166 Prevention of Future Deaths reports from the Birmingham and Solihull coroner area, 2013–2026. Each one is a coroner's formal warning that something could cause more deaths unless it changes. Full text of every report is on this site.
148 of 166 (89%) have at least one response published on judiciary.uk.
This counts responses published against the report by anyone, not whether a particular body replied. Publication is at the Chief Coroner's discretion and was far less consistent in the corpus's early years, so read a low figure as a prompt to open the reports, not as a finding.
| Date | Report | Coroner | Category | Responses |
|---|---|---|---|---|
| 2026 | REDACTED | James Bennett | 1 | |
| 2026 | Stephanie Link | Simon Brenchley | ||
| 2026 | Kiefer Fraser-Phillips | Louise Hunt | Mental Health related deaths | 1 |
| 2026 | Chloe Ulett | Emma Brown | Hospital Death (Clinical Procedures and medical management) related deaths | 5 |
| 2025 | Celia Phillips | Ana Samuel | Other related deaths | 1 |
| 2025 | Derrion Adams | Emma Brown | Alcohol, drug and medication related deaths | 1 |
| 2025 | Christopher Sampson | Adam Hodson | Road (Highways Safety) related deaths | 3 |
| 2025 | Ricky Monahan | Louise Hunt | Mental Health related deaths | 3 |
| 2025 | John Rust | Adam Hodson | Hospital Death (Clinical Procedures and medical management) related deaths | 1 |
| 2025 | Mohammed Khan | Emma Brown | Child Death (from 2015) | 3 |
| 2025 | Khalif Mohammed | Louise Hunt | Suicide (from 2015), Alcohol, drug and medication related deaths | 1 |
| 2025 | Charlotte Noordam | Ana Samuel | Road (Highways Safety) related deaths | 1 |
| 2025 | Robert Simpson | Ana Samuel | Hospital Death (Clinical Procedures and medical management) related deaths | 1 |
| 2025 | Gavin Wheale | Ian Dreelan | Alcohol, drug and medication related deaths, State Custody related deaths | 1 |
| 2025 | Muhammad Qasim | Louise Hunt | Alcohol, drug and medication related deaths, Police related deaths | 2 |
| 2025 | Colin Brooks | Simon Brenchley | Hospital Death (Clinical Procedures and medical management) related deaths | 1 |
| 2025 | Mark Villers | Louise Hunt | Hospital Death (Clinical Procedures and medical management) related deaths | 2 |
| 2025 | Wayne Brown | Louise Hunt | Suicide (from 2015) | 1 |
| 2025 | Tina Doig | Louise Hunt | Hospital Death (Clinical Procedures and medical management) related deaths | 3 |
| 2025 | Peter Anzani | Adam Hodson | Hospital Death (Clinical Procedures and medical management) related deaths | 2 |
| 2025 | Iris Carter | Simon Brenchley | Hospital Death (Clinical Procedures and medical management) related deaths | 1 |
| 2025 | Matthew Lynch | Louise Hunt | Mental Health related deaths, Other related deaths | 2 |
| 2025 | Javed Iqbal | James Bennett | Mental Health related deaths | 1 |
| 2025 | June Phillips | Louise Hunt | Care Home Health related deaths | 1 |
| 2025 | Aarav Chopra | Louise Hunt | Hospital Death (Clinical Procedures and medical management) related deaths, Child Death (from 2015) | 2 |
| 2024 | Michael Thompson | Louise Hunt | Hospital Death (Clinical Procedures and medical management) related deaths | 1 |
| 2024 | Rachael Ryan | Simon Brenchley | Hospital Death (Clinical Procedures and medical management) related deaths | 1 |
| 2024 | Phyllis Tromans | Vanessa Mckinlay | Hospital Death (Clinical Procedures and medical management) related deaths | 1 |
| 2024 | Sebastian ‘Benji’ Oliver | Adam Hodson | Alcohol, drug and medication related deaths, Police related deaths | 1 |
