Devon Partnership NHS Trust

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

Reports per year

20142
20154
20163
20172
20181
20191
20202
20213
20222
20232
20241
20253
20261

Responses published

24 of 27 reports (89%) have at least one response published on judiciary.uk.

For reports written in the same years, 77% 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 8Suicide (from 2015) 4Alcohol, drug and medication related deaths 2Community health care and emergency services related deaths 1Mental Health related deaths 1Hospital Death (Clinical Procedures and medical management) related deaths; Suicide (from 2015) 1Mental Health related deaths; Suicide (from 2015); State Custody related deaths 1Mental heath related deaths; Other related deaths 1Hospital Death (Clinical Procedures and medical management) related deaths | Care Home Health related deaths | Mental Health related deaths 1State Custody related deaths | Mental Health related deaths 1Other related deaths | Community health care 1Mental Health related deaths | Suicide (from 2015) 1

Coroners who wrote them

All reports

DateDeceasedCategoryCoronerResponse
9 Mar 2026Taylor MaddoxSuicide (from 2015)Stephen CovellNorth Devon Councilsource
19 Mar 2025Benjamin ComptonRoad (Highways Safety) related deathsPhilip SpinneyDevon Partnership Trust, NHS England, NHS Devonsource
31 Jan 2025Alexander ChanningSuicide (from 2015) | Mental Health related deathsRichard T MiddletonDorset Healthcare NHS, Devon Partnership NHS Trust, Arts University Bournemouthsource
27 Jan 2025William NorthcottHospital Death (Clinical Procedures and medical management) related deaths | Alcohol, drug and medication related deathsLouise WiltshireMedicines and Healthcare Projects Regulation Authority, Devon ICB, The Pembroke Medical Practice, Devon Partnership NHS Trustsource
2 Feb 2024Samuel JordanSuicide (from 2015)Nicholas RheinbergNHS Englandsource
21 Dec 2023Nicholas DymondRailway related deathsAlison LonghornDevon Partnership NHS Trustsource
11 Dec 2023Paul PerrottSuicide (from 2015)Deborah ArcherDevon Partnership NHS Trustsource
4 Nov 2022Harry EvansSuicide (from 2015)Guy DaviesVice Chancellorssource
26 Jul 2022Archi JohnsonMental Health related deaths | Suicide (from 2015)Alison LonghornDevon Partnership Trust Caresource
30 Jun 2021Joan PrescottOther related deaths | Community health careIan Arrownone publishedsource
7 May 2021Glenn MacmartinHospital Death (Clinical Procedures and medical management) related deaths | Care Home Health related deaths | Mental Health related deathsIan ArrowCQC, Wonford House Hospital, Plymouth Safeguarding Adults Partnershipsource
7 May 2021Corin BonaparteState Custody related deaths | Mental Health related deathsNicholas RheinbergHMPPSsource
23 Oct 2020Benjamin PopovachMental heath related deaths; Other related deathsIan ArrowDevon Partnership NHS Trustsource
23 Mar 2020Lewis FrancisMental Health related deaths; Suicide (from 2015); State Custody related deathsNicholas RheinbergWiltshire Police, Avon and Somerset Policesource
17 Jul 2019Allan JoslinHospital Death (Clinical Procedures and medical management) related deathsLydia BrownNHS Englandsource
27 Feb 2018David IrelandHospital Death (Clinical Procedures and medical management) related deathsLydia BrownDevon Partnership NHS Trustsource
4 Aug 2017Carly GordonHospital Death (Clinical Procedures and medical management) related deaths; Suicide (from 2015)Geoffrey TomalinRCGP, NHS England, Fremington Medical Centre, Devon LMCsource
14 Feb 2017Wendy TelferHospital Death (Clinical Procedures and medical management) related deathsLydia BrownRoyal Devon and Exeter NHS Trust, Northern Eastern and Western Devon NHS Trust, Devon Partnership NHS Trustsource
25 Oct 2016Matthew Llewellyn-JonesHospital Death (Clinical Procedures and medical management) related deathsLydia BrownDevon Partnership NHS Trustsource
7 Sep 2016Louise TurnerHospital Death (Clinical Procedures and medical management) related deathsLydia BrownNorthern Eastern and Western Devon Clinical Commissioning Groupsource
2 Jun 2016Jessica BirkheadMental Health related deathsJohn TomalinNorthern Eastern and Western Devon Clinical Commissioning Group, The Seaton and Colyton Medical Practicesource
14 Dec 2015William MaskellAlcohol, drug and medication related deathsElizabeth Earlandnone publishedsource
14 Dec 2015William MaskellAlcohol, drug and medication related deathsElizabeth Earlandnone publishedsource
22 Oct 2015Diane KnightHospital Death (Clinical Procedures and medical management) related deathsJohn TomalinRespondent not namedsource
15 Jan 2015Judith SavilleCommunity health care and emergency services related deathsAndrew CoxAxminster Medical Practice, Devon Partnership NHS Trustsource
28 Oct 2014Polly CarpenterHospital Death (Clinical Procedures and medical management) related deathsElizabeth EarlandDevon Partnership NHS Trustsource
14 Jul 2014Elaine JobeHospital Death (Clinical Procedures and medical management) related deathsDr Elizabeth EarlandDevon Partnership NHS Trustsource

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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