Central and North West London NHS Foundation Trust

45 Prevention of Future Deaths reports name this organisation, 2013–2026. Every report below links to the original on judiciary.uk.

Reports per year

20131
20146
20151
20164
20173
20183
20195
20202
20213
20223
20233
20244
20255
20261

Responses published

35 of 45 reports (78%) have at least one response published on judiciary.uk.

For reports written in the same years, 75% 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

Hospital Death (Clinical Procedures and medical management) related deaths 7State Custody related deaths 7Other related deaths 3State Custody related deaths; Suicide (from 2015) 3Suicide (from 2015) 3Hospital Death (Clinical Procedures and medical management) related deaths; State Custody related deaths 2Mental Health related deaths 2State Custody related 1Suicide (from 2015); State Custody related deaths | Mental Health related deaths | Hospital Death (Clinical Procedures and medical management) related deaths 1Mental Health related deaths; Child Death (from 2015) 1Mental Health related deaths; Suicide (from 2015) 1Railway related deaths; Mental Health related deaths 1

Coroners who wrote them

All reports

DateDeceasedCategoryCoronerResponse
24 Mar 2026Ronald MeikleState Custody related deathsSean CummingsHM Prison Probation service, Central North West London NHS Foundation Trustsource
24 Nov 2025Diana GrantState Custody related deaths | Mental health related deathsRichard TraversDepartment of Health and Social Care, NHS Englandsource
1 Aug 2025Brian RingroseAlcohol, drug and medication related deaths | Police related deathsSean CummingsMilton Keynes University Hospitals, Central and North West London NHS Foundation Trust, Thames Valley Policesource
18 Jun 2025Edward CassinHospital Death (Clinical Procedures and medical management) related deathsSean CummingsCentral North West London NHS Foundation Trust, Milton Keynes University Hospitasource
4 Apr 2025Alexi SusiluotoAlcohol, drug and medication related deathsR BrittainMHCLG, DHSCsource
15 Jan 2025Sheila WexlerProduct related deathsIan PotterNRS Healthcare, NHS Englandsource
10 Oct 2024Florence StewartSuicide (from 2015) | Mental Health related deaths | Hospital Death (Clinical Procedures and medical management) related deathsTom OsborneCentral and NW London NHS Trustsource
7 Mar 2024Adrian JamesMental Health related deaths | Suicide (from 2015)Fiona WilcoxCentral and North West London, NHS Englandsource
7 Mar 2024David SiirakOther related deathsRichard FurnissCentral and North West London NHS Foundation Trustsource
16 Feb 2024Roberto BottelloMental Health related deathsFiona WilcoxCentral and NW London NHS, Metropolitan Police Service, NHS Englandsource
25 Oct 2023Federica CavenatiSuicide (from 2015)Priya Malhotranone publishedsource
2 Oct 2023Jack ZarropSuicide (from 2015)Anton Van Dellenthe Home Office, NHSE, National Police Chiefs Councilsource
16 Aug 2023Odichukwumma IgweaniMental Health related deathsSean CummingsCentral and North West London NHS Foundation Trust, Red House Surgery, Bedfordshire Luton and Milton Keynes Integrated Care Boardsource
15 Nov 2022Robert KellySuicide (from 2015)Tom OsborneMilton Keynes University Hospital, Central and North West London NHS Foundation Trustsource
21 Oct 2022Daniel O’SullivanSuicide (from 2015) | Alcohol, drug and medication related deathsChristopher WilliamsCentral and North West London NHS Foundation Trust, Department of Health and Social Caresource
20 Oct 2022Clifford RoseCare Home Health related deathsTom OsborneMilton Keynes City Council, Central and North West London NHS Foundation Trustsource
22 Oct 2021Anthony ClacherState Custody related deaths | Mental Health related deaths | Alcohol, drug and medication related deaths | Other related deathsRachael GriffinNHS Digital, HMPPS, Department of Health Social Care, NHS England and NHS Improvementsource
