Coventry and Warwickshire Partnership NHS Trust

14 Prevention of Future Deaths reports name this organisation, 2014–2025. Every report below links to the original on judiciary.uk.

Reports per year

20142
20151
2016
20172
2018
20192
20201
20212
20221
2023
20242
20251

Responses published

10 of 14 reports (71%) 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

Hospital Death (Clinical Procedures and medical management) related deaths 4Child Death (from 2015) 1Mental Health related deaths; Suicide (from 2015); Hospital Death (Clinical Procedures and medical management) related deaths 1Hospital Death (Clinical Procedures and medical management) related deaths; Suicide (from 2015) 1Hospital Death (Clinical Procedures and medical management) related deaths | Mental Health related deaths 1Alcohol, drug and medication related deaths | Mental Health related deaths | Hospital Death (Clinical Procedures and medical management) related deaths 1Hospital Death (Clinical Procedures and medical management) related deaths | Suicide (from 2015) 1Mental Health related deaths | Suicide (from 2015) | Hospital Death (Clinical Procedures and medical management) related deaths 1Suicide (from 2015) 1Suicide (from 2015) | Mental Health related deaths | Hospital Death (Clinical Procedures and medical management) related deaths 1Hospital Death (Clinical Procedures and medical management) related deaths | Mental Health related deaths | Suicide (from 2015) 1

Coroners who wrote them

All reports

DateDeceasedCategoryCoronerResponse
6 Mar 2025Henok GebrsslasieHospital Death (Clinical Procedures and medical management) related deaths | Mental Health related deaths | Suicide (from 2015)Delroy HenryCoventry and Warwickshire Partnership NHS Trustsource
4 Nov 2024Darren HopeSuicide (from 2015) | Mental Health related deaths | Hospital Death (Clinical Procedures and medical management) related deathsLinda LeeCoventry and Warwickshire Partnership Trustsource
9 Feb 2024Narjit GillSuicide (from 2015)Deborah LakinWarwickshire Police, Department of Health and Social Care, Coventry and Warwickshire Partnership NHS Trustsource
28 Mar 2022REDACTEDMental Health related deaths | Suicide (from 2015) | Hospital Death (Clinical Procedures and medical management) related deathsSean McGovernnone publishedsource
6 Dec 2021Robert HammondHospital Death (Clinical Procedures and medical management) related deaths | Suicide (from 2015)Sean McGovernCoventry and Warwickshire Partnership NHS Trustsource
21 Apr 2021Susan AdamsAlcohol, drug and medication related deaths | Mental Health related deaths | Hospital Death (Clinical Procedures and medical management) related deathsAndrew HaighSt Georges Hospitalsource
11 Dec 2020Katy SamuelsHospital Death (Clinical Procedures and medical management) related deaths | Mental Health related deathsDelroy HenryCoventry and Warwickshire Partnership 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
13 Nov 2017John ScallanHospital Death (Clinical Procedures and medical management) related deathsBina Patelnone publishedsource
25 Apr 2017Joleen LintonHospital Death (Clinical Procedures and medical management) related deathsJason Peggnone publishedsource
11 Mar 2015Bradley GriffithsChild Death (from 2015)Catherine MasonCoventry and Warwickshire NHS Trustsource
25 Jul 2014Donna KirklandHospital Death (Clinical Procedures and medical management) related deathsJason PeggCoventry and Warwickshire Partnership NHS Trust, Department of Healthsource
17 Jun 2014Sol HadhassehHospital Death (Clinical Procedures and medical management) related deathsDavid Osbornenone 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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