Birmingham and Solihull Mental Health NHS Foundation Trust

46 Prevention of Future Deaths reports name this organisation, 2014–2026. Every report below links to the original on judiciary.uk.

Reports per year

20141
20151
20163
2017
20189
201911
20202
20213
20221
20237
20243
20253
20261

Responses published

39 of 46 reports (85%) have at least one response published on judiciary.uk.

For reports written in the same years, 76% of all PFD reports in the corpus have a published response — so this page is in line with the corpus rate — the difference is within what chance alone would produce for this few reports.

This is not a reply rate. It counts responses published against the report by anyone — the organisation named here, a government department, a regulator or another body — because most response letters do not identify their author in a form that can be resolved reliably. A report with no response listed does not mean nobody replied: publication is at the discretion of the Chief Coroner's office, is often delayed, and was far less consistent in the corpus's early years. Treat a low figure as a prompt to read the reports, not as a finding about this organisation.

Coroner categories

Mental Health related deaths 6Hospital Death (Clinical Procedures and medical management) related deaths 3Other related deaths 3State Custody related deaths 2Community health care and emergency services related deaths 2Hospital Death (Clinical Procedures and medical management) related deaths; Suicide (from 2015) 2Mental Health related deaths; Suicide (from 2015) 2Hospital Death (Clinical Procedures and medical management) related deaths; Mental Health related deaths 2Mental Health related deaths | Other related deaths 2Suicide (from 2015) 2Suicide (from 2015); Mental Health related deaths; State Custody related deaths 1Alcohol, drug and medication related deaths 1

