Torbay and South Devon NHS Foundation Trust

4 Prevention of Future Deaths reports name this organisation, 2017–2026. Every report below links to the original on judiciary.uk.

Reports per year

20171
2018
20191
2020
2021
2022
2023
20241
2025
20261

Responses published

4 of 4 reports (100%) have at least one response published on judiciary.uk.

For reports written in the same years, 79% of all PFD reports in the corpus have a published response. With only 4 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 3Child Death (from 2015); Community health care (Including primary care, GP) related deaths; Hospital Death (Clinical Procedures and medical management) related deaths 1

Coroners who wrote them

All reports

DateDeceasedCategoryCoronerResponse
6 Feb 2026Linda BrooksHospital Death (Clinical Procedures and medical management) related deathsDeborah ArcherTorbay and South Devon NHS Trustsource
28 Feb 2024Adrian GreenHospital Death (Clinical Procedures and medical management) related deathsDeborah ArcherTorbay and Devon NHSsource
16 Dec 2019Alice SlomanChild Death (from 2015); Community health care (Including primary care, GP) related deaths; Hospital Death (Clinical Procedures and medical management) related deathsSimon Fox QCBristol NHS Foundation Redacted 2, Torbay and South Devon NHS Trustsource
11 Jul 2017Doreen WillisHospital Death (Clinical Procedures and medical management) related deathsIan ArrowTorbay and South Devon NHS Trustsource

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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