Oxford Health NHS Foundation Trust

14 Prevention of Future Deaths reports name this organisation, 2017–2026. Every report below links to the original on judiciary.uk.

Reports per year

20172
2018
20192
2020
20212
20221
2023
20243
20253
20261

Responses published

12 of 14 reports (86%) 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 — 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 2Suicide (from 2015) 2Hospital Death (Clinical Procedures and medical management) related deaths; State Custody related deaths 1Police related deaths 1Hospital Death (Clinical Procedures and medical management) related deaths | Suicide (from 2015) 1Hospital Death (Clinical Procedures and medical management) related deaths | Mental Health related deaths | Suicide (from 2015) 1Hospital Death (Clinical Procedures and medical management) related deaths | Suicide (from 2015) | Mental Health related deaths 1Other related deaths 1Community health care and emergency services related deaths | Suicide (from 2015) | Mental Health related deaths 1Suicide (from 2015) | Mental Health related deaths 1Suicide (from 2015) | Railway related deaths 1Mental Health related deaths 1

Coroners who wrote them

All reports

DateDeceasedCategoryCoronerResponse
12 Feb 2026Barry HarmerMental Health related deathsCrispin Butlernone publishedsource
23 Sep 2025Christopher BirdSuicide (from 2015) | Railway related deathsDavid RidleyOxford Health NHS Foundation Trust, NHS Englandsource
5 Jun 2025Cain DonaldSuicide (from 2015)Nicholas GrahamOxford Health NHS Foundation Trustsource
10 Jan 2025Jan RaciborskiSuicide (from 2015) | Mental Health related deathsRobert SimpsonOxford Healthsource
25 Nov 2024Jaipreet PanesarCommunity health care and emergency services related deaths | Suicide (from 2015) | Mental Health related deathsHeidi ConnorOxford Health NHS Foundation Trustsource
7 Jun 2024Fern FosterSuicide (from 2015)Crispin ButlerAACE, NARU, NHS Englandsource
20 May 2024James Furlong, Joseph Ritchie-Bennett and David WailsOther related deathsSir Adrian FulfordBerkshire Healthcare, Oxford Health, Thames Valley Police, Ministry of Justice, Midlands Partnership NHS, NHS England, the Home Officesource
23 Feb 2022Amanda GibbensHospital Death (Clinical Procedures and medical management) related deaths | Suicide (from 2015) | Mental Health related deathsGemma Brannigannone publishedsource
29 Mar 2021Roy MorrisHospital Death (Clinical Procedures and medical management) related deaths | Suicide (from 2015)Crispin ButlerLittlemore Mental Health Centresource
10 Feb 2021Lisa ThompsonHospital Death (Clinical Procedures and medical management) related deaths | Mental Health related deaths | Suicide (from 2015)Sonia HayesLittlemore Mental Health Centresource
12 Apr 2019Emma ButlerHospital Death (Clinical Procedures and medical management) related deathsCrispin ButlerOxford Health NHS Trustsource
7 Mar 2019Simon RobinsonPolice related deathsDarren SalterThames Valley Policesource
4 Sep 2017Liam ThomasHospital Death (Clinical Procedures and medical management) related deathsDarren SalterOxford Health NHS Trustsource
21 Feb 2017Jack PortlandHospital Death (Clinical Procedures and medical management) related deaths; State Custody related deathsCrispin ButlerOxford Health NHS Trust, NOMSsource

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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