 September 2021
2021-0321
Clay Wankiewicz
South Yorkshire (East)
Hospital Death (Clinical Procedures and medical management) related deaths |�Child Death (from 2015)
Doncaster and Bassetlaw NHS Foundation Trust | Healthcare Safety Investigation Branch
4 October 2021
2021-0329
Jude Lloyd
Manchester City
Hospital Death (Clinical Procedures and medical management) related deaths |�Mental Health related deaths
Greater Manchester Mental Health NHS Trust
4 October 2021
2021-0330
Leon Briggs
Bedfordshire and Luton
Police related deaths | Emergency services related deaths (2019 onwards) |�Mental Health related deaths
Bedfordshire Police | EEAST | National Police Chiefs� Council | Association of Ambulance Chief Executives
05/07/2022
2022-0207
Anthony McLellan
North Yorkshire and York Category: Suicide (from 2015) | Mental Health related deaths This report is being sent to: Humber & North Yorkshire Health and Care Partnership | NHS England and NHS Improvement
Humber & North Yorkshire Health and Care Partnership | NHS England and NHS Improvement
Suicide (from 2015) | Mental Health related deaths
22 November 2019
2019-0396
Maureen Milton
Staffordshire (South)
Other related deaths
Department of Health and Social Care | National Institute for Health and Care Excellence | Public Health England | British Medical Association | Care Quality Commission | Trent and Dove Social Housing
16 December 2020
2020-0286
Patricia Douglas
County of Cumbria
Community health care and emergency services related deaths |�Other related deaths
Covid-19 Pandemic Response Service and NHS Pathways
30 October 2019
2019-0363
Philip Hayes
Newcastle upon Tyne
Emergency services related deaths (2019 onwards)
North East Ambulance Service
1 November 2019
2019-0370
Hajra Sidat
Cheshire
Road (Highways Safety) related deaths; Child Death (from 2015)
Cheshire East Highways Department; Cheshire East Council
1 November 2019
2019-0370
Salma Sidat
Cheshire
Road (Highways Safety) related deaths
Cheshire East Highways Department; Cheshire East Council
6 November 2019
2019-0377
Hazel Lewis
Manchester (North)
Hospital Death (Clinical Procedures and medical management) related deaths
Heywood Health | Pennine Care NHS Trust | Rochdale Adult Care | Advocacy Together
2 December 2019
2019-0407
Sidney Baker
Manchester (West)
Care Home Health related deaths
Rosewood Healthcare Group; Wigan Life Centre; CQC
22 December 2020
2020-0296
Tina Murray
Blackpool and Fylde
Care Home Health related deaths | Mental Health related deaths |�Suicide (from 2015)
Belgravia Care Home Ltd
8 November 2019
2019-0378
Sam Spooner
Cheshire
Community health related deaths
Counsellor | Rope Green Medical Centre
18 November 2019
2019-0387
Deborah Headspeath
Suffolk
Alcohol, drug and medication related deaths
Department of Health and Social Care
6 December 2019
2019-0416
Youngson Nkhoma
Birmimgham and Solihull
Service Personnel related deaths
MOD; Capita
4 January 2021
2021-0002
Linda Gillchrest
County of Surrey
Product related deaths |�Suicide (from 2015)
Department of Health and Social Care | eBay UK Ltd
13 November 2019
2019-0388
Dorothy Macey
Mid Kent and Medway
Community health care related deaths
Medway Community Healthcare
6 December 2019
2019-0426
Safoora Alam
Black Country
Community health care related deaths; Suicide (from 2015); Hospital Death (Clinical Procedures and medical management) related deaths
Sandwell Council; Black Country Partnership NHS Trust
19 November 2019
2019-0398
Shaun Dewey
Avon
Suicide (from 2015); State Custody related deaths
HM Prison and Probation Service
17 April 2020
2020-0096
Ashley Holden
Lincolnshire
Other related deaths; Accident at work and Health and Safety related deaths
Department for Transport | Health and Safety Executive
20 December 2019
2019-0448
Matthews Rogers
Blackpool & Fylde
Hospital Death (Clinical Procedures and medical management) related deaths
Blackpool Victoria Hospital
3 March 2021
2021-0062
Zahid Ahmed
Bedfordshire and Luton
Road (Highways Safety) related deaths |�Other related deaths
Highways England
16 April 2021
2021-0112
Roy Evans
County of Ceredigion
Accident at Work and Health and Safety related deaths | Road (Highways Safety) related deaths | Other related deaths |�Wales prevention of future deaths reports (2019 onwards)
Ceredigion County Council and Bucher Municipal Ltd
6 September 2019
2019-0499
Shannon Quinn
Black Country
Mental Health related deaths; Community Healthcare; Care Home related deaths
Department of Health and Social Care; Solihull Mental Health Trust; Camino Healthcare; CQC
27 February 2020
2020-0045
Mohan Acharya
Northampton
