Gloucestershire Hospitals NHS Foundation Trust

11 Prevention of Future Deaths reports name this organisation, 2015–2025. Every report below links to the original on judiciary.uk.

Reports per year

20151
20161
20172
20182
20193
2020
2021
2022
20231
2024
20251

Responses published

6 of 11 reports (55%) have at least one response published on judiciary.uk.

For reports written in the same years, 72% 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 8Child Death (from 2015; Suicide (from 2015); Mental Health related deaths 1Hospital Death (Clinical Procedures and medical management) related deaths; Community health care and emergency services related deaths 1Community health care and emergency services related deaths 1

Coroners who wrote them

All reports

DateDeceasedCategoryCoronerResponse
9 Jan 2025Maria SimpsonCommunity health care and emergency services related deathsRoland WoodersonDHSCsource
31 Jan 2023Donald BrownHospital Death (Clinical Procedures and medical management) related deathsKaty SkerrettGloucestershire Hospitalsource
17 Oct 2019Elisa FullerHospital Death (Clinical Procedures and medical management) related deathsKaty SkerrettGloucestershire Hospitals NHS Trustsource
18 Apr 2019Graham JonesHospital Death (Clinical Procedures and medical management) related deathsKaty SkerrettGloucestershire Hospitals NHS Trustsource
16 Apr 2019Jonathan YatesHospital Death (Clinical Procedures and medical management) related deathsKaty SkerrettGloucestershire Hospitals NHS Trustsource
25 Oct 2018Andrea FranzosiHospital Death (Clinical Procedures and medical management) related deathsKaty Skerrettnone publishedsource
8 May 2018Jonathan EarpHospital Death (Clinical Procedures and medical management) related deathsCaroline SaundersGloucestershire Hospitals NHS Trustsource
22 Nov 2017Susan SmalleyHospital Death (Clinical Procedures and medical management) related deaths; Community health care and emergency services related deathsKaty Skerrettnone publishedsource
6 Apr 2017Steven AmosHospital Death (Clinical Procedures and medical management) related deathsKaty Skerrettnone publishedsource
27 Jun 2016Anielka JenningsChild Death (from 2015; Suicide (from 2015); Mental Health related deathsKaty Skerrettnone publishedsource
21 Oct 2015Samantha BeachHospital Death (Clinical Procedures and medical management) related deathsKaty Skerrettnone 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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