22 Jun 2021Serena NicolleState Custody related deathsAnna Crawfordnone publishedsource
28 Mar 2021Bathsheba ShepherdCommunity health care | Hospital Death (Clinical Procedures and medical management) related deaths | Mental Health related deaths | Other related deathsDr Sean Cummingsnone publishedsource
6 Jul 2020Prince FosuState Custody related deathsChinyere InyamaIndepedent Monitoring Board, Central and North West London NHS Foundation Trustsource
21 Feb 2020Andrew GoldstrawAlcohol, drug and medication related deaths; State custody related deaths; Suicide (from 2015)Simon BurgeCentral and North West London Foundation Trustsource
26 Jul 2019William VickersEmergency services related deaths (2019 onwards); State Custody related deathsTom OsborneCNWL NHS Trust, HM Prison and Probation Servicesource
29 Apr 2019Georgia NelsonRailway related deaths; Mental Health related deathsFiona WilcoxRBKC, CNWL NHS Trustsource
2 Apr 2019Tarek ChowdhuryHospital Death (Clinical Procedures and medical management) related deaths; State Custody related deathsRichard Furnissnone publishedsource
27 Feb 2019Peter GarvinMental Health related deaths; Suicide (from 2015)Fiona WilcoxCNWL NHS Trustsource
25 Feb 2019John PearceHospital Death (Clinical Procedures and medical management) related deathsEdwin BuckettCNWL NHS Trustsource
19 Dec 2018Kirsty WalkerHospital Death (Clinical Procedures and medical management) related deathsAnna CrawfordDepartment of Health and Social Care, NHS Englandsource
24 Oct 2018Maximilien KohlerMental Health related deaths; Child Death (from 2015)Fiona WilcoxDepartment of Health Social Care, Central and North West London NHS Trustsource
19 Sep 2018Grenfell TowerOther related deathsFiona Wilcoxnone publishedsource
9 Aug 2017Sean PlumsteadState Custody related deathsGrahame ShortHM Prison Probation Services, HM Prison Probation Services.2 1, Carillionsource
28 Jul 2017Sarah ReedSuicide (from 2015); State Custody related deaths | Mental Health related deaths | Hospital Death (Clinical Procedures and medical management) related deathsSir Peter Thornton QCCNWL NHS Trust, NOMSsource
21 Feb 2017Jack PortlandHospital Death (Clinical Procedures and medical management) related deaths; State Custody related deathsCrispin ButlerOxford Health NHS Trust, NOMSsource
27 Nov 2016Matthew RussellState Custody related deaths; Suicide (from 2015)Richard TraversCentral and North West London NHS Trustsource
4 Oct 2016Haydn BurtonState Custody related deaths; Suicide (from 2015)G A ShortNOMSsource
26 May 2016Ian BrownState Custody related deaths; Suicide (from 2015)Thomas OsborneNOMSsource
16 May 2016Sheldon WoodfordState Custody relatedSarah Whitbynone publishedsource
6 Jul 2015Tommy FaisaliHospital Death (Clinical Procedures and medical management) related deathsFiona Wilcoxnone publishedsource
28 Dec 2014Alex KellyState Custody related deathsPatricia HardingMedway Youth Offending Service, Oxleas NHS Trust, Tower Hamlets, Ministry of Justice, Central North West London NHS Trustsource
8 Aug 2014Sean BrockState Custody related deathsTom OsborneNOMSsource
2 Jul 2014Farres IkkenOther related deathsAndrew Walkernone publishedsource
22 Apr 2014Rosemary OladejoHospital Death (Clinical Procedures and medical management) related deathsChinyere InyamaHillingdon Commissioning Group, Central North West London NHS Trustsource
15 Apr 2014Kevin ScarlettState Custody related deathsTom OsborneNOMSsource
19 Feb 2014Simon McAndrewHospital Death (Clinical Procedures and medical management) related deathsDr R N Palmernone publishedsource
13 Dec 2013Stephanie DanielsHospital Death (Clinical Procedures and medical management) related deathsNigel MeadowsManchester Mental Health NHS, Manchester Clinical Commissioning Groups, Department of Healthsource
24/06/22Zsolt KirjakSuicide (from 2015) | Mental Health related deathsRussell Callernone publishedsource

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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