Hospital death (Clinical Procedures and medical management) related deaths
Department of Health and Social Care
15 January 2020
2020-0072
Daniel Moran
Manchester West
Mental Health related deaths; Suicide (from 2015)
Greater Manchester Mental Health NHS Trust
28 April 2021
2021-0123
Paul Sartori
East London
Hospital Death (Clinical Procedures and medical management) related deaths
Royal College of Emergency Medicine, Barts Health NHS Trust and North East London Foundation Trust
7 February 2020
2020-0054
Adrian Ashford
London Inner South
Hospital Death (Clinical Procedures and medical management) related deaths; Mental Health related deaths
Queen Elizabeth Hospital
10 February 2020
2020-0055
Kerry Aldridge
London Inner South
Railway related deaths; Suicide (from 2015); Mental Health related deaths
South London and Maudsley NHS Foundation; Metropolitan Police service
30 March 2020
2020-0082
Jordan Aira
Surrey
Railway related deaths | Child death (from 2015)
Network Rail | South Western Railway | Department for Education
29 January 2020
2021-0132
Thiago Araujo
East London
Hospital Death (Clinical Procedures and medical management) related deaths | Community health care and emergency services related deaths | Mental Health related deaths | Police related deaths | Other related deaths | Product related deaths
Camden and Islington NHS Foundation Trust | Department of Health and Social Care | Home Office | Metropolitan Police Service | AMHP | Royal Mail
20 August 2019
2019-0500
Thelma Joyce
Oxfordshire
Hospital Death (Clinical Procedures and medical management) related deaths
NHS England
28 October 2019
2019-0505
Thomas Smyth
Milton Keynes
Hospital death (Clinical Procedures and medical management) related deaths
Milton Keynes Hospital
7 May 2021
2021-0142
Glenn Macmartin
Plymouth Torbay and South Devon
Hospital Death (Clinical Procedures and medical management) related deaths | Care Home Health related deaths |�Mental Health related deaths
Care Quality Commission, Devon Partnership Trust and Plymouth Safeguarding Adult Partnership
12 March 2020
2020-0064
Ian Weeks
South Wales Central
State Custody related deaths; Suicide (from 2015); Wales prevention of future deaths reports (2019 onwards)
Cardiff and Vale NHS Trust
20 March 2020
2020-0073
John Gregory
London Inner North
Care Home Health related deaths
Care UK; University College Hospital
11 May 2021
2021-0152
Coral O�Donnell
Blackpool and Fylde
Hospital Death (Clinical Procedures and medical management) related deaths |�Community health care
These reports are being sent to: Blackpool Teaching Hospitals NHS Foundation Trust, NHS Blackpool and NHS Fylde and Wyre Clinical Commissioning Groups
26 February 2020
2020-0044
Jack Postle
Hertfordshire
Child death (from 2015); Hospital death (Clinical procedures and medical management) related deaths;
Watford General Hospital
17/01/2020
2020-0013
Shneur Kaye
Manchester (North)
Child Death (from 2015); Community health care and emergency services related deaths; Product related deaths
Bury Council
18 February 2020
2020-0035
Zachary Johnson
Black Country
Child death (from 2015); Hospital death (Clinical procedures and medical management) related deaths
Walsall Healthcare NHS Trust
13 April 2021
2021-0102
Anthony Wilkinson
South Yorkshire (West District)
Community health care | Hospital Death (Clinical Procedures and medical management) related deaths | �Other related deaths
Stars Social Support Ltd, Care Quality Commission and South West Yorkshire Partnership NHS Foundation Trust
31 December 2019
2019-0457
Joanna Orpin
Isle of Wight
Mental Health related deaths;
National Trust on the Isle of Wight; Isle of Wight Council
12 March 2021
2021-0072
Elizabeth Robinson
Gwent
Hospital Death (Clinical Procedures and medical management) related deaths
Aneurin Bevan University Health board
20 December 2019
2019-0445
Tomasz Nowasad
Manchester (City)
State Custody related deaths; Suicide (from 2015)
HM Prison and Probation Service; Greater Manchester mental Health NHS Trust
13/01/2020
2020-0004
Annette Lewis
Isle of Wight
Hospital Death (Clinical Procedures and medical management) related deaths
National Trust for the Isle of Wight; Public Health for the Isle of Wight
6 February 2020
2020-0023
David Clark
Lancashire & Blackburn with Darwen
Mental Health related deaths; Community health care related deaths
Lancashire Care NHS Trust
10 January 2020
2020-0005
Miles Naylor
West Yorkshire (West)
Mental Health related deaths; Suicide (from 2015)
Bradford District Care NHS Trust
17 January 2020
2020-0014
Janet Jasper
Rutland and North Leicestershire
Product related deaths