| 2024 | Joan Knight | Louise Hunt | Hospital Death (Clinical Procedures and medical management) related deaths | 1 |
| 2024 | Robert Taylor | Louise Hunt | Hospital Death (Clinical Procedures and medical management) related deaths | 1 |
| 2024 | Alan Fallows | Adam Hodson | Hospital Death (Clinical Procedures and medical management) related deaths | 1 |
| 2024 | Juliette Sewell | Adam Hodson | Suicide (from 2015) | 1 |
| 2024 | Kieran Lavin | James Bennett | Suicide (from 2015) | 1 |
| 2024 | Shelemiah Peterkin | Adam Hodson | Suicide (from 2015), Mental Health related deaths | 1 |
| 2024 | Robert Fray | James Bennett | Emergency services related deaths (2019 onwards) | 2 |
| 2024 | Tcherno Bari | James Bennett | Suicide (from 2015) | 9 |
| 2024 | James Pearson | Rebecca Ollivere | Road (Highways Safety) related deaths, Child Death (from 2015) | |
| 2024 | Peter Fanning | Louise Hunt | Hospital Death (Clinical Procedures and medical management) related deaths | 1 |
| 2024 | Ronald Spencer | Adam Hodson | Hospital Death (Clinical Procedures and medical management) related deaths | 3 |
| 2024 | Jade Griffiths-Jones | Emma Brown | Emergency services related deaths (2019 onwards) | 3 |
| 2024 | Tracey Farndon | Louise Hunt | Hospital Death (Clinical Procedures and medical management) related deaths | 2 |
| 2024 | Jacob Billington | Louise Hunt | Other related deaths | 5 |
| 2024 | Thomas Loxton | Adam Hodson | Suicide (from 2015) | 2 |
| 2024 | Charles Harper | James Bennett | Other related deaths | 2 |
| 2024 | Sylvia Nash | Rebecca Ollivere | Care Home Health related deaths | 3 |
| 2023 | Philip Malone | James Bennett | Suicide (from 2015) | 3 |
| 2023 | Leya Adris | Emma Brown | Alcohol, drugs medication related deaths, Care Home Health related deaths | 2 |
| 2023 | Sasha Mishabi | Emma Brown | Hospital Death (Clinical Procedures and medical management) related deaths | 1 |
| 2023 | Jason Bayley | Vanessa Mckinlay | Hospital Death (Clinical Procedures and medical management) related deaths | 1 |
| 2023 | Paula Lenihan | Susanna Rickard | Alcohol, drug and medication related deaths | 1 |
| 2023 | Steven Sanders | Emma Brown | Alcohol, drug and medication related deaths | 1 |
| 2023 | Graham Smith | Simon Brenchley | Hospital Death (Clinical Procedures and medical management) related deaths | 1 |
| 2023 | Peter Fleming | James Bennett | Suicide (from 2015), Other related deaths | 5 |
| 2023 | Mohammed Hussain | Louise Hunt | Other related deaths | 2 |
| 2023 | Mustafa Nadeem | James Bennett | Child Death (from 2015), Road (Highways Safety) related deaths | 3 |
| 2023 | Sinon Masha | Emma Brown | Child Death (from 2015) | 1 |
| 2023 | Hilary Thomas | Louise Hunt | Hospital Death (Clinical Procedures and medical management) related deaths | 2 |
| 2023 | Carol Clements | Rebecca Ollivere | Care Home Health related deaths | 1 |
| 2023 | Norma Bruton | Vanessa Mckinlay | Hospital Death (Clinical Procedures and medical management) related deaths | 1 |
| 2023 | Jai Singh | Emma Brown | Suicide (from 2015), State Custody related deaths | 3 |
| 2023 | Andrew Bowles | Ana Samuel | Other related deaths | 1 |
| 2023 | Leroy Hamilton | Louise Hunt | Other related deaths | 3 |
| 2023 | Floyd Carruthers | Ian Dreelan | Other related deaths, State Custody related deaths | 1 |
| 2022 | Carl Ellson | Louise Hunt | Suicide (from 2015) | 1 |
| 2022 | Mervyn Holbrook | Adam Hodson | Road (Highways Safety) related deaths | 1 |
| 2022 | Raneem Oudeh and Khaola Saleem | Louise Hunt | Emergency services related deaths (2019 onwards), Other related deaths | 6 |
