Oxleas NHS Foundation Trust

57 Prevention of Future Deaths reports name this organisation, 2014–2026. Every report below links to the original on judiciary.uk.

Reports per year

20143
2015
20162
20171
20184
20193
20204
20215
20223
20237
20248
202510
20267

Responses published

45 of 57 reports (79%) have at least one response published on judiciary.uk.

For reports written in the same years, 83% 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

State Custody related deaths 13Hospital Death (Clinical Procedures and medical management) related deaths 5State Custody related deaths | Suicide (from 2015) 5Suicide (from 2015) 5Alcohol, drug and medication related deaths 4State Custody related deaths | Mental Health related deaths | Suicide (from 2015) 3Alcohol drugs and medication related deaths | State Custody related deaths 3Hospital Death (Clinical Procedures and medical management) related deaths | Mental Health related deaths | Suicide (from 2015) 2Alcohol, drugs medication related deaths | State Custody related deaths 2State Custody related deaths | Alcohol, drug and medication related deaths 2Mental Health related deaths 2Alcohol, drug and medication related deaths | State Custody related deaths 2

Coroners who wrote them

All reports

DateDeceasedCategoryCoronerResponse
7 Apr 2026Mark SmithState Custody related deathsJenny Goldringnone publishedsource
24 Mar 2026Thomas RuggieroState Custody related deathsIan Potternone publishedsource
24 Mar 2026Thomas RuggieroState Custody related deathsIan Potternone publishedsource
24 Mar 2026Thomas RuggieroState Custody related deathsIan Potternone publishedsource
9 Feb 2026Josh Tarrant (1)Alcohol drugs and medication related deaths | State Custody related deathsScott MatthewsonFrimley Health NHS Foundation Trust, NHS Englandsource
9 Feb 2026Josh Tarrant (2)Alcohol drugs and medication related deaths | State Custody related deathsScott Matthewsonnone publishedsource
9 Feb 2026Josh Tarrant (3)Alcohol drugs and medication related deaths | State Custody related deathsScott MatthewsonHMP Elmleysource
15 Dec 2025Sundeep GhumanState Custody related deathsDavid ManknellHM Prison Probation Servicesource
29 Jul 2025Azroy Dawes-ClarkeState Custody related deathsIan BrownhillDepartment of Health and Social Caresource
29 Jul 2025Azroy Dawes-ClarkeState Custody related deathsIan BrownhillHM Prison Probation Service, South East Coast Ambulance Service, Oxleas NHS Foundation Trustsource
25 Jul 2025Sheldon JeansAlcohol, drug and medication related deaths | State Custody related deathsRachael GriffinHM Prison Probation Service, Oxleas NHS Foundation Trust, HM Prison and Probation Services, Department for Health and Social Caresource
25 Jul 2025Michael PughState Custody related deaths | Suicide (from 2015)Patricia HardingHM Prison Probation Servicesource
18 Jul 2025Patryk GladyszState Custody related deaths | Mental Health related deathsPriya MalhotraHM Prison and Probation Service, NHS England, Department for Health and Social Caresource
30 May 2025Colin LovettAlcohol, drug and medication related deaths | State Custody related deathsRachael GriffinHMPPS, Department of Health and Social Caresource
11 Mar 2025Sean HigginsState Custody related deaths | Mental Health related deaths | Suicide (from 2015)Patricia HardingHMPPSsource
21 Feb 2025Paul DunneHospital Death (Clinical Procedures and medical management) related deaths | Mental Health related deaths | Suicide (from 2015)Andrew HarrisCare Quality Commission, NHS Englandsource
21 Feb 2025Luke WorrellMental Health related deathsAndrew HarrisNHS England, Care Quality Commission, MHRA, DHSCsource
25 Nov 2024Jonathon LawlorState Custody related deaths | Alcohol, drug and medication related deathsCatherine WoodHMPPSsource
8 Aug 2024Sean DaviesSuicide (from 2015)Patricia Hardingnone publishedsource
19 Jul 2024Benjamin HarrisonState Custody related deaths | Alcohol, drug and medication related deathsPatricia HardingHMPPS, Oxleas NHS Foundation Trustsource
27 Jun 2024Emily CollishawAlcohol, drug and medication related deathsAndrew HarrisNHS England, Ministry of Housing Communities Local Governments, DHSCsource
31 May 2024Frazer WilliamsState Custody related deaths | Suicide (from 2015)Rachael GriffinNHS England, DHSC, Unilink, HMPPS HMP Guys Marshsource
17 May 2024Jada MonojaSuicide (from 2015)Xavier MooyaartDHSC, NHS England, South London and Maudsley NHS Trustsource
4 Mar 2024Lee HughesAlcohol, drug and medication related deathsFiona WilcoxOxleas NHS Foundation Trust, NHS Englandsource
