South Central Ambulance Service NHS Foundation Trust

13 Prevention of Future Deaths reports name this organisation, 2013–2025. Every report below links to the original on judiciary.uk.

Reports per year

20131
2014
2015
2016
20173
2018
2019
2020
2021
20222
2023
20242
20255

Responses published

12 of 13 reports (92%) 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

Emergency services related deaths (2019 onwards) 5Community health care and emergency services related deaths 2Child Death (from 2015) | Emergency services related deaths (2019 onwards) 2Community health care and emergency services related deaths; Hospital Death (Clinical Procedures and medical management) related deaths 1Community health care and emergency services related deaths; Hospital Death (Clinical Procedures and medical management) related deaths; Child Death (from 2015) 1Accident at Work and Health and Safety related deaths | Other related deaths 1Alcohol, drug and medication related deaths 1

Coroners who wrote them

All reports

DateDeceasedCategoryCoronerResponse
11 Nov 2025Liliane BowdenEmergency services related deaths (2019 onwards)Henry CharlesSouth Central Ambulance Servicesource
28 Oct 2025Lewis GarfieldEmergency services related deaths (2019 onwards)Hassan ShahEast Midlands Ambulance Service, University Hospitals of Northamptonshire, South Central Ambulance Service, Department for Health and Social Caresource
12 Jun 2025Oscar KeenanChild Death (from 2015) | Emergency services related deaths (2019 onwards)Judith LeachCQC, South Central Ambulance Service, Unity Health, NHS Englandsource
7 Apr 2025Sandra MillardEmergency services related deaths (2019 onwards)Robert SimpsonNHSE, South Central Ambulance Servicesource
3 Feb 2025Wyllow-Raine SwinburnChild Death (from 2015) | Emergency services related deaths (2019 onwards)Darren SalterSouth Central Ambulance Service, BTsource
19 Dec 2024Andrew LewisEmergency services related deaths (2019 onwards)Heidi ConnorNHS England, DHSCsource
20 Sep 2024Susan DearEmergency services related deaths (2019 onwards)Hannah GodfreyDHSC, NHSEsource
15 Dec 2022Neal SaundersAlcohol, drug and medication related deathsHeidi ConnorSouth Central Ambulance Service, College of Policing, Thames Valley Policesource
4 Nov 2022Levi AlleyneAccident at Work and Health and Safety related deaths | Other related deathsKaty ThorneAACE, Health and Safety Executive, NHS Digital, Energy Networks Associationsource
27 Nov 2017Rafe AngeloCommunity health care and emergency services related deaths; Hospital Death (Clinical Procedures and medical management) related deaths; Child Death (from 2015)Karen HaroldDepartment of Health, South Central Ambulance Service NHS Trustsource
20 Sep 2017Peter CotterCommunity health care and emergency services related deathsThomas OsborneSouth Central Ambulance Service NHS Trust, NHS Digitalsource
11 Jul 2017Mark BerryCommunity health care and emergency services related deaths; Hospital Death (Clinical Procedures and medical management) related deathsKaren Haroldnone publishedsource
6 Aug 2013Lucy Hannah Rose BaileyCommunity health care and emergency services related deathsRobert ChapmanSouth Central Ambulance Servicesource

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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