South East Coast Ambulance Service NHS Foundation Trust

25 Prevention of Future Deaths reports name this organisation, 2013–2026. Every report below links to the original on judiciary.uk.

Reports per year

20131
2014
20151
2016
20172
20182
20192
20201
20214
20222
20233
20244
20252
20261

Responses published

23 of 25 reports (92%) have at least one response published on judiciary.uk.

For reports written in the same years, 81% 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) 6Hospital Death (Clinical Procedures and medical management) related deaths 2Community health care and emergency services related deaths 2Emergency services related deaths (2019 onwards); Hospital Death (Clinical Procedures and medical management) related deaths 2Suicide (from 2015) 2State Custody related deaths; Hospital Death (Clinical Procedures and medical management) related deaths 1Mental Health related deaths; Other related deaths; Emergency Services related deaths (2019 onwards) 1Emergency Services related deaths 1Emergency services related deaths (2019 onwards) | Alcohol, drug and medication related deaths 1Child Death (from 2015) | Other related deaths 1Care Home Health related deaths | Emergency services related deaths (2019 onwards) 1Community health care and emergency services related deaths | Child Death (from 2015) 1

Coroners who wrote them

All reports

DateDeceasedCategoryCoronerResponse
24 Mar 2026Robert DaySuicide (from 2015)Ian PotterHome Office, DHSC Department for Womens Health and Mental Health, Kent and Medway Mental Health NHS Trustsource
7 Oct 2025Imogen Nunn Prevention of future deaths reportSuicide (from 2015) | Mental Health related deathsPenelope SchofieldDepartment for Educationsource
24 Mar 2025Imogen NunnSuicide (from 2015)Penelope SchofieldNHS England, National Register of Communication Professionals working with Deaf and Deafblind peopl, Department of Health and Social Care, DHSEsource
13 Nov 2024Joel ColkAlcohol, drug and medication related deaths | Suicide (from 2015) | Emergency services related deaths (2019 onwards)Joanne AndrewsNHS England 1, SECAmbsource
16 Sep 2024Philip RossEmergency services related deaths (2019 onwards)Susan RidgeSouth East Coast Ambulance Servicesource
9 Feb 2024Susan YoungEmergency services related deaths (2019 onwards)Penelope SchofieldNHS Sussexsource
4 Jan 2024Stephen CosterState Custody related deathsRachel RedmanHM Prison and Probation Servicesource
26 Jun 2023Keith NielsenEmergency services related deaths (2019 onwards)Anna CrawfordSouth East Coast Ambulance Service NHS Foundation Trust 1, Department of Health and Social Caresource
26 Jun 2023Ginger WrightEmergency services related deaths (2019 onwards) | Alcohol, drugs medication related deaths | Suicide (from 2015)Anna CrawfordDepartment of Health and Social Care, South East Coast Ambulance Service NHS Foundation Trust 1source
31 Mar 2023Veronica JenkinsEmergency services related deaths (2019 onwards)Anna CrawfordDepartment of Health and Social Care, South East Coast Ambulance Servicesource
16 Jun 2022James ManningCommunity health care and emergency services related deaths | Child Death (from 2015)Karen Harroldnone publishedsource
23 Mar 2022Robert MurrayCare Home Health related deaths | Emergency services related deaths (2019 onwards)Alan CrazeAdult Social Care, Nursing Midwifery Councilsource
4 Oct 2021Hannah RoyleChild Death (from 2015) | Other related deathsKaren HendersonNHS Digital, South East Coast Ambulance Servicesource
8 Aug 2021Steve CookeEmergency services related deaths (2019 onwards)Sonia HayesSouth East Coast Ambulance Servicesource
19 Feb 2021Lisa CodlingEmergency services related deaths (2019 onwards) | Alcohol, drug and medication related deathsVeronica Hamilton-DeeleySouth East Coast Ambulance Servicesource
14 Jan 2021Karl BolamEmergency Services related deathsAnna LoxtonNHS Digitalsource
30 Mar 2020Karen BinghamMental Health related deaths; Other related deaths; Emergency Services related deaths (2019 onwards)Caroline ToppingSECAmb, Chief Constable of Surrey Policesource
21 Feb 2019Terrence SmithEmergency services related deaths (2019 onwards); Hospital Death (Clinical Procedures and medical management) related deathsRichard Traversnone publishedsource
14 Feb 2019John ScottEmergency services related deaths (2019 onwards); Hospital Death (Clinical Procedures and medical management) related deathsVeronica Hamilton-DeeleySouth East Coast Ambulance Service NHS Trust, NHS Digitalsource
25 Jun 2018Margaret StempCommunity health care and emergency services related deathsPenelope SchofieldSouth East Coast Ambulance Service NHS Trustsource
27 Feb 2018Kevan FunnellEmergency services related deaths (2019 onwards)Veronica Hamilton-DeeleySouth East Coast Ambulance Servicesource
27 Nov 2017Barbara HowardCommunity health care and emergency services related deathsJoanne AndrewsSouth East Coast Ambulance Service NHS Trustsource
5 Apr 2017Ronald BennettHospital Death (Clinical Procedures and medical management) related deathsGilva TisshawBrighton Sussex University Hospitals NHS Trust, South East Coast Ambulance Service NHS Trustsource
25 Mar 2015Keith MurphyState Custody related deaths; Hospital Death (Clinical Procedures and medical management) related deathsSimon WickensNOMSsource
13 Nov 2013Barnabas NewlynHospital Death (Clinical Procedures and medical management) related deathsSelena LynchNHS Englandsource

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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