23 Prevention of Future Deaths reports name this organisation, 2015–2025. Every report below links to the original on judiciary.uk.
20 of 23 reports (87%) have at least one response published on judiciary.uk.
For reports written in the same years, 85% 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.
| Date | Deceased | Category | Coroner | Response | |
|---|---|---|---|---|---|
| 12 May 2025 | James Smith | Emergency services related deaths (2019 onwards) | Guy Davies | DHSC | source |
| 9 May 2025 | John England | Emergency services related deaths (2019 onwards) | Andrew Cox | NHS England | source |
| 3 Apr 2025 | Andrew Waters | Emergency services related deaths (2019 onwards) | Guy Davies | DHSC | source |
| 28 Feb 2025 | Lachlan Campbell | Alcohol, drug and medication related deaths | Emergency services related deaths (2019 onwards) | Police related deaths | Andrew Cox | South Western Ambulance Service NHS Foundation Trust, Devon and Cornwall Police | source |
| 28 Feb 2025 | Lachlan Campbell | Alcohol, drug and medication related deaths | Emergency services related deaths (2019 onwards) | Police related deaths | Andrew Cox | Department of Health and Social Care | source |
| 30 Jan 2025 | Graham Whiteley | Emergency services related deaths (2019 onwards) | Vanessa McKinlay | South Western Ambulance Service NHS Foundation Trust | source |
| 25 Apr 2024 | Richard Carpenter | Hospital Death (Clinical Procedures and medical management) related deaths | David Ridley | Department of Health and Social Care | source |
| 25 Mar 2024 | Robert Prowse | Mental Health related deaths | Guy Davies | Department of Health and Social Care | source |
| 25 Mar 2024 | Patricia Eyken | Emergency services related deaths (2019 onwards) | Guy Davies | Department of Health and Social Care | source |
| 15 Mar 2024 | Romeo Esposito | Emergency services related deaths (2019 onwards) | Child Death (from 2015) | Simon Fox | South Western Ambulance Service | source |
| 27 Nov 2023 | Gerald Cruse | Emergency services related deaths (2019 onwards) | Debbie Rookes | Bristol Ambulance | source |
| 23 Nov 2023 | John Seagrove, Pauline Humphris and Patricia Steggles | Emergency services related deaths (2019 onwards) | Hospital Death (Clinical Procedures and medical management) related deaths | Andrew Cox | Department of Health and Social Care | source |
| 23 Nov 2023 | Kenneth Heard | Emergency services related deaths (2019 onwards) | Guy Davies | Department of Health and Social Care | source |
| 19 Sep 2023 | Stephen Cassidy | Alcohol, drugs medication related deaths, Care Home Health related deaths | Simon Fox | NHS England, NHS North Bristol NHS Trust | source |
| 8 Jun 2023 | Ivan Ignatov | Other related deaths | Rachael Griffin | National Fire Chiefs Council, Dorset and Wiltshire Fire and Rescue, Royal National Lifeboat Institution, NicheRMS, National Police Air Service, Dorset Police, Maritime and Coastguard Agency, NHS England, College of Policing, Associations of Ambulance Chief Executives, South Western Ambulance Service NHS Foundation Trust | source |
| 22 Mar 2023 | Kenneth Adams | Emergency services related deaths (2019 onwards) | Bredan Allen | International Academics of Emergency Dispatch, Hull City Council, Surrey County Council and Surrey Borders Partnership NHS Foundation Trust | source |
| 19 Jul 2018 | William Watson | Hospital Death (Clinical Procedures and medical management) related deaths | Andrew Cox | Dorset Clinical Commissioning Group, Kernow Clinical Commissioning Group2 | source |
| 10 Jul 2018 | Eugeniusz Niedziolko | Alcohol, drug and medication related deaths; Mental Health related death | David Ridley | none published | source |
| 22 Nov 2017 | Susan Smalley | Hospital Death (Clinical Procedures and medical management) related deaths; Community health care and emergency services related deaths | Katy Skerrett | none published | source |
| 21 Jun 2017 | Colin Sluman | Hospital Death (Clinical Procedures and medical management) related deaths | Elizabeth Earland | South Western Ambulance Service, NHS England | source |
| 24 Jun 2016 | William Nute | Community health care and emergency services related deaths; Police related deaths | Emma Carlyon | South Western Ambulance Service NHS Trust | source |
| 3 Sep 2015 | Kala Skinner | Community health care and emergency services related deaths | Peter Harrowing | none published | source |
| date unknown | Vhari Ingall and Mary Johnson | Emergency services related deaths (2019 onwards) | Alcohol, drug and medication related deaths | David Ridley | Association of Ambulance Chief Executives Redacted 1, Dept of Health and Social Care, the Care Quality Commission Redacted 1, CQC to further PFD report, South Western Ambulance Service Redacted 1 | source |
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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