Cadent Gas Ltd; Scotia Gas Network; Gas Safe Network; Institution of Gas Engineers
25 March 2021
2021-0082
Azra Hussain
Birmingham and Solihull
Hospital Death (Clinical Procedures and medical management) related deaths | Mental Health related deaths | Suicide (from 2015)
Birmingham and Solihull Mental Health NHS Foundation Trust, Care Commissioning Group for Birmingham and Solihull, Care Quality Commission and Health and Safety Executive
17 February 2020
2020-0033
James Anthony Lewis and Lorraine Molyneaux
Dorset
Road (Highways Safety) related deaths | Alcohol, drug and medication related deaths
Bournemouth, Christchurch and Poole Council | Department for Transport
20 January 2020
2020-0015
Aston McLean
Berkshire
Emergency services related deaths (2019 onwards); Road (Highways Safety) related deaths
JRCALC
28 January 2020
2020-0024
Beryl Fricker
Dorset
Road (Highways Safety) related deaths
BCP Council
25 February 2020
2020-0043
Thomas Reilly
Brighton and Hove
Community Healthcare; Mental Health related deaths; Suicide (from 2015); Police related deaths
Sussex Police
30 October 2020
2021-0092
Michael Robert Collins
East London
Hospital Death (Clinical Procedures and medical management) related deaths
Royal London Hospital
1 December 2020
2020-0263
Violet Jackman
Greater Manchester South
Child Death (from 2015) | Community health care
Department of Health and Social Care
21 May 2021
2021-0312
Morris Reddington
Nottingham and Nottinghamshire
Hospital Death (Clinical Procedures and medical management) related deaths |�Emergency services related deaths (2019 onwards)
These reports are being sent to: East Midlands Ambulance Service | Nottingham University Hospitals | Sherwood Forest Hospitals | Clinical Commissioning Group | NHS England
19 November 2020
2020-0245
Yo Li
Surrey
Child Death (from 2015) |�Hospital Death (Clinical Procedures and medical management) related deaths
NHS Improvement and British Association of Perinatal Medicine
26 November 2020
2020-0255
Agn�s Marchessou
Inner North London
Suicide; Mental health related deaths
Metropolitan Police
1 December 2020
2020-0264
Anthony Slack
Greater Manchester South
Care Home Health related deaths |�Community health care and emergency services related deaths
Care Quality Commission, Vicarage Residential Care Home, PH England, NHS England and Greater Manchester Health and Social Care Partnership
6 November 2020
2020-0273
Christopher Murfet
Lincolnshire
Suicide (from 2015)
United Lincolnshire Hospitals Trust
29 September 2021
2021-0322
Mary Land
West Yorkshire (East)
Hospital Death (Clinical Procedures and medical management) related deaths | Product related deaths
Philips Respironics | Department of Health and Social Care | Mid Yorkshire Hospitals NHS Trust
18 November 2020
2020-0243
Katherine Hogan
Mid Kent and Medway
Hospital Death (Clinical Procedures and medical management) related deaths
Maidstone and Tunbridge Wells NHS Foundation Trust
14 September 2020
2020-0174
Isaac Newton
Blackpool & Fylde
Child death; Other related deaths
Department of Health and Social Care
12 March 2021
2021-0282
Lesley Powell
City of Brighton and Hove
Road (Highways Safety) related deaths |�Other related deaths
East Sussex County Council
23 October 2020
2020-0214
Benjamin Popovach
Plymouth, Torbay and South Devon
Mental heath related deaths; Other related deaths
Devon Partnership NHS Trust
2 October 2020
2020-0192
Christine Neild
Greater Manchester South
Care home health related deaths; Other related deaths
Care Quality Commission; Meade Close Care Home; Trafford Metropolitan Borough Council; NHS Trafford Clinical Commissioning Group
24 September 2020
2020-0183
June Winterbottom
West Yorkshire (East)
Community healthcare related deaths
Health and Communities Wakefield
21 July 2021
2021-0252
Oscar Seaman
Norfolk
Road (Highways Safety) related deaths |�Child Death (from 2015)
Norfolk County Council
25 September 2020
2020-0184
Valdotas Gerbutavicius
East London
Other related deaths
Home Office
9 October 2020
2020-0202
Wynter Andrews
Nottingham City and Nottinghamshire
Child death; Hospital deaths (Clinical procedure and medical management) related deaths
Nottingham University Hospitals NHS Trust
2 October 2020
2020-0193
Brian Murphy
Greater Manchester South
Hospital death (Clinical procedure and medical management) related deaths; Community healthcare related deaths
NHS Stockport Clinical Commissioning Group
21 October 2020
2020-0212
Roger Wood
East London
Community healthcare related deaths
Public Health England; The Barking, Havering and Redbridge University NHS Trust; Clinisys UK; Maylands Health Care
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