Somerset NHS Foundation Trust

9 Prevention of Future Deaths reports name this organisation, 2021–2025. Every report below links to the original on judiciary.uk.

Reports per year

20211
2022
2023
20242
20255

Responses published

9 of 9 reports (100%) have at least one response published on judiciary.uk.

For reports written in the same years, 94% of all PFD reports in the corpus have a published response. With only 9 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.

Coroner categories

Hospital Death (Clinical Procedures and medical management) related deaths 4Mental Health related deaths | Suicide (from 2015) 2Mental Health related deaths | Hospital Death (Clinical Procedures and medical management) related deaths | Police related deaths | Alcohol, drug and medication related deaths 1Suicide (from 2015) 1Child Death (from 2015) | Hospital Death (Clinical Procedures and medical management) related deaths 1

Coroners who wrote them

All reports

DateDeceasedCategoryCoronerResponse
28 Aug 2025Edwin PriceHospital Death (Clinical Procedures and medical management) related deathsVanessa McKinlaySomerset NHS Foundation Trustsource
5 Aug 2025Daisy McCoyChild Death (from 2015) | Hospital Death (Clinical Procedures and medical management) related deathsDeborah StewartSomerset NHS Foundation Trustsource
24 Apr 2025Jacqueline PotterMental Health related deaths | Suicide (from 2015)Samantha MarshNHS England, RCOG, Somerset NHS Foundation Trust, NICEsource
31 Mar 2025Andrew Tizard-VarcoeHospital Death (Clinical Procedures and medical management) related deathsPhilip SpinneyRoyal Devon University Healthcare NHS Foundation Trust, NHS Somersetsource
24 Jan 2025Cynthia GilbertHospital Death (Clinical Procedures and medical management) related deathsVanessa McKinlaySomerset NHS Foundation Trustsource
26 Jun 2024Michelle MooreSuicide (from 2015)Samantha MarshNICE, Somerset NHS, NHS Englandsource
10 Apr 2024Cariss StoneHospital Death (Clinical Procedures and medical management) related deathsNicholas RheinbergSomerset NHS Foundation Trustsource
26 Nov 2021Felicity CloughMental Health related deaths | Hospital Death (Clinical Procedures and medical management) related deaths | Police related deaths | Alcohol, drug and medication related deathsRachael GriffinSecretary of State for Health and Social Care Minister for Crime and Policisource
06/06/22Andrew NixonMental Health related deaths | Suicide (from 2015)Richard MiddletonNHS Somersetsource

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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