Norfolk and Suffolk NHS Foundation Trust

53 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
20154
2016
20174
20182
20196
20203
20215
20225
20231
202412
20251
20262

Responses published

44 of 53 reports (83%) have at least one response published on judiciary.uk.

For reports written in the same years, 78% 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 17Suicide (from 2015) 7Hospital Death (Clinical Procedures and medical management) related deaths | Mental Health related deaths 3Alcohol, drug and medication related deaths 3Community health care and emergency services related deaths 2Hospital Death (Clinical Procedures and medical management) related deaths | Mental Health related deaths | Suicide (from 2015) 2Alcohol, drug and medication related deaths | Mental Health related deaths 2Mental Health Related Death 1Mental Health related deaths; Hospital Death (Clinical Procedures and medical management) related deaths 1Child Death (from 2015); Hospital Death (Clinical Procedures and medical management) related deaths 1Alcohol, drug and medication related deaths | Child Death (from 2015) | Mental Health related deaths 1Community Health care 1

Coroners who wrote them

All reports

DateDeceasedCategoryCoronerResponse
26 Mar 2026Melanie PinnellSuicide (from 2015)Daniel SharpstoneUnity Healthcaresource
6 Feb 2026Paul ThompsonSuicide (from 2015)Darren StewartHMP Norwichsource
7 Nov 2025Anthony CardSuicide (from 2015)Peter TaheriSuffolk Constabulary, Suffolk County Councilsource
20 Dec 2024Oliver WinsonAlcohol, drug and medication related deaths | Mental Health related deathsSamantha GowardNHS England, Royal Pharmaceutical Societysource
26 Nov 2024Amy ButcherAlcohol, drug and medication related deaths | Mental Health related deaths | Suicide (from 2015)Nigel ParsleyDHSC, Norfolk and Suffolk NHSsource
12 Nov 2024Erin TillsleyChild Death (from 2015) | Suicide (from 2015) | Mental Health related deathsDarren StewartWest Suffolk NHSsource
28 Oct 2024Malcolm TaylorSuicide (from 2015) | Mental Health related deaths | Hospital Death (Clinical Procedures and medical management) related deathsJacqueline LakeDHSCsource
9 Oct 2024Nigel HammondSuicide (from 2015) | Mental Health related deathsNigel ParsleyNorfolk and Suffolk NHS, DHSC, Suffolk County Councilsource
22 Jul 2024Gemima Christodoulou-PeaceSuicide (from 2015) | Alcohol, drug and medication related deathsNigel ParsleyDHSCsource
30 May 2024Katie MaddenSuicide (from 2015)Nigel ParsleyDHSC, Home Office, Suffolk Constabulary, SCC, NSFT, Norfolk Waveney ICBsource
5 Apr 2024Paul TempletonSuicide (from 2015)Peter TaheriNorfolk and Suffolk NHS Foundation Trustsource
28 Mar 2024Ellen WoolnoughMental Health related deaths | Suicide (from 2015)Darren StewartNorfolk and Suffolk NHS Foundation Trust, NHS Englandsource
25 Mar 2024Christopher SidleHospital Death (Clinical Procedures and medical management) related deathsJacqueline LakeDepartment of Health and Social Care, Norfolk and Suffolk NHS Foundation Trustsource
7 Mar 2024Nicola RaynerSuicide (from 2015)Nigel ParsleyDepartment of Health and Social Caresource
8 Jan 2024Sarah MitchellAlcohol, drug and medication related deathsDarren StewartRosedale Surgery, NHS England, Department of Health and Social Care, James Paget University Hospitals NHS Foundation Trustsource
22 May 2023Michael BrayEmergency services related deaths (2019 onwards) | Suicide (from 2015)Peter TaheriDepartment of Health and Social Care, East of England Ambulance Servicesource
26 Sep 2022Lewis BegleyAlcohol, drug and medication related deathsJacqueline LakeNorfolk and Suffolk NHS Foundation Trustsource
11 Apr 2022Tracy WoodHospital Death (Clinical Procedures and medical management) related deaths | Mental Health related deathsJacqueline LakeHellesdon Hospitalsource
16 Feb 2022Daniel FranceChild Death (from 2015) | Mental Health related deaths | Suicide (from 2015) | Hospital Death (Clinical Procedures and medical management) related deaths | Other related deathsPhilip Barlownone publishedsource
15 Feb 2022Theo Brennan-HulmeHospital Death (Clinical Procedures and medical management) related deaths | Mental Health related deaths | Suicide (from 2015)Jacqueline LakeHellesdon Hospitalsource
10 Feb 2022Sheila StegglesHospital Death (Clinical Procedures and medical management) related deaths | Mental Health related deathsYvonne BlakeHellesdon Hospitalsource
20 Oct 2021Jane BushHospital Death (Clinical Procedures and medical management) related deaths | Mental Health related deaths | Suicide (from 2015) | Child Death (from 2015)Jacqueline LakeHellesdon Hospitalsource
9 Sep 2021Joshua SahotaHospital Death (Clinical Procedures and medical management) related deathsNigel ParsleyHellesdon Hospital, Department of Health Social Caresource
9 Aug 2021Terence TuttleHospital Death (Clinical Procedures and medical management) related deaths | Mental Health related deathsYvonne BlakeHellesdon Hospital Published 1source
28 May 2021Peggy CopemanEmergency services related deaths (2019 onwards)Jacqueline LakePremier Rescue Ambulance Service Ltdsource
28 Apr 2021Sean KayMental Health related deaths | Hospital Death (Clinical Procedures and medical management) related deaths | Community health care | Suicide (from 2015)Sean HorsteadNHS Norfolk and Waveney CCGsource
17 Dec 2020Andrew GibbinsHospital Death (Clinical Procedures and medical management) related deaths | Mental Health related deaths | Suicide (from 2015)Jacqueline DevonishHellesdon Hospital, West Suffolk NHS Foundation Trustsource
12 Oct 2020Piotr KierzkowskiSuicide; Mental health related deathsNigel ParsleyDepartment of Health and Social Caresource
6 Apr 2020Darren KingCommunity Health careNigel Parsleynone publishedsource
12 Dec 2019Peter FrosdickHospital Death (Clinical Procedures and medical management) related deathsYvonne Blakenone publishedsource
17 Sep 2019Tyla CookAlcohol, drug and medication related deaths | Child Death (from 2015) | Mental Health related deathsJacqueline LakeWest Norfolk CCG, The Queen Elizabeth Hospital Kings Lynn NHS Trust, Norfolk County Council, Norfolk and Suffolk NHS Trustsource
23 Apr 2019Kerry HunterHospital Death (Clinical Procedures and medical management) related deathsNigel ParsleyNorfolk and Suffolk NHS Foundation Trust, Norfolk and Suffolk NHS Trustsource
9 Apr 2019Anthony BuckinghamHospital Death (Clinical Procedures and medical management) related deathsDaniel SharpstoneNorfolk and Suffolk NHS Trustsource
18 Mar 2019Ellie LongChild Death (from 2015); Hospital Death (Clinical Procedures and medical management) related deathsJacqueline LakeNorfolk and Suffolk NHS Trustsource
13 Mar 2019Tamsin GrundyHospital Death (Clinical Procedures and medical management) related deathsJacqueline LakeNorfolk Suffolk NHS Trustsource
19 Dec 2018Henry Curtis-WilliamsHospital Death (Clinical Procedures and medical management) related deathsSean CummingsNorfolk and Suffolk NHS Trustsource
13 Nov 2018Matthew ArkleMental Health related deaths; Hospital Death (Clinical Procedures and medical management) related deathsNigel ParsleyNorfolk and Suffolk NHS Trustsource
8 Dec 2017Benjamin GoodrumHospital Death (Clinical Procedures and medical management) related deathsJacqueline LakeNorfolk and Suffolk NHS Trustsource
14 Nov 2017Brian StannardHospital Death (Clinical Procedures and medical management) related deathsJacqueline LakeRespondent not namedsource
27 Feb 2017Rachel EdwardsAlcohol, drug and medication related deathsNigel ParsleyNorfolk and Suffolk NHS Foundation Trustsource
8 Feb 2017David ReadHospital Death (Clinical Procedures and medical management) related deathsJacqueline LakeNorfolk and Suffolk NHS Trustsource
24 Dec 2015Christopher HigginsSuicide (from 2015)Jacqueline LakeQueen Elizabeth Hospital NHS Trust, James Paget University Hospitals NHS Trust, Norfolk and Suffolk NHS Trustsource
6 Aug 2015Thomas ThurlingHospital Death (Clinical Procedures and medical management) related deathsJacqueline LakeNorfolk and Suffolk NHS Trustsource
23 Mar 2015Barbara MayerHospital Death (Clinical Procedures and medical management) related deathsJacqueline LakeNorfolk Suffolk NHS Trustsource
16 Jan 2015Robert AnsticeHospital Death (Clinical Procedures and medical management) related deathsJacqueline Lakenone publishedsource
24 Nov 2014Sandra BodrozicHospital Death (Clinical Procedures and medical management) related deathsME HassellNorfolk and suffolk NHS Trustsource
11 Sep 2014Ann WellsHospital Death (Clinical Procedures and medical management) related deathsJacqueline Lakenone publishedsource
23 Jul 2014Graeme KiddHospital Death (Clinical Procedures and medical management) related deathsJacqueline Lakenone publishedsource
17 Jun 2014Sol HadhassehHospital Death (Clinical Procedures and medical management) related deathsDavid Osbornenone publishedsource
16 Apr 2014Kathryn SawyerCommunity health care and emergency services related deathsJacqueline LakeRoundwell Medical Centresource
7 Apr 2014Jamie BarlowCommunity health care and emergency services related deathsPeter Deannone publishedsource
12 Sep 2013Matthew DunhamMental Health Related DeathWilliam Armstrongnone publishedsource
29/06/22Paul MeadowsAlcohol, drug and medication related deaths | Mental Health related deathsPeter TaheriNHS Suffolk and North East Essex, Department of Health and Social Caresource

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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