Coroners who wrote them

All reports

DateDeceasedCategoryCoronerResponse
14 Apr 2026Kiefer Fraser-PhillipsMental Health related deathsLouise HuntBirmingham and Solihull Mental Health NHS Foundation Trustsource
22 Oct 2025Ricky MonahanMental Health related deathsLouise HuntCare Quality Commission, NHS England, Birmingham and Solihull NHSsource
4 Mar 2025Matthew LynchMental Health related deaths | Other related deathsLouise HuntBirmingham City Council, Birmingham and Solihull Mental Health NHS Foundation Trustsource
3 Mar 2025Javed IqbalMental Health related deathsJames BennettAll Care In One Ltdsource
20 Jun 2024Yasmin AdamsState Custody related deathsPeter NietoHMPPSsource
3 Jun 2024Tcherno BariSuicide (from 2015)James BennettNHS England, West Midlands Police, NPCC, the Home Office 1, College of Policing, BSMHFT, APCC, DHSC, BSMHFTsource
13 Mar 2024Jacob BillingtonOther related deathsLouise HuntSwansea Bay University Health Board, G4S Care Justice Services UK Ltd, West Midlands Police, HMPPS, BSMHFTsource
23 Nov 2023Philip MaloneSuicide (from 2015)James BennettBirmingham and Solihull Integrated Care Board, Birmingham and Solihull Mental Health NHS Foundation Trust, Department of Health and Social Caresource
8 Nov 2023Leya AdrisAlcohol, drugs medication related deaths, Care Home Health related deathsEmma BrownBirmingham and Solihull Mental Health NHS Foundation Trust, Birmingham and Solihullsource
2 Oct 2023Paula LenihanAlcohol, drugs medication related deathSusanna RickardBirmingham and Solihull Mental Healthsource
14 Jul 2023Peter FlemingSuicide (from 2015) | Other related deathsJames BennettDepartment of Health and Social Care, Birmingham and Solihull, Birmingham City Council, Birmingham and Solihull Mental Health Foundation Trust, NHS Englandsource
15 Mar 2023Jai SinghSuicide (from 2015) | State Custody related deathsEmma BrownNHS England, TPP, Birmingham and Solihull Mental Healthsource
31 Jan 2023Andrew BowlesOther related deathsAna SamuelBirmingham and Solihull Mental Health NHS Foundation Trustsource
11 Jan 2023Leroy HamiltonOther related deathsLouise HuntWest Midlands Police, Birmingham and Solihull Integrated Care, Department of Health and Social Caresource
13 May 2022Spencer BarrHospital Death (Clinical Procedures and medical management) related deaths | Mental Health related deaths | Alcohol, drug and medication related deaths | Other related deathsAdam HodsonBirmingham Womens and Childrens NHS Foundation Trust, Probation Servicesource
21 Dec 2021Saul ThomasState Custody related deaths | Mental Health related deathsDavid ReidHMPPSsource
17 Nov 2021Trevor SmithPolice related deaths | Other related deathsLouise HuntCollege of Policing, West Midlands Policesource
25 Mar 2021Azra HussainHospital Death (Clinical Procedures and medical management) related deaths | Mental Health related deaths | Suicide (from 2015)Emma BrownCQC, Birmingham and Solihull Mental Health NHS Foundation Trust, Health and Safety Executive, Birmingham and Solihull CCGsource
17 Aug 2020Ian AllenCare Home health deaths; Alcohol, drug and medication related deathsLouise HuntBirmingham and Solihull Mental Health Trust, Dept Health and Social Caresource
23 Mar 2020Lewis FrancisMental Health related deaths; Suicide (from 2015); State Custody related deathsNicholas RheinbergWiltshire Police, Avon and Somerset Policesource
15 Nov 2019Mary HoareCare Home Health related deathsEmma Brownnone publishedsource
27 Sep 2019Anthony McCormackHospital Death (Clinical Procedures and medical management) related deathsEmma BrownBirmingham and Solihull CCGsource
31 Jul 2019Nigel AbbottCommunity health care related deaths; Emergency services related deaths (2019 onwards); Mental Health related deathsJames BennettBirmingham and Solihull CCGsource
12 Jul 2019David JukesMental Health related deaths; Hospital Death (Clinical Procedures and medical management) related deathsEmma BrownBirmingham and Solihull Mental Health NHS Trust, NHS England, Birmingham and Solihull CCG, Staffordshire and West Midlands Police, Black Country Partnership NHS Trustsource
9 Jul 2019Allan DaviesAlcohol, drug and medication related deaths; Emergency services related deaths (2019 onwards)James BennettNHS England, NHS Digitalsource
23 Jun 2019Marcus McGuireState Custody related deaths; Mental Health related deathsEmma BrownHM Prison and Probation Service, G4Ssource
25 Mar 2019Nora BrutonAlcohol, drug and medication related deaths; Mental Health related deaths; Hospital Death (Clinical Procedures and medical management) related deathsAdam HodsonBirmingham and Solihull mental Health NHS Trustsource
12 Feb 2019Anthony WatsonHospital Death (Clinical Procedures and medical management) related deaths; Suicide (from 2015)James BennettNHS England, Birmingham and Solihull CCGsource
7 Feb 2019Stephen KennedyMental Health related deaths; Suicide (from 2015); Hospital Death (Clinical Procedures and medical management) related deathsLouise HuntBirmingham and Solihull Mental Health NHS Trust, Birmingham and Solihull CCG, Department of Health and Social Caresource
1 Feb 2019Stephen HarteHospital Death (Clinical Procedures and medical management) related deaths; Mental Health related deathsJames BennettCQC, Birmingham and Solihull Mental Health NHS Trustsource
21 Jan 2019Neil BlackHospital Death (Clinical Procedures and medical management) related deaths; Mental Health related deathsLouise HuntBirmingham Community Healthcare NHS Trustsource
18 Dec 2018John DelahayeSuicide (from 2015); State Custody related deathsEmma Brownssource
4 Oct 2018Bradley MorganMental Health related deaths; Suicide (from 2015)Emma Brownnone publishedsource
4 Oct 2018Michael CooperMental Health related deaths; Suicide (from 2015)Emma Brownnone publishedsource
4 Oct 2018Michael WheelerHospital Death (Clinical Procedures and medical management) related deathsEmma Brownnone publishedsource
4 Oct 2018William EdgeMental Health related deathsEmma Brownnone publishedsource
4 Oct 2018Simon GrahamMental Health related deathsEmma BrownRespondent not named, Respondent not namedsource
19 Sep 2018Paul PriceCommunity health care and emergency services related deathsLouise Huntnone publishedsource
14 Sep 2018Daniel CollinsHospital Death (Clinical Procedures and medical management) related deaths; Suicide (from 2015)James Bennettnone publishedsource
14 Sep 2018Paul RyleyAlcohol, drug and medication related deathsEmma BrownNPIS Clinical Standards Groupsource
25 Jul 2016Patricia CleghornCommunity health care and emergency services related deathsLouise HuntNHS England, Care Quality Commission, Birmingham and Solihull NHS Trust, Department of Healthsource
21 Apr 2016Richard GrantHospital Death (Clinical Procedures and medical management) related deathsEmma BrownBlack Country NHSsource
15 Apr 2016Luke AyresSuicide (from 2015); Mental Health related deaths; State Custody related deathsEmma BrownBirmingham and Solihull NHS Trustsource
23 Jul 2015Doreen EnglandMental Health related deathsLouise Huntssource
3 Sep 2014Yohannes KidaneState Custody related deathsLouise HuntNOMS, Birmingham Solihull NHSsource
23/06/22Khalid YousefMental Health related deaths | Other related deathsJames BennettNHS England, West Midlands Police, West Midlands Police 1, Home Office, NHS England, Birmingham and Solihull Mental Health, form Birmingham and Solihul Mental Health Trust, NHS England 1source

These counts are a floor, not a total. A report is listed here only when it names the organisation in text our pipeline could read; scanned reports with poor OCR, and reports that name only a hospital site or an individual, are missed. Always check the source report.

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