| 2022 | Khalid Yousef | James Bennett | Mental Health related deaths, Other related deaths | 8 |
| 2022 | Lee Caruana | Emma Brown | Emergency services related deaths (2019 onwards) | 3 |
| 2022 | Jack Hurn | Emma Brown | Hospital Death (Clinical Procedures and medical management) related deaths | 1 |
| 2022 | Saifur Rahman | James Bennett | State Custody related deaths, Mental Health related deaths | 2 |
| 2022 | Spencer Barr | Adam Hodson | Hospital Death (Clinical Procedures and medical management) related deaths, Mental Health related deaths | 2 |
| 2022 | Natasha Adams | James Bennett | Hospital Death (Clinical Procedures and medical management) related deaths, Mental Health related deaths | 1 |
| 2022 | Matthew Caseby | Louise Hunt | Hospital Death (Clinical Procedures and medical management) related deaths, Railway related deaths | 2 |
| 2022 | Dorothy Spiby | Vanessa Mckinlay | Care Home Health related deaths | 1 |
| 2022 | Adam Stone | Emma Brown | Emergency services related deaths (2019 onwards), Alcohol, drug and medication related deaths | 4 |
| 2021 | Trevor Smith | Louise Hunt | Police related deaths, Other related deaths | 2 |
| 2021 | Christopher Collinson | Rebecca Ollivere | Hospital Death (Clinical Procedures and medical management) related deaths, Alcohol, drug and medication related deaths | 1 |
| 2021 | Ann Geraghty | Adam Hodson | Hospital Death (Clinical Procedures and medical management) related deaths, Product related deaths | 2 |
| 2021 | Peter Harte | Adam Hodson | Care Home Health related deaths | 1 |
| 2021 | Leonard Pritchard | Adam Hodson | Hospital Death (Clinical Procedures and medical management) related deaths | 2 |
| 2021 | Stephen MAGUIRE | Adam Hodson | Care Home Health related deaths | 1 |
| 2021 | Joan Coley | Louise Hunt | Hospital Death (Clinical Procedures and medical management) related deaths | 1 |
| 2021 | Raymond Powell | James Bennett | Care Home Health related deaths | 1 |
| 2021 | Azra Hussain | Emma Brown | Hospital Death (Clinical Procedures and medical management) related deaths, Mental Health related deaths | 4 |
| 2021 | Pardeep Plahe | Emma Brown | Community health care | 4 |
| 2020 | Mollie Gifford | James Bennett | Road (Highways Safety) related deaths | 1 |
| 2020 | Ian Allen | Louise Hunt | Care Home Health related deaths, Alcohol, drug and medication related deaths | 2 |
| 2020 | Renee Brooks | James Bennett | Other related deaths | 2 |
| 2020 | Colin North | Louise Hunt | Other related deaths | 2 |
| 2019 | Suzanna Bull | Louise Hunt | Road (Highways Safety) related deaths | 2 |
| 2019 | Andrew Wells | James Bennett | Hospital Death (Clinical Procedures and medical management) related deaths | |
| 2019 | Mary Hoare | Emma Brown | Care Home Health related deaths | |
| 2019 | Joshua Hoole | Louise Hunt | Service Personnel related deaths | 1 |
| 2019 | Dev Naran | Emma Brown | Road (Highways Safety) related deaths | 1 |
| 2019 | Anthony McCormack | Emma Brown | Hospital Death (Clinical Procedures and medical management) related deaths | 1 |
| 2019 | Gurdeep Singh Dundhal | Louise Hunt | Mental Health related deaths, Suicide (from 2015) | 3 |
| 2019 | Karen Burns | Louise Hunt | Emergency services related deaths (2019 onwards), Suicide (from 2015) | 3 |
| 2019 | Prabhaker Kapoor | Adam Hodson | Hospital Death (Clinical Procedures and medical management) related deaths | 1 |
| 2019 | Nigel Abbott | James Bennett | Community health care, Emergency services related deaths (2019 onwards) | 1 |
| 2019 | Richard Carlon | Louise Hunt | Alcohol, drug and medication related deaths, Mental Health related deaths | 2 |
