20 Prevention of Future Deaths reports name this organisation, 2013–2025. Every report below links to the original on judiciary.uk.
15 of 20 reports (75%) 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.
| Date | Deceased | Category | Coroner | Response | |
|---|---|---|---|---|---|
| 6 Feb 2025 | Katrina Insleay | Hospital Death (Clinical Procedures and medical management) related deaths | James Puzey | Herefordshire and Worcestershire Health and Care NHS Trust and Worcestershire Acute Ho | source |
| 14 Oct 2024 | Caroline Staite | Suicide (from 2015) | Mental Health related deaths | Hugh Bricknell | Herefordshire Worcestershire NHS | source |
| 26 Jun 2024 | Nicola Lacey | Suicide (from 2015) | Hugh Gregory | Hereforshire and Worcestershire NHS | source |
| 16 Feb 2024 | Rosie Young | Emergency services related deaths (2019 onwards) | David Reid | Herefordshire and Worcestershire Health and Care NHS Trust, West Midlands Ambulance Service | source |
| 18 Sep 2023 | Anthony Friend | Care Home Health related deaths | David Reid | Herefordshire and Worcestershire Health and Care, Bluebird Care | source |
| 2 Jun 2023 | Nigel Harper | Suicide (from 2015) | David Reid | Herefordshire and Worcestershire Health and Care NHS Trust, Gloucestershire Health and Care NHS Foundation Trust | source |
| 13 Mar 2023 | Charlotte Comer | Suicide (from 2015) | David Reid | Herefordshire and Worcestershire Health and Care | source |
| 20 Dec 2022 | Carl Ellson | Suicide (from 2015) | Louise Hunt | NHS Herefordshire and Worcestershire | source |
| 23 Mar 2022 | Emily Caldicott | Hospital Death (Clinical Procedures and medical management) related deaths | Mental Health related deaths | Alcohol, drug and medication related deaths | David Reid | none published | source |
| 9 Mar 2020 | Roy Campbell | Hospital death (Clinical Procedures and medical management) related deaths; Mental Health related deaths | David Reid | Worcestershire Health and Care NHS Trust | source |
| 29 Jul 2019 | Alistair McDonald | Suicide (from 2015) | Nigel Meadows | none published | source |
| 15 Feb 2018 | Bethany Shipsey | Alcohol, drug and medication related deaths; Mental Health related deaths | Geraint Williams | Department of Health | source |
| 30 Nov 2016 | Emma Timbrell | Hospital Death (Clinical Procedures and medical management) related deaths; Suicide (from 2015) | Geraint Williams | none published | source |
| 7 Apr 2016 | Matthew Sargent | Hospital Death (Clinical Procedures and medical management) related deaths | Geraint Williams | Respondent not named, Redacted | source |
| 18 Mar 2016 | Jonathan Lander | Hospital Death (Clinical Procedures and medical management) related deaths | Geraint Williams | Respondent not named | source |
| 30 Nov 2015 | Stephen Adams | Hospital Death (Clinical Procedures and medical management) related deaths | Geraint Williams | none published | source |
| 26 Oct 2015 | Wayne O’Neill | Hospital Death (Clinical Procedures and medical management) related deaths | Andrew Cox | Respondent not named | source |
| 8 Jan 2015 | Eve Cullen | Hospital Death (Clinical Procedures and medical management) related deaths | G U Williams | Worcestershire Health Care NHS Trust | source |
| 17 Dec 2013 | Sean Seabourne | Mental Health related deaths | Geraint Williams | none published | source |
| 16 Sep 2013 | Reggie John | State Custody related deaths | G U Williams | NOMS, Worcestershire Health Care NHS | source |
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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What the recurring concerns are, and which were raised more than once.
The cleaned, OCR'd, metadata-tagged corpus.