2 Feb 2024Samuel JordanSuicide (from 2015)Nicholas RheinbergNHS Englandsource
21 Dec 2023Denise PorterSuicide (from 2015)Hannah Hintonnone publishedsource
5 Dec 2023Samuel JonesState Custody related deathsRachael GriffinHM Prison and Probation Service, Ministry of Justice, NHS Englandsource
27 Nov 2023Luke WhitelawSuicide (from 2015)Ian PotterOxleas NHS Foundation Trustsource
3 Jul 2023Liam BentleyState Custody related deaths | Suicide (from 2015)Patricia HardingHM Prison and Probation Servicesource
2 Feb 2023Jason WilliamsAlcohol, drugs medication related deaths | State Custody related deathsRachael GriffinHM Prison Probation Service, HM Prison Probation Service 2, NHS Englandsource
31 Jan 2023Nathan ForresterAlcohol, drugs medication related deaths | State Custody related deathsAndrew HarrisHM Prison and Probation Service 2, NHS England 2source
17 Jan 2023John HendersonState Custody related deathsIan BrownhillOxleas Forensic and Offender Healthcare Servicessource
10 Nov 2022Samuel PearsonAlcohol, drug and medication related deathsJonathan LandauOxleas NHS Foundation Trust, London Borough of Bromley Council, Clarion Housing Groupsource
8 Nov 2022Liridon SaliukaState Custody related deaths | Suicide (from 2015)Philip BarlowOxleas NHS Foundation Trust, HM Prison and Probation Servicessource
24 Oct 2022Bradleigh BarnesState Custody related deaths | Suicide (from 2015)Rachael GriffinNHS Oxleas, NHS England, HM Prison Probation Service 1, HM Prison Probation Servicesource
4 Nov 2021Christian HinkleyState Custody related deathsScott MatthewsonHMPPSsource
4 Oct 2021Caden StewartState Custody related deaths | Child Death (from 2015)Patricia HardingHMPPSsource
10 Sep 2021Lee ThrumbleState Custody related deaths | Suicide (from 2015) | Mental Health related deathsScott Matthewsonnone publishedsource
25 May 2021James DevennyState Custody related deaths | Mental Health related deaths | Suicide (from 2015)Ian BrownhillHMPPSsource
10 Feb 2021Jason O’RourkeState Custody related deaths | Mental Health related deaths | Suicide (from 2015)Henrietta Hill QCHMPPSsource
11 Dec 2020Claire LilleyHospital Death (Clinical Procedures and medical management) related deaths | Mental Health related deaths | Suicide (from 2015)Dr Julian MorrisOxleas NHS Foundation Trustsource
18 Aug 2020Viktor Scott-BrownSuicide; Community healthcare related deathsOliver LongstaffOxleas NHS Foundation Trust, Tees Esk and Wear Valleys NHS Foundation Trust Redacted 1, BNF Publications, NICEsource
26 Jun 2020Gary EtheringtonMental Health related deaths; Community healthcare related deaths; SuicideAndrew HarrisOxleas NHS Trustsource
21 Feb 2020Billy JenkinsAlcohol, drug and medication related deaths; Mental Health related deaths; Community health care related death; Suicide (from 2015)Jacqueline DevonishOxleas NHS Foundationsource
28 Jun 2019Feni LeeCommunity health care related deathsPhilip BarlowBexley Medical Groupsource
8 May 2019Bernard O’FlynnState Custody related deathsChristopher Williamsnone publishedsource
15 Apr 2019Jennifer LewisHospital Death (Clinical Procedures and medical management) related deathsRoger HatchOxleas NHS Trustsource
29 Oct 2018Thomas McAuleyState Custody related deathsAndrew HarrisMetropolitan Policesource
27 Sep 2018Julia MacPhersonHospital Death (Clinical Procedures and medical management) related deathsSonia HayesCQC, Department of Healthsource
12 Feb 2018John SloanMental Health related deathsChristopher Williamsnone publishedsource
29 Jan 2018Michael VukovicHospital Death (Clinical Procedures and medical management) related deathsPhilip BarlowRespondent not namedsource
18 Dec 2017Anne MorrisHospital Death (Clinical Procedures and medical management) related deathsChristopher WilliamsPriory Group, Oxleas NHS Trustsource
5 Dec 2016Christopher BrennanChild Death (from 2015); Hospital Death (Clinical Procedures and medical management) related deathsSelena Lynchnone publishedsource
18 May 2016Ratidzai SangareHospital Death (Clinical Procedures and medical management) related deathsSelena Lynchnone publishedsource
28 Dec 2014Alex KellyState Custody related deathsPatricia HardingMedway Youth Offending Service, Oxleas NHS Trust, Tower Hamlets, Ministry of Justice, Central North West London NHS Trustsource
27 Oct 2014Philip AllenCommunity health care and emergency services related deathsPhilip BarlowEltham Palace Surgerysource
31 Mar 2014Deanne SmithAlcohol, drug and medication related deathsDr R N PalmerUnited Pharmacysource

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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