| 2019 | David Jukes | Emma Brown | Mental Health related deaths, Hospital Death (Clinical Procedures and medical management) related deaths | 5 |
| 2019 | Allan Davies | James Bennett | Alcohol, drug and medication related deaths, Emergency services related deaths (2019 onwards) | 2 |
| 2019 | Marcus McGuire | Emma Brown | State Custody related deaths, Mental Health related deaths | 2 |
| 2019 | Aram Mustafa | Louise Hunt | Suicide (from 2015) | 3 |
| 2019 | Ronald Lowe | Emma Brown | Hospital Death (Clinical Procedures and medical management) related deaths | 1 |
| 2019 | Nora Bruton | Adam Hodson | Alcohol, drug and medication related deaths, Mental Health related deaths | 1 |
| 2019 | Anthony Watson | James Bennett | Hospital Death (Clinical Procedures and medical management) related deaths, Suicide (from 2015) | 2 |
| 2019 | Jean Cutler | James Bennett | Care Home Health related deaths | 1 |
| 2019 | Stephen Kennedy | Louise Hunt | Mental Health related deaths, Suicide (from 2015) | 3 |
| 2019 | Stephen Harte | James Bennett | Hospital Death (Clinical Procedures and medical management) related deaths, Mental Health related deaths | 2 |
| 2019 | Andrew Carr | Louise Hunt | Alcohol, drug and medication related deaths, State Custody related deaths | |
| 2019 | Ann Swoffer | Louise Hunt | Hospital Death (Clinical Procedures and medical management) related deaths | 1 |
| 2019 | Neil Black | Louise Hunt | Hospital Death (Clinical Procedures and medical management) related deaths, Mental Health related deaths | 1 |
| 2019 | Ricardo Holgate | Louise Hunt | State Custody related deaths | 1 |
| 2018 | John Delahaye | Emma Brown | Suicide (from 2015), State Custody related deaths | 1 |
| 2018 | Jacqueline Oakes | Louise Hunt | Other related deaths | 1 |
| 2018 | Michael Cooper | Emma Brown | Mental Health related deaths, Suicide (from 2015) | |
| 2018 | Bradley Morgan | Emma Brown | Mental Health related deaths, Suicide (from 2015) | |
| 2018 | William Edge | Emma Brown | Mental Health related deaths | |
| 2018 | Stephen Jackson | Emma Brown | Mental Health related deaths, Suicide (from 2015) | |
| 2018 | Michael Wheeler | Emma Brown | Hospital Death (Clinical Procedures and medical management) related deaths | |
| 2018 | Simon Graham | Emma Brown | Mental Health related deaths | 2 |
| 2018 | Daniel Collins | James Bennett | Hospital Death (Clinical Procedures and medical management) related deaths, Suicide (from 2015) | |
| 2018 | Paul Ryley | Emma Brown | Alcohol, drug and medication related deaths | 1 |
| 2018 | Kiarah Allen | Louise Hunt | Hospital Death (Clinical Procedures and medical management) related deaths | 1 |
| 2018 | Kathleen Allen | Emma Brown | Hospital Death (Clinical Procedures and medical management) related deaths | 1 |
| 2018 | Keiron Bould | Louise Hunt | Police related deaths | 1 |
| 2018 | Imtiaz Mohammed | Louise Hunt | Road (Highways Safety) related deaths | 1 |
| 2017 | Francis Beech | Louise Hunt | Care Home Health related deaths, Hospital Death (Clinical Procedures and medical management) related deaths | 1 |
| 2017 | Mildred Griffiths | Louise Hunt | Care Home Health related deaths | 1 |
| 2017 | Conall Gould | Emma Brown | Mental Health related deaths | 1 |
| 2017 | Mohammad Ashraf | Louise Hunt | Child Death (from 2015), Community health care and emergency services related deaths | 2 |
| 2017 | James Harris | Emma Brown | Care Home Health related deaths | 2 |
| 2017 | David Sheppard | Louise Hunt | Care Home Health related deaths | 1 |
