7 Prevention of Future Deaths reports name this organisation, 2017–2025. Every report below links to the original on judiciary.uk.
5 of 7 reports (71%) have at least one response published on judiciary.uk.
For reports written in the same years, 84% of all PFD reports in the corpus have a published response. With only 7 reports here, no meaningful comparison can be drawn either way.
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 | |
|---|---|---|---|---|---|
| 25 Nov 2025 | Benedict Blythe | Child Death (from 2015) | Other related deaths | Elizabeth Gray | form Cambridgeshire Constabulary, Royal College of Pathologists | source |
| 7 Apr 2025 | Christian Hobbs | Child Death (from 2015) | Hospital Death (Clinical Procedures and medical management) related deaths | David Heming | Royal College of Emergency Medicine, Royal College of Radiologists, Faculty of Intensive Care Medicine, Department for Digital Culture Media and Sport, Northamptonshire Children Safeguarding Partnership, North West Anglia NHS Foundation Trust, Department for Health and Social Care, Cambridgeshire and Peterborough ICB | source |
| 21 Sep 2023 | Chantelle Reed | Hospital Death (Clinical Procedures and medical management) related deaths | Samantha Goward | The Royal College of Radiologists, NHS England | source |
| 19 May 2023 | Amelia Barbosa | Child Death (from 2015) | Samantha Goward | Product Safety Standards, North West Anglia NHS Foundation Trust | source |
| 19 Jul 2022 | Muhammad Hassan | Child Death (from 2015) | Samantha Goward | none published | source |
| 17 May 2021 | Lola Sheldrake | Hospital Death (Clinical Procedures and medical management) related deaths | Child Death (from 2015) | Lorna Skinner QC | none published | source |
| 17 Nov 2017 | Peter Saint | Hospital Death (Clinical Procedures and medical management) related deaths | Sean Horstead | North West Anglia NHS Trust, NHS England, RCOA | 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.