25 Prevention of Future Deaths reports name this organisation, 2017–2026. Every report below links to the original on judiciary.uk.
18 of 25 reports (72%) 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 — 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 | |
|---|---|---|---|---|---|
| 5 Feb 2026 | Kallum Reed | Suicide (from 2015) | Lydia Brown | West London NHS Trust, Department of Health and Social Care | source |
| 8 Dec 2025 | Oliver Mulangala | State Custody related deaths | Alcohol, drug and medication related deaths | Jonathan Stevens | HM Prison and Probation Service | source |
| 30 Jun 2025 | Ella David-Fong | Hospital death (Clinical Procedures and medical management) | Lydia Brown | CGL Ealing RISE annex, CGL Ealing RISE 1 | source |
| 18 Jun 2025 | Edward Cassin | Hospital Death (Clinical Procedures and medical management) related deaths | Sean Cummings | Central North West London NHS Foundation Trust, Milton Keynes University Hospita | source |
| 20 Feb 2025 | Duncan Holloway | Mental Health related deaths | Suicide (from 2015) | Mary Hassell | North London NHS, BACP | source |
| 15 Jan 2025 | Sheila Wexler | Product related deaths | Ian Potter | NRS Healthcare, NHS England | source |
| 9 Jan 2024 | Tom Sweeting | Suicide (from 2015) | Lydia Brown | West London NHS Trust | source |
| 2 Oct 2023 | Jack Zarrop | Suicide (from 2015) | Anton Van Dellen | the Home Office, NHSE, National Police Chiefs Council | source |
| 6 Jul 2023 | Oleg Khala | Suicide (from 2015) | Fiona Wilcox | West London NHS Trust | source |
| 14 May 2023 | Thomas Huntley | State Custody related deaths | Suicide (from 2015) | Robert Simpson | HM Prison and Probation Service | source |
| 19 Jan 2023 | Lance Walker | Other related deaths | Lydia Brown | none published | source |
| 21 Oct 2022 | Daniel O’Sullivan | Suicide (from 2015) | Alcohol, drug and medication related deaths | Christopher Williams | Central and North West London NHS Foundation Trust, Department of Health and Social Care | source |
| 11 Feb 2021 | Valeria Biggs | Hospital Death (Clinical Procedures and medical management) related deaths | Mental Health related deaths | Suicide (from 2015) | Dr Fiona Wilcox | none published | source |
| 15 Oct 2019 | Matthew Williamson | Mental Health related deaths | Christopher Murray | West London NHS Trust | source |
| 25 Sep 2019 | Anna Hedman | Other related deaths; Alcohol, drug and medication related deaths | Fiona Wilcox | none published | source |
| 28 Aug 2019 | Amir Siman-Tov | State Custody related deaths | Sean Cummings | none published | source |
| 21 Jun 2019 | Michael Folley | State Custody related deaths | Karen Harrold | Hampshire Constabulary, CNWL NHS Trust | source |
| 29 Apr 2019 | Georgia Nelson | Railway related deaths; Mental Health related deaths | Fiona Wilcox | RBKC, CNWL NHS Trust | source |
| 12 Dec 2018 | Neil Swaisland | Suicide (from 2015); Hospital Death (Clinical Procedures and medical management) related deaths | Thomas Osborne | Milton Keynes CCG, Milton Keynes Council | source |
| 19 Sep 2018 | Grenfell Tower | Other related deaths | Fiona Wilcox | none published | source |
| 21 May 2018 | Caroline Scott | Hospital Death (Clinical Procedures and medical management) related deaths | Thomas Osborne | none published | source |
| 27 Nov 2017 | Jason Basalat | State Custody related deaths | Thomas Osborne | Northampton Police, Respondent not named | source |
| 9 Aug 2017 | Sean Plumstead | State Custody related deaths | Grahame Short | HM Prison Probation Services, HM Prison Probation Services.2 1, Carillion | source |
| 28 Jul 2017 | Sarah Reed | Suicide (from 2015); State Custody related deaths | Mental Health related deaths | Hospital Death (Clinical Procedures and medical management) related deaths | Sir Peter Thornton QC | CNWL NHS Trust, NOMS | source |
| 24/06/22 | Zsolt Kirjak | Suicide (from 2015) | Mental Health related deaths | Russell Caller | none published | 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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What the recurring concerns are, and which were raised more than once.
The cleaned, OCR'd, metadata-tagged corpus.