| 2017 | Ahsiyah Bibi | Emma Brown | Hospital Death (Clinical Procedures and medical management) related deaths | |
| 2017 | Johan Pambou | Louise Hunt | Hospital Death (Clinical Procedures and medical management) related deaths | 1 |
| 2017 | Leah Ratheram | Louise Hunt | Child Death (from 2015), Mental Health related deaths | |
| 2017 | Frederick Bevan | Emma Brown | Care Home Health related deaths | |
| 2017 | Roger Tombs | Emma Brown | Care Home Health related deaths | 2 |
| 2016 | Exauce Paoulen | Emma Brown | Road (Highways Safety) related deaths | 1 |
| 2016 | Rex Hall | Emma Brown | Community health care and emergency services related deaths, Hospital Death (Clinical Procedures and medical management) related deaths | 1 |
| 2016 | Timothy Jones | Louise Hunt | Community health care and emergency services related deaths | 1 |
| 2016 | Alfie Rose | Louise Hunt | Child Death (from 2015), Hospital Death (Clinical Procedures and medical management) related deaths | 2 |
| 2016 | Jane Reason | Louise Hunt | Other related deaths | 4 |
| 2016 | Robert Davidson | Louise Hunt | Care Home Health related deaths | 5 |
| 2016 | Karnel Haughton | Emma Brown | Other related deaths | |
| 2016 | Raymond Woodward | Emma Brown | Alcohol, drug and medication related deaths | 2 |
| 2016 | Winston Harris | Louise Hunt | Care Home Health related deaths, Hospital Death (Clinical Procedures and medical management) related deaths | 2 |
| 2016 | Patricia Cleghorn | Louise Hunt | Community health care and emergency services related deaths | 4 |
| 2016 | Sydney Neil | Louise Hunt | Hospital Death (Clinical Procedures and medical management) related deaths, Community health care and emergency services related deaths | 3 |
| 2016 | Terence Stilges | Louise Hunt | Hospital Death (Clinical Procedures and medical management) related deaths | 1 |
| 2016 | Richard Grant | Emma Brown | Hospital Death (Clinical Procedures and medical management) related deaths | 1 |
| 2016 | Leslie Carswell | Louise Hunt | Hospital Death (Clinical Procedures and medical management) related deaths | 1 |
| 2016 | Luke Ayres | Emma Brown | Suicide (from 2015), Mental Health related deaths | 1 |
| 2016 | Ronald Bentley | Emma Brown | Hospital Death (Clinical Procedures and medical management) related deaths | 1 |
| 2015 | Dean Boland | Louise Hunt | State Custody related deaths | 1 |
| 2015 | Michael Logue | Louise Hunt | Community health care and emergency services related deaths | 1 |
| 2015 | Hireiti Kuflesion | Emma Brown | Hospital Death (Clinical Procedures and medical management) related deaths | |
| 2015 | Adrian Smith | Louise Hunt | Hospital Death (Clinical Procedures and medical management) related deaths | 1 |
| 2015 | Doreen England | Louise Hunt | Mental Health related deaths | 1 |
| 2015 | Lottie Reid | Margaret Jones | Hospital Death (Clinical Procedures and medical management) related deaths | 1 |
| 2015 | Kingsley Burrell | Louise Hunt | Mental Health related deaths, State Custody related deaths | 3 |
| 2013 | George Leonard Parkes | Sarah Ormond Walshe | Hospital Death (Clinical Procedures and medical management) related deaths | |
| 2013 | Neil Richard Clark | Michael Snell | Alcohol, drug and medication related deaths | |
| 0000-00-00 | Syeda Fatima | Adam Hodson | Child Death (from 2015), Hospital Death (Clinical Procedures and medical management) related deaths | 1 |
See every Prevention of Future Deaths report matching Birmingham and Solihull, and how often